Sequential Acute Coronary Syndrome 4 Days Apart: A Missed Opportunity?

Patients undergoing coronary revascularisation: a missed opportunity for secondary prevention?

BACKGROUND This study tested the hypothesis that the opportunity to start secondary prevention therapy before discharge after coronary revascularisation is being missed. The study assessed current prescribing practice and identified discrepancies in prescribing for patients managed by surgeons (especially) and cardiologists. METHODS 200 consecutive patients from the Manchester Heart Centre pe...

Tuberculosis--a missed opportunity?

The recent publicity surrounding tuberculosis (TB) in both the medical and the lay press, particularly in reference to a number of outbreaks of the disease in British schools, is a timely reminder of a 'forgotten' disease that has never really gone away. Following a marked decrease in notification rates in developed counties in the 1960s and 1970s, TB control and treatment programmes were downg...

Preventing cardiovascular complications of acute infection: a missed opportunity?

Osteoporosis treatment: a missed opportunity.

Osteoporosis affects 1.2 million Australians and, in 2012, fractures due to osteoporosis and osteopenia in Australians aged over 50 years cost $2.75 billion. Even minor minimal trauma fractures are associated with increased morbidity and mortality. Despite increasing therapeutic options for managing osteoporosis, fewer than 20% of patients with a minimal trauma fracture are treated or investiga...

The partogram: a missed opportunity.

To the Editor: The maternal mortality rate (MMR) in South Africa was 400/100 000 births in 20051 and at Johannesburg Hospital was 476/100 000 in 2008. Delay in referral and management during labour in the unit is an important cause of mortality and morbidity.2 Inadequate use of the partogram is a major avoidable factor in maternal deaths in South Africa and has previously been studied at Johann...