19 Feb 2013

UK: DEATH FROM CORONAVIRUS (NCoV)

Sars-like virus claims first UK victim after man, 39, dies at a Birmingham hospital

  • The patient, who was being treated at the Queen Elizabeth Hospital Birmingham, died on Sunday
  • Was a relative of patient being treated in Manchester after bringing back coronavirus from Middle East
  • Hospital says patient was already receiving treatment for long-term, complex health condition
By Anna Hodgekiss
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A new Sars-like illness has claimed its first UK victim, health officials confirmed today.
The 39-year-old man, who was being treated at the Queen Elizabeth Hospital Birmingham, died on Sunday after becoming infected with the novel coronavirus, the hospital confirmed today.
Of the 12 confirmed cases worldwide four have been British and five have died as a result of the virus.
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Coronaviruses are a large family of viruses known to cause illness ranging from the common cold to Severe Acute Respiratory Syndrome (SARS)
Coronaviruses are a large family of viruses known to cause illness ranging from the common cold to Severe Acute Respiratory Syndrome (SARS)
The patient in Birmingham caught the disease from a relation who became infected in the Middle East, and is still being treated at a Manchester hospital.
A third member of the same family is also being treated for the virus at the hospital which health officials fear could be spread from person to person.
Of the 12 people who have been confirmed as suffering from the virus across the globe, six have now died.
Three people have died in Saudi Arabia and two in Jordan.
A hospital statement released today said: 'The patient was already an outpatient at Queen Elizabeth Hospital Birmingham (QEHB), undergoing treatment for a long-term, complex unrelated health condition.
'The patient was immuno-compromised and is believed to have contracted the virus from a relative who is being treated for the condition in a Manchester hospital.
 
'QEHB is working closely with the Health Protection Agency which is currently following up other household members and contacts of this case.
Professor John Watson, head of the respiratory diseases department at the HPA, said: ‘This case is a family member who was in close personal contact with the earlier case and who may have been at greater risk of acquiring an infection because of their underlying health condition.
'To date, evidence of person-to-person transmission has been limited. Although this case provides strong evidence for person to person transmission, the risk of infection in most circumstances is still considered to be very low.'
Infected patients have presented with serious respiratory illness with fever, cough, shortness of breath and breathing difficulties.
The lining of the lung, or epithelium, represents an important first barrier against respiratory viruses
The lining of the lung, or epithelium, represents an important first barrier against respiratory viruses
Today, experts suggested the virus could potentially be treated by targeting the immune system.
The coronavirus (NCov) belongs to the same family as the coronavirus SARS, which surfaced in China more than a decade ago and infected 8,000 people worldwide, killing around one in 10 of them.
It's thought the virus can penetrate the lining of the passageways in the lung and evade the immune system as easily as a cold virus can.
The research also reveals that the virus is susceptible to treatment with interferons, components of the immune system that have been used successfully to treat other viral diseases, opening a possible mode of treatment in the event of a large-scale outbreak.
Now scientists at the Institute of Immunobiology at Kantonal Hospital in Switzerland, have tested how well the virus could infect and multiply in the entryways to the human lung using cultured cells manipulated to mimic the airway lining.

The lining of the lung, or epithelium, represents an important first barrier against respiratory viruses.
But, said co-author Dr Volker Thiel, this part of the body does not put up a big fight against NCoV. 

18 Feb 2013

UK:POOR PATIENT COMPLIANCE

One in three patients does not take medication properly putting their health at risk and costing the NHS half a billion pounds every year

  • Aston Medication Adherence Study analysed one million prescriptions
  • People often put off by side-effects and not understanding instructions
  • Certain groups more susceptible to a lack of adherence to guidelines
  • Those whose primary language is Urdu and Bengali struggled as did over-60s
By Mario Ledwith
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One in three patients is putting their health at risk because they do not take their medication properly, costing the NHS an estimated £500 million every year.
Fears about potential side-effects and poor understanding of doctors' instructions are partly responsible for the issue, according to a study.
Researchers analysing one million prescriptions found that the absence of symptoms and a lack of trust in pharmacists also played a part in people deciding to stop taking their medication.
Understanding: The Aston Medication Adherence Study analysed one million prescriptions and found that a number of factors, such as side effects and poor instructions from doctors, were responsible for people not taking medication properly
Understanding: The Aston Medication Adherence Study analysed one million prescriptions and found that a number of factors, such as side effects and poor instructions from doctors, were responsible for people not taking medication properly
The Aston Medication Adherence Study, is thought to be the first research project looking at adherence to medication in the UK.
It found that certain ethnic groups are more likely to experience difficulties in understanding how to take medication.
People whose primary language is Urdu or Bengali are particularly susceptible, as are those living in poorer inner-city areas.
They found that people aged over 60 struggled with adherence to medication patterns.
The study, carried out by researchers at Aston University’s Pharmacy School, was centred on the Heart of Birmingham Teaching Primary Care Trust, looking at those suffering from type 2 diabetes, hypothyroidism and high cholesterol.
Health bodies are facing increasing pressure to manage treatable, long-term conditions in an attempt to reduce hospital admissions.
Findings: The study, carried out by researchers at Aston University¿s Pharmacy School, looked at those suffering from type 2 diabetes, hypothyroidism and high cholesterol
Findings: The study, carried out by researchers at Aston University¿s Pharmacy School, looked at those suffering from type 2 diabetes, hypothyroidism and high cholesterol
The report recommended that healthcare systems should take account of a patient's first language and offer more advice to those taking medication for long-term conditions.
Professor Chris Langley, principal investigator for the AMAS said: 'What is important about the AMAS is that it identifies adherence patterns within an ethnically diverse inner city area with high levels of deprivation; this is currently unchartered territory.
'The results from this study have provided an intriguing insight into adherence behaviour within an inner-city population, whilst the focus group data provided context and understanding of the barriers to adherence from the patients’ perspective.'
Dr Joe Bush, investigator for the AMAS added: 'We identified numerous groups in which adherence levels were lower than in the general population, but it is not possible at this time to identify why adherence is lower in these groups.
'Whilst the focus groups suggested possible reasons for non-adherence, we hope to explore these issues further and identify the primary reasons for non-adherence in these patient groups in future research.'

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17 Feb 2013

NHS 56 testicles removed by mistate

From UK DAILY MAIL

 NHS pays out £1million in compensation to men who have had the wrong TESTICLE removed

  • Fifty-six claims made by men affected by medical blunders in four years
  • NHS pays out £20,000 if wrong testicle has been removed
  • Most common reason for payout is when testicular torsion is misdiagnosed
By Daily Mail Reporter
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Blunders: The NHS can pay out £20,000 if the wrong testicle has been removed
Blunders: The NHS can pay out £20,000 if the wrong testicle has been removed
More than £1million in damages have been paid out by the NHS to men who have had the wrong testicle removed by surgeons. 
In the last four years there have been 56 successful claims made by men who have been affected by medical blunders, according to the National Health Service Litigation Authority.
In most cases the men didn't need surgery at all and in others surgeons also had to remove the second testicle. 
The NHS normally pays out around £20,000 if the wrong testicle has been removed.
Roger Goss, co-director of Patient Concern, told The Sun: 'It is amazing that surgeons don't always take enough care to guarantee that they are removing the correct testicle.
'Despite the huge total compensation bill, individual payments sound modest for wrecking men's lives.'
According to the figures £1.3million has been paid out since 2009. 
Men who have been left infertile can be rewarded up to £70,000. 
But the most common reason for payouts is when doctors misdiagnose testicular torsion — where the tubes inside the body get twisted, cutting off the blood supply.
Other claims result from hernia operations where the blood supply to the testicle is accidentally cut off.

15 Feb 2013

Thief dies from Methanol poisoning.

Court Bulletin

Brewers Retail Inc. Fined $175,000 After Worker Killed

February 15, 2013
Brampton, ON - Brewers Retail Inc., a Mississauga company that owns and operates beer stores in Ontario, was fined $175,000 for a violation of the Occupational Health and Safety Act after a worker was killed.
On April 8, 2012, two workers were washing the exteriors of trucks and trailers at The Beer Store Distribution Centre located at 69 First Gulf Boulevard in Brampton. That afternoon, one of the workers found a liquor bottle filled with blue liquid. The bottle contained methanol windshield washer fluid used in the trucks, however it still had the liquor label on it. The two workers both drank from the bottle, and one took the bottle home and finished it. That worker later died from methanol poisoning.
Brewers Retail Inc. pleaded guilty to failing to acquaint a worker with a hazard in the handling, storage or use of a liquid chemical agent
The fine was imposed by Justice of the Peace Lisa Ritchie. In addition to the fine, the court imposed a 25-per-cent victim fine surcharge, as required by the Provincial Offences Act. The surcharge is credited to a special provincial government fund to assist victims of crime.


Court Information at a Glance
Location:                    Ontario Court of Justice
                                    5 Ray Lawson Blvd
                                    Brampton, ON
Judge:                         Justice of the Peace Lisa Ritchie
                                   
Date of Sentencing:   February 12, 2013
Defendant:                 Brewers Retail Inc.
Matter:                       Occupational Health and Safety
Conviction:                Occupational Health and Safety Act, Section 25(2)(d)
Crown Counsel:        Jennifer Malabar

13 Feb 2013

Dr.J.PARIAG MD(Univ.West Indies-Jamaica & Trinidad) FRCSC(McMaster-Hamilton)

Dr. John K. Pariag, Mississauga. On March 22, 2012, the Discipline Committee found that Dr. Pariag committed an act of professional misconduct, in that he failed to maintain the standard of practice of the profession. The Committee also found that Dr. Pariag is incompetent. Dr. Pariag admitted to the allegations of professional misconduct and incompetence, as follows:
Regarding a review of 35 patient charts from his surgical practice:
  • improper placement of chest tubes in a CF patient;
  • performing cholecystectomy in the presence of evidence that the common bile duct was not clear;
  • failure to protect an anastomosis with a stoma where appropriate;
  • improperly discharging three post-surgical patients with elevated white blood cell counts and fevers;
  • unnecessary transfusion of one patient;
  • questionable decision to perform a targeted bowel resection in a patient with rectal blood loss when the point of bleeding was unknown, and failure to investigate a possible foreign body as indicated by x-rays of the patient;
  • incorrectly repairing a hernia, leading to recurrence;
  • unnecessary removal of three healthy appendices;
  • failure to obtain a right breast ultrasound despite a radiologist's suggestion in a cancer patient;
  • failed to give DVT [deep vein thrombosis] prohylaxis perioperatively to a patient with known breast cancer;
  • failure to properly control intraoperative bleeding;
  • improperly performing surgery without first addressing the patient's elevated INR;
  • perforating a patient's bowel while removing two 0.25 cm polyps;
  • improperly ordering blood transfusion of a 12-year-old with a haemoglobin count of 108, which order was subsequently cancelled by another physician, and failure to investigate percutaneous pelvic abscess drainage before proceeding to perform a laparotomy on that patient;
  • improperly performing an elective thyroidectomy without supervision when Dr. Pariag had never performed such a procedure at the hospital and had not reviewed thyroid surgery during his residency; and
  • dissecting a patient's portal triad during surgery to correct a bowel obstruction, which error resulted in the patient's death due to hemorrhagic shock.
Regarding patient A, who had surgeries for an intra-abdominal mass, later identified as a sarcoma:
  • failed to adequately document a differential diagnosis, treatment plan, or informed consent discussions with Patient A; and,
  • after the recurrence of the sarcoma, failed to solicit an opinion from the Regional Cancer Centre where the patient had been seen in the past, and improperly attempted to treat the sarcoma outside a multi-disciplinary care center.
On December 19, 2012, the Discipline Committee ordered a public reprimand, and directed that specified terms, conditions and limitations be imposed on Dr. Pariag's certificate of registration for an indefinite period of time, including that:
  1. Dr. Pariag is prohibited from engaging in any hospital-based surgical practice save and except as a surgical assistant when a College-approved certified surgeon is performing the surgery and is in attendance. At no time shall Dr. Pariag be the most responsible physician with respect to any patient in a hospital setting;
  2. Dr. Pariag is prohibited from performing surgery in an office-based setting save and except for minor surgical procedures under local anaesthetic involving the skin and subcutaneous tissues;
  3. At his own expense, Dr. Pariag shall undergo a comprehensive practice assessment (CPA) of the office-based practice described in paragraph (b) by an assessor selected by the College. Dr. Pariag shall abide by any and all recommendations made as result of the CPA; and Dr. Pariag shall promptly notify the College should he cease practising medicine before completion of the CPA.
  4. The terms, conditions and limitations on Dr. Pariag's certificate of registration under (a) and (b) are to be included on a written form and the written form is to be presented to any patient before Dr. Pariag sees the patient, and a copy signed by the patient is to be included in the patient's chart.
Dr. Pariag was further ordered to pay to the College costs in the amount of $3,650.

10 Feb 2013

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