‘You are about to give a talk to a group of interested GPs, you were going to speak for 1 hour at an important international conference. As bad luck would have it, you and a group of GPs have got stuck in the lift and your talk has been cancelled. However, you will be rescued in 2 minutes. Knowing what an interesting speaker you are and how passionately you feel about this area of your work, yo...

India is the seventh largest country in the world with great diversity in its topography, climate, ecology, and demographic characteristics. Its land mass falls between 7° and 37° of latitude South. Except for the northern reaches of the country—the Himalayan states of Jammu and Kashmir, Himachal Pradesh, Sikkim, and Arunachal Pradesh—where the minimum temperature falls below 0°C in winter, mos...

BACKGROUND Demographic and policy changes appear to be increasing the complexity of consultations in general practice. AIM To describe the number and types of problems discussed in general practice consultations, differences between problems raised by patients or doctors, and between problems discussed and recorded in medical records. DESIGN AND SETTING Cross-sectional study based on video ...

BACKGROUND For patients with ST-segment elevation myocardial infarction transferred for primary percutaneous coronary intervention, guidelines have called for device activation within 90 minutes of initial presentation. Fewer than 20% of transferred patients are treated in such a timely fashion. We examine the association between transfer drive times and door-to-device (D2D) times in a network ...

Data from the population-based registries at Bangalore, Bombay, and Madras indicate paediatric cancer frequencies varying from 37% to 4% 23 In Dibrugarh in north-eastern India and Chandigarh in the north-west the frequency was 2-48%. International comparisons of cancer incidence are potentially fraught by variability in diagnosis, classification, and coding practices, by competing causes of dea...

Methods Six brands of disposable non-woven polypropylene drapes were tested. A latex glove was used as a negative control and a woven cotton drape was used as a positive control. For each drape, a rodac plate was inoculated with 10 colony-forming units / ml of Staphylococcus aureus ATCC strain 6538 and incubated at 37°C for 24 h to obtain confluent growth. Thereafter, each drape was placed betw...

BACKGROUND Induction of anesthesia and endotracheal intubation often creates a period of hemodynamic instability in hypertensive patients. Endotracheal intubation of the trachea stimulates laryngeal and tracheal sensory receptors, resulting in a marked increase in the elaboration of sympathetic amines. OBJECTIVES This trial aimed to evaluate and compare the efficacy of fentanyl and fentanyl p...

PURPOSE Hypothermia has been shown to be neuroprotective in the therapy of ischemic stroke in the brain. To date no studies exist on the level of the inner retina and it is unclear if hypothermia would prolong the ischemic tolerance time of retinal ganglion cells, which are decisive in many ischemic retinopathies. METHODS Bovine eyes were enucleated and stored either at 21°C or 37°C for 100 o...

CONTEXT Endoscopic mucosal resection is an established modality for excision of sessile lesions in the gastrointestinal tract. Submucosal fluid injection creates a cushion and may prevent thermal injury and perforation. OBJECTIVES This blind study investigated the performance of three different solutions to create submucosal fluid cushions in porcine stomach. METHODS Three solutions were in...