Predicting 30-day mortality following PEG insertion: External validation of the Sheffield Gastrostomy Score and analysis for additional predictors.

Background: and study aims: The Sheffield Gastrostomy Score (SGS) was devised to stratify patients by calculating their risk of mortality at 30 days following PEG insertion. The aim was to externally validate the SGS and identify any further predictors of 30-day mortality.

Patients And Methods: Retrospective review of all PEG insertions performed over a ten year period in our centre.

A Missed Diagnosis of Ovarian Torsion in a Patient with Bilateral Ovarian Dermoid Cysts: A Case Report.

Ovarian torsion is a gynecological emergency that occurs when there is twisting or torsion of the ovary around its ligamentous supports. If left untreated, it results in loss of blood supply to the ovary and the fallopian tube with resultant infarction and loss of function. Because the presenting symptoms and signs provide a wide differential diagnosis, it can be difficult to diagnose ovarian torsion in the emergency setting.

An emergency contraception algorithm based on risk assessment: changes in clinicians' practice and patients' choices.

Objectives: When ulipristal acetate (UPA) was introduced into the Contraceptive and Sexual Health Services service in June 2011 an algorithm was developed to guide method selection. The aim was to encourage clinicians to assess risk and to offer a copper intrauterine device (IUD) as first-line choice with hormonal methods as second-line choice.

Methods: UPA was the second-line choice for presentations up to 120 hours after high-risk episodes (i.

Tired of seeing your patients in the ED? Let's give parent education another look!

This study was conducted to determine if a parent-oriented educational intervention reduces the use of emergency department (ED) services for the care of infants. Infants aged 7 days to 1 year and older children aged 2 to 10 years were tracked for 3 years in two separate primary care (PC) practices in Washington County, Texas, with the last year being the interventional study period. Also, infants aged 7 days to 1 year and older children aged 7 days to 5 years were tracked in a third PC practice in Burleson County, Texas.

A reduction in emergency department use by children from a parent educational intervention.

Background And Objectives: A substantial proportion of emergency department (ED) visits by children are for non-urgent care. The objective of this research is to determine whether a parent-focused educational intervention can reduce non-urgent ED visits.

Methods: A regional hospital system (which includes a central hospital, four satellite hospitals, and two primary care clinics) provided monthly data retrospectively from January 2006 to October 2007 on ED visits by children.