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Scottish Medical Journal

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https://www.readbyqxmd.com/read/30222067/learning-from-excellence-the-yaytix-programme
#1
Gabriel Chain, Emma Marshall, Cathy Geddie, Sonia Joseph, Benjamin Chain, Claire Clark
Background and aims Learning from error can have a negative impact on the staff involved in the error ('second victim phenomenon'1 ). We created a project, based on the principles of the Learning from Excellence project,2 to learn from excellence and correct the imbalance of negative to positive feedback in the context of hospital practice. Methods and results Using a questionnaire, we surveyed staff on existing feedback mechanisms and morale. We then introduced a system where staff recorded and commented on examples of excellence in practice...
September 15, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/30205769/i-ll-say-this-only-once
#2
John Larkin
No abstract text is available yet for this article.
September 11, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/30165794/masking-and-misleading-concomitant-actinomycosis-and-b-cell-lymphoma-a-case-report-and-review-of-literature
#3
Jo Anne Lim, Peng Shyan Wong, Kar Nim Leong, Kar Loon Wong, Ting Soo Chow
We report a 72-year-old patient who presented with an ulcerated palatal mass, weight loss and adrenal insufficiency. Repeated biopsies from the mass revealed actinomycosis with no features of malignancy, while computed tomography scanning revealed a left maxillary sinus mass with invasive features and bilateral large adrenal masses. Blood and urine investigations showed adrenal insufficiency. The patient was treated as actinomycosis with adrenal involvement and was given intravenous penicillin and intravenous hydrocortisone...
August 30, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/30165793/nicorandil-induced-penile-ulceration-surgical-excision-case-series-and-review-of-literature
#4
L Mokool, H Rooney, A Ramsay, A James, S K Nalagatla
Nicorandil, a nicotinamide ester, is used in the prevention of angina pectoris. There is now a well-established association of perianal ulceration and the use of the drug. However, in the recent years, there have been reports of penile skin, vulval and even vaginal ulcers caused by nicorandil. We report three cases of nicorandil-induced penile ulcers which were surgically managed, and present a review of current literature.
August 30, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/30153761/clostridium-septicum-arthroplasty-infection-beware-of-occult-aortitis-and-malignancy
#5
Gareth Turnbull, Euan Spierits, David Russell, Jon Clarke, Frédéric Picard, Martin Sarungi
Introduction The Clostridia species are responsible for life-threatening conditions such as tetanus, botulism and gas gangrene. Clostridium septicum is a rare cause of clinical infection, accounting for less than 1% of blood culture samples that test positive for Clostridia. However, C. septicum bacteraemia is associated with greater than 60% mortality and in over 80% of cases is associated with an underlying malignancy. Case presentation We present a review of the literature and the first case of an acute arthroplasty infection and concurrent infective aortitis caused by this organism in the absence of an identified underlying malignancy...
August 28, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29987988/winning-abstracts-guss-conference-2017
#6
(no author information available yet)
No abstract text is available yet for this article.
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29987987/a-reply-to-lingua-patientis-new-words-for-patient-communication-and-history-taking
#7
Chevonne Brady
No abstract text is available yet for this article.
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29945493/reducing-the-use-of-inappropriate-coagulation-testing-in-emergency-general-surgical-patients
#8
Lydiya Thomas, EeLaine Woon, Elizabeth Fong, Craig Parnaby, Henry G Watson
Background and aims Indiscriminate coagulation testing in emergency general surgical patients can lead to inappropriate delay in surgery, cause unnecessary concern and is associated with significant cost. The British Committee for Standards in Haematology recommends against coagulation testing to predict peri-operative bleeding risk in unselected patients. Our aim was to assess the appropriateness of coagulation tests performed in emergency general surgical patients and evaluate the effect of a series of educational interventions on clinical practice...
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29945492/doctors-negligence-and-the-gmc
#9
John Larkin
No abstract text is available yet for this article.
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514585/current-standards-for-assessing-pregnancy-status-before-surgery-are-subjective-and-should-be-replaced-with-definitive-objective-evidence
#10
Keiran D Clement, Andreas Luhmann, Michael Sj Wilson, Pradeep Patil
We report a case of a young woman admitted electively for laparoscopic Nissen fundoplication, and again three days post-operatively as an emergency with profuse vomiting and abdominal pain. She underwent diagnostic laparoscopy, and a small gastric perforation was found at the site of the fundoplication and this was suture-repaired. On both admissions, she was "screened" for pregnancy as per current guidelines. On the second admission, following a CT scan, she was found to have a gravid uterus with a foetus of 16-18 weeks' gestation...
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514584/unstable-angina-in-the-era-of-high-sensitivity-troponin-testing-a-genuine-entity-and-a-cautionary-tale
#11
Thomas Krysztofiak, John Byrne
High-sensitivity cardiac troponin assays have emerged as a powerful tool in the management of patients presenting acutely to hospital with suspected cardiac chest pain. Recent guidelines emphasize the reassurance offered by low troponin concentrations early after admission. We describe a patient with known coronary artery disease, who presented with a classical history of recurrent myocardial ischaemia. High-sensitivity cardiac Troponin-I concentrations remained in the low-normal sex-specific reference range, despite serial testing on the day of admission, and despite recurrent pain with dynamic ECG changes...
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514583/a-prospective-observational-study-of-emergency-department-presentations-following-novel-psychoactive-substance-use
#12
David E Henshall, Callum Wd Innes, Scott R Morrison, Blair Wilson, Ryan A Brown, Shannon M McAllister, Seamus L Culshaw, Elaina Reda
Background and aims Novel psychoactive substances are compounds intended to mimic the effects of illicit drugs. They provide a unique challenge to healthcare, as complications of their use and their impact on services are relatively unknown. This study aims to determine nature of presentations, patient demographics and impact on healthcare. Methods Novel psychoactive substances users who presented to a large urban emergency department over 4 weeks were prospectively identified and followed for 1 year. Patients over 13 years old were eligible for inclusion...
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514581/strangulation-of-giant-rectal-prolapse
#13
Imad El Moussaoui, Augustin Limbga, Manke Dika, Abdelilah Mehdi
Introduction Rectal prolapse is the complete protrusion of the rectum through the anal canal, incarceration rarely complicates rectal prolapse. Even more rarely, it becomes strangulated and gangrenous, necessitating emergency surgery. Case presentation We present the first reported case of strangulated acute rectal prolapse as the first manifestation of rectal prolapse. The patient was a 26-year-old man who presented with a 20×6 cm semi-spherical mass extra-anally. Rectosigmoidectomy with sacral rectopexy was performed, resecting 20 cm of the incarcerated rectum and sigmoid colon...
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29506437/adult-onset-still-s-disease-with-prominent-polyserositis
#14
Ali Sibtain Farooq Sheikh, Jonathan Marks, Neil Hopkinson
Adult-onset Still's disease is a systemic autoinflammatory disease the presentation of which can often mimic infection. As a consequence, there is often a delay in diagnosis. Serositis is a recognised but less common clinical feature that can result in complications including cardiac tamponade and constrictive pericarditis. We describe a case of adult-onset Still's disease without the hallmark rash or significant arthritis, presenting with polyserositis that showed a good response to initial steroid treatment and sustained remission with anakinra...
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29381107/retraction-notice
#15
(no author information available yet)
At the request of the Journal Editor and the Publisher, the following article has been retracted. Sajid M.S. Bioethics and Medical Education. Scottish Medical Journal 2008; 53(2): 62-63. DOI: 10.1258/rsmsmj.53.2.62 The above paper has substantial unreferenced overlap to the following paper: Jafarey A.M. Bioethics and Medical Education. Journal of Pakistan Medical Association 2003; 53 (6): 210-214.
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956603/brave-new-world
#16
John Larkin
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956602/abstracts-for-research-and-audit-presentations
#17
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956601/the-royal-medico-chirurgical-society-of-glasgow-rmcsg-abstracts
#18
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956600/scottish-society-of-physicians-59th-annual-meeting-thursday-26-and-friday-27-october-2017-abstract-book
#19
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29911503/examining-the-impact-of-audience-response-systems-on-student-performance-in-anatomy-education-a-randomised-controlled-trial
#20
Stuart J Fergusson, Justine J Aka, Catherine M Hennessy, Andrew J Wilson, Simon H Parson, Ewen M Harrison, Gabrielle M Finn, Thomas H Gillingwater
Background and aims Electronic audience response systems offer the potential to enhance learning and improve performance. However, objective research investigating the use of audience response systems in undergraduate education has so far produced mixed, inconclusive results. We investigated the impact of audience response systems on short- and long-term test performance, as well as student perceptions of the educational experience, when integrated into undergraduate anatomy teaching. Methods and results A cohort of 70 undergraduate medical students was randomly allocated to one of the two groups...
February 2018: Scottish Medical Journal
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