Instead PEP utilisation was monitored by assessing the kinetics of 13C enrichment in three metabolic oxaloacetate products: aspartate, malate, and citrate (Figure 5).
Concerning the utilisation of haemodynamic monitoring to guide the complex management of fluid therapy, clinical guidelines are underutilised and intensivists inconsistently refer essentially to dynamic indices of preload.
Australia and New Zealand have national data derived from general practice diabetes registers to monitor utilisation of diabetes services.
In our study, we observed a large utilisation of invasive haemodynamic monitoring in patients with shock.
Monitoring availability, utilisation and performance of EmOC facilities is a key part of the strategy (29).
Metabolically labelling the nitrogen source and monitoring its utilisation could be used to investigate the pathways.
Improve access to and quality of obstetric and neonatal services; Develop partnerships between sectors, programmes and other parties; Facilitate empowerment of women and families for healthy behaviours and care utilisation, and Improve management, monitoring and surveillance (41, 42).
This study finds low utilisation of partographs for monitoring labour in the JSY programme and limited abilities of staff to use this tool in an environment where staff show poor buy-in to routine use of the partograph.
If these large data sets are able to be exploited using MLT, it may open the way to optimise the use of collected administrative data to assist in predicting patients' outcome, planning individualised patient care, monitoring resource utilisation and improving institutional performance.
The MPS Strategic Plan has four elements: Improve access to and quality of obstetric and neonatal services; Develop partnerships between sectors, programmes and other parties; Facilitate empowerment of women and families for healthy behaviours and care utilisation, and Improve management, monitoring and surveillance (41, 42 ).
