Dear Editor, Waldenstrom macroglobulinemia(WM) is a rare type of non-Hodgkin’s lymphoma, commonly associated with hyperviscosity syndrome. Unlike non-Hodgkin’s lymphoma, its ocular manifestations are less well descr...Dear Editor, Waldenstrom macroglobulinemia(WM) is a rare type of non-Hodgkin’s lymphoma, commonly associated with hyperviscosity syndrome. Unlike non-Hodgkin’s lymphoma, its ocular manifestations are less well described in the literature. Here we present the first case of undiagnosed WM presenting with dense vitreous haemorrhage. The study was conducted in accordance with the principles of the Declaration of Helsinki. The informed consent was obtained from the subject.展开更多
Background: NICE has suggested that paediatric epilepsy services should undergo regular audit. An audit was done to gain a snapshot across South East Thames clinics. Method: Audit in South East Thames was conducted in...Background: NICE has suggested that paediatric epilepsy services should undergo regular audit. An audit was done to gain a snapshot across South East Thames clinics. Method: Audit in South East Thames was conducted in 2010. Results: In 86.5% seizure classification and in 42.8% a syndromic diagnosis was made. cQT interval was calculated in 10.1% cases and 91.8% had an EEG. In 48.5% adverse effects of drugs were communicated. 41.3% were given information leaflets/directed to the appropriate website. In 70.7% developmental/academic progress was documented. 61% had a written care plan. 70.2% had the copy letter to parents/carers whereas it was sent to School & Child Health in 35.1%. 23.1% had access to specialist epilepsy nurse. Conclusions: This audit was a snapshot. The results showed that the care of children with epilepsy is consistent with the NICE guidelines in many aspects but patchy in the UK.展开更多
文摘Dear Editor, Waldenstrom macroglobulinemia(WM) is a rare type of non-Hodgkin’s lymphoma, commonly associated with hyperviscosity syndrome. Unlike non-Hodgkin’s lymphoma, its ocular manifestations are less well described in the literature. Here we present the first case of undiagnosed WM presenting with dense vitreous haemorrhage. The study was conducted in accordance with the principles of the Declaration of Helsinki. The informed consent was obtained from the subject.
文摘Background: NICE has suggested that paediatric epilepsy services should undergo regular audit. An audit was done to gain a snapshot across South East Thames clinics. Method: Audit in South East Thames was conducted in 2010. Results: In 86.5% seizure classification and in 42.8% a syndromic diagnosis was made. cQT interval was calculated in 10.1% cases and 91.8% had an EEG. In 48.5% adverse effects of drugs were communicated. 41.3% were given information leaflets/directed to the appropriate website. In 70.7% developmental/academic progress was documented. 61% had a written care plan. 70.2% had the copy letter to parents/carers whereas it was sent to School & Child Health in 35.1%. 23.1% had access to specialist epilepsy nurse. Conclusions: This audit was a snapshot. The results showed that the care of children with epilepsy is consistent with the NICE guidelines in many aspects but patchy in the UK.