Why do thoracic surgeons need training in decision making? Many of us who have
weathered harrowing residencies in surgery feel that, after such experiences, decision
making is a natural extension of our selves. While this is no doubt true, correct decision
making is something that many of us have yet to master. The impetus to develop
a text on evidence-based decision making in thoracic surgery was stimulated by a
conference for cardiothoracic surgical trainees developed in 2004 and sponsored by
the American College of Chest Physicians....
The term thrombophilia describes a range of conditions in which there is
an increased tendency, frequently recurrent, for thrombus formation in the
venous as well as in the arterial vascular systems. Thrombophilia is caused
by inherited or acquired conditions and may cause symptoms related to the
place in which the thrombosis occurred, the extent of thrombosis, and
whether embolization occurred in other organs.
Ageing tends to be associated with a growing burden of disease and prolonged heavy
drinking is itself a cause of health problems such as liver disease, raised blood pressure,
and some forms of cancer. Alcohol misuse may also lead to an increased likelihood of
falls, incontinence, cognitive impairment, hypothermia and self-neglect. These sorts of
problems may be regarded by health professionals and members of the family merely as
signs of ageing.
Asthma like symptoms spontaneously go into remission in
a substantial proportion of children 5 years and younger.
Therefore, the continued need for asthma treatment in this
age group should be assessed at least twice a year.
Component 4 - Manage Asthma Exacerbations:
Exacerbations of asthma (asthma attacks or acute
asthma) are episodes of progressive increase in shortness
of breath, cough, wheezing, or chest tightness, or some
combination of these symptoms. Severe exacerbations
are potentially life threatening, and their treatment requires
During the last decade, various authors have enumerated the “unusual” manifestations
of pulmonary tuberculosis in the adult population [1-6]. These unusual
manifestations usually have been implicated in the frequent failure of both radiologist
and clinician to recognize that tuberculosis could be the cause of an abnormal
chest radiograph in patients who are subsequently, and rather surprisingly, proven
to have tuberculosis. As Choyke et al.