Read by QxMD icon Read


Michael T McCarthy, Hawa Ebrahem, Zariena Aibdeen, Philip A Hodnett, Elizabeth Mulcahy, Nemer Osman
In prostate cancer patients, if bone scan demonstrates a solitary lesion in atypical area, this is possibly an indication of metastatic disease. Therefore, biopsy confirmation is required to determine the nature of the abnormality and therefore dictates further staging investigations and treatment options.
October 2016: JRSM Open
D A Román, I Pizarro, L Rivera, J Ávila, P Cortés
OBJECTIVES: To evaluate the short-term 24 h urinary excretion of platinum, arsenic, selenium, magnesium and zinc in patients with lung cancer and with cancer other than lungs treated with cisplatin or/and carboplatin from Antofagasta, Chile. DESIGN: Urine measurements of Pt and Se were made by inductively coupled plasma optical emission spectrometry, As by hydride-generation atomic absorption spectrometry and Mg and Zn by means of flame furnace atomic absorption spectrometry...
October 2016: JRSM Open
Joon Heng Tan, Liam Healy, Kristel Yap, Aditya Mandal
We present the first documented case of erythema multiforme following campylobacter gastroenteritis.
October 2016: JRSM Open
L Jefferson, C Fairhurst, E Cooper, C Hewitt, T Torgerson, L Cook, P Tharmanathan, S Cockayne, D Torgerson
OBJECTIVE: Time-lag from study completion to publication is a potential source of publication bias in randomised controlled trials. This study sought to update the evidence base by identifying the effect of the statistical significance of research findings on time to publication of trial results. DESIGN: Literature searches were carried out in four general medical journals from June 2013 to June 2014 inclusive (BMJ, JAMA, the Lancet and the New England Journal of Medicine)...
October 2016: JRSM Open
Richard Laugharne, Matt Branch, Anji Mitchell, Lindsay Parkin, Phil Confue, Rohit Shankar, Diane Wilson-James, Mike Marshall, Maria Edgecombe, Bernie Keaney, Kiran Gill, Juliet Harrison
OBJECTIVE: The sudden closure of 30 out of 54 acute psychiatric beds in Cornwall presented a stressful challenge to staff but also a natural experiment on how a service dealt with this situation. We aimed to evaluate the outcomes of patients needing to leave the closed ward, how bed occupancy rates were affected and the impact on admission rates. DESIGN: A service evaluation of the impact of the ward closure. SETTING: A comprehensive secondary NHS mental health service in Cornwall serving 550,000 population...
October 2016: JRSM Open
Josephine Mbuagbaw, Ahmadou M Jingi, Jean Jacques N Noubiap, Arnaud D Kaze, Jobert Richie N Nansseu, Jean Joel R Bigna, Edvine Wawo Yonta, Kathleen Ngu Blackett
OBJECTIVE: To describe the trends in mortality and the spectrum of disease in HIV-infected and -uninfected inpatients in a population in Yaoundé. DESIGN: A retrospective study. SETTING: Internal Medicine Unit, University Hospital Centre, Yaoundé, Cameroon. PARTICIPANTS: All deaths registered between January 2000 and May 2007 in the unit. MAIN OUTCOMES MEASURES: Sociodemographic characteristics, clinical features and results of all investigations done, cause of death...
September 2016: JRSM Open
S Keddie, H Angus-Leppan, T Parker, S Toescu, A Nash, O Adewunmi, Rsn Liu
OBJECTIVE: To examine patient knowledge about sudden unexpected death in epilepsy (SUDEP) compared to other risks in epilepsy. To explore patients' experiences surrounding SUDEP disclosure and opinions on how information should be delivered. DESIGN: A cross-sectional questionnaire. SETTING: Royal Free Hospital, London outpatient epilepsy clinics. PARTICIPANTS: New and follow-up patients attending epilepsy clinics at a London teaching hospital over six months...
September 2016: JRSM Open
Mohammad S Diab, Jeremy Smelt, Nick Fletcher, Mazin Sarsam
Cardiac sarcoma's are highly aggressive tumours. Clear resection margins ± autotransplant, followed by chemotherapy, offers the best survival chance. Therefore, frozen section should be preformed when there is ambiguity in diagnosis.
September 2016: JRSM Open
Amira Obeid, Mark Pucci, Una Martin, Wasim Hanif
Sodium glucose co-transporter 2 inhibitors lower blood pressure by osmotic diuresis and can be considered in diabetic patients with resistant hypertension.
September 2016: JRSM Open
Herwig Brandtner, Fabio C Monticelli, Harald J Meyer, Ariane Biebl, Herbert Budka
A seven-year-old boy died from autopsy-proven brain haemorrhage due to hypertensive vasculopathy. This emphasizes the importance of early diagnosis and therapy of hypertension in children. Brain haemorrhage is a potentially fatal complication of paediatric hypertension.
September 2016: JRSM Open
Teodoro Durá-Travé, Isabel San Martin-García, Fidel Gallinas-Victoriano, Ibone Vaquero Iñigo, Aida González-Benavides
OBJECTIVE: To analyse the prevalence of malnutrition among paediatric patients at the time of hospital admission throughout a calendar year in a tertiary-level hospital and to identify those patients and/or groups of pathologies with a higher risk of malnutrition. DESIGN: Observational (retrospective evaluation of nutrition status). SETTING: Navarra Hospital Complex, Pamplona, Spain. PARTICIPANTS: A total of 852 patients hospitalised in 2013 in a Spanish tertiary-level paediatric hospital (462 males and 390 females)...
September 2016: JRSM Open
John Dixon, Hannah Wilkinson, Kamran Iqbal, Virginia Quan
We present the first known case of pulmonary artery aneurysms as a feature of Recurrent Anti-Glomerular Basement Membrane disease.
September 2016: JRSM Open
Kun Zhang, Dan Eastwood, Kristyn Ertl, Jeff Whittle
OBJECTIVES: To assess whether the effects of community-based educational interventions to improve blood pressure, weight and health behaviours benefit participants with lower educational levels more than those with higher educational levels. DESIGN: Secondary data analysis. SETTING: Two 12-month community-based educational interventions, one led by trained peers and one delivered by health professionals. PARTICIPANTS: A total of 403 hypertensive individuals, grouped by education (high school or less; 1-3 years college; 4 + years college)...
August 2016: JRSM Open
Vaibhav Sahni
The Lazarus phenomenon or the unassisted return of spontaneous circulation after cardiac arrest is a grossly underreported phenomenon in medical literature which essentially implies the 'resurrection' of an individual after cardiac arrest. Although there have been a handful of such cases reported, the clinical incidence and significance may be underestimated. Because of the presumed infrequency of this condition, there are no studies specifically researching Lazarus phenomenon in scientific literature. This review intends to systematically present current and past knowledge on this rare but definitive phenomenon...
August 2016: JRSM Open
Noorez Hirani, Emilie N Karafillakis, Azeem Majeed
OBJECTIVES: A service evaluation project on the reasons why children do not attend their outpatient appointments. DESIGN: Analysis of paediatric clinic lists over two consecutive days. Parents of the non-attenders were identified and their reasons for not attending the appointment were elicited using a survey. SETTING: The appointments were scheduled to take place in the Paediatric department at St. Mary's Hospital, London. PARTICIPANTS: Of the 201 appointments scheduled, 49 patients did not attend their paediatric appointment...
August 2016: JRSM Open
R Samra, J Car, A Majeed, C Vincent, P Aylin
OBJECTIVE: To identify patient safety monitoring strategies in primary care. DESIGN: Open-ended questionnaire survey. PARTICIPANTS: A total of 113 healthcare professionals returned the survey from a group of 500 who were invited to participate achieving a response rate of 22.6%. SETTING: North-West London, United Kingdom. METHOD: A paper-based and equivalent online survey was developed and subjected to multiple stages of piloting...
August 2016: JRSM Open
James O'Donovan, Roy Ahn, Brett D Nelson, Calvin Kagan, Thomas F Burke
OBJECTIVES: To assess the feasibility and impact of using a low-cost Android tablet to deliver clinical skills training to third-year medical students in Kenya. DESIGN: A prospective study using a low cost tablet called 'connecTAB', which was designed and manufactured specifically for areas with low bandwidth. Instructional video tutorials demonstrating techniques of cardiovascular and abdominal clinical examinations were pre-loaded onto the tablet. SETTING: Maseno University School of Medicine, Western Kenya...
August 2016: JRSM Open
Irene Braithwaite, Bridget Healy, Laird Cameron, Mark Weatherall, Richard Beasley
OBJECTIVE: To examine the association between venous thromboembolism and prolonged work- and computer-related seated immobility. DESIGN: A case-control study. PARTICIPANTS AND SETTING: Cases were 200 patients attending venous thromboembolism clinics with a history of deep vein thrombosis and/or pulmonary embolism in the past six months, and controls were 200 patients treated in fracture clinic for an upper limb injury in the past six months...
August 2016: JRSM Open
Leopold N Aminde, Jean Jacques N Noubiap, Noah Takah, Tsi Njim, Anastase Dzudie
Takayasu arteritis is rare in black people. Doppler echocardiography may assist in its diagnosis with good response to steroids.
August 2016: JRSM Open
A Antoniou, J Mendez Rodrigues, N Comi
We report a rare case of Myasthenia gravis and overactive bladder successfully treated with pretibial nerve stimulation.
August 2016: JRSM Open
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"