Medication Histories in Critically Ill Patients Completed by Pharmacy Personnel.

Background: Although critically ill adults often have extended hospital lengths of stay and are at high risk of having medication-related adverse events, the value of medication histories in these patients remains underreported.

Objective: To assess the feasibility of performing medication histories in critically ill adults and to establish the frequency of and characterize identified discrepancies.

Methods: This prospective study included patients admitted to 4 intensive care units (ICUs) in a large academic medical center and was conducted in 2 phases.

To be born was the death of him: a clinical study of a self that might have been but never got born.

In this paper, using a pluralistic perspective on the psyche, I consider theoretical formulations concerned with the development of the self in relation to the environment. This includes discussion about how the infant interacts with its maternal environment before birth and how observation of the foetus in the womb and infant research have important implications affecting our understanding of adult psychopathology. I briefly look at the object-related nature of religious experience and the concept of the development of a representation of God.

Looks that kill the capacity for thought.

In this paper I explore ways in which the fundamental balance between life and death forces is portrayed within the Oedipus myth, showing how there are times when, as theorists, we are blind to the on-going dynamic polarities contained within the myth. Using clinical case material I explore the vicissitudes of the theme of infanticide and the impact of the infanticidal impulse on thinking processes and how things come together in the mind. I consider the link between the infanticidal impulse and what may be being symbolized by physiological problems with eyes and wombs.

Prevention of perinatal transmission of hepatitis B virus (HBV): a comparison of two prophylactic schedules.

Perinatal transmission of hepatitis B virus (HBV) from HBsAg carrier mothers who were HBeAg+, antiHBe+, or negative for both HBe markers, was interrupted using either 4 doses of vaccine, or one dose of hepatitis B immunoglobulin (HBIG) at birth, combined with 4 doses of vaccine. In those infants who received HBIG at birth, the antiHBs titre was significantly higher at 1 and 2 months old, but at 6, 9, and 18 months old, there was no significant difference. Among the infants of carrier mothers who did not display HBeAg (i.

Hepatitis B vaccine in the prevention of perinatally transmitted hepatitis B virus infection: final report on a West Midlands pilot study.

A four-dose vaccination schedule was used to interrupt perinatal transmission of hepatitis B virus from carrier mothers to their babies. Of 49 babies immunised and successfully followed up, 43 (88%) became immune: 15 out of 21 (71%) of babies born to HBeAg + mothers became immune, the other 6 becoming the only carrier babies in the study. Without immunisation a carrier rate in excess of 70% would have been expected in this high-risk group.