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https://www.readbyqxmd.com/read/28620506/an-unusual-manifestation-of-diabetic-ketoacidosis-and-acute-colonic-pseudo-obstruction
#1
Jake Natalini, Hala Borno, Lan Jin, Trevor Jensen
Patients presenting with diabetic ketoacidosis and acute colonic pseudo-obstruction should undergo a focused evaluation to identify underlying precipitants.
June 2017: JRSM Open
https://www.readbyqxmd.com/read/28620505/world-medical-schools-the-sum-also-rises
#2
Perry G Rigby, Ramnarayan P Gururaja
OBJECTIVE: There is a worldwide shortage of doctors, which is true in most countries and on most continents. To enumerate the number of medical schools in the world at two different times, showing the trends and relating this to population is a beginning. The number is actually going up and has done so for some time; this has increased the supply of physicians and broadened healthcare delivery. DESIGN: The number to count for geographic and regional information about the medical schools relates directly to the supply of doctors...
June 2017: JRSM Open
https://www.readbyqxmd.com/read/28620504/atlantoaxial-tb-with-paralysis-posterior-only-cervical-approach-with-good-results
#3
Rishi Mandavia, Richard Fox, Adam Meir
Early posterior cervical approach is an effective strategy for patients with cervical tuberculosis in the appropriate circumstances.
June 2017: JRSM Open
https://www.readbyqxmd.com/read/28620503/general-practice-views-of-managing-childhood-obesity-in-primary-care-a-qualitative-analysis
#4
Jennifer E O'Donnell, Rachel Foskett-Tharby, Paramjit S Gill
OBJECTIVE: To explore general practice staff views of managing childhood obesity in primary care. DESIGN: A qualitative study to elicit the views of clinical and non-clinical general practice staff on managing childhood obesity. SETTING: Interviews were conducted at 30 general practices across England. These practices were interviewed as part of the Quality and Outcomes Framework Pilot Study. PARTICIPANTS: A total of 52 staff from 30 practices took part in a semi-structured interview...
June 2017: JRSM Open
https://www.readbyqxmd.com/read/28620502/balanitis-xerotica-obliterans-has-its-diagnostic-accuracy-improved-with-time
#5
Khalis Boksh, Nitin Patwardhan
OBJECTIVES: We observed whether general practitioners are referring more appropriately for balanitis xerotica obliterans in regards to circumcision, especially at a time of clinical concern, and whether their discriminative abilities were affected by age. We also aimed to explore if balanitis xerotica obliterans was over-diagnosed by surgeons potentially leading to unnecessary circumcisions of healthy foreskins. DESIGN: Cross-sectional descriptive study. SETTING: Leicester Royal Infirmary...
June 2017: JRSM Open
https://www.readbyqxmd.com/read/28515954/a-prospective-cohort-study-of-thoracic-ultrasound-in-acute-respiratory-failure-the-c3po-protocol
#6
Peter D Wallbridge, Simon A Joosten, Liam M Hannan, Daniel P Steinfort, L Irving, J Goldin, Mark Hew
OBJECTIVES: This study was performed to assess the clinical utility of a standardised thoracic ultrasound examination when added to standard care in patients with acute respiratory failure admitted to an intermediate care unit. This study aimed to assess the impact on clinical diagnosis, clinician confidence and management. Ultrasound has been shown to have utility in patients admitted to intensive care and emergency; however, utility in a ward setting is unknown. DESIGN: Prospective cohort study...
May 2017: JRSM Open
https://www.readbyqxmd.com/read/28515953/an-autopsy-of-intravascular-large-b-cell-lymphoma-with-hemophagocytic-syndrome
#7
Hisanori Fukunaga, Kazumasa Kawashima, Hiromi Kumakawa, Yuko Hashimoto, Yuta Takahashi
Intravascular large B-cell lymphoma presents with highly variable symptoms caused by the occlusion of small vessels by neoplastic cells in a variety of organs.
May 2017: JRSM Open
https://www.readbyqxmd.com/read/28515952/potential-role-of-high-stress-employment-in-hypertension
#8
Eric J Buenz, Brent A Bauer
We report a patient with a reduction in blood pressure through cessation of high-stress employment.
May 2017: JRSM Open
https://www.readbyqxmd.com/read/28515951/zinc-lozenges-and-the-common-cold-a-meta-analysis-comparing-zinc-acetate-and-zinc-gluconate-and-the-role-of-zinc-dosage
#9
Harri Hemilä
OBJECTIVE: To compare the efficacy of zinc acetate lozenges with zinc gluconate lozenges in common cold treatment and to examine the dose-dependency of the effect. DESIGN: Meta-analysis. SETTING: Placebo-controlled zinc lozenge trials, in which the zinc dose was > 75 mg/day. The pooled effect of zinc lozenges on common cold duration was calculated by using inverse-variance random-effects method. PARTICIPANTS: Seven randomised trials with 575 participants with naturally acquired common colds...
May 2017: JRSM Open
https://www.readbyqxmd.com/read/28515950/factors-associated-with-poor-self-reported-health-within-the-uk-military-and-comparisons-with-the-general-population-a-cohort-study
#10
Sarah C Jenkins, Sharon Am Stevelink, Nicola T Fear
OBJECTIVE: To investigate the self-rated health of the UK military and explore factors associated with poor self-rated health. Compare self-rated health of the military to the general population. DESIGN: A cohort study. PARTICIPANTS: A total of 7626 serving and ex-serving UK military personnel, aged between 25 and 49; 19,452,300 civilians from England and Wales. SETTING: United Kingdom (military), England and Wales (civilians)...
May 2017: JRSM Open
https://www.readbyqxmd.com/read/28491333/burkholderia-cepacia-complex-and-limited-cutaneous-vasculitis-in-patients-with-cystic-fibrosis-a-case-series
#11
Muttardi Kayria, Orchard Chris, Devesh J Dhasmana, Morar Nilesh, Margaret E Hodson, Gyi Khin, Bilton Diana, Nicholas J Simmonds
There is a high association of reactive skin presentations, mainly limited cutaneous vasculitis in patients with cystic fibrosis and Burkholderia cepcia complex chronic infection. This may be due to raised levels of circulating inflammatory mediators.
April 2017: JRSM Open
https://www.readbyqxmd.com/read/28491332/lipoma-in-the-femoral-triangle
#12
Elroy Patrick Weledji, Felix Adolfe Elong
The differential diagnosis of a lipoma in the femoral region will include a femoral hernia and vice-versa or both may coexist.
April 2017: JRSM Open
https://www.readbyqxmd.com/read/28491331/mpo-c-anca-associated-necrotising-and-crescentic-glomerulonephritis
#13
Abhilash Koratala, Dara N Wakefield, Kawther F Alquadan, A Ahsan Ejaz
The patterns of ANCA staining usually relate closely to antibodies against myeloperoxidase and proteinase-3. C-ANCA is mainly antibodies to proteinase-3 and P-ANCA is antibodies to myeloperoxidase. C-ANCA with antibodies to MPO with clinical sequelae is unusual.
April 2017: JRSM Open
https://www.readbyqxmd.com/read/28491330/duodenal-perforation-as-a-complication-of-gastrostomy-tube-migration
#14
Avery C Rossidis, Steven E Raper, Kristoffel R Dumon
Gastrostomy tube placement is a routinely safe procedure; however, this report and its accompanying images highlight a rare but serious complication of tube migration - duodenal perforation.
April 2017: JRSM Open
https://www.readbyqxmd.com/read/28491329/varicella-vasculopathy-presenting-with-thunderclap-headache
#15
Andrew W Barritt, Sriram Vundavalli, Paul J Hughes
Our report serves to highlight Varicella vasculopathy as a rarity not to be overlooked in the differential diagnosis of subarachnoid haemorrhage.
April 2017: JRSM Open
https://www.readbyqxmd.com/read/28321319/the-effectiveness-of-telemedicine-in-the-management-of-chronic-heart-disease-a-systematic-review
#16
Clemens S Kruse, Mounica Soma, Deepthi Pulluri, Naga T Nemali, Matthew Brooks
OBJECTIVE: The primary objective of this systematic review is to assess the effectiveness of telemedicine in managing chronic heart disease patients concerning improvement in varied health attributes. DESIGN: This review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standard. SETTING: We adopted a logical search process used in two main research databases, the Cumulative Index to Nursing and Allied Health Literature and PubMed (MEDLINE)...
March 2017: JRSM Open
https://www.readbyqxmd.com/read/28321318/does-the-model-of-additive-effect-in-placebo-research-still-hold-true-a-narrative-review
#17
Katja Boehm, Bettina Berger, Ulrich Weger, Peter Heusser
Personalised and contextualised care has been turned into a major demand by people involved in healthcare suggesting to move toward person-centred medicine. The assessment of person-centred medicine can be most effectively achieved if treatments are investigated using 'with versus without' person-centredness or integrative study designs. However, this assumes that the components of an integrative or person-centred intervention have an additive relationship to produce the total effect. Beecher's model of additivity assumes an additive relation between placebo and drug effects and is thus presenting an arithmetic summation...
March 2017: JRSM Open
https://www.readbyqxmd.com/read/28321317/pacemaker-leads-and-cardiac-perforation
#18
Andrew Peter Vanezis, Rachana Prasad, Richard Andrews
This case series highlights the rare but potentially life threatening complication of ventricular perforation caused by pacemaker leads and discusses appropriate investigations and management strategies.
March 2017: JRSM Open
https://www.readbyqxmd.com/read/28321316/pre-operative-urinary-tract-infection-is-it-a-risk-factor-for-early-surgical-site-infection-with-hip-fracture-surgery-a-retrospective-analysis
#19
Rafik Rd Yassa, Mahdi Y Khalfaoui, Karunakar Veravalli, D Alun Evans
OBJECTIVE: The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections. DESIGN: A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data...
March 2017: JRSM Open
https://www.readbyqxmd.com/read/28321315/prolonged-expiratory-apnoea-with-cyanosis-in-arnold-chiari-ii-malformation
#20
Adnan Zafar, Nahin Hussain
Apnoea associated with Arnold Chiari malformation is a known entity and can be obstructive or central. Differentiating between two types is vital to deciding management pathway and prognosticating disease process.
March 2017: JRSM Open
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