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Scottish Medical Journal

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https://www.readbyqxmd.com/read/28186466/mental-hospital-life-in-the-50s
#1
Leslie Bartlet
The recollections of a retired psychiatrist concerning his time as a house doctor in a 1952 Scottish mental hospital. These pertain to early days of the National Health Service. He describes the routines and practices of those times, and he refers to some of his reactions to his experiences.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28173740/emergency-department-redirection-to-primary-care-a-prospective-evaluation-of-practice
#2
James A Bentley, Shobhan Thakore, William Morrison, Weijie Wang
Background and aim Non-urgent Emergency Department presentations contribute to overcrowding, which can adversely affect patient care. Redirecting patients to a more appropriate service is an option to help address this. We conducted a prospective evaluation of a major Scottish hospital's Emergency Department redirection policy to assess its safety. Methods and results Over two months, 620 patients triggered senior assessment for redirection with 444 (72%) redirected to primary care. Information on presentation was collected with subsequent management and outcome of redirection provided by the patient's general practitioner...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28152662/posterior-reversible-encephalopathy-syndrome-as-a-complication-of-henoch-sch%C3%A3-nlein-purpura-in-a-seven-year-old-girl
#3
Daiane Dos Santos, Felipe Welter Langer, Tatiane Dos Santos, Giordano Rafael Tronco Alves, Marisa Feiten, Walter Teixeira de Paula Neto
Introduction Henoch-Schönlein purpura is a multisystem small vessel vasculitis. Neurologic manifestations are uncommon. Posterior reversible encephalopathy syndrome is a rare complication of Henoch-Schönlein purpura with typical clinical and neuroimaging findings that occurs most commonly in the setting of severe hypertension and renal injury. Case presentation A seven-year-old girl was admitted to our institution presenting with clinical and laboratory findings suggestive of Henoch-Schönlein purpura. Glucocorticoid therapy was initiated, but five days following her admission, she developed altered consciousness, seizures, arterial hypertension, and cortical blindness...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28152661/crisis-what-crisis
#4
John Larkin
No abstract text is available yet for this article.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28142402/one-that-got-away
#5
John Larkin
No abstract text is available yet for this article.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28110628/sublingual-glyceryl-trinitrate-during-colonoscopy-and-terminal-ileal-intubation-a-randomized-controlled-trial
#6
Patsy-Anne Hill, Sofoklis Panteleimonitis, Graham McKay, Carol Watson, Andre Prach, Angus Macdonald
Background and aims Sublingual glyceryl trinitrate has been used as an aid to cannulate the Sphincter of Oddi during endoscopic retrograde cholangiopancreatography. Its role in terminal ileal intubation during colonoscopy is unknown. This study examines the role of sublingual glyceryl trinitrate in terminal ileal intubation during colonoscopy. Methods A triple-blind randomized controlled trial comparing sublingual glyceryl trinitrate (800 µg) vs. placebo (saline) in relation to terminal ileal intubation during colonoscopy was performed...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28228054/this-message-is-sent-with-high-self-importance
#7
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28110629/clippers-and-the-need-for-long-term-immunosuppression
#8
Tarig M Abkur, Hugh Kearney, Michael J Hennessy
Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS) is a rare chronic inflammatory disorder of the central nervous system. Herein, we describe the case of a 62-year-old female who presented with right sided facial tingling, gait ataxia and diplopia. Neuroimaging revealed pontine curvilinear enhancing lesions with extension into cerebellar peduncles, characteristic of CLIPPERS. This report discusses the differential diagnosis and the importance of prolonged immunomodulatory treatment for this rare neuro-inflammatory disorder...
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28084899/limited-role-of-hla-dq2-8-genotyping-in-diagnosing-coeliac-disease
#9
Siba P Paul, Matthew Hoghton, Bhupinder Sandhu
The European guidelines for diagnosing coeliac disease in children were revised in 2012. These recommend that in symptomatic children, a diagnosis of coeliac disease can be made without small-bowel biopsies provided their anti-tissue transglutaminase (anti-tTG) titre is >10 times of upper-limit-of-normal (>10×ULN) and anti-endomysial antibody is positive. In order to firm up the diagnosis in these children with very high anti-tTG titre, HLA-DQ2/DQ8 should be checked and be positive. Approximately 25-40% of white Caucasian population has HLA-DQ2/DQ8 haplotype...
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/27889702/statins-and-the-cholesterol-mortality-paradox
#10
José Pedro L Nunes
Large-scale randomised controlled trials, carried out in the context of secondary cardiovascular prevention, have shown that statins are superior to placebo: these drugs were shown to decrease cardiovascular events and total mortality. A further set of clinical trials compared high intensity to low/standard intensity LDL cholesterol lowering in the same setting (using either statins or a statin/ezetimibe association). In this case, a decrease in LDL cholesterol and a concomitant significant reduction in cardiovascular events were seen with intensive therapy, however with no change in total mortality...
November 26, 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/28093950/gems-2015-abstract-submission-for-publication
#11
(no author information available yet)
No abstract text is available yet for this article.
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/28093949/scottish-cardiac-society-24th-annual-general-meeting
#12
(no author information available yet)
No abstract text is available yet for this article.
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27872397/pulmonary-mycobacterium-marinum-infection-fish-tank-granuloma-of-the-lung
#13
Prasad Palani Velu, Susan E Fernandes, Ian F Laurenson, Donald D Noble
A 65-year-old man presented with a six-month history of lethargy, weight loss and dry cough. He had a background of mild chronic obstructive pulmonary disease. Chest radiograph showed new right upper lobe cavitary opacification. Sputum cultures were acid-fast bacilli smear positive and yielded Mycobacterium marinum - a non-tuberculous mycobacterium (NTM) often found in aquatic environments and rarely associated with respiratory disease. The suspected source was silent aspiration of contaminated water, likely due to his initiating the siphon of his fish-tank by mouth...
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27856946/eye-trauma-in-laurel-and-hardy-movies-another-nice-mess
#14
Lara DA Zegers, Richard Hc Zegers
BACKGROUND AND AIMS: One of the characteristics in Laurel and Hardy films is a lot of physical violence. The present study examines the occurrence of eye trauma in Laurel and Hardy movies and discusses the impact they could have been had if the films were set in reality. METHODS AND RESULTS: All 92 movies starring Laurel and Hardy as a pair in leading roles were watched together by the authors and were scored for any eye trauma. Eighty-eight eye traumas happened, of which 48% were directed at Hardy...
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27852817/pah-hamburg
#15
EDITORIAL
John Larkin
No abstract text is available yet for this article.
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27753627/minimally-symptomatic-hypocalcaemia-unmasking-celiac-disease
#16
A Lazaridis, M E Drosou, A Fontalis, E Prousali, S E Hadwe, O Giouleme, K Petidis
INTRODUCTION: Celiac disease is an autoimmune disease of the small intestine which occurs in genetically predisposed people of all ages. A large clinical spectrum of manifestations accompanies the onset of the disease with diarrhoea, flatulence and weight loss being the most common. However, findings like osteoporosis, iron deficiency, anaemia and hypocalcaemia could also insinuate the existence of the disease. CASE PRESENTATION: We report the case of a 55-year-old man with numbness and tingling of the upper extremities due to hypocalcaemia that proved to be an uncommon case of celiac disease...
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27688259/pre-hospital-identification-and-post-recovery-challenges-of-intoxication-with-synthetic-cannabinoid-containing-legal-high-products-such-as-exodus-damnation
#17
David Fitzpatrick, Patrick O'Meara, Andrew Cunningham
This short report describes the case of a young adult male who had smoked a synthetic cannabinoid legal high product called 'Exodus Damnation'. The patient's presentation was atypical from that described in the literature, with hypotension and hypoxaemia. Of note was the rapid recovery after pre-hospital intervention with high-flow oxygen therapy and intravenous fluids. The patient refused on-going care, despite repeated advice to attend the Emergency Department. The distinct lack of specialist support and referral to drug treatment for this patient population, with whom ambulance services are coming into contact with increasing frequency, is reported...
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27247133/thermal-ablative-therapies-for-treatment-of-localised-renal-cell-carcinoma-a-systematic-review-of-the-literature
#18
Agapios Gkentzis, Grenville Oades
BACKGROUND AND AIMS: Small renal masses are commonly diagnosed incidentally. The majority are malignant and require intervention. The gold standard treatment is partial nephrectomy unless the patient has significant co-morbidities when surveillance or ablative therapies are utilised. The latter are relatively novel and their long-term efficacy and safety remain generally poorly understood. We performed a literature review to establish the current evidence on the oncological outcome of thermal ablative techniques in small renal masses treatment...
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/26659455/early-toxic-epidermal-necrolysis-syndrome-post-intra-cranial-tumor-resection
#19
Thavenesh K Ramachandren, Renée Ma Petrilli
INTRODUCTION: SJS and TEN are two rare self-limited but serious cutaneous drug reactions with significant morbidity and mortality. There are many drugs associated with the condition. We report a case of early TEN syndrome post Carbamazepine use, review the current literature and discuss the management challenges. CASE REPORT: A 51-year-old female was admitted to hospital for investigation and management of complex partial seizures secondary to a meningioma. She was commenced on 100mg BD of Carbamazepine for seizure control and discharged home...
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/26610797/autologous-blood-clot-embolisation-in-posttraumatic-high-flow-priapism
#20
Suha Akpinar, Güliz Yilmaz
Non-ischemic, high-flow priapism is defined as the state of painless and permanent erection of the penis which generally develops by perineal trauma. Selective transarterial embolisation is one of the treatment options. We present an 18-year-old men who had complaints of painless and permanent erection after a blunt perineal trauma. Colour Doppler ultrasound revealed a pseudoaneurysm and fistula at the left cavernosal artery. Hence autologous blood clot injection was performed to embolise the pseudoaneurysm...
November 2016: Scottish Medical Journal
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