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Biomedical subjects

G Y Shin

Publications and source records attributed to G Y Shin.

4 recordsLinked to original sources

Molecular technique identifies the pathogen responsible for culture negative infective endocarditis.

A case of culture negative endocarditis complicated by immune complex glomerulonephritis and severe aortic regurgitation necessitated aortic valve replacement. Empirical treatment with penicillin and gentamicin according to UK guidelines was started. The pathogen, Streptococcus sanguis, was later identified by polymerase chain reaction amplification and sequencing of bacterial 16S ribosomal RNA. This molecular technique is likely to be of increasing importance in determining the aetiology of culture negative infective endocarditis, thus providing essential treatment and epidemiological information.

Aortic Valve Insufficiency↗

Doctors and nurses estimation of the weight of patients: A preventable source of systematic error.

BACKGROUND: Although accurate determination of body weight is important in the management of the poisoned patient, many patients have their weight estimated rather than formally measured. OBJECTIVE: To determine how good medical staff are at estimating patients*** body weights. METHODS: Medical staff were asked to estimate the weight of six patients on a poisons ward. Estimated and actual patient weights were statistically compared. RESULTS: Medical staff produced a large range of estimated weights for all patients. Patient weight was incorrectly estimated by greater than 10% in 61% of individual estimations. There was poor statistical correlation between actual and estimated weight. CONCLUSIONS: All patients administered medication based on body weight and those treated following an overdose of any substance should have formal body weight determined as part of their standard management.

Acetylcysteine↗