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Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/29909399/renal-artery-stenosis-in-a-patient-with-leriche-syndrome
#1
Soo Ryeong Ryoo, Yoo Sun Hong, Jinoo Kim, Inwhee Park
No abstract text is available yet for this article.
June 16, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29907697/acute-uveitic-glaucoma-in-ankylosing-spondylitis
#2
Chye Li Ee, Sargunan Sockalingam, Tengku Ain Kamalden
No abstract text is available yet for this article.
June 15, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29898914/physician-alert-the-legal-risks-associated-with-on-call-duties-in-the-usa
#3
Zachary R Paterick, Nachiket J Patel, Timothy Edward Paterick
On-call physicians encounter a diverse aggregate of interfaces with sundry persons concerning patient care that may surface potential legal peril. The duties and obligations of an on-call physician, who must act as a fiduciary to all patients, create a myriad of circumstances where there is a risk of falling prey to legal ambiguities. The understanding of the doctor-patient relationship, the obligations of physicians under the Emergency Medical Treatment and Labor Act, the meaning of medical informed consent and the elements of negligence will help physicians avoid the legal risk associated with the various encounters of being on call...
June 13, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29895659/use-of-zonal-distribution-of-lung-crackles-during-inspiration-and-expiration-to-assess-disease-severity-in-idiopathic-pulmonary-fibrosis
#4
Angela L Key, Kimberley Holt, Christopher J Warburton, Paul Phillip Walker, John E Earis
PURPOSE OF THE STUDY: To measure the number and distribution of crackles in patients with idiopathic pulmonary fibrosis (IPF) and assess how this relates to measures of disease severity. STUDY DESIGN: Fourteen patients with IPF had both the number of crackles per litre of lung volume and lung function measured every 3 months for 1 year. Crackle counts were expressed according to position (upper and lower zones) and whether they occurred during inspiration and expiration...
June 12, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29895658/improving-the-use-of-treatment-escalation-plans-a-quality-improvement-study
#5
Meelad Sayma, George Nowell, Aedamar O'Connor, Gemma Clark, Andrew Gaukroger, Dominic Proctor, Jamie Walsh, Brian Rigney, Storm Norman, Andrew Adedeji, David Wilson, Darren O'hagan, Victoria Cook, Robbie Carrington, Preshgena Sekaran, Maya Wehbe, Duncan Paterson, Sophie Welchman, Jay Over, Sheila Payne
OBJECTIVES: Treatment escalation plans (TEPs) are vital in communicating a ceiling of care. However, many patients still deteriorate and die without a pre-established ceiling of care for attending clinicians to rely on. We aimed to increase the proportion of suitable patients that have TEPs in place in a rural district general hospital. METHODS: We undertook three 'Plan-Do-Study-Act' (PDSA) cycles between 1 December 2016 and 9 June 2017. These cycles aimed to assess the problem, implement a solution and monitor its sustainability...
June 12, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29891644/corticosteroids-in-the-treatment-of-iga-nephropathy-any-light-beyond-the-clouds-of-confusion
#6
EDITORIAL
T M Chan
No abstract text is available yet for this article.
June 11, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29891643/generalised-lentiginosis-and-caf%C3%A3-noir-spots-leading-to-a-diagnosis-of-leopard-syndrome
#7
Ankur Guliani, Sheetanshu Kumar, Dipankar De, Divya Aggarwal, Bishan Dass Radotra
No abstract text is available yet for this article.
June 11, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29886428/a-novel-approach-to-facilitate-peripheral-venous-access
#8
Partha Ray, Arun Ray
No abstract text is available yet for this article.
June 9, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29884749/adenotonsillar-microbiome-an-update
#9
REVIEW
James Jordan Johnston, Richard Douglas
Pathogenic bacteria associated with the adenoids and tonsils cause much morbidity in the paediatric population. Hyperplasia of the adenoids is associated with otitis media with effusion and hyperplasia of the palatine tonsils is associated with both recurrent tonsillitis and obstructive sleep apnoea. Most current knowledge of the microbiology of the upper airways has been derived from culture-based studies, which usually reflect only a small fraction of the bacteria present on the mucosal surface. Culture-independent molecular surveys based on 16S ribosomal RNA sequencing are now being employed to determine the microbiota on the surface and within the tissue of adenoids and palatine tonsils...
June 8, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29875148/abdominal-mass-as-a-manifestation-of-mesothelioma
#10
Antonio J Martín-Jiménez, Verónica Aragón-Domínguez, Isabel Trouillhet-Manso, Daniel García-Gil
No abstract text is available yet for this article.
June 6, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29875147/how-do-you-supervise-a-doctor-in-training
#11
LETTER
Thomas James Whitfield, Michael Flatley, Paul Baker
No abstract text is available yet for this article.
June 6, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29866707/does-the-uk-medical-education-provide-doctors-with-sufficient-skills-and-knowledge-to-manage-patients-with-eating-disorders-safely
#12
Agnes Ayton, Ali Ibrahim
BACKGROUND: Eating disorders affect 1%-4% of the population and they are associated with an increased rate of mortality and multimorbidity. Following the avoidable deaths of three people the parliamentary ombudsman called for a review of training for all junior doctors to improve patient safety. OBJECTIVE: To review the teaching and assessment relating to eating disorders at all levels of medical training in the UK. METHOD: We surveyed all the UK medical schools about their curricula, teaching and examinations related to eating disorders in 2017...
June 4, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29779009/pressure-of-academic-publishing-for-medical-students-a-student-s-perspective
#13
LETTER
Jeevahan Mahalingam, Chetan Khatri, Edward Fitzgerald
No abstract text is available yet for this article.
May 19, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29776983/robotic-assisted-compared-with-conventional-total-hip-arthroplasty-systematic-review-and-meta-analysis
#14
Xi Chen, Jianping Xiong, Peipei Wang, Shibai Zhu, Wenting Qi, Huiming Peng, Lingjia Yu, Wenwei Qian
BACKGROUND: Robotic-assisted total hip arthroplasty (THA) allows for accurate preoperative planning and component positioning, potentially enhancing implant survival and long-term outcomes. The relative efficacy and safety of robotic-assisted and conventional THA, however, are unclear. This systematic review and meta-analysis compared the safety and efficacy of robotic-assisted and conventional THA. METHODS: Medline, Embase and the Cochrane Library were comprehensively searched in September 2017 to identify studies comparing the safety and efficacy of robotic-assisted and conventional THA...
May 18, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29769324/drama-of-medical-dramas
#15
LETTER
Fabrizio Elia, Francesco Panero, Vincenzo Crupi, Franco Aprà
No abstract text is available yet for this article.
May 16, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29743186/amiodarone-induced-hepatic-and-pulmonary-toxicity
#16
Li-Ta Keng, Min-Tsun Liao
No abstract text is available yet for this article.
May 9, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29735781/multiple-extracranial-carotid-aneurysms-in-a-patient-of-takayasu-arteritis
#17
Sanjay Tyagi, Mohit Dayal Gupta, Girish M P, Prattay Guha Sarkar
No abstract text is available yet for this article.
May 7, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29728451/exercise-training-in-heart-failure
#18
REVIEW
Mark Abela
Exercise training (ET) in heart failure (HF) has long been established as an important part of HF care. ET is known to improve quality of life and functional capacity in a number of ways. Despite its proposed benefits, evidence supporting its routine inclusion in standard rehabilitation programme is at times conflicting, partly because of the significant heterogeneity present in available randomised controlled trials. There is lack of evidence with regard to the duration of the overall benefit, the optimal exercise regimen and whether certain types of HF aetiologies benefit more than others...
May 4, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29728450/constellation-of-autoimmune-manifestations-in-a-patient-with-graves-disease
#19
Aditya Dutta, Nimisha Jain, Anil Bhansali
No abstract text is available yet for this article.
May 4, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29720421/emergence-of-free-will-and-consciousness-in-humans-implications-for-doctor-patient-interactions
#20
Philip D Welsby
Human brains have about 100 billion neurons each with about 1000 dendritic connections with other neurons giving a total of 100 000 billion deterministic dendritic switches. Various voting systems that the brain may use can produce conflicting results from identical inputs without any indication as to which one or ones would be correct. Voting systems cannot deliver unequivocal results in any other than the simplest situations. It is hypothesised that these conflicting results provide an indeterminacy that underlies free will, self-awareness, awareness of others, consciousness and personal responsibility, all of which can influence doctor-patient interactions...
May 2, 2018: Postgraduate Medical Journal
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