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Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/29678822/iatrogenic-coma-ceftriaxone-associated-encephalopathy
#1
Ina Dubin, Amichai Schattner
No abstract text is available yet for this article.
April 20, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29626058/protean-manifestations-of-proteus-syndrome
#2
Rimesh Pal, Rajsmita Bhattacharjee, Anil Bhansali
No abstract text is available yet for this article.
April 6, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29626057/acute-tubulointerstitial-nephritis-following-hymenopteran-stings
#3
LETTER
S Ezhilnilavan, P S Priyamvada, B H Srinivas, H Satish, S Parameswaran
No abstract text is available yet for this article.
April 6, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29602796/survival-rate-and-predictors-of-mortality-in-patients-hospitalised-with-heart-failure-a-cohort-study-on-the-data-of-persian-registry-of-cardiovascular-disease-prove
#4
Mahshid Givi, Davood Shafie, Fatemeh Nouri, Mohammad Garakyaraghi, Ghasem Yadegarfar, Nizal Sarrafzadegan
OBJECTIVES: Heart failure (HF) has a high rate of hospitalisation and mortality. We examined its risk factors, survival rate and the predictors. METHODS: In this prospective cohort study, demographic, clinical and treatment data of 1223 patients hospitalised with HF were extracted from the Persian Registry Of cardio Vascular diseasE (PROVE)/HF registry. Survival rate and HR and their association with other variables were assessed. RESULTS: 835 (68...
March 30, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29581230/association-between-circulating-leptin-levels-and-multiple-sclerosis-a-systematic-review-and-meta-analysis
#5
Xue-Feng Xie, Xiao-Hui Huang, Ai-Zong Shen, Jun Li, Ye-Huan Sun
AIM: Leptin, synthesised by adipocytes, has been identified as a hormone that can influence inflammatory activity. Several studies have investigated leptin levels in patients with multiple sclerosis (MS), but the results are not consistent. This study aims to derive a more precise evaluation on the relationship between circulating leptin levels and MS. DESIGN: A comprehensive literature searched up to July 2017 was conducted to evaluate the association of circulating leptin levels and MS...
March 26, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29567673/medical-union-the-pathway-to-an-efficient-healthcare-system-in-china
#6
LETTER
Lei Liu, Baojie Li
No abstract text is available yet for this article.
March 22, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29559505/dissemination-of-results-from-medical-student-public-health-research-training-and-factors-associated-with-publication
#7
Ibrahim Saleh Al-Busaidi, Gregory Patrick Tarr
PURPOSE: To examine factors associated with successful publications resulting from mandatory public health research training attachment, the Trainee Intern Health Care Evaluation (TIHE) projects, at the University of Otago, Dunedin School of Medicine, New Zealand. METHODS: A total of 227 TIHE projects completed during the period from January 1985 to December 2013 were included in the study. In February 2016, Medline and Google Scholar databases were searched independently by both authors for publications using predefined search criteria...
March 20, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29555655/blood-pressure-management-in-older-people-balancing-the-risks
#8
REVIEW
Jochanan E Naschitz
Guidelines of arterial hypertension treatment based on individualised expected outcomes are not available for frail older persons. In this paper, we review the evidence, concerning management of arterial blood pressure (BP) in frail older patients. We focused on the best affordable methods for BP measurement; the age-related optimum BP; specific BP goals in agreement with the patients' general heath, frailty status, orthostatic and postprandial hypotension; balancing the benefits against risks of antihypertensive treatment...
March 19, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29545459/secondary-syphilis-lest-we-forget-it
#9
T P Afra, Sanjeev Handa, Muhammed Razmi T, Keshavamurthy Vinay
No abstract text is available yet for this article.
March 15, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29545458/can-we-successfully-teach-novice-junior-doctors-basic-interventional-ultrasound-in-a-single-focused-training-session
#10
Grace Frances Mary McKay, Asoka Weerasinghe
BACKGROUND: Ultrasonography is recognised as an invaluable imaging modality for assessing critically unwell patients and obtaining vascular access. Senior emergency medicine and anaesthetic clinicians will regularly use ultrasound-guided imaging to establish vascular access for unwell patients; however, junior doctors, who are routinely the first clinicians to review deteriorating patients, are not encouraged or required to develop basic ultrasound interventional skills and are therefore ill equipped to use ultrasonography...
March 15, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29540451/frequency-comprehension-and-attitudes-of-physicians-towards-abbreviations-in-the-medical-record
#11
Uri Hamiel, Idan Hecht, Achia Nemet, Liron Pe'er, Vitaly Man, Assaf Hilely, Asaf Achiron
AIMS: Abbreviations are common in the medical record. Their inappropriate use may ultimately lead to patient harm, yet little is known regarding the extent of their use and their comprehension. Our aim was to assess the extent of their use, their comprehension and physicians' attitudes towards them, using ophthalmology consults in a tertiary hospital as a model. METHODS: We first mapped the frequency with which English abbreviations were used in the departments' computerised databases...
March 14, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29540450/introduction-of-clerking-pro-forma-for-surgical-spinal-patients-at-the-royal-national-orthopaedic-hospital-nhs-trust-london-an-audit-cycle
#12
Valerio Pace, Omar Farooqi, James Kennedy, Chang Park, Joseph Cowan
As a tertiary referral centre of spinal surgery, the Royal National Orthopaedic Hospital (RNOH) handles hundreds of spinal cases a year, often with complex pathology and complex care needs. Despite this, issues were raised at the RNOH following lack of sufficient documentation of preoperative and postoperative clinical findings in spinal patients undergoing major surgery. This is not in keeping with guidelines provided by the Royal College of Surgeons. The authors believe that a standardised clerking pro forma for surgical spinal patients admitted to RNOH would improve the quality of care provided...
March 14, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29519810/developing-a-novel-international-undergraduate-surgical-masterclass-during-a-financial-crisis-our-4-year-experience
#13
Michail Sideris, John Hanrahan, Georgios Tsoulfas, Iakovos Theodoulou, Fatema Dhaif, Vassilios Papalois, Savvas Papagrigoriadis, George Velmahos, Patricia Turner, Apostolos Papalois
BACKGROUND: Essential Skills in the Management of Surgical Cases (ESMSC) is a novel 3-day international undergraduate surgical masterclass. Its current curriculum (Cores integrated for Research-Ci4R) is built on a tetracore, multiclustered architecture combining high-fidelity and low-fidelity simulation-based learning (SBL), with applied and basic science case-based workshops, and non-technical skills modules. We aimed to report our experience in setting up ESMSC during the global financial crisis...
March 8, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29514996/rule-of-100-a-litmus-test-for-informationless-diagnostic-tests
#14
LETTER
Alek M Westover, David Shapiro, Michael Brandon Westover, Matt T Bianchi
No abstract text is available yet for this article.
March 7, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29514995/characteristics-of-and-risk-factors-for-death-in-elderly-patients-with-acute-kidney-injury-a-multicentre-retrospective-study-in-china
#15
Jie-Qiong Liu, Guang-Yan Cai, Shuang Liang, Wen-Ling Wang, Si-Yang Wang, Fang-Lei Zhu, Sa-Sa Nie, Zhe Feng, Xiang-Mei Chen
PURPOSE OF THE STUDY: The incidence of acute kidney injury (AKI) with a poor prognosis in the elderly has been increasing each year. This study aimed to investigate the clinical characteristics of and risk factors for death from AKI in the elderly and help improve prognosis. STUDY DESIGN: This study was a retrospective cohort study based on data from adult patients (≥18 years old) admitted to 15 hospitals in China between 1 January 2009 and 31 December 2011. The characteristics of AKI in the elderly were compared with those in younger patients...
March 7, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29511043/establishing-objective-benchmarks-in-robotic-virtual-reality-simulation-at-the-level-of-a-competent-surgeon-using-the-robotix-mentor-simulator
#16
William Watkinson, Nicholas Raison, Takashige Abe, Patrick Harrison, Shamim Khan, Henk Van der Poel, Prokar Dasgupta, Kamran Ahmed
BACKGROUND: To establish objective benchmarks at the level of a competent robotic surgeon across different exercises and metrics for the RobotiX Mentor virtual reality (VR) simulator suitable for use within a robotic surgical training curriculum. METHODS: This retrospective observational study analysed results from multiple data sources, all of which used the RobotiX Mentor VR simulator. 123 participants with varying experience from novice to expert completed the exercises...
March 6, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29500180/pseudomembranous-colitis-in-acute-lymphoblastic-leukaemia
#17
Giovanni D'Arena, Giuseppe Pietrantuono, Pellegrino Musto
No abstract text is available yet for this article.
March 2, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29487192/association-of-interleukin-10-gene-single-nucleotide-polymorphisms-with-rheumatoid-arthritis-in-a-chinese-population
#18
Tian-Ping Zhang, Tian-Tian Lv, Shu-Zhen Xu, Hai-Feng Pan, Dong-Qing Ye
PURPOSE OF THE STUDY: Increasing numbers of studies show that interleukin (IL)-10 plays a key role in the pathogenesis of autoimmune diseases including rheumatoid arthritis (RA) and acts as an immunomodulatory cytokine. The purpose of the present study was to analyse the relationship between gene single nucleotide polymorphisms (SNPs) in the IL-10 gene and RA susceptibility. STUDY DESIGN: We genotyped three SNPs (rs1800890, rs3024495, rs3024505) of the IL-10 gene in a Chinese population of 354 RA patients and 367 controls...
February 27, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29475956/what-factors-influenced-the-choice-of-medical-specialty-for-doctors-surveyed-in-the-final-year-at-medical-school-and-again-having-entered-their-specialty-training-destination
#19
LETTER
Elaine McNaughton, James Riches, Graeme Harrison, Gary Mires, Caroline MacEwen
No abstract text is available yet for this article.
February 23, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29463684/strategy-to-reduce-e-coli-bacteraemia-based-on-cohort-data-from-a-london-teaching-hospital
#20
Desmond Hsu, Mark Melzer
BACKGROUND AND AIM: In 2017, National Health Service Improvement set a 10% reduction target for Escherichia coli bacteraemia by 2018, followed by a 50% reduction in healthcare-associated Gram-negative bacteraemias by 2022. We analysed consecutive cases of E. coli bacteraemia and devised a strategy to achieve these targets. METHODS: From December 2012 to November 2013, demographic, clinical and microbiological data were prospectively collected on all patients with bacteraemia at the Royal London Hospital in East London, UK...
February 20, 2018: Postgraduate Medical Journal
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