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Postgraduate Medical Journal

Eleftherios Agorogiannis, Ziyaad Sultan, Balasubramanian Ramasamy
No abstract text is available yet for this article.
May 15, 2017: Postgraduate Medical Journal
A Beane, A Padeniya, A P De Silva, T Stephens, S De Alwis, P G Mahipala, P C Sigera, S Munasinghe, P Weeratunga, D Ranasinghe, E M Deshani, T Weerasinghe, K Thilakasiri, Kas Jayasinghe, A M Dondorp, R Haniffa
PURPOSE: The Good Intern Programme (GIP) in Sri Lanka has been implemented to bridge the 'theory to practice gap' of doctors preparing for their internship. This paper evaluates the impact of a 2-day peer-delivered Acute Care Skills Training (ACST) course as part of the GIP. STUDY DESIGN: The ACST course was developed by an interprofessional faculty, including newly graduated doctors awaiting internship (pre-intern), focusing on the recognition and management of common medical and surgical emergencies...
May 12, 2017: Postgraduate Medical Journal
Partha Pratim Chakraborty, Rana Bhattacharjee, Ajitesh Roy, Subhankar Chowdhury
No abstract text is available yet for this article.
May 12, 2017: Postgraduate Medical Journal
Kentaro Iwata, Daniel J Mosby, Michiko Sakane
No abstract text is available yet for this article.
May 10, 2017: Postgraduate Medical Journal
Joseph V Pergolizzi, Frederick A Curro, Nanada Col, Mary Papa Ghods, Don Vena, Robert Taylor, Frederick Naftolin, Jo Ann LeQuang
The role of the patient-provider agreement (PPA) is to set forth respective roles and responsibilities for opioid therapy with the goal of improving outcomes, reducing risks, and improving patient education. The Food and Drug Administration (FDA) Safe Use Initiative Opioid PPA Working Group convened to develop a PPA and test it for acceptability as an educational and shared decision-making tool in opioid therapy. This multicentre study evaluated the utility of the PPA, how readily patients understood it, its ability to educate patients in an unbiased way about opioid treatment and the feasibility of incorporating a PPA in clinical practice...
May 10, 2017: Postgraduate Medical Journal
Caroline Jane Magri, Tan Xiao Tian, Liberato Camilleri, Robert Xuereb, Joseph Galea, Stephen Fava
INTRODUCTION: Red blood cell distribution width (RDW) is a novel independent marker of cardiovascular disease including heart failure, coronary artery disease and myocardial ischaemia. The aim of the study was to investigate a possible relationship between RDW and myocardial scar burden, as assessed by a MIBI viability scan. A secondary objective was to assess whether there is an association between RDW and left ventricular ejection fraction (LVEF). METHODS: The study comprised 123 subjects with ischaemic heart disease who underwent a myocardial viability scan between June 2008 and July 2014...
May 10, 2017: Postgraduate Medical Journal
Sagarika Kamath, Rajesh Kamath
No abstract text is available yet for this article.
May 10, 2017: Postgraduate Medical Journal
Fay Smith, Michael J Goldacre, Trevor William Lambert
BACKGROUND: Over the last decade, many changes have taken place in the UK, which have affected the training that doctors receive. AIM: To assess doctors' views on quality and adequacy of postgraduate training. METHODS: Questionnaires about training sent to UK-trained doctors who graduated between 1974 and 2012. RESULTS: Among trainees towards the end of their first year of medical work and training, 36% agreed that in their first year "Training was of a high standard"; 21% disagreed; 43% neither agreed nor disagreed...
May 8, 2017: Postgraduate Medical Journal
Abdullatif Aydin, Rebecca Fisher, Muhammad Shamim Khan, Prokar Dasgupta, Kamran Ahmed
No abstract text is available yet for this article.
May 8, 2017: Postgraduate Medical Journal
Jun Wu, Jun Li, Si Li, Tian-Ping Zhang, Lian-Ju Li, Tian-Tian Lv, Hai-Feng Pan, Dong-Qing Ye
AIM: Studies investigating the association between HLA-DQB1 alleles and rheumatoid arthritis (RA) have reported conflicting results. The purpose of this study was to evaluate whether DQB1 alleles confer susceptibility to RA. DESIGN: A comprehensive literature search up to May 2016 was conducted to identify case-control studies on the association of HLA-DQB1 alleles with RA. Pooled ORs with 95% CIs were used to assess the strength of association. SETTING: The literature indicates that HLA-DQB1 is associated with susceptibility to RA...
April 28, 2017: Postgraduate Medical Journal
Ali A Alsaad, Carly R Alman, Kristine M Thompson, Shin H Park, Rebecca E Monteau, Michael J Maniaci
BACKGROUND: Alarm fatigue (AF) is a distressing factor for staff and patients in the hospital. Using cardiac telemetry (CT) without clinical indications can create unnecessary alarms, and increase AF and cost of healthcare. We sought to reduce AF and cost associated with CT monitoring. METHODS: After implementing a new protocol for CT placement, data were collected on telemetry orders, alarms and bed cost for 13 weeks from 1 January 2015 through 31 March 2015. We also retrospectively collected data on the same variables for the 13 weeks prior to the intervention...
April 28, 2017: Postgraduate Medical Journal
Meera V Ragavan, David Svec, Lisa Shieh
BACKGROUND: Reducing delays for patients who are safe to be discharged is important for minimising complications, managing costs and improving quality. Barriers to discharge include placement, multispecialty coordination of care and ineffective communication. There are a few recent studies that describe barriers from the perspective of all members of the multidisciplinary team. STUDY OBJECTIVE: To identify the barriers to discharge for patients from our medicine service who had a discharge delay of over 24 hours...
April 27, 2017: Postgraduate Medical Journal
James Carberry, Keith Couper, Joyce Yeung
PURPOSE OF THE STUDY: There are approximately 35 000 in-hospital cardiac arrests in the UK each year. Successful resuscitation requires integration of the medical science, training and education of clinicians and implementation of best practice in the clinical setting. In 2015, the International Liaison Committee on Resuscitation (ILCOR) published its latest resuscitation treatment recommendations. It is currently unknown the extent to which these treatment recommendations have been successfully implemented in practice in English NHS acute hospital trusts...
April 25, 2017: Postgraduate Medical Journal
Stylianos A Michaelides, George D Bablekos, Antonis Analitis, Avgerinos-Romanos Michailidis, Konstantinos A Charalabopoulos, Nikolaos Koulouris
BACKGROUND: There have been contradicting reports in the literature regarding the impact of pleural fluid aspiration on patients' oxygenation. The aim of this study was to assess the role of the initial size of effusion on post-drainage oxygenation. METHODS: We studied 122 patients, aged (mean±SD) 61.2±16.8 years, with unilateral pleural effusion and no remarkable parenchymal lesion, by determining PaO2, PaCO2 and [A-a] PaO2 just before thoracocentesis (T1), 30 min after its completion (T2) and 48 hours after the procedure (T3)...
April 25, 2017: Postgraduate Medical Journal
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
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
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
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
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
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
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