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Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/28433975/absolute-benefits-of-empagliflozin-in-type-2-diabetes-a-game-changer
#1
EDITORIAL
Cyrus R Kumana, Kathryn C B Tan, Bernard M Y Cheung
No abstract text is available yet for this article.
April 22, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28408726/integrated-surgical-academic-training-in-the-uk-a-cross-sectional-survey
#2
Natalie S Blencowe, James C Glasbey, Philip J McElnay, Aneel Bhangu, Vimal J Gokani, Rhiannon L Harries
OBJECTIVES: This study aimed to explore variations in the provision of integrated academic surgical training across the UK. DESIGN: This is an online cross-sectional survey (consisting of 44 items with a range of free-text, binomial and 5-point Likert scale responses) developed by the Association of Surgeons in Training. SETTING: A self-reported survey instrument was distributed to academic surgical trainees across the UK (n=276). PARTICIPANTS: 143 (51...
April 13, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28408725/screening-for-developmental-delay-in-preschool-aged-children-using-parent-completed-ages-and-stages-questionnaires-additional-insights-into-child-development
#3
Soheir S Abo El Elella, Maha A M Tawfik, Wafaa Moustafa M Abo El Fotoh, Naglaa Fathy Barseem
BACKGROUND: Developmental delay is a delay in areas of speech, language, motor, social and cognitive development. Because of the negative impact of intellectual and learning disabilities, early identification of children with developmental and behavioral problems using appropriate screening tests is crucial. OBJECTIVES: Utilization of parent-completed Ages and Stages Questionnaires (ASQs) for detecting the developmental delay in preschool age children and clarification of possible associated risk factors...
April 13, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28400464/utilisation-of-radiology-rotations-in-acgme-accredited-general-surgery-programmes
#4
Joseph J Eid, Francisco Igor Macedo, Vijay K Mittal
BACKGROUND: General surgery (GS) residents are often required to provide immediate preliminary interpretations of radiological images, especially in critical situations. It is unclear whether residents in Accreditation Council for Graduate Medical Education-accredited GS programmes receive sufficient radiological training to deliver adequate patient care. OBJECTIVES: Determine the utilisation of radiology rotations (RR) during GS residency. METHODS: Between February and March 2015, a pilot voluntary 19-item survey was electronically distributed to GS programme directors (PDs) regarding the availability and value of a RR during GS training...
April 11, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28389437/paediatric-hypoglycaemia-are-we-investigating-appropriately-and-adequately
#5
Louise Ramsden, Katherine Wright, Anuja Natarajan
INTRODUCTION: Paediatric hypoglycaemia is a relatively common medical emergency. To allow identification of the underlying cause, investigations need to be performed urgently prior to treatment being given. Careful consideration is needed to ensure correct patient selection, as inadequate investigations have further cost and patient safety implications. METHODS: 49 cases of proven or suspected hypoglycaemia (glucose ≤2.6 mmol/L) were identified via the laboratory...
April 6, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28363986/gender-and-international-clinician-educators
#6
Dora J Stadler, Sophia Archuleta, Halah Ibrahim, Nina G Shah, Ahmed Ali Al-Mohammed, Joseph Cofrancesco
OBJECTIVES: To describe gender differences of international clinician educators (CEs) and leaders, and CEs' perceptions by gender of preparation, roles, rewards and factors affecting job satisfaction and retention in emerging international competency-based residency programmes. METHODS: Cross-sectional surveys of CEs and leadership were conductedJune 2013-June 2014 at institutions that had adopted competency-based graduate medical education and were accredited by the Accreditation Council for Graduate Medical Education-International...
March 31, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28341693/minocycline-induced-skin-hyperpigmentation
#7
Jonathan Alpern, Anjum Kaka
No abstract text is available yet for this article.
March 24, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28289150/lifestyle-medicine-course-for-family-medicine-residents-preliminary-assessment-of-the-impact-on-knowledge-attitudes-self-efficacy-and-personal-health
#8
Lilach Malatskey, Yael Bar Zeev, Adva Tzuk-Onn, Rani Polak
PURPOSE: The WHO estimates that by 2020 two-thirds of the diseases worldwide will be the result of unhealthy lifestyle habits. Less than half of primary care physician graduates feel prepared to give lifestyle behaviour counselling. Our objective was to evaluate the impact of lifestyle medicine (LM) course on self-reported knowledge, attitudes, self-efficacy and health behaviour of family medicine residents. METHODS: Based on the Israeli syllabus for the study of LM, we delivered five face to face 20 H courses...
March 13, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28289149/experimental-validation-of-the-tuneable-diaphragm-effect-in-modern-acoustic-stethoscopes
#9
Karolina M Nowak, Lukasz J Nowak
PURPOSE: The force with which the diaphragm chestpiece of a stethoscope is pressed against the body of a patient during an auscultation examination introduces the initial stress and deformation to the diaphragm and the underlying tissues, thus altering the acoustic parameters of the sound transmission path. If the examination is performed by an experienced physician, he will intuitively adjust the amount of the force in order to achieve the optimal sound quality. However, in case of becoming increasingly popular auto-diagnosis and telemedicine auscultation devices with no such feedback mechanisms, the question arises regarding the influence of the possible force mismatch on the parameters of the recorded signal...
March 13, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28280103/association-of-genetic-variant-and-platelet-function-in-patients-undergoing-neuroendovascular-stenting
#10
Xin-Gang Li, Ning Ma, Shu-Sen Sun, Zhe Xu, Wei Li, Yong-Jun Wang, Xin Yang, Zhong-Rong Miao, Zhi-Gang Zhao
INTRODUCTION: The risk of recurrent ischaemic events is related to platelet function, which is often assessed by thromboelastography (TEG). TEG has high interindividual variability. OBJECTIVE: To identify causal variants associated with TEG parameters in patients who receive aspirin and clopidogrel after intra- or extracranial stenting. METHODS: Patients who underwent stenting for extracranial or intracranial stenosis (70-99%) were recruited into the study...
March 9, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28270512/advising-residents-on-how-to-present-an-article-in-a-journal-club
#11
LETTER
S S Prakash, Joyson Soundrarajan
No abstract text is available yet for this article.
March 7, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28258118/a-rare-cause-of-thyrotoxic-periodic-paralysis-liquorice-consumption
#12
Z A Sayiner, A Abiyev, A Eraydin, M Ozkaya
No abstract text is available yet for this article.
March 3, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28254999/a-retrospective-cohort-study-of-the-association-between-smoking-and-mortality-after-acute-st-segment-elevation-myocardial-infarction
#13
Lloyd Steele, Amelia Lloyd, James Fotheringham, Ayyaz Sultan, Javaid Iqbal, Ever D Grech
BACKGROUND: Several studies have shown a 'smoker's paradox', where following an acute myocardial infarction, smokers have a paradoxically lower mortality than non-smokers. To date, no large study has investigated this paradox in unselected patients with acute ST-segment elevation myocardial infarction (STEMI) managed by primary percutaneous coronary intervention (PCI) alone. OBJECTIVES: We aimed to examine the association of smoking status and 1-year mortality in patients who had STEMI managed by primary PCI...
March 2, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28254998/association-of-centre-volume-and-in-hospital-mortality-in-heart-failure-hospitalisations
#14
Shivank Madan, Daniel Sims, Omar Saeed, Snehal R Patel, Jooyoung J Shin, Ulrich P Jorde
BACKGROUND: Centre volume is an important determinant of outcomes in patients requiring complex medical treatments or surgical procedures. Heart failure hospitalisation (HFH) has become an increasingly complex and resource intensive clinical event. We evaluated the effect of centre volume on mortality and costs in patients with HFH. METHODS: This was a retrospective registry-based analysis of adult patients discharged with a primary diagnosis of HF from hospitals across New York (NY) State over a 5-year period, between January 2009 and December 2013, using the Statewide Planning and Research Cooperative System inpatient discharge files...
March 2, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28235793/a-mixed-method-multiperspective-evaluation-of-a-near-peer-teaching-programme
#15
Sinéad Lydon, Paul O'Connor, Orla Mongan, Miroslawa Gorecka, Lyle McVicker, Aiden Stankard, Dara Byrne
PURPOSE OF STUDY: Peer teaching (PT) has become increasingly popular. PT may offer benefits for students, tutors and institutions. Although resistance to PT has been identified among faculty, research has typically focused on students' experiences and perceptions, rather than those of the peer tutors or senior doctors/medical faculty. The current study comprised of a comprehensive, multiperspective evaluation of a near PT programme delivered by interns to final-year medical students in the Republic of Ireland...
February 24, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28209914/clinical-examination-in-the-osce-era-are-we-maintaining-the-balance-between-os-and-ce
#16
EDITORIAL
Alexandre Lafleur, Jimmie Leppink, Luc Côté
No abstract text is available yet for this article.
February 16, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28148702/minimising-the-costs-of-temperature-monitoring-in-hospitals
#17
Cyrus Kumana
No abstract text is available yet for this article.
February 1, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28143896/skin-autofluorescence-a-non-invasive-marker-of-advanced-glycation-end-products-clinical-relevance-and-limitations
#18
REVIEW
Cidila Da Moura Semedo, M'Balu Webb, Helen Waller, Kamlesh Khunti, Melanie Davies
Advanced glycation end products (AGEs) are protein-bound compounds derived from glycaemic and oxidative stress that contain fluorescent properties, which can be non-invasively measured as skin autofluorescence (SAF) by the AGE Reader. SAF has been demonstrated to be a biomarker of cumulative skin AGEs and potentially may be a better predictor for the development of chronic complications and mortality in diabetes than glycated haemoglobin A1c. However, there are several confounding factors that should be assessed prior to its broader application: these include presence of other fluorescent compounds in the skin that might be measured (eg, fluorophores), skin pigmentation and use of skin creams...
January 31, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28331014/reducing-futile-attempts-at-resuscitation
#19
John Launer
No abstract text is available yet for this article.
April 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28331013/erratum-normal-serum-sodium-concentration-among-in-patients-over-65-admitted-to-hospital-an-observational-study
#20
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Postgraduate Medical Journal
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