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Journal of the Royal College of Physicians of Edinburgh

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https://www.readbyqxmd.com/read/29465111/crp-and-esr-in-giant-cell-arteritis
#1
A Waller, A M Jawad
No abstract text is available yet for this article.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465110/james-craufurd-gregory-19th-century-scottish-physicians-and-the-link-between-occupation-as-a-coal-miner-and-lung-disease
#2
K Donaldson, W A Wallace, T A Elliot, C Henry
By the mid-19th century about 200,000 miners were employed in a UK coal mining industry still growing with the advances of the Industrial Revolution. Coal miners were long known to suffer poor health but the link to inhaling dust in the mines had not been made. In 1813 George Pearson was the first to suggest that darkening of lungs seen in normal individuals as they aged was caused by inhaled soot from burning oil, candles and coal, which were the common domestic sources of heat and light. In 1831 Dr James Craufurd Gregory first described black pigmentation and disease in the lungs of a deceased coal miner and linked this to pulmonary accumulation of coal mine dust...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465109/in-carthage-ruins-the-illness-of-sir-winston-churchill-at-carthage-december-1943
#3
J A Vale, J W Scadding
This paper reviews Churchill's illness in Carthage in December 1943. It was characterised by fever that lasted 6 days, left lower lobe pneumonia and two episodes of atrial fibrillation. He was managed in a private villa by Lord Moran, his personal physician, with the assistance of two nurses and the expert advice of colleagues. Sulphadiazine and digitalis leaf were prescribed and Churchill recovered. It is remarkable that, despite the severity of his illness, he continued to direct the affairs of State from his bed...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465108/medicine-and-the-mcnamara-fallacy
#4
S O'Mahony
The 'McNamara fallacy' (also known as quantitative fallacy) is named after the US Secretary of Defense during the Vietnam War. The fallacy consists of over-reliance on metrics, and may be summarised as: 'if it cannot be measured, it is not important'. This paper describes the McNamara fallacy as it applies to medicine and healthcare, taking as examples hospital mortality data, NHS targets and quality assurance.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465107/sanatoria-revisited-sunlight-and-health
#5
I Greenhalgh, A R Butler
Since the 18th century tuberculosis has been a major cause of death throughout the world. It is a highly infectious disease that spreads by droplet infection and finding effective treatment to combat tuberculosis took a great deal of time. One of the first treatments to have some real success was a stay in a sanatorium. Sanatoria were homes that provided patients with good food and fresh air (and therefore sunlight). The first sanatorium to use sunlight therapy (heliotherapy) seriously was founded in Leysin, Switzerland, by Auguste Rollier...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465106/mri-brain-white-matter-change-spectrum-of-change-how-we-can-grade
#6
K Forbes
Magnetic resonance imaging has become a widely used clinical tool for the assessment of neurologic symptoms, as well as being increasingly used in neuroscience research. White matter hyperintensities are common findings on brain imaging and their discovery leads to questions about best management, especially when findings are incidental or not considered relevant to the patient's presentation. This review will discuss the varied causes of white matter hyperintensities, consider how best to distinguish between them radiologically, and when they might have potential clinical relevance...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465105/communicating-with-a-human-voice-developing-a-relational-model-of-empathy
#7
D Jeffrey
The medical profession has adopted a cognitive model of empathy, or detached concern, in its professionalism and practice. As a consequence there is now an empathy gap which has been demonstrated by lapses in patient care in the UK. There may also be an empathy gap developing in medical students during their training. This paper argues for the adoption of a relational view of empathy which embraces emotional and moral dimensions of the concept, acknowledges the importance of the clinical context and prioritises the relationship between the doctor and patient...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465104/patients-and-consumers
#8
R Downie
Successive governments of the UK have strongly supported two policies: an NHS free at the point of delivery, and the encouragement of consumer choice. It was natural for governments to think that amalgamating the policies would increase patient satisfaction, improve efficiency and save money. There are many reasons why this has not been well-received by patients and doctors and has not saved money, but the underlying problem is that there is a conceptual misfit between healthcare as public policy and as individual responsibility...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465103/the-growing-role-of-the-jrcptb-and-federation-in-international-postgraduate-physician-education-and-training
#9
D Black
No abstract text is available yet for this article.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465102/non-invasive-electrical-brain-stimulation-as-a-treatment-for-depression
#10
S P Tomlinson, A Khusnullina, R M Bracewell
No abstract text is available yet for this article.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465101/tocilizumab-an-interleukin-6-inhibitor-a-steroid-sparing-agent-in-giant-cell-arteritis
#11
P Jobanputra, M Ford
No abstract text is available yet for this article.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465100/central-diabetes-insipidus-unmasked-by-corticosteroid-therapy-for-cerebral-metastases-beware-the-case-with-pituitary-involvement-and-hypopituitarism
#12
H X Chin, T P Quek, M K Leow
Patients with intra-cerebral metastases often receive glucocorticoids, particularly in the presence of peri-lesional vasogenic cerebral oedema. We present a case of presumptive lung carcinoma with cerebral metastases where central diabetes insipidus was unmasked after glucocorticoid administration and correction of undiagnosed central hypocortisolism.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465099/is-it-safe-to-use-gadolinium-based-contrast-agents-in-mri
#13
R Pullicino, K Das
Gadolinium-based contrast agents have greatly expanded the capability of magnetic resonance imaging and have been used extensively in neuroradiology over the past 30 years. When initially developed they were thought to be relatively harmless; it was later discovered they are associated with nephrogenic systemic fibrosis and should be used with caution in certain patient groups, especially those with renal failure. Lately it has been found that the use of these contrast agents may result in deposition of gadolinium in the brain even in patients with an intact blood-brain barrier...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465098/effect-of-reinforced-audit-and-feedback-intervention-on-physician-behaviour-a-multifaceted-strategy-for-targeting-medical-record-documentation
#14
Z Meidani, M Farzandipour, A Davoodabadi, A Farrokhian, D Kheirkhah, M Sharifi, M E Khanghani
We investigated the effects of reinforced audit and feedback on the medical record documentation (MRD) of 35 surgical residents at a tertiary university hospital. In three phases (pre-intervention, 3 and 9-month post-intervention), 525 medical records were assessed. An educational guideline assisting residents to record more accurate MRD was developed. The MRD rate in the pre-intervention and immediate post-intervention phases had changed significantly. The MRD rate in the pre-intervention and 9 months after cessation of intervention was not statistically significant...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465097/quantitative-data-analysis-of-perceived-barriers-and-motivators-to-physical-activity-in-stroke-survivors
#15
S L Nicholson, C A Greig, F Sniehotta, M Johnston, S J Lewis, M E McMurdo, D Johnston, J Scopes, G E Mead
BACKGROUND: Levels of physical activity after stroke are low, despite multiple health benefits. We explored stroke survivors' perceived barriers, motivators, self-efficacy and intention to physical activity. METHODS: Fifty independently mobile stroke survivors were recruited prior to hospital discharge. Participants rated nine possible motivators and four possible barriers based on the Mutrie Scale, as having 'no influence', 'some influence' or 'a major influence' on physical activity...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465096/management-of-acute-upper-gastrointestinal-bleeding-an-update-for-the-general-physician
#16
K Siau, W Chapman, N Sharma, D Tripathi, T Iqbal, N Bhala
Acute upper gastrointestinal bleed (AUGIB) is one of the most common medical emergencies in the UK, with roughly one presentation every 6 min. Despite advances in therapeutics and endoscopy provision, mortality following AUGIB over the last two decades has remained high, with over 9,000 deaths annually in the UK; consequently, several national bodies have published UK-relevant guidelines. Despite this, the 2015 UK National Confidential Enquiry into Patient Outcome and Death in AUGIB highlighted variations in practice, raised concerns regarding suboptimal patient care and released a series of recommendations...
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465095/cutaneous-melanoma-an-updated-sign-guideline
#17
E R Brown, S J Fraser, O Quaba, A Simms, A Stein
No abstract text is available yet for this article.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29465094/how-can-i-help-improving-the-effectiveness-of-communication-in-hospitals-for-people-with-communication-difficulties
#18
I Prain
No abstract text is available yet for this article.
September 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/28682044/hiv-infection-in-muirhouse
#19
LETTER
P D Welsby
No abstract text is available yet for this article.
June 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/28682043/reply-to-jolobe
#20
LETTER
C Voukalis, E Shantsila, G Y Lip
No abstract text is available yet for this article.
June 2017: Journal of the Royal College of Physicians of Edinburgh
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