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First Choice Of Renal Function Tests In Hepatectomy Patients
Although creatinine clearance (Ccr) has been measured clinically by a simple method as a preoperative renal function test, Ccr is not strictly equal to glomerular filtration rate (GFR). Recently, an equation for estimated GFR (eGFR) for Japanese individuals has been postulated, and eGFR has been accepted as equal to measured GFR in chronic kidney disease. However, there have been no previous studies regarding the reliability of eGFR as a preoperative renal function test.
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Briefing To Examine U.S. Strategy For Combating Malaria Around The World
The Kaiser Family Foundation will hold a briefing on June 17 to examine the U.S. government"s role in addressing malaria, including its strategic options for reducing the impact of the disease and the current status of the development of the comprehensive malaria strategy. The discussion will touch on issues such as: What will the U.S. malaria response look like over the next five years? What strategies are most likely to prove effective? How will the U.S. efforts fit into the broader global response to malaria?
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Cognitive Performance Impacted By Genetic Risk, Not Anesthesia Exposure
A recent study of more than 2,000 identical twins found that medical problems early in life, rather than the neurotoxic effects of anesthesia, are likely linked to an individual"s risk for developing learning disabilities. The study"s findings, reported in the journal Twin Research and Human Genetics, contradict research published earlier this year, which concluded that receiving anesthesia younger than age four is associated with subsequent learning problems.
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Patient Notes - Clarity For Insurers And Doctors

Doctors will have greater clarity around releasing a patient"s full medical notes to insurance companies after the Privacy Commissioner concluded that the law allows insurers to collect only the information that they need to make insurance decisions. The Privacy Commissioner received a request from the New Zealand Medical Association (NZMA) to look into insurers" requests for full patient notes. The Commissioner concluded that insurance companies can only ask for patient notes that are of direct relevance to their decision to insure a person or to pay on a claim. "Medical practitioners should expect that the first request from an insurer will be of a more limited nature, such as questions about specific conditions," says NZMA GP Chair Dr Mark Peterson. "In some cases insurers may follow up by requesting more detailed information on a patient"s full notes for a specified period but both the insurer and the doctor will need to ensure that they have the patient"s permission to release additional information." Insurers have said they are willing to make their forms clearer - taking on board the Privacy Commissioner"s conclusions - so that if they intend to collect medical information there is no confusion for patients and doctors. The NZMA has produced a re for members, which reflects the results of the Commissioner"s inquiry. "If a doctor is uncertain whether a patient has authorised disclosure they need to discuss the matter with their patient," says Dr Peterson. "Patients may also want to see their medical notes before they make a decision on authorising disclosure." The Commissioner has said that occasionally an insurer will be entitled to collect full medical notes, if the more specific information does not provide the detail the insurer needs to make a decision. However, these situations should be rare. New Zealand Medical Association


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