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Journal of the Royal College of Physicians of Edinburgh

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https://www.readbyqxmd.com/read/29992211/witnessing-history-a-personal-view-of-half-a-century-in-public-health
#1
B P Bergman, F Laing, A S Chandler, K C Calman
Former Chief Medical Officer Sir Kenneth Calman recently celebrated 50 years in medicine. It was a period which saw the evolution of the public health agenda from communicable diseases to diseases of lifestyle, the change from a hospital-orientated health service to one dominated by community-based services, and the increasing recognition of inequalities as a major determinant of health. This paper documents selected highlights from his career including the Aberdeen typhoid outbreak, AIDS, bovine spongiform encephalopathy, foot and mouth disease, radioactive fallout, the invention of computerised tomography and magnetic resonance imaging, and draws parallels between the development of the modern understanding of public health and the theoretical background to the science 100 years earlier...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992210/the-origins-of-sport-for-disabled-people
#2
J R Silver
The disabled sports movement is considered to have started in 1948 when, under the aegis of Ludwig Guttmann, England hosted the first wheelchair games at Stoke Mandeville Hospital. In this review, we challenge the assumption that sport for disabled people started after the Second World War and contend that it was already practised in an organised fashion in France, Germany and the UK before and after the First World War.
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992209/mood-disorder-in-the-personal-correspondence-of-robert-burns-testing-a-novel-interdisciplinary-approach
#3
M Hansen, D J Smith, G Carruthers
Robert Burns has long been recognised as someone who experienced episodes of melancholia, but no detailed, systematic and objective assessment of his mental health has been undertaken. We tested a novel methodology, combining psychiatric and literary approaches, to assess the feasibility of using Burns's extensive personal correspondence as a source of evidence for assessing the presence of symptoms of a clinically significant mood disorder. We confirmed the potential of this approach and identified putative evidence of episodes of depression and hypomania within the correspondence...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992208/collectors-of-natural-knowledge-the-edinburgh-medical-society-and-the-associational-culture-of-scotland-and-the-north-atlantic-world-in-the-18th-century
#4
C Jones
This paper reappraises the role of medical clubs and societies in the production and consumption of knowledge in 18th-century Scotland and the wider North Atlantic world. It focuses on the Edinburgh Medical Society, founded in 1731 by Alexander Monro primus; and on the student Medical Society, founded in 1734 and constituted in 1737 as the Medical Society of Edinburgh, ultimately becoming the Royal Medical Society of Edinburgh in 1778. The paper examines how Monro, as editor of the transactions of the Edinburgh Medical Society, sought to adapt medical learning to a world of polite sociability; and how that world came under pressure in the student Medical Society, where prevailing orthodoxies, such as the system of Herman Boerhaave and, later, William Cullen, were challenged...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992207/finding-the-truth-multivariable-analysis-and-the-assassination-of-abraham-lincoln
#5
R J Johnson
No abstract text is available yet for this article.
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992206/paper-versus-electronic-feedback-in-high-stakes-assessment
#6
A J Munro, K Cumming, J Cleland, A R Denison, G P Currie
Tablet computers have emerged as increasingly useful tools in medical education, particularly for assessment. However, it is not fully established whether tablet computers influence the quality and/or quantity of feedback provided in high stakes assessments. It is also unclear how electronically-recorded feedback relates to student performance. Our primary aim was to determine whether differences existed in feedback depending on the tool used to record it. METHODS: We compared quantitative and qualitative feedback between paper-scoring sheets versus iPads™ across two consecutive years of a final year MBChB (UK medical degree) Objective Structured Clinical Examination...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992205/an-update-on-cardiac-implantable-electronic-devices-for-the-general-physician
#7
J E Peal, I G Mathews, C Runnett, H E Thomas, D P Ripley
Cardiac electronic device implantation is a common and important intervention for patients with tachy-and bradyarrhythmia. An increasing number of patients are receiving more complex devices such as cardiac resynchronisation therapy or devices with a defibrillation function. Over the last 5 years, two new models of cardiac device have emerged, subcutaneous defibrillators and leadless pacemakers. With an ageing population and data demonstrating 2000 per 100,000 of the population aged over 75 years have a cardiac device, it is essential that the general physician remains updated on the common pacemaker indications and available therapies...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992204/what-might-brexit-mean-for-british-tourists-travelling-to-the-rest-of-europe
#8
D McKee, M McKee
Brexit will have profound implications for British tourists visiting the rest of the European Union, in particular because of the likely loss of coverage of healthcare should they be injured or fall ill. This paper compares the cost of travel insurance within the EU and in comparable countries outside it, asking how it varies by age and pre-existing conditions. Fictitious patients, differing by age, pre-existing condition, and destination (France, an EU Member State; Israel and Canada, two high income non-EU frequent destinations) were entered into an insurance price comparison website to assess the influence of these characteristics on prices quoted...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992203/igg4-related-pulmonary-disease-the-protean-impersonator
#9
D Slim, H Gunawardena, J M Calvert, R S Daly, M J Plummeridge, A R Medford
IgG4-related disease is an immune-mediated fibro-inflammatory disease, characterised by distinct pathological features. An increasing number of clinical phenotypes are described, from single-organ disease to a multisystem disorder, which can present to a variety of different specialities. Recognition is key; its protean manifestations can mimic other inflammatory diseases, infection and malignancy. Here, we present three cases to highlight the importance of being familiar with this condition in its various forms...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992202/drug-induced-thrombotic-microangiopathy-caused-by-levofloxacin
#10
S Kazi, G C Preston
Thrombotic microangiopathy is a rare but serious manifestation of a variety of diseases. The key features are microangiopathic haemolysis, thrombocytopaenia, renal dysfunction and neurological symptoms. Here we discuss the case of a previously well male presenting with community-acquired pneumonia who developed thrombotic microangiopathy during admission. This case illustrates the difficulties in the differential diagnosis and reminds us of the importance of the peripheral blood film in identifying the cause of thrombocytopaenia...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992201/a-patient-with-persistent-consolidation-and-a-pulmonary-mass
#11
J Capps, N Nwosu, S Baksi, S Khalid
Community-acquired pneumonia is a common condition and 6-24% of patients will fail to improve as expected. We present a patient who was initially treated for community-acquired pneumonia but did not make the anticipated recovery. We explore potential differentials, and the investigation and management of the rare condition we subsequently diagnosed.
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992200/anterior-spinal-artery-syndrome-from-type-a-aortic-dissection-in-a-patient-with-marfan-syndrome-due-to-a-novel-fibrillin-mutation
#12
K Cheng, M Perenyei, R Sayeed
Type A aortic dissection is a rare but important cardiac surgical emergency. Few reports exist in the literature describing anterior spinal artery syndrome as a presenting feature. We report a case of anterior spinal artery syndrome due to aortic dissection in a patient with Marfan syndrome caused by a novel fibrillin mutation. A 53-year old female presented with chest pain and sudden-onset paralysis. Neurological examination revealed normal upper limb examination, reduced lower limb power and reflexes but normal sensation...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992199/rapid-species-identification-of-candida-directly-from-blood-culture-broths-by-sepsityper-maldi-tof-mass-spectrometry-impact-on-antifungal-therapy
#13
A M Bal, M McGill
Rapid identification of Candida species facilitates pathogen-directed therapy with either fluconazole or an echinocandin. METHOD: We applied Sepsityper matrix-assisted laser desorption ionisation time of flight mass spectrometry (MALDI-TOF-MS) technology on positive blood culture broths for rapid species identification. RESULTS: Of the 74 patients with candidaemia, 25 had the species identified on the day of the positive blood culture directly from the broth (rapid identification group) while the remaining 49 had the species identified from culture (conventional identification group)...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992198/reliable-consultant-level-data-from-an-acute-medical-unit-a-powerful-tool-for-improvement
#14
D J Beckett, M Spears, E Thomson
The development of a novel database interrogating the patient management system in the Acute Medical Unit at Forth Valley Royal Hospital, Scotland, has allowed, for the first time, acquisition of reliable individual consultant-level process and outcome data over a 2-year period. These data have a number of uses, including understanding the level of variation between consultant physicians in AMU across key indicators, such as direct discharge percentage (67.5-44.3%), and readmission percentage (4.0-6.8%). Looking at overnight admissions only effectively excluded case mix as a confounder to identify variation in 30-day mortality (0-2...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992197/the-clinical-frailty-scale-predicts-inpatient-mortality-in-older-hospitalised-patients-with-idiopathic-parkinson-s-disease
#15
K M Torsney, R Romero-Ortuno
Parkinson's disease and frailty are both common conditions affecting older people. Little is known regarding the association of the Clinical Frailty Scale with hospital outcomes in idiopathic Parkinson's disease patients admitted to the acute hospital. We aimed to test whether frailty status was an independent predictor of short-term mortality and other hospital outcomes in older inpatients with idiopathic Parkinson's disease. METHOD: We conducted an observational retrospective study in a large tertiary university hospital between October 2014 and October 2016...
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29992196/can-doctors-help-to-heal-the-nhs
#16
EDITORIAL
J A Wilson
No abstract text is available yet for this article.
June 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29741539/in-response-to-thyroid-hormone-replacement-a-counterblast-to-guidelines
#17
G P Leese, R V Flynn, T M MacDonald, C Schofield, A D Mackie
No abstract text is available yet for this article.
March 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29741538/sanatoria-revisited-sunlight-and-health
#18
C P Bredin
No abstract text is available yet for this article.
March 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29741537/copper-deficiency-and-myelopathy-after-bariatric-surgery-authors-reply
#19
J Oben, P Cordero
No abstract text is available yet for this article.
March 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29741536/copper-deficiency-and-myelopathy-after-bariatric-surgery
#20
O M Jolobe
No abstract text is available yet for this article.
March 2018: Journal of the Royal College of Physicians of Edinburgh
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