MedWorm: Teaching Hospitals

A soft tissue groin mass

Skeletal Radiology — Thu, 11 Mar 2010 18:12:09 +0100

Content Type Journal ArticleCategory Test Yourself: QuestionDOI 10.1007/s00256-010-0885-5Authors Harun Gupta, Leeds Teaching Hospitals Department of Musculoskeletal Radiology Leeds UKAndrew James Grainger, Leeds Teaching Hospitals Department of Musculoskeletal Radiology Leeds UK Journal Skeletal RadiologyOnline ISSN 1432-2161Print ISSN 0364-2348 (Source: Skeletal Radiology)

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Gun Shot-101: an 8-year review of gunshot injuries in an Irish teaching hospital from a general surgical perspective. - O'Kelly F, Gallagher TK, Lim KT, Smyth PJ, Keeling PN.

SafetyLit: All (Unduplicated) — Thu, 11 Mar 2010 17:09:17 +0100

[ePub (volume, issue, and page range not yet available)] BACKGROUND: Gun-related crime offenses have increased in the Republic of Ireland steadily over the past number of years. Regional trauma units are witnessing unprecedented numbers of injuries... (Source: SafetyLit: All (Unduplicated))

Michael Agus, MD, reports from Haiti

Thrive, Children's Hospital Boston — Thu, 11 Mar 2010 16:50:05 +0100

by Michael Agus, MD - director of Children’s Medicine Critical Care Program A few weeks ago, multiple waves of teams from Children’s Hospital Boston left under the auspices of Project Hope for the USNS Comfort, which remains anchored in the harbor of Port-au-Prince. As Comfort’s mission began winding down, Robert Truog, MD was able to transfer and join a land-based effort already underway through Partners In Health (PIH). I was scheduled for the Comfort as well and due to Bob’s efforts was able to re-deploy to the same site right after he left. Day 1 I boarded a plane early in the morning on Thursday, March 4 from Boston to Miami. In addition to a large pile of energy bars, mosquito netting and a camping pillow, I brought donations from my kids’ school, incl...

Nigeria: Glaucoma - Second World Leading Cause of Blindness - Experts

AllAfrica News: Health and Medicine — Thu, 11 Mar 2010 13:09:14 +0100

THE Secretary General of Ophthalmological Society of Nigeria (OSN) and Doctor Ophthalmological Surgeon, Lagos University Teaching Hospital (LUTH), Idi-Araba, Dr. (Mrs.) Onokoya has said that Glaucoma is the world second leading cause of blindness and Second common cause of blindness in Nigeria. (Source: AllAfrica News: Health and Medicine)

AAMC Says Patient Safety Is A Top Priority For U.S. Medical Schools And Teaching Hospitals

Health News from Medical News Today — Thu, 11 Mar 2010 13:00:00 +0100

AAMC (Association of American Medical Colleges) President and CEO Darrell G. Kirch, M.D., issued the following statement today on the Lucian Leape Institute's new report, Unmet Needs: Teaching Physicians to Provide Safe Patient Care: "The AAMC and its member institutions were pleased to participate in the roundtable discussions that produced this new report on medical education and patient safety-a top priority for the nation's medical schools and teaching hospitals for the last decade... (Source: Health News from Medical News Today)

AAMC Says Patient Safety Is A Top Priority For U.S. Medical Schools And Teaching Hospitals

Medical Students News From Medical News Today — Thu, 11 Mar 2010 13:00:00 +0100

AAMC (Association of American Medical Colleges) President and CEO Darrell G. Kirch, M.D... (Source: Medical Students News From Medical News Today)

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Comparison of ultrasonic Doppler flow monitor, oscillometric, and direct arterial blood pressure measurements in ill dogs

Journal of Veterinary Emergency and Critical Care — Thu, 11 Mar 2010 00:00:00 +0100

To compare blood pressure measurements obtained via ultrasonic Doppler flow monitor (DOP) and 2 oscillometric noninvasive blood pressure monitors (CAR and PAS) to invasive blood pressure (IBP) in hospitalized, conscious dogs with a range of blood pressures. Prospective clinical study. University teaching hospital. Eleven client-owned dogs aged between 4 months and 11.5 years (median 6 y), and weighing between 5.8 and 37.5 kg (median 30.2 kg). Blood pressure measurement. Three consecutive measurements of systolic, diastolic, and mean arterial pressure (MAP) were recorded for each of the 3 indirect devices (only systolic for DOP), along with concurrent IBP measurements. The data were categorized into 3 groups: hypotensive (direct MAP100 mm Hg). Each indirect method was compared with the corr...

Gun Shot-101: an 8-year review of gunshot injuries in an Irish teaching hospital from a general surgical perspective

Irish Journal of Medical Science — Wed, 10 Mar 2010 16:09:02 +0100

Conclusion Ireland has comparable survival outcomes to other international centres with similar patient demographics due to timely and appropriate operative intervention. These results serve to provide a template for further patient management. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11845-010-0477-3Authors F. O’Kelly, Connolly Hospital Department of General Surgery Blanchardstown Dublin 15 Republic of IrelandT. K. Gallagher, Connolly Hospital Department of General Surgery Blanchardstown Dublin 15 Republic of IrelandK. T. Lim, Connolly Hospital Department of General Surgery Blanchardstown Dublin 15 Republic of IrelandP. J. Smyth, Connolly Hospital Department of General Surgery Blanchardstown Dublin 15 Republic of IrelandP. N. Keeling, Conn...

A simple method to locate mandibular foramen: preliminary radiological study

Surgical and Radiologic Anatomy — Wed, 10 Mar 2010 16:08:08 +0100

Discussion Posterior and superior thirds of the ramus constitute a “safety zone” where mandibular foramen is unlikely to be found. This area can be used by the oral and maxillofacial surgeon in vertical ramus osteotomy of the mandible with low inferior alveolar nerve morbidity probability. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00276-010-0645-1Authors Olivier Trost, University of Burgundy Laboratory of Anatomy, INSERM U-887 “Motricité Plasticité”, Faculty of Medicine Dijon FranceVivien Salignon, University of Burgundy Laboratory of Anatomy, INSERM U-887 “Motricité Plasticité”, Faculty of Medicine Dijon FranceNicolas Cheynel, University of Burgundy Laboratory of Anatomy, INSERM U-887 “Motricité Plasticité”, Faculty of ...

Microbiogical data, but not procalcitonin improve the accuracy of the clinical pulmonary infection score

Intensive Care Medicine — Wed, 10 Mar 2010 12:47:11 +0100

Conclusion This study showed that alveolar procalcitonin performed by BAL does not help the clinician to identify VAP. It confirmed that serum procalcitonin is not an accurate marker of VAP. In contrast, microbiological resources available at the time of VAP suspicion (BAL gram staining, last available endotracheal aspirate) combined or not with CPIS are helpful in distinguishing VAP diagnosed by BAL from patients with a negative BAL. Content Type Journal ArticleCategory OriginalDOI 10.1007/s00134-010-1833-5Authors Boris Jung, Centre Hospitalier Universitaire (CHU) Montpellier, INSERM ERI 25 Intensive Care Unit, Department of Anesthesiology and Critical Care B (DAR B) Montpellier 34295 Cedex 5 FranceNathalie Embriaco, Université de la Méditerranée Medical Intens...

Are home ventilators able to guarantee a minimal tidal volume?

Intensive Care Medicine — Wed, 10 Mar 2010 12:47:10 +0100

Conclusions The six home ventilators tested in the study were able to maintain a minimal tidal volume during an increase in airway resistance and a decrease in lung compliance, but not during a non-intentional leak. Content Type Journal ArticleCategory OriginalDOI 10.1007/s00134-010-1785-9Authors Brigitte Fauroux, INSERM, UMR S-938, AP-HP, Hôpital Armand-Trousseau, Université Pierre et Marie Curie-Paris 6 Pediatric Pulmonary Department, Research Unit, National Reference Center for Rare Lung Diseases 26 avenue du Docteur Arnold-Netter 75012 Paris FranceKarl Leroux, ADEP Assistance Puteaux Paris FranceJean-Louis Pépin, INSERM ERI17, Grenoble University Hospital HP2 Laboratory (Hypoxia: Pathophysiology), Department of Physiology and Rehabilitation 38042 Grenoble Fran...

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Iatrogenic events contributing to ICU admission: a prospective study

Intensive Care Medicine — Wed, 10 Mar 2010 12:47:09 +0100

Conclusion Of admissions to the ICU, 19.5% resulted from IE, with high proportion of shock, leading to greater need for invasive treatments and longer stay in the ICU. Most cases of IE seemed preventable. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s00134-010-1793-9Authors Emmanuelle Mercier, Université François Rabelais and Hôpital Bretonneau, CHRU Service de Réanimation Médicale 37044 Tours Cedex 9 FranceBruno Giraudeau, Université François Rabelais and Hôpital Bretonneau, CHRU Centre d’Investigation Clinique Inserm CIC 0202 37044 Tours Cedex 9 FranceGuy Giniès, Université François Rabelais and Hôpital Bretonneau, CHRU Service de Réanimation Médicale 37044 Tours Cedex 9 FranceDominique Perrotin, Université François Rabelais and H�...

Drug utilization of oral hypoglycemic agents in a university teaching hospital in India

Journal of Clinical Pharmacy and Therapeutics — Wed, 10 Mar 2010 00:00:00 +0100

Conclusion: This study strongly highlights the need for patient education or counselling on use of antidiabetic and concomitant drugs, monitoring of blood glucose and glycosylated haemoglobin (HbA1c) levels, diet control, and correction of diabetic complications. Metabolic control was poor and HbA1c monitoring was underutilized. Clinical monitoring of patients' adherence to prescribed treatments is recommended and measures should be taken to improve it. (Source: Journal of Clinical Pharmacy and Therapeutics)

New Jersey’s failure to keep medical residents ‘ominous’

bizjournals.com Health Care:Biotechnology headlines — Tue, 09 Mar 2010 22:08:27 +0100

The number of medical residents training in New Jersey who plan to practice medicine in the state dropped again last year by an additional 15 percent, causing the New Jersey Council of Teaching Hospitals to increase its projected shortfall of physicians to 3,250 over the next 10 years. (Source: bizjournals.com Health Care:Biotechnology headlines)

Barriers to the implementation of the UK HIV testing guidelines in secondary care: how many are medical?

International Journal of STD and AIDS — Tue, 09 Mar 2010 21:06:05 +0100

A survey of consultants in Plymouth Teaching Hospital was performed to identify barriers to HIV testing in secondary care. Testing practices were compared with those recommended by the UK HIV testing guidelines and barriers to testing described. (Source: International Journal of STD and AIDS)

Dutch academic hospital launches new clinical displays

Healthcare IT News — Tue, 09 Mar 2010 16:59:30 +0100

MC Leeuwarden, based in Friesland, the Netherlands has deployed new clinical review displays across its two locations. The Medical Centre Leeuwarden is considered a top medical teaching hospital, with locations in Leeuwarden and Harlingen. Both locations, officials said, will install the medical displays developed by Barco, which is based in Belgium. (Source: Healthcare IT News)

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Minimally invasive focused parathyroidectomy without using intraoperative parathyroid hormone monitoring or gamma probe

Journal of Postgraduate Medicine — Tue, 09 Mar 2010 16:15:37 +0100

Conclusion : The results of MIP achieved in high-volume endocrine surgery centers can be replicated in low-volume center without any intraoperative adjuncts, in patients with overt clinical pHPT and concordant results of sestamibi and ultrasound. (Source: Journal of Postgraduate Medicine)

A single dose of preoperative gabapentin for pain reduction and requirement of morphine after total mastectomy and axillary dissection: Randomized placebo-controlled double-blind trial

Journal of Postgraduate Medicine — Tue, 09 Mar 2010 16:15:37 +0100

Conclusions : A single low dose of 600 mg gabapentin administered 1 h prior to surgery produced effective and significant postoperative analgesia after total mastectomy and axillary dissection without significant side effects. (Source: Journal of Postgraduate Medicine)

Lycopene in treatment of high-grade gliomas: A pilot study

Neurology India — Tue, 09 Mar 2010 15:01:56 +0100

Conclusions : Addition of nutrition supplements such as lycopene may have potential therapeutic benefit in the adjuvant management of high-grade gliomas. (Source: Neurology India)

Unusual Features of Apical Hypertrophic Cardiomyopathy

The American Journal of Cardiology — Tue, 09 Mar 2010 13:57:20 +0100

In conclusion, apical HC in a teaching hospital without a specialized HC clinic and in a predominantly Caucasian population is a disease of the elderly. Documented late morphologic evolution is not uncommon, with a high incidence of coronary fistulae and morbid atrial fibrillation. (Source: The American Journal of Cardiology)

Combining enteral with parenteral nutrition to improve postoperative glucose control.

The British Journal of Nutrition — Tue, 09 Mar 2010 00:00:00 +0100

Authors: Lidder P, Flanagan D, Fleming S, Russell M, Morgan N, Wheatley T, Rahamin J, Shaw S, Lewis S The provision of parenteral nutrition (PN) to 'stressed' patients often results in hyperglycaemia, which may be detrimental. In animal models limited amounts of enteral nutrition (EN) improve intestinal integrity and stimulate intestinal incretin production, which may lead to improved glucose control. We set out to assess if combining EN with PN results in improved glucose homeostasis rather than PN given alone. We conducted a randomised trial in a university teaching hospital of patients undergoing a 'curative' oesophagectomy for adenocarcinoma. Differences between the two intervention groups were assessed for continuous glucose measurement, insulin sensitivity using insulin tolerance...

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Morphological Characteristics of Brain Tumors Causing Seizures [Original Contribution]

Archives of Neurology — Mon, 08 Mar 2010 20:50:43 +0100

Conclusions The influence of size and location of the tumors on their propensity to cause seizures varies with the grade of the tumor. In high-grade gliomas, rapidly growing tumors, particularly those situated in deeper structures, present with non–seizure-related symptoms. In low-grade gliomas, lesions in the temporal lobe or the insula grow large without other symptoms and eventually cause seizures. Quantitative image analysis allows for the mapping of regions in each group that are more or less susceptible to seizures. (Source: Archives of Neurology)

Barco lands two Netherlands installs

Health Imaging News — Mon, 08 Mar 2010 12:23:10 +0100

Visualization technology provider Barco has inked a two-installation agreement with the Medical Centre Leeuwarden, a teaching hospital located in Leeuwarden and Harlingen, the Netherlands. (Source: Health Imaging News)

Barco lands two Netherlands installs

Health Imaging News — Mon, 08 Mar 2010 12:23:10 +0100

AAMC Applauds Internal Revenue Service For FICA Refunds

Health News from Medical News Today — Sun, 07 Mar 2010 08:00:00 +0100

AAMC (Association of American Medical Colleges) President and CEO Darrell G. Kirch, M.D., issued the following statement commending the Internal Revenue Service (IRS) for its decision to refund Federal Insurance Contributions Act (FICA) taxes to teaching hospitals and medical residents who filed claims for services prior to April 1, 2005: "The AAMC is pleased that, after years of litigation on this issue, the IRS has exempted residents from paying FICA taxes for time spent in their residency programs prior to April 2005, when new IRS regulations were put into place... (Source: Health News from Medical News Today)

Predicting results of mycobacterial culture on sputum smear reversion after anti-tuberculous treatment: a case control study

BMC Infectious Diseases — Sat, 06 Mar 2010 00:00:00 +0100

Conclusions: Sputum smear reversion develops in 10% of patients with smear-positive pulmonary TB, with 30% due to viable M. tuberculosis bacilli. Isolation and regimen modification may not be necessary for all drug-susceptible patients who already have radiographic improvement and develop smear reversion after two months of treatment or after sputum culture conversion. (Source: BMC Infectious Diseases)

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Absenteeism - disease in the nursing staff: relationship with the occupation tax

Revista da Escola de Enfermagem da USP — Fri, 05 Mar 2010 14:50:33 +0100

Estudo de natureza quantitativa, descritiva, transversal, elaborado com o objetivo de analisar a quantidade e as causas de afastamentos por doença dos profissionais de enfermagem e sua relação com taxa de ocupação das unidades de internação de um hospital de ensino. A metodologia foi desenvolvida em duas etapas: caracterização demográfica dos profissionais e identificação e análise das ausências quanto à quantidade e tipos de afastamento por doença, aos diagnósticos médicos e à relação com a taxa de ocupação do Hospital. Os técnicos de enfermagem apresentaram a maior quantidade de licenças por doença. As doenças do sistema osteomuscular e do tecido conjuntivo representaram 4.957 dias (41,5%) de ausências e os transtornos mentais e comportamentais 3.393 dias (28,...

Health problems among outpatient nursing personnel with a high physiological workload

Acta Paulista de Enfermagem — Fri, 05 Mar 2010 14:50:24 +0100

Conclusion: Although working at the outpatient clinic is perceived as "a gift," the reported health problems negatively affected the quality of life and the job performance of the nursing personnel.Objetivo: Identificar los problemas de salud, generados por la exposición a cargas fisiológicas, el Índice de Masa Corporal (IMC), de los trabajadores de enfermería y el impacto de este en la calidad de vida de esos trabajadores. Métodos: Estudio descriptivo de abordaje cuantativo y cualitativo realizado en el ambulatorio de un hospital universitario de la ciudad de Sao Paulo. La población fue constituida por los 22 trabajadores de enfermería de la unidad. El instrumento de recolección de datos fue el formulario, aplicado por la técnica que realizó la entrevista. Resultados: La alta fr...

Molecular adsorbent recirculating system is ineffective in the management of type 1 hepatorenal syndrome in patients with cirrhosis with ascites who have failed vasoconstrictor treatment

Gut — Fri, 05 Mar 2010 11:12:51 +0100

Conclusions In patients with cirrhosis, refractory ascites and type 1 HRS not responding to vasoconstrictor treatment, MARS is ineffective in improving systemic haemodynamics and renal function despite reduction in NO levels, suggesting that vasodilatation in advanced cirrhosis is not due to excess systemic vasodilators alone. Transient reduction in serum creatinine indicates direct removal by MARS, and may not represent improved renal function. (Source: Gut)

[Correspondence] White blood

LANCET — Fri, 05 Mar 2010 00:00:00 +0100

With surprise we read the Case Report “White blood: the tip of the iceberg?” by Marlies van Wolfswinkel and colleagues (Nov 28, p 1866). It concerns a woman who was treated in our district hospital, and in the central teaching hospital in Blantyre, Malawi. (Source: LANCET)

Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care

Intensive and Critical Care Nursing — Thu, 04 Mar 2010 15:16:04 +0100

Summary: Background: Informational support to family members of ICU patients has significant potential for reducing their psychological distress, enabling them to better cope and support the patient.Objectives: To describe family member perception of informational support, anxiety, satisfaction with care, and their interrelationships, to guide further refinement of a local informational support initiative and its eventual evaluation.Methodology/design: This cross-sectional descriptive correlational pilot study collected data from a convenience sample of 29 family members using self-report questionnaires.Setting: 22-bed medical-surgical intensive care unit of a 659-bed university affiliated teaching hospital in Montreal, Quebec, Canada.Results: Mean informational support, assessed with a mo...

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Serial evaluation of SOFA score in a Brazilian teaching hospital

Intensive and Critical Care Nursing — Thu, 04 Mar 2010 15:16:03 +0100

Summary: Objectives: To evaluate the application of the Sequential Organ Failure Assessment (SOFA) in describing the severity of organ dysfunctions and the associated mortality rates in critically ill patients at a teaching hospital.Research methodology: Prospective longitudinal study performed in 1164 adult, critically ill patients who were admitted consecutively into intensive care units between January 2004 and December 2005. We analysed static evaluation of SOFA and dynamic changes in the SOFA scores. The discriminative power of SOFA was evaluated using ROC curves.Results: There was an increase in the mortality rate when the SOFA scores increased (, p (Source: Intensive and Critical Care Nursing)

Gram-negative bacteremia induces greater magnitude of inflammatory response than Gram-positive bacteremia

Critical Care — Thu, 04 Mar 2010 00:00:00 +0100

Conclusions: The incidence of Gram-negative bacteremia was significantly higher in bacteremic ICU patients with septic shock than in those with sepsis or severe sepsis. Furthermore, CRP and IL-6 levels were significantly higher in Gram-negative bacteremia than in Gram-positive bacteremia. These findings suggest that differences in host responses and virulence mechanisms of different pathogenic microorganisms should be considered in treatment of bacteremic patients, and that new countermeasures beyond conventional antimicrobial medications are urgently needed. (Source: Critical Care)

Clinical and Demographic Variables Related to Pain in HIV-Infected Individuals Treated with Effective, Combination Antiretroviral Therapy (cART)

Pain Medicine — Thu, 04 Mar 2010 00:00:00 +0100

Conclusions. In this cohort treated with cART, pain was less prevalent and less likely to be associated with HIV disease progression or treatment than indicated by studies conducted prior to the widespread use of cART. (Source: Pain Medicine)

Impact of left ventricular lead position on the incidence of ventricular arrhythmia and clinical outcome in patients with cardiac resynchronization therapy

Journal of Interventional Cardiac Electrophysiology — Wed, 03 Mar 2010 08:09:29 +0100

Conclusions Thus, biventricular pacing with an anterior LV lead seems to have no impact on the incidence of ventricular arrhythmia but may be associated with an increased mortality rate due to worsening heart failure. Content Type Journal ArticleDOI 10.1007/s10840-010-9470-zAuthors Thomas Kleemann, Cardiac Arrhythmia Center at the Heart Center of Ludwigshafen Bremserstraße 79 67063 Ludwigshafen GermanyTorsten Becker, Cardiac Arrhythmia Center at the Heart Center of Ludwigshafen Bremserstraße 79 67063 Ludwigshafen GermanyMargit Strauss, Cardiac Arrhythmia Center at the Heart Center of Ludwigshafen Bremserstraße 79 67063 Ludwigshafen GermanyNgoc Dyck, Cardiac Arrhythmia Center at the Heart Center of Ludwigshafen Bremserstraße 79 67063 Ludwigshafen GermanySteffen Sc...

Glaxo Birth Defect Litigation Reveals Paxil Promoters on Speed Dial

NaturalNews.com — Wed, 03 Mar 2010 07:00:00 +0100

(NaturalNews) In the first Paxil birth defect trial against GlaxoSmithKline, much of evidence focused on the doctors on Glaxo's payroll involved in the corruption of the medical literature and seminars given to promote the off label use of Paxil with pregnant and nursing mothers.On October 13, 2009, the trial of Kilker v Glaxo ended with a Philadelphia jury awarding $2.5 million in compensatory damages to the family of Lyam Kilker, after finding that Glaxo "negligently failed to warn" the doctor treating Lyam's mother about the risks of Paxil and the drug was a "factual cause" of the child's heart defects.Glaxo's lead attorney at trial was King and Spalding partner Chilton Varner, and the family's lead attorney was Sean Tracey from Houston.During his opening statement on September 15, 2009...

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Student and intern awareness of ionising radiation exposure from common diagnostic imaging procedures

Australasian Radiology — Wed, 03 Mar 2010 00:00:00 +0100

This study aims to evaluate medical student and intern awareness of ionising radiation exposure from common diagnostic imaging procedures and to suggest how education could be improved. Fourth to sixth year medical students enrolled at a Western Australian university and interns from three teaching hospitals in Perth were recruited. Participants were asked to complete a questionnaire consisting of 26 questions on their background, knowledge of ionising radiation doses and learning preferences for future teaching on this subject. A total of 331 completed questionnaires were received (95.9%). Of the 17 questions assessing knowledge of ionising radiation, a mean score of 6.0 was obtained by respondents (95% CI 5.8[ndash]6.2). Up to 54.8% of respondents underestimated the radiation dose from c...

Flexible working and the contribution of nurses in mid-life to the workforce: A qualitative study

International Journal of Nursing Studies — Tue, 02 Mar 2010 15:29:49 +0100

Conclusions: The findings suggest that there are limits to the implementation of flexible working for nurses. In some areas there is evidence that the implementation of flexible working may be producing an inflexible workforce as older nurses are required to compensate for the flexible working patterns of their colleagues. Ward managers have a key role in the implementation of family friendly policies and require support to fulfil this role. There is a need for creative solutions to address implementation of flexible working for all nurses to ensure that workforce policy addresses the need to retain nurses in the workforce in a fair and equitable way. (Source: International Journal of Nursing Studies)

Alteration of some natural anticoagulants in dogs with chronic renal failure

Comparative Clinical Pathology — Tue, 02 Mar 2010 10:01:55 +0100

The objective of the study was to evaluate some parameters for assessing the prothrombotic state in dogs with chronic renal failure (CRF). Some natural anticoagulants, protein C (PC), protein S (PS), and antithrombin III (AT III), as well as fibrinogen concentration and clinical chemistries, were concentrated. The study groups consisted of 42 dogs with CRF and 34 age- and sex-matched clinically healthy control dogs. The level of AT III in the CRF group was significantly lower (P < 0.05), but the fibrinogen concentration was significantly higher (P < 0.05) than in the control group. Additionally, the cholesterol level in the CRF group was significantly higher than in the control group (P < 0.05) and was positively correlated to creatinine (R = 0.5, P < 0...

The Natural History of Anencephaly

Prenatal Diagnosis — Tue, 02 Mar 2010 00:00:00 +0100

This study provides useful information for health professionals caring for patients with a diagnosis of anencephaly. The majority of these infants die prior to delivery but short-term survival is possible. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Prenatal Diagnosis)

Juvenile idiopathic arthritis among Nigerians: a case study

Clinical Rheumatology — Mon, 01 Mar 2010 18:08:38 +0100

The objective of this study was to determine the clinical, laboratory, and radiographic features of patients with JIA, as well as to highlight their management. A total of 23 cases (F-16:M-7) were seen over an 8.5-year period. Polyarticular presentation was the commonest while systemic onset was the least. The mean age at presentation was 12.7 years. Most of the patients presented late with mean of 3.7 years before presentation. The knees and ankles were most commonly involved. ESR was elevated in most of the cases. Rheumatoid factor and Antinuclear antibodies were invariably negative. Treatments were with standard drugs. Although JIA is uncommonly seen in our population, the clinical and laboratory features are similar as elsewhere, though there are some differences. ...

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Variation in Surgical Management of Vesicoureteral Reflux: Influence of Hospital and Patient Factors

PEDIATRICS — Mon, 01 Mar 2010 16:02:28 +0100

CONCLUSIONS: The hospital at which a patient receives treatment is the single most important feature that drove procedure choice for children with primary VUR. The patient's age, gender, insurance status, and disease severity played a smaller, although significant, role. (Source: PEDIATRICS)

Mental Disorders Among Homeless People Admitted to a French Psychiatric Emergency Service [Articles]

Psychiatr Serv — Mon, 01 Mar 2010 14:00:52 +0100

CONCLUSIONS: Although there is near-universal access to free mental health care in France, study findings suggest that the quality and adequacy of subsequent care are not guaranteed. Multidisciplinary and collaborative solutions are needed to improve the management of mental health care for homeless patients. (Source: Psychiatr Serv)

A Survey of Selected Physician Views on Acupuncture in Pain Management

Pain Medicine — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions. The survey results indicate that acupuncture is considered by many physicians to be a useful alternative modality for chronic pain management. (Source: Pain Medicine)

Augmenting the Impact of Technology Adoption With Financial Incentive to Improve Radiology Report Signature Times

Journal of the American College of Radiology : JACR — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions: Technology interventions coupled with financial incentive can result in synergistic and sustainable improvement in radiologist report-signing behavior. The addition of a financial incentive leads to better performance than that achievable through technology alone. (Source: Journal of the American College of Radiology : JACR)

Delayed-onset urinary incontinence in five female dogs with ectopic ureters

The Journal of Small Animal Practice — Mon, 01 Mar 2010 00:00:00 +0100

This case series describes five female dogs with congenital ectopic ureter presenting with delayed-onset urinary incontinence out of 22 female dogs diagnosed with ectopic ureter over a 102-month period at a veterinary teaching hospital. All five dogs improved following surgical treatment of ectopic ureter, but only three remained continent long-term without further intervention. Delayed-onset urinary incontinence in female dogs with ectopic ureters may be more common than the current literature suggests. Congenital ectopic ureter should be considered and investigated as a possible contributing factor in female dogs presenting with delayed-onset urinary incontinence. (Source: The Journal of Small Animal Practice)

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EUS-guided cholecystoenterostomy with single-step placement of a 7F double-pigtail plastic stent in patients who are unsuitable for cholecystectomy: a pilot study (with video)

Gastrointestinal Endoscopy — Mon, 01 Mar 2010 00:00:00 +0100

Conclusion: EUS-guided cholecystoenterostomy with single-step placement of a 7F double-pigtail plastic stent may be a feasible and useful alternative in patients with acute cholecystitis who are unsuitable candidates for cholecystectomy. (Source: Gastrointestinal Endoscopy)

Exercise in Ankylosing Spondylitis: Discrepancies Between Recommendations and Reality.

J Rheumatol — Mon, 01 Mar 2010 00:00:00 +0100

CONCLUSION: Patients with AS perceive the benefits of exercise, with average EBBS benefits scores comparable to historical controls with similar conditions. Despite positive perceptions, the majority of patients with AS did not report participating in exercise on a frequent basis. PMID: 20194443 [PubMed - as supplied by publisher] (Source: J Rheumatol)

A Survey of Selected Physician Views on Acupuncture in Pain Management.

Pain Physician — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions. The survey results indicate that acupuncture is considered by many physicians to be a useful alternative modality for chronic pain management. PMID: 20202145 [PubMed - as supplied by publisher] (Source: Pain Physician)

Practice variation in the management for nontraumatic pediatric patients in the ED

The American Journal of Emergency Medicine — Mon, 01 Mar 2010 00:00:00 +0100

Conclusion: Emergency physicians spent more time and medical resources and admitted patients at a higher rate. Emergency physicians and pediatricians managed critical patients similarly. (Source: The American Journal of Emergency Medicine)

Association of hypoglycemia with mortality for subjects hospitalized with pneumonia.

The American Journal of the Medical Sciences — Mon, 01 Mar 2010 00:00:00 +0100

CONCLUSIONS:: After adjusting for severity of illness and other potential confounders, hypoglycemia is significantly associated with 30-day mortality for patients hospitalized with pneumonia. Patients with hypoglycemia should be placed in closely monitored settings even when by pneumonia specific risk systems they would normally be discharged. PMID: 20220334 [PubMed - in process] (Source: The American Journal of the Medical Sciences)

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Magnetic Resonance Angiography Findings in Patients with Ischemic Stroke from North India

Journal of Stroke and Cerebrovascular Diseases — Sat, 27 Feb 2010 14:45:56 +0100

Conclusion: In North Indian patients with IS, the frequency of EC and IC MRA abnormality lies between Whites and the Orientals. (Source: Journal of Stroke and Cerebrovascular Diseases)

Perception of the nursing staff about service of continuing education of a university hospital

Revista da Escola de Enfermagem da USP — Fri, 26 Feb 2010 14:57:14 +0100

The objective of this study was to analyze the Service of Continuated Education (SCE) of a university hospital, from the perspective of the nursing team in the evaluative dimensions of structure, process and outcome. This is an exploratory-descriptive study,carried through in a private teaching hospital. The data collection was conducted through a questionnaire, using a Likert scale.The treatment of the data was carried through a descriptive statistics using the Cronbach Alpha test. Analyzing the data, we observed that in the tree evaluated dimensions (structure, process and result) the nurse team had favorable perception relative to this service. However, the structure dimension received the highest favorability score, average of 42,56 (dp±4,97), with process dimension receiving th...

Absenteeism: disease in the nursing staff: relationship with the occupation tax

Revista da Escola de Enfermagem da USP — Fri, 26 Feb 2010 14:57:14 +0100

Nigeria: Doctors Begin Two Day Warning Strike Tuesday

AllAfrica News: Health and Medicine — Fri, 26 Feb 2010 13:13:42 +0100

Resident doctors in all teaching hospitals in Nigeria will on Tuesday, March 2, 2010 embark on a two-day warning strike nationwide, it was authoritatively announced in Ibadan yesterday. (Source: AllAfrica News: Health and Medicine)

Do Platelet Function Analyzer-100 testing results correlate with bleeding events after percutaneous renal biopsy?

Clinical Nephrology — Fri, 26 Feb 2010 08:00:21 +0100

Conclusions: Measuring PFA-100 is unlikely to add to the care of patients undergoing routine PKB. ClinicalTrials.gov NCT00334204. *These authors have contributed to this article equally. PMID: 20178723 [PubMed - in process] (Source: Clinical Nephrology)

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Increased occurrence of cardiovascular events and comorbidities in a general rheumatology cohort

Irish Journal of Medical Science — Fri, 26 Feb 2010 06:47:04 +0100

Conclusions The increased prevalence of these comorbidities may serve as a reminder to the rheumatologists that many of their patients will have coexistent disease of which they need to be aware to properly plan their management. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11845-010-0475-5Authors A. Mohammad, South Infirmary Victoria University Hospital Department of Rheumatology Cork IrelandK. Hartery, South Infirmary Victoria University Hospital Department of Rheumatology Cork IrelandU. Bond, South Infirmary Victoria University Hospital Department of Rheumatology Cork IrelandM. Phelan, South Infirmary Victoria University Hospital Department of Rheumatology Cork Ireland Journal Irish Journal of Medical ScienceOnline ISSN 1863-4362Print I...

Physician Order Entry Or Nurse Order Entry? Comparison of Two Implementation Strategies for a Computerized Order Entry System Aimed at Reducing Dosing Medication Errors

Journal of Medical Internet Research — Fri, 26 Feb 2010 00:00:00 +0100

Conclusions: NOE can increase physicians' compliance with warnings and recommended dose and frequency and reduce nonintercepted medication dosing errors in the neonatal ward as effectively as POE or even better. In settings where there is major physician resistance to implementation of CPOE, and nurses are willing to participate in the order entry and are capable of doing so, NOE may be considered a beneficial alternative order entry method. (Source: Journal of Medical Internet Research)

Placental malaria, anaemia and low birthweight in Yemen

Transactions of the Royal Society of Tropical Medicine and Hygiene — Thu, 25 Feb 2010 16:57:57 +0100

Summary: A cross-sectional study was conducted during the period of August 2007–April 2008 at Al-Wahda Teaching Hospital in Yemen to investigate prevalence and risk factors for placental malaria and anaemia and their effects on birthweight. Sociodemographic characteristics were gathered, maternal haemoglobin was measured and blood films were examined for malaria. Newborn birthweight was recorded. Out of 900 parturient women, malaria blood films were positive in 32 (3.6%) cases: in six sets of peripheral, placental and cord samples; in 15 placental and cord samples; and in 11 placental samples only. Malaria was not associated with age and parity, but it was significantly associated with history of fever [odds ratio (OR) 8.5, 95% CI 3.7–19, P (Source: Transactions of the Royal Society of...

The relation between delivery type and cord blood levels of chitotriosidase and Troponin T

Central European Journal of Medicine — Thu, 25 Feb 2010 08:01:26 +0100

Abstract The operative deliveries can expose the fetus to acute and systemic hypoxia along with an increase in perinatal morbidity. The aim of this study was to reveal any relationship between delivery type and Chitotriosidase and Troponin T levels in cord blood. Ninety babies born in Ankara Etlik Maternity and Women’s Health Teaching Hospital were involved in the study. The babies were divided into three groups; Group 1: Normal vaginal; Group 2: Caesarean section; Group 3: Forceps application. Cord blood samples were drawn from umbilical arteries of the babies soon after the birth. Chitotriosidase enzyme activities in group 3 (141 nmol/ml/h (0–246)) were found higher than groups 1 (100 nmol/ml/h (0–208)) and 2 (91 nmol/ml/h (0–202)) (p<0.01 and p<0.03 respec...

Subcutaneous zygomycosis: report of 10 cases from two institutions in North India

Journal of the European Academy of Dermatology and Venereology — Thu, 25 Feb 2010 00:00:00 +0100

Conclusion Awareness and early recognition will prevent disfigurement produced by advanced disease, misdiagnosis and unnecessary surgical intervention. (Source: Journal of the European Academy of Dermatology and Venereology)

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Pityriasis rubra pilaris – a retrospective single center analysis over eight years

JDDG — Thu, 25 Feb 2010 00:00:00 +0100

Conclusions: PRP type I is a severe, chronic inflammatory dermatosis responding hesitantly to classic systemic therapies. Tumor necrosis factor-[alpha] antagonists are an effective treatment option for difficult cases. (Source: JDDG)

Black Women At Increased Risk For Weakened Heart Muscle At Childbirth

Health News from Medical News Today — Wed, 24 Feb 2010 08:00:00 +0100

Black women are at significantly increased risk for developing a potentially deadly weakening of the heart muscle around the time of childbirth, researchers report. A study examining the incidence of peripartum cardiomyopathy in women who gave birth at a Medical College of Georgia's teaching hospital between July 2003 and July 2008, showed that while 55 percent of the women were white, 93 percent of those who developed cardiomyopathy were black, said Dr. Mindy B. Gentry, an MCG cardiologist... (Source: Health News from Medical News Today)

Two-Staged Surgery for Metastatic Liver Tumor in Morbidly Obese Individual-Left Hemihepatectomy Following Placement of Laparoscopic Adjustable Gastric Band

Obesity Surgery — Wed, 24 Feb 2010 06:55:31 +0100

Abstract A 47-year-oldmale with a body mass index (BMI) 37.12 kg/m2 was diagnosed with an ill-demarcated tumor within IVB segment of left lobe of the liver. Sixteen months earlier, he underwent laparoscopic gastric banding for morbid obesity (BMI 51 kg/m2). One year after bariatric procedure, he was diagnosed with rectal adenocarcinoma. Following abdominoperineal resection of rectum with total mesorectal excision and 2 months course of adjuvant FOLFOX chemotherapy, he was scheduled for liver resection. Left hemihepatectomy was performed with no major complications; wound discharge was successfully treated in outpatient clinic. Twelve months following surgery, he remains disease free with no evidence of local recurrence, metachronic primary tumor, or distant m...

Urinary proteome analysis identifies infants but not older children requiring pyeloplasty

Pediatric Nephrology — Wed, 24 Feb 2010 06:48:52 +0100

Abstract One out of every five children suffering from ureteropelvic junction obstruction (UPJO) requires pyeloplasty. This prevalence indicates an urgent necessity to identify high-grade UPJO as early as possible to avoid renal damage. A novel non-invasive proteomic urine test has recently been introduced that is able to detect these patients at an early stage. In the study reported here, we tested this approach to assess its use in our centre and to expand its application to older children. Twenty-seven children (median age 0.4 years, range 0.1–8.8 years) with hydronephrosis who had been scheduled a nuclear diuretic renal scan (DR) to identify urodynamically relevant UPJO were included in our prospective study. Patients with prior surgery of the urinary tract...

Serving Two Masters -- Conflicts of Interest in Academic Medicine

New England Journal of Medicine — Wed, 24 Feb 2010 00:00:00 +0100

In January 2010, Boston-based Partners HealthCare, which includes some of the nation's leading teaching hospitals, began sharply limiting the amount of compensation institutional officials may receive for serving on boards ... (Source: New England Journal of Medicine)

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Nigeria: Ilika on Anambra's Health Sector Reforms (1)

AllAfrica News: Health and Medicine — Tue, 23 Feb 2010 23:09:53 +0100

"This year, we want to see the Teaching Hospital totally functional, well equipped and commissioned, just as the College of Medicine admits students. We also want to make sure that we meet the conditions laid down by the Nursing and Midwifery Council of Nigeria to admit 120 students into the School of Nursing." (Source: AllAfrica News: Health and Medicine)

Nontraditional pharmacy residency at a large teaching hospital.

American Journal of Health-System Pharmacy : AJHP — Tue, 23 Feb 2010 18:02:19 +0100

Conclusion A three-year nontraditional residency program was developed at a large teaching hospital to provide an alternative method for enhancing a pharmacist's clinical practice skills beyond those of an entry-level practitioner through completion of a systematic training program. PMID: 20172986 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)

New AAMC Report Highlights How ARRA Funds Are Fueling New Research And Driving Economic Growth Over The Last Year

Public Health News From Medical News Today — Tue, 23 Feb 2010 12:00:00 +0100

A new report released by the Association of American Medical Colleges (AAMC) details how the nation's medical schools and teaching hospitals are advancing science and stimulating economic growth one year after passage of an additional $10 billion in funding for the National Institutes of Health (NIH) through the American Recovery and Reinvestment Act (ARRA)... (Source: Public Health News From Medical News Today)

New AAMC Report Highlights How ARRA Funds Are Fueling New Research And Driving Economic Growth Over The Last Year

Health News from Medical News Today — Tue, 23 Feb 2010 12:00:00 +0100

Depression and Coronary Heart Disease

Current Atherosclerosis Reports — Tue, 23 Feb 2010 08:07:53 +0100

Abstract Depression and coronary heart disease (CHD) are significant contributors to the burden of disease in both developed and developing countries. Although depression seems to be a marker of increased risk after the diagnosis of CHD, it is currently unclear whether depression can be considered as an independent risk factor and whether its treatment lowers the risk. We review the data from prominent trials and recent analyses in regard to the association of depression with CHD. We also review some of the mechanisms that might contribute to this association. Content Type Journal ArticleDOI 10.1007/s11883-010-0096-5Authors Faisal Mahmood Khan, University of Cincinnati Medical Center Division of Cardiovascular Diseases 231 Albert Sabin Way Cincinnati OH 45267 USABurak...

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Avascular necrosis of the femoral head: a rare class-effect of anti-VEGF agents

Investigational New Drugs — Tue, 23 Feb 2010 07:47:34 +0100

Content Type Journal ArticleCategory SHORT REPORTDOI 10.1007/s10637-010-9406-6Authors Olivier Mir, Université Paris Descartes, AP-HP, Teaching Hospital Cochin Department of Medical Oncology CERIA (Centre for Research on Angiogenesis Inhibitors) 27, rue du faubourg Saint Jacques F75014 Paris FranceRomain Coriat, Université Paris Descartes, AP-HP, Teaching Hospital Cochin Department of Medical Oncology CERIA (Centre for Research on Angiogenesis Inhibitors) 27, rue du faubourg Saint Jacques F75014 Paris FranceThomas Gregory, Université Paris Descartes, AP-HP Teaching European Hospital Georges Pompidou, Department of Orthopaedic Surgery Paris FranceStanislas Ropert, Université Paris Descartes, AP-HP, Teaching Hospital Cochin Department of Medical Oncology CERIA (Centre for Research on ...

Emergence of KPC-producing Klebsiella pneumoniae in Italy

BioMed Central — Tue, 23 Feb 2010 00:00:00 +0100

Conclusions: This is the second report of KPC-producing isolates in Italy, but the first concerning KPC type 2 gene, and it may have important implications for controlling the transmission of microorganisms resistant to antibiotics. (Source: BioMed Central)

Interdisciplinary communication in general medical and surgical wards using two different models of nursing care delivery

Journal of Nursing Management — Tue, 23 Feb 2010 00:00:00 +0100

Conclusions There is a need for effective training programmes to assist nurses in working together within a nursing team and an interdisciplinary ward team. The SCN and the PA models of care have been found by nurses to support most aspects of interdisciplinary and intradisciplinary communication. The applicability of both models of care to wards with a varying skill mix of nurses is suggested. Further studies of larger samples with varying compositions of skill mix and varying models of care are required.Implications for nursing management Nurse managers can use varying models of care to support interdisciplinary communication and enhance patient safety. (Source: Journal of Nursing Management)

Eight-year study of allergic bronchopulmonary aspergillosis in an Indian teaching hospital

The Aspergillus Website - articles — Tue, 23 Feb 2010 00:00:00 +0100

Chakrabarti A, Sethi S, Raman DS, Behera D (Source: The Aspergillus Website - articles)

Ghana: Nation Needs Paediatric Cancer Treatment Units Nationwide

AllAfrica News: Health and Medicine — Mon, 22 Feb 2010 09:56:42 +0100

A Consultant Paediatrician at the korle Bu Teaching Hospital (KBTH), Dr. Lorna Awo Renner, has proposed the setting up of well equipped paediatric cancer treatment centres in all regions to provide rapid diagnosis and treatment including adequate supportive care. (Source: AllAfrica News: Health and Medicine)

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Corticosteroid treatment probably not beneficial in community-acquired pneumonia

NeLM - News — Mon, 22 Feb 2010 00:00:00 +0100

This study was intended to test the hypothesis in hospitalised patients with confirmed CAP. Participants were adults admitted to a Dutch teaching hospital with confirmed CAP and no specific indication or contra-indication to a short course of corticosteroid. They were randomised to receive prednisolone 40mg daily or placebo for 7 days along with appropriate antibiotic therapy. Primary outcome was clinical cure at 7 days; cure at 30 days, length of stay, time to clinical stability, defervescence and C-reactive protein (CRP) were secondary outcomes. There were 213 patients enrolled into the study: their mean age ... (Source: NeLM - News)

The role of psychological distress in laryngopharyngeal reflux patients: a prospective questionnaire study

Clinical Otolaryngology — Mon, 22 Feb 2010 00:00:00 +0100

Conclusions: Laryngopharyngeal reflux patients did not demonstrate any significant level of psychological distress and their symptom severity showed significant positive correlation with reflux severity. (Source: Clinical Otolaryngology)

University of New Mexico Biomedical Informatics Fellowship Program

ScanGrants feed — Mon, 22 Feb 2010 00:00:00 +0100

The University of New Mexico Health Sciences Library and Informatics Center (UNM HSLIC) invites applications for our three-year training (research) fellowship in Biomedical Informatics (BMI). The fellowship begins in June 2010 and comes with a stipend, health benefits, and limited support for research project expenses. This fellowship also provides time and support for the fellow to complete a Masters Degree in Clinical Research as well as the completion of a transcriptable certificate program in BMI. Roughly half of the fellow’s time will be allocated for performance of a mentored research project in BMI culminating in submission of a manuscript to a peer-reviewed journal on the project’s results. The fellowship position also comes with a Lecturer II faculty appointment in UN...

Operative treatment of distal radial fractures with locking plate system—a prospective study

International Orthopaedics — Sun, 21 Feb 2010 06:54:09 +0100

Abstract The aim of this study was to determine the results of operative treatment of distal radial fractures with a 2.4-mm locking plate system in a single tertiary teaching hospital. Seventy-five patients were recruited into the study between May 2004 and November 2006. There were 41 males and 34 females, with a mean age of 51. Seventy-five percent of patients had AO type C fractures. All patients were allowed free active mobilisation of the wrist joint immediately after surgery. They were followed up at two weeks, three months, six months, one year and two years. Assessments of pain, motion, grip strength, and standard radiographs were performed. The Gartland and Werley functional scores, the modified Green and O’Brien score, and the disabiliti...

Laparoscopic cholecystectomy for acute cholecystitis should be performed by a laparoscopic surgeon

Surgical Endoscopy — Sat, 20 Feb 2010 06:50:48 +0100

Conclusions Patients who present with acute cholecystitis have a greater chance of a laparoscopically completed cholecystectomy if operated on by a laparoscopy-oriented surgeon. Content Type Journal ArticleDOI 10.1007/s00464-010-0928-yAuthors Kirsten Kortram, St. Antonius Hospital Department of Surgery Koekoekslaan 1, Postbus 2500 3430 EM Nieuwegein The NetherlandsJan Siert Kayitsinga Reinders, St. Antonius Hospital Department of Surgery Koekoekslaan 1, Postbus 2500 3430 EM Nieuwegein The NetherlandsBert van Ramshorst, St. Antonius Hospital Department of Surgery Koekoekslaan 1, Postbus 2500 3430 EM Nieuwegein The NetherlandsMarinus J. Wiezer, St. Antonius Hospital Department of Surgery Koekoekslaan 1, Postbus 2500 3430 EM Nieuwegein The NetherlandsPeter M. N. Y. H. G...

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Laparoscopic low vs. high anterior resection for rectal cancer

Surgical Endoscopy — Sat, 20 Feb 2010 06:50:46 +0100

Content Type Journal ArticleCategory LetterDOI 10.1007/s00464-010-0932-2Authors E. Hanisch, Asklepios Klinik Langen, Academic Teaching Hospital JWG University Frankfurt Department of Surgery 63225 Langen GermanyD. Ziogas, University of Ioannina Department of Surgery, School of Medicine Ioannina Greece Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 (Source: Surgical Endoscopy)

Ghana: Cardiostart International Donates Equipment to Kath

AllAfrica News: Health and Medicine — Fri, 19 Feb 2010 12:57:01 +0100

Cardiostart International, a team of cardio specialists from the USA, has presented medical equipment and supplies worth US$430,000 to the Komfo Anokye Teaching Hospital (KATH) in Kumasi. (Source: AllAfrica News: Health and Medicine)

Workforce implications of a centralised teaching hospital respiratory opinion service

Quality and Safety in Health Care — Fri, 19 Feb 2010 09:11:10 +0100

(Source: Quality and Safety in Health Care)

The incidence and nature of prescribing and medication administration errors in paediatric inpatients

Archives of Disease in Childhood — Fri, 19 Feb 2010 09:09:56 +0100

Conclusions Prescribing and medication administration errors are not uncommon in paediatrics, partly as a result of the extra challenges in prescribing and administering medication to this patient group. The causes and extent of these errors need to be explored locally and improvement strategies pursued. (Source: Archives of Disease in Childhood)

When should we be conducting thyroid function tests in newborns and young infants?

Archives of Disease in Childhood — Fri, 19 Feb 2010 09:09:56 +0100

An audit of local practice was undertaken as regards requests for thyroid function tests (TFT) in children aged between birth and 3 months at two local hospitals in South West England between 2005 and 2008. A total of 406 tests were performed (2.6 tests per week) over a 2-year period at a teaching hospital (70 tests per 1000 live births yearly), with 233 tests (1.5 tests per week) performed over a 3-year period at a local district hospital (39 tests per 1000 live births yearly). The highest proportion of all the tests was performed as routine investigation of prolonged neonatal jaundice (64% and 55%, respectively). Other common indications were maternal thyroid disorders (5.4% vs 4.7%) and suspected neonatal thyroid disorders (3% vs 9%). There was no confirmed diagnosis of infantile thyroi...

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Acute trusts go-live with Bluespier EDS

EHI Primary Care — Fri, 19 Feb 2010 00:15:00 +0100

Worcestershire Acute Hospitals NHS Trust and Leeds Teaching Hospitals NHS Trust have gone live with a new electronic discharge system from Bluespier. (Source: EHI Primary Care)

Acute trusts go-live with Bluespier EDS

E-Health-Insider — Fri, 19 Feb 2010 00:00:05 +0100

Worcestershire Acute Hospitals NHS Trust and Leeds Teaching Hospitals NHS Trust have gone live with a new electronic discharge system from Bluespier. (Source: E-Health-Insider)

Resource utilization and outcome at a university versus a community teaching hospital in tPA treated stroke patients: a retrospective cohort study

BMC Health Services Research — Fri, 19 Feb 2010 00:00:00 +0100

Conclusions: Utilization of advanced brain imaging and invasive diagnostic testing was greater at the university hospital, but was not associated with improved clinical outcomes. This could not be explained on the basis of stroke severity or patient characteristics. This variation of practice suggests substantial opportunities exist to reduce costs and improve efficiency of diagnostic resource use as well as reduce patient exposure to risk from diagnostic procedures. (Source: BMC Health Services Research)

[Appropriateness of prescriptions of intravenous paracetamol at Nantes Teaching Hospital: A follow-up indicator for quality improvement.]

Presse Medicale — Fri, 19 Feb 2010 00:00:00 +0100

Authors: Paillé-Ricolleau C, Lejus C, Potel G, Lombrail P, Moret L PMID: 20172685 [PubMed - as supplied by publisher] (Source: Presse Medicale)

Organ[ization] Donors and Conflicts of Interest: Investigations Broaden

Psychiatric Times — Thu, 18 Feb 2010 16:30:02 +0100

While Sen. Charles Grassley (R-Iowa) broadens his conflict of interest (COI) investigations to include mental health leaders and associations, the National Institutes of Health (NIH), teaching hospitals, universities, and mental health organizations are intensifying their vigilance and taking corrective actions. (Source: Psychiatric Times)

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Scaling up comprehensive HIV/AIDS services including Provider Initiated Testing and Counseling (PITC), TB/HIV, OVC, Care, and, ART for adults (including pregnant women) and children through public university teaching hospitals, regional referral hospitals

Grants.gov — Thu, 18 Feb 2010 15:15:39 +0100

Funding Opportunity Number: CDC-RFA-PS10-1023 Opportunity Category: DiscretionaryFunding Instrument Type: Cooperative AgreementCategory of Funding Activity: HealthCFDA Number: 93.067Eligible Applicants Others (see text field entitled "Additional Information on Eligibility" for clarification)Agency Name HHS-CDC (Source: Grants.gov)

2010 Whitmore Presidential Lecture brings two nationally recognized health care leaders to Baylor College of Medicine

Baylor College of Medicine News — Thu, 18 Feb 2010 05:00:00 +0100

Dr. Darrell G. Kirch, president and CEO of the Association of American Medical Colleges, will speak at Baylor College of Medicine as a part of the 2010 Whitmore Presidential Lectures. Kirch's lecture, Driving Change in Academic Medicine, will be held on Thursday, Feb. 25, at 4 p.m. in BCM's Cullen Auditorium. Dr. Charles Hatem, the Harold Amos Professor of Medicine at Harvard Medical School, will also speak as a part of the lecture series on Friday, Feb. 26, at noon in BCM's DeBakey Building, M112. Kirch, a psychiatrist and neuroscientist, received his undergraduate and medical degrees from the University of Colorado and went on to work in all aspects of academic medicine, including leadership positions at two medical schools and teaching hospitals and at the National Institutes of Health....

Pattern of acute food, drug, and chemical poisoning in Sari City, Northern Iran. - Ahmadi A, Pakravan N, Ghazizadeh Z.

SafetyLit: All (Unduplicated) — Wed, 17 Feb 2010 15:51:31 +0100

This descriptive and retrospective study was conducted at the poisoning ward of Imam teaching hospital, Sari, Iran, with the aim of evaluating the pattern of poisoning. Hence, the medical profiles of 2057 patients, who were admitted, were carefully revi... (Source: SafetyLit: All (Unduplicated))

Dermatology inpatient consultations: A retrospective study

Journal of the American Academy of Dermatology — Tue, 16 Feb 2010 14:09:35 +0100

To the Editor: Inpatient dermatology consultation remains an essential component of residency training; with the decline in direct admissions to dermatology services, dermatology inpatient care is provided more often in the consultative setting and can directly impact accurate diagnosis and management of patients. In 1994, Falanga et al reviewed 591 dermatology consults to a teaching hospital, concluding that common diseases may not be recognized or diagnosed correctly by non-dermatologists; misdiagnosis occurred in 78%, and two thirds resulted in treatment change. Nahass et al offered skin exams to medical inpatients; 35.9% of 231 had cutaneous findings, with one third of these directly related to systemic disease and/or reason for hospitalization. Recently Helms, Helms, and Brodell discu...

The Framingham and UK Prospective Diabetes Study (UKPDS) risk equations do not reliably estimate the probability of cardiovascular events in a large ethnically diverse sample of patients with diabetes: the Action in Diabetes and Vascular Disease: Preterax and Diamicron-MR Controlled Evaluation (ADVANCE) Study

Diabetologia — Tue, 16 Feb 2010 07:18:43 +0100

Conclusions/interpretation Application of the Framingham and UKPDS risk equations to a contemporary treated group of patients with established type 2 diabetes is likely to substantially overestimate cardiovascular risk. Content Type Journal ArticleCategory ArticleDOI 10.1007/s00125-010-1681-4Authors A. P. Kengne, University of Sydney The George Institute for International Health PO Box M201 Level 10 KGV Building, RPAH, Missenden Road, Camperdown Sydney NSW 2050 AustraliaA. Patel, University of Sydney The George Institute for International Health PO Box M201 Level 10 KGV Building, RPAH, Missenden Road, Camperdown Sydney NSW 2050 AustraliaS. Colagiuri, The University of Sydney Institute of Obesity, Nutrition and Exercise, Faculty of Medicine Sydney NSW AustraliaS. Hell...

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The effect of the COACH program (Continuity Of Appropriate pharmacotherapy, patient Counselling and information transfer in Healthcare) on readmission rates in a multicultural population of internal medicine patients

BMC Health Services Research — Tue, 16 Feb 2010 00:00:00 +0100

This study will be able to evaluate the clinical and cost impact of a comprehensive program on continuity of care and associated patient safety.Trial registrationDutch trial register: NTR1519 (Source: BMC Health Services Research)

Relationship between proteinuria and venous thromboembolism

Journal of Thrombosis and Thrombolysis — Mon, 15 Feb 2010 18:01:55 +0100

Abstract Nephrotic syndrome is known to cause venous thromboembolism (VTE) due to urine loss of antithrombin III and activation of the coagulation system. We hypothesized that the degree of proteinuria may predict the development of VTE. This was a retrospective case-controlled study of in-patients urban academic teaching hospital from April, 2007 to March, 2009 and who had undergone an imaging study for VTE. All radiology reports (N = 1,647) for CT angiography of chest and Doppler sonogram of extremities were reviewed. The following data were collected: race/ethnicity, degree of proteinuria on urinalysis, serum protein and albumin levels, risk factors for VTE and renal function. The study population consisted of 284 patients with VTE and 280 age/sex matched cont...

The volume perspective: a comparison of two excisional treatments for cervical intraepithelial neoplasia (laser versus LLETZ)

BJOG: An International Journal of Obstetrics and Gynaecology — Mon, 15 Feb 2010 00:00:00 +0100

Conclusions The volume of cervical tissue removed during laser conisation is significantly more than that removed with LLETZ. The indication of the cone biopsy does influence the volume of tissue removed. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)

The volume perspective: a comparison of two excisional treatments for cervical intraepithelial neoplasia (laser versus LLETZ).

BJOG : An International Journal of Obstetrics and Gynaecology — Mon, 15 Feb 2010 00:00:00 +0100

Conclusions The volume of cervical tissue removed during laser conisation is significantly more than that removed with LLETZ. The indication of the cone biopsy does influence the volume of tissue removed. PMID: 20156211 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)

Solid pseudopapillary neoplasm of the pancreas—proposed algorithms for diagnosis and surgical treatment

Langenbeck's Archives of Surgery — Sun, 14 Feb 2010 06:50:28 +0100

Conclusion Current recommendations for treatment of SPN of the pancreas rely mainly on case series as single institutional experiences and retrospective reviews. Although the level of evidence is relatively low, the way of management discussed above is likely to provide an excellent prognosis in typically young patients with SPN. Content Type Journal ArticleCategory Case Management & Clinical ConsequencesDOI 10.1007/s00423-010-0599-0Authors László Romics, Victoria Infirmary Department of Surgery Glasgow UKAttila Oláh, Petz Aladár County Teaching Hospital Department of Surgery Vasvári P. u. 2-4 9024 Győr HungaryTibor Belágyi, Petz Aladár County Teaching Hospital Department of Surgery Vasvári P. u. 2-4 9024 Győr HungaryNóra Hajdú, Petz Aladár County Teachin...

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An examination of emergency department nurses' attitudes towards deliberate self-harm in an Irish teaching hospital. - McCarthy L, Gijbels H.

SafetyLit: All (Unduplicated) — Sat, 13 Feb 2010 15:31:42 +0100

PURPOSE: The purpose of this study was to examine emergency department (ED) nurses' attitudes towards individuals presenting with deliberate self-harm (DSH), including the relationship between attitudes and factors such as age, academic achievements, lengt... (Source: SafetyLit: All (Unduplicated))

Hyper-alkalinization without hyper-hydration for the prevention of high-dose methotrexate acute nephrotoxicity in patients with osteosarcoma

Cancer Chemotherapy and Pharmacology — Sat, 13 Feb 2010 06:45:57 +0100

Conclusion Hyper-alkalinization appears an efficient and reliable method to prevent the acute renal toxicity of HDMTX and allows its safe administration in the outpatient setting. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00280-010-1259-3Authors Olivier Mir, Université Paris Descartes, Assistance Publique, Hôpitaux de Paris Department of Medical Oncology, Teaching Hospital Cochin 27, rue du faubourg Saint-Jacques 75014 Paris FranceStanislas Ropert, Université Paris Descartes, Assistance Publique, Hôpitaux de Paris Department of Medical Oncology, Teaching Hospital Cochin 27, rue du faubourg Saint-Jacques 75014 Paris FranceAntoine Babinet, Université Paris Descartes, Assistance Publique, Hôpitaux de Paris Department of Orthopaedic Surgery, T...

Skin malignancy of the head and neck in Calabar, Southern Nigeria

European Journal of Plastic Surgery — Sat, 13 Feb 2010 06:45:37 +0100

Abstract Squamous cell carcinoma (SCC) is the most common malignant skin tumour in sub-Saharan Africa in contrast to Caucasians in whom basal cell carcinoma (BCC) is most frequent. We evaluated all patients with a histologic diagnosis of skin malignancy of the head and neck presenting to the University of Calabar Teaching Hospital, Calabar from January 2005 through December 2008. This was compared with total skin malignancy during the same period. Seventy patients presented with skin malignancy during the study period. The 15 patients with lesions located on the head and neck accounted for 21% of skin malignancy seen during the same period. SCC 7 (46%) ranked first while the second was Kaposi sarcoma (KS), 4 (27%), all human immunodeficiency virus seropositive. Others were...

Factors determining the 1-year survival after operated hip fracture: a hospital-based analysis

Journal of Orthopaedic Science — Fri, 12 Feb 2010 07:24:00 +0100

Conclusions The 1-year survival for patients in this study hospital, 86%, was comparable to or higher than that of previous studies. Improved survival rates among hip fracture patients may be achieved by early recognition and prompt treatment of associated medical illnesses. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00776-009-1425-9Authors Ching-An Ho, Catholic Mercy Hospital Department of Orthopedic Surgery Hsinchu County TaiwanChung-Yi Li, National Taipei College of Nursing Department of Health Care Management Taipei TaiwanKou-Shiong Hsieh, Catholic Mercy Hospital Department of Orthopedic Surgery Hsinchu County TaiwanHua-Fen Chen, Far-Eastern Memorial Hospital Department of Endocrinology 21, Sec 2, Nan-Ya South Road, Panchiao 220 Taipei Count...

The use of patient complaints to drive quality improvement: an exploratory study in Taiwan

Health Services Management — Thu, 11 Feb 2010 23:07:45 +0100

This study aims to investigate the nature and resolutions of patient complaints and further to explore the use of complaints to drive quality improvement in a selected hospital in Taiwan. A teaching hospital (i.e. the Case Hospital) in Taiwan was purposefully chosen for a case study. The author conducted the critical incident technique (CIT) using questionnaires to obtain information about the complaints and the process of their resolutions. To enhance the reliability of the study, the author also conducted non-participant observations as an outsider at the Case Hospital. In this study, 59 complainants registered 87 complaints. The CIT found that care/treatment, humaneness and communication were the most common causes of complaints. The response time of patient complaints averaged 1.76 day...

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Preoperative imaging in renal masses: does size on computed tomography correlate with actual tumor size?

International Urology and Nephrology — Thu, 11 Feb 2010 11:52:48 +0100

Conclusion Overall discrepancy between radiographic and pathologic tumor sizes was 1 mm. No significant stage shift due to measurement error was detected. Our findings suggest that CT is an accurate method with which to estimate renal tumor size preoperatively. Content Type Journal ArticleCategory Urology – Original PaperDOI 10.1007/s11255-010-9707-xAuthors Ferhat Ateş, GATA Haydarpasa Teaching Hospital Department of Urology Istanbul TurkeyIlker Akyol, GATA Haydarpasa Teaching Hospital Department of Urology Istanbul TurkeyOnur Sildiroglu, GATA Haydarpasa Teaching Hospital Department of Radiology Istanbul TurkeyZafer Kucukodaci, GATA Haydarpasa Teaching Hospital Department of Pathology Istanbul TurkeyHasan Soydan, GATA Haydarpasa Teaching Hospital Department of ...

External jig-aided intramedullary interlocking nailing of diaphyseal fractures: experience from a tropical developing centre

International Orthopaedics — Thu, 11 Feb 2010 11:47:21 +0100

Abstract Intramedullary interlocking nailing for diaphyseal fractures is a standard treatment option in affluent societies. These procedures are often performed under image intensifier guidance. The cost of these gadgets precludes their common use in resource poor regions. External jig-aided intramedullary interlocking nailing is relatively cheap and offers the chance for performing these procedures in resource poor regions. The aim of this study was to document the advantages, challenges and outcome of this form of treatment in a resource poor setting. The Surgical Implant Generation Network (SIGN) implants and instrumentation were used for this study. Thirty-seven limbs in 35 patients were included. There were 30 males and five females giving a ratio of 6:1. The mean age...

Nigeria: LUTH Begins Kidney Transplant in May

AllAfrica News: Health and Medicine — Thu, 11 Feb 2010 10:45:51 +0100

THE Lagos University Teaching Hospital (LUTH) management, has disclosed that the institution will begin home-grown kidney transplantation in May this year. (Source: AllAfrica News: Health and Medicine)

Hospital-based initiative helps close age-related gaps in care for stroke patients

UCLA Newsroom: Health Sciences — Wed, 10 Feb 2010 08:00:00 +0100

Gaps in care and outcomes between older and younger ischemic stroke patients are diminishing as hospitals improve adherence to treatments outlined in the American Heart Association/American Stroke Association's Get With the Guidelines–Stroke initiative, according to a new UCLA study. The study was published online Feb. 8 in Circulation, the Journal of the American Heart Association, in advance of the journal's Feb. 23 print edition. "The burden of ischemic stroke is disproportionately borne by older patients, who have a greater incidence and prevalence of this common stroke type than younger individuals," said lead study author Dr. Gregg Fonarow, UCLA's Eliot Corday Professor of Cardiovascular Medicine and Science and director of the Ahmanson–UCLA Cardiomyopathy C...

Beneficial effect of delayed reperfusion in ST elevation myocardial infarction despite transmural necrosis documented in cardiac magnetic resonance imaging

Clinical Research in Cardiology — Wed, 10 Feb 2010 06:47:34 +0100

Content Type Journal ArticleCategory Clinical CorrespondenceDOI 10.1007/s00392-010-0115-0Authors Günter Pilz, Academic Teaching Hospital of the University of Munich Department of Cardiology, Clinic Agatharied Norbert Kerkel Platz 83734 Hausham GermanyTobias Heer, Academic Teaching Hospital of the University of Munich Department of Cardiology, Clinic Agatharied Norbert Kerkel Platz 83734 Hausham GermanyElisabeth Harrer, Academic Teaching Hospital of the University of Munich Department of Cardiology, Clinic Agatharied Norbert Kerkel Platz 83734 Hausham GermanyMarkus Klos, Academic Teaching Hospital of the University of Munich Department of Cardiology, Clinic Agatharied Norbert Kerkel Platz 83734 Hausham GermanyBerthold Höfling, Academic Teaching Hospital of the University of Munich Dep...

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[Operative delivery data in France for 2007: Results of a national survey within teaching hospitals.]

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Wed, 10 Feb 2010 00:00:00 +0100

This study showed that important differences existed between teaching hospitals in the use of instruments and that obstetrical practices are far from being uniform. However, in 2007, the routine use of more than one instrument in each centre was most usual, as opposed to the situation some decades ago. The use of obstetrical vacuum extractors has been largely disseminated. Each of the three types of instruments has specific indications and mastering at least two instruments seems more secure in the management of the numerous obstetrical situations. It is up to teaching hospitals to make sure that the use of at least two instruments is taught for operative deliveries. The recent publication of Clinical Practice Guidelines would probably help in standardizing operative deliveries in years to...

Incidence and epidemiology of levofloxacin resistance in Streptococcus pneumoniae: experience from a tertiary referral hospital in England

Journal of Antimicrobial Chemotherapy — Tue, 09 Feb 2010 16:11:23 +0100

Conclusions S. pneumoniae resistance to levofloxacin was uncommon and we managed to identify only one case of probable in vivo resistance development in the 2.5 years of the study. Strain replacement accounted for the majority of incidences where there was an apparent shift towards colonization with isolates of reduced levofloxacin susceptibility. (Source: Journal of Antimicrobial Chemotherapy)

Nigeria: Ikoh Decries Decay At ASBUTH

AllAfrica News: Health and Medicine — Tue, 09 Feb 2010 07:55:37 +0100

PEOPLES Democratic Party (PDP) stalwart in Abia State , Chief Henry Ikoh, has expressed dismay at the level of infrastructural decay at the Abia State University Teaching Hospital Aba (ABSUTH) which , he said, has been reduced to a "glorified secondary school". (Source: AllAfrica News: Health and Medicine)

Effects of Intensive Medical Therapy on Microemboli and Cardiovascular Risk in Asymptomatic Carotid Stenosis [Original Contribution]

Archives of Neurology — Mon, 08 Feb 2010 20:51:01 +0100

Conclusions Cardiovascular events and microemboli on TCD have markedly declined with more intensive medical therapy. Less than 5% of patients with ACS now stand to benefit from revascularization; patients with ACS should receive intensive medical therapy and should only be considered for revascularization if they have microemboli on TCD. Published online December 14, 2009 (doi:10.1001/archneurol.2009.289). (Source: Archives of Neurology)

In-hospital mortality from liver resection for hepatocellular carcinoma

Cancer — Mon, 08 Feb 2010 00:00:00 +0100

There is a wide spectrum of disease burden in hepatocellular carcinoma accompanied by several options for surgical management. However, the associated mortality of such procedures is not well defined. Accurate predictions of patients' perioperative risk would be helpful to guide decision making.The Nationwide Inpatient Sample was queried for data from 1998 to 2005. A cohort of patients who were discharged for hepatic procedures with a diagnosis of primary liver neoplasm was assembled. Procedures were categorized as hepatic lobectomy, wedge resection, or enucleation/ablation. Logistic regression and bootstrap methods were used to create an integer risk score for estimating the risk of in-hospital mortality using procedure type, patient demographics, comorbidities, and hospital type. A rando...

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[Screening and treatment of retinopathy of prematurity in Markusovszky Teaching Hospital, 1989-2009 (20 years of experiences).]

Orvosi Hetilap — Sun, 07 Feb 2010 03:46:21 +0100

Authors: Kósa E, Grasselly M The aims of this study was to obtain the frequency and therapy of retinopathy of prematurity (ROP) in Markusovszky Teaching Hospital, Szombathely, Hungary. A population based study on ophthalmological status of preterm infants was performed, between 01.01.1989 and 01.01.2009. During the study period, ophthalmological status was detected in 543 premature infants. Among them, 34 children (6.3%) suffered from retinopathy of prematurity, and all of them were bilateral. ROP occurred in the highest rate (23/78 cases, 29.5%) at the birth weight of lower than 1000 grams, but frequency was only l.2% (2/169 cases) between weight 1250-1500 grams. Spontaneous recovery was observed in 19 eyes of 10 cases. The frequency of spontaneous resolution was 40% and 50% in t...

Prevalence of cholera in pediatric patients with acute dehydrating diarrhea

Indian Journal of Pediatrics — Fri, 05 Feb 2010 07:38:15 +0100

Conclusion Cholera is an important cause of acute watery diarrhea in pediatric patients in urban north India and should be ruled out in all children presenting with acute dehydrating diarrhea, particularly those with severe dehydration. Hanging drop test is useful for diagnosis in the emergency setting. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s12098-010-0009-1Authors Vijesh S. Kuttiat, All-India Institute of Medical Sciences Department of Pediatrics New Delhi IndiaRakesh Lodha, All-India Institute of Medical Sciences Department of Pediatrics New Delhi IndiaBimal Das, All-India Institute of Medical Sciences Department of Pediatrics New Delhi IndiaUtkarsh Kohli, All-India Institute of Medical Sciences Department of Pediatrics New Delhi India ...

[Perspectives] Profile: Tony Mok: leading light in Hong Kong oncology

LANCET — Fri, 05 Feb 2010 00:00:00 +0100

It's not always easy to pinpoint the moment your life or career changed direction. But Tony Mok had no problem finding an answer to this question. An established oncologist with a booming practice in Toronto, Canada, Mok dropped by the Prince of Wales Hospital, the Chinese University of Hong Kong's major teaching hospital, for a casual “look around” when he was visiting his parents in Hong Kong. He was introduced to the head of the Oncology Department and by the end of the encounter was presented with a job offer. It was a surprise, says Mok. But he took the offer seriously and decided it was a chance he should not pass up. “How did I make that decision? I knew that if I stayed in Toronto I would be the same guy for the rest of my life.” (Source: LANCET)

Leeds brings Theriak e-prescribing to UK

Hospital IT Europe — Thu, 04 Feb 2010 14:37:44 +0100

Leeds Teaching Hospitals NHS Trust has become the first in the UK to sign a partnership agreement with Belfast-based CIS Healthcare to develop and implement its Theriak e-prescribing system. (Source: Hospital IT Europe)

Gambia: British Philanthropist Donates to Health Ministry

AllAfrica News: Health and Medicine — Thu, 04 Feb 2010 09:00:26 +0100

Joy Buchanan, a British publication editor and director of translation service in the field of orthopaedics and traumatology, Thursday donated medical books and journals to the Ministry of Health for use by the Royal Victoria Teaching Hospital (RVTH). (Source: AllAfrica News: Health and Medicine)

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Cutaneous Bronchobiliary Fistula Treated with Tissucol Sealant

CardioVascular and Interventional Radiology — Thu, 04 Feb 2010 06:44:24 +0100

We describe a case of a 58-year-old woman who, 25 years before, had undergone surgery for a hydatid cyst. A total cystectomy without previous puncture or parasite extraction was carried out. The lower aspect of the cyst was found to be completely perforated over the biliary duct. During the postoperative course, the patient had subphrenic right-sided pleural effusion and biliary fistula that subsided with medical treatment. Afterward, the patient came to the outpatient area of our hospital complaining of leakage of purulent exudate through the cutaneous opening, pain located on the right hypochondrium radiating to the right hemithorax, malaise, fever, chronic cough, and occasional vomiting of bile. Fistulography revealed an anfractuous cavity communicating with a residual cystic...

Routine quality control recommendations for nuclear medicine instrumentation

European Journal of Nuclear Medicine and Molecular Imaging — Thu, 04 Feb 2010 06:43:42 +0100

Content Type Journal ArticleCategory GuidelinesDOI 10.1007/s00259-009-1347-yAuthors On behalf of the EANM Physics Committee:Ellinor Busemann Sokole, Academic Medical Centre Department of Nuclear Medicine Amsterdam The NetherlandsAnna Płachcínska, Medical University Department of Nuclear Medicine Łódz PolandAlan Britten, St. George’s Healthcare NHS Trust Department of Medical Physics and Bioengineering London UKWith contribution from the EANM Working Group on Nuclear Medicine Instrumentation Quality Control:Maria Lyra Georgosopoulou, University of Athens Department of Radiology, Radiation Physics Unit Athens GreeceWendy Tindale, Sheffield Teaching Hospitals Medical Imaging and Medical Physics Sheffield UKRigobert Klett, University of Giessen Nuclear Medicine Practice, Faculty of M...

Evaluation of Risk Factors for Morbidity and Mortality after Pylorectomy and Gastroduodenostomy in Dogs

Veterinary Surgery — Wed, 03 Feb 2010 00:00:00 +0100

To (1) identify and describe the type and frequency of postoperative complications after pylorectomy and gastroduodenostomy in dogs and (2) identify preoperative and intraoperative risk factors, including the presence of neoplasia, prognostic for patient mortality after surgery. Case series. Dogs (n=24) treated by pylorectomy and gastroduodenostomy. Medical records (2000[ndash]2007) for 2 teaching hospitals of dogs treated that had pylorectomy and gastroduodenostomy were reviewed. Pre-, intra-, and postoperative data were obtained from the medical record. Of the 24 dogs, 75% survived 14 days, but 10 (41%) died by 3 months. Overall median survival time (MST) was 578 days. On log-rank univariate analysis, preoperative weight loss (P=.001) and malignant neoplasia (P=.01) were associated with ...

Prehospital emergency physician activation of interventional cardiology team reduces door-to-balloon time in ST-elevation myocardial infarction.

Swiss Medical Weekly — Wed, 03 Feb 2010 00:00:00 +0100

CONCLUSIONS: Catheterization laboratory activation by a prehospital emergency physician markedly reduces DTBT in STEMI patients. PMID: 20131111 [PubMed - as supplied by publisher] (Source: Swiss Medical Weekly)

Leeds brings Theriak e-prescribing to UK

E-Health Europe News — Tue, 02 Feb 2010 12:07:00 +0100

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Leeds brings Theriak e-prescribing to UK

E-Health-Insider — Tue, 02 Feb 2010 12:00:00 +0100

Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis

Journal of Gastrointestinal Surgery — Tue, 02 Feb 2010 07:00:24 +0100

Conclusions Survivors after perforated diverticulitis had a worse QOL than the general population, which was mainly due to the presence of an end colostomy. QOL may improve if these stomas are reversed or not be performed in the first place. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11605-010-1155-5Authors Jefrey Vermeulen, Erasmus University Hospital Department of Surgery Dr. Molewaterplein 40 3015 GD Rotterdam The NetherlandsMartijn P. Gosselink, Maasstad Hospital Department of Surgery Groene Hilledijk 315 3075 EA Rotterdam The NetherlandsJan J. V. Busschbach, Erasmus University Rotterdam Department for Medical Psychology and Psychotherapy Dr. Molewaterplein 40 3015 GD Rotterdam The NetherlandsJohan F. Lange, Erasmus University Hospital Depart...

Positive Effect of an Autologous Platelet Concentrate in Lateral Epicondylitis in a Double-Blind Randomized Controlled Trial: Platelet-Rich Plasma Versus Corticosteroid Injection With a 1-Year Follow-up

The American Journal of Sports Medicine — Tue, 02 Feb 2010 00:57:53 +0100

Conclusion Treatment of patients with chronic lateral epicondylitis with PRP reduces pain and significantly increases function, exceeding the effect of corticosteroid injection. Future decisions for application of the PRP for lateral epicondylitis should be confirmed by further follow-up from this trial and should take into account possible costs and harms as well as benefits. (Source: The American Journal of Sports Medicine)

Hypokalemia Following Polyethylene Glycol-Based Bowel Preparation for Colonoscopy in Older Hospitalized Patients with Significant Comorbidities(March) (FREE).

The Annals of Pharmacotherapy — Tue, 02 Feb 2010 00:00:00 +0100

CONCLUSIONS: Among older patients, administration of PEGBP is commonly complicated by the development of hypokalemia, which is occasionally severe. Monitoring of electrolytes may be necessary following colonoscopy, particularly in patients with cardiac or renal disease. PMID: 20124467 [PubMed - as supplied by publisher] (Source: The Annals of Pharmacotherapy)

Types and timing of breastfeeding support and its impact on mothers' behaviours

Journal of Paediatrics and Child Health — Mon, 01 Feb 2010 00:00:00 +0100

Conclusion: Despite the effectiveness of professional support interventions, particularly those delivered in the antenatal and immediate post-natal period, access to these sources of support was very low. For breastfeeding outcomes to be improved, effective professional support strategies need to be much more widely available. (Source: Journal of Paediatrics and Child Health)

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Short-term outcome of patients with robot-assisted versus open radical prostatectomy: for localised carcinoma of prostate.

Hong Kong Med J — Mon, 01 Feb 2010 00:00:00 +0100

CONCLUSIONS. Robot-assisted radical prostatectomy offered the benefits of a minimally invasive operation with less blood loss, shorter catheter time and hospital stay, and earlier continence. It has therefore become the preferred surgical option in our institution. PMID: 20124571 [PubMed - in process] (Source: Hong Kong Med J)

Pulmonary valve replacement after surgical repair of tetralogy of Fallot.

Hong Kong Med J — Mon, 01 Feb 2010 00:00:00 +0100

CONCLUSION. Pulmonary valve replacement for severe pulmonary regurgitation after tetralogy of Fallot repair is a safe procedure. However, the indications for such an operation in asymptomatic patients remain controversial. Further studies are required to better delineate the timing of pulmonary valve replacement in this patient group. PMID: 20124570 [PubMed - in process] (Source: Hong Kong Med J)

Impact of Proactive Palliative Medicine in the Intensive Care Unit at a Community Teaching Hospital

Journal of Pain and Symptom Management — Mon, 01 Feb 2010 00:00:00 +0100

Describe the screening process for proactive palliative medicine consultation. (Source: Journal of Pain and Symptom Management)

Evaluation of the clinical efficacy of a critical care outreach service for facilitated ICU discharge and ward-based care

Australian Critical Care — Mon, 01 Feb 2010 00:00:00 +0100

The Liaison Nurse is a key feature in providing outreach services from Australian ICU, with their role reported to reduce discharge delay, prevent deterioration requiring re-admission to ICU or prolonged hospital stay and support ward staff, patients and relatives transition from ICU. This project evaluated the clinical efficacy of a Critical Care outreach service at each of the three adult teaching hospitals in Perth (Royal Perth Hospital; Sir Charles Gairdner Hospital; and Fremantle Hospital). The service centred on a nurse role which involves follow-up visits by specialist intensive care nurses who reviewed and assessed patients who were to be, or had been, discharged to the general wards from the ICU. In addition it provided an education and clinical support role to the ward staff. A b...

An observational study of cardiac intensive care patients receiving nasal high flow therapy

Australian Critical Care — Mon, 01 Feb 2010 00:00:00 +0100

Nasal high flow therapy (NHF) is a commonly prescribed form of respiratory support in the ICU/HDU of a large metropolitan teaching hospital. We undertook an observational study to describe patient groups that this therapy was utilised in. (Source: Australian Critical Care)

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“I Feel Your Pain”: A Research Study Addressing Perianesthesia Health Care Providers' Knowledge and Attitudes Toward Pain

Journal of PeriAnesthesia Nursing — Mon, 01 Feb 2010 00:00:00 +0100

Patients' feedback about their perianesthesia experience at an acute care 609-bed teaching hospital in Washington, DC, indicated that pain management was an area in need of improvement. A nonexperimental descriptive study related to pain management was conducted in the perianesthesia areas to assess the knowledge and attitudes of health care providers. McCaffrey and Ferrell's 38-item self-report questionnaire was given to anesthesia providers, preoperative nurses, Phase I nurses, and Phase II nurses (N=138). Seventy-two participants responded, yielding a 52% response rate. Results showed a statistically significant difference between the scores of the anesthesia care providers and the preoperative area nurses and between the Phase I nurses and the preoperative nurses. No statistically sign...

Updating the Minimal Important Difference for Six-Minute Walk Distance in Patients With Chronic Obstructive Pulmonary Disease

Archives of Physical Medicine and Rehabilitation — Mon, 01 Feb 2010 00:00:00 +0100

Conclusions: The MID for 6MWD in COPD is 25 meters. Absolute change in 6MWD is a more sensitive indicator than percentage change from baseline. These data support the use of 6MWD as a patient-important outcome in research and clinical practice. (Source: Archives of Physical Medicine and Rehabilitation)

"I Feel Your Pain": A Research Study Addressing Perianesthesia Health Care Providers' Knowledge and Attitudes Toward Pain.

Journal of Perianesthesia Nursing — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Burns J, Magee KT, Cooley H, Hensler A, Montana J, Shumaker D, Snyder J, Polk AR Patients' feedback about their perianesthesia experience at an acute care 609-bed teaching hospital in Washington, DC, indicated that pain management was an area in need of improvement. A nonexperimental descriptive study related to pain management was conducted in the perianesthesia areas to assess the knowledge and attitudes of health care providers. McCaffrey and Ferrell's 38-item self-report questionnaire was given to anesthesia providers, preoperative nurses, Phase I nurses, and Phase II nurses (N=138). Seventy-two participants responded, yielding a 52% response rate. Results showed a statistically significant difference between the scores of the anesthesia care providers and the preoperative...

[Repeat resection of the liver, a challenge in up to date oncologic surgery.]

Magyar Sebeszet — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Jakab F, Mersich T Surgical and oncological treatment of liver metastases of CRC has made a significant progress in the last twenty years. Although chemotherapy has developed enormously, only successfully resected (R0) patients may hope a long-term survival. The almost 60% recurrence rate after resection is a significant challenge. Authors review patients data operated at the Surgical Department of Uzsoki Teaching Hospital between 1995 and 2008 with hepatic metastases of colorectal origin. Oncological and surgical principles are summarized in the sight of the recent literature review and authors own experience with repeat hepatic resection. Recent literature data demonstrate - which is confirmed by our experience - that R0 resection of recurrent hepatic metastases provides sim...

Poisoning cases attending emergency department in Dhulikhel Hospital- Kathmandu University Teaching Hospital. - Marahatta SB, Singh J, Shrestha R, Koju R.

SafetyLit: All (Unduplicated) — Sun, 31 Jan 2010 15:35:11 +0100

The objective of the present study is to evaluate the characteristics of acute poisoning cases admitted to emergency department over a one year period. The demographic, clinical and psycho-social aspects of the patients were analysed. MATERIALS ... (Source: SafetyLit: All (Unduplicated))

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Pattern and outcome of children admitted for burns in Benin City, mid-western Nigeria

Indian Journal of Plastic Surgery — Fri, 29 Jan 2010 13:56:47 +0100

Oludiran O O, Umebese PFAIndian Journal of Plastic Surgery 2009 42(2):189-193Children are a vulnerable to burns, an injury, which is often preventable. A study of the profile of cases of children admitted for burns will provide background information to suggest locally doable preventive strategies as well as supply basic information for future reference. We studied the records of 62 children aged 0-16 years, admitted for burns, at the University of Benin Teaching Hospital, Benin City, between January 2002 and December 2006. There were 34 male and 28 female children. Children under three years constituted 56.5%. Whereas the leading cause of burns in all the children was flame burns from kerosene explosions (52%), scalds were responsible for 68.6% of cases in those under...

Lip adhesion revisited: A technical note with review of literature

Indian Journal of Plastic Surgery — Fri, 29 Jan 2010 13:56:47 +0100

Conclusions:</b> Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications. (Source: Indian Journal of Plastic Surgery)

Evaluation of Operative Notes Concerning Laparoscopic Cholecystectomy: Are Standards Being Met?

World Journal of Surgery — Fri, 29 Jan 2010 12:14:22 +0100

Conclusions Operative notes do not always fully comply with the standards set forth in the guidelines published in the Netherlands. This could influence adjuvant treatment and future patient treatment, and it may make operative notes less suitable background for other purposes. Therefore operative note writing should be taught as part of surgical training, definitions should be provided, and procedure-specific guidelines should be established to improve the quality of the operative notes and their use to improve patient safety. Content Type Journal ArticleDOI 10.1007/s00268-010-0422-7Authors Linda S. G. L. Wauben, Delft University of Technology Faculty of Industrial Design Engineering Landbergstraat 15 2628 CE Delft The NetherlandsRichard H. M. Goossens, Delft Unive...

Nigeria: BASG Hands Over Specialist Hospital to FG

AllAfrica News: Health and Medicine — Fri, 29 Jan 2010 08:55:03 +0100

The Bauchi State government has formally handed over the Specialist Hospital in Bauchi to the Federal Government in preparation for making it a teaching hospital. It has also donated the School of Agric campus of the state polytechnic to serve as College of Medicine of the Teaching Hospital. (Source: AllAfrica News: Health and Medicine)

A population-based study on the determinants of hospice utilization in the last year of life for Taiwanese cancer decedents, 2001-2006

Psycho-Oncology — Fri, 29 Jan 2010 00:00:00 +0100

Conclusions: Despite the 1.33 times increase in hospice utilization among cancer patients who died from 2001 to 2006, only one in six Taiwanese cancer decedents used hospice care in their last year of life. Our findings regarding determinants of hospice utilization should be used by healthcare professionals and policy makers to guide the development of policies and interventions that facilitate prognosis disclosure and EOL care discussions between physicians and patients, especially younger patients, to help the transition from curative to palliative care. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Psycho-Oncology)

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Commentary: A Century of Progress in Medical Education: What About the Next 10 Years?

Academic Medicine — Thu, 28 Jan 2010 16:02:16 +0100

Abraham Flexner's seminal 1910 report, Medical Education in the United States and Canada, is widely credited with instigating important changes in U.S. medical education that have shaped today's system of training physicians. Although Flexner's report publicly articulated recommendations for widespread change, the stage had been set for reform for quite some time. In this commentary, the author examines the landscape of change in medical education at the turn of the 20th century, highlighting the roles of several important contributors, especially the American Medical Association's Committee on Medical Education. Now, 100 years later, academic medicine is poised for further reforms to enable medical schools and teaching hospitals to meet the needs of 21st-century patients and physicians. T...

Nigeria: DPA Faults Lagos Free Health

AllAfrica News: Health and Medicine — Thu, 28 Jan 2010 11:03:12 +0100

DEMOCRATIC Peoples Alliance (DPA) has commended the Lagos State University Teaching Hospital (LASUTH) over it's first successful open-heart surgery. (Source: AllAfrica News: Health and Medicine)

Comparison of intraoperative enteroscopy and double-balloon enteroscopy for the diagnosis and treatment of Peutz-Jeghers syndrome

Surgical Endoscopy — Thu, 28 Jan 2010 07:01:09 +0100

Conclusions Polypectomy using DBE may obviate the need for repeated urgent operations and small-bowel resections leading to short-bowel syndrome. Patients are indicated for prophylactic procedure and polypectomy of the entire small bowel. Both DBE and IOE facilitate exploration and treatment of the small intestine. DBE is less invasive and more convenient for the patient. Both procedures are generally safe and useful. Content Type Journal ArticleDOI 10.1007/s00464-009-0868-6Authors Marcela Kopáčová, Charles University in Praha, University Teaching Hospital 2nd Department of Medicine, Faculty of Medicine at Hradec Králové Sokolská 581 Hradec Králové 500 05 Czech RepublicJan Bureš, Charles University in Praha, University Teaching Hospital 2nd Department of Me...

Pedagogical strategies used in clinical medical education: an observational study

BMC Medical Education — Thu, 28 Jan 2010 00:00:00 +0100

Conclusions: This study contributes to previous research in describing a repertoire of pedagogical strategies used in clinical education. The findings showed that three superordinate qualitatively different ways of teaching could be identified that fit Ramsden's model. Each of these pedagogical strategies encompass different focus in teaching; either a focus on the teacher's knowledge and behaviour or the student's behaviour and understanding. We suggest that an increased awareness of the strategies in use will increase clinical teachers' teaching skills and the consequences they will have on the students' ability to learn. The pedagogical strategies need to be considered and scrutinized in further research in order to verify their impact on students' learning. (Source: BMC Medical Educati...