Dereham Hospital

The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a worldwide group of experts in an international consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.

BACKGROUND AND PURPOSE: Hip resurfacing (HRS) procedures have gained increasing popularity for younger, higher-demand patients with degenerative hip pathologies. However, with concerns regarding revision rates and possible adverse metal hypersensitivity reactions with metal-on-metal articulations, some authors have questioned the hypothesized superiority of hip resurfacing over total hip arthroplasty (THA). In this meta-analysis, we compared the clinical and radiological outcomes and complication rates of these 2 procedures. METHODS: A systematic review was undertaken of all published (Medline, CINAHL, AMED, EMBASE) and unpublished or gray literature research databases up to January 2010. Clinical and radiological outcomes as well as complications of HRS were compared to those of THA using risk ratio, mean difference, and standardized mean difference statistics. Studies were critically appraised using the CASP appraisal tool. RESULTS: 46 studies were identified from 1,124 citations. These included 3,799 HRSs and 3,282 THAs. On meta-analysis, functional outcomes for subjects following HRS were better than or the same as for subjects with a THA, but there were statistically significantly greater incidences of heterotopic ossification, aseptic loosening, and revision surgery with HRS compared to THA. The evidence base showed a number of methodological inadequacies such as the limited use of power calculations and poor or absent blinding of both patients and assessors, possibly giving rise to assessor bias. INTERPRETATION: On the basis of the current evidence base, HRS may have better functional outcomes than THA, but the increased risks of heterotopic ossification, aseptic loosening, and revision surgery following HRS indicate that THA is superior in terms of implant survival.

It was hard enough when the little hand was all there was to it; digital timepieces add a new dimension to teaching time to infants.

A study was undertaken to establish whether elderly patients with a hip fracture improved their functional ability through rehabilitation. All patients improved their functional ability regardless of age and cognitive ability, although increased age and decreased cognitive ability were found to relate to lower functional ability.

Journal Article Local words Get access G. A. C. G. A. C. 1Milfield, E. Dereham Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s4-I, Issue 6, 8 February 1868, Pages 124–125, https://doi.org/10.1093/nq/s4-I.6.124h Published: 08 February 1868

Journal Article Stratford family Get access J. H. Clark, M.A. J. H. Clark, M.A. 1West Dereham Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s6-VII, Issue 183, 30 June 1883, Page 516, https://doi.org/10.1093/nq/s6-VII.183.516b Published: 30 June 1883

Walk-money and walk-mills Get access Goddard Johnson Goddard Johnson 1East Dereham Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s2-VI, Issue 145, 9 October 1858, Page 285, https://doi.org/10.1093/nq/s2-VI.145.285c Published: 09 October 1858

Sir gilbert gerrard Get access J. H. Clark J. H. Clark 1West Dereham Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s6-VI, Issue 142, 16 September 1882, Page 234, https://doi.org/10.1093/nq/s6-VI.142.234d Published: 16 September 1882

Journal Article Revett of brandiston Get access G. A. C. G. A. C. 1East Dereham Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s6-IV, Issue 90, 17 September 1881, Page 236, https://doi.org/10.1093/nq/s6-IV.90.236g Published: 17 September 1881

Two of my GP colleagues and I have children at the only state boarding school in the country, which happens to be ten miles from where we live (news December 3). My two sons chose to be boarders rather than day pupils because they believe the school offers an all-round education that no local school can match. One son loves the education so much that he only returns home on holidays.