treated, and the hospital served the clinical purposes of the Collegium Medico-Chirurgicum. The Charite became an exemplar in Germany, and by the nineteenth century had high standing, with such notables as Virchow, Henle, von Helmholtz, Du Bois Reymond, and Koch becoming associated with it. With its Marxist approach this little history includes more social and political history than would be th...

BACKGROUND Legislative measures have been identified as one effective way of changing attitude or behaviour towards health care. The aim of this study was to describe trends in patients' complaints for medical issues; to evaluate the contribution of a law regarding patients' rights, and to identify factors associated to patients' perception of a medical error. METHODS Patients with a complain...

Cardiac disease is an uncommon but potentially serious medical complication of pregnancy. It is an important cause of preventable maternal and perinatal mortality and morbidity. A multidisciplinary approach involving close liaison and collaboration between the obstetrician, cardiologist, anaesthetist, neonatologist, paediatric cardiologist and, if appropriate, the cardiothoracic surgeon, is ess...

OBJECTIVE To compare the safety, efficacy and complications of single vs multiple instillations of povidone iodine (PI) and urographin as a sclerosing agent in the treatment of chyluria. PATIENTS AND METHODS The study included 58 patients diagnosed with chyluria between March 2006 and January 2013. The inclusion criteria were either severe attacks of chyluria or patients with mild-to-moderate...

Patients with muscle pathology are a challenge for anaesthesiologists because of possible life-threatening general anaesthesia complications. A review of the current medical literature on the issue clearly indicates that increasing awareness by anaesthesiologists in recent years has led to a reduction in the occurrence of adverse events in patients with diagnostically well-defined muscle diseas...

Endoscopic cholecystectomies or laparoscopic cholecystectomies are becoming relatively commonplace in major medical centers throughout the United States. Very few anesthesia complications have been attributed to the procedure. This is a case report of congestive heart failure occurring during the procedure itself, which could have implications for patient management and selection.

IMPORTANCE Previous studies of checklist-based quality improvement interventions have reported mixed results. OBJECTIVE To evaluate whether implementation of a checklist-based quality improvement intervention--Keystone Surgery--was associated with improved outcomes in patients in a large statewide population undergoing general surgery. DESIGN, SETTING, AND EXPOSURES A retrospective longitud...

While there was no denial of the organic etiology of delirium, based on a huge body of references that surpassed million hits related to the subject. The etiologies of delirium are diverse and multifactorial and often reflect the pathophysiological consequences of an acute medical illness, medical complication or drug intoxication. Delirium can have a widely variable presentation, and is often ...

Pressure ulcers (PrUs) are the most common medical complication following spinal cord injury (SCI), as well as costly and potentially life-threatening. Every individual with SCI is at life-long risk for developing PrUs, yet many lack access to readily available, understandable, and effective PrU prevention strategies and practices. To address barriers to adequate PrU prevention ...