The continuing challenge of ESBLs

Thymomas: a continuing challenge.

Thymic epithelial tumors usually are broadly classified into two main categories: thymoma and thymic carcinoma. In adults, thymomas are the most common primary tumor in the anterior mediastinum.[2] A large variety of paraneoplastic or parathymic syndromes may suggest the presence of a thymoma.[3] Myasthenia gravis coexists in approximately 30% to 40% of patients with thymoma.[4] It is still unc...

Appendicitis: a continuing challenge.

Acute appendicitis is a common surgical emergency in urban setting, of a developing country. The computerised hospital patient database at Aga Khan University Hospital, Karachi, was utilised to obtain records of all adults with a histologically proven diagnosis of acute appendicitis. A review of patients treated over a 18 month period was undertaken. One hundred and three appendicectomies were ...

The continuing challenge of ocular leprosy.

The continuing challenge of surgical access.

I n this issue of CJS, Wright and colleagues 1 describe a refreshing strategy to develop standardized, comprehensive access targets for timely surgical care. This provides a timely opportunity to reflect on access to surgical care in Canada. Over a decade has elapsed since priorities for waiting lists were defined by the steering committee of the Western Canada Waiting List Project. Subsequent ...

The continuing challenge of air pollution.

O nce a severe but local problem of highly industrialised and densely populated cities, air pollution has now morphed into a more insidious threat to the public health of entire nations. Smoke from domestic coal fires, power plants and heavy industry has largely vanished from our skies. This has been achieved through the use of clean fuels, filtration of flue gases, improvements in process tech...