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Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/28209914/clinical-examination-in-the-osce-era-are-we-maintaining-the-balance-between-os-and-ce
#1
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
#2
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
#3
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/28123003/rupture-of-a-pulmonary-arteriovenous-malformation-a-diagnosis-not-to-be-missed
#4
Mostafa El Hajjam, Alexis Lacout, Pierre Yves Marcy, Sephen Binsse, Pascal Lacombe
No abstract text is available yet for this article.
January 25, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28123002/cerebral-venous-sinus-thrombosis-secondary-to-otomastoiditis
#5
Mauricio F Villamar, Jessica D Lee
No abstract text is available yet for this article.
January 25, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28104808/training-mid-career-internists-to-perform-high-quality-colonoscopy-a-pilot-training-programme-to-meet-increasing-demands-for-colonoscopy
#6
Nicole K Shah-Ghassemzadeh, Christian S Jackson, David Juma, Richard M Strong
BACKGROUND: Colorectal cancer (CRC) is the second leading cause of cancer deaths in the USA. Despite a recent rise in CRC screening there remains an increasing demand for colonoscopy, yet a limited supply of gastroenterologists who can meet this need. OBJECTIVE: To determine if a mid-career general internist (GIN) could be trained to perform high-quality colonoscopes via an intensive training programme. DESIGN: A GIN trained 2-3 days/week, 4-5 hours/day, for 7 months with an experienced gastroenterologist...
January 19, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28104807/transcatheter-aortic-valve-implantation-new-hope-in-the-management-of-valvular-heart-disease
#7
REVIEW
Sofia Metaxa, Adam Ioannou, Constantinos G Missouris
Severe calcific aortic stenosis is relatively common, and unless treated with valve replacement it carries an adverse prognosis. A large number of patients, however, are denied surgery due to their advanced age or coexistent medical conditions that increase perioperative cardiovascular risks. Transcatheter aortic valve implantation (TAVI), a technique in which a bioprosthetic valve is inserted via a catheter and implanted within the diseased native aortic valve, is a new therapeutic modality for treatment of older patients with severe symptomatic aortic stenosis and other comorbidities, who have an inherently high surgical risk...
January 19, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28104806/reducing-unnecessary-testing-an-intervention-to-improve-resident-ordering-practices
#8
Jose Melendez-Rosado, Kristine M Thompson, Jed C Cowdell, Catalina Sanchez Alvarez, Ryan L Ung, Armando Villanueva, Kayin B Jeffers, Jaafer S Imam, Mario V Mitkov, Tasneem A Kaleem, Lewis Jacob, Nancy L Dawson
PURPOSE OF THE STUDY: To reduce the number of unnecessary laboratory tests ordered through a measurement of effects of education and cost awareness on laboratory ordering behaviour by internal medicine residents for common tests, including complete blood cell count (CBC) and renal profile (RP), and to evaluate effects of cost awareness on hospitalisation, 30-day readmission rate and mortality rate. STUDY DESIGN: 567 patients admitted during February, March and April 2014 were reviewed as the control group...
January 19, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28100807/cost-minimisation-analysis-of-thermometry-in-two-different-hospital-systems
#9
Kenneth Hayes, Amanda Shepard, August Cesarec, Robert Likić
INTRODUCTION: Temperature monitoring can be accomplished by various methods, including oral (OT), rectal (RT), axillary (AT), tympanic membrane (TMT) and temporal artery (TAT) thermometry, with varying amounts of cost incurred by healthcare systems. METHODS: The potential thermometry cost savings in two hospital systems-University Hospital Centre Zagreb (UHCZ), which uses TMT (device Covidien Genius 2) and University of Michigan Hospitals (UMH), which relies on OT, RT and AT (device Welch Allyn suretemp plus 692)-were analysed to evaluate institution-wide TAT (device Exergen TAT-5000) implementation...
January 18, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28096306/national-multicentre-audit-of-pregnancy-status-in-general-surgery-admissions-in-scotland
#10
Michael S J Wilson, Matilda Powell-Bowns, Andrew G Robertson, Andreas Luhmann, Colin H Richards
BACKGROUND: Documentation of pregnancy status (PS) is an integral component of the assessment of women of reproductive age when admitted to hospital. Our aim was to determine how accurately PS was documented in a multicentre audit of female admissions to general surgery. METHODS: A prospective multicentre audit of elective and emergency admissions was performed in 18 Scottish centres between 08:00 on 11 May 2015 and 07:59 on 25 May 2015. The lower age limit was the minimum age for admission to the adult surgical ward and the upper age limit was 55 years...
January 17, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28073992/low-productivity-of-stress-cardiac-magnetic-resonance-imaging-for-screening-of-coronary-artery-disease
#11
EDITORIAL
Marko Boban, Vladimir Pesa
No abstract text is available yet for this article.
January 10, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28073991/man-of-stone
#12
Tahira Scott, Nicholas Gray
No abstract text is available yet for this article.
January 10, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28073990/amyloidotic-pseudo-spectacles
#13
Prattay Guha Sarkar, Mohit D Gupta, Girish Mp
No abstract text is available yet for this article.
January 10, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28069746/non-alcoholic-fatty-pancreas-disease
#14
REVIEW
Tamara Alempijevic, Sanja Dragasevic, Simon Zec, Dragan Popovic, Tomica Milosavljevic
Obesity is a growing problem worldwide and disorders associated with excess body fat including the metabolic syndrome, type 2 diabetes mellitus (T2DM), cardiovascular disease and malignant neoplasms are becoming a major cause of morbidity and mortality. Over the past decade, a vast amount of research has furthered our understanding of non-alcoholic fatty liver disease; however, only recently pancreatic fat infiltration is coming to the forefront of investigation. Termed non-alcoholic fatty pancreas disease (NAFPD), it is becoming evident that it has important associations with other diseases of obesity...
January 9, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28069745/associations-between-circulating-il-17-levels-and-rheumatoid-arthritis-and-between-il-17-gene-polymorphisms-and-disease-susceptibility-a-meta-analysis
#15
Young Ho Lee, Sang-Cheol Bae
OBJECTIVES: To systematically review evidence regarding the relationship between circulating interleukin-17 (IL-17) levels and rheumatoid arthritis (RA), and associations between polymorphisms in IL-17 genes and RA susceptibility. METHOD: We performed a meta-analysis of serum/plasma IL-17 levels in patients with RA and controls, and evaluated evidence of associations between the rs2275913, rs3819024, rs4711998 and rs8193036 polymorphisms in IL-17A and the rs763780 and rs2397084 polymorphisms in IL-17F and risk for RA...
January 9, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28069744/coeliac-disease-screening-is-suboptimal-in-a-tertiary-gastroenterology-setting
#16
Heba Iskandar, Darrell M Gray, Hongha Vu, Faiz Mirza, Mary Katherine Rude, Kara Regan, Adil Abdalla, Srinivas Gaddam, Sami Almaskeen, Michael Mello, Evelyn Marquez, Claire Meyer, Ahmed Bolkhir, Navya Kanuri, Gregory Sayuk, C Prakash Gyawali
BACKGROUND AND AIMS: Coeliac disease (CD) is widely prevalent in North America, but case-finding techniques currently used may not be adequate for patient identification. We aimed to determine the adequacy of CD screening in an academic gastroenterology (GI) practice. METHODS: Consecutive initial visits to a tertiary academic GI practice were surveyed over a 3-month period as a fellow-initiated quality improvement project. All electronic records were reviewed to look for indications for CD screening according to published guidelines...
January 9, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28062649/to-cut-or-not-to-cut-a-case-of-epiploic-appendagitis
#17
Zishan Sheikh, Caron Parsons
No abstract text is available yet for this article.
January 6, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28057838/temporal-evolution-of-thoracocentesis-induced-changes-in-spirometry-and-respiratory-muscle-pressures
#18
Stylianos A Michaelides, George D Bablekos, Antonis Analitis, George Ionas, Petros Bakakos, Konstantinos A Charalabopoulos
BACKGROUND: Several studies investigated the effects of thoracocentesis on aspects of respiratory function without generally ensuring absence of coexistent lung pathology or homogeneity in initial size of the effusion. METHODS: We studied 90 patients aged 61.6±15.9 years (mean±SD) separated into a group A with small-sized or medium-sized effusion (A=56 patients) and a group B with large and massive one (B=34 patients). There was no significant lung lesion or cardiovascular pathology...
January 5, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28057837/obesity-and-recurrent-vulvovaginal-bacterial-infections-in-women-of-reproductive-age
#19
LETTER
Gary Ventolini, Nuvneet Khandelwal, Kathryn Hutton, Jonathan Lugo, Scott E Gygax, Natalia Schlabritz-Loutsevitch
No abstract text is available yet for this article.
January 5, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28057836/acute-blindness-due-to-cerebral-venous-sinus-thrombosis-in-a-child
#20
Stavroula Ilia, Maria Raissaki, Elisavet Geromarkaki, George Briassoulis
No abstract text is available yet for this article.
January 5, 2017: Postgraduate Medical Journal
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