US economic revolution. Mapping the future of healthcare.

The revival of the economy in the US holds 2 powerful lessons for its healthcare system: know your customers and focus on their needs. Widespread inefficiency and inconvenience characterise the current healthcare system because it has failed to heed these lessons so far. Making the necessary changes will require substantial modifications by both government and healthcare providers. But, in the end, the result will reshape the future of healthcare.

The association of increased fetal nuchal translucency and spinal muscular atrophy type I.

We report a fetus with spinal muscular atrophy type I, who presented with an increased nuchal translucency at 13 weeks' gestation. A review of the literature reveals additional cases of spinal muscular atrophy type I associated with increased nuchal translucency and suggests increased nuchal translucency may be an early finding in this disorder.

Succeeding beyond the Year 2000: how to rise to the challenges of the new millennium. Interview by Jill L. Sherer.

Are you ready to take your organization into the 21st century? Do you fully grasp the implications of current and emerging trends in the field? Healthcare Executive talked with six healthcare experts and asked them what they saw as the greatest challenge for both executives and their organizations in the new millennium. Although the experts' opinions vary, their responses emphasize the importance of repairing old relationships and building new partnerships between those working in healthcare organizations, as well as bringing a consumer focus back to healthcare delivery.

The managerial revolution in the U.S. health care sector: lessons from the U.S. economy.

The U.S. health care sector is following the path of the revitalized U.S. economy with the creation of focused health care factories that provide coordinated care primarily for high-cost chronic diseases, disabilities, and surgical procedures, and with increased response to the demands of hard-working, well-educated Americans for convenience and support. Everything-for-everybody vertically integrated systems and managed care organizations will be sorely tested by these efficient, consumer-friendly innovations. This managerial revolution will create substantial opportunities for important health care administration research.

Fetal ascites associated with ABO incompatibility: case report and review of the literature.

We report a pregnancy complicated by anti-B isoimmunization that resulted in fetal ascites, anemia, hepatomegaly, and polyhydramnios. A previous pregnancy in the same patient was complicated by neonatal ABO incompatibility. A review of the obstetric literature suggests that ABO incompatibility may cause severe fetal anemia, especially in patients with type O blood or a previous history of ABO incompatibility of the newborn.