Report Warns Research Articles

Groundbreaking Australian Murray–Darling water agreement in peril

Report warns that without major changes, environment plan will fail. Report warns that without major changes, environment plan will fail.

Staff shortage raises pressure on services

A serious shortfall in the numbers of children's nurses and doctors is putting 'dangerous pressure' on overstretched services, a new report warns.

Bitemporal Postoperative Hemorrhage Following Pterional Craniotomy for the Treatment of an Internal Carotid Aneurysm

Introduction Postoperative hemorrhage is a well-known complication after intracranial surgeries. It usually occurs at the site of the operation; however, there are many reports of cerebellar hemorrhage following supratentorial craniotomies. Despite that, there are only three cases of multiple postoperative supratentorial hemorrhages (distant from the site of the operation) following aneurysm clipping in the current literature. Case Report A 52-year-old previously healthy woman underwent a left pterional craniotomy for the clipping of an unruptured aneurysm. The surgery was performed without any intraoperative rupture or other occurrences. On the follow-up computed tomography (CT) scan performed 24h after surgery, bilateral posterior temporal lobe hematomas were identified, and they had no relation to the surgical site. The patient developed symptomatic vasospasm, with right-sided hemiparesis. This complication was treated conservatively, and the outcome was good. Conclusions Intracerebral hemorrhage far from the site of the craniotomy is an infrequent complication after neurosurgical procedures, especially in vascular neurosurgery. The present report warns of the occurrence of this entity even in asymptomatic patients.

'Concerning' drop in standards on AandE asthma care, report warns

'Concerning' drop in standards on AandE asthma care, report warns

Paris carbon cuts are insufficient, UN report warns

More aggressive reductions are needed to limit global temperature rise to 2 °C, and hopes for a 1.5° maximum increase are rapidly fading. More aggressive reductions are needed to limit global temperature rise to 2 °C, and hopes for a 1.5° maximum increase are rapidly fading.

Funding cuts are leaving older and disabled people ‘outside the system’

Older people are bearing the brunt of cuts to social care and increasing numbers of care homes could go out of business, a new report warns.

Radiology services are “on their knees,” royal college warns

The president of the Royal College of Radiologists has warned that radiology services are “on their knees,” after its annual census showed that nearly a 10th of radiology posts were vacant. The workforce survey for 2015 showed an average vacancy rate of 9%, although it warned that the real rate may have been higher because not all roles were advertised. Since 2010 the vacancy rate has fluctuated between 7% and 12%.1 “These figures suggest that a situation has developed whereby one in 10 consultant radiologist posts in the UK will be vacant for the foreseeable future,” the report warns. The …

Loss of bursary 'will lead to staff cuts and debts'.

Government plans to scrap the bursary for nursing, midwifery and other health students could cost the NHS 2,000 recruits a year, a new report warns.

New ASCO Report Warns of Gaps in Delivering Cutting-Edge Care to Patients

New ASCO Report Warns of Gaps in Delivering Cutting-Edge Care to Patients

Report warns of cyberattack risk at nuclear power plants

Report warns of cyberattack risk at nuclear power plants

Predictors of Survival and Modes of Failure After Mitroflow Aortic Valve Replacement in 1,003 Adults

Midterm outcomes are unknown for patients undergoing aortic valve replacement (AVR) with a Mitroflow bovine pericardial prosthesis (Sorin Group, Inc) and without anticalcification treatment. Recent reports warn of early senescence in younger adults. From January 2004 through December 2011, 1,003 adults underwent Mitroflow AVR. The mean follow-up time was 25.0 (standard deviation [20.6]) months (total, 2,060 patient-years; maximum, 9 years). The patients were stratified for analysis according to age at implantation: group A, <60 years (n= 63, 6.3%); group B, 60-69 years (n= 173, 17.2%); group C, 70-79 years (n= 432, 43.1%); and group D, 80 years or older (n= 335, 33.4%). The mean age was 74.8 years (SD 9.8), and 609 patients (60.7%) were men. Aortic valve stenosis was present in 912 patients (90.9%), and 113 (11.3%) had severe aortic regurgitation. There were 27 (2.7%) early deaths, 15 of 431 (3.5%) underwent concomitant coronaryartery bypass grafting while 12 of 572 (2.1%) did not(p= 0.18), and 151 patients (15.1%) died during follow-up. Nineteen AVRs (1.9%) required re-replacement through August 2013; 12 (63.2%) were associated with structural valve deterioration. The overall rates of freedom from valve-related reoperation at 3 and 5 years were 98.3% and 93.8%, respectively. Group A had the greatest number of reoperations (6/63; p < 0.001). The overall survival rates at 1 and 5 years were 91.2% and 67.3%, respectively. Independent predictors of mortality were poorer New York Heart Association functional class (hazard ratio [HR], 2.1; p < 0.001), atrial fibrillation (HR, 1.8; p= 0.002), and prior cardiac operation (HR, 1.8; p= 0.003). Midterm follow-up shows acceptable hemodynamic performance of the Mitroflow biologic aortic valve prosthesis in selected patients 60 years old and older. Ongoing follow-up will be necessary to understand long-term performance and outcomes.

Climate Impacts Already Affect Every Region of the United States, Report Warns

“Climate change, once considered an issue for a distant future, has moved firmly into the present,” according to the third iteration of the U.S. National Climate Assessment (NCA), issued by the White House on 6 May. “The observed warming and other climatic changes are triggering wide‐ranging impacts in every region of our country and throughout our economy,” states the report, titled Climate Change Impacts in the United States, issued through the federal interagency U.S. Global Change Research Program.

TCORS set to support the FDA's regulatory role: Program designed to generate tobacco‐related research to inform policy

TCORS set to support the FDA's regulatory role: Program designed to generate tobacco‐related research to inform policy

Inconsistencies found in the way trusts measure waiting times

NHS hospital staff should be properly trained to measure and record patients’ waiting times in line with national rules and local policies, a report warns.

Risk of Infection and Prevention in Pediatric Patients With IBD

Combined immunosuppression by immunomodulators and biological therapy has become standard in the medical management of moderate-to-severe inflammatory bowel disease (IBD) because of clearly demonstrated efficacy. Clinical studies, registries, and case reports warn of the increased risk of infections, particularly opportunistic infections; however, already in the steroid monotherapy era, patients are at risk because it is accepted that a patient should be considered immunosuppressed when receiving a daily dose of 20 mg of prednisone for 2 weeks. Prescriptions increasingly involve azathioprine, methotrexate, and various biological agents. The TREAT registry evaluated safety in >6000 adult patients, half of them treated with infliximab (IFX) for about 1.9 years. IFX-treated patients had an increased risk of infections and this was associated with disease severity and concomitant prednisone use. The REACH study, evaluating the efficacy of IFX in children with moderate-to-severe Crohn disease, refractory to immunomodulatory treatment, reports serious infections as the major adverse events and their frequency is higher with shorter treatment intervals. The combination of immunosuppressive medications is a risk factor for opportunistic infections. Exhaustive guidelines on prophylaxis, diagnosis, and management of opportunistic infections in adult patients with IBD have been published by a European Crohn's and Colitis Organization working group, including clear evidence-based statements. We have reviewed the literature on infections in pediatric IBD as well as the European Crohn's and Colitis Organization guidelines to present a commentary on infection prophylaxis for the pediatric age group.

Report warns of new generation of children with complex needs

Report warns of new generation of children with complex needs

UK report warns of physics teacher shortage

UK report warns of physics teacher shortage

Metastasis after Resection of Huge Primary Pericardial Pleomorphic Liposarcoma with Cardiopulmonary Bypass

Liposarcoma is the most commonly diagnosed soft tissue sarcoma in adults and occurs predominantly in the lower limbs or retroperitoneal area. However, of the five types of liposarcoma, primary pleomorphic liposarcoma originating in the pericardium is extremely rare. Because of its location in the anterior mediastinum, life-threatening symptoms and signs frequently require urgent surgery with extracorporeal circulation. However, there is no previous report warning of the possible dangerous effect of cardiopulmonary bypass. We present a rare case of huge malignant primary pericardial pleomorphic liposarcoma with early postoperative multiple metastases which may be due to cardiopulmonary bypass.

Full Report ‐ World of Work Report 2009: The global jobs crisis and beyond

AbstractThe recent rebound in world output and stock markets should not mask the fact that the crisis which erupted in October 2008 is not over. Unless adequate measures are adopted, unemployment will continue to grow, many workers and small entrepreneurs will suffer a permanent cut in their incomes, and inequalities will widen further. And little has been done so far to address the root causes of the crisis.This Report warns against the risk of complacency. It calls for faster implementation of the Global Jobs Pact recently adopted by theILOso as to support recovery and make the world economy more sustainable and fairer.

Ten-year NHS plan falling short in primary care, report warns

Ten-year NHS plan falling short in primary care, report warns