STUDY DESIGN Prospective, randomized, controlled human study. PURPOSE We checked the proportion of missed syrinx diagnoses among the examinees of the Korean military conscription. OVERVIEW OF LITERATURE A syrinx is a fluid-filled cavity within the spinal cord or brain stem and causes various neurological symptoms. A syrinx could easily be diagnosed by magnetic resonance image (MRI), but mis...

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...

the course of economic development, populations have become increasingly urban and geographically mobile. Cities created a new ecology for disease, and colonization brought unfamiliar diseases to colonizers and colonized alike. Urban death rates were usually very much higher than rural ones, and mortality rates from infections were often catastrophically high when new diseases were first introd...

BACKGROUND Trauma tertiary surveys (TTS) are advocated to reduce the rate of missed injuries in hospitalized trauma patients. Moreover, the missed injury rate can be a quality indicator of trauma care performance. Current variation of the definition of missed injury restricts interpretation of the effect of the TTS and limits the use of missed injury for benchmarking. Only a few studies have sp...

The timing of the repair of divided tendons may be debated but in most cases a clearly divided tendon should be repaired primarily and, whether or not primary repair is indicated, 'the ideal treatment programme is immediate surgery performed by an experienced surgeon' (McGrouther et al., 1990). If a tendon injury is missed, deformity may occur, the patient may need further surgical procedures, ...

INTRODUCTION The chemical industry is a much safer place to work than many industries with fewer inherent hazards. Nevertheless, almost all the accidents that have occurred need not have occurred. Most of them have happened before and have been described in published reports. Someone knew how to prevent them even if the people on the job at the time did not. There is something seriously wrong w...

There is no doubt that the vast majority of delayed diagnoses in malignant disease are due to fear and ignorance on the part of the patient. This delay is appalling, as the figures from the Registrar General 19-7 show. The mean delay in cancer of the breast is 6.2 months but 17.3 per cent wait over two years. In the cervix uteri it is 5.7 months and 8.4 per cent wait over two years, and for rec...

Diana Mansour, in her commentary1 in the July 2011 issue of this Journal, pointed out the inadequacy of the wording of the emergency contraception advice in the Medicines and Healthcare products Regulatory Authority’s Combined Oral Contraceptives (The Pill): When to Start Taking The Pill, and Missed Pill Advice.2 We also need to remember the women who have forgotten one pill in the week before ...