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Journals British Journal of Hospital Me...

British Journal of Hospital Medicine

https://read.qxmd.com/read/38416531/spontaneous-posterior-dislocation-of-the-lens
#1
JOURNAL ARTICLE
Taha Sezer, Hayri Ogul
No abstract text is available yet for this article.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416530/safeguards-for-medical-aid-in-dying
#2
LETTER
Charles D Blanke
No abstract text is available yet for this article.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416529/safeguards-for-medical-aid-in-dying
#3
LETTER
John Shenouda, James Haslam
No abstract text is available yet for this article.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416528/rhino-orbital-and-pulmonary-mucormycosis-in-a-patient-with-acute-myeloid-leukaemia
#4
JOURNAL ARTICLE
Recep Tekin, Tajdin Erdem, Rojbin C Tekin
No abstract text is available yet for this article.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416527/the-patient-with-a-painful-knee
#5
REVIEW
Prashant Bamania, Humza T Osmani, Philip Robinson, Stephen McDonnell, Naeem Ahmed
Knee pain encompasses a wide array of differential diagnoses and can often pose a diagnostic challenge, as it can have traumatic or non-traumatic causes. A good clinical history, assessment and anatomical knowledge gives a strong foundation to narrow down the diagnosis, and understanding the correct imaging modality and findings further informs correct and timely management. This article reviews various disease processes including fractures, inflammatory, infective and neoplastic causes, and discusses the assessment and various imaging modalities to aid diagnosis in both primary and secondary care...
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416526/paediatric-supracondylar-fractures-assessment-and-management
#6
JOURNAL ARTICLE
James Dalrymple, Aashish Ahluwalia, Aditya Prinja
Supracondylar fractures of the distal humerus are the most common fracture around the elbow in children. A thorough initial assessment must be conducted to identify any associated neurovascular injury and carefully documented. The assessment should include a vascular examination of the radial pulse, temperature, colour and capillary refill time. A neurological examination must comment on the motor and sensory function of the radial, median and ulnar nerves. X-rays allow an evaluation of the fracture location and type, and the degree of displacement...
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416525/prostatic-embryonal-rhabdomyosarcoma-in-an-adult
#7
JOURNAL ARTICLE
Ramazan O Onder, Serdar Aslan, Erhan Demirelli
No abstract text is available yet for this article.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416524/management-of-paediatric-sleep-disordered-breathing
#8
REVIEW
Laurie R Springford, Megan Griffiths, Yogesh Bajaj
Paediatric sleep-disordered breathing is a common condition which varies in severity from snoring to obstructive sleep apnoea. Paediatric sleep-disordered breathing is usually diagnosed clinically, with investigations such as polysomnography reserved for more complex cases. Management can involve watching and waiting, medical or adjunct treatments and adenotonsillectomy. National working groups have sought to standardise the pathway for surgery and improve the management of surgical and anaesthetic complications...
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416523/health-inequalities-for-people-with-learning-disabilities-why-it-matters-and-what-emergency-physicians-need-to-know
#9
JOURNAL ARTICLE
Andrew Ck Lee, Elizabeth Herrieven, Neil A Harrower
People with learning disabilities die on average 16 years earlier than the general population in England. They are a vulnerable group and may have unhealthy lifestyles and multimorbidity that lead to poor health outcomes. Worryingly, premature deaths are also more common and these often have contributory healthcare causes. This may be a result of staff lacking awareness, expertise and experience managing people with learning disabilities, the lack of reasonable adjustments, or discriminatory attitudes. Other issues include polypharmacy and inappropriate prescribing of sedatives, inappropriate use of do not resuscitate orders, and diagnostic overshadowing leading to delayed or misdiagnoses...
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416522/martha-s-rule-applying-a-behaviour-change-framework-to-understand-the-potential-of-complementary-roles-of-clinicians-and-patients-in-improving-safety-of-patients-deteriorating-in-hospital
#10
JOURNAL ARTICLE
Christian P Subbe, Siri H Steinmo, Helen Haskell, Paul Barach
AIMS/BACKGROUND: Martha's rule stipulates the right of patients and their families to escalate care as a way to improve safety while in hospital. This article analyses the possible impact of the proposed policy through the lens of a behaviour change framework and explores new opportunities presented by the implementation of Martha's rule.. METHODS: A descriptive analysis was undertaken of interactions between patients, family, friends and clinicians during clinical deterioration in hospital...
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416521/infrapatellar-ganglion-cyst-extending-under-the-skin-through-a-defect-in-the-lateral-patellar-retinaculum
#11
JOURNAL ARTICLE
Fatih Çankal, Berin Tuğtağ Demir
No abstract text is available yet for this article.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416520/periprosthetic-femoral-fractures
#12
JOURNAL ARTICLE
Jevan At Williams, Haseeb Khawar, Rory Middleton
The incidence of periprosthetic femoral fractures is rising in the UK, because of an ageing population and an increasing number of hip arthroplasty operations being performed. They can occur intra- or postoperatively, and usually follow low energy trauma. They present with pain, swelling over the thigh, and an inability to weight bear. Periprosthetic femoral fractures are usually classified as per the unified classification system. Their management usually is dependent on their classification, with type A (fracture at level of greater or lesser trochanter) managed non-operatively with protected weight bearing, type B (fracture adjacent to implant) managed with either open reduction internal fixation or revision surgery, and type C (fracture distal to implant) managed with open reduction internal fixation...
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416519/the-evolving-role-of-advanced-clinical-practitioners-challenges-and-opportunities
#13
JOURNAL ARTICLE
Carolina R Britton, Douglas Blackwood
This editorial reviews the roles of advanced clinical practitioners, suggesting how the debate could evolve, returning to the original intent behind these roles and progressing towards ways of sustaining high-quality, equitable and safe care under strong medical leadership.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38416518/advances-in-laryngeal-and-airway-surgery-what-has-changed
#14
JOURNAL ARTICLE
Smadar Cohen Atsmoni, Andrew Kinshuck
Laryngeal and airway surgery continues to see innovation and advances, similar to other specialties of modern medicine. Research in this field has led to a greater understanding of conditions resulting in new terminology, diagnoses and change in management. This article looks at advances in laryngeal and upper airway surgery and discusses their ongoing impact on clinical practice.
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38300686/rosette-forming-glioneuronal-tumour-an-uncommon-posterior-fossa-tumour
#15
JOURNAL ARTICLE
İzzet Ökçesiz, Halil Dönmez, Zeynel E Sarı, Kemal Deniz, Ali Şahin
No abstract text is available yet for this article.
January 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38300685/is-barbotage-in-central-neuraxial-blockade-a-ritual-habit-or-an-evidence-based-technique
#16
REVIEW
Marie-Josée Daly, Keith Borg-Xuereb, Yasser Mandour
Barbotage refers to the repeated aspiration and re-injection of CSF following injection of local anaesthetic into the intrathecal space, and its practice varies among anaesthetists. This article reviews the evidence for and against this practice to alter block dynamics following intrathecal injection reserved for spinal anaesthesia.
January 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38300684/management-of-septic-arthritis-and-prosthetic-joint-infection
#17
REVIEW
Lokesh Sharoff, Mark Bowditch, Rhidian Morgan-Jones
Management of joint infection is an evolving topic. This article reviews the literature on the management of native and prosthetic joint infection and suggests some areas of improvement in short- and long-term management which could lead to better patient outcomes. Surgical management is the mainstay of treatment for native or prosthetic knee infection and aspiration should only be used for diagnostic purposes. A multidisciplinary team approach and compliance with national guidelines, alongside referral networks and pooling of expertise, should be mandatory to improve patient outcomes...
January 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38300683/the-inbetweeners-a-review-of-the-transition-from-child-into-adult-care-for-young-people-with-chronic-health-conditions
#18
EDITORIAL
Nicholas Mahoney, Heather Freeth, Antony Michalski, Katie Malbon, Alison Tavaré
The National Confidential Enquiry into Patient Outcome and Death reviewed the barriers and facilitators in the process of the transition of children and young people with chronic health conditions into adult health services. The report focuses on five issues - developmentally appropriate healthcare, the involvement of children and young people and their parents or carers in transition planning, communication and coordination of care, the organisation of transition services and leadership - and makes recommendations for practice...
January 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38300682/the-impact-of-anticholinergic-burden-on-clinical-outcomes-in-older-hospitalised-surgical-patients
#19
REVIEW
Thomas Evans, Hannah Binns, Amit Kj Mandal, Henry D De'Ath, Constantinos G Missouris
Polypharmacotherapy is an ever-increasing issue with an ageing patient population. Anticholinergic medications make up a large proportion of patient medication but cause significant side effects, contributing to well-documented issues within the older population and in hospital medicine. This review explores the documented impact of anticholinergic burden in older surgical patients on postoperative delirium, infection, length of stay and readmission, urinary retention, ileus and mortality. It also highlights the need for further high-quality research into anticholinergic burden management among older surgical patients to further impact practice and policy in the area...
January 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38300681/thromboembolic-phenomena-in-patients-with-nephrotic-syndrome-pathophysiology-risk-factors-prophylaxis-and-treatment
#20
REVIEW
Samuel Sy Wang, Haoming Tang, Hsin-Yueh Ng, Jun Jie Lian, Muhammad M Javaid
Thromboembolic events resulting from disturbances in the body's balance of thrombotic and antithrombotic abilities are among the most life-threatening complications of nephrotic syndrome. Certain causes of nephrotic syndrome leave the patient particularly susceptible to thromboembolism. The severity of proteinuria and degree of hypoalbuminaemia are other common predictors of risk. Timely initiation of prophylactic therapy can help prevent morbidity and mortality associated with this complication in patients with nephrotic syndrome...
January 2, 2024: British Journal of Hospital Medicine
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