scholarly journals Changing patterns of respiratory disease in HIV positive patients in a referral centre in the United Kingdom between 1986-7 and 1990-1.

Thorax ◽  
1993 ◽  
Vol 48 (3) ◽  
pp. 204-207 ◽  
Author(s):  
A D Pitkin ◽  
A D Grant ◽  
N M Foley ◽  
R F Miller
2017 ◽  
Vol 30 (1) ◽  
pp. 126-129
Author(s):  
Ann P. Britton ◽  
Shlomo E. Blum ◽  
Carolyn Legge ◽  
Ken Sojonky ◽  
Erin N. Zabek

Streptococcus equi subspecies zooepidemicus ( S. zooepidemicus) causes outbreaks of fatal respiratory disease in dog shelters and fatal respiratory and neurologic disease in cat shelters. We conducted multi-locus sequence typing analysis on S. zooepidemicus isolates from 5 Canadian and 3 Israeli cats with severe respiratory and neurologic disease, plus 1 isolate from a clinically normal shelter cat. Our aim was to determine if feline outbreaks are clonal and whether there is commonality between feline and canine strains. ST363 was identified as the causative strain of a Canadian outbreak of S. zooepidemicus–linked disease, and is a double-locus variant of ST173, which was isolated from one of the Israeli cats. ST363 was also isolated from the clinically normal cat, indicative of the potential for enzootic infection in shelters. Strains within the ST173 clonal complex were responsible for 2 large canine outbreaks in the United States and the United Kingdom, as well as the death of 1 cat in the United States outbreak. ST215 was isolated from 2 cats in the Israeli outbreak, and is unrelated to the ST173 complex. We conclude that S. zooepidemicus outbreaks in cat shelters are clonal and that strains within the ST173 clonal complex are pathogenic for both dogs and cats.


2021 ◽  
pp. 175045892110452
Author(s):  
CU Menakaya ◽  
M Durand-Hill ◽  
O Okereke ◽  
DM Eastwood

Introduction: Nosocomial COVID-19 increases morbidity and mortality in patients undergoing surgical procedures. This study assesses the consenting process in patients admitted for surgical procedures with regard to risks of contracting nosocomial COVID-19 infection during the three lockdown periods in the United Kingdom. Methods: Retrospective review of consecutive surgical patients admitted to our tertiary referral centre for surgical procedures during the lockdown periods in the United Kingdom. Data from our hospital’s electronic theatre database cross-referenced with the online surgical operative, admission and discharge records were reviewed by three independent reviewers. Discussion: A total of 180 patients (104 males and 76 females) were studied. No patients tested positive perioperatively for COVID-19. The first lockdown had a significantly larger proportion of consultants consenting (P < 0.001). Surgeons consented patients for risk of COVID-19 infection in 34.4% of cases, COVID-19-related illness in 33.9%, inpatient Intensive Care Unit (ITU) admission secondary to COVID-19 infection and risk of death due to COVID-19 in 0.0% and risk of death secondary to inpatient COVID infection in 1.1%. Conclusion: As surgical activity continues and COVID-19 persists, surgeons should be vigilant and ensure proper documentation for consent regarding COVID-19-related complications in line with the Royal College of Surgeons of England guidelines.


2020 ◽  
Vol 28 (1) ◽  
pp. 3-20 ◽  
Author(s):  
Jane Millar ◽  
Peter Whiteford

This article examines the challenges in designing income-tested benefits for people of working age. This is particularly difficult in the context of changing patterns of work and volatility in earnings and income. Matching benefits to needs requires timely assessment and payment. We compare the treatment of timing issues in the working-age welfare systems of the United Kingdom and Australia. The article discusses how these different but similar systems deal with the timing of income receipt and benefit adjustment, problems of overpayment and debt, and draws out some lessons for the design of income-tested provisions.


2015 ◽  
Vol 17 (1) ◽  
Author(s):  
Despina Eleftheriou ◽  
Giulia Varnier ◽  
Pavla Dolezalova ◽  
Anne-Marie McMahon ◽  
Muthana Al-Obaidi ◽  
...  

2016 ◽  
Vol 21 (12) ◽  
pp. 3079-3091 ◽  
Author(s):  
John OA Owuor ◽  
Abigail Locke ◽  
Bob Heyman ◽  
Andrew Clifton

This study explored the perspectives of Black men, originally from East Africa, living in the United Kingdom and their partners on what it means to live with diagnosed HIV. This article reports on concealment of HIV-positive status as a strategy adopted by the affected participants to manage the flow of information about their HIV-positive status. Analysis of the data, collected using in-depth interviews involving 23 participants, found widespread selective concealment of HIV-positive status. However, a few respondents had ‘come out’ publicly about their condition. HIV prevention initiatives should recognise concealment as a vital strategy in managing communication about one’s HIV-positive status.


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