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JRSM Short Reports

Ashraf Alzaabi, Salahudeen Fizal, Rafeek Moilothkandy, Bassam Mahboub, Nico Nagelkerke
OBJECTIVES: To estimate the frequency of symptoms of obesity hypoventilation syndrome (OHS) in patients with obstructive sleep apnoea (OSA) and to evaluate comorbidities associated with OHS. DESIGN: Retrospective study based on patients' medical records and on further sleep tests performed in the study centre during the inclusion visit. SETTING: Respiratory Care Unit and Sleep Disorder Centre of the Zayed Military Hospital United Arab Emirates...
December 2013: JRSM Short Reports
Joanne Reeve, Christopher F Dowrick, George K Freeman, Jane Gunn, Frances Mair, Carl May, Stewart Mercer, Victoria Palmer, Amanda Howe, Greg Irving, Alice Shiner, Jessica Watson
OBJECTIVES: Provision of person-centred generalist care is a core component of quality primary care systems. The World Health Organisation believes that a lack of generalist primary care is contributing to inefficiency, ineffectiveness and inequity in healthcare. In UK primary care, General Practitioners (GPs) are the largest group of practising generalists. Yet GPs fulfil multiple roles and the pressures of delivering these roles along with wider contextual changes create real challenges to generalist practice...
December 2013: JRSM Short Reports
Nicholas Higgins, John Pickard, Andrew Lever
OBJECTIVE: Unsuspected idiopathic intracranial hypertension (IIH) is found in a significant minority of patients attending clinics with named headache syndromes, if it is specifically sought out. Chronic fatigue syndrome is frequently associated with headache. Could the same be true of chronic fatigue? Moreover, there are striking similarities between the two conditions. Could they be related? Attempting to answer these questions, we describe the results of a change in clinical practice aimed at capturing patients with chronic fatigue who might have IIH...
December 2013: JRSM Short Reports
Iain H Graham
OBJECTIVE: To look for a relationship between the maternal age-specific incidence of complete molar pregnancy and the age-specific mid-follicular levels of circulating follicle stimulating hormone and luteinizing hormone. DESIGN: Calculation of correlation coefficients between the incidence of complete mole and the circulating levels of follicle stimulating hormone and luteinizing hormone using the method of least squares. SETTING: England and Wales...
December 2013: JRSM Short Reports
Marco Raftopulos, Niall Jefferson, Stuart Mackay, Bruce Ashford
No abstract text is available yet for this article.
December 2013: JRSM Short Reports
Rebecca Brinkler, Xiaoxi Zhang, Sinthuja Ratnasingam, Jeremy Dawson, Ioulios Palamaras
A systemic inflammatory response causing multi-organ failure and requiring multiple amputations was refractory to all treatments except Anakinra, and the cause remains unclear.
December 2013: JRSM Short Reports
Yadava Bapurao Jeve, Angi Doshani, Tanu Singhal, Justin Konje
OBJECTIVES: To determine current evidence-based medicine skills and practice among trainees. DESIGN: Questionnaire study. SETTING: Electronic survey was sent to all obstetrics and gynaecology trainees in East Midlands South Deanery, and responses collected were anonymous. PARTICIPANTS: All obstetrics and gynaecology trainees in East Midland South Deanery. MAIN OUTCOME MEASURES: Self-reported attitude, skills and knowledge in various components of evidence-based medicine...
December 2013: JRSM Short Reports
Soudeh Mashayekhi, Reza Hajhosseiny
Skin lesions are extremely common, with 54% of the UK population being affected by skin disease annually. As such, dermatological conditions can be brought to light following admission to hospital for different underlying conditions, with 57% of the dermatological diagnoses made on the hospital wards, unrelated to previous patient history or reasons for admission. The role of the dermatologist is therefore comprehensive and inherently important in the hospital. General practitioners play an integral role in managing skin conditions in the community, with up to 24% of consultations relating to skin disease, referring patients to dermatology mainly for the management of more complex conditions, and diagnosis of certain skin lesions...
July 2013: JRSM Short Reports
John R Apps, Carrie Williams, Anne McGuinness, Susie Gabbie, Alastair G Sutcliffe
OBJECTIVES: To characterize paediatric presentations of stabbing to emergency departments across London and to audit existing referral rates to the police and social services against the new standard set by the General Medical Council. DESIGN: Retrospective multi-centre service evaluation/audit. SETTING: All emergency departments within London. PARTICIPANTS: Patients under 18 years of age presenting to emergency departments with non-accidental stabbing between 1 April 2007 and 30 April 2009...
July 2013: JRSM Short Reports
Judith White, Grace Carolan-Rees
A standardised terminology for describing medical devices can enable safe and unambiguous exchange of information. Proposed changes to EU-wide medical devices regulations mandate the use of such a system. This article reviews two important classification systems for medical devices in the UK. The Global Medical Device Nomenclature (GMDN) provides a classification system specifically for medical devices and diagnostics, and facilitates data exchange between manufacturers and regulators. SNOMED CT is the terminology of choice in the NHS for communicating, sharing and storing information about patients' healthcare episodes...
July 2013: JRSM Short Reports
Stratos Sofos, Georgios Dimitrakakis, Paul Blake, Agamemnon Pericleous, David Stewart Jackson, Mohamed Salih
No abstract text is available yet for this article.
July 2013: JRSM Short Reports
Michael H Pritchard
Often considered no more than an historical curiosity, writer's cramp remains an important disability in the workplace and the mechanism, which has puzzled the best medical minds for generations, remains contentious. A remarkable range of hypotheses has been put forward to try and explain a disability which periodically reached epidemic and economically worrying levels, but in the end medical opinion has accepted the explanation put forward by neurologists Sheehy and Marsden in 1983 that this was caused by a form of focal dystonia...
July 2013: JRSM Short Reports
Sukhera Sheikh, Inithan Ganesaratnam, Haider Jan
Operative vaginal delivery has been described since the Middle Ages. During this time, however, labour would be sustained over several days and intrapartum death almost inevitable. In these circumstances, intervention involving the use of surgical instruments or even kitchen utensils would serve purely as an attempt to avoid maternal mortality. The establishment of forceps-assisted delivery as a means of avoiding both maternal and neonatal morbidity was initiated in the 16th century by the Chamberlen family and later developed over several centuries by leading obstetricians of the time including Simpson, Barnes and Keilland...
July 2013: JRSM Short Reports
Oisin Jf Keenan, Buchir Arumilli, Finn Farquharson, Nicholas Chalmers, Ashok Paul
No abstract text is available yet for this article.
July 2013: JRSM Short Reports
Shamini Gnani, Farzan Ramzan, Tim Ladbrooke, Hugh Millington, Saiful Islam, Josip Car, Azeem Majeed
Estimates of patients attending with conditions deemed non-urgent or inappropriate for accident and emergency services vary widely, from 6 to 80%. Previous research suggests that general practitioners (GPs) working in emergency departments can reduce referral rates, diagnostic testing, the proportion of patients who become emergency hospital admissions, and inappropriate attendances. However, little of this previous research is recent and new models of care for GPs working in emergency departments have now been developed, which remain to be evaluated...
June 2013: JRSM Short Reports
Kayria Muttardi, Ali Haydar, Chee Kiang Phua, Neil Chapman, Michael Jenkins, Nicholas Jw Cheshire, Colin D Bicknell
OBJECTIVE: To asses whether Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are underused in patients with aortic disease due to concerns regarding flow limiting (>70%) renal artery stenosis (RAS). DESIGN: A prospective analysis of patients admitted for aortic surgery was performed (January-July 2009). Co-morbidity, ACEI/ARB use and renal function were recorded. Computerised tomography (CT) angiograms were reviewed by a single blinded radiologist for the presence and severity of RAS...
June 2013: JRSM Short Reports
Johnny Kenth, Che Ng
No abstract text is available yet for this article.
June 2013: JRSM Short Reports
Shema Tariq, Jenny Woodman
Mixed methods research is the use of quantitative and qualitative methods in a single study or series of studies. It is an emergent methodology which is increasingly used by health researchers, especially within health services research. There is a growing literature on the theory, design and critical appraisal of mixed methods research. However, there are few papers that summarize this methodological approach for health practitioners who wish to conduct or critically engage with mixed methods studies. The objective of this paper is to provide an accessible introduction to mixed methods for clinicians and researchers unfamiliar with this approach...
June 2013: JRSM Short Reports
Negin A Sanati, Mehri Sanati
No abstract text is available yet for this article.
June 2013: JRSM Short Reports
Shibby Robati, Kenneth Porter, Mohammad Shahid, Thomas Crompton, Nemandra Sandiford
No abstract text is available yet for this article.
June 2013: JRSM Short Reports
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