ANZ journal of surgery
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The surgical workforce is ageing. This will impact on future workforce supply and planning, as well as the professional performance and welfare of surgeons themselves. This paper is a 'call to arms' to surgeons to consider the complex problem of advancing years and surgical performance. ⋯ This may be best facilitated by some form of informed and guided self-monitoring or 'self-screening'. It should be emphasized that self-screening is not a form of self-treatment but aims to enhance insight, using a tool kit of resources to promote adaptive ageing. Moreover, self-screening should not be restricted to cognition, which is only part of the picture of ageing, but extended to emphasize the maintenance of mental and physical wellness, and the acceptance of independent professional treatment and support when required.
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ANZ journal of surgery · May 2014
Predictive value of C-reactive protein with Alvarado score in acute appendicitis.
The aim of the study was to evaluate whether C-reactive protein (CRP) level on admission could aid the diagnostic accuracy of Alvarado score in acute appendicitis. ⋯ The Alvarado score and CRP taken together improve the predictive value of diagnosing acute appendicitis. Having a normal CRP in the equivocal group of Alvarado 4-6, should be further evaluated by advanced imaging before proceeding to appendicectomy.