MedWorm: Teaching Hospitals

Outcome of road traffic injuries received in the emergency room of a teaching hospital, Southeast Nigeria. - Omoke NI, Chukwu CO, Madubueze CC, Oyakhiolme OP.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

This study was aimed at assessing the early outcome of RTIs received in our hospital emergency room. Understanding this will help to achieve optimum injury out... (Source: SafetyLit: All (Unduplicated))

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Anterior Cingulate Cortex {gamma}-Aminobutyric Acid in Depressed Adolescents: Relationship to Anhedonia [Original Article]

Archives of General Psychiatry — Mon, 06 Feb 2012 05:00:00 +0100

Conclusions These findings suggest that GABA, the major inhibitory neurotransmitter in the brain, may be implicated in adolescent MDD and, more specifically, in those with anhedonia. In addition, use of a continuous rather than categorical scale of anhedonia, as in the present study, may permit greater specificity in evaluating this important clinical feature. (Source: Archives of General Psychiatry)

Bradford surgeon becomes Yorks and Humber postgraduate dean

HSJ — Fri, 03 Feb 2012 18:37:00 +0100

WORKFORCE: Bradford Teaching Hospitals Foundation Trust consultant vascular surgeon David Wilkinson has been appointed postgraduate dean at the Yorkshire and the Humber Deanery. (Source: HSJ)

Adoption and Meaningful Use of Computerized Physician Order Entry With an Integrated Clinical Decision Support System for Radiology: Ten-Year Analysis in an Urban Teaching Hospital

ICMCC: The International Council on Medical and Care Compunetics — Fri, 03 Feb 2012 16:08:19 +0100

Source: Ip IK et al, Journal of the American College of Radiology, 9(2) Content: Purpose The aim of this study was to assess whether an integrated imaging computerized physician order entry (CPOE) system with embedded decision support for imaging can be accepted clinically. Methods The study was performed in a health care delivery network with an affiliated academic [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

The prevalence of Neurally Mediated Syncope in older patients presenting with unexplained falls.

European Journal of Internal Medicine — Fri, 03 Feb 2012 00:25:23 +0100

CONCLUSION: Falls are unexplained in a significant number of older patients presenting to acute hospitals. The assessment of unexplained fallers for NMS is clinically important as this may be aetiologically related in nearly a quarter of these patients. PMID: 22284256 [PubMed - in process] (Source: European Journal of Internal Medicine)

California Acute-Care Teaching Hospital Turns to McKesson to Centralize Billing

McKesson News — Thu, 02 Feb 2012 23:16:17 +0100

McKesson Revenue Management Solutions Expected to Boost Efficiency, Enhance Patient Service (Source: McKesson News)

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ePrescription for safer medications

ICMCC: The International Council on Medical and Care Compunetics — Wed, 01 Feb 2012 17:48:06 +0100

Source: Charles Wright, eHealthCentral Content: “Today’s Sydney Morning Herald picks up on a study that showed electronic prescribing systems in two Australian teaching hospitals dramatically reduced medication errors. I’ve reported earlier on some fascinating findings from e-prescribing studies, including the fact that they may enable inexperienced doctors to wreak havoc through being forced to choose [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

The Impact of Endoscopic Retrograde Cholangiopancreatography Education on Radiation Exposure to Experienced Endoscopist: “Trainee Effect”

Digestive Diseases and Sciences — Wed, 01 Feb 2012 17:12:08 +0100

Conclusions Based on our results, taking into consideration the heavy workload in our hospital, it would seem that more experienced endoscopists are required to help provide training in ERCP, and that the use of lead acrylic goggles is required to decrease radiation exposure to the eyes. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s10620-012-2028-4Authors Erkin Oztas, Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, TurkeyErkan Parlak, Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, TurkeyFahrettin Kucukay, Department of Radiology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, TurkeyMehmet Arhan, Department of Gastroenterolo...

Adoption and Meaningful Use of Computerized Physician Order Entry With an Integrated Clinical Decision Support System for Radiology: Ten-Year Analysis in an Urban Teaching Hospital

Journal of the American College of Radiology : JACR — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: Imaging CPOE with embedded decision support integrated into the IT infrastructure of the health care enterprise and clinicians' workflow can be broadly accepted clinically. (Source: Journal of the American College of Radiology : JACR)

Examination of Assumptions in Using Time Tradeoff and Standard Gamble Utilities in Individuals With Spinal Cord Injury

Archives of Physical Medicine and Rehabilitation — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: Among patients with SCI, there was a nonlinear relation between the TTO and life expectancy that violated the fundamental assumption of risk neutrality toward life years. Accordingly, TTO utilities elicited for different life expectancies should not be compared in quality-of-life assessments or used in cost-utility analyses. In contrast, SG utilities remained stable at different lengths of life expectancy in SCI patients. Moreover, certain patient characteristics such as age, time lapse since the injury, neurologic severity, risk attitudes, and depressive status can account for some TTO and SG variations among patients with SCI. (Source: Archives of Physical Medicine and Rehabilitation)

Intensive care admissions and outcome at the University of Calabar Teaching Hospital, Nigeria

Journal of Critical Care — Wed, 01 Feb 2012 05:00:00 +0100

Abstract: An intensive care unit (ICU) is for critically ill patients who are likely to benefit from the expertise care provided. The outcome is dependent on the available human and material resources. The University of Calabar Teaching Hospital is a 410-bed hospital. It has a 3-bed general ICU consisting of 2 adult and 1 pediatric beds. A retrospective analysis of all ICU admissions as well as the mortality rate during a 12-month period that spans April 2009 and March 2010 was done. The data were collected from the ICU admissions and nurses' report books. The data extracted were the patients ages, stratified to pediatric (0-18 years) and adult (>18 years); the source of admission, primary diagnosis, the duration of admission, and the patients who were ventilated were also noted. The outco...

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Percutaneous coronary intervention outcomes in US hospitals with varying structural characteristics: Analysis of the NCDR®

American Heart Journal — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: Specialty hospitals appear to have lower rates of most adverse outcomes for PCI. Specialty hospitals may have developed expertise in narrow procedural areas that could be adapted to the larger population of general hospitals. (Source: American Heart Journal)

Cancellation of elective operations on the day of intended surgery in a Hong Kong hospital: point prevalence and reasons.

Hong Kong Med J — Wed, 01 Feb 2012 05:00:00 +0100

CONCLUSIONS. Case cancellations were mainly due to facility factors, such as no operating room time being available. The odds of having no operating room time available varied between surgical specialties. PMID: 22302904 [PubMed - in process] (Source: Hong Kong Med J)

Serial plotting on customised fundal height charts results in doubling of the antenatal detection of small for gestational age fetuses in nulliparous women

The Australian and New Zealand Journal of Obstetrics and Gynaecology — Wed, 01 Feb 2012 05:00:00 +0100

ConclusionsSerial plotting of the FH on customised charts supported by a clinical practice guideline resulted in a doubling of the antenatal detection of SGA in nulliparous pregnant women at low risk for SGA. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology)

Gambia: New RVTH Boss Outlines Plans

AllAfrica News: Health and Medicine — Tue, 31 Jan 2012 11:30:27 +0100

Daily Observer (Banjul)-In this week's Health Promotion, we bring you excerpts of the interview we had with Dr Ahmet Secka, the newly appointed Chief Medical Director of the Royal Victorial Teaching Hospital (RVTH), where he spoke at length on a wide range of issues including his background, profession, qualifications, as well as plans for the country's main referral hospital, the RVTH. (Source: AllAfrica News: Health and Medicine)

Validation of the Sarcoidosis Health Questionnaire in a non‐US population

Respirology — Tue, 31 Jan 2012 05:00:00 +0100

Conclusions:: The SHQ correlated well with health‐related quality of life and fatigue measures in a predominantly European population of sarcoidosis patients, despite differences in organ involvement and disease burden, when compared with the development study.© 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology (Source: Respirology)

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Effects of Two Commercial Electronic Prescribing Systems on Prescribing Error Rates in Hospital In-Patients: A Before and After Study

PLoS Medicine — Tue, 31 Jan 2012 05:00:00 +0100

This study evaluated the effectiveness of two commercial e-prescribing systems in reducing prescribing error rates and their propensities for introducing new types of error. Methods and Results We conducted a before and after study involving medication chart audit of 3,291 admissions (1,923 at baseline and 1,368 post e-prescribing system) at two Australian teaching hospitals. In Hospital A, the Cerner Millennium e-prescribing system was implemented on one ward, and three wards, which did not receive the e-prescribing system, acted as controls. In Hospital B, the iSoft MedChart system was implemented on two wards and we compared before and after error rates. Procedural (e.g., unclear and incomplete prescribing orders) and clinical (e.g., wrong dose, wrong drug) errors were identified. Presc...

Divergent Intentions to Use Antibiotic Guidelines: A Theory of Planned Behavior Survey

Medical Decision Making — Tue, 31 Jan 2012 05:00:00 +0100

Conclusions. These divergent origins of influence on guideline adherence point to different approaches for improvement. As habits strongly influence staff members, methods that focus on changing habits (e.g., automated decision support systems) are possible interventions. As residents’ intention seems to be guided mainly by external influences and experienced control, this may make feedback, convenient guideline formats, and guideline familiarization more suitable. (Source: Medical Decision Making)

Survey of the major sources of waste in the health care units of a teaching hospital

Revista da Escola de Enfermagem da USP — Mon, 30 Jan 2012 03:57:48 +0100

The objectives of this study were to survey the different types of waste, their causes and suggestions to eliminate them according to the opinion of the nursing and medical staff from the Clinical Medicine, Surgery, Pediatrics, Rooming-In, and Nursery Units; and estimate the cost of the major source of waste found in the referred units. This descriptive, explorative study was performed at the University of São Paulo Teaching Hospital using a quantitative approach. The study sample consisted of 189 medical and nursing professionals. Material waste (36%) was the most often reported by all professional categories, followed by physical structure waste (27%). The most reported wasted materials were medicines, dressing packs, stationary paper, and infusion devices The estimated annual cost of m...

Neuropathy Dermatitis following Surgical Nerve Injury

Advances in Pharmacological Sciences — Sun, 29 Jan 2012 18:41:46 +0100

Conclusions. Neuropathy dermatitis is apparently a new variant of dermatitis that follows nerve cut during surgery. (Source: Advances in Pharmacological Sciences)

Ghana: Cardio Staff and Patients Want Prof. Boateng Back

AllAfrica News: Health and Medicine — Fri, 27 Jan 2012 13:13:19 +0100

Public Agenda (Accra)-A section of cardiothoracic staff of the Korle-Bu Teaching Hospital and patients of cardio say they want Prof. Frimpong Boateng back at the Cardio Centre. Some of them say, the absence of Prof Boateng has created a vacuum at the Centre. (Source: AllAfrica News: Health and Medicine)

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Terrorism and mental health in Iraq - Al-Amery AH, Humaidi NS, Al-Aboodi MR, Hammadi GA, Sadik S.

SafetyLit: All (Unduplicated) — Fri, 27 Jan 2012 12:32:35 +0100

This study looks at the relationship between mental illness and terrorist acts. 118 terrorism charged offenders were assessed by the forensic psychiatric team, while resident at Ibn Al-Haitham secure unit at Al-Rashad Teaching hospital-Baghdad. Data were c... (Source: SafetyLit: All (Unduplicated))

Perception, attitude and compliance with the use of car safety seatbelts among workers in Lautech teaching hospital, Osogbo, southwestern Nigeria - Bamidele JO, Adebimpe WO, Adewole AO.

SafetyLit: All (Unduplicated) — Fri, 27 Jan 2012 12:32:35 +0100

Background: Injuries associated with road traffic accidents is a major cause of morbidity and mortality in our environment. Despite the enactment of laws mandating the use of car seatbelts by motorists, expected behavioral change has not been achieved to e... (Source: SafetyLit: All (Unduplicated))

Gambia: RVTH Gets New Chief Medical Director

AllAfrica News: Health and Medicine — Fri, 27 Jan 2012 11:47:34 +0100

Daily Observer (Banjul)-Dr Ahmed Secka has been appointed the new chief medical director of the Royal Victoria Teaching Hospital (RVTH) with effect from Thursday, January 26th, 2012. He replaces Professor Ousman Nyan, the provost of the School of Medicine and Allied Health Sciences at the University of The Gambia (UTG). (Source: AllAfrica News: Health and Medicine)

UCF approves $15.1M purchase of land for hospital

bizjournals.com Health Care:Pharmaceuticals headlines — Thu, 26 Jan 2012 22:35:22 +0100

The University of Central Florida board of trustees approved the purchase of 25 acres in Lake Nona for a future teaching hospital on Jan. 26. According to documents, the closing date would be Jan. 30. Under the terms of the deal, UCF would: • Pay $15.1 million for the land. • Have rights to develop 253,000 square feet of hospital space. • Have the right to develop 115,000 square feet of clinic space. • Have the option to buy an additional 13 plus acres until Jan. 16, 2017, at a cost of $600,000 per acre of market value... (Source: bizjournals.com Health Care:Pharmaceuticals headlines)

Medical Liability of the Physician in Training.

Clinical Orthopaedics and Related Research — Thu, 26 Jan 2012 05:00:00 +0100

CONCLUSIONS: Physician representation, nature of conduct, and extent of supervision of that conduct are relevant factors used by courts to determine liability. However, the recent standards are those of the physician who directly supervises the professional conduct of a resident in a given situation. PMID: 22278849 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)

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Pre-internship Nigerian medical graduates lack basic musculoskeletal competency

International Orthopaedics — Wed, 25 Jan 2012 18:11:34 +0100

Conclusion Basic musculoskeletal competency among pre-internship Nigerian medical-school graduates is inadequate. Content Type Journal ArticleCategory Original PaperPages 1-4DOI 10.1007/s00264-012-1485-xAuthors Timothy Eyo Nottidge, Department of Orthopaedics and Traumatology, Faculty of Clinical Sciences, University of Uyo, Uyo, Akwa-Ibom State, NigeriaUdeme Ekrikpo, Department of Internal Medicine, University of Uyo Teaching Hospital, Uyo, NigeriaAdeleke Olusegun Ifesanya, Department of Surgery, University of Ibadan, Ibadan, NigeriaRichard E. Nnabuko, National Orthopaedic Hospital, Enugu, Enugu, NigeriaEdwin Maduakonam Dim, Department of Orthopaedics and Traumatology, Faculty of Clinical Sciences, University of Uyo, Uyo, Akwa-Ibom State, NigeriaClement Inyang Udoinyan...

Prospectively defined indicators to improve the safety and quality of care for critically ill patients: a report from the Task Force on Safety and Quality of the European Society of Intensive Care Medicine (ESICM)

Intensive Care Medicine — Wed, 25 Jan 2012 18:07:29 +0100

Conclusion This document contains nine indicators, all of which have a high level of consensual agreement from an international Task Force, which could be used to improve quality in routine intensive care practice. Content Type Journal ArticleCategory OriginalPages 1-8DOI 10.1007/s00134-011-2462-3Authors A. Rhodes, Department of Intensive Care Medicine, St George’s Healthcare NHS Trust and St George’s University of London, London, SW17 0QT UKR. P. Moreno, Unidade de Cuidados Intensivos Polivalente, Hospital de St. António Dos Capuchos, Centro Hospitalar de Lisboa Central, E.P.E, Lisbon, PortugalE. Azoulay, Service de Réanimation Médicale, Hôpital Saint-Louis, Université Paris 7, 1 Avenue Claude Vellefaux, 75010 Paris, FranceM. Capuzzo, Section of Anaesthesio...

Profiling harmful medication errors in an acute Irish teaching hospital

Irish Journal of Medical Science — Wed, 25 Jan 2012 18:05:07 +0100

Conclusions A cross-tabulation strategy for prioritising medication-associated risks was successfully applied to a hospital database comprising medication errors. The profile developed for harmful medication errors in this acute tertiary healthcare setting was broadly in line with that published for error reporting systems internationally. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s11845-012-0804-yAuthors E. C. Relihan, School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin 2, IrelandS. A. Ryder, School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin 2, IrelandB. Silke, St. James’s Hospital, James’s St, Dublin 8, Ireland Journal Irish Journal of Medical ScienceOnline ISSN 1863...

Oral pyogenic granuloma—a review of 215 cases in a South Indian Teaching Hospital, Karnataka, over a period of 20 years

Oral and Maxillofacial Surgery — Wed, 25 Jan 2012 06:52:42 +0100

Conclusion Among the reactive lesions, PG had the highest incidence. The frequency of pyogenic granuloma in the southern part of India was much higher compared to other studies. Additional epidemiological research is required to understand the frequency. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s10006-012-0315-zAuthors Rekha Krishnapillai, Dental Faculty, Garyounis University, Benghazi, LibyaKurian Punnoose, Dental Faculty, Garyounis University, Benghazi, LibyaPunnya V. Angadi, Department of Oral and Maxillofacial Pathology, KLE VK Institute of Dental Sciences and Hospital, Belgaum, Karnataka, IndiaAnila Koneru, Department of Oral and Maxillofacial Pathology, S.D.M College of Dental Sciences and Hospital, Dharwad, Karnataka, India ...

Does necrotizing enterocolitis affect growth and neurodevelopmental outcome in very low birth weight infants?

Pediatric Surgery International — Tue, 24 Jan 2012 12:27:17 +0100

Conclusion Necrotizing enterocolitis has affected neurodevelopmental outcome but not growth in VLBW infants at 18–24 months of corrected age. Both those treated medically or requiring surgery need close neurodevelopmental follow-up for the first years of life. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00383-012-3051-4Authors Dilek Dilli, Department of Neonatology, Zekai Tahir Burak Maternity and Teaching Hospital, Ankara, TurkeyZeynep Eras, Department of Developmental Pediatrics, Zekai Tahir Burak Maternity and Teaching Hospital, Ankara, TurkeyHülya Özkan Ulu, Zekai Tahir Burak Maternity and Teaching Hospital, Ankara, TurkeyUğur Dilmen, Department of Neonatology, Zekai Tahir Burak Maternity and Teaching Hospital, Ankara, Tur...

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Gambia: 4-Year-Old Boy Needs Urgent Overseas Treatment

AllAfrica News: Health and Medicine — Tue, 24 Jan 2012 10:40:47 +0100

Daily Observer (Banjul)-Yaya Cessay, a 4-year-old boy and a native of Sami Pachonki in the Central River Region north, is in need of urgent overseas treatment. According to a medical report issued from the Royal Victoria Teaching hospital (RVTH), Yaya was noted to be restless, with marked deformity of the anterior cervical and thoracic region. The report further stated that sub-mental region was attached to the extensive thoracic hypertrophic scars, as a result he was unable to move his neck reasonably without moving his trunk. (Source: AllAfrica News: Health and Medicine)

Retromuscular Mesh Repair of Midline Incisional Hernia with Polyester Standard Mesh: Monocentric Experience of 261 Consecutive Patients with a 5-year Follow-up

World Journal of Surgery — Tue, 24 Jan 2012 07:55:20 +0100

Conclusions Our results suggest that RMR with a polyester standard prosthesis for MIH remains a safe “classic” treatment with a moderate complication rate and a low infection and recurrence rate, even in large incisional hernia. Content Type Journal ArticlePages 1-9DOI 10.1007/s00268-012-1443-1Authors Tigran Poghosyan, Department of General, Digestive and Metabolic Surgery, Ambroise Paré Teaching Hospital, Université Versailles Saint-Quentin, Assistance Publique-Hôpitaux de Paris, Boulogne-Billancourt, 9, Avenue Charles de Gaulle, Boulogne, 92100 FranceNicolas Veyrie, Department of General, Digestive and Metabolic Surgery, Ambroise Paré Teaching Hospital, Université Versailles Saint-Quentin, Assistance Publique-Hôpitaux de Paris, Boulogne-Billancourt, 9, Av...

Trainees, Trainers, and Training; Where Does Their Destiny Lie ?

World Journal of Surgery — Tue, 24 Jan 2012 07:55:18 +0100

Content Type Journal ArticlePages 1-2DOI 10.1007/s00268-011-1422-yAuthors Martin Brand, Department of Surgery, University of the Witwatersrand, Johannesburg, South AfricaWilliam Thomas, Department of General Surgery, Sheffield Teaching Hospitals Trust, Sheffield, UK Journal World Journal of SurgeryOnline ISSN 1432-2323Print ISSN 0364-2313 (Source: World Journal of Surgery)

Access to the next wave of biologic therapies (Abatacept and Tocilizumab) for the treatment of rheumatoid arthritis in England and Wales

Clinical Rheumatology — Tue, 24 Jan 2012 07:54:07 +0100

Abstract Patients in England and Wales with rheumatoid arthritis (RA) receive treatment from the National Health Service (NHS) with therapies approved by the European Medicines Agency (EMA), under guidance from the National Institute for Health and Clinical Excellence (NICE). This document overviews the current NICE guidelines for the treatment of RA and identifies scenarios when such guidance may not represent the optimum management strategy for individual patients. Specifically, we consider the use of tocilizumab or abatacept as the most appropriate treatments for some patients. In such scenarios, it may be possible for the clinician to secure access to the required therapy through an application procedure known as an ‘individual funding request’, the process of whic...

Predictive Factors for a Good Outcome Following Endoscopic Sinus Surgery

Indian Journal of Otolaryngology and Head and Neck Surgery — Tue, 24 Jan 2012 07:53:57 +0100

Abstract The aim of this study was to establish if there are any symptoms which can predict increased patient satisfaction following Endoscopic Sinus Surgery (ESS) and whether these symptoms correlate with Lund-Mackay score on Computerised Tomography (CT). A prospective observational study was performed. Ninety-three consecutive patients who were offered ESS were recruited from an otolaryngology department in a UK Teaching Hospital. All patients had failed medical therapies for chronic rhinosinusitis (CRS), recurrent acute sinusitis and/or nasal polyposis. Patients were asked to complete a questionnaire pre-operatively and 12 months after surgery. Symptoms were assessed using a visual analogue scale. Endoscopic examination of the nose was performed pre and post-operat...

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Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer: the views of health care professionals

Supportive Care in Cancer — Tue, 24 Jan 2012 07:34:11 +0100

Discussion The participants agreed that the novel symptom management NPI should be individually personalised to the needs of each patient and be available for patients when they become receptive to it. Moreover, they agreed that the intervention would be most effective if delivered to patients individually rather than in groups, outside acute medical settings where possible and closer to patient’s homes, should be delivered by an HCP rather than a trained volunteer or lay person and should involve informal carers wherever practicable. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s00520-011-1362-yAuthors Richard Wagland, Faculty of Health Sciences, University of Southampton, Highfield, Southampton SO17 1BJ, UKJackie Ellis, Academic P...

CIRSE Guidelines: Quality Improvement Guidelines for Endovascular Treatment of Traumatic Hemorrhage

CardioVascular and Interventional Radiology — Tue, 24 Jan 2012 06:48:22 +0100

Content Type Journal ArticleCategory Invited Submission: CIRSE Standards of Practice GuidelinesPages 1-11DOI 10.1007/s00270-012-0339-7Authors Sam Chakraverty, Ninewells Hospital, Dundee, Scotland DD1 9SY, UKKaren Flood, Leeds Teaching Hospitals, 1 Great George Street, Leeds, LSI 3EX UKDavid Kessel, Leeds Teaching Hospitals, 1 Great George Street, Leeds, LSI 3EX UKSimon McPherson, Leeds Teaching Hospitals, 1 Great George Street, Leeds, LSI 3EX UKTony Nicholson, Leeds Teaching Hospitals, 1 Great George Street, Leeds, LSI 3EX UKCharles E. Ray, University of Colorado Hospital, 12401 E 17th Ave, Room 526, Mail Code L954, Aurora, CO 80045, USAIain Robertson, Gartnaval General Hospital, 1053 Great Western Road, Glasgow, Scotland G12 0YN, UKOtto M. van Delden, Department of Radiology, Academic...

Determinants of recourse to hospital treatment in the elderly

The European Journal of Public Health — Tue, 24 Jan 2012 05:00:00 +0100

Conclusions: Elderly account for a high proportion of hospitalizations, mainly determined by critical health conditions, advanced age and functional dependence. Poor health conditions (high comorbidity and presence of chronic multi-organ diseases), functional dependence but not critical social factors were the main determinants of multiple hospital admissions. (Source: The European Journal of Public Health)

Third-generation CT has 100% sensitivity and specificity for identifying subarachnoid haemorrhage when it is carried out within 6 h of headache onset

Evidence-Based Medicine — Mon, 23 Jan 2012 05:00:00 +0100

Context A complaint of acute onset headache mandates that subarachnoid haemorrhage (SAH) be excluded as the cause. Because of the less than perfect sensitivity of unenhanced head CT, standard practice is to follow a negative CT with lumbar puncture (LP) to exclude subarachnoid haemorrhage. Improvements in CT technology have raised the question of whether modern third-generation CT scanners are sensitive enough to adequately exclude subarachnoid haemorrhage. Methods This was a prospective multicentre cohort study conducted at 11 university affiliated tertiary care teaching hospitals in Canada between November 2000 and December 2009. Consecutive patients aged 15 or older who presented with acute non-traumatic headache or with syncope associated with a headache were eligible for the study. CT...

Cardiovascular Dysfunction in HIV-infected Children in a Sub-Saharan African Country: Comparative Cross-sectional Observational Study

Journal of Tropical Pediatrics — Mon, 23 Jan 2012 05:00:00 +0100

Conclusion: Structural and functional abnormalities are prevalent in HIV-infected African children and therefore justify inclusion of routine echocardiography in their standard care. (Source: Journal of Tropical Pediatrics)

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Pain relief for childbirth: The preferences of pregnant women, midwives and obstetricians.

Women Birth — Mon, 23 Jan 2012 05:00:00 +0100

CONCLUSION: There are differences in the personal preferences of pregnant women, midwives and obstetricians regarding pain relief for childbirth. It is important that the pain relief methods available in maternity care settings reflect the informed preferences of pregnant women. PMID: 22277194 [PubMed - as supplied by publisher] (Source: Women Birth)

The impact of snow on orthopaedic trauma referrals. - Weston-Simons J, Jack CM, Doctor C, Brogan K, Reed D, Ricketts D.

SafetyLit: All (Unduplicated) — Sat, 21 Jan 2012 12:05:52 +0100

Adverse weather has been shown to increase orthopaedic referrals and place strain on services. This retrospective study undertaken at a teaching hospital concerned referrals between April 2009 and April 2010 comparing days when snow fell to days when it di... (Source: SafetyLit: All (Unduplicated))

Editorial: Who Else Is Paying Your Doctor?

NYT — Sat, 21 Jan 2012 05:12:08 +0100

Badly needed regulations will require manufacturers of drugs, medical devices and medical supplies to disclose all payments they make to physicians or teaching hospitals. (Source: NYT)

Ghana: Congestion At Kath Inevitable

AllAfrica News: Health and Medicine — Fri, 20 Jan 2012 16:42:52 +0100

Public Agenda (Accra)-The Chief Executive Officer (CEO) of the Komfo Anokye Teaching Hospital (KATH), Professor Ohene Adjei, has said that congestion at the Accident and Emergency Centre was not the fault of hospital officials. (Source: AllAfrica News: Health and Medicine)

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Ghana: Gertech Blamed for Kath Equipment Breakdown

AllAfrica News: Health and Medicine — Fri, 20 Jan 2012 16:41:04 +0100

Public Agenda (Accra)-Lack of prompt action by German Technology (GERTECH) has now been identified as the main cause of the breakdown of equipment at the Intensive Care Unit (ICU) of the Accident and Emergency Centre of the Komfo Anokye Teaching Hospital (KATH) in Kumasi. (Source: AllAfrica News: Health and Medicine)

Overtreatment of Enterococcal Bacteriuria

SCCM RSS News — Fri, 20 Jan 2012 14:22:31 +0100

In this study, a significant number of patients were both under- and over-treated. Moreover, the class of antibiotics most commonly prescribed – quinolones – is known to have limited activity against enterococci. Both the authors and the invited commentators conclude that, due to the rarity of infectious complications associated with Enterococcus, ABU ought not to be treated. The results from this study support current efforts to curtail inappropriate antimicrobial use through stewardship programs, focused antimicrobial use campaigns and mindful practice... (Source: SCCM RSS News)

Electrocardiographic findings in sickle cell cardiovascular autonomic neuropathy

Clinical Autonomic Research — Fri, 20 Jan 2012 07:05:34 +0100

Conclusion Electrocardiographic features consistent with atrio-ventricular and ventricular repolarization abnormalities are associated with CAN in sickle cell anaemia. Further studies are required to evaluate the prognostic implications of these findings in sickle cell patients with cardiovascular autonomic dysfunction. Content Type Journal ArticleCategory Research ArticlePages 1-9DOI 10.1007/s10286-011-0156-0Authors N. I. Oguanobi, Department of Medicine, University of Nigeria Teaching Hospital, Enugu, NigeriaE. C. Ejim, Department of Medicine, University of Nigeria Teaching Hospital, Enugu, NigeriaB. C. Anisiuba, Department of Medicine, University of Nigeria Teaching Hospital, Enugu, NigeriaB. J. C. Onwubere, Department of Medicine, University of Nigeria Teaching ...

Laparoscopic Sleeve Gastrectomy with Staple Line Buttress Reinforcement in 116 Consecutive Morbidly Obese Patients

Obesity Surgery — Thu, 19 Jan 2012 06:58:51 +0100

Conclusions In LSG, staple line buttress reinforcement limits postoperative gastric leakage and bleeding in morbidly obese patients. Content Type Journal ArticleCategory Clinical ResearchPages 1-5DOI 10.1007/s11695-012-0598-zAuthors Richdeep S. Gill, Department of Surgery, University of Alberta, Edmonton, Alberta, CanadaNoah Switzer, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, CanadaMike Driedger, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, CanadaXinzhe Shi, Center for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandria Hospital, Room 405, Community Services Center, 10240 Kingsway, Edmonton, Alberta, Canada T5H 3V9Andrey Vizhul, Department of Surgery, University of Alberta, Edmonton, A...

Does smoking kill? A study of death certification and smoking

Journal of Clinical Pathology — Thu, 19 Jan 2012 05:00:00 +0100

Conclusion This study demonstrates that smoking is rarely cited on death certificates, even in cases where the causal link with smoking is very strong. There are many reasons why smoking is not cited on death certificates. One frequently cited reason is the reluctance of doctors to stigmatise the deceased. Interestingly, such reluctance did not extend to citing alcohol as a COD. By not recording smoking on death certificates doctors are failing to gather important epidemiological and pathological data. (Source: Journal of Clinical Pathology)

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Primary ureteral giant cell sarcoma in a Pomeranian

Veterinary Clinical Pathology — Thu, 19 Jan 2012 05:00:00 +0100

Abstract:An 8‐year‐old male neutered Pomeranian dog was presented to the Veterinary Teaching Hospital at Oregon State University for surgical treatment of hydronephrosis of the left kidney and a left cranial abdominal mass. A primary ureteral mass was found during exploratory surgery, and the mass was resected and ureteral anastomosis was performed. Cytologic evaluation of the mass revealed 3 distinct cell populations, including a large number of multinucleated giant cells, a moderate number of thin spindle‐shaped cells, and cohesive clusters of transitional epithelial cells. The cytologic diagnosis was giant cell sarcoma. The diagnosis was confirmed by histologic examination, and immunohistochemical staining was performed. The spindle‐shaped cells and multinucleated giant cells we...

Fiber-optic bronchoscope and detection of lung cancer: A five year study.

Neoplasma — Thu, 19 Jan 2012 04:30:02 +0100

Authors: Gao L, Asmitanand T, Ren H, Wu F, Zhang Y, Li X, DI L, Song Z, Yang T, Chen T, Merrilees M, Wu L, Chen M Abstract White light bronchoscopy [WLB] has been used for identification and localization of intra-epithelial pre-neoplastic and neoplastic lesions within the bronchus. Aim of the study was to evaluate the uses of WLB to detect and localize the precancerous and cancerous lesions, and in addition to analyze morphologic presentation, and association to histological type and the variation between genders.A total of 4983 patients were examined by WLB from 2004 to 2009 in a local tertiary teaching hospital. The following parameters were collected: morphological presentation, biopsy sites, histology. The patients' records of age, sex, smoking status, blood-gas, X-RAY/CT, CB...

Nigeria: Teaching Hospital Chief Medical Director Decries Poor Infrastructure

AllAfrica News: Health and Medicine — Wed, 18 Jan 2012 14:02:30 +0100

Daily Trust (Abuja)-The Chief Medical Director of the University of Uyo Teaching Hospital Professor Etete Peters has decried the infrastructural problem facing the hospital. (Source: AllAfrica News: Health and Medicine)

Nigeria: Anambra Teaching Hospital Will Function This Year - Obi

AllAfrica News: Health and Medicine — Wed, 18 Jan 2012 14:02:16 +0100

Daily Trust (Abuja)-The new Anambra State University Teaching Hospital, Amaku Awka will become functional this year, Governor Peter Obi has said. (Source: AllAfrica News: Health and Medicine)

Antiretroviral therapy prescribing in hospitalized HIV clinic patients

HIV Medicine — Wed, 18 Jan 2012 05:00:00 +0100

ConclusionHospital HIV medication management still remains an area of focus because of the complexity of regimens, poor medication reconciliation and limited non‐HIV/ID specialist knowledge. (Source: HIV Medicine)

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Spontaneous reporting of medication errors in pediatric university hospital

Acta Paulista de Enfermagem — Wed, 18 Jan 2012 03:24:10 +0100

CONCLUSION: The safety culture is a continuous process in institutions and the notification of adverse events is part of the strategies. Improvement measures should be incorporated based on their analysis, whether related to the review of the work process or to team trainingOBJETIVO: Analizar los errores de medicación notificados en un hospital universitario pediátrico en el Municipio de Sao Paulo. MÉTODOS: Estudio descriptivo retrospectivo en el cual fueron analizadas 120 ocurrencias de errores de medicación registradas en 115 notificaciones espontáneas, entre enero del 2007 y diciembre del 2008. RESULTADOS: El índice de errores fue de 1,15 por 1.000 pacientes-dia; el 27,5% de las notificaciones involucraron pacientes en el grupo etáreo escolar. La Unidad de Cuidados Intensivos Ped...

High yield of same-session EUS-guided liver biopsy by 19-gauge FNA needle in patients undergoing EUS to exclude biliary obstruction

Gastrointestinal Endoscopy — Tue, 17 Jan 2012 22:04:55 +0100

Conclusions: EUS-guided liver biopsy by using a 19-gauge FNA needle appears to be feasible and safe and provides excellent diagnostic yield and specimen adequacy. (Source: Gastrointestinal Endoscopy)

Lingual thyroglossal duct cysts—A review

International Journal of Pediatric Otorhinolaryngology — Tue, 17 Jan 2012 21:16:08 +0100

Conclusions: In conclusion, the diagnosis and management of lingual TGDC needs to be individualised depending on their presentation and anatomic location. The Sistrunk's procedure is ideal for those in close proximity to the hyoid; however complete cyst excision would suffice in the rest. (Source: International Journal of Pediatric Otorhinolaryngology)

Spontaneous hepatic haematoma in a cat

Comparative Clinical Pathology — Tue, 17 Jan 2012 07:16:56 +0100

Abstract A male 2.5-year-old American short hair cat was admitted to the animal hospital with the primary complaints of abdominal distension and depression for several days. Ultrasound revealed a large hypoechoic cavity with a well demarcated thin wall on a liver lobe. On exploratory laparotomy, a hepatic haematoma was observed. Subsequently, hepatic lobectomy was performed. Histologically, an eosinophilic substance stained with Congo red was deposited in the cyst wall which showed an optical property of apple green birefringence under polarized light. Based on immunohistochemical staining, amyloid A was diagnosed. To our knowledge, this is the first report of a spontaneous hepatic haematoma with an amyloid A deposition in a cat. Content Type Journal ArticleCategory Br...

Ferroportin (SLC40A1) Q248H mutation is associated with lower circulating serum hepcidin levels in Rwandese HIV-positive women

Annals of Hematology — Tue, 17 Jan 2012 07:12:40 +0100

Abstract The Q248H mutation in the gene SLC40A1 which encodes for the cellular iron exporter ferroportin is relatively common in Africa. This mutation has been associated with resistance to hepcidin and therefore we hypothesized that iron-related parameters and the prevalence of opportunistic infections in HIV might be influenced by the Q248H mutation. We conducted a cross-sectional study among 200 HIV-positive women in the Butare University Teaching Hospital in Rwanda. Polymerase chain reaction (PCR) and restriction enzyme digestion were used to identify the Q248H mutation. Physical examination was carried out and WHO HIV disease stage classification, complete blood count, CD4 count, indirect measures of iron status, serum hepcidin, and C-reactive protein concentrations w...

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Efficacy of patient information concerning casts applied post‐fracture

ANZ Journal of Surgery — Tue, 17 Jan 2012 05:00:00 +0100

Conclusion: Patient recall of information concerning cast care and possible complications was no more than 60%. The provision of written information was associated with a significantly higher awareness of possible complications. The results indicate that for fracture care, the delivery and use of information protocols can be greatly improved. (Source: ANZ Journal of Surgery)

Forms of benefit sharing in global health research undertaken in resource poor settings: A qualitative study of Stakeholders' views in Kenya.

Philosophy, Ethics, and Humanities in Medicine — Tue, 17 Jan 2012 05:00:00 +0100

Conclusion: Global health research should provide benefits that address both the micro and macro level issues of justice in order to forestall exploitation. Embracing the two is however challenging in terms of how the various competing interests/needs should be balanced ethically, especially in the absence of structures to guide the process. This challenge should point to the need for greater dialogue to facilitate value clarification among stakeholders. (Source: Philosophy, Ethics, and Humanities in Medicine)

A new algorithm for hip fracture surgery.

Acta Orthopaedica — Tue, 17 Jan 2012 05:00:00 +0100

Authors: Palm H, Krasheninnikoff M, Holck K, Lemser T, Foss NB, Jacobsen S, Kehlet H, Gebuhr P Abstract Background and purpose Treatment of hip fracture patients is controversial. We implemented a new operative and supervision algorithm (the Hvidovre algorithm) for surgical treatment of all hip fractures, primarily based on own previously published results. Methods 2,000 consecutive patients over 50 years of age who were admitted and operated on because of a hip fracture were prospectively included. 1,000 of these patients were included after implementation of the algorithm. Demographic parameters, hospital treatment, and reoperations within the first postoperative year were assessed from patient records. Results 931 of 1,000 operative procedures were performed according to the a...

Phase I Clinical Trial of O6-Benzylguanine and Topical Carmustine in the Treatment of Cutaneous T-Cell Lymphoma, Mycosis Fungoides Type [Study]

Archives of Dermatology — Mon, 16 Jan 2012 05:00:00 +0100

Conclusion O6-benzylguanine significantly depletes O6-alkylguanine-DNA alkyltransferase in CTCL lesions and in combination with topical carmustine is well tolerated and shows meaningful clinical responses in CTCL at markedly reduced total carmustine treatment doses. Trial Registration clinicaltrials.gov Identifier: NCT00003613 (Source: Archives of Dermatology)

The Computerized Synoptic Operative Report: A Novel Tool in Surgical Residency Education [Paper]

Archives of Surgery — Mon, 16 Jan 2012 05:00:00 +0100

Conclusion The computerized synoptic operative report is superior to the dictated report in the documentation of important preoperative and intraoperative data. Although checklists and templates are not new in medicine, the use of a synoptic operative report as a surgical educational tool is a novel concept. Each resident who participated in our study had to develop a better understanding of the operative procedure in order to complete a more accurate synoptic report. (Source: Archives of Surgery)

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Why do geriatric outpatients have so many moderate and severe vertebral fractures? Exploring prevalence and risk factors. - van der Jagt-Willems HC, van Hengel M, Vis M, van Munster BC, van Campen JP, Tulner LR, Lems WF.

SafetyLit: All (Unduplicated) — Sat, 14 Jan 2012 23:37:57 +0100

OBJECTIVES: to determine the prevalence of vertebral fractures and their risk factors in geriatric patients. DESIGN: prospective cohort study.Setting: teaching hospital in Amsterdam, The Netherlands. SUBJECTS: three hundred and three geriatric patients, wh... (Source: SafetyLit: All (Unduplicated))

The Impact of Ethnicity on the, Incidence, Tumor Characteristics and Treatment of Ductal Carcinoma in Situ? An 11 Year Clinical Experience at a High Volume Teaching Hospital

Journal of Surgical Research — Sat, 14 Jan 2012 22:30:11 +0100

(Source: Journal of Surgical Research)

A Nationwide Twenty Year Analysis of Resident Operative Trauma Experiences: Pre & Post Work Hour Reform

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:59 +0100

Conclusions: Secular trends prior to the 2003 work hour reform may have caused a marked decrease in operative trauma experience among general surgery residents. Radiologic advancements in intervention and imaging may have had a role in this decline. Rare cases, such as cardiac, pancreatic, and GU trauma, remain rare. Post work hour reform, operative trauma case volumes have stabilized. (Source: Journal of Surgical Research)

Electronic Discharge Summaries for Surgical Patients: Evaluating Risks and Benefits

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:47 +0100

Conclusions: The implementation of electronic discharge summaries for patients discharged from surgical services improved the timeliness of summary completion without sacrificing quality. Excessive copy and paste can reduce the readability of discharge summaries and strategies to discourage this practice should be employed. (Source: Journal of Surgical Research)

Robotically-assisted Laparoscopic Biliopancreatic Diversion With Duodenal Switch. Initial Experience and Outcomes from a Teaching Hospital

Journal of Surgical Research — Sat, 14 Jan 2012 22:28:56 +0100

(Source: Journal of Surgical Research)

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Outcome of Surgery for Toxic Goitres in Maiduguri: A Single Teaching Hospital's Perspective

Journal of Surgical Research — Sat, 14 Jan 2012 22:28:54 +0100

(Source: Journal of Surgical Research)

Diagnosing renal failure due to diethylene glycol in children in a resource-constrained setting

Pediatric Nephrology — Sat, 14 Jan 2012 16:41:40 +0100

Conclusions Identifying AKI associated with DEG is difficult. Detailed drug history, increasing metabolic acidosis, and multiorgan deterioration despite peritoneal dialysis should arouse suspicion. Simple diagnostic tests need to be developed and facilities for hemodialysis of infants and financial support provided. Recurrences can be prevented by creating awareness, improving manufacturing practices, field-testing of drugs, and international monitoring of pharmaceuticals imported for manufacture. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00467-011-2082-8Authors Rosamund Modupe Akuse, Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, NigeriaFelicia Uchezuba Eke, University of Port Harcourt Teaching Hospita...

A 2-year experience, management and outcome of 200 clavicle fractures

Injury — Sat, 14 Jan 2012 14:37:21 +0100

This article evaluates the prevalence of clavicular fractures, estimates the number of cases requiring operative treatment, evaluates whether removal of implant is a frequent necessity and compares the final functional outcome of the operative and non-operative groups.Patients and methods: Between November 2005 and November 2007, patients with clavicular fractures were eligible for participation. Patients below 18 years of age and those with pathological fractures were excluded. Demographic details, mechanism of injury, operative versus non-operative treatment, radiographic classification (Allman system), complications, implant removal and functional outcome using the University of California, Los Angeles (UCLA) shoulder-rating score were documented and analysed.Results: Out of 16,280 frac...

Predictors of the development of myocarditis or acute renal failure in patients with leptospirosis: An observational study

BMC Infectious Diseases — Fri, 13 Jan 2012 05:00:00 +0100

Conclusions: This study shows that out of clinical and laboratory variables, only oliguria, jaundice and arrhythmia are strong predictors of development of acute renal failure or myocarditis in patients with leptospirosis presented to Teaching Hospital of Kandy, Sri Lanka. (Source: BMC Infectious Diseases)

Health literacy and the Clozapine patient

The Journal of the Royal Society for the Promotion of Health — Fri, 13 Jan 2012 05:00:00 +0100

Conclusions: More than a quarter of the population were found to have marginal or low health literacy. Patient information should be matched to the health literacy level of the target population. (Source: The Journal of the Royal Society for the Promotion of Health)

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Multidrug resistance of Pseudomonas aeruginosa as known from surveillance of nosocomial and community infections in an Indian teaching hospital

Journal of Public Health — Thu, 12 Jan 2012 16:45:08 +0100

Conclusion This study on surveillance of a hospital revealed the daunting state of occurrence of MDR P. aeruginosa. A progressive increase of percent values of drug resistance to 15 antibiotics used for antibiotic sensitivity of P. aeruginosa strains was recorded. Content Type Journal ArticleCategory Original ArticlePages 1-11DOI 10.1007/s10389-011-0479-2Authors Mahesh C. Sahu, Department of Microbiology, IMS & Sum Hospital, S‘O’A University, Bhubaneswar, Odisha, 751003 IndiaDebasmita Dubey, Department of Microbiology, IMS & Sum Hospital, S‘O’A University, Bhubaneswar, Odisha, 751003 IndiaShakti Rath, Department of Microbiology, IMS & Sum Hospital, S‘O’A University, Bhubaneswar, Odisha, 751003 IndiaNagen K. Debata, Department of Microbiology, IMS & Sum Hos...

Elevated incidence of sleep apnoea in acromegaly—correlation to disease activity

Sleep and Breathing — Thu, 12 Jan 2012 16:44:52 +0100

Conclusion RDI correlates positively with disease activity but not with the duration of the disease. The parameters of the metabolic syndrome are positively associated to the degree of SA in acromegalic patients. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s11325-011-0641-7Authors J. Roemmler, Medizinische Klinik - Innenstadt der universität München, LM-University of Munich, Ziemssenstr. 1, 80336 München, GermanyB. Gutt, Department of Endocrinology, Klinikum Schwabing, Klinikum München GmbH, Munich, GermanyR. Fischer, Medizinische Klinik - Innenstadt der universität München, LM-University of Munich, Ziemssenstr. 1, 80336 München, GermanyS. Vay, Medizinische Klinik - Innenstadt der universität München, LM-University of Munich, Zi...

Incontinence during intercourse: myths unravelled

International Urogynecology Journal — Thu, 12 Jan 2012 06:42:27 +0100

Conclusion Worsening urinary incontinence has a deleterious effect on sexual function. Urodynamic diagnosis does not correlate with the nature of underlying sexual problems, orgasm or penetration incontinence. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00192-011-1583-0Authors Swati Jha, Department of Urogynaecology, Level 4 Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK S10 2SFKatherine Strelley, Department of Urogynaecology, Level 4 Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK S10 2SFStephen Radley, Department of Urogynaecology, Level 4 Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK S10 2SF Journal International Urogynecology JournalO...

Acute cholecystitis in high risk surgical patients: percutaneous cholecystostomy versus laparoscopic cholecystectomy (CHOCOLATE Trial): Study protocol for a randomized controlled trial.

Trials — Thu, 12 Jan 2012 05:00:00 +0100

DiscussionThe CHOCOLATE trial is designed to provide the surgical community with an evidence based guideline in the treatment of acute calculous cholecystitis in high risk patients. (Source: Trials)

Genetic Polymorphisms of Nerve Growth Factor Receptor (NGFR) and the Risk of Alzheimer's Disease

Journal of Negative Results in BioMedicine — Thu, 12 Jan 2012 05:00:00 +0100

Background: Loss of basal forebrain cholinergic neurons is attributable to the proapoptotic signaling induced by nerve growth factor receptor (NGFR) and may link to Alzheimer's disease (AD) risk. Only one study has investigated the association between NGFR polymorphisms and the risk of AD in an Italian population. Type 2 diabetes mellitus (DM) may modify this association based on previous animal and epidemiologic studies. Methods: This was a case-control study in a Chinese population. A total of 264 AD patients were recruited from three teaching hospitals between 2007 to 2010; 389 controls were recruited from elderly health checkup and volunteers of the hospital during the same period of time. Five common (frequency>=5%) haplotype-tagging single nucleotide polymorphisms (htSNPs) were selec...

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Middle-aged surgeons 'best performance' claim

NHS News Feed — Wed, 11 Jan 2012 09:57:00 +0100

Conclusion This research suggests that rates of hypoparathyroidism complications after thyroidectomy surgery are lowest when surgeons are aged 35–50 years old compared with younger and older colleagues. However, the surgeons’ age was not related to the complication of laryngeal nerve palsy. This study raises the question of whether complication rates after thyroid surgery may be related to surgeon experience or age. However, significant limitations mean that these research findings may not be applicable to all surgeons or surgical procedures. There are many issues to consider when interpreting the results. The study looked at just one surgical procedure – thyroidectomy. This study does not provide information on the many thousands of other surgical procedures carried out or those ...

Babies born through meconium stained liquor with 5 min Apgar scores of 9 or 10 had very low risk of respiratory distress

Archives of Disease in Childhood - Education and Practice — Wed, 11 Jan 2012 05:00:00 +0100

Study designDesign Prospective cohort of babies born through meconium stained amniotic fluid (MSAF) between 2003 and 2006. Setting Two teaching hospitals in The Hague, The Netherlands. Patients 394 term (>37/40) neonates were born through MSAF. The mean gestational age was 40 weeks, 56% were male, and mean birth weight was 3.5 kg. Outcomes Meconium aspiration syndrome (MAS) (respiratory distress, oxygen or mechanical ventilation requirement in the first 24 h of birth). Risk factors assessed included abnormalities of fetal heart trace, consistency of meconium, umbilical artery pH and 5 min Apgar score. Follow-up period Every baby was followed up for a minimum of 24 h before discharge if well. Main results Of 394 neonates, 19 (4.8%) developed respiratory distress compatible with MAS. Of ...

Disparities in the Initial Presentation of Differentiated Thyroid Cancer in a Large Public Hospital and Adjoining University Teaching Hospital

Thyroid — Wed, 11 Jan 2012 04:11:55 +0100

Thyroid , Vol. 0, No. 0. (Source: Thyroid)

Recognizing and Responding to Uncertainty: A Grounded Theory of Nurses’ Uncertainty

Worldviews on Evidence-Based Nursing — Tue, 10 Jan 2012 05:00:00 +0100

Conclusions: This theory advances the nursing perspective of uncertainty in clinical practice. The theory is relevant to nurses who are faced with uncertainty and complex clinical decisions, to managers who support nurses in their clinical decision‐making, and to researchers who investigate ways to improve decision‐making and care delivery. (Source: Worldviews on Evidence-Based Nursing)

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Nigeria: Quintuplets - Three Discharged, Two Still Under Intensive Care

AllAfrica News: Health and Medicine — Mon, 09 Jan 2012 09:23:30 +0100

Vanguard (Lagos)-On Friday 23, 2011, the news of the Nigerian born quintuplets (five babies) who were born at the Lagos State University Teaching Hospital, LUTH, Idi-Araba, spread across the country. The news was not just for broadcast only but for people to know that such a wonder also takes in this part of the world. (Source: AllAfrica News: Health and Medicine)

Overtreatment of Enterococcal Bacteriuria [Original Investigation]

Archives of Internal Medicine — Mon, 09 Jan 2012 05:00:00 +0100

Conclusions Providers often overtreat enterococcal ABU with antibiotics, particularly in patients with pyuria. Given the low incidence of infectious complications, efforts should be made to optimize the use of antibiotics in enterococcal bacteriuria. (Source: Archives of Internal Medicine)

A case with vesicouterine fistula: mini review

Archives of Gynecology and Obstetrics — Sat, 07 Jan 2012 16:54:28 +0100

Conclusion Increasing cesarean section rates concomitantly carries increasing maternal and neonatal adverse outcomes including operative complications as genitourinary fistulae. Content Type Journal ArticleCategory General GynecologyPages 1-4DOI 10.1007/s00404-011-2188-zAuthors Mehmet Onur Karaltı, Köyceğiz State Hospital, Gelişim Mah. Köyceğiz, 48800 Muğla, TurkeyŞivekar Tınar, Eagen Maternity and Health Teaching Hospital, İzmir, TurkeyNilgün Turhan Öztürk, Department of Obstetrics and Gynecology, Faculty of Medicine, Muğla University, Muğla, TurkeyDeniz Can Öztürk, Eagen Maternity and Health Teaching Hospital, İzmir, Turkey Journal Archives of Gynecology and ObstetricsOnline ISSN 1432-0711Print ISSN 0932-0067 (Source: Archives of Gynecology...

"Stay Away Unless Absolutely Essential", UK Hospital Urges People

Health News from Medical News Today — Fri, 06 Jan 2012 17:00:00 +0100

In order to help stop sickness bugs spreading this winter, staff at Southampton's teaching hospitals are advising members of the general public to avoid the hospitals unless their visit is "absolutely essential." Currently, seven wards are not taking in new patients at Southampton General Hospital in order to prevent gastroenteritis viruses from spreading - resulting in a loss of 30 beds. With vomiting and diarrhea cases increasing in the community, bosses are worried it could make the situation worse... (Source: Health News from Medical News Today)

Does the use of doxazosin influence the success of SWL in the treatment of upper ureteral stones? A multicenter, prospective and randomized study

Urological Research — Fri, 06 Jan 2012 16:49:38 +0100

In conclusion, the addition of doxazosin to SWL therapy administered for upper ureteral stones reduces Steinstrasse, and thereby, the need for additional procedures and increases post-treatment stone-free rate. A positive effect of doxazosin on the time to stone passage was not shown. Content Type Journal ArticleCategory Original PaperPages 1-6DOI 10.1007/s00240-011-0455-xAuthors Ferhat Ateş, Department of Urology, GATA Haydarpasa Teaching Hospital, 34668 Uskudar, Istanbul, TurkeyBilal Eryıldırım, 1st Urology Clinic, Dr. Lütfi Kırdar Kartal Teaching and Research Hospital, Istanbul, TurkeyMetin Ishak Öztürk, 2nd Urology Clinic, Haydarpasa Numune Teaching and Research Hospital, Istanbul, TurkeyTurgay Turan, Urology Clinic, Umraniye Teaching and Research Hospital, Istanbul, T...

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Orofacial and dental injuries associated with seizures in paediatric patients in Lagos University Teaching Hospital. - Adeyemo WL, Fajolu IB, Temiye EO, Adeyemi MO, Adepoju AA.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

OBJECTIVE: To determine the prevalence and pattern of presentation of orofacial and dental injuries in children with seizures at the Children's Emergency Unit of the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria. METHODS: This was a prospective... (Source: SafetyLit: All (Unduplicated))

Prevalence and correlates of aggression among psychiatric in-patients at Jos University Teaching Hospital. - Chukwujekwu DC, Stanley PC.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

Objective : The study was designed to determine the prevalence of aggression and clinical factors associated with aggression among psychiatric in-patients at Jos University Teaching Hospital. This will help create a good knowledge base about management of ... (Source: SafetyLit: All (Unduplicated))

The prevalence of mental health problems among older adults admitted as an emergency to a general hospital. - Goldberg SE, Whittamore KH, Harwood RH, Bradshaw LE, Gladman JR, Jones RG.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

BACKGROUND: a high prevalence of co-morbid mental health problems is reported among older adults admitted to general hospitals. SETTING: an 1,800 bed teaching hospital. DESIGN: consecutive general medical and trauma orthopaedic admissions aged 70 or older ... (Source: SafetyLit: All (Unduplicated))

Nigeria: Health Workers Suspend Strike at LUTH

AllAfrica News: Health and Medicine — Fri, 06 Jan 2012 10:11:40 +0100

Vanguard (Lagos)-Striking health workers at the Lagos University Teaching Hospital, LUTH, have suspended their two-week-old industrial action, following LUTH management's promise to meet all their demands. (Source: AllAfrica News: Health and Medicine)

Nigeria: FG Takes Over Ebonyi State University Teaching Hospital

AllAfrica News: Health and Medicine — Fri, 06 Jan 2012 07:37:38 +0100

Leadership (Abuja)-The Federal Government has taken over the Ebonyi State University Teaching Hospital, and has renamed it Federal Teaching Hospital, Abakaliki. (Source: AllAfrica News: Health and Medicine)

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Hemifacial spasm: clinical characteristics of 321 Indian patients

Journal of Neurology — Fri, 06 Jan 2012 06:44:41 +0100

Abstract Hemifacial spasm (HFS) is a common neurological disorder characterized by involuntary tonic and clonic contractions of the muscles innervated by the facial nerve. We aimed to describe clinical features, common antecedents, triggers and relieving factors in patients with hemifacial spasm to study the correlation of hypertension and HFS, and to compare clinical features of primary and secondary cases of HFS. The data for the study were collected prospectively on a predesigned and pre-tested format at the first attendance in all consecutive HFS patients attending the movement disorders clinic of a tertiary teaching hospital in India. The demographic profile, HFS symptoms, antecedent illnesses and neurological examination were recorded and analyzed. Muscle power in in...

Descriptive data on cancerous lung lesions detected by auto-fluorescence bronchoscope: A five-year study

Annals of Thoracic Medicine — Fri, 06 Jan 2012 05:00:00 +0100

Conclusion: AFB is efficient in the detection of pre-invasive and invasive lung lesions. The morphological presentation is associated to the histological type. There is variation in the presentation and histology of cancerous lung lesions between genders. (Source: Annals of Thoracic Medicine)

A survey of the prevalence of smoking and smoking cessation advice received by inpatients in a large teaching hospital in Ireland

Irish Journal of Medical Science — Thu, 05 Jan 2012 17:07:30 +0100

Conclusions Interventions to increase rates of healthcare professional-provided smoking cessation advice are urgently needed. Content Type Journal ArticleCategory Brief ReportPages 1-5DOI 10.1007/s11845-011-0792-3Authors C. Bartels, Royal College of Surgeons in Ireland, Dublin 2, IrelandA. R. Y. AbuHaliga, Royal College of Surgeons in Ireland, Dublin 2, IrelandH. McGee, Faculty of Medicine and Health Sciences, Royal College of Surgeons in Ireland, Dublin 2, IrelandK. Morgan, Division of Population Health Sciences (Psychology), Royal College of Surgeons in Ireland, 123 St Stephen’s Green, Dublin 2, IrelandN. G. McElvaney, Respiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Dublin 2, IrelandF. Doyle, Division of Population Health...

High Resolution Multi Detector Computed Tomography of Temporal Bone: Our Experience in a Tertiary Care Service Hospital

Indian Journal of Otolaryngology and Head and Neck Surgery — Thu, 05 Jan 2012 17:01:39 +0100

We describe our experience of HRMDCT of temporal bones of 145 patients in a tertiary care and teaching hospital of Armed Forces Medical Services of India over a period of three and half years. Hearing loss was the most frequent indication for HRMDCT and congenital bilateral profound sensorineural hearing loss for evaluation prior to possible cochlear implant formed the single largest group (62, 42%) among all indications for HRMDCT of temporal bones. Major vestibule-cochlear and semicircular canal anomalies were noted in 11 such cases. Seven patients of microtia were studied and all had positive CT scan findings. All patients of vertigo had normal HRCT study. Extent of temporal bone injuries and inflammatory conditions were clearly delineated in all cases. Thinner collimations allowi...

Ultrasonography of the uterus within 6 weeks following Cesarean section

Central European Journal of Medicine — Thu, 05 Jan 2012 06:52:36 +0100

Conclusions Dehiscence risk coefficient measurement six weeks after delivery allows for precise quantitative description of the CS scar. Urgent CS has a higher risk for a severe scar defect. Content Type Journal ArticleCategory Research ArticlePages 1-6DOI 10.2478/s11536-011-0134-xAuthors Erik Dosedla, Slovak Medical University, Faculty of Medicine, Bratislava, III. Department of Gynecology and Obstetrics, 1st Private Hospital Košice-Šaca Inc., Košice-Šaca, Slovak RepublicTomáš Kvasnička, First Faculty of Medicine and General Teaching Hospital, Thrombosis Centre of Institute of Clinical Biochemistry and Laboratory Diagnostics, Charles University, Prague, U Nemocnice 2, 128 08 Praha 2, Czech RepublicPavel Calda, First Faculty of Medicine and General Teaching Ho...

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Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011

Modern Rheumatology — Wed, 04 Jan 2012 16:59:27 +0100

Conclusion Our comprehensive diagnostic criteria for IgG4-RD are practically useful for general physicians and nonspecialists. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s10165-011-0571-zAuthors Hisanori Umehara, Department of Hematology and Immunology, Kanazawa Medical University, Kanazawa, Ishikawa, JapanKazuichi Okazaki, Division of Gastroenterology and Hepatology, The Third Department of Internal Medicine, Kansai Medical University, Hirakata, Osaka 573-1191, JapanYasufumi Masaki, Department of Hematology and Immunology, Kanazawa Medical University, Kanazawa, Ishikawa, JapanMitsuhiro Kawano, Division of Rheumatology, Department of Internal Medicine, Kanazawa University Graduate School of Medical Science, Kanazawa, Ishikawa, JapanMotohi...

How leaving toilet lid up during flushing can aid spread winter vomiting bug

the Mail online | Health — Wed, 04 Jan 2012 07:54:45 +0100

Leaving the lid up can allow a cloud of bacteria to explode into the air, settling on nearby surfaces, says Professor Mark Wilcox from Leeds Teaching Hospitals NHS Trust. (Source: the Mail online | Health)

Postnatal neuro-development of fetuses with absent end-diastolic flow in the umbilical artery and/or fetal descending aorta

Archives of Gynecology and Obstetrics — Wed, 04 Jan 2012 06:48:23 +0100

Conclusion Pathological doppler-flow in the umbilical artery and/or fetal descending aorta in preterm born children is associated with neuro-developmental deficiencies. Intensive pediatric care is recommended to mitigate these deficiencies during early childhood. Content Type Journal ArticleCategory Maternal-Fetal MedicinePages 1-6DOI 10.1007/s00404-011-2191-4Authors A. Kubilay Ertan, Department of Obstetrics and Gynecology, Hospital of Leverkusen, Teaching Hospital of University of Cologne, 51375 Leverkusen, GermanyH. Alper Tanriverdi, Department of Obstetrics and Gynecology, Adnan Menderes University Medical School, Aydin, TurkeyAlexander Stamm, Department of Obstetrics and Gynecology, Saarland University Medical School, Homburg, Saarland, GermanyWolfgang Jost, Dep...

Rwanda: Centre of Excellence to Improve Infant Health

AllAfrica News: Pregnancy and Childbirth — Tue, 03 Jan 2012 11:12:55 +0100

New Times (Kigali)-The first Neonatology Centre of Excellence in the country will soon be launched at The University Teaching Hospital of Kigali (CHUK). (Source: AllAfrica News: Pregnancy and Childbirth)

Gambia: VP Urges Institutions to Support 'Operation Save a Baby' Initiative

AllAfrica News: Pregnancy and Childbirth — Tue, 03 Jan 2012 10:31:27 +0100

Daily Observer (Banjul)-The vice president and minister of Women's Affairs has called on institutions in the country to support the 'Operation Save A Baby' initiative. Dr Aja Isatou Njie-Saidy made this call on Sunday on behalf of the First Lady, Madam Zineb Yahya Jammeh who is the chief patroness of Operation Save A Baby, during the handing over of gifts to the first babies of the year 2012 at a ceremony held at the Maternity Ward of the Royal Victoria Teaching Hospital (RVTH) in Banjul. (Source: AllAfrica News: Pregnancy and Childbirth)

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Prevalence and Risk Indicators of Gingivitis and Periodontitis in a Multi-Centre Study in North Jordan: a cross sectional study.

BMC Oral Health - Latest articles — Tue, 03 Jan 2012 05:00:00 +0100

Conclusions: this is the first study to report on the prevalence of gingivitis, CP and AgP in North Jordanian. Age, low education, low frequency of tooth brushing and family history were significantly associated with increased risk of periodontitis. (Source: BMC Oral Health - Latest articles)

František Burian (September 17, 1881–October 15, 1965) and the beginning of plastic surgery in Czechoslovakia

European Journal of Plastic Surgery — Mon, 02 Jan 2012 06:58:16 +0100

Abstract In the Czech Republic, plastic surgery is inseparably related to the name of its initiator and founder, František (Francis) Burian, who not only laid the foundations of this branch in Czechoslovakia, but also influenced many contemporary plastic surgeons. Burian spent 6 years as a military surgeon in the Balkan wars and in World War I. Up until World War I, only separate plastic operations by excellent surgeons were mentioned. The experience gained from the First World War led to an undreamed-of development in plastic surgery and to the need for specialisation. It was during the First World War that European plastic surgery was formed as a special branch. Burian probably opened the first department of plastic surgery in the world at the Jedlička Institute i...

Increased interleukin‐1β levels are associated with left ventricular hypertrophy and remodelling following acute ST segment elevation myocardial infarction treated by primary percutaneous coronary intervention

Journal of Internal Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Conclusions: IL‐1β levels after STEMI were strongly associated with impaired myocardial function and non‐infarct LV mass after 1 year, suggesting a potential role for IL‐1β as a predictor of maladaptive myocardial remodelling following reperfused MI. (Source: Journal of Internal Medicine)

The impact of education on nutrition on the quality of life in patients on hemodialysis: A comparative study from teaching hospitals.

Saudi Journal of Kidney Diseases and Transplantation — Sun, 01 Jan 2012 05:00:00 +0100

In this study, 70 patients on MHD in the teaching hospitals in Urmia were divided into two groups and were requested to fill in the validated SF-36 QoL questionnaire. One group of 35 patients received dietary counseling while the other did not and acted as controls. The SF-36, a short-form QoL scoring system consists of 36 questions that are compressed into eight multi-item scales covering all aspects of QoL. The two groups studied were similar in age, level of education, gender and duration of dialysis treatment; 46.8% of the patients were female and 52% were male. The total SF-36 score was slightly higher in males compared with females, but this difference was not statistically significant (P = 0.05). The scores were higher in the group counseled about diet. Overall, the difference in ph...

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Journal of Pediatric Surgery — Sun, 01 Jan 2012 05:00:00 +0100

The authors report their initial experience with propranolol, a nonselective β-blocker, used to treat subglottic hemangiomas (SGHs) in 10 patients referred to 1 of 2 pediatric teaching hospitals in Sydney, Australia, and Auckland, New Zealand. Subglottic hemangiomas remain uncommon but may cause airway compromise, with tracheostomy required in 39% in addition to traditional treatment with corticosteroids and/or surgical excision. (Source: Journal of Pediatric Surgery)

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An update on imatinib mesylate therapy in chronic myeloid leukaemia patients in a teaching hospital in Malaysia.

Singapore Medical Journal — Sun, 01 Jan 2012 05:00:00 +0100

Conclusion: The majority of our chronic myeloid leukaemia patients did well with imatinib therapy. The adverse effects in our patients were tolerable, and no patient had to stop treatment permanently. PMID: 22252185 [PubMed - in process] (Source: Singapore Medical Journal)

Effects of Labor Support from Close Female Relative on Labor and Maternal Satisfaction in a Thai Setting

Journal of Obstetric, Gynecologic, and Neonatal Nursing — Sun, 01 Jan 2012 05:00:00 +0100

ConclusionsA close female relative was effective in providing supportive care during labor and delivery. The integration of this nursing intervention for women and their families at public hospitals in Thailand is supported. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)

Creating a mobile subject guide to improve access to point-of-care resources for medical students: a case study.

J Med Libr Assoc AND... — Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSION: The library will continue to use the subject guide as its primary means of supporting mobile devices. It remains to be seen if the mobile guide facilitates access for those who do not need assistance and want direct access to the resources. Internet access in the hospitals remains an issue. PMID: 22272160 [PubMed - in process] (Source: J Med Libr Assoc AND...)

The Physician Payments Sunshine Act

Clinical Endocrinology News — Sun, 01 Jan 2012 05:00:00 +0100

, a provision of the Affordable Care Act, aims to bring transparency to the practice of pharmaceutical and device companies providing meals, gifts, and payments to physicians. It requires that these companies, as well as biologic manufacturers and medical suppliers, report any “payment or other transfer of value” of $10 or greater to physicians and teaching hospitals. The manufacturer must report alltpayments to a single physician if they reach $100 in aggregate value for a year. The Centers for Medicare and Medicaid Services released a proposed ruleonn December 2011 outlining how the disclosures would work. Drug and device manufacturers can hold off collecting information until the CMS issues a final rule later this year. Sine agency predicted that the first reports required under the...

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Emergency department assessment of self-harm risk using psychometric questionnaires.

Canadian Journal of Psychiatry — Sun, 01 Jan 2012 05:00:00 +0100

Conclusions: While many of the questionnaires and their related constructs are related to future self-harm, none of them are particularly strong and their diagnostic usefulness is limited. PMID: 22296964 [PubMed - in process] (Source: Canadian Journal of Psychiatry)

Nigeria: Kwara to Buy N38 Million Generator for Teaching Hospital

AllAfrica News: Health and Medicine — Fri, 30 Dec 2011 11:27:26 +0100

The Kwara State government has approved the release of N37.9 million for the procurement of one 800 KVA generating set for the University of Ilorin Teaching Hospital (UITH). (Source: AllAfrica News: Health and Medicine)

Increased serum levels of advanced glycation end-products is associated with severity of sleep disordered breathing but not insulin sensitivity in non-diabetic men with obstructive sleep apnoea

Sleep Medicine — Fri, 30 Dec 2011 03:41:21 +0100

This study aimed to investigate the relationship between serum AGEs and insulin sensitivity in non-diabetic subjects with obstructive sleep apnoea (OSA).Methods: Adult males with no known comorbidities were recruited from the sleep clinic of a university teaching hospital. They underwent overnight in-laboratory polysomnography. Fasting blood was taken to measure serum AGE and plasma glucose levels. Insulin sensitivity was estimated using the short insulin tolerance test.Results: In total, 105 subjects with a mean age of 43.5 (standard deviation [SD] 9.2)years, mean body mass index of 27.1 (SD 4.0)kg/m2, and median apnoea–hypopnoea index (AHI) of 17 (interquartile range 5–46) were analysed. Serum AGE levels were significantly higher in subjects with OSA (AHI ⩾5), compared with those w...

Nigeria: Madalla Blast - 13 Victims Responding to Treatment at Uni-Abuja Hospital

AllAfrica News: Health and Medicine — Thu, 29 Dec 2011 10:58:18 +0100

THIRTEEN victims of Sunday bomb blast at St. Theresa Catholic Church at Madalla , Niger State are responding to treatment in the University of Abuja Teaching Hospital at Gwagwalada. (Source: AllAfrica News: Health and Medicine)

Nigeria: Patients Desert LUTH as Strike Persists

AllAfrica News: Health and Medicine — Thu, 29 Dec 2011 10:18:58 +0100

The last appears not to have been heard about the on-going health workers' strike which has shut down essential healthcare services at the Lagos University Teaching Hospital, LUTH,Idi-Araba. (Source: AllAfrica News: Health and Medicine)

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Genome-wide associated loci influencing interleukin (IL)-10, IL-1Ra, and IL-6 levels in African Americans

Immunogenetics — Thu, 29 Dec 2011 06:42:48 +0100

Abstract Interleukins (ILs) are key mediators of the immune response and inflammatory process. Plasma levels of IL-10, IL-1Ra, and IL-6 are associated with metabolic conditions, show large inter-individual variations, and are under strong genetic control. Therefore, elucidation of the genetic variants that influence levels of these ILs provides useful insights into mechanisms of immune response and pathogenesis of diseases. We conducted a genome-wide association study (GWAS) of IL-10, IL-1Ra, and IL-6 levels in 707 non-diabetic African Americans using 5,396,780 imputed and directly genotyped single nucleotide polymorphisms (SNPs) with adjustment for gender, age, and body mass index. IL-10 levels showed genome-wide significant associations (p < 5 × 10−8) with e...

Long-term outcome of primary non-surgical root canal treatment

Clinical Oral Investigations — Thu, 29 Dec 2011 06:42:41 +0100

Conclusion The longevity of treated teeth based on tooth survival was considerably greater than that of periapical healing. Both outcome measures were affected by a number of socio-demographic, pre-, intra-, and post-operative factors. Clinical relevance Root canal-treated teeth may continue to function for a considerable period of time even though there may be radiographic periapical lesion present. Decision for extraction may be due to reasons other than a failure of the periapical tissues to heal. Content Type Journal ArticleCategory Original ArticlePages 1-11DOI 10.1007/s00784-011-0664-2Authors A. H. C. Lee, Faculty of Dentistry, The University of Hong Kong, 3/F, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong, HKSAR...

Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items

AORN Journal — Wed, 28 Dec 2011 18:50:27 +0100

Abstract: Retained surgical items were the most frequently reported sentinel event in 2010, according to The Joint Commission. Perioperative nurse leaders at Children's Hospital Boston, a pediatric teaching hospital, conducted a quality improvement initiative to reduce or eliminate incorrect counts and count discrepancies, which increase the risk of an item being unintentionally retained after surgery. Work included educating the perioperative staff members, standardizing count practices, formally reviewing every reported count discrepancy with the nursing team, and reviewing and revising the count policy for prevention of retained surgical items. The initiative reduced the number of incorrect counts and count discrepancies by 50% between 2009 to 2010. These initiatives continue to be exp...

LG2 agrin mutation causing severe congenital myasthenic syndrome mimics functional characteristics of non-neural (z−) agrin

Human Genetics — Wed, 28 Dec 2011 16:48:32 +0100

We describe a severe form of congenital myasthenic syndrome (CMS) caused by two heteroallelic mutations: a nonsense and a missense mutation in the gene encoding agrin (AGRN). The identified mutations, Q353X and V1727F, are located at the N-terminal and at the second laminin G-like (LG2) domain of agrin, respectively. A motor-point muscle biopsy demonstrated severe disruption of the architecture of the neuromuscular junction (NMJ), including: dispersion and fragmentation of endplate areas with normal expression of acetylcholinesterase; simplification of postsynaptic membranes; pronounced reduction of the axon terminal size; widening of the primary synaptic cleft; and, collection of membranous debris material in the primary synaptic cleft and in the subsynaptic cytoplasm. Expression stu...

Balloon-Assisted Retrieval of Tilted OptEase IVC Filter

CardioVascular and Interventional Radiology — Wed, 28 Dec 2011 06:53:04 +0100

Content Type Journal ArticleCategory LetterPages 1-3DOI 10.1007/s00270-011-0332-6Authors Theodorus W. F. Vink, Department of Radiology, Haga Teaching Hospital, Leyweg 275, 2545 CH The Hague, The NetherlandsJim A. Reekers, Department of Radiology, Amsterdam Medical Centre, Amsterdam, The NetherlandsLukas C. Van Dijk, Department of Radiology, Haga Teaching Hospital, Leyweg 275, 2545 CH The Hague, The NetherlandsJan J. Wever, Department of Vascular Surgery, Haga Teaching Hospital, The Hague, The NetherlandsHans Van Overhagen, Department of Radiology, Haga Teaching Hospital, Leyweg 275, 2545 CH The Hague, The Netherlands Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioVascular and Interventional Radiology)

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Changing incidence and clinical manifestations of Clostridium difficile-associated diarrhea detected by combination of glutamate dehydrogenase and toxin assay in Northern Taiwan.

Journal of Microbiology, Immunology, and Infection — Wed, 28 Dec 2011 05:00:00 +0100

CONCLUSION: This study showed a lower incidence of CDAD and absence of attributable mortality. The impact of hand hygiene promotion and other infection control measures on decreasing incidence of CDAD warrants further elucidation. PMID: 22209696 [PubMed - as supplied by publisher] (Source: Journal of Microbiology, Immunology, and Infection)

Sudan: 35 Children Born On X-Mas Day in Juba Hospital

AllAfrica News: Pregnancy and Childbirth — Tue, 27 Dec 2011 10:01:21 +0100

At least thirty two children were born in Juba teaching Hospital and three others in Munuki Primary Health Care Center on Christmas day. (Source: AllAfrica News: Pregnancy and Childbirth)

Characteristics of Outpatients with Pandemic H1N1/09 Influenza in a Tertiary Care University Hospital in Korea.

Yonsei Medical Journal — Tue, 27 Dec 2011 03:55:11 +0100

Authors: Park KS, Park TS, Suh JT, Nam YS, Lee MS, Lee HJ Abstract The pandemic H1N1/09 emerged rapidly in Korea. Here, we describe the clinical characteristics of outpatients in Seoul, Korea who were infected in the 2009 H1N1 pandemic. We reviewed the cases of outpatients with pandemic H1N1/09 who visited a tertiary care teaching hospital between September 1 and December 31, 2009. Infection with pandemic H1N1/09 was confirmed by molecular tests. Of a total of 7,182 tests, 3,020 (42.0%) were positive. Compared with 473 cases of influenza- like illness (ILI), the 586 confirmed cases of pandemic H1N1/09 differed in age [odds ratio (OR) 0.975] and fulfilling at least one of the following factors: age <5 or ≥65 years, history of contact with other pandemic H1N1/09-infected individ...

Disparities in the allocation of treatment in advanced ovarian cancer: are there certain patient characteristics associated with nonstandard therapy?

Obstetrics and Gynecology — Mon, 26 Dec 2011 10:52:32 +0100

CONCLUSION: : In this large multi-institutional cohort, approximately 47% of patients with stage IIIC and IV ovarian cancer did not receive standard treatment. Pretreatment patient characteristics such as race, insurance status, age, Charlson comorbidity score, and facility type were associated with nonstandard treatment. LEVEL OF EVIDENCE: : II. PMID: 22183213 [PubMed - in process] (Source: Obstetrics and Gynecology)

Arsenic, vinyl chloride, viral hepatitis, and hepatic angiosarcoma: A hospital-based study and review of literature in Taiwan

BMC Gastroenterology — Mon, 26 Dec 2011 05:00:00 +0100

Conclusions: HAS is rare in Taiwan, and we found no evidence supporting a major role of VCM, arsenic in drinking water, or viral hepatitis in its occurrence. (Source: BMC Gastroenterology)

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Improving maternal mortality at a university teaching hospital in Nnewi, Nigeria

International Journal of Gynaecology and Obstetrics — Mon, 26 Dec 2011 05:00:00 +0100

Conclusion: A positive change in the attitude of health workers and the elimination of fee-for-service in emergency obstetric care would reduce type 3 delays in public health facilities, and consequently reduce maternal mortality. (Source: International Journal of Gynaecology and Obstetrics)

Antimicrobial susceptibility profiling and genomic diversity of multidrug-resistant Acinetobacter baumannii isolates from a teaching hospital in Malaysia.

Japanese Journal of Infectious Diseases — Sun, 25 Dec 2011 15:27:37 +0100

Authors: Kong BH, Hanifah YA, Yusof MY, Thong KL Abstract The resistance phenotypes and genomic diversity of 185 Acinetobacter baumannii isolates obtained from the intensive care unit (ICU) of a local teaching hospital in Kuala Lumpur from 2006 to 2009 were determined using antimicrobial susceptibility testing and pulsed-field gel electrophoresis (PFGE). Antibiogram analyses showed that the isolates were fully resistant to β-lactam antimicrobials and had high resistance rates to the other antimicrobial agents tested. However, the isolates were susceptible to polymyxin B. Resistance to cefoperazone/sulbactam was only detected in strains isolated from 2007 to 2009. Some environmental isolates and an isolate from the hands of a healthcare worker (HCW) had identical resistance profile...

The effects of birth weight and gender on neonatal mortality in north central Nigeria

BioMed Central — Sat, 24 Dec 2011 05:00:00 +0100

Background: Worldwide 15.5% of neonates are born with low birth weight, 95.6% of them in the developing countries. Prematurity accounts for 10% of neonatal mortality globally.The purpose was to evaluate the effects of birth weight and gender on neonatal outcome.FindingsThe data of 278 neonates managed in the Special Care Baby Unit (SCBU) of Jos University Teaching Hospital (JUTH) over a 2 year period from July 2006 to June 2008 were analyzed. One hundred and fifty nine (57.2%) were males and 119(42.8%) females. There were 87(31.3%) preterm and 191 (68.7%) term babies. Twelve of the babies died. Seven (2.52%) and 5 (1.80%) being males and females respectively. The neonatal mortality rate by gender was not significant (p > 0.05). The neonatal mortality was 25.2 deaths per 1000 live births fo...

Latent Equine Herpesvirus‐1 in Trigeminal Ganglia and Equine Idiopathic Headshaking

Journal of Veterinary Internal Medicine — Fri, 23 Dec 2011 05:00:00 +0100

Conclusions and Clinical ImportanceThis study does not support a role for EHV‐1 infection and presumed postherpetic pain in the etiopathogenesis of equine headshaking. (Source: Journal of Veterinary Internal Medicine)

Nursing role to improve care to infarct patients and patients undergoing heart surgery: 10 years' experience.

Netherlands Heart Journal — Fri, 23 Dec 2011 05:00:00 +0100

CONCLUSION: This observational study confirms that a nurse-led postoperative care unit and post-ACS care unit is feasible and effective for the treatment of patients returning from cardiac surgery or transferred after uncomplicated ACS to a general cardiology ward. PMID: 22194095 [PubMed - as supplied by publisher] (Source: Netherlands Heart Journal)

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More Patients Are Triaged Using the Emergency Severity Index Than Any Other Triage Acuity System in the United States

Academic Emergency Medicine — Fri, 23 Dec 2011 05:00:00 +0100

Conclusions: Among our sample of more than 3,000 hospitals, the ESI was the most commonly used triage system, and more patients were triaged using the ESI than any other triage acuity system. Still, there is an opportunity to further promote the adoption of validated, reliable triage systems. (Source: Academic Emergency Medicine)

Scheduled Out-Patient Endoscopy and Lack of Compliance in a Minority Serving Tertiary Institution.

The American Journal of the Medical Sciences — Fri, 23 Dec 2011 05:00:00 +0100

CONCLUSIONS: This study suggests a high rate of noncompliance with scheduled out-patient endoscopy, particularly for colonoscopy. Because this may be a contributing factor to colorectal cancer disparities, increased community outreach on colorectal cancer education is needed and may help to reduce noncompliance. PMID: 22197978 [PubMed - as supplied by publisher] (Source: The American Journal of the Medical Sciences)

More Patients Are Triaged Using the Emergency Severity Index Than Any Other Triage Acuity System in the United States.

Accident and Emergency Nursing — Fri, 23 Dec 2011 05:00:00 +0100

Onyx for Embolization of Life-Threatening Hemoptysis: A Promising but Luxury Embolic Agent!

CardioVascular and Interventional Radiology — Thu, 22 Dec 2011 06:43:39 +0100

Content Type Journal ArticleCategory LetterPages 1-1DOI 10.1007/s00270-011-0331-7Authors Romaric Loffroy, Department of Vascular and Interventional Radiology, University of Dijon School of Medicine, Bocage Teaching Hospital, 2 Bd Marechal de Lattre de Tassigny, BP 77908, 21079 Dijon Cedex, FranceSylvain Favelier, Department of Vascular and Interventional Radiology, University of Dijon School of Medicine, Bocage Teaching Hospital, 2 Bd Marechal de Lattre de Tassigny, BP 77908, 21079 Dijon Cedex, FrancePierre-Yves Genson, Department of Vascular and Interventional Radiology, University of Dijon School of Medicine, Bocage Teaching Hospital, 2 Bd Marechal de Lattre de Tassigny, BP 77908, 21079 Dijon Cedex, FranceBoris Guiu, Department of Vascular and Interventional Radiology, University of ...

Calvarial hyperostosis presenting as unilateral exophthalmos in a female English Springer Spaniel

Veterinary Ophthalmology — Thu, 22 Dec 2011 05:00:00 +0100

AbstractA 4‐month‐old intact female English Springer Spaniel presented to the University of Georgia Veterinary Teaching Hospital for evaluation of unilateral, progressive exophthalmos oculus sinister (OS) of 2 weeks’ duration. Complete ophthalmic examination revealed moderate OS exophthalmos and lateral globe deviation. No other abnormalities were noted on physical or ophthalmic examination, ocular ultrasound, complete bloodwork, or thoracic radiography. Skull computed tomography (CT) revealed a large, focal, smoothly irregular, cavitated, expansile bony lesion involving the left caudal maxillary and left frontal bones. Biopsies, obtained through a frontal sinusotomy approach to preserve the left globe integrity, demonstrated normal reactive trabecular bone with locally extensive f...

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[Drugs adjustment dosage at hospital discharge for patients with renal failure: Study of 326 medical records.]

Presse Medicale — Thu, 22 Dec 2011 05:00:00 +0100

CONCLUSION: The misuse observed at patient's discharge may have consequences in further prescriptions; discharge prescriptions are often considered as "validated" by general practitioners. Improving solution should be offered to prescribers and as well as to pharmacists to manage drug dosage adaptation to renal function. PMID: 22197400 [PubMed - as supplied by publisher] (Source: Presse Medicale)

Emergency department triaging of admitted stroke patients--A Bayesian Network analysis

Health Informatics Journal — Wed, 21 Dec 2011 05:00:00 +0100

This study uses hospital administrative data to ascertain the differences in the patient characteristics, process and outcomes of care between the Emergency Department (ED) triage categories of patients admitted from an ED presentation into a large metropolitan teaching hospital with a Stroke Care Unit. Bayesian Networks (BNs) derived from the administrative data were used to provide the descriptive models. Nearly half the patients in each stroke subtype were triaged as ‘Urgent’ (to be seen within 30 minutes). With a decrease in the urgency of triage categories, the proportion admitted within 8 hours decreased dramatically and the proportion of formal discharge increased. Notably, 45% of transient ischaemic attacks (TIAs) were categorized as ‘Semi-urgent’ (to be att...

Abdominal radical trachelectomy in West London.

BJOG : An International Journal of Obstetrics and Gynaecology — Tue, 20 Dec 2011 08:54:58 +0100

Conclusions Abdominal radical trachelectomy provides a feasible, cost-effective and safe treatment option for young women who have been diagnosed with early-stage cervical cancer and wish to preserve their fertility. PMID: 22168762 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)

Posterior myocardial infarction: are we failing to diagnose this?

Emergency Medicine Journal — Tue, 20 Dec 2011 05:00:00 +0100

Conclusions A significant proportion of doctors and paramedics were unable to diagnose PMI. Hence, the majority of PMIs may be being missed. Routine use of posterior-leads in the standard assessment of patients with chest pain may identify up to an additional 7% of STEMIs, allowing prompt reperfusion therapy, which would reduce morbidity and mortality. (Source: Emergency Medicine Journal)

Nurse-initiated defibrillation: are nurses confident enough?

Emergency Medicine Journal — Tue, 20 Dec 2011 05:00:00 +0100

Conclusion Nurses improve in defibrillation decision-making skills and confidence after appropriate brief, focused in-house training. (Source: Emergency Medicine Journal)

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Correlation between clinical tibiofemoral angle and body mass index in normal Nigerian children

International Orthopaedics — Mon, 19 Dec 2011 16:52:58 +0100

Conclusion We conclude that in normal healthy-weight children, BMI does not cause an increase in tibiofemoral angle. Content Type Journal ArticleCategory Original PaperPages 1-7DOI 10.1007/s00264-011-1451-zAuthors Anirejuoritse Bafor, Department of Orthopaedics & Trauma, University of Benin Teaching Hospital, Benin, NigeriaBlessing Omota, Department of Orthopaedics & Trauma, University of Benin Teaching Hospital, Benin, NigeriaAlfred O. Ogbemudia, Department of Orthopaedics & Trauma, University of Benin Teaching Hospital, Benin, Nigeria Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)

Predictive Factors of Splenic Injury in Colorectal Surgery: Data from the Nationwide Inpatient Sample, 2006-2008 [Original Article]

Archives of Surgery — Mon, 19 Dec 2011 05:00:00 +0100

Conclusions Type of resection (transverse, total, or left colectomy), type of pathology (malignancy or diverticulitis), open operation, and teaching hospital are potent independent predictors of splenic injury. Male sex, peripheral vascular disease, and emergent admission are less effective predictors. Surgeons should be aware of these risk factors and inform patients accordingly. In higher-risk circumstances, it may be appropriate to consider prophylactic vaccination. (Source: Archives of Surgery)

Hepatic Resection vs Minimally Invasive Radiofrequency Ablation for the Treatment of Colorectal Liver Metastases: A Markov Analysis [Poster Session]

Archives of Surgery — Mon, 19 Dec 2011 05:00:00 +0100

Conclusions Classical Markov analysis demonstrates that based on current literature, resection is superior to RFA in the treatment of colorectal liver metastases. When input is limited to laparoscopic RFA in patients with resectable lesions, projected 5-year survival is superior to that of hepatic resection. (Source: Archives of Surgery)

Safety of Carbon Dioxide Digital Subtraction Angiography [Poster Session]

Archives of Surgery — Mon, 19 Dec 2011 05:00:00 +0100

Conclusion Carbon dioxide digital subtraction angiography is a versatile technique that can be safely used for diagnostic and therapeutic endovascular procedures. Morbidity and mortality are acceptable with preservation of renal function. Thus, CO2-DSA is a safe alternative to iodinated contrast. (Source: Archives of Surgery)

MedWorm: Teaching Hospitals

Outcome of road traffic injuries received in the emergency room of a teaching hospital, Southeast Nigeria. - Omoke NI, Chukwu CO, Madubueze CC, Oyakhiolme OP.

Anterior Cingulate Cortex {gamma}-Aminobutyric Acid in Depressed Adolescents: Relationship to Anhedonia [Original Article]

Bradford surgeon becomes Yorks and Humber postgraduate dean

Adoption and Meaningful Use of Computerized Physician Order Entry With an Integrated Clinical Decision Support System for Radiology: Ten-Year Analysis in an Urban Teaching Hospital

The prevalence of Neurally Mediated Syncope in older patients presenting with unexplained falls.

California Acute-Care Teaching Hospital Turns to McKesson to Centralize Billing

ePrescription for safer medications

The Impact of Endoscopic Retrograde Cholangiopancreatography Education on Radiation Exposure to Experienced Endoscopist: “Trainee Effect”

Adoption and Meaningful Use of Computerized Physician Order Entry With an Integrated Clinical Decision Support System for Radiology: Ten-Year Analysis in an Urban Teaching Hospital

Examination of Assumptions in Using Time Tradeoff and Standard Gamble Utilities in Individuals With Spinal Cord Injury

Intensive care admissions and outcome at the University of Calabar Teaching Hospital, Nigeria

Percutaneous coronary intervention outcomes in US hospitals with varying structural characteristics: Analysis of the NCDR®

Cancellation of elective operations on the day of intended surgery in a Hong Kong hospital: point prevalence and reasons.

Serial plotting on customised fundal height charts results in doubling of the antenatal detection of small for gestational age fetuses in nulliparous women

Gambia: New RVTH Boss Outlines Plans

Validation of the Sarcoidosis Health Questionnaire in a non‐US population

Effects of Two Commercial Electronic Prescribing Systems on Prescribing Error Rates in Hospital In-Patients: A Before and After Study

Divergent Intentions to Use Antibiotic Guidelines: A Theory of Planned Behavior Survey

Survey of the major sources of waste in the health care units of a teaching hospital

Neuropathy Dermatitis following Surgical Nerve Injury

Ghana: Cardio Staff and Patients Want Prof. Boateng Back

Terrorism and mental health in Iraq - Al-Amery AH, Humaidi NS, Al-Aboodi MR, Hammadi GA, Sadik S.

Perception, attitude and compliance with the use of car safety seatbelts among workers in Lautech teaching hospital, Osogbo, southwestern Nigeria - Bamidele JO, Adebimpe WO, Adewole AO.

Gambia: RVTH Gets New Chief Medical Director

UCF approves $15.1M purchase of land for hospital

Medical Liability of the Physician in Training.

Pre-internship Nigerian medical graduates lack basic musculoskeletal competency

Prospectively defined indicators to improve the safety and quality of care for critically ill patients: a report from the Task Force on Safety and Quality of the European Society of Intensive Care Medicine (ESICM)

Profiling harmful medication errors in an acute Irish teaching hospital

Oral pyogenic granuloma—a review of 215 cases in a South Indian Teaching Hospital, Karnataka, over a period of 20 years

Does necrotizing enterocolitis affect growth and neurodevelopmental outcome in very low birth weight infants?

Gambia: 4-Year-Old Boy Needs Urgent Overseas Treatment

Retromuscular Mesh Repair of Midline Incisional Hernia with Polyester Standard Mesh: Monocentric Experience of 261 Consecutive Patients with a 5-year Follow-up

Trainees, Trainers, and Training; Where Does Their Destiny Lie ?

Access to the next wave of biologic therapies (Abatacept and Tocilizumab) for the treatment of rheumatoid arthritis in England and Wales

Predictive Factors for a Good Outcome Following Endoscopic Sinus Surgery

Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer: the views of health care professionals

CIRSE Guidelines: Quality Improvement Guidelines for Endovascular Treatment of Traumatic Hemorrhage

Determinants of recourse to hospital treatment in the elderly

Third-generation CT has 100% sensitivity and specificity for identifying subarachnoid haemorrhage when it is carried out within 6 h of headache onset

Cardiovascular Dysfunction in HIV-infected Children in a Sub-Saharan African Country: Comparative Cross-sectional Observational Study

Pain relief for childbirth: The preferences of pregnant women, midwives and obstetricians.

The impact of snow on orthopaedic trauma referrals. - Weston-Simons J, Jack CM, Doctor C, Brogan K, Reed D, Ricketts D.

Editorial: Who Else Is Paying Your Doctor?

Ghana: Congestion At Kath Inevitable

Ghana: Gertech Blamed for Kath Equipment Breakdown

Overtreatment of Enterococcal Bacteriuria

Electrocardiographic findings in sickle cell cardiovascular autonomic neuropathy

Laparoscopic Sleeve Gastrectomy with Staple Line Buttress Reinforcement in 116 Consecutive Morbidly Obese Patients

Does smoking kill? A study of death certification and smoking

Primary ureteral giant cell sarcoma in a Pomeranian

Fiber-optic bronchoscope and detection of lung cancer: A five year study.

Nigeria: Teaching Hospital Chief Medical Director Decries Poor Infrastructure

Nigeria: Anambra Teaching Hospital Will Function This Year - Obi

Antiretroviral therapy prescribing in hospitalized HIV clinic patients

Spontaneous reporting of medication errors in pediatric university hospital

High yield of same-session EUS-guided liver biopsy by 19-gauge FNA needle in patients undergoing EUS to exclude biliary obstruction

Lingual thyroglossal duct cysts—A review

Spontaneous hepatic haematoma in a cat

Ferroportin (SLC40A1) Q248H mutation is associated with lower circulating serum hepcidin levels in Rwandese HIV-positive women

Efficacy of patient information concerning casts applied post‐fracture

Forms of benefit sharing in global health research undertaken in resource poor settings: A qualitative study of Stakeholders' views in Kenya.

A new algorithm for hip fracture surgery.

Phase I Clinical Trial of O6-Benzylguanine and Topical Carmustine in the Treatment of Cutaneous T-Cell Lymphoma, Mycosis Fungoides Type [Study]

The Computerized Synoptic Operative Report: A Novel Tool in Surgical Residency Education [Paper]

Why do geriatric outpatients have so many moderate and severe vertebral fractures? Exploring prevalence and risk factors. - van der Jagt-Willems HC, van Hengel M, Vis M, van Munster BC, van Campen JP, Tulner LR, Lems WF.

The Impact of Ethnicity on the, Incidence, Tumor Characteristics and Treatment of Ductal Carcinoma in Situ? An 11 Year Clinical Experience at a High Volume Teaching Hospital

A Nationwide Twenty Year Analysis of Resident Operative Trauma Experiences: Pre & Post Work Hour Reform

Electronic Discharge Summaries for Surgical Patients: Evaluating Risks and Benefits

Robotically-assisted Laparoscopic Biliopancreatic Diversion With Duodenal Switch. Initial Experience and Outcomes from a Teaching Hospital

Outcome of Surgery for Toxic Goitres in Maiduguri: A Single Teaching Hospital's Perspective

Diagnosing renal failure due to diethylene glycol in children in a resource-constrained setting

A 2-year experience, management and outcome of 200 clavicle fractures

Predictors of the development of myocarditis or acute renal failure in patients with leptospirosis: An observational study

Health literacy and the Clozapine patient

Multidrug resistance of Pseudomonas aeruginosa as known from surveillance of nosocomial and community infections in an Indian teaching hospital

Elevated incidence of sleep apnoea in acromegaly—correlation to disease activity

Incontinence during intercourse: myths unravelled

Acute cholecystitis in high risk surgical patients: percutaneous cholecystostomy versus laparoscopic cholecystectomy (CHOCOLATE Trial): Study protocol for a randomized controlled trial.

Fiber-optic bronchoscope and detection of lung cancer: A five year study.