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Incidence of unanticipated difficult airway in obstetric patients in a teaching institution.

PURPOSE: Our aim was to determine the incidence of difficult intubation during pregnancy-related surgery at a high-risk, high-volume teaching institution. METHODS: Airway experience was analyzed among patients who had pregnancy-related surgery under general anesthesia from January 2001 through February 2006. A difficult airway was defined as needing three or more direct laryngoscopy (DL) attempts, use of the additional airway equipment after the DL attempts, or conversion to regional anesthesia due to inability to intubate. Airway characteristics were compared between patients with and without…

Incidence of anemia among obstetric patients in an Appalachian teaching clinic.

OBJECTIVE: The purpose of this study is to determine the incidence of iron deficiency anemia in an obstetrics clinic with a secondary objective to determine predictors of iron deficiency anemia. METHODS: This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, a clinic at Women and Children's Hospital. Data were collected on Women's Medicine Center patients who delivered at Women and Children's Hospital during a 1-year interval, through chart review linked with hospital database and birth certificate data for comorbidities. RESULTS:

Improving maternal mortality at a university teaching hospital in Nnewi, Nigeria.

OBJECTIVE: To evaluate the impact of the introduction of the Service Compact with all Nigerians (SERVICOM) contract on maternal health at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria. METHODS: A retrospective and comparative study of maternal deaths between 2004 and 2010 was carried out. The main outcome measures were yearly maternal mortality ratio (MMR), relative risk (RR) of maternal mortality, and presentation-intervention interval. The yearly MMR and the RR of maternal mortality were compared with the figures from 2004, which represented the pre-SERVICOM era. RESULTS: The…

Эпидемия доброкачественных повреждений глаз у пациентов, поступающих в учительскую больницу.

ЦЕЛЬ: В этом исследовании оценивается относительная частота доброкачественных повреждений глаз, поступающих в педагогическую больницу саудовского населения. ПАТИЕНТЫ И МЕТОДЫ: С января 2003 года по декабрь 2008 года были ретроспективно пересмотрены карты пациентов с доброкачественными повреждениями глаз. Клинические данные включали демографические данные, симптомы и признаки, хирургические выводы, первичную диагностику и признаки биопсии были проанализированы на гистопатических подтвержденных доброкачественных повреждениях глаз. Повреждения глаз были организованы в порядке их частот. Результат

Совпадение в аннотации оригинала
PURPOSE: This study evaluates the relative frequency of benign eyelid lesions presented to a teaching hospital in Saudi population. PATIENTS AND METHODS: Charts of patients with benign eyelid lesions were retrospectively reviewed from January 2003 to December 2008. Clinical details included demographic data, symptoms and signs, surgical findings, primary di…

[Measles in the Nantes Teaching Hospital during the 2008-2009 epidemic].

OBJECTIVE: A recent measles epidemic in France incited us to report and describe measles cases requiring hospitalization, to raise the awareness of health professionals on under-diagnosis and frequent complications of this viral disease. DESIGN: We carried out a retrospective and epidemiologic study of measles cases recorded in the Nantes Teaching Hospital between August 2008 and September 2009. All these cases where confirmed by biological diagnosis and recorded by the Teaching Hospital virological laboratory. RESULTS: Thirteen cases of measles (11 adults and two children) were recorded dur…

[Hyperhomocysteinemia among ischemic stroke victims in the teaching hospital of Lomé].

Hyperhomocysteinemia is an independent vascular risk factor involved in ischaemic stroke. Aim of this study was to evaluate the prevalence of hyperhomocysteinemia and the role of the metabolic determinants in ischaemic stroke. The study concerned 183 patients in the Department of neurology of the teaching hospital of Lome. The diagnosis of stroke was made on clinical and brain CT scan arguments. The dosage of homocysteinemia was carried out by the immunoenzymatic method (Abbott Diagnostic). Among 183 patients, 111 (61%) had a hyperhomocysteinemia. The total average homocysteinemia was of 22.0 …

Ossifying fibroma of the maxillary sinus at the Kara (Togo) Teaching Hospital.

INTRODUCTION: Ossifying fibroma of the jaw is a benign tumorous disease, somewhat rare and aggressive. It frequently targets the mandible, but seldom the maxillary. CASE STUDY: The present study reports the first case of left maxillary sinus fibroma treated at the Kara Teaching Hospital in North Togo. It occurred in a 29-year-old patient who experienced slow-growing tumefaction of the left maxillary sinus, resulting in deformation of the left side of the face in the maxillary region and ipsilateral nasal obstruction. Orthopantomography showed a displacement of teeth 21, 22, and 23 with an abn…

Pattern of perioperative cardiac arrests at University of Maiduguri Teaching Hospital.

BACKGROUND: Perioperative cardiac arrests and death on the table represent the most serious complications of surgery and anaesthesia. This paper was designed to study their pattern, causes and outcomes following cardiopulmonary resuscitation (CPR) and intensive care unit (ICU) management in our institution. METHODOLOGY: Three year retrospective review of perioperative cardiac arrests and death on operating table following surgical procedure under anaesthesia. For each cardiac arrest or death on the table the sequence of events leading to the arrest was evaluated using case notes, anaesthetic

[The profile urological emergencies at the Conakry University Teaching Hospital, Guinea].

OBJECTIVE: To stick out the profile urological emergencies at the Conakry University Teaching Hospital, Guinea. PATIENTS AND METHODS: This retrospective study, carried out over a period of 3 years (January 2005-December 2007), included 757 urological emergencies admitted to the urology department of the university hospital of Conakry, Guinea. RESULTS: The mean age of patients was 56 years. These patients had an age equal to or higher than 60 years in 58% of the cases. The sex ratio (M/F) was 16.6. According to the social profession, the farmer (40,6%) and workers (21%) were the dominant pati…

Clinical presentation of congenital malaria at the Lagos University Teaching Hospital.

BACKGROUND: Congenital malaria has been increasingly documented in endemic regions. It is important to recognize those clinical features that are due to congenital malaria, which if undetected, might worsen the morbidity of the newborn. The aim of this study was to document the clinical presentation of neonates with congenital malaria born at the Lagos University Teaching Hospital and followed up for 28 days. METHODS: A total of 100 consecutive mothers and their newborns were recruited between August and October 2002 (during the rainy season) from the labour ward and followed up from birth to…

HPB surgery can be safely performed in a community teaching hospital.

INTRODUCTION: There is ongoing debate about feasibility of performing hepatobiliopancreatic (HPB) cases in low-volume, community hospitals. We decided to analyze outcomes of HPB surgical cases done in our community hospital and compare it with published data from academic centers and/or national data. MATERIALS AND METHODS: We reviewed all HPB cases (liver, pancreas, and bile duct cases) performed in an 8-year-period (2001-2009) by HPB-fellowship-trained general surgeon (P.F.S.) at the Danbury Hospital, CT, USA. All electronic files of the patients, who underwent HPB surgery, were reviewed, a

Survey of aspergillosis in non-neutropenic patients in Swiss teaching hospitals.

Invasive aspergillosis (IA) is a live-threatening opportunistic infection that is best described in haematological patients with prolonged neutropenia or graft-versus-host disease. Data on IA in non-neutropenic patients are limited. The aim of this study was to establish the incidence, disease manifestations and outcome of IA in non-neutropenic patients diagnosed in five Swiss university hospitals during a 2-year period. Case identification was based on a comprehensive screening of hospital records. All cases of proven and probable IA were retrospectively analysed. Sixty-seven patients were an

Use of a rigid endoscope to teach urethral catheterization of the female dog.

Urethral catheterization of the female dog is known to be a challenging procedure. The authors describe a catheterization technique in which they use a rigid endoscope to visualize the canine urogenital vestibule during the procedure. The technique is particularly helpful as a training tool for students who are not yet experienced with the canine anatomy. The endoscope is attached to a video camera and monitor, allowing others to observe and learn the procedure.

Social induction of labour: experience in an urban teaching hospital in Nigeria.

PURPOSE: To document the experience with social induction of labour (IOL) and compare its outcome with electively induced labour for prolonged pregnancy. METHODS: A prospective matched case-control study. RESULT: Social IOL was significantly common in women of high social class (78.3 vs. 45.6%, P = 0.03) and the commonest indication was because the parturient was 'tired of pregnancy' (60.9%). There was no significant difference between both groups in the mean induction to delivery interval, caesarean section and instrumental delivery rates, 5-minute Apgar score <7 and early neonatal death.

Teaching students with reading difficulties to be close readers: a feasibility study.

PURPOSE: This article describes a program that was designed to help upper elementary students read and understand words as they read texts independently. As a first step in helping middle-to-upper elementary children with mild-to-moderate language and/or reading difficulties engage in textual analysis during reading, the Close Reading program combines instruction in morphological-analysis and context-analysis strategies with guided experiences applying these strategies during reading. METHOD: To carry out an initial feasibility study of the program, we conducted 3 case studies using standardi

A review of the epidemiology of cancers at the University Teaching Hospital, Lusaka, Zambia.

This is a retrospective study based on pathology reports of specimens reviewed at the University Teaching Hospital (UTH) pathology laboratory in Lusaka, Zambia, from January 1997 to December 2005. UTH is the main reference hospital in Zambia and has a catchment area covering 1.3 million people. The most common cancer among men was Kaposi's sarcoma followed by cancer of the eye, soft tissue sarcomas and cancer of the prostate. The most common cancer among women was cancer of the cervix, followed by cancer of the eye, cancer of the breast and Kaposi's sarcoma. Non-Hodgkin's lymphoma is the fifth…

Teaching phonological skills to a deaf first grader: a promising strategy.

The researchers analyzed the effectiveness of teaching phonological skills to a deaf child using the Direct Instruction curriculum titled Teach Your Child to Read in 100 Easy Lessons (Engelmann, Haddox, & Bruner, 1983). There are few studies that support the use of phonological interventions with students who are deaf or hard of hearing. The present study extends this research base. The study participant was a 7-year-old male first grader with moderate-to-severe mixed bilateral progressive hearing loss. A case study design was implemented for a period of 8 weeks. Detailed journal entries and t…

Bacterial contamination of donor blood at the Tamale Teaching Hospital, Ghana.

BACKGROUND: Transfusion of bacterially contaminated blood can result in sepsis and will constitute a substantial health burden to the patient. OBJECTIVE: To assess the level of transfusion related sepsis and the bacterial types responsible for the contamination at the Tamale Teaching Hospital in Ghana. METHOD: We sampled 80 refrigerated donor blood at the blood bank and cultured them for bacteria. The antimicrobial sensitivities of the isolates were also determined. RESULTS: 14 blood bags representing 17.5% grew isolates of various bacteria. Ten (10) of the 14 isolates were Gram positive co…

Antimicrobial resistance among nosocomial isolates in a teaching hospital in goa.

BACKGROUND: Emergence of polyantimicrobial resistant strains of hospital pathogens has presented a challenge in the provision of good quality in-patient care. Inappropriate use of antibiotics in the hospital is largely responsible for this catastrophe. Bacteriological surveillance of the cases of nosocomial infections is crucial for framing an evidence-based antimicrobial policy for a hospital. MATERIALS AND METHODS: A prospective study was undertaken among 498 patients from medicine and surgery wards in a tertiary teaching hospital in Goa. The patients were followed up clinico-bacteriologica…

High voltage electrical injuries in the University of Calabar Teaching Hospital.

BACKGROUND: Burn injuries are a common presentation in Nigerian hospitals and result from a variety of causes. Recently, many have resulted from Petroleum related fire incidents. High voltage electrical injuries are relatively rare; lightning strikes even rarer. In traditional societies where Traditional medicine practitioners are usually the first to be contacted and where late presentation to hospitals is the rule, complications such as the wet gangrene necessitating amputation are common. Even when patients present relatively early and are resuscitated and treated, complete prosthetic rehab