19 March 2011

THAILAND: UNDIAGNOSED DEATHS

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UNDIAGNOSED DEATHS - THAILAND (02): (CHIANG MAI)
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A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: 14 Mar 2011
Source: Phuketwan Tourism News [edited]
<http://phuketwan.com/tourism/young-french-tourists-death-chiang-mai-link-13817/>

Young French Tourist's Death No. 6 in Chiang Mai
------------------------------------------------
The revelation of a 6th death and the results of an investigation by
Thailand's Department of Disease Control has shed new light on the
series of mysterious fatalities in Chiang Mai.
The 6th death involved a Frenchwoman -- one of 2 who fell sick, a
media release from the department says. It highlighted the exceptional
nature of a complaint that appears to have struck down 6 young women
aged 23-33 between 9 Jan 2011 and 4 Feb 2011, killing 3 of them.
These 3 deaths -- the unnamed Frenchwoman, a New Zealand woman also
23, and an American, aged 33 -- have been linked by the media to 3
other deaths, 2 British pensioners, a man and a woman and a
47-year-old Thai guide.
The joint investigation by the department with the Chiang Mai
Provincial Health Office found 4 clinically-confirmed cases of
myocarditis (inflammation of the heart muscle) and another 2 patients
with mild symptoms.
"These 6 patients were among 3 separate groups of tourists visiting
Chiang Mai, Thailand, between 9 Jan 2011 and 4 Feb 2011. All were
young women aged 23-33 years and were from the United States (1),
Canada (1), France (2) and New Zealand (3)." 5 of the 6 women "became
ill while visiting Chiang Mai and one developed symptoms 3 days before
arriving there." However, an extensive epidemiological investigation
"has not revealed any common exposures across the 3 groups."
The media release says autopsies on 2 of the dead patients (American
and French) were done by forensic medical experts from Chiang Mai
University. The joint investigation team found 4 clinically-confirmed
cases of myocarditis (inflammation of the heart muscle) and another 2
patients with mild symptoms. "The autopsies found nothing abnormal
except for inflammation of the heart muscle," it says.
"The Department of Disease Control has shared this information with
the World Health Organisation and US CDC offices in Bangkok, as well
as the New Zealand Embassy and the International Health Regulation
focal points of France and the European Community." The report
carefully distinguishes between the cases involving the 6 young women
and the other cases.
"In a separate episode, since 3 Feb 2011, there were 3 other deaths
in the same hotel where the 3 New Zealanders stayed," it says. "This
included an elderly British couple and a 47-year-old Thai woman. As
these 3 deaths occurred outside the hospital, the police took charge
of the investigation. The autopsies of the 2 elderly Britons found a
high degree of coronary occlusion while the examination of the Thai
woman found no inflammation of the heart muscle or any other clear
evidence to explain the cause of her death."

15 March 2011

Ontario Medical association JOBS

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Current Opportunities

  • Administrative Assistant, Governance (1 Year Contract)

    The Administrative Assistant, Governance is accountable to the Coordinator, Governance, for providing administrative support to the OMA governance decision-making system...
  • Executive Assistant, Public and Corporate Affairs

    The Executive Assistant is accountable to the Executive Director, Public & Corporate Affairs, and is responsible for developing and monitoring the annual budget as well as providing administrative and secretarial support for functions.
  • Business Analyst (Contract) September 2010

    The Business Analyst, Insurance is accountable to the Director, Business Systems for a continuous service on defining, implementing and promoting Technology solutions to OMA Insurance Services.

09 March 2011

SWEDEN: IMPORTED LASSA FEVER


LASSA FEVER, IMPORTED - SWEDEN: (LINKOPING) ex WEST AFRICA
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A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: Tue 8 Mar 2011
Source: The Local (Swedish News in English) [edited]
<http://www.thelocal.se/32470/20110308/>

A Swedish woman is being treated at the intensive care unit of
Linkoping University Hospital in eastern Sweden after being diagnosed
with the deadly disease Lassa fever. The woman was infected in West
Africa, where she had been working for a humanitarian aid
organization. She is the 1st patient ever to be treated for Lassa
fever in Sweden.
The woman's condition is stable, but she will remain isolated for
another few weeks, according to infectious disease specialist Britt
Akerlind. The woman, who is in her 30s, was flown home on a medical
transport flight and arrived in Sweden on Monday [7 Mar 2011] morning.
"She tested positive for the disease in Africa. We have since
conducted some tests here, but the results are not in yet. We are
treating this as a serious illness," Akerlind told news agency TT.
The symptoms of Lassa fever, which infects between 300 000 and 500
000 people annually, include a high temperature and internal
haemorrhaging, but the majority of those that contract the disease
make a full recovery. "Only about one per cent of those infected
become seriously ill, and it is impossible to know in advance who will
be affected worse than others," Akerlind told TT.
Rodents are often carriers of Lassa fever, and the disease is spread
through contact with their faeces. Between humans, the disease is
passed through the exchange of bodily fluids. How the Swedish woman
caught the disease is unknown.
According to Akerlind there is no risk that Lassa fever, which claims
around 5000 lives annually, will spread in Sweden.

06 March 2011

SPAIN: FATAL TRICHINELLOSIS

PRO/AH/EDR> Trichinellosis, fatal - Spain: (AR) wild boar meat
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TRICHINELLOSIS, FATAL - SPAIN: (ARAGON), WILD BOAR MEAT
*******************************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: Wed 2 Mar 2011
Source: Diario ABC, Agencia EFE report [in Spanish, trans. & summ.
Sr.Tech.Ed.MJ, edited]
<http://www.abc.es/agencias/noticia.asp?noticia=710697>

An outbreak of trichinellosis was detected in Huesca [Autonomous
Community of Aragon], affecting 5 men and one woman, all residents of
Huesca and aged between 52 and 58 years, who ate sausages from the
meat of a wild boar that one of them had hunted and which was not
subjected to the required veterinary control.
The 6 people began feeling ill on 5 Feb 2011. They consulted the San
Jorge de Huesca hospital and were not admitted at first, but their
condition deteriorated, and they were readmitted days later. One of
them, a 54-year-old man, died yesterday [1 Mar 2011].
According to Aragon public health officials, the brother of the
deceased remains in serious but stable condition in the intensive care
unit; the 3 other men are in stable condition, and the woman has been
released.
Public health officials have indicated that the source of the
outbreak was the wild boar meat. The rest of the meat was identified
and taken for testing and to prevent further cases of the disease.
The main reservoirs of the trichinellosis parasite are domestic
animals such as pigs or wild animals such as wild boars or foxes.
Transmission of the disease occurs through consumption of raw or
insufficiently cooked meat or meat products infected with the larvae
of the _Trichinella_ worm.
--
Communicated by:
ProMED-mail <promed@promedmail.org>
[This outbreak underlines that trichinellae are found in wild animals
also in western Europe. As is the case here, acute trichinellosis may
be life-threatening.
Sausage is a particularly common source of human infection because
the meat is often not heated to a high enough temperature to kill the
parasite when smoked. - Mod.EP]

01 March 2011

MALE HYPOGONADISM



Ian Storey male menopause opera singer phil daoust
Opera singer Ian Storey at home in Herefordshire. Photograph: Steve Woods (stf)/Steve Woods / newsteam.co.uk
It would be grossly unfair to suggest that opera singers spend their free time lounging on chaises longues being spoonfed foie gras. When there are no witnesses, many of them probably run marathons or something. Still, Ian Storey must be more active than most; as a young man, he played badminton and squash at county level and above. Now aged 52, he relaxes by laying bricks or swinging a sledgehammer. Having built a home for his family in the Herefordshire countryside, he's planning to bulldoze it and start over. "I normally have a building project on the go," he says.
Yet a couple of years ago, he found this energy draining away. He'd taken on one of opera's most demanding roles – the lovestruck hero of Wagner's Tristan und Isolde – and breezed through the 10-hour rehearsals and the first shows in Milan. But in early 2008, he recalls, "I just started to feel tired. I thought, 'Oh, well, maybe it's just everything catching up with me.' So I plodded on. But I wasn't my usual self."
Fatigue turned to exhaustion, joined by headaches and hot flushes. Away from the stage, Storey could barely bring himself to pick up a drill. By the summer of 2009, he says, "I was getting to the end of a performance and I'd just want to curl up under the table and go to sleep. The next day I felt like I'd been run over by a tram. Performing takes it out of you, but not to that extent." In the end his wife insisted he take himself to the doctor.
It took six months of blood tests and MRIs, but Storey finally got a diagnosis. The good news? He didn't have heart disease, diabetes or a brain tumour. On the other hand, he did have extremely low levels of the sex hormone testosterone. He was going through the andropause.

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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Paul Bunn, Jr, MD of IASLC

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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