CASE HISTORIES Case 1 A 67-yr-old female, who was recently diagnosed as having multiple myeloma, presented with dyspnoea on exertion of ,3 months’ duration (fig. 1). The day before presentation, the patient had developed a cough productive of green-brown sputa and increasing dyspnoea. On clinical examination, a tachypnoeic patient with bibasal crepitations on lung auscultation and without fever...

unvaccinated dogs and in the endangered Simien jackal (Canis simensis) of Ethiopia. Journal of Veterinary Medicine Series B. 1992;39:233–5. http://dx.doi. org/10.1111/j.1439-0450.1992.tb01162.x 7. Zhang YZ, Fu ZF, Wang DM, Zhou JZ, Wang ZX, Lv TF, et al. Investigation of the role of healthy dogs as potential carriers of rabies virus. Vector Borne Zoonotic Dis. 2008;8:313–20. http://dx.doi. org/...

BACKGROUND Increasing recognition of the burden associated with iatrogenic disease has led to international interest into how best to promote patient safety. Within this field, the subject of adverse drug events (ADEs) has received particular attention, this reflecting the known high frequency with which such events occur, particularly in the elderly. METHODS We conducted a narrative review s...

Tardive dyskinesia (TD), once regarded by psychiatrists as a rare occurrence, is currently recognized as the most pervasive side effect (other than sedation) ofantipsychotic medication. Early reports linking antipsychotic drugs to TD met with considerable criticism. Mounting evidence concerning high prevalence of the disorder among psychiatric patients has led to a general acceptance of the syn...

C l i n M e d International Library Citation: Welter S, Cheufou D, Ehmann T, Kampe S, Scharmann P (2014) Endotracheal Repair of an Iatrogenic Tracheal Laceration in A 83-Year-Old Critically Ill Woman with Aspiration Pneumonitis and Sepsis .Int J Anesthetic Anesthesiol 1:015. doi.org/10.23937/23774630/1/3/1015 Received: November 01, 2014: Accepted: November 20, 2014: Published: November 24, 2014...

Iatrogenic aneurysms are usually postcatheterisation pseudoaneurysms of the femoral artery. Until recently, the treatment of choice was ultrasound guided compression repair. A case of pseudoaneurysm of the axillary artery, arising as a complication of pacemaker insertion in an 83 year old man is reported. Compression repair was not possible in this case, and so the aneurysm was occluded by perc...

JAMA: What has the Center for Medicare and Medicaid Innovation (CMMI) accomplished in the past few years? DR BERWICK: [T]he center has really stimulated I think an unprecedented amount of activity around the country in the localities, very local activities, to come up with new ways to give and support care. A great example has been the Partnership for Patients. That was a program that I establi...

To cite: Vogus TJ. BMJ Qual Saf 2016;25:649–652. Despite some notable advances in patient safety (eg, an average 17% reduction across a set of hospital-acquired conditions including adverse drug events and urinary tract infections in the USA between 2010 and 2015), substantially reducing or eliminating harm remains elusive for nearly every healthcare organisation. One consistent recommendation ...

Long-term care facilities for the elderly have regularly to work together with general hospitals to provide care to acutely ill residents or when they require all together more complex diagnostic procedures and multi-specialty care. The decision to hospitalize a nursing home elderly resident is multifactorial and it is based on factors such as illness severity and care facility infrastructure. ...

INTRODUCTION Illnesses which develop in a complex way are best described in stages, and those stages will describe not only a particular point in the course of the disease but also the appropriate treatment for that stage. This approach has, over the years, proved to be very appropriate for planning the treatment of various cancers. It is suggested that in the same way, it can be very important...