Although it is widely accepted that grade IIIB open tibial fractures require combined specialised orthopaedic and plastic surgery, the majority of patients in the UK initially present to local hospitals without access to specialised trauma facilities. The aim of this study was to compare the outcome of patients presenting directly to a specialist centre (primary group) with that of patients ini...

BACKGROUND Socioeconomic status is associated with cardiovascular mortality. AIM To evaluate the effect of educational level, on the prognosis of patients with acute myocardial infarction in Chile. MATERIAL AND METHODS Cohort study of 3,636 patients aged 63.1 ± 13.2 years, 27% women, hospitalized in 16 centers participating in the Chilean Myocardial Infarction Registry (GEMI) between 2009 a...

BACKGROUND Makerere University College of Health Sciences (MakCHS) in Uganda is undergoing a major reform to become a more influential force in society. It is important that its medicine and nursing graduates are equipped to best address the priority health needs of the Ugandan population, as outlined in the government's Health Sector Strategic Plan (HSSP). The assessment identifies critical ga...

Dear Sir,?The editorial in the spring issue of this Journal stressed the need for provision of more lr*stitutions for defectives. Without in the least minimizing this need, I want to point out that the strain on institutions could be greatly relieved if more and better day centres could be provided for children classed as " ineducable A number of occupation centres have been set UP during the l...

In India, the pharmacovigilance program is still in its infancy. National Pharmacovigilance Program of India was started for facilitating the pharmacovigilance activities. The ADR reporting rate is still below satisfactory in India. This cross-sectional questionnaire based study was carried out in a tertiary care teaching hospital in Uttarakhand, which is a peripheral ADR monitoring centre to a...

The proposed Graduate Medical School at the Outram Campus will open in 2007. The main value of this medical school is the transformation of the medical institutions in the campus and SingHealth into Academic Medical Centres. Such centres will train and host quality physicians and physician-scientists. It will help push the development of translational research, complementing the country's inves...

Educational Qualifications and Wage Inequality: Evidence for Europe This paper explores the connection between education and wage inequality in nine European countries. We exploit the quantile regression technique to calculate returns to lower secondary, upper secondary and tertiary education at different points of the wage distribution. We find that returns to tertiary education are highly inc...

Fast growth of Information and Communication Technology (ICT) has facilitated access to information as well as communication across the world. Although, penetration of ICT is not homogeneous in the developed and developing countries, resulted an increase in the information gap between these regions. There may be several reasons for asymmetrical diffusion but education plays an important role in...

OBJECTIVE To determine the frequency of mutations in the regulatory domain of the gap junction protein connexin 43 in patients with visceroatrial heterotaxy. DESIGN Mutation screening of the terminal 200 base pairs of connexin43 gene coding sequence in a series of patients from tertiary care centres. PATIENTS 48 patients with visceroatrial heterotaxy attending UK Regional Paediatric Cardiol...