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[Hue and cry over pens?].

Pens are accused to be potential vectors for nosocomial infections. Their role cannot be denied. However, a poor compliance to hand washing is probably the real culprit. Such action should be more systematic between examining successive patients. However, one has to chose carefully the cleaning and antiseptic agent baring in mind the irritation potential of such product. Indeed, the repetitive minimal aggression of the stratum corneum may lead to a paradoxical increase in bacterial contamination. It is responsible for increased roughness of the skin and occurrence of subjective symptoms which abate the sufferer compliance.

Disease Reservoirs↗

[Studies on basis and methods for examination of ruled characters].

Although the writer of ruled characters temporarily changes his movement habits forcefully, the static impression of characters in mind still determines the characteristics of structures and wrongly written. The static impression controls ruled writing. This builds up the basis for the examination of ruled characters. The main methods for examination is to find in characters special structures, stroke collocation, and wrongly written.

Forensic Medicine↗

[A case report of pure micrographia progressing over 5 years--an early sign of "pure akinesia"?].

We report a 68-year-old man who have had only slowly progressive micrographia in both hands over the past 5 years without rigidity, tremor, bradykinesia, and festination or freezing in walking. The fine finger movements were normal. PET studies suggested the diagnosis of progressive supranuclear palsy or pure akinesia. Administration of L-DOPA and L-threo-DOPS did not improve his micrographia. Festination and freezing in writing may contribute to the genesis of micrographia in this case. We postulate that "pure micrographia" is an early atypical sign of pure akinesia.

Aged↗

Improving communication between hospital and community physicians. Feasibility study of a handwritten, faxed hospital discharge summary. Discharge Summary Study Group.

OBJECTIVE: To assess the timing, legibility, and completeness of handwritten, faxed hospital discharge summaries as judged by family physicians and to obtain their opinion on the information categories on a standardized discharge summary form. DESIGN: Fax survey of physicians for consecutive patients discharged from hospital over 8 weeks. SETTING: Three wards in a tertiary care teaching hospital. PARTICIPANTS: One hundred two family physicians and general practitioners practising in Hamilton, Ont. MAIN OUTCOME MEASURES: Proportions of summaries that were received, received within 48 hours of discharge, legible, and complete; types of information missing from incomplete summaries; proportion of physicians satisfied with the information categories. RESULTS: Of 271 consecutive patient discharges, 195 (72%) were eligible for study. Among those ineligible, 22 patients (8%) did not have a family doctor identified on their hospital records. Among records that did have a family physician identified, fax numbers were unavailable or unknown for 54 physicians (20%). One hundred two physicians completed 166 discharge summary assessments for a response rate of 85% (166/195). By 3 weeks after discharge, 138 discharge summaries (83%) had been received by patients' family doctors. Among those received, 86% were received within 48 hours of discharge; 92% were legible; and 88% were complete. Hospital doctors' signatures, patients' diagnoses, and follow-up plans were most frequently missing. Ninety-five percent of physicians were satisfied with the information categories included on the standardized form. CONCLUSIONS: Handwritten, faxed hospital discharge summaries were acceptable to family physicians for most patients. Criteria are needed for determining which patients require both handwritten and dictated discharge summaries.

Attitude of Health Personnel↗