ABSTRACT
A short, personal perspective on the state of death certification teaching in the UK from two foundation doctors, with a focus on the importance of certifying death and the potential educational methods available to improve teaching on the topic.
Subject(s)
Death Certificates , Death , Education, Medical/methods , Education, Medical/standards , Humans , Medical Staff, Hospital , PhysiciansABSTRACT
Background. Intraocular gas bubbles are commonly used in retinal surgery. There are specific management guidelines that need to be followed to ensure surgical success, and there are also unique ophthalmic and systemic complications that can occur in such patients. Objective. To educate emergency department personnel about important issues in the management of patients who have a gas-filled eye following retinal surgery. Case Report. A patient with a gas-filled eye developed several complications including pain, severe vision loss, high-grade atrioventricular (AV) block, and pneumocephalus. Conclusion. Awareness of potential problems that may arise in patients with gas-filled eyes who present to the emergency department may help minimize morbidity for such patients.
ABSTRACT
BACKGROUND: Myopia is a very common condition and a significant public health problem in China. The objective of the study was to explore the genetic influence on myopia in Mainland China school-aged children in Beijing. METHODS: In 2008, the data from 15,316 Chinese school students aged 6-18 years from 19 randomized schools in Beijing were analyzed to evaluate genetic influence on myopia in children. Heritability was calculated by mid-parent-offspring regression and parent-offspring regression. RESULTS: The estimate of heritability was 0.30 (95% CI, 0.27-0.33) for refractive value (RV). The adjusted mean refractive error was -2.33D (95% CI, -2.45 to -2.21) in children with two myopic parents compared with -1.13D (95% CI, -1.78 to -1.08) in children with no parental myopia. The adjusted odds ratio (OR) was 2.83 (95% CI, 2.47-3.24) in children with two myopic parents compared with no parental myopia. CONCLUSION: The study found a strong association between parental history of myopia and genesis of myopia in the offspring even after adjusting for environmental factors.
