Background: Anaesthetic technique can influence mortality and morbidity following hip fracture surgery. However, its influence on postoperative mobilisation is not clear. In this study, we evaluated the influence of anaesthetic technique on postoperative mobilisation. Methods: In this prospective observational study, we included all consecutive patients who underwent surgery for hip fracture be...

The case that engaging communities at a high risk of HIV to act in reducing their own vulnerability is essential to prevention programmes has gained widespread acceptance as a public health principle. Producing unequivocal evidence of its effectiveness in reducing HIV transmission is problematic however and the means and mechanisms through which such effects may operate remain a matter of debat...

Ann R Coll Surg Engl 2012; 94: 359–372 Many lower extremity, pelvic and acetabular fractures require traction as first aid management prior to definitive fixation. While skin traction and Thomas splints are generally available, weights to provide countertraction are often missing or in parts of the hospital remote to the emergency department. A sharps bin (Sharpsguard® orange 11.5; Daniels, Oxf...

Venous thromboembolism (VTE) occurs more frequently in older people. For those nursing older people in a variety of settings, knowledge of VTE prevention, diagnosis and treatment is essential. This article discusses simple, practical measures that can be used to reduce the risk of VTE, including good hydration and promotion of mobilisation. It also discusses how a VTE forms, the signs and sympt...

BACKGROUND Despite efforts to reduce under-5 mortality rates worldwide, an estimated 6.6 million under-5 children die every year. Community mobilisation through participatory women's groups has been shown to improve maternal and newborn health in rural settings, but little is known about the potential of this approach to improve care and health in children after the newborn period. METHODS Fo...