27 February 2011

UK NHS


39 KILLED BY NHS FOUL-UPS

DAILY STAR SUNDAY
ABOVE: NHS dossier has revealed 39 patients died due to faulty or missing medical equipment
27th February 2011

By Matthew Davis

A horrifying NHS dossier has revealed 39 patients died due to faulty or missing medical equipment.

Lifesaving apparatus was also unavailable, had been mislaid or could not be obtained due to red tape.

Blunders included heart attack patients dying because defibrillators used by paramedics had key bits missing or were broken.

One person died after staff failed to locate a piece of equipment that would have helped speed up a blood transfusion.

Another patient passed away while NHS managers spent seven weeks in a funding row over whether the person 
should be allowed heart surgery.

The 39 incidents relating to equipment in the last financial year were classified in the “death” category by NHS staff and reported to the National Patient Safety Agency.

This means the fault either caused the patient’s death or could have had fatal consequences. A Daily Star Sunday Freedom of Information request also revealed:

Hospital medics failed to save a heart attack victim as they only had two faulty suction devices to clear the victim’s airways and no oxygen for ten minutes.

The family of a critically ill woman who was being nursed at home asked for an emergency delivery of oxygen, only to be told it would take 48 hours. She died before it arrived.

A cancer patient who had a feeding tube inserted directly into their stomach died after a leak caused a fatal infection. It later emerged other hospitals had stopped using the “unsafe” procedure.

A patient who could not swallow died of complic-ations associated with medics putting a feeding tube down his 
throat.

Joyce Robins, of Patient Concern, said: “We need to know which hospitals neglect their equipment or don’t know where it is.”

But a Department of Health spokesman said: “Patient safety is our top priority and hospitals have a responsibility to ensure equipment is safe and fit for purpose.”

15 February 2011

IASLC: Non-Small LUNG CANCER

NEW DEVELOPMENTS IN NON-SMALL LUNG CANCER - A new web-based CME program
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IASLC introduces new educational offerings on its website to its membership and healthcare professionals who manage patients with lung cancer.  The first program, "New Developments in Non-Small Cell Lung Cancer" features three presentations.  In a two-part presentation, Professor Peter Goldstraw, MD reviews the fundaments of the new lung cancer staging system, and examines the role of TNM in the staging of patients with small cell lung cancer.  The new, updated IASLC nodal staging map is also reviewed.  In another presentation, Dr. Paul Bunn, Jr. addresses the incorporation of molecular testing into the standard diagnostic workup of patients with NSCLC, and the selection of appropriate treatment for patients.  The program concludes with case presentations by Drs. Paul Bunn Jr., and Harvey I. Pass illustrating the use of the new staging system and molecular testing.

sword
Goldstraw
Peter Goldstraw, MD
  
The New Lung Cancer Staging System: Part 1
The Fundaments of the 7th Edition of the TNM Classification of Malignant Tumors

The New Lung Cancer Staging System: Part 2
Supplementary Clarification for the 7th Edition of the TNM Classification of Malignant Tumors

sword
Bunn
Paul A. Bunn, Jr., MD
  
Genetic Testing for Optimal Therapy of
Non-Small-Cell Lung Cancer

sword
Bunn
Pass
Case Study Presentations:
Staging of Non-Small-Cell Lung Cancer Using the New System

Genetic Testing for Optimal Therapy of Non-Small-Cell Lung Cancer
Paul A Bunn, Jr., MD
Harvey I. Pass, MD




Beginning in March 2011, IASLC plans to offer  a series of live webinars throughout the year to provide clinicians with the opportunity to interact with IASLC faculty members on clinical practice issues including the new Lung Cancer Staging System and the use of genetic testing.

Become a Member
  
  
  
  
  
14th Annual Conference on
 Lung Cancer 
 
Amsterdam, 
The Netherlands  
July 3-7, 2011
  
  
  
  
  
Physicians: Jointly sponsored by the International Association for the Study of Lung Cancer and
the University of Colorado School of Medicine, Office of Continuing Medical Education.

Supported in part by an educational grant from OSI Pharmaceuticals, Inc.
For more information visit www.iaslc.org

Copyright 2010 International Association for the Study of Lung Cancer.
All rights reserved. Address: 12801 East 17th Avenue, Mail Stop 8117, Aurora, Colorado 80045

14 February 2011

UK INDEPENDENT: PORTSMOUTH COMMUNITY HOSP DISASTER

£6.4m for kidney op blunder man

PA
Monday, 14 February 2011
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A man who nearly died during an operation to donate a kidney to his father has won £6.74 million High Court damages.
The 39-year-old - who can only be identified as XYZ - had paid "a very great price" for his generous act, Elizabeth-Anne Gumbel QC told Mr Justice Spencer in London.
While donating his right kidney in February 2008, he suffered irreversible left kidney failure which meant that he, in turn, needed a transplant from his sister.
XYZ's own life had been shortened by about 10 years and he had to suffer the trauma of dialysis, considerable health problems and the prospect of future deterioration with the inevitability of another transplant.
Liability was admitted by Portsmouth Hospitals NHS Trust on the basis that the surgeon, who is the subject of proceedings before the General Medical Council, was not only negligent but to a degree reckless.
But the Trust disputed the "potentially enormous" compensation involved - XYZ had claimed £14 million - particularly relating to loss of future earnings and medical expenses.
The judge said the consequences for XYZ, a dynamic and extremely hard-working professional and father-of-two, had been "catastrophic" - physically, psychologically, emotionally and financially.
Ms Gumbel said XYZ had wanted to give his father a better quality of life in retirement.
"The donation of the kidney was successfully achieved but at a great cost to the claimant who, during the course of the operation, suffered torrential, life-threatening haemorrhaging."
XYZ had been shattered by the experience.
"He faces a life filled with considerable uncertainty. He is understandably obsessed by his health. He remains on edge as to whether the kidney will be rejected."
Nerve damage led to foot surgery which left him unable to run, and he would always need organ rejection suppressant drugs which carried significant risks.
Ruling that XYZ's identity should not be disclosed, the judge said the circumstances were so exceptional that his naming would be likely to have a devastating effect on the family.
The judge said that XYZ's wife was also seriously affected and had received damages from the trust for psychological injury.
"The claimant and his wife have two very young children who have already been seriously affected by the events and their father's disabilities and illness."
The judge said the incident had also put a great strain on the man's relationship with his mother and father and had a catastrophic effect on the personal circumstances of his siste

13 February 2011

COUNTRY RANKINGS in SCIENCE EDUCATION

1) CHINA
2) FINLAND
3) HONG KONG(China)
4) SINGAPORE
5) JAPAN
6) S.KOREA
7) NEW ZEALAND
8) CANADA
9) AUSTRALIA
10)NETHERLANDS

SCIENCE DAILY: INFECTION from AIRBORNE PRIONS.

******
[4] Airborne transmission (mice)
Date: 14 Jan 2011
Source: Science Daily [edited]
<http://www.sciencedaily.com/releases/2011/01/110113213056.htm>


New findings suggest airborne pathogens can induce mad cow disease
------------------------------------------------------------------
Airborne prions are also infectious and can induce mad cow disease or
Creutzfeldt-Jakob disorder, new findings suggest. This is the
surprising conclusion of researchers at the University of Zurich, the
University Hospital Zurich, and the University of Tuebingen. They
recommend precautionary measures for scientific labs, slaughterhouses,
and animal feed plants. The prion is the infectious agent that caused
the epidemic of mad cow disease, also termed bovine spongiform
encephalopathy (BSE), and claimed the life of over 280 000 cows in the
past decades. Transmission of BSE to humans, such as, by ingesting
food derived from BSE-infected cows, causes variant Creutzfeldt-Jakob
disease, which is characterized by a progressive and invariably lethal
break-down of brain cells.

It is known that prions can be transmitted through contaminated
surgical instruments and, more rarely, through blood transfusions. The
consumption of food products made from BSE-infected cows can also
induce the disease that is responsible for the death of almost 300
people. However, prions are not generally considered to be airborne --
in contrast to many viruses including influenza and chicken pox.

Prof Adriano Aguzzi's team of scientists at the universities of
Zurich and Tuebingen and the University Hospital Zurich have now
challenged the notion that airborne prions are innocuous. In a study,
mice were housed in special inhalation chambers and exposed to
aerosols containing prions. Unexpectedly, it was found that inhalation
of prion-tainted aerosols induced disease with frightening efficiency.
Just a single minute of exposure to the aerosols was sufficient to
infect 100 per cent of the mice, according to Prof Aguzzi who
published the findings in the Open-Access-Journal "PLoS Pathogens."
The longer exposure lasted, the shorter the time of incubation in the
recipient mice and the sooner clinical signs of a prion disease
occurred. Prof Aguzzi says the findings are entirely unexpected and
appear to contradict the widely held view that prions are not
airborne. The prions appear to transfer from the airways and colonize
the brain directly because immune system defects -- known to prevent
the passage of prions from the digestive tract to the brain -- did not
prevent infection.

Precautionary measures against prion infections in scientific
laboratories, slaughterhouses, and animal feed plants do not typically
include stringent protection against aerosols. The new findings
suggest that it may be advisable to reconsider regulations in light of
a possible airborne transmission of prions. Prof Aguzzi recommends
precautionary measures to minimize the risk of a prion infection in
humans and animals. He does, however, emphasize that the findings stem
from the production of aerosols in laboratory conditions and that
Creutzfeldt-Jakob patients do not exhale prions.

Reference
---------
Haybaeck J, Heikenwalder M, Klevenz B, et al: Aerosols Transmit
Prions to Immunocompetent and Immunodeficient Mice. PLoS Pathog. 2011;
7(1): e1001257. DOI:10.1371/journal.ppat.1001257;
<http://www.plospathogens.org/article/info%3Adoi%2F10.1371%2Fjournal.ppat.1001257>