INTRODUCTION The problem of emergency department (ED) overcrowding is an issue of some concern and staffing profile has been identified as a contributing factor. The aim of this study was to assess the effect of having an emergency physician on-site at night in a rural base hospital ED in terms of the ED length of stay, waiting times, admissions, specialist consultations, the use of diagnostic ...

BACKGROUND Despite significant advances, the practice of blood transfusion is still a complex process and subject to risks. Factors that influence the safety of blood transfusion include technical skill and knowledge in hemotherapy mainly obtained by the qualification and training of teams. OBJECTIVE This study aimed to investigate the relationship between professional categories working in t...

OBJECTIVES To test whether different terminal pathologies are associated with different rates of age-related decline in fluid and crystallized mental abilities and whether pathology-associated declines are accelerated by age. METHODS During a 20-year longitudinal study, 6203 participants were quadrennially assessed on the Heim's (Heim, A 1970) The AH4 series of intelligence tests Slough, U.K....

Next-generation sequencing (NGS) has recently emerged as an essential component of personalized cancer medicine due to its high throughput and low per-base cost. However, no sufficient guidelines for implementing NGS as a clinical molecular pathology test are established in Korea. To ensure clinical grade quality without inhibiting adoption of NGS, a taskforce team assembled by the Korean Socie...

BACKGROUND It is important to deal with the scapula when developing rehabilitation strategies for the shoulder complex. This requires clinical measurement tools that are readily available and easy to apply and which provide a reliable evaluation of scapula motion. AIM To determine the reliability of the Plurimeter-V gravity inclinometer for the measurement of scapular upward rotation position...

Perspectives on the discipline of psychological assessment are provided through reflections on a classic article by Hunt (1946), review of current issues, and a projection of changes likely to occur over the next fifty years. Topics covered include the place of idiosyncratic qualitative responses, test design, clinical judgment, managed care, financial efficacy, over emphasis on pathology, trea...

Abnormal uterine bleeding is an extremely common indication for referral to a gynaecologist. This chapter examines the modes of presentation and the causes of such symptoms, which range from physiological variations to more sinister underlying pathology. A thorough understanding of these causes is required to direct investigation in an appropriate manner. The full range of possible investigatio...

Germany has been officially free of bovine tuberculosis since 1996. However, in the last years there has been an increase of bovine tuberculosis cases, particularly in the southern part of Germany, in the Allgäu region. As a consequence a one-time tuberculosis surveillance program was revisited with different premortal and postmortal tests. The aim of this paper was to estimate diagnostic sensi...

BACKGROUND Few data are available about how social networks reduce the risk of cognitive impairment in old age. We aimed to measure this effect using data from a large, longitudinal, epidemiological clinicopathological study. METHODS 89 elderly people without known dementia participating in the Rush Memory and Aging Project underwent annual clinical evaluation. Brain autopsy was done at the t...

BACKGROUND The differential diagnosis of adrenal pathology depends on the child's age and imaging findings. CASE REPORT Three children without clinical symptoms of neoplasm, with an adrenal lesion discovered on diagnostic ultrasound imaging. Laboratory tests for neoplasm were negative. The final diagnosis was based on histopathological examinations after surgical resection. CONCLUSIONS 1. T...