In studies comparing clinical practice to evidence-based standards, researchers have found that quality of care is inconsistently provided to different segments of the population in both developing and developed countries. To test the hypothesis that quality of care varies widely within different countries, we conducted a prospectively designed evaluation of quality for three common clinical co...

Pediatric critical care and pediatric emergency medicine are disciplines that share responsibility for providing care for acutely injured or critically ill children. In many parts of the developed world, these disciplines are recognized subspecialties of pediatrics with excellent training programs, a welldefined body of knowledge, sufficient practitioners at the senior level and a track record ...

ing in Nebraska. Cornhusker Family Physician 2007; 53:54–5. 10. Miller LG, Diep BA. Clinical practice: colonization, fomites, and virulence: rethinking the pathogenesis of community-associated methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis 2008; 46:752–60. 11. Padoveze MC, de Jesus Pedro R, Blum-Menezes D, Bratfich OJ, Moretti ML. Staphylococcus aureus nasal colonization...

Context A recent increase in the number of publications on the high prevalence of burnout and moral distress in health professionals in general, and in critical care staff in particular, has led to a call for more research into the mechanisms by which burnout arises and into interventions to increase resilience in the workplace. In this study, the associations between exposure to pain, empathy ...

PURPOSE To evaluate physicians' prescribing of anti-hypertensive drug combinations in a tertiary care setting in southwestern Nigeria, determine the degree of usage of Angiotensin Converting Enzyme (ACE) inhibitor-based combinations and identify specific points of intervention to improve outcomes of anti-hypertensive combination therapy. METHODS A cross-sectional retrospective drug use review...

PurposeProstacyclins are used to treat advanced pulmonary arterial hypertension as continuous intravenous or subcutaneous infusions. In the right clinical setting, parenteral Prostacyclins can be transitioned newer oral Prostacyclins. There is a dearth of published guidance for this transition and limited inpatient setting. We present our experience with transitioning patients WHO group 1 from ...

Neonatal thromboembolic events, both arterial and venous, are rare but increasingly recognised problems in tertiary care neonatology. The pathophysiology of these events in the context of the neonatal haemostatic system and the importance of both inherited and acquired prothrombotic disorders remain poorly defined. Similarly, optimal diagnostic and therapeutic approaches in this setting are not...

This study included all patients, with known HIV-1 status, admitted to hospital over a 5-year period with serum ferritin values exceeding 1500 μg/l. Markedly elevated serum ferritin levels are associated with a host of causes which poses a diagnostic dilemma, as the aetiology is often highly dependent on local epidemiology. We evaluated patients' records retrospectively to determine underlying ...