An aggressive case of pseudomyogenic haemangioendothelioma of bone with pathological fracture and rapidly progressive pulmonary metastatic disease: case report and review of the literature.

Pseudomyogenic haemangioendothelioma (PMH) is a rare recently described vascular tumour typically presenting with soft tissue disease in distal extremities of young adults. Multi-focal and multi-layered involvement is commonly recognised. The majority of cases described so far have shown an indolent clinical course and distant metastatic spread is rare.

Fusion and subsidence rate of stand alone anterior lumbar interbody fusion using PEEK cage with recombinant human bone morphogenetic protein-2.

Introduction: Anterior lumbar interbody fusion (ALIF) is an established treatment for structural instability associated with symptomatic disk degeneration (SDD). Stand-alone ALIF offers many advantages, however, it may increase the risk of non-union. Recombinant human bone morphogenetic protein-2 (BMP-2) may enhance fusion rate but is associated with postoperative complication.

Knowledge, attitudes and behaviours of health care workers towards clients of sexual health services in Fiji.

A cross-sectional survey was conducted to identify the attitudes and behaviours of health care workers (HCWs) in health care settings (HCS) in Fiji involving 369 participants. Self-rated knowledge of HIV and sexually transmissible infections (STIs) varied depending on whether the HCS was divisional or sub-divisional, and varied between the various national divisions. HCWs with experience in HIV, reproductive health and antenatal clinics had higher self-rated HIV knowledge.

Ultrasound guided alcohol ablation of Morton's neuroma.

Background: Morton's neuroma is a common cause of metatarsalgia. This study evaluated the efficacy of ultrasound guided alcohol injection as a treatment for this condition.

Method: Data from 87 treatment courses were included in this study with a mean follow of 14.

HIV and AIDS responses of health care training institutions in the Pacific Islands--a literature review.

The purpose of this review paper is to provide information on the current roles of Pacific health care training institutions response to the HIV pandemic and to identify ways to scale up their response. The evidence presented here comes primarily from few published papers, unpublished literature and anecdotal evidence through interviews with health care training institute staff in the region. Studies from high prevalence countries in the Sub - Sahara African and Caribbean Countries reveal that higher tertiary institutions played an important role in the fight against HIV, through the development of HIV related policies, research, partnership networks, community awareness, treatment and care services and curriculum in response to the pandemic.

Gas patterns on plain abdominal radiographs: a pictorial review.

Abdominal radiographs are one of the most commonly performed radiological examinations and have an established role in the assessment of the acute abdomen. The main indication is for suspected bowel obstruction and in conjunction with an erect chest x-ray for suspected visceral perforation. Often, the pattern of gas points to a particular pathology, and accurate interpretation is important for prompt diagnosis.

Restricted diffusion in Wallerian degeneration of the middle cerebellar peduncles following pontine infarction.

Background: Acute Wallerian degeneration following infarction has been show to result in areas of restricted diffusion within the brain. Very few reports describe this appearance in middle cerebellar peduncles.

Case Report: A 37 year old woman was admitted to hospital following sudden collapse and was subsequently found to have a pontine infarct.

Imaging in childhood scoliosis: a pictorial review.

Childhood scoliosis is a common clinical entity with a number of different causes. In the majority of cases, the scoliosis is idiopathic, but it may be the manifestation of an occult spinal pathology. The clinical history and examination may elicit certain worrying features such as pain, neurological symptoms or an atypical curve pattern.

Imaging in acute ischaemic stroke: essential for modern stroke care.

Stroke is the second most common cause of death worldwide and the third most common in the UK. 'Time is brain' in ischaemic stroke; early reperfusion has been shown to lead to improved clinical outcomes, yet the majority of patients with acute stroke do not attend in time for thrombolysis as it is currently licensed, hence the interest in trials extending the therapeutic window. Defining the ischaemic penumbra is of crucial importance in choosing the appropriate patients for thrombolytic therapy who attend outside the optimal therapeutic window.

Scaling up HIV treatment, care and support for injecting drug users in Vietnam.

Background: People living with HIV/AIDS (PLWHA) in developing countries are rarely consulted about ways to promote their health and well-being. This study sought to identify and understand, from the perspective of PLWHA, challenges and opportunities for improving access to HIV treatment, care and support in Vietnam, a resource-limited setting with an epidemic driven by injecting drug use.

Methods: PLWHA trained in participatory research methods completed fieldwork and data collection and co-facilitated focus groups with injecting drug users (IDUs) in Ho Chi Minh City.