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https://www.readbyqxmd.com/read/28221255/royal-college-of-ophthalmologists-national-database-study-of-vitreoretinal-surgery-report-7-intersurgeon-variations-in-primary-rhegmatogenous-retinal-detachment-failure
#1
Ahmed B Sallam, Paul H J Donachie, David Yorston, David H W Steel, Tom H Williamson, Timothy L Jackson, John M Sparrow, Robert L Johnston
BACKGROUND/PURPOSE: To audit variations in primary rhegmatogenous retinal detachment (RD) anatomical failure rates between surgeons, grades of surgeons, and techniques of RD surgery. METHODS: Clinical data of a total of 5,857 eyes undergoing primary RD surgery, from 2000 to 2013 were retrospectively extracted from 15 centers using the same commercially available electronic medical record system, from three vitreoretinal units using an in-house electronic medical record, and from the British and Eire Association of Vitreoretinal Surgeons online registry...
February 17, 2017: Retina
https://www.readbyqxmd.com/read/28220378/glaucoma-and-driving-are-we-documenting-driving-status-and-advising-patients-with-glaucoma-appropriately-about-their-driving
#2
Amun Sachdev, Mazen Tahhan, Velota Ching Tak Sung
PURPOSE: Guidelines from the Driver and Vehicle Licensing Agency (DVLA) in the UK state that patients with bilateral glaucomatous visual field defects must stop driving unless confirmed able to meet minimum visual field requirements. Guidelines from the Royal College of Ophthalmologists state that ophthalmologists must consider driving status in every consultation, provide appropriate information if visual problems may affect driving and document any advice that has been given. The authors aimed to investigate whether in glaucoma clinics: (1) driving status is being documented, (2) appropriate patients have been advised to inform DVLA and (3) there is documentation that this advice was provided...
February 20, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28218054/commentary-on-galletly-et-al-2016-the-royal-australian-and-new-zealand-college-of-psychiatrists-clinical-practice-guidelines-for-the-management-of-schizophrenia-and-related-disorders
#3
Shaun Sweeney, Tracy Air
No abstract text is available yet for this article.
March 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28211876/the-royal-college-of-ophthalmologists-glaucoma-commissioning-guidance-executive-summary
#4
A P Khawaja, M-A Sherratt, J M Sparrow
No abstract text is available yet for this article.
February 17, 2017: Eye
https://www.readbyqxmd.com/read/28205557/experimental-study-of-the-biological-properties-of-human-embryonic-stem-cell-derived-retinal-progenitor-cells
#5
Jingzhi Shao, Peng-Yi Zhou, Guang-Hua Peng
Retinal degenerative diseases are among the leading causes of blindness worldwide, and cell replacement is considered as a promising therapeutic. However, the resources of seed cells are scarce. To further explore this type of therapy, we adopted a culture system that could harvest a substantial quantity of retinal progenitor cells (RPCs) from human embryonic stem cells (hESCs) within a relatively short period of time. Furthermore, we transplanted these RPCs into the subretinal spaces of Royal College of Surgeons (RCS) rats...
February 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28198292/state-of-child-health-in-the-uk-is-unacceptable
#6
Judith Ellis
The State of Child Health report, published last month by the Royal College of Paediatrics and Child Health, warns that a lack of a national strategic focus on children and the persistent gap between rich and poor in the UK are damaging the health of the nation's infants, children and young people.
February 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28196945/healthcare-experiences-of-patients-with-age-related-macular-degeneration-have-things-improved-cross-sectional-survey-responses-of-macular-society-members-in-2013-compared-with-1999
#7
Emily M Boxell, Winfried M Amoaku, Clare Bradley
OBJECTIVE: To investigate healthcare experiences of patients with age-related macular degeneration (AMD) and determine whether a previous survey and Royal College of Ophthalmologists (RCOphth) management guidelines brought improvements. DESIGN: Cross-sectional survey of Macular Society members in 2013 compared with previous 1999 survey. SETTING: UK Postal Questionnaires. PARTICIPANTS: 1169 respondents in 2013 (1187 in 1999)...
February 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28191768/multimodal-delivery-of-isogenic-mesenchymal-stem-cells-yields-synergistic-protection-from-retinal-degeneration-and-vision-loss
#8
Benjamin Bakondi, Sergey Girman, Bin Lu, Shaomei Wang
We previously demonstrated that subretinal injection (SRI) of isogenic mesenchymal stem cells (MSCs) reduced the severity of retinal degeneration in Royal College of Surgeons rats in a focal manner. In contrast, intravenous MSC infusion (MSC(IV) ) produced panoptic retinal rescue. By combining these treatments, we now show that MSC(IV) supplementation potentiates the MSC(SRI) -mediated rescue of photoreceptors and visual function. Electrophysiological recording from superior colliculi revealed 3.9-fold lower luminance threshold responses (LTRs) and 22% larger functional rescue area from combined treatment compared with MSC(SRI) alone...
February 2017: Stem Cells Translational Medicine
https://www.readbyqxmd.com/read/28190926/malignant-mast-cell-tumor-of-the-thymus-in-an-royal-college-of-surgeons-rcs-rat
#9
Yui Terayama, Tetsuro Matsuura, Kiyokazu Ozaki
A 152-week-old male Royal College of Surgeons (RCS) rat kept as a non-treated animal in a long-term animal study presented with a soft mass in the anterior mediastinum, which adhered to the pleura of the lung. Histopathologically, the mass mainly consisted of round to short spindle-shaped tumor cells that had infiltrated through the hyperplastic thymic tissue. The tumor cells were arranged in loose to dense sheets. Nuclei were moderate in size and round to spindle-shaped, with small nucleoli. Almost all tumor cells exhibited abundant eosinophilic cytoplasm, including eosinophilic granules of a range of sizes...
January 2017: Journal of Toxicologic Pathology
https://www.readbyqxmd.com/read/28188769/lifetime-cancer-risk-and-combined-oral-contraceptives-the-royal-college-of-general-practitioners-oral-contraception-study
#10
Lisa Iversen, Selvaraj Sivasubramaniam, Amanda J Lee, Shona Fielding, Philip C Hannaford
BACKGROUND: Oral contraceptives have been used by hundreds of millions of women around the world. Important questions remain regarding the very long-term cancer risks associated with oral contraception. Despite previous research important questions remain about the safety of these contraceptives: i) how long do endometrial, ovarian and colorectal cancer benefits persist for? ii) does combined oral contraceptive use during the reproductive years produce new cancer risks later in life? and iii) what is the overall balance of cancer among past users as they enter the later stages of their lives? OBJECTIVES: To examine the very long-term cancer risks or benefits associated with use of combined oral contraceptives, including the estimated overall life-time balance...
February 8, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28185609/olfactory-ensheathing-cells-inhibit-gliosis-in-retinal-degeneration-by-down-regulation-of-the-m%C3%A3-ller-cell-notch-signaling-pathway
#11
Jing Xie, Shujia Huo, Yijian Li, Jiaman Dai, Haiwei Xu, Zheng Qin Yin
Retinal regeneration and self-repair, whether in response to injury or degenerative disease, are severely impeded by glial scar formation by Müller cells (specialized retinal macroglia). We have previously demonstrated that the activation of Müller cells and gliosis in the degenerative retina are significantly suppressed by the subretinal transplantation of a mixture of olfactory ensheathing cells (OECs) and olfactory nerve fibroblasts. However, the underlying molecular mechanism has remained elusive. Here, we transplanted purified rat OECs into the subretinal space of pigmented Royal College of Surgeons (RCS) rats, a classic rodent model of retinal degeneration...
February 9, 2017: Cell Transplantation
https://www.readbyqxmd.com/read/28181076/visual-evoked-potential-in-rcs-rats-with-okayama-university-type-retinal-prosthesis-ourep%C3%A2-implantation
#12
Alamusi, Toshihiko Matsuo, Osamu Hosoya, Tetsuya Uchida
Photoelectric dye-coupled polyethylene film, designated Okayama University type-retinal prosthesis or OUReP™, generates light-evoked surface electric potentials and stimulates neurons. The dye-coupled films or plain films were implanted subretinally in both eyes of 10 Royal College of Surgeons rats with hereditary retinal dystrophy at the age of 6 weeks. Visual evoked potentials in response to monocular flashing light stimuli were recorded from cranially-fixed electrodes, 4 weeks and 8 weeks after the implantation...
February 8, 2017: Journal of Artificial Organs: the Official Journal of the Japanese Society for Artificial Organs
https://www.readbyqxmd.com/read/28168797/pre-oncall-key-conditions-training-for-first-year-radiology-registrars
#13
Nicholas I Brown, Paul Leschke, Mandy Way, David D Smith, Perry Cleland
INTRODUCTION: The Royal Australian and New Zealand College of Radiology (RANZCR) recognised the importance of experience in on-call and emergency radiology for first-year registrars by introducing 'Key conditions in Year 1 training'. This list of common radiological pathologies can help to focus preparations for new registrars as they prepare for after-hours duties. METHODS: The Royal Brisbane and Women's Hospital (RBWH) implemented a 12-week formal training programme, based on this curriculum, for new registrars prior to commencing after-hours work...
February 7, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28165791/improving-documentation-in-surgical-operation-notes
#14
Hammad Parwaiz, Rushan Perera, John Creamer, Hamish Macdonald, Ian Hunter
BACKGROUND: Accurate documentation in surgical operation notes is crucial in facilitating the postoperative care of surgical patients and forms an important medicolegal document. This study audited the quality and completeness of documentation in surgical operation notes at a single district general hospital against the Royal College of Surgeons (2014) Good Surgical Practice guidelines, and looked to improve clinical practice through improved compliance with these guidelines. METHOD: A total of 101 operation notes were audited from a variety of surgical specialities in November 2014 (cycle 1) and 100 notes in May 2015 (cycle 2)...
February 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28160874/milestones-and-millennials-a-perfect-pairing-competency-based-medical-education-and-the-learning-preferences-of-generation-y
#15
REVIEW
Janeve R Desy, Darcy A Reed, Alexandra P Wolanskyj
Millennials are quickly becoming the most prevalent generation of medical learners. These individuals have a unique outlook on education and have different preferences and expectations than their predecessors. As evidenced by its implementation by the Accreditation Council for Graduate Medical Education in the United States and the Royal College of Physicians and Surgeons in Canada, competency based medical education is rapidly gaining international acceptance. Characteristics of competency based medical education can be perfectly paired with Millennial educational needs in several dimensions including educational expectations, the educational process, attention to emotional quotient and professionalism, assessment, feedback, and intended outcomes...
February 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28159844/military-anaesthesia-in-contingencies-what-skill-sets-are-required-and-how-will-we-prepare-our-trainees
#16
EDITORIAL
Simon J Mercer, C L Jones, J Round, D Parkhouse
The Defence Medical Services are now in an established period of contingency operations. In 2008, the Royal College of Anaesthetists approved a Military Anaesthesia Higher Training Module which could be easily achieved by deploying to the field hospital in Camp Bastion, Afghanistan, for two months under the supervision of a consultant anaesthetist. This opportunity no longer exists but the need to assure quality training and to demonstrate military skill sets is still essential. This article discusses the revised Military Higher Module and how it will be implemented in the future either during deployment or during times of peace...
February 3, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28154239/ten-minute-chat
#17
Adrian Boswood
Adrian Boswood is professor of cardiology at the Royal Veterinary College. He recently led a study on mitral valve disease, the findings of which will benefit many older dogs.
February 4, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28152542/comparison-of-two-protocols-for-the-management-of-asymptomatic-postmenopausal-women-with-adnexal-tumours-a-randomised-controlled-trial-of-rmi-rcog-vs-simple-rules
#18
Natalie Nunes, Gareth Ambler, Xulin Foo, Joel Naftalin, Grigoris Derdelis, Martin Widschwendter, Davor Jurkovic
BACKGROUND: Adnexal tumours are frequently diagnosed in asymptomatic postmenopausal women due to more liberal use of modern high-resolution imaging. This study's objective was to determine if there would be a difference in the intervention rates when using the Simple Rules Management Protocol (SRMP) as compared to the Risk of Malignancy Index in the Royal College of Obstetricians and Gynaecologists guideline (RMI/RCOG). METHODS: This was a prospective randomised controlled trial with the participants and the researchers non-blinded, and the surgeons and pathologists blinded...
February 2, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28148572/the-predictive-validity-of-a-situational-judgement-test-a-clinical-problem-solving-test-and-the-core-medical-training-selection-methods-for-performance-in-specialty-training%C3%A2
#19
Fiona Patterson, Safiatu Lopes, Stephen Harding, Emma Vaux, Liz Berkin, David Black
The aim of this study was to follow up a sample of physicians who began core medical training (CMT) in 2009. This paper examines the long-term validity of CMT and GP selection methods in predicting performance in the Membership of Royal College of Physicians (MRCP(UK)) examinations. We performed a longitudinal study, examining the extent to which the GP and CMT selection methods (T1) predict performance in the MRCP(UK) examinations (T2). A total of 2,569 applicants from 2008-09 who completed CMT and GP selection methods were included in the study...
February 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/28147436/from-humble-beginnings-%C3%A2-the-evolution-of-the-fracs-urology
#20
Athina Pirpiris, Amanda S J Chung, Prem Rashid
BACKGROUND: Surgery has a rich and colourful history dating as far back as, at least, the Neolithic period. There have been many advances in knowledge and technology, as well as changes to working conditions and public perception and expectations. The urology training programme is jointly managed by the Royal Australasian College of Surgeons and the Urological Society of Australia and New Zealand. Urological training in Australia and New Zealand has undergone a number of changes over the years...
February 1, 2017: ANZ Journal of Surgery
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