Management of myelofibrosis:a survey of current practice in the United Kingdom

To investigate the experience of clinicians in the management of patients with myelofibrosis, current treatment options and their utility.

Post mastectomy radiotherapy in breast cancer: a survey of current United Kingdom practice

Purpose: Radiotherapy (RT) is increasingly used following mastectomy for breast cancer While indications for post-mastectomy radiotherapy (PMRT) are clear in patient groups at high risk of local recurrence, guidelines are less clear in intermediate-risk patients and patients with ductal carcinoma in situ (DCIS). This study aimed to determine variations in the use of PMRT in the United Kingdom (UK).

Methods: A postal survey of all consultant breast surgeon members of the Association of Breast Surgery in the UK.

Results: Tumour size and nodal status were confirmed as the most important indications for PMRT There was significant variation in the influence of other factors such as tumour grade, lymphovascular invasion and margin status. Nineteen per cent of respondents stated that they would consider the use of PMRT in cases of DCIS alone.

Conclusions: There is significant variation in practice across the UK with regard to the use of PMRT in intermediate risk breast cancer and patients with DCIS. Further work is required to determine which patients in these groups are likely to benefit from the use of PMRT.

Are early life factors considered when managing respiratory disease?:A British Thoracic Society survey of current practice

We hypothesised that early life events are not routinely considered by most respiratory specialists.

Survey on current practices for neurological prognostication after cardiac arrest.

PURPOSE: To investigate current practices and timing of neurological prognostication in comatose cardiac arrest patients. METHODS: An anonymous questionnaire was distributed to the 8000 members of the European Society of Intensive Care Medicine during September and October 2012. The survey had 27 questions divided into three categories: background data, clinical data, decision-making and consequences. RESULTS: A total of 1025 respondents (13%) answered the survey with complete forms in more than 90%. Twenty per cent of respondents practiced outside of Europe. Overall, 22% answered that they had national recommendations, with the highest percentage in the Netherlands (>80%). Eighty-nine per cent used induced hypothermia (32-34 °C) for comatose cardiac arrest patients, while 11% did not. Twenty per cent had separate prognostication protocols for hypothermia patients. Seventy-nine per cent recognized that neurological examination alone is not enough to predict outcome and a similar number (76%) used additional methods. Intermittent electroencephalography (EEG), brain computed tomography (CT) scan and evoked potentials (EP) were considered most useful. Poor prognosis was defined as cerebral performance category (CPC) 3-5 (58%) or CPC 4-5 (39%) or other (3%). When prognosis was considered poor, 73% would actively withdraw intensive care while 20% would not and 7% were uncertain. CONCLUSION: National recommendations for neurological prognostication after cardiac arrest are uncommon and only one physician out of five uses a separate protocol for hypothermia treated patients. A neurological examination alone was considered insufficient to predict outcome in comatose patients and most respondents advocated a multimodal approach: EEG, brain CT and EP were considered most useful. Uncertainty regarding neurological prognostication and decisions on level of care was substantial.

Current conditions and outlook: Economic Survey of Latin America and the Caribbean 2001

Includes bibliography

Current conditions and outlook: Economic Survey of Latin America and the Caribbean 2002

Foreword This publication provides an assessment of the region's economic performance and economic trends during the first half of 2002 and of its prospects for the remainder of the year within the context of the previous year's performance. An analysis is presented of the main aspects of the regional economy -its external sector, levels of economic activity, inflation, employment, saving and investment, and macroeconomic policy-, accompanied by a statistical appendix containing 13 tables with data series through 2001. The document, which is being published simultaneously in Spanish and English, corresponds to the first chapter of the Economic Survey of Latin America and the Caribbean, 2001-2002, issued in Spanish in September and in English later in the year. Wide distribution of this document is intended to serve the purpose previously performed by the Economic Panorama of Latin America, a publication that was issued in September of each year between 1985 and 1996. See also an advance version of the survey of economic developments in English-speaking countries of the Caribbean in 2001 and their prospects in 2002 which will be contained in final, revised form in the Economic Survey 2001-2002.

Current conditions and outlook: Economic Survey of Latin America and the Caribbean 2002-2003

Includes bibliography

Current approach to the haemodynamic management of septic shock patients in European intensive care units: a cross-sectional, self-reported questionnaire-based survey

The aim of this survey was to investigate clinicians' current approach to the haemodynamic management and resuscitation endpoints in septic shock.

Nationwide survey on resource availability for implementing current sepsis guidelines in Mongolia

To assess if secondary and tertiary hospitals in Mongolia have the resources needed to implement the 2008 Surviving Sepsis Campaign (SSC) guidelines.