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Intravenous sedation for adults with profound acquired brain injury undergoing dental treatment - a seven-year service evaluation.
BDJ Open
December 2024
Consultant in Special Care Dentistry, Surrey and Sussex NHS Health Care Trust, Redhill, UK.
Background: Dental treatment may not be possible for patients with a profound acquired brain injury without pharmacological support. Intravenous (IV) sedation with midazolam is a widely accepted, safe, and effective mode of treatment for people with a disability, but there is limited evidence in this patient cohort.
Aims: This evaluation aimed to review the IV sedation service for patients with profound acquired brain injury within the dental department at the Royal Hospital for Neuro-disability.
Weakness of left hand in a diagnosed case of pulmonary tuberculosis: A rare case of disseminated tuberculosis with wrist tenosynovitis.
Med J Armed Forces India
December 2024
Graded Specialist (Pulmonary & Sleep Medicine), Command Hospital (Northern Command), Udhampur, India.
Development and evaluation of high fidelity, multidisciplinary simulation training course for high consequence infectious diseases using fluorescence visualisation.
J Hosp Infect
December 2024
Health - Exposure and Control Group, Health and Safety Executive Science and Research Centre, Buxton, UK. Electronic address:
Background: High consequence infectious diseases (HCID) include contact-transmissible viral haemorrhagic fevers and airborne-transmissible infections such as Middle Eastern Respiratory Syndrome. Assessing suspected HCID cases requires specialised infection control measures including patient isolation, personal protective equipment (PPE), and decontamination. There is need for an accessible course for NHS staff to improve confidence and competence in using HCID PPE outside specialist HCID centres.
View Article and Find Full Text PDFCapacity of Anesthesiology Residency Programs in Four East African Countries: Can Supply Meet the Demand?
Anesth Analg
January 2025
Department of Anaesthesia, Kamenge University Hospital, Bujumbura, Burundi.
Background: By 2015, 4 East African countries (Kenya, Uganda, Rwanda, and Burundi) had identified a deficit in the number of anesthesiologists, with a mean density of 0.30 physician anesthesia providers (PAP) per 100,000 population, which was significantly lower than the World Federation of Societies of Anaesthesiologists (WFSA) recommended minimum of 5.0/100,000 population.
View Article and Find Full Text PDFCultural safety and the medical profession in Aotearoa New Zealand: a training framework and the pursuit of Māori health equity.
N Z Med J
December 2024
Senior Lecturer, Centre for Medical and Health Sciences Education, The University of Auckland, Auckland.
The concept of cultural safety, developed in the training of nurses over 30 years ago, was adopted by the Medical Council of New Zealand in 2019. We report on the journey of the Medical Council of New Zealand, Te ORA (the Māori Medical Practitioners Association) and the Council of Medical Colleges, and our increasing understanding of cultural competence and cultural safety in promoting best outcomes for Māori patients over the years. We describe in detail the key components of a cultural safety training framework as a tool for medical colleges' training of registrars and the Continuing Professional Development (CPD) of specialist medical practitioners.
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