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Full-Text Articles in Medicine and Health Sciences

Nothing To Sneeze At! A Study Into Intra-Operative Contamination, David Graham, Benjamin Parkinson, Meghan Evans, Gerben Keijzers, Petra Derrington Nov 2009

Nothing To Sneeze At! A Study Into Intra-Operative Contamination, David Graham, Benjamin Parkinson, Meghan Evans, Gerben Keijzers, Petra Derrington

Gerben Keijzers

Purpose: We performed a prospective study of sneezes from orthopaedic registrars to assess the potential for intra-operative contamination from a masked surgeon, and to determine if head position can alter the potential for contamination. Type of Study: Prospective controlled trial. Methods: Four orthopaedic registrars from the Gold Coast Hospital each inhaled pepper to precipitate a sneeze. Cultures were taken with and without standard Smith & Nephew™ surgical masks, in positions directly in front and to the sides of a masked registrar. The process was repeated three times for each registrar. A control plate was left exposed to the atmosphere. A …


Organ Donation: An Integrated Approach To Saving Lives, Christopher Michetti Nov 2009

Organ Donation: An Integrated Approach To Saving Lives, Christopher Michetti

Christopher P. Michetti, M.D., F.A.C.S.

No abstract provided.


Letter To The Editors: Early Enteral Nutrition Within 24 H Of Intestinal Surgery Versus Later Commencement Of Feeding: A Systematic Review And Meta-Analysis, Emma Osland, Rossita Yunus, Shahjahan Khan, Muhammed Memon Oct 2009

Letter To The Editors: Early Enteral Nutrition Within 24 H Of Intestinal Surgery Versus Later Commencement Of Feeding: A Systematic Review And Meta-Analysis, Emma Osland, Rossita Yunus, Shahjahan Khan, Muhammed Memon

Muhammed Ashraf Memon

Extract:

Dear Dr Lewis, Andersen, and Thomas:
It was with great interest that we read your most recent systematic review and meta-analysis addressing the important issue of early versus later commencement of enteral feeding in gastrointestinal surgery patients.¹ While your 2006 Cochrane review² has clear merit in that it expands on the number of studies and thus the power of your earlier analysis,³ we feel that the present study is essentially a duplication of your Cochrane effort, although with slightly different conclusions.

¹ ² ³ See notes in article.


Splenic Rupture After Colonoscopy: A Case Report, Anthony Kiosoglous, Raphael Varghese, Muhammed Memon Oct 2009

Splenic Rupture After Colonoscopy: A Case Report, Anthony Kiosoglous, Raphael Varghese, Muhammed Memon

Muhammed Ashraf Memon

Iatrogenic splenic tear after a colonoscopy is a rare complication. Conditions predisposing to splenocolic adhesions such as previous abdominal surgery, pancreatitis, or inflammatory bowel disease may increase the risk of this injury after colonoscopy. We present a case of a 47-year-old woman with an iatrogenic splenic tear after a routine colonoscopy, who had several of these predisposing factors and required an urgent splenectomy.


Outcome Of Palliative Esophageal Stenting For Malignant Dysphagia: A Retrospective Analysis, M. Burstow, T. Kelly, S. Panchani, M. Khan, D. Meek, Breda Memon, Muhammed Memon Aug 2009

Outcome Of Palliative Esophageal Stenting For Malignant Dysphagia: A Retrospective Analysis, M. Burstow, T. Kelly, S. Panchani, M. Khan, D. Meek, Breda Memon, Muhammed Memon

Muhammed Ashraf Memon

Greater than 50% of patients with esophageal carcinoma are found to be incurable at the time of diagnosis, leaving only palliative options. Self-expanding metal stents (SEMs) are effective for relieving symptoms and complications associated with esophageal carcinoma and improving quality of life. We undertook a retrospective analysis to evaluate the experience of palliative esophageal stenting for symptomatic malignant dysphagia in our institution over a period of 7 years. Between January 1999 and January 2006, 126 patients who received SEMs for malignant dysphagia were identified using an upper gastrointestinal specialist nurse clinician database. Data were obtained from patient case notes, endoscopy, …


Meta-Analysis Of Randomized Clinical Trials Comparing Open And Laparoscopic Anti-Reflux Surgery, Matthew Peters, Athar Mukhtar, Rossita Yunus, Shahjahan Khan, Juanita Pappalardo, Breda Memon, Muhammed Memon May 2009

Meta-Analysis Of Randomized Clinical Trials Comparing Open And Laparoscopic Anti-Reflux Surgery, Matthew Peters, Athar Mukhtar, Rossita Yunus, Shahjahan Khan, Juanita Pappalardo, Breda Memon, Muhammed Memon

Muhammed Ashraf Memon

OBJECTIVES: The aim of this study was to conduct a meta-analysis of randomized evidence to determine the relative merits of laparoscopic anti-reflux surgery (LARS) and open anti-reflux surgery (OARS) for proven gastro-esophageal reflux disease (GERD).

METHODS: A search of the Medline, Embase, Science Citation Index, Current Contents, and PubMed databases identified all randomized clinical trials that compared LARS and OARS and that were published in the English language between 1990 and 2007. A meta-analysis was carried out in accordance with the QUOROM (Quality of Reporting of Meta-Analyses) statement. The six outcome variables analyzed were operating time, hospital stay, return to …


Impairment Of Rectal Afferent Mechanosensitivity In Experimental Diabetes In The Rat, M. Beyak, D. Bulmer, D. Sellers, D. Grundy May 2009

Impairment Of Rectal Afferent Mechanosensitivity In Experimental Diabetes In The Rat, M. Beyak, D. Bulmer, D. Sellers, D. Grundy

Donna Sellers

Diabetes mellitus results in neuropathy of both somatic and visceral nerves. In diabetic patients with faecal incontinence, impaired rectal sensory function, manifested by a decreased sensitivity to balloon distention is common. This may contribute to unawareness of rectal filling and incontinence. There has been little study to date of visceral mechanosensation in experimental diabetes however. We hypothesized that experimental diabetes would impair mechanosensitivity in rectal afferent nerves. Diabetes was induced in rats by i.p. injection of streptozotocin. Controls were injected with citrate. In vitro recordings were performed from rectal afferent nerves innervating isolated segments of rectum. In control animals, three …


Shotgun Blast Abdominal Wall "Amputation" Complicated By Multiple Entero-Atmospheric Fistulae, Christopher Michetti, H Reines May 2009

Shotgun Blast Abdominal Wall "Amputation" Complicated By Multiple Entero-Atmospheric Fistulae, Christopher Michetti, H Reines

Christopher P. Michetti, M.D., F.A.C.S.

No abstract provided.


"Organ Donation After Cardiac Death", And "Physician Breakout Session On Organ Donation", Christopher Michetti May 2009

"Organ Donation After Cardiac Death", And "Physician Breakout Session On Organ Donation", Christopher Michetti

Christopher P. Michetti, M.D., F.A.C.S.

No abstract provided.


Physical Exam Is A Poor Screening Test For Abdominal-Pelvic Injury In Adult Blunt Trauma Patients, Chritopher Michetti, J Sakran, J Grabowski, E Thompson, K Bennett, S Fakhry Feb 2009

Physical Exam Is A Poor Screening Test For Abdominal-Pelvic Injury In Adult Blunt Trauma Patients, Chritopher Michetti, J Sakran, J Grabowski, E Thompson, K Bennett, S Fakhry

Christopher P. Michetti, M.D., F.A.C.S.

No abstract provided.


How Would Australian Hospital Staff React To An Avian Influenza Admission, Or An Influenza Pandemic, Franco Martinese, Gerben Keijzers, Steven Grant, James Lind Jan 2009

How Would Australian Hospital Staff React To An Avian Influenza Admission, Or An Influenza Pandemic, Franco Martinese, Gerben Keijzers, Steven Grant, James Lind

Gerben Keijzers

Objective: To estimate the expected staff absentee rates and work attitudes in an Australian tertiary hospital workforce in two hypothetical scenarios: (i) a single admission of avian influenza; and (ii) multiple admissions of human pandemic influenza. Methods: A survey conducted at hospital staff meetings between May and August 2006. Results: Out of 570 questionnaires distributed, 560 were completed. For scenario one, 72 (13%) indicated that they would not attend work, and an additional 136 (25%) would only work provided that immunizations and/or antiviral medications were immediately available, so that up to 208 (38%) would not attend work. For scenario two, …


'Why I Feel Bad': Refinement On The Effects Of Prostate Cancer Upon Lifestyle Questionnaire And An Initial Exploration Of Its Links With Anxiety And Depression Among Prostate Cancer Patients, Christopher Sharpley, Vicki Bitsika, David Christie Dec 2008

'Why I Feel Bad': Refinement On The Effects Of Prostate Cancer Upon Lifestyle Questionnaire And An Initial Exploration Of Its Links With Anxiety And Depression Among Prostate Cancer Patients, Christopher Sharpley, Vicki Bitsika, David Christie

Vicki Bitsika

Objective: To psychometrically refine a standardized scale for identifying those lifestyle changes that were most likely to contribute to anxiety and depression among prostate cancer (PCa) patients.

Methods: Three hundred and eighty-one PCa patients who had received their initial diagnosis between one and 96 months completed a survey of background variables, anxiety and depression inventories and the 36-item Effects of Prostate Cancer upon Lifestyle Questionnaire (EPCLQ).

Results: Levels of anxiety (24%) and depression (26%) were similar to those previously reported for PCa patients. The EPCLQ was shown to have satisfactory psychometric properties and significantly predicted anxiety and depression scores and …