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QJM: Monthly Journal of the Association of Physicians

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https://www.readbyqxmd.com/read/27803368/death-by-neurological-criteria-expert-definitions-and-lay-misgivings
#1
REVIEW
L Syd M Johnson
For decades, there has been persistent controversy concerning brain death, or the determination of death by neurological criteria, among physicians, philosophers, and the lay public. This article examines the various ways that brain death is conceptualized and justified, as well as the persistent questions and controversies related to brain death, particularly within pluralistic, multicultural societies. A culturally sensitive and practical way forward is proposed.
November 1, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803366/make-the-healthy-choice-the-easy-choice-using-behavioral-economics-to-advance-a-culture-of-health
#2
REVIEW
Kevin G Volpp, David A Asch
Despite great advances in the science and technology of health care, a large gap separates theoretically achievable advances in health from what individuals and populations actually achieve. Human behavior sits on the final common pathway to so many of our health and health care goals, including the prevention and management of illness and the fostering of wellness. Behavioral economics is a relatively new field offering approaches to supplement many of the conventional approaches to improving health behaviors that rely on education or standard economic theory...
November 1, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803365/how-to-build-a-culture-of-health
#3
Risa Lavizzo-Mourey
No abstract text is available yet for this article.
November 1, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803364/creating-a-culture-of-health-evolving-healthcare-systems-patient-engagement
#4
REVIEW
Staffan Lindblad, Sofia Ernestam, Aricca D Van Citters, Cristin Lind, Tamara S Morgan, Eugene C Nelson
No abstract text is available yet for this article.
November 1, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803363/death-permanence-and-current-practice-in-donation-after-circulatory-death
#5
REVIEW
Dale Gardiner, Andrew McGee
No abstract text is available yet for this article.
November 1, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27780898/american-health-care-paradox-high-spending-on-health-care-and-poor-health
#6
Elizabeth H Bradley, Heather Sipsma, Lauren A Taylor
BACKGROUND: for decades, U.S. taxpayers have been lamenting the high cost of health care. Since the mid-1980s, Americans have had double-digit spending on health care. Despite this investment, Americans are less healthy than their European and Scandinavian counterparts across an array of health measures. AIM: We sought to explore how inadequate attention to the social, behavioral, and environmental determinants of health may contribute to the American health care paradox of high health care spending and poor health outcomes...
October 24, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27770051/social-death
#7
Erica Borgstrom
This review will outline various ways in which the notion of 'social death' can be understood, and how they can be related to clinical practice. The idea of social death is used to analytically represent how someone can be identified and treated as if they are ontologically deficient - meaning that they are not seen as being 'fully human.' This impacts on their position within society and how they are interacted with. This review will consider three examples of social death - often distinguished from physical or biological death - that are important for clinical practice: loss of agency and identity; treating people as if they are already dead; and, rituals and bereavement...
October 20, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27770050/guest-editorial-topics-in-death-and-dying
#8
Nathan Emmerich
No abstract text is available yet for this article.
October 20, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27770049/treatment-decision-death-and-the-value-of-life
#9
Stephen Holland
No abstract text is available yet for this article.
October 20, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803371/palla-s-sign-and-hampton-s-hump-in-pulmonary-embolism
#10
C-W Hsu, H-Y Su
No abstract text is available yet for this article.
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803370/pet-imaging-of-subclinical-seizure-associated-with-intracranial-cavernous-malformations
#11
G M Healy, C E Redmond, J Kinsella, R P Killeen
We present the case of a subclinical seizure identified during positron emission tomography with 18-fluorodeoxyglucose in a patient with cavernous malformations.
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803369/oxygen-exchange-and-c-reactive-protein-predict-safe-discharge-in-patients-with-h1n1-influenza
#12
B Morton, K Nweze, J O'Connor, P Turton, E Joekes, J D Blakey, I D Welters
BACKGROUND: Pandemic influenza has potential to overwhelm healthcare resources. There is uncertainty over performance of existing triage tools for hospital admission and discharge decisions. AIM: Our aim was to identify clinical criteria that predict safe discharge from hospital and develop a pragmatic triage tool to guide physician decision-making. DESIGN: We retrospectively examined an existing database of patients who presented to the Royal Liverpool University Hospital during the 2010-11 influenza pandemic...
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27803367/management-of-post-operative-acute-kidney-injury
#13
S Bell, V C Ross, K A Zealley, F Millar, C Isles
Post-operative acute kidney injury (AKI) is a common complication of surgery with significant short- and long-term adverse consequences. The adoption of diagnostic criteria for AKI (RIFLE, AKIN and KDIGO) has facilitated comparison of data reported by different centres, confirming that even mild AKI is associated with excess mortality. It remains unclear whether this is caused by the kidney injury itself or whether AKI is simply a marker of underlying disease severity. There is no trial evidence to support the use of any specific therapeutic intervention in post-operative AKI...
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27795295/adrenal-lymphoma-presentation-management-and-prognosis
#14
C Laurent, O Casasnovas, L Martin, A Chauchet, H Ghesquieres, G Aussedat, L M Fornecker, S Bologna, S Borot, K Laurent, B Bouillet, B Verges, J-M Petit
AIM: This study aimed to identify the clinical, radiological and prognostic features of primary adrenal lymphoma (PAL) in order to diagnose the disease more accurately. MATERIALS AND METHODS: A retrospective multi-centre study was conducted on the clinical, biological and radiological features as well as the treatment and overall survival outcomes in PAL. RESULTS: Between 1994 and 2014, 28 patients from five regions of eastern France were diagnosed with primary adrenal lymphoma...
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27795294/impact-of-consultant-specialty-on-discharge-decisions-in-patients-admitted-as-medical-emergencies-to-hospitals-in-the-united-kingdom
#15
C P Subbe, Ivan Le Jeune, D Ward, S Pradhan, C Masterton-Smith
BACKGROUND: The Society for Acute Medicine's Benchmarking Audit (SAMBA) annually examines Clinical Quality Indicators (CQIs) of the care of patients admitted to UK hospitals as medical emergencies. AIM: The aim of this study is to review the impact of consultant specialty on discharge decisions in the SAMBA data-set. DESIGN AND METHODS: Prospective audit of patients admitted to acute medical units (AMUs) on 25 June 2015 to participating hospitals throughout the UK with subgroup analysis...
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27795293/famine-and-disease-in-nigerian-refugee-camps-for-internally-displaced-peoples-a-sad-reflection-of-our-times
#16
S D Taylor-Robinson, O Oleribe
No abstract text is available yet for this article.
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27795292/proton-pump-inhibitors-purple-gastric-juice-and-peptic-ulcer-disease
#17
Y-C Chang, P-J Hsiao, K-L Wu, C-J Hsiao
No abstract text is available yet for this article.
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27667826/predictors-of-hepatotoxicity-among-patients-treated-with-antituberculous-medication
#18
R P Cusack, L Chawke, B O'Connor, T M O'Connor, D J O'Brien
Introduction Hepatotoxicity in patients diagnosed with active tuberculosis is the commonest adverse effect of therapy. We sought to analyse trends in liver function in patients diagnosed with active tuberculosis and to determine predictors of hepatotoxicity.Methods We studied 275 patients with active TB treated at the Mercy University Hospital (Cork, Ireland) from 2009-2014. A retrospective review was undertaken of all patients' laboratory data and patient correspondence to determine predictors of hepatotoxicity...
September 25, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27664232/effectiveness-of-cardiogoniometry-compared-with-exercise-ecg-test-in-diagnosing-stable-coronary-artery-disease-in-women
#19
Ivan Zeljković, Hrvoje Pintarić, Mislav Vrsalović, Ivan Kruljac
AIMS: To investigate the effectiveness of cardiogoniometry, a novel, non-invasive method, in diagnosing coronary artery disease (CAD) in women and compare it with exercise-ECG test, by using coronary angiography as a reference method. METHODS: It was a single-centre, case-series study including consecutive female patients with stable angina pectoris undergoing coronary angiography. Exercise-ECG test, done according to the Bruce protocol, and cardiogoniometry were obtained prior to coronary angiography...
September 23, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27664231/miliarial-gout-a-rare-presentation-of-extensive-cutaneous-tophi
#20
T-L Hung, W-M Wang, C-P Chiang
Gout is a systemic disorder characterized by hyperuricemia and recurrent arthritis, most involvement of ankles, midfoot joint and first metatarsophalangeal joint, with monosodium urate crystals deposition in synovial fluid and other tissues. We present a case of 53-year-old male, who had several nontender, white-yellow papules and plaques over his elbows, knees and arms with chalk-like substances and crust on inflammatory base wax and wane in the past 2 years. Upon histopathology examination of the skin lesions, it reported as intradermal urate tophi and miliarial gout was diagnosed...
September 23, 2016: QJM: Monthly Journal of the Association of Physicians
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