OBJECTIVE To determine outcomes of patients undergoing a bidirectional cavo-pulmonary shunt (BCPS) in the Fontan era. METHODS From 1990 to 2000, 212 patients underwent a BCPS in a single institution at a mean age of 2.6+/-5 years. RESULTS Hospital mortality was 6% (13 patients). Five patients were lost to follow-up (3%). After a mean of 9+/-4 years, 15 patients had not yet been referred for...

EDSs are an important part of patient care and medical communication. The GWH has a financially motivated target stating that 95% of EDS are to be completed within 24 hours of patient discharge. On review of a six-week pre-intervention period, the medical ward mean weekly EDS completion rate within 24 hours was 74.3%. EDSs form a significant part of junior doctor workload. We found that on a me...

background: antibody production in patients with end-stage kidney disease impairs due to several mechanisms. there are different ways to improve response rate to hepatitis b (hb) vaccine. in this study we evaluated the effect of tetanus-diphtheria toxoid (td) vaccine on hbs antibody (ab) level while being given simultaneously with hb vaccine.  methods: we recruited 43 hemodialysis and 20 perito...