Is this really a step forward?

Is this really pneumothorax?

A 75-year-old female non-smoker was admitted for investigation of suspected interstitial lung disease. A left lower lobe transbronchial lung biopsy was performed, complicated by suspected bilateral pneumothoraces, pneumomediastinum and surgical emphysema (fig 1). Bilateral intercostal catheters (ICCs) were inserted. In view of the ongoing air leak and worsening surgical emphysema, a CT chest wa...

Is this journal really needed?

D uring the second world war, propaganda posters carried a message that asked, ''Is this trip really necessary?'' Their purpose was to persuade people to conserve gasoline. Prompted by the decision to limit free online access to subscribers, some board members and I examined the role this journal plays in fostering injury prevention internationally. We asked, in effect, if this journal was real...

Is this admission really relevant?

Introduction Acutely admitted medical patients often present with a complex medical history. Patients admitted through an acute medical admission unit (AMAU) has had symptoms for an unknown period of time before contacting a general practitioner or the emergency room. The history will vary from acute onset to more chronic illness with acute worsening or lack of response to a given treatment. In...

One step forward

W Orld B Ank : a Step Forward and a Step Backward Do We Need This Inst

The paper charts out the evolution of the World Bank and provides insight of its changing roles and functions, and the consequence of its actions ranging from inequitable development to environmental destruction. It examines why the World Bank has been able to create so much stir in the last 50 years of its existence that led to pressures for “change” from both within and outside the World Bank...