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  • Book
    Philip F. Stahel, Cyril Mauffrey, editors.
    Contents:
    Part 1. General Aspects
    1: Quality Assessment in Surgery: Mission Impossible?
    2. Incidence of 'Never Events' and Common Complications
    3. Cognitive Errors
    4. Diagnostic Errors
    5. Technical Errors
    6. The Missed Injury: A 'Preoperative Complication'
    7. Non-Technical Aspects of Safe Surgical Performance
    8. Postoperative Monitoring for Clinical Deterioration
    9. Effective Communication- Tips and Tricks
    10. Professionalism in Health Care
    11. Accountability in the Medical Profession
    12. The Role of the Surgical Second Opinion
    13. Compliance to Patient Safety Culture
    14. The Universal Protocol: Pitfalls and Pearls
    15. Patient Safety in Graduate and Continuing Medical Education
    16. Translation of Aviation Safety Principals to Patient Safety in Surgery
    17. Handovers: The 'Hidden Threat' to Patient Safety
    18. Public Safety-Net Hospitals- The Denver Health Model
    19. Electronic Health Records and Patient Safety
    20. Research and Patient Safety
    Part 2. The Surgeon's Perspective
    21. The Surgery Morbidity and Mortality Conference
    22. Reporting of Complications
    23. Disclosure of Complications
    24. Surgical Quality Improvement
    25. Surgical Safety Checklists
    Part 3. Other Perspectives
    26. The Anesthesia Perspective
    27. The Nursing Perspective
    28. The Patient's and Patient Family's Perspective
    29. The Ethical Perspective
    30. Patient Safety- A Perspective from the Developing World
    Part 4. Case Scenarios
    31. Improving Operating Room Safety: A Success Story
    32. Management of Unanticipated Outcomes: A Case Scenario
    33. The Preventable Death of Michael Skolnik: An Imperative for Shared Decision-Making
    Epilogue
    Appendices.
    Digital Access Springer 2014
  • Article
    Le Bouteiller P, Kinsky R, Righenzi S, Voisin GA.
    Ann Immunol (Paris). 1978 Jul-Sep;129 C(5):635-51.
    T and B lymphocytes from spleen, lymph nodes, thymus and bone marrow of unstimulated CBA mice have distinct ultrastructural features: respectively the Th type (dense dark appearance, smooth margin, high nucleocytoplasmic ratio, rare cytoplasmic organelles) and the Bm type (low electronic density, villous margin, low nucleocytoplasmic ratio, numerous cytoplasmic organelles). Correlations between Th or Bm morphology and presence of specific T or B surface markers (theta antigen or surface Ig) have been established. The Th/T and Bm/B equivalence do not however hold in all circumstances: first, there are morphologically intermediate types termed In (less than 13%) that may be theta- or Ig-positive; second, some Bm lymphocytes are theta-positive in CBA thoracic duct and some Th lymphocytes are Ig-positive in Nude mice spleen. Purified T-or B lymphocyte populations stimulated by selective mitogens (ConA or LPS respectively) undergo ultrastructural modifications before their surface markers (theta or Ig respectively) disappear. A time, some theta-positive T lymphocytes show a Bm-like morphology. The results suggest that the basis for the usual T-B ultrastructural differences in unstimulated mice resides in the normally different functional state of metabolic activity of these two types of cells: the cell metabolism would be higher in Bm (the usual form of unstimulated B lymphocytes) than in Th (the usual form of unstimulated T lymphocytes). This view may explain the paradoxical results observed in thoracic duct and Nude mice spleen as well as conflicting data reported by several authors.
    Digital Access Access Options