leukocyte adhesion deficiency type 1 (lad 1) is an autosomal recessive hereditary disorder resulting from deficiency of cd18, characterized by recurrent bacterial infections. we report two consanguineous patients with leukocyte adhesion deficiency type 1( lad1). these two infant boy patients were referred to us, within a short period of time, with the complaints of recurrent infections at the a...

INTRODUCTION There is growing evidence that in rural areas cancer mortality is higher and referral occurs later, indicating different patterns of care. In Scotland services to rural areas have been organized through 'managed clinical networks'. In some cases, these organizational networks have been structured so that the referral hospital is not the one nearest to the patient's home. This study...

THIS pilot study was carried out in Belfast during the period of civil unrest. A general medical ward with a once-weekly take-in of emergency admissions over a 24 hour period was the place of study. In order that beds become available for new admissions each week the turnover of patients must of necessity be rapid. It appeared to us that some beds became 'blocked' by patients who could not be d...

BACKGROUND Surprisingly little is known about the most efficient organization of admissions to an emergency hospital. It is important to know, who should be in front when the GP requests an acute admission. The aim of the study was to analyse how experienced ED nurses perform when assessing requests for admissions, compared with hospital physicians. METHODS Before- and after ED nurse assessme...

Clinical features Patient Gopi Chand, aged 5, Hindu male child (Burma evacuee), was admitted into the Mayo Hospital on 2nd July, 1942, on the 11th day of his illness with continued fever. On his way to India he had fever for a few days, of unknown nature. The fever subsided and the temperature remained normal for about six days but again started to rise and the patient was admitted into a hospi...

An eight fold rise in asthma admissions to the Royal Alexandra Hospital for Sick Children, Brighton occurred over the 15 year period 1971-85. The cause was an increase in the number of children seen, rather than increased readmission. The initial rise was associated with the introduction of nebulised salbutamol in 1976. The children concerned were mainly over 5 years old. Three years later came...

INTRODUCTION As patients move within Australia's increasingly complex healthcare system, it is desirable that they receive uninterrupted, timely and accurate administration of medication. For this to occur, effective communication of medication information is required, and mechanisms must be in place to ensure timely administration. This study focused on these issues as they apply to patients b...

a 33 yr old man, previously diagnosed with hypothyroidism, presented with decreased level of consciousness and generalized tonic-clonic (gtc) seizure to namazi hospital, shiraz, iran, during april 2015. the patient later referred with another episode of seizure like attack for which he received phenytoin, carbamazepine and levothyroxine and was discharged. during his last admission, the patient...