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Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/30097554/how-do-trainee-doctors-introduce-themselves-to-patients
#1
Marwa Salman, Artemis Tingas, Steve M Yentis
OBJECTIVES: To identify how trainee doctors introduce themselves to patients. DESIGN: Survey. SETTING: Chelsea and Westminster Hospital, London. PARTICIPANTS: One hundred trainee doctors, of mixed grades and specialties. MAIN OUTCOME MEASURES: Introducing oneself by name, using their professional title 'Dr', use of the term 'trainee'. RESULTS: All 100 participants introduced themselves by name to patients, with 63% using only their first name, 18% using only their last name and 18% using a combination of both...
August 10, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30087164/advancing-quality-in-sepsis-management-a-large-scale-programme-for-improving-sepsis-recognition-and-management-in-the-north-west-region-of-england
#2
Emmanuel Fru Nsutebu, Ana Belén Ibarz-Pavón, Elizabeth Kanwar, Nancy Prospero, Neil French, Conor McGrath
OBJECTIVE: To evaluate the impact of a collaborative programme for the early recognition and management of patients admitted with sepsis in the northwest of England. SETTING: 14 hospitals in the northwest of England. INTERVENTION: A quality improvement programme (Advancing Quality (AQ) Sepsis) that promoted a sepsis care bundle including time-based recording of early warning scores, documenting systemic inflammatory response syndrome criteria and suspected source of infection, taking of blood cultures, measuring serum lactate levels, administration of intravenous antibiotics, administration of oxygen, fluid resuscitation, measurement of fluid balance and senior review...
August 7, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30049730/injury-rate-and-patterns-of-sydney-grade-cricketers-a-prospective-study-of-injuries-in-408-cricketers
#3
Najeebullah Soomro, Daniel Redrup, Chris Evans, Luke Peter Strasiotto, Shekhar Singh, David Lyle, Himalaya Singh, Rene E D Ferdinands, Ross Sanders
BACKGROUND: The grade cricket competition, also known as premier cricket, supplies players to the state and national teams in Australia. The players involved are generally high-performing amateur (subelite) club cricketers. However, to date, there is no study on the injury epidemiology of Australian grade cricket. AIM: To conduct injury surveillance across all teams playing Sydney Grade Cricket (SGC) competition during the 2015-2016 season. METHODS: A cohort study was conducted to track injuries in 408 male cricketers in 20 teams playing SGC competition...
July 26, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30042184/how-long-do-percutaneous-endoscopic-gastrostomy-feeding-tubes-last-a-retrospective-analysis
#4
Keith Siau, Tom Troth, Elizabeth Gibson, Anita Dhanda, Lauren Robinson, Neil C Fisher
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) tubes allow for long-term enteral feeding. Disk-retained PEG tubes may be suitable for long-term usage without planned replacement, but data on longevity are limited. We aimed to assess the rates and predictors of PEG longevity and post-PEG mortality. DESIGN: Single-centred retrospective cohort study of patients with disk-retained (Freka) PEG tubes. METHODS: All patients undergoing PEG between 2010 and 2013 were identified, and retrospective analysis of outcomes until 2017 (median 1062 days) was performed...
July 24, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30042183/left-ventricular-myxoma-with-dynamic-left-ventricular-outflow-tract-obstruction
#5
Sambaturu V Kartik, Arun Gopalakrishnan, A N Deepti, Krishna Kumar Mohanan Nair, Vivek V Pillai, Ajitkumar Valaparambil
No abstract text is available yet for this article.
July 24, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30026389/gut-brain-axis-biochemical-signalling-from-the-gastrointestinal-tract-to-the-central-nervous-system-gut-dysbiosis-and-altered-brain-function
#6
REVIEW
Borros M Arneth
BACKGROUND: The gut-brain axis facilitates a critical bidirectional link and communication between the brain and the gut. Recent studies have highlighted the significance of interactions in the gut-brain axis, with a particular focus on intestinal functions, the nervous system and the brain. Furthermore, researchers have examined the effects of the gut microbiome on mental health and psychiatric well-being.The present study reviewed published evidence to explore the concept of the gut-brain axis...
July 19, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30018054/modelheart-a-resident-led-implementation-of-metrics-to-reduce-30-day-heart-failure-readmissions
#7
Sergey Kachur, Patricia Kachur, Tauseef Akhtar, Elias Collado, Martha Espinosa-Friedman, Craig Asher, Marlow Hernandez
Hospitals have been penalised for excessive 30-day readmissions via Medicare payment penalties. As such there has been keen interest in finding ways of reducing readmissions. The basis for the study was a retrospective review of heart failure (HF) admissions at Cleveland Clinic Florida from 1 January 2010 to 31 December 2010. The result of this was a set of metrics associated with >30 day span between admissions: N-terminal pro-brain natriuretic peptide by at least 23%, fluid balance of ≤-1.3 L and sodium ≥135 mEq/L on discharge...
July 17, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30007921/medical-student-research-it-is-necessary-and-beneficial
#8
LETTER
James Ashcroft, Camelia Yousefpour
No abstract text is available yet for this article.
July 14, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30002093/cormack-lehane-grading-evolution-to-assess-trainee-s-progress-in-laryngoscopy
#9
LETTER
Miguel Lourenço Varela, Maria João Carmo, Ana Lares
No abstract text is available yet for this article.
July 12, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/30002092/uric-acid-stones-clinical-manifestations-and-therapeutic-considerations
#10
REVIEW
Qi Ma, Li Fang, Rui Su, Liang Ma, Guohai Xie, Yue Cheng
Uric acid stones account for 10%-15% of all urinary stones. Changes in dietary habits, environment or both can result in the increase of uric acid stones. The formation of uric acid stones is related to hyperuricosuria, low urinary volume and persistently low urinary pH. Diabetes and obesity also significantly increase the risk of stone formation. Dual-energy CT provides a convenient and reliable method for diagnosis. Stone composition analysis and 24-hour urine metabolic evaluations should be considered for further evaluation...
July 12, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29970388/disseminated-coccidioidomycosis
#11
Teresa Fox, Robin Solomon, Anjum Kaka
No abstract text is available yet for this article.
July 3, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29959174/abscess-or-something-worse
#12
Khalid Hamid Changal, Richard Van De Graaf
No abstract text is available yet for this article.
June 29, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29936418/image-challenge-acute-shortness-of-breath-with-widespread-t-wave-inversion
#13
Rachael Bruce, Chris Isles
No abstract text is available yet for this article.
June 23, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29936417/blepharochalasis-drooping-eyelids-that-raised-our-eyebrows
#14
Muhammed Razmi T, Aastha Takkar, Debajyoti Chatterjee, Dipankar De
No abstract text is available yet for this article.
June 23, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29921722/cutaneous-manifestations-as-a-clue-to-the-diagnosis-of-poems-syndrome
#15
Sheetanshu Kumar, Mandeep Singh, Vishal Thakur, Sanjeev Handa, Manish Modi, Debajyoti Chatterjee, Dipankar De
No abstract text is available yet for this article.
June 19, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29921721/air-in-the-portal-space-where-does-it-come-from
#16
Ramón Elizondo-Romo, Jorge Adrián Nuñez-Zuno, Iván Josué Jiménez-González, Emiliano Montiel-Nuñez, José Víctor Jiménez, Diego Luis Carrillo-Pérez
No abstract text is available yet for this article.
June 19, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29909399/renal-artery-stenosis-in-a-patient-with-leriche-syndrome
#17
Soo Ryeong Ryoo, Yoo Sun Hong, Jinoo Kim, Inwhee Park
No abstract text is available yet for this article.
June 16, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29891643/generalised-lentiginosis-and-caf%C3%A3-noir-spots-leading-to-a-diagnosis-of-leopard-syndrome
#18
Ankur Guliani, Sheetanshu Kumar, Dipankar De, Divya Aggarwal, Bishan Dass Radotra
No abstract text is available yet for this article.
June 11, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29886428/a-novel-approach-to-facilitate-peripheral-venous-access
#19
Partha Ray, Arun Ray
No abstract text is available yet for this article.
June 9, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29875148/abdominal-mass-as-a-manifestation-of-mesothelioma
#20
Antonio J Martín-Jiménez, Verónica Aragón-Domínguez, Isabel Trouillhet-Manso, Daniel García-Gil
No abstract text is available yet for this article.
June 6, 2018: Postgraduate Medical Journal
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