Asunto(s)
Adenoma/complicaciones , Adenoma/metabolismo , Neoplasias de la Corteza Suprarrenal/complicaciones , Neoplasias de la Corteza Suprarrenal/metabolismo , Aldosterona/metabolismo , Hipertensión/etiología , Zona Glomerular , Adenoma/diagnóstico por imagen , Adenoma/patología , Neoplasias de la Corteza Suprarrenal/diagnóstico por imagen , Neoplasias de la Corteza Suprarrenal/patología , Femenino , Humanos , Persona de Mediana Edad , Tomografía Computarizada por Rayos X , Zona Glomerular/cirugíaRESUMEN
A recent Royal College of Radiologists (RCR) publication is entitled Advice on The Management of Reactions to Intravenous Contrast Media. This study aims to determine whether radiology departments are adhering to the essential points, covered in the guidelines, regarding prevention, early recognition and prompt treatment of adverse reactions, and whether they are adequately equipped for the proposed contrast media reaction management protocols. A questionnaire was formulated and sent to the superintendent radiographers of 295 radiology departments in the United Kingdom of whom 233 (79%) replied. This was specifically directed at the use of intravenous contrast media in intravenous urography. In almost all departments there was provision for basic life support training, regular checking of equipment and drugs, and prompt access to emergency medical help. Certain "first line" drugs and monitoring equipment were not instantly accessible in the majority of institutions. Most departments did not adequately supervise post-injection patients and did not conform to the guidelines referring to the administration of intravenous contrast to children. Certain areas of the guidelines are being neglected by many radiology departments and there is still much to be done to improve the safety of intravenous contrast medium injection.
Asunto(s)
Medios de Contraste/administración & dosificación , Servicio de Radiología en Hospital/normas , Administración de la Seguridad/métodos , Encuestas y Cuestionarios , Humanos , Reino UnidoAsunto(s)
Población Negra , Neoplasias/epidemiología , Población Blanca , Adulto , Anciano , Asia/etnología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reino UnidoRESUMEN
A retrospective study was mounted into the frequency of breast cancer in blacks, whites and Asians attending Dudley Road Hospital in the years 1970-1981 inclusive. This figure was compared with the ethnic distribution of the surrounding population and of admissions for all causes. Breast cancer was uncommon in both ethnic minorities compared with whites, but was commoner in blacks than in Asians. These trends are similar to the World Health Organization figures for Britain, Jamaica and India. Differences in parity and breast feeding do not explain the variability of breast cancer in this study.