A one-year survey of gonococcal infection seen in the genitourinary medicine department of a London district general hospital

1999 ◽  
Vol 10 (9) ◽  
pp. 588-594 ◽  
Author(s):  
D A Lewis ◽  
M Bond ◽  
K D Butt ◽  
C P Smith ◽  
M S Shafi ◽  
...  
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
Gonococcal Infection ◽  
Medicine Department ◽  
Genitourinary Medicine ◽  
One Year

WP1-10 Prevalence of normal pressure hydrocephalus in falls clinic patients

2019 ◽  
Vol 90 (3) ◽  
pp. e4.2-e4 ◽  
Author(s):  
S Sennik ◽  
C Craven ◽  
L D’Antona ◽  
H Asif ◽  
W Dawes ◽  
...  
Keyword(s):  
General Hospital ◽  
Normal Pressure Hydrocephalus ◽  
Normal Population ◽  
District General Hospital ◽  
Normal Pressure ◽  
Idiopathic Normal Pressure Hydrocephalus ◽  
List Type ◽  
Ventricular Enlargement ◽  
Evans Index ◽  
One Year

ObjectivesPatients with idiopathic Normal Pressure Hydrocephalus (iNPH) present with Hakim Adams triad and radiological findings suggestive of iNPH. We compare the presence of clinical and radiological signs of iNPH present in patients presenting to falls clinic at a District General Hospital with the general population.DesignRetrospective analysis of patients referred to falls clinic (January 2017 to December 2017) and interpretation of CT or MRI head imaging with Evans index.SubjectsFalls clinic patients presenting to a District General Hospital outpatient clinic.MethodsRetrospective cohort of patients admitted to a single District General Hospital with falls and recent CT or MRI head. An Evans Index above 0.35 was used as an indicator of hydrocephalic ventricular enlargement.Results371 patients were seen in one year. 216 had previous CT or MRI head. 6.75% of all patients seen in falls clinic (11.6% who have had brain imaging) have hydrocephalic ventricular enlargement. This is compared to 4.5% in a study of patients aged 70 and over in a normal population.1ConclusionsPatients seen in Falls clinic have an increased probability of having radiological signs consistent with idiopathic normal pressure hydrocephalus.ReferenceJaraj D, Marlow T, Jensen C, Skoog I, Wikkelso C. Prevalence of idiopathic normal-pressure hydrocephalus. Neurology2014April 22;82(16):1449–1454.

Pre-operative haemoglobin estimation in paediatric ENT surgery

1993 ◽  
Vol 107 (12) ◽  
pp. 1146-1148 ◽  
Author(s):  
Timothy J. Hoare
Keyword(s):  
Haemoglobin Level ◽  
General Hospital ◽  
District General Hospital ◽  
Ent Surgery ◽  
Published Evidence ◽  
Mild Anaemia ◽  
One Year

Estimation of haemoglobin is still undertaken routinely before ENT surgery in many centres despite evidence that it is unnecessary, traumatic and expensive. The haemoglobin was estimated of all 372 children about to undergo ENT surgery in a busy district general hospital over a one year period. No child was noted to be clinically anacmic, and no child had a haemoglobin of less than 9 g/dl. Of 18 children with a haemoglobin level of 10.5 or less, 10 had their operations postponed and eight did not. There were no complications in the latter group. We can find no published evidence that operating on children with mild anaemia is unsafe. Ceasing routine pre-operative haemoglobin estimation would safely save an estimated £9000 per year in our unit.

scholarly journals Incidental findings on computed tomography coronary angiography and its impact on respiratory services in a United Kingdom district general hospital

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 988
Author(s):  
Bikash Gurung ◽  
Finnian D. Lesser ◽  
Ellis James ◽  
Kabali Nandakumar
Keyword(s):  
Computed Tomography ◽  
Coronary Angiography ◽  
General Hospital ◽  
District General Hospital ◽  
Computed Tomography Coronary Angiography ◽  
Health Records ◽  
Cardiac Pathology ◽  
Artery Disease ◽  
One Year

Background: Computed tomography coronary angiography is used to assess for coronary artery disease but can also pick up non-cardiac pathology. Previous studies have assessed the frequency of non-cardiac pathology. We investigated the non-cardiac findings and resulting follow up in a District General Hospital. Methods: All computed tomography coronary angiography scans for 1 year were retrospectively collected. Basic demographics and the non-cardiac findings were recorded from electronic health records. The significant respiratory findings and the respiratory follow up of these non-cardiac findings were recorded. Results: A total of 503 scans were carried out in one year. Of these scans, 24% had non cardiac findings present. Older patients were more likely to have non cardiac findings. The most common non cardiac findings were lung nodules, emphysema and hiatus hernias. Significant respiratory findings were present in 35 cases, which generated 24 episodes of respiratory follow up. Some patients who met criteria for follow up had not been referred. Conclusions: Non cardiac findings are common on computed tomography coronary angiography and in our hospital these findings led to significant follow up in respiratory services.

scholarly journals Some Aspects of the Fractured Scaphoid

1981 ◽  
Vol 74 (11) ◽  
pp. 800-803 ◽  
Author(s):  
Tudor L Thomas
Keyword(s):  
General Hospital ◽  
Scaphoid Fracture ◽  
District General Hospital ◽  
Scaphoid Fractures ◽  
Prognostic Assessment ◽  
One Year

Ninety-three patients who presented at a district general hospital in one year with a suspected or actual scaphoid fracture were studied. Certain changes in the accepted management of scaphoid fractures, particularly the radiology of these fractures, are suggested. These changes could result in significant savings of time and money. A new investigation is described which may prove helpful in the long-term prognostic assessment of patients who have suffered a scaphoid fracture.

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