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Does Preoperative Biliary Drainage Influence The Outcome Of Resectional Surgery For Ampullary Carcinoma?
A research article published in the World Journal of Gastroenterology addresses this question. This is believed to be the first study to investigate the effect of PBD in ampullary cancer. A team of gastroenterologists led by Dr Steven Joseph Mesenas and hepatobiliary surgeons at Singapore General Hospital divided 82 patients with ampullary cancer planned for surgical resection into those with PBD (n = 35) and those without (n = 47). The authors looked into various outcomes after surgery, such as pancreatic leakage, wound infection, bile leakage, infectious morbidity, intra-abdominal or gastrointestinal bleeding, intra-abdominal abscess, delayed gastric emptying and mortality. They found that the PBD group had a significantly reduced wound infection rate compared to the non-PBD group. More studies should be conducted to assess this benefit, especially in ampullary cancer patients.
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New Rapid 4th Generation Point Of Care HIV Test Identifies Acute Infection Earlier Than Antibody Only Tests
The new 4th generation rapid HIV diagnostic test - Determine® HIV 1/2 Ag/Ab Combo - from Inverness Medical is capable of detecting HIV infection several days earlier than HIV antibody only tests and is ideal to help diagnose and screen for early HIV infection. The ability of this test to enhance the diagnosis of those with acute HIV infection will provide additional benefits in HIV prevention programs and ultimately contribute to a reduction in the spread of HIV. Inverness Medical will be showcasing the new Determine Combo test at the International AIDS Society Conference 2009 in Capetown, South Africa, 19-22 July on stand #203.
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Successful Neurosurgery With Transcranial MR-Guided High-Intensity Focused Ultrasound
The Magnetic Resonance Center of the University Children"s Hospital Zurich has achieved a world first break through in MR-guided, non-invasive neurosurgery. Ten patients have been successfully treated by means of transcranial high-intensity focused ultrasound. This fully non-invasive procedure opens new horizons for neurosurgery and the treatment of different neurological brain disorders.
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National Review Of The Independent Reviewing Officer Service In Wales

The Care and Social Services Inspectorate Wales (CSSIW) published its report on the review of Independent Reviewing Officer (IRO) service in Wales. All local authorities in Wales are required to appoint IROs to chair the review of looked after children"s cases. Their role is to monitor the authority"s function in respect of the review and to refer cases to the Children and Families Court Advisory and Support Service (CAFCASS CYMRU) if there is failure to implement the care plan that could be considered to breach the child"s human rights. The review found that the Independent Reviewing Officer service in Wales is generally operating to a good standard within the given environment. It found a growing confidence within the service and its operational independence. It also identified that the Independent Reviewing Officer service needs strengthening to ensure that planning for looked after children is of a consistently high standard and quality throughout Wales. Gwenda Thomas, Deputy Minister for Social Services said: "I welcome this report of the Independent Reviewing Officer Services in Wales. I am pleased to see that children and young people who are looked after or have been in care confirm that things have got better for them, in part as a result of improvements encouraged by the IRO service. "I intend to use the report"s findings to consult on further improvements that we can make to strengthen the role of the Independent Reviewing Officer Service within local authorities later this year." Rob Pickford, Chief Inspector, said: "I am encouraged to see that the Independent Reviewing Officer service is now embedded in the core arrangements for children who are looked after. It is important that local authorities and the Independent Reviewing Officers use this report to build on these good foundations, to improve outcomes for children who are looked after." Notes Section 118 of the Adoption and Children Act 2002 introduced a new statutory role of the Independent Reviewing Officer (IRO) with responsibility for the process of reviewing looked after children"s cases. The Review of Children"s Cases (Wales) Regulations 2007 set out the review of arrangements for the placement of children in Wales who are looked after by local authorities or accommodated by the local authority, voluntary organisations or private children"s homes. The Placement of Children (Wales) Regulations 2007 ; set out the arrangements for placement of children by local authorities, voluntary organisation or private children"s homes The report is available to download on the CSSIW website http://www.cssiw.org.uk Care and Social Services Inspectorate Wales


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