Interprofessional education - a case for Gerodontology training.

Increasing life expectancy, concepts of patient well-being, and the multiplicity of needs of the geriatric population, demand contribution, and collaboration of physicians, dentists, psychologists, pharmacists, and other allied health disciplines, to provide quality care to patients. Interprofessional education (IPE) is an approach to education that improves collaboration among health professionals and it can aid in better management of geriatric patients. Communication and cooperation affect health care performance and hence, influence patient outcomes.

Simulation-based assessment in anesthesia: an international multicentre validation study.

Purpose: Simulated clinical events provide a means to evaluate a practitioner's performance in a standardized manner for all candidates that are tested. We sought to provide evidence for the validity of simulation-based assessment tools in simulated pediatric anesthesia emergencies.

Methods: Nine centres in two countries recruited subjects to participate in simulated operating room events.

Preference of the place of death among people of pune.

Aim: Provision of end-of-life care requires that we have adequate information about the preferred place of death in the population. Since no such study is reported in India, this study was taken up in and around Pune, a large cosmopolitan city.

Setting And Design: A questionnaire was designed in three parts and distributed among the people above the age of 18 in and around Pune.

Migration of a thoracic epidural catheter into the intercostal space via the intervertebral foramen.

We describe a documented migration of a thoracic epidural catheter into the thoracic cage in a 5-wk-old with DiGeorge's syndrome and an uncorrected acyanotic Tetralogy of Fallot who underwent laparotomy for malrotation, gastric fundoplication, and gastrostomy tube insertion under combined general and epidural anesthesia. A 20-gauge stimulating catheter was inserted caudally and advanced cephalad to the thoracic level while applying a low electrical current (1-10 mA) to confirm epidural placement at approximately T5-6. Despite good pain control through the third postoperative day, using an epidural infusion of bupivacaine 0.

Effects of industrial pollution on respiratory morbidity among female residents of India.

The authors evaluated the respiratory symptoms and pulmonary function test results (forced vital capacity [FVC], forced expiratory volume in 1 second [FEV1], and ratio of FEV1 to FVC [FEV1%]) of female residents of the critically polluted industrial estate of Vapi, Gujarat (state), India, and compared these with control information derived from a village 20 km away. The authors categorized the studied residents as living in Vapi, in town, or in villages proximal to the Gujarat Industrial Development Corporation; living 2 to 3 km away from Vapi; living 3 to 5 km away from Vapi; and being in the control group. The authors found no significant association between respiratory symptoms and pulmonary function among Vapi residents.

Hypersensitivity pneumonitis-like granulomatous lung disease with nontuberculous mycobacteria from exposure to hot water aerosols.

Objective: Human activities associated with aerosol-generating hot water sources are increasingly popular. Recently, a hypersensitivity pneumonitis (HP)-like granulomatous lung disease, with non-tuberculous mycobacteria from exposure to hot water aerosols from hot tubs/spas, showers, and indoor swimming pools, has been described in immunocompetent individuals (also called "hot tub lung"). Our objective in this study was to examine four additional cases of hot tub lung and compare these cases with others reported in the English print literature on this disease.

Semen quality of industrial workers occupationally exposed to chromium.

A total of sixty-one subjects occupationally exposed to chromium in an industry which manufactures chromium sulphate and fifteen control subjects from a nearby industry which does not manufacture any chromium related compounds were studied. The history of each subject was recorded on pre-designed form through interview and a routine medical examination was carried out. Blood samples (5-6 ml) were collected for the estimation of chromium and semen samples were collected for semen analysis and the determination of copper and zinc levels in the seminal plasma.