AIM To determine longer term health outcome in a cohort of UK service personnel who received the anthrax vaccination. METHOD We conducted a three year follow up of UK service personnel all of whom were in the Armed Forces at the start of the Iraq War. 3206 had been offered the anthrax vaccination as part of preparations for the 2003 invasion of Iraq. A further 1190 individuals who did not dep...

OBJECTIVE To evaluate the feasibility and acceptance of (a) two programmes of assessment of practice management in a practice visit: mutual practice visits and feedback by peers versus visits and feedback by non-physician observers and (2) the practice visit method used in these programmes (the visit instrument to assess practice management and organisation (VIP)--a validated Dutch tool). DES...

OBJECTIVE To assess an established protocol for managing children with irritable hip in the accident and emergency department. METHODS Retrospective seven year follow up of all children managed under an established hip pain protocol. The main outcome measure was of failure of the protocol to identify serious pathology. RESULTS A total of 103 children met the criteria for assessment using th...

We contacted gay bar/club managers in 16 metropolitan statistical areas (MSAs) in the US from 2008 to 2010 and invited them to participate in survey of gay bar/club identification and patronage. The annual response rates were 58%, 74%, and 71%, respectively. We convened two, 1-hr meetings with research staff to discuss lessons learned from recruitment efforts. Data were analyzed using qualitati...

INTRODUCTION Historically, emergency department (ED) patients with pulmonary embolism (PE) have been admitted for several days of inpatient care. Growing evidence suggests that selected ED patients with PE can be safely discharged home after a short length of stay. However, the optimal timing of follow up is unknown. We hypothesized that higher-risk patients with short length of stay (<24 hours...

Follow up after colorectal resection is a surgical tradition, which has become a routine part of clinical practice consuming considerable amounts of scarce resources and for which there is precious little evidence of benefit to the patient. Colorectal cancer is a common condition and is the third most common cancer in the UK. The main treatment for this disease is surgical excision. Each consul...

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first five years should include an annual physical exam, whereas data for years six through fifteen could be collected by a clinical questionnaire. Dr. Simek explained that the current workshop was designed to help participants gain an accurate understanding of the current FDA recommendations on LTFU and, through group discussions, to enable the FDA to receive feedback on ways to improve the cu...

OBJECTIVES To determine the morbidity pattern of asthma in children attending the paediatric asthma follow-up clinic. MATERIALS AND METHODS Longitudinal prospective follow up of hundred and four patients, diagnosed as asthma, over a period of 2 years was done. Regular follow up by the same person during each visit and proper supervision of standard treatment along with parental education rega...

background: prognosis of small intestine artesia, the most common agents causing intestinal obstruction in neonates, has improved in last decades. some variable such as weight change, type of feeding, post operation oral feeding starting time, and adequacy of energy and protein intake can change patients clinical outcomes. we performed a retrospective study to evaluate all neonates with small i...