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Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/29054933/social-media-enabled-learning-in-emergency-medicine-a-case-study-of-the-growth-engagement-and-impact-of-a-free-open-access-medical-education-blog
#1
Simon Carley, Iain Beardsell, Natalie May, Liz Crowe, Janos Baombe, Alan Grayson, Richard Carden, Ashley Liebig, Chris Gray, Ross Fisher, Daniel Horner, Laura Howard, Richard Body
BACKGROUND: Clinicians are increasingly using social media for professional development and education. In 2012, we developed the St.Emlyn's blog, an open access resource dedicated to providing free education in the field of emergency medicine. OBJECTIVE: To describe the development and growth of this international emergency medicine blog. METHOD: We present a narrative description of the development of St.Emlyn's blog. Data on scope, impact and engagement were extracted from WordPress, Twitter and Google Analytics...
October 20, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29054932/improving-paediatric-residents-knowledge-and-perspectives-regarding-the-insulin-pump-using-a-novel-educational-workshop
#2
Shipra Bansal, Albara Marwa, Kannan Kasturi, Sheila Perez-Colon
OBJECTIVES: As a pilot study, we aimed to investigate the knowledge and perceptions of categorical paediatric residents (RES) at our institution regarding insulin pumps (IPs) and the impact following a targeted workshop. METHODS: All RES at our institution in attendance at a routine noon conference participated in a workshop, completing an anonymous survey before and right after the intervention to evaluate knowledge, attitudes and self-reported comfort regarding IPs...
October 20, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29021330/response-to-the-need-for-incorporating-emotional-intelligence-and-mindfulness-training-in-modern-medical-education
#3
EDITORIAL
James Ashcroft, Darshan Patel, Tanaraj Perinpanathan
No abstract text is available yet for this article.
October 11, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29018095/a-systematic-review-of-interventions-to-foster-physician-resilience
#4
REVIEW
Susan Fox, Sinéad Lydon, Dara Byrne, Caoimhe Madden, Fergal Connolly, Paul O'Connor
This review aimed to synthesise the literature describing interventions to improve resilience among physicians, to evaluate the quality of this research and to outline the type and efficacy of interventions implemented. Searches were conducted in April 2017 using five electronic databases. Reference lists of included studies and existing review papers were screened. English language, peer-reviewed studies evaluating interventions to improve physician resilience were included. Data were extracted on setting, design, participant and intervention characteristics and outcomes...
October 10, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28993522/cardiopulmonary-resuscitation-on-television-are-we-miseducating-the-public
#5
Michael Colwill, Charlotte Somerville, Eric Lindberg, Caroline Williams, James Bryan, Ted Welman
BACKGROUND: Out-of-hospital cardiac arrest survival rates in the UK are poor, and non-medically trained individuals have been identified to perform substandard cardiopulmonary resuscitation (CPR). Millions watch televised medical dramas and, for many, these comprise their only education on CPR. This study aims to investigate the quality of CPR portrayed on these programmes and whether this has an effect on public knowledge. METHODS: Prospective observational study of 30 consecutive episodes of three popular medical dramas...
October 9, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28993521/securing-a-cardiology-speciality-training-programme-in-the-uk-how-did-other-people-do-it
#6
Majd B Protty, Kevin Mohee, Hannah C Hoskins, Hasan N Haboubi
BACKGROUND: Application to cardiology specialty training is competitive with uncertainty among candidates as to what the secret recipe for a successful appointment is. We aimed to investigate objective variables, which were demonstrated by successful appointees to cardiology training schemes in the UK. METHODS: Data from successful cardiology applicants for the years 2014 to 2016 were obtained from the Joint Royal Colleges of Physicians Training Board under the Freedom of Information Act...
October 9, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28972100/actinomycetoma-a-therapeutic-challenge
#7
Sylvia Aide Martínez-Cabriales, Jorge Ocampo-Candiani, Esperanza Welsh, Ana Sofía Ayala-Cortés, Minerva Gómez-Flores, Oliverio Welsh
No abstract text is available yet for this article.
September 29, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28972099/vasculitis-due-to-levamisole-adulterated-cocaine
#8
Vishnu Mohan, Abhishek Maiti, Michael G Swaby, Sujith V Cherian
No abstract text is available yet for this article.
September 29, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28972098/does-size-matter-concerning-impact-of-position-on-oxygenation-status-in-spontaneously-breathing-patients-with-unilateral-effusion
#9
Stylianos A Michaelides, Avgerinos-Romanos Michailidis, George D Bablekos, Antonis Analitis, Maria Michalatou, Nikolaos Koulouris
BACKGROUND: Inconsistent and contradictory findings have appeared in the literature concerning the impact of body position on oxygenation in pleural effusion. METHODS: We attempted to elucidate whether the size of the pleural effusion in patients with no parenchymal disease is the main determinant of posture-induced alterations in oxygenation parameters. We studied 62 spontaneously breathing patients aged 65.3±7.8 years (mean±SD), of whom 36 had large and massive-sized effusions (Group A) and 26 had small and moderate-sized effusions (Group B)...
September 28, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28972097/qtc-prolongation-in-acute-medical-admissions-an-often-overlooked-and-potentially-serious-finding
#10
LETTER
John Joseph Coughlan, Meghan Wafer, Gearoid Fitzgerald, Aamir Nawaz, Claire O'Brien, Richard Liston
No abstract text is available yet for this article.
September 28, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28942432/the-application-and-mechanism-of-pd-pathway-blockade-for-cancer-therapy
#11
REVIEW
Xing Wang, Shan Huang, Ya Zhang, Lin Zhu, Xiaoliang Wu
Research in cancer therapeutics has achieved major progress in the understanding of the tumour-immunity cycle, which controls the delicate balance between the immune system and tumour. Identification of cancer cell T-cell inhibitory signals, including PD-L1, has generated novel insight into how to reinvigorate the patients' immune cells to respond to a variety of tumour types. PD-1 and PD-L1 (PD) inhibitory pathway blockade appears to a highly promising therapy and could accomplish durable anti-tumour responses with a reasonable toxicity profile...
September 23, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28942431/uveitis-a-sight-threatening-disease-which-can-impact-all-systems
#12
REVIEW
Unnat Krishna, Deji Ajanaku, Alastair K Denniston, Theodora Gkika
Uveitis describes a group of conditions characterised by intraocular inflammation. The term uveitis technically describes inflammation of the uvea which comprises the iris, ciliary body and choroid, however now encompasses inflammation of adjacent intraocular structures such as the retina, vitreous and optic nerve. Uveitis is a significant cause of blindness worldwide, but its impact is generally underappreciated due to a lack of awareness and understanding of the condition among the public and most non-ophthalmic healthcare professionals...
September 23, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28942430/interventions-for-smoking-cessation-in-patients-admitted-with-acute-coronary-syndrome-review
#13
REVIEW
Omar M Chehab, Habib A Dakik
Tobacco smoking contributes to about six million deaths per year and is predicted to increase in the future. Several pharmacological interventions are used for smoking cessation. Trials using nicotine replacement therapy (NRT) in acute coronary syndrome (ACS) showed inconclusive results. Furthermore, three trials using bupropion in patients admitted with ACS failed to show improvement in smoking cessation compared with placebo. Interestingly, only one trial using varenicline was successful in achieving smoking abstinence in the acute setting...
September 23, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28916557/study-of-fall-risk-increasing-drugs-in-elderly-patients-before-and-after-a-bone-fracture
#14
Mónica Beunza-Sola, Ángel M Hidalgo-Ovejero, Jon Martí-Ayerdi, José Germán Sánchez-Hernández, Miguel Menéndez-García, Serafín García-Mata
BACKGROUND: Accidental falls have a significant economic and human impact. The use of certain drugs is one of the modifiable risk factors associated with these events. OBJECTIVE: The aim of this study was to determine the prevalence of use and to explore changes in treatment with fall-related drugs in patients over 65 years of age admitted as a result of a fall-related fracture. METHODS: Observational and prospective study performed in a tertiary level hospital...
September 15, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28912190/invitations-received-from-potential-predatory-publishers-and-fraudulent-conferences-a-12-month-early-career-researcher-experience
#15
Eric Mercier, Pier-Alexandre Tardif, Lynne Moore, Natalie Le Sage, Peter A Cameron
PURPOSE OF THE STUDY: This study aims to describe all unsolicited electronic invitations received from potential predatory publishers or fraudulent conferences over a 12-month period following the first publication as a corresponding author of a junior academician. STUDY DESIGN: Unsolicited invitations received at an institutional email address and perceived to be sent by predatory publishers or fraudulent conferences were collected. RESULTS: A total of 502 invitations were included of which 177 (35...
September 14, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28912189/associations-between-circulating-macrophage-migration-inhibitory-factor-mif-levels-and-rheumatoid-arthritis-and-between-mif-gene-polymorphisms-and-disease-susceptibility-a-meta-analysis
#16
Sang-Cheol Bae, Young Ho Lee
AIM: To systematically review evidence regarding the relationship between circulating macrophage migration inhibitory factor (MIF) levels and rheumatoid arthritis (RA), and the association between MIF gene polymorphisms and RA susceptibility. DESIGN: We performed a meta-analysis on data of serum/plasma MIF levels in patients with RA and in controls, and on associations between the MIF-173 C/G and -794CATT5-8 polymorphisms and RA susceptibility. PATIENTS: Twelve studies, comprising a total of 362 RA cases and 531 controls evaluated for MIF levels, and 2367 RA cases and 2395 controls evaluated for MIF polymorphisms, were included...
September 14, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28899990/generalist-physicians-challenges-in-understanding-specialists-clinic-notes
#17
LETTER
Bryan S Lee, Jared W Klein, Natalia V Oster, Joann G Elmore
No abstract text is available yet for this article.
September 12, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28893977/open-fontanelles-in-an-elderly-man
#18
Rakul Nambiar, Dalus Dae, Jithesh Balan, Anjali Srikumar
No abstract text is available yet for this article.
September 11, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28874503/risk-factors-for-amendment-in-type-duration-and-setting-of-prescribed-outpatient-parenteral-antimicrobial-therapy-opat-for-adult-patients-with-cellulitis-a-retrospective-cohort-study-and-cart-analysis
#19
Michael Quirke, Emma May Curran, Patrick O'Kelly, Ruth Moran, Eimear Daly, Seamus Aylward, Gerry McElvaney, Abel Wakai
PURPOSE OF THE STUDY: To measure the percentage rate and risk factors for amendment in the type, duration and setting of outpatient parenteral antimicrobial therapy (OPAT) for the treatment of cellulitis. STUDY DESIGN: A retrospective cohort study of adult patients receiving OPAT for cellulitis was performed. Treatment amendment (TA) was defined as hospital admission or change in antibiotic therapy in order to achieve clinical response. Multivariable logistic regression (MVLR) and classification and regression tree (CART) analysis were performed...
September 5, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28874502/is-external-fixation-a-better-way-than-plaster-to-supplement-k-wires-in-non-comminuted-distal-radius-fractures
#20
Sajjad M Athar, Neil Ashwood, George Aerealis, Gregory I Bain
BACKGROUND: Distal radius fractures represent about one-sixth of all fractures. There is still no consensus on the treatment of this fracture. We have several issues to assess and address; one of them is the fixation method. We tried to compare the effectiveness of two methods of stabilisation of distal radial fracture. Comparison between the techniques of Kirschner wire (K-wire) fixation with plaster and K-wire fixation with external fixation (Ex-Fix) was undertaken to assess which treatment modality gives better results in patients with distal radius fracture Frykman VII and VIII with no metaphyseal comminution...
September 5, 2017: Postgraduate Medical Journal
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