Incorrect Overdose Management Advice in the Physicians' Desk Reference

1997 ◽  
Vol 29 (2) ◽  
pp. 255-261 ◽  
Author(s):  
Walter H Mullen ◽  
Ilene B Anderson ◽  
Susan Y Kim ◽  
Paul D Blanc ◽  
Kent R Olson
2010 ◽  
Vol 30 (4) ◽  
pp. 130-140
Author(s):  
I. Burstyn ◽  
F. Sithole ◽  
L. Zwaigenbaum

Objectif Déterminer si des caractéristiques de la mère ou des complications obstétricales sont associées à un risque accru de troubles du spectre autistique (TSA) chez l’enfant. Méthodologie Selon les dossiers d’accouchements de la province, 218 890 naissances vivantes uniques ont été recensées en Alberta (Canada) entre le 1er janvier 1998 et le 31 décembre 2004. En nous basant sur les codes de diagnostic de la CIM9 établis par les médecins au moment de la facturation, nous avons suivi ces sujets jusqu’au 31 mars 2008 afin de déterminer s’ils étaient atteints d’un TSA. Les facteurs de risque maternels et obstétricaux ont également été extraits du PDR (Physicians Desk Reference). Résultats Les données relatives à la prévalence et à l’incidence des TSA en Alberta concordent avec celles qui ont été enregistrées ailleurs et semblent indiquer une hausse récente des taux de diagnostic ou d’incidence. La prévalence des TSA était cinq fois plus élevée chez les garçons que chez les filles. L’âge auquel le diagnostic était le plus souvent posé était de 3 ans. La modélisation du risque relatif a indiqué que le risque de TSA était élevé chez les enfants nés d’une mère plus âgée ou lorsqu’il y a eu des complications pendant la grossesse ou l’accouchement. Conclusion Certaines caractéristiques de la mère et complications obstétricales sont associées à un risque accru de TSA chez l’enfant. Dans le cas des enfants nés d’une mère autochtone, nous avons constaté que les taux de TSA étaient plus faibles et que le diagnostic était posé à un âge plus tardif, des conclusions qui devront faire l’objet de recherches approfondies.


Author(s):  
Konstantina Rosiou ◽  
Christian Philipp Selinger

AbstractAcute severe ulcerative colitis is a medical emergency that warrants in-patient management. This is best served within a multidisciplinary team setting in specialised centres or with expert consultation. Intravenous corticosteroids remain the cornerstone in the management of ASUC and should be initiated promptly, along with general management measures and close monitoring of patients. Unfortunately, one-third of patients will fail to respond to steroids. Response to intravenous corticosteroid therapy needs to be assessed on the third day and rescue therapies, including cyclosporine and infliximab, should be offered to patients not responding. Choice of rescue therapy depends on experience, drug availability and factors associated with each individual patient, such as comorbidities, previous medications or contra-indications to therapy. Patients who have not responded within 7 days to rescue therapy must be considered for surgery. Surgery is a treatment option in ASUC and should not be delayed in cases of failure of medical therapy, because such delays increase surgical morbidity and mortality. This review summarises the current management of acute severe ulcerative colitis and discusses potential future developments.


Author(s):  
Manmeet Kaur ◽  
Laura Charlesworth

Abstract Aims: To explore student therapeutic radiographers’ understanding of obesity and cancer and to identify if student therapeutic radiographers believe that radiographers should have a role within weight management. Materials and Methods: This study used a self-completed online questionnaire (google forms) to collect data from Radiotherapy and Oncology students, studying at one Higher Education Institution, to gain an understanding of their current knowledge of weight management. A retrospective margin of error calculation was carried out, showing a 9% margin of error with a 90% confidence level. Results: In total 57 responses were received, n = 50 BSc students and n = 7 pre-registration MSc students. Three key barriers to openly discussing weight loss management with service users emerged from the questionnaire data; these were a lack of time, lack of clear guidelines and lack of confidence. These barriers could potentially be addressed by improving education and training, making it easier for therapeutic radiographers to openly discuss weight management with service users. Findings: Awareness of guidelines was suboptimal, with 82% (n = 47) of respondents unaware of any guidelines. In addition to this, the majority of students identified a lack of confidence as a barrier to them providing weight management advice. Despite this, 54·4% of respondents agreed that radiographers should have a role in providing weight management advice, with 22·2% of respondents being unsure. Findings suggest that behaviour change is required amounts both students and staff members, so that healthcare professionals are more inclined to have healthy weight management discussions. Perhaps more specialist roles need to be developed, so that healthy weight management discussions can become a norm.


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