Lack of awareness in both patients and physicians contributes to a high rate of late presentation in a South West German HIV patient cohort.

Purpose: To assess rate of late presentation with HIV in Southwestern Germany and to identify patient characteristics correlated with CD4 nadir.

Methods: Patients with primary diagnosis who presented to one of ten participating clinics rated on knowledge and behavior towards HIV testing on a self-developed questionnaire, whereas clinical data was assessed by the physician.

Results: 161 patients were included.

Variation of education continuation. What you need to know about CE classes.

Finally, always let training objectives drive the training methodology. An objective to review a pain management protocol is easily accomplished by acknowledging receipt and reading of an electronic document. An objective to assess and appropriately treat a pediatric patient with pain secondary to musculoskeletal trauma is better accomplished through case review and simulation.

Immune mediators in patients with acute diabetic foot syndrome.

OBJECTIVE Subclinical inflammation is an important risk factor for type 2 diabetes and diabetes complications. However, data on the association between inflammation and acute diabetic foot syndrome are scarce. The aim of this study was to compare systemic immune mediators in diabetic patients with and without an ulcer and to identify modulating factors.

Backbreaking work. What you need to know about lifting and back safety in EMS.

Geraldine did not look very heavy, but she was wedged between the toilet and bath-tub. She had slipped while getting out of the tub and was complaining of severe hip pain. The room was only big enough for me, my partner and Geraldine, who needed to be lifted up and out of the room to the cot in the hallway.

Psychotherapy intervention to reduce depressive symptoms in patients with diabetic foot syndrome.

Aims: Compared to the population as a whole, patients with diabetes mellitus suffer a significantly higher rate of depressive symptoms, especially when they develop complications. Psychotherapy treatments in diabetes mellitus can lead to improvements in both depressive symptoms and glycaemic control. The objective of this study was to investigate whether depressive symptoms can be reduced by psychotherapy treatment delivered as a joint interdisciplinary service to in-patients with diabetic foot syndrome and comorbid depression.

A sickening situation. Prehospital assessment and treatment of foodborne illnesses.

While nausea, vomiting and diarrhea are the most common symptoms of foodborne illness, other more serious and life-threatening conditions can occur. Foodborne illness agents can be bacterial, viral, parasitic or noninfectious. Take a thorough history when treating suspected foodborne illness to prevent further spread.

[Depression, anxiety, quality of life and type D pattern among inpatients suffering from diabetic foot syndrome].

Objective: Compared to the population as a whole patients with diabetes mellitus suffer from a significantly higher rate of depressive symptoms, especially when they develop complications. Little is known about psychological strain in patients suffering from diabetic late complications such as the diabetic foot syndrome. In Germany the diabetic foot syndrome causes about 22,000 amputations every year.

Feeling queasy. EMS providers should be aware that many patients can experience motion sickness while riding in the ambulance.

Motion sickness can quickly become any patient's chief complaint. Rearward-facing transport, coupled with the stress and anxiety of injury or illness, can easily confuse the signals the body is sending to the CNS about equilibrium and balance. Any patient will appreciate your efforts to anticipate, prevent and minimize motion sickness.

Pediatric fluid resuscitation and airway management.

In summary, if the problem is volume shock, stop the loss and replace the fluid without overloading. IV fluids may be necessary to maintain perfusion pressure and administer medications. Pediatric airway anatomy requires different techniques and equipment for proper management, but all airway management starts with basic life support skills.