/library/oar/handle/123456789/39726 2025-12-25T15:24:20Z /library/oar/handle/123456789/4402 Title: King George V Hospital in Malta : Sacra Infermeria for the Order of St. Lazarus of Jerusalem Authors: Savona-Ventura, Charles Abstract: King George V Hospital, originally commissioned in 1922, saw its closure in 1967. It was eventually reopened under the management of the Department of Health as Boffa Hospital in 1970. In the interim years, the budding Maltese jurisdiction of the Military and Hospitaller Order of Saint Lazarus of Jerusalem made serious bids to assume the management of the hospital hoping to set up a service for public and private-paying patients. 2015-01-01T00:00:00Z /library/oar/handle/123456789/4401 Title: Coronary artery fistulae : 4 cases repaired surgically Authors: Manche, Alexander; Sladden, David; Casha, Aaron Abstract: Coronary artery fistulae involve a communication between a coronary artery and a heart chamber or part of the pulmonary circulation. Most are asymptomatic and discovered incidentally, whilst larger ones may cause coronary steal syndrome. Fistulae may produce continuous murmurs and are diagnosed at echocardiography or angiography. Treatment is by percutaneous coil embolisation or open surgery. This article reviews four cases treated with surgical closure. All patients were asymptomatic and diagnosed incidentally at angiography. One case involved a failed attempt at percutaneous coil embolization requiring immediate open surgery. The other three cases required other operative procedures and the fistulae were oversutured during the same procedure. 2015-01-01T00:00:00Z /library/oar/handle/123456789/4400 Title: Multiple cerebral infarctions in the context of malignancy Authors: Paris, Etienne Mark Abstract: Coagulation disorders are common in patients with malignancy, sometimes leading to arterial and venous thrombosis. Such patients are therefore at increased risk for ischaemic stroke. Though usually occurring in advanced stages of cancers, sometimes stroke can be the first manifestation of a hidden, yet undiagnosed, malignancy. This report presents a case of recurrent strokes secondary to malignancy-related thromboembolism in a 63-year old gentleman. 2015-01-01T00:00:00Z /library/oar/handle/123456789/4399 Title: When intra-partum electronic fetal monitoring becomes court business Authors: Buttigieg, George Gregory Abstract: Sadly but inevitably, the clinical fruit of all scientific research, like the profile of the Roman god Janus, presents us with two faces - one is patient benefit while the other is medico-legal vulnerability. As part of defensive medicine, there are situations where malpractice risk is minimised by actual elimination of certain high-risk procedures e.g. in the case of some neurosurgical operations. Intra-partum electronic fetal monitoring (IPEFM) is the commonest obstetric procedure in the developed world, producing valuable information of fetal well being as co-related to maternal uterine activity with a scope of guarding fetal well-being in labour. It is a prime example of the therapeutic/ legal liability duality which haunts modern Medicine. 2015-01-01T00:00:00Z