scholarly journals Intravenous to Oral Antimicrobial Stepdown Therapy at the Victoria General Hospital, Halifax, Nova Scotia

1995 ◽  
Vol 6 (suppl a) ◽  
pp. 21A-23A
Author(s):  
KR Forward
Keyword(s):  
Nova Scotia ◽  
General Hospital ◽  
Victoria General Hospital

scholarly journals VICTORIA GENERAL HOSPITAL, HALIFAX, NOVA SCOTIA.

The Lancet ◽  
1899 ◽  
Vol 153 (3935) ◽  
pp. 229-230
Author(s):  
C.Dickie Murray
Keyword(s):  
Nova Scotia ◽  
General Hospital ◽  
Victoria General Hospital

scholarly journals Restricted: Increasing Access to the Reference Collection

2015 ◽  
Vol 36 (2) ◽  
pp. 59
Author(s):  
Carla Epp ◽  
Laura Hochheim
Keyword(s):  
General Hospital ◽  
Policy Change ◽  
The Other ◽  
Academic Hospital ◽  
Library System ◽  
Reference Collection ◽  
University Of Manitoba ◽  
Victoria General Hospital ◽  
The University ◽  
General Collection

<strong>Abstract: Introduction:</strong> The objective of this project was to determine whether or not a hospital library reference collection is still necessary or justified. Two academic hospital libraries moved all reference books to the general collection to see whether increased access to these materials would increase their use. <strong>Description:</strong> All reference books were updated to circulating status and shelved in the circulating collection. As these items were used, statistics were gathered in the integrated library system (ALMA). Statistics were gathered from August 2014 to January 2015. Circulation statistics for equivalent periods prior to and during the project were compared to determine whether changing access to the collection increased use. <strong>Outcomes:</strong> Uses of the reference collection items doubled at Seven Oaks General Hospital (SOGH) and more than tripled at Victoria General Hospital (VGH). The percentage of reference titles used tripled at SOGH and doubled at VGH. <strong>Discussion:</strong> The change to circulating status significantly increased access to and use of the reference collection. This borrowing policy change for the reference collection will be recommended to the other hospital libraries within the University of Manitoba.

A Prototype Multi-Modality Picture Archive And Communication System At Victoria General Hospital

1988 ◽  
Author(s):  
J. Nosil ◽  
G. Justice ◽  
P. Fisher ◽  
G. Ritchie ◽  
W. J. Weigl ◽  
...  
Keyword(s):  
General Hospital ◽  
Communication System ◽  
Picture Archive ◽  
Victoria General Hospital

scholarly journals A136 LIVING ON THE EDGE: EUS-DIRECTED TRANSGASTRIC ERCP (EDGE) IN PATIENTS WITH ROUX-EN-Y GASTRIC BYPASS ANATOMY

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 121-122
Author(s):  
A Jain ◽  
R Barclay ◽  
F Donnellan
Keyword(s):  
British Columbia ◽  
Gastric Bypass ◽  
Adverse Events ◽  
General Hospital ◽  
Gallstone Pancreatitis ◽  
Gastric Fistula ◽  
Proximal Jejunum ◽  
Invasive Approach ◽  
Excluded Stomach ◽  
Victoria General Hospital

Abstract Background Roux-en-Y gastric bypass (RYGB) surgery imposes anatomic barriers to endoscopic retrograde cholangiopancreatography (ERCP). Potential options for biliary access in these patients include laparoscopic-assisted ERCP or balloon enteroscopy. However, these approaches require specialized equipment and/or operating room personnel and are associated with high rates of failure and adverse events compared to conventional ERCP. A recently described technique, EUS-directed transgastric ERCP (EDGE), is an entirely endoscopic approach which involves accessing the excluded stomach to facilitate conventional ERCP. Objectives To describe the results of EDGE procedures performed in two centres in British Columbia. Aims To describe the results of EDGE procedures performed in two centres in British Columbia. Methods Data were collected from five patient cases who had undergone an EDGE procedure at Victoria General Hospital (4) or Vancouver General Hospital (1) in British Columbia from 2019 to 2020. All patients had a history of RYGB bariatric surgery. In each of the procedures, a 20 mm diameter lumen-apposing metal stent (LAMS) was deployed under EUS-guidance to allow access from the gastric remnant or proximal jejunum to the excluded stomach. Subsequently, during a separate procedure 4 to 28 days later, a duodenoscope was passed through the LAMS to perform ERCP. Following ERCP, the LAMS was removed 0 to 38 days later and replaced with a double pigtail stent to facilitate controlled closure of the gastro-jejunal or gastro-gastric fistula. Results Of the five cases included in the case series, 4 patients underwent EDGE for treatment of choledocholithiasis and one patient underwent the procedure for gallstone pancreatitis. The technical success rate of the EDGE procedure in the five cases was 100%. Clinical success, defined by normalization of bilirubin and symptomatic relief, was observed in all of the cases. There were no adverse events related to the EDGE procedure in these five cases. Conclusions The results of this series support EDGE as a safe and minimally invasive approach to biliary access and therapy in patients with previous RYGB surgery. Funding Agencies None

scholarly journals The Contributions of W.D. Stevenson to the Development of Neurosurgery in Atlantic Canada

1999 ◽  
Vol 26 (3) ◽  
pp. 217-223 ◽  
Author(s):  
K. Mukhida ◽  
I. Mendez
Keyword(s):  
General Hospital ◽  
Tertiary Care ◽  
Department Head ◽  
Atlantic Canada ◽  
Neurosurgical Department ◽  
Tertiary Care Centre ◽  
Surgical Specialty ◽  
Medical Specialization ◽  
Medical Environment ◽  
Victoria General Hospital

The establishment of a neurosurgical department in Halifax in January 1948 marked the beginnings of the first dedicated neurosurgical service in Atlantic Canada. The development of neurosurgery in Halifax occurred in a receptive place and time. The Victoria General Hospital, the region’s largest tertiary care centre, and the Dalhousie University Faculty of Medicine were in a period of growth associated with medical specialization and departmentalization, changes inspired in part by the Flexner Report of 1910. Atlantic Canadians during this period were increasingly looking to specialists for their medical care. Although this social environment encouraged the establishment of surgical specialty services, the development of neurosurgery in Halifax, as in other parts of Canada, was closely associated with the efforts of individual neurosurgeons, such as William D. Stevenson. After training with Kenneth G. McKenzie in Toronto, Stevenson was recruited to Halifax and established the first neurosurgical department in Atlantic Canada. From the outset and over his twenty-six years as Department Head at the Victoria General Hospital and Dalhousie University, Stevenson worked to maintain the department’s commitment to clinical practice, medical education, and research. Although Stevenson single-handedly ran the service for several years after its inception, by the time of his retirement in 1974 the neurosurgery department had grown to include five attending staff surgeons who performed over two thousand procedures each year. This paper highlights the importance of Stevenson’s contributions to the development of neurosurgery in Atlantic Canada within the context of the social and medical environment of the region.

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