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Biomedical subjects

T Carey

Publications and source records attributed to T Carey.

22 records · Page 2Linked to original sources

Subacute hematogenous osteomyelitis: are biopsy and surgery always indicated?

Forty-four consecutive cases of subacute osteomyelitis admitted at our institution over a 12-year period were retrospectively reviewed to assess the effectiveness of conservative versus surgical treatment of this condition and to determine the indications for open biopsy and surgical debridement. Twenty-four cases were treated with antibiotics only, and 20 had surgical debridement followed by antibiotics. Except for one case that received inadequate antibiotic therapy, all patients responded well to this treatment, whether conservative or surgical. At an average follow-up of 18 months, there were no recurrences. Our results also showed that with a careful radiologic assessment of these cases, most lesions showed characteristic benign radiologic features. We can therefore conclude that conservative management of cases of subacute osteomyelitis is as effective as surgical treatment. We believe that conservative treatment with antibiotics should be the first line of management in most of these cases and that open biopsy or surgical debridement or both should be reserved for cases that do not respond to antibiotics or show aggressive radiologic features.

Adolescent↗

Communication between GPs and psychiatrists.

The aim of this study was to investigate the quality of GP referral letters to Specialist Psychiatric Clinics. Ninety one referral letters from 24 GPs were analysed. A schedule based on key items of information previously identified as being of importance to Psychiatrists was used in the analysis. The study revealed that these key items were frequently omitted. In addition, information on social history and medical history was inadequately supplied. Poor letter format and quality of notepaper were also identified. Liaison between GPs and Psychiatrists and Vocational Training Programmes would be helpful in addressing these issues.

Communication↗