The study of psychotropic prescribing habits of professional colleagues has become important because of the widespread and unrestricted use of these drugs and the adverse effects of their longterm use. Furthermore, the irrational use of benzodiazepines and prophylactic use of antiparkinsonian drugs is a common practice in psychiatric, teaching and general hospitals especially in developing coun...

Background. Fournier's gangrene is uncommon but increasingly being seen over the last two decades probably due to increasing socioeconomic problems including an upsurge in HIV infection especially in the tropics. Patients and Methods. The study retrospectively reviewed all patients with Fournier's gangrene managed in UMTH between January 2007 and December 2012. Results. Thirty-eight males aged ...

OBJECTIVE To quantify midlevel practitioner (MLP) staffing requirements based on the volume and complexity of patient care and the duty-hour constraints of the Accreditation Council for Graduate Medical Education 80-hour workweek. DESIGN Data extracted from Eclipsys Sunrise Decision Support Manager, the hospital financial budget, and census reports; and MLP, resident, and subspecialty fellow ...

The evolution of postgraduate medical education has been a most interesting one. If one remembers that before 1900 it was quite possible for a person of average intelligence with a diligent attitude toward his work to encompass rather completely the known field of medicine and that since then increasing specialization has been necessary because of the rapidly broadening horizon of medicine, man...

Background. Cancer is a leading cause of death worldwide and about 70% of all cancer deaths occurred in low- and middle-income countries. The cancer mortality pattern is quite different in Africa compared to other parts of the world. Extensive literature research showed little or no information about the overall deaths attributable to cancer in Nigeria. Aims and Objectives. This study aims at p...

Education and operational changes and restrictions led to a sustained reduction in meperidine use.

Treatment of hypertension among hospitalized patients represents an opportunity to improve blood pressure recognition and treatment. To address this issue, the authors examined patterns of antihypertensive medication prescribing among 5668 hypertensive inpatients. Outcomes were treatment with any antihypertensive medication and treatment with first-line therapy, defined as angiotensin-convertin...

1 Department of Internal Medicine, Infectious Diseases, and Clinical Immunology, Reims Teaching Hospitals, Robert Debré Hospital, Reims, France, 2 Rheumatology Department, Maison Blanche Hospital, Reims University Hospitals, Reims, France, 3 Laboratory of Dermatology, Faculty of Medicine, EA7319, University of Reims Champagne-Ardenne, Reims, France, 4 Laboratory of Immunology, Reims University ...

While planning a new maternity teaching hospital, we encountered the problem of relating number of delivery rooms to expected case load. The flow of patients in the teaching and research sections of the hospital could be predicted on the basis of previous experience, but for an attached "sector unit" the problem was much more difficult. The unit was intended to serve a new function, and therefo...

BACKGROUND Neurologic infections are an important cause of morbidity and mortality especially worldwide but much more in the African continent. The frequency of the different types of neurologic infections and their mortality in this part of Nigeria is not known. OBJECTIVES To review cases admitted into the main tertiary referral center in Rivers State of Nigeria with neurologic infections ov...