Caring for "incurables": the 150th anniversary of the Royal Hospital for Neuro-Disability, Putney.


:The Royal Hospital for Incurables (RHI), now known as the Royal Hospital for Neuro-Disability and situated on West Hill, Putney, was founded by Andrew Reed DD exactly 150 years ago. The RHI was thus the pioneer in modern times of long stay institutions for the sick and dying. It became one of the great Victorian charities, and remained independent of the National Health Service, which was introduced in 1948. Originally the long stay patients suffered from a multiplicity of diseases; in recent years chronic neurological disease has dominated the scenario. This institution has also become a major centre for genetic and trauma-associated neurological damage, and rehabilitation.


Postgrad Med J


Cook GC




Has Abstract


2004-07-01 00:00:00














  • Management of leg ulcers.

    abstract::Leg ulcer is a leading cause of morbidity among older subjects, especially women in the Western world. About 400 years BC, Hippocrates wrote, "In case of an ulcer, it is not expedient to stand, especially if the ulcer be situated on the leg". Hippocrates himself had a leg ulcer. The best treatment of any leg ulcer dep...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Sarkar PK,Ballantyne S

    更新日期:2000-11-01 00:00:00

  • Sickle cell trait and stroke in the young adult.

    abstract::Two young patients with sickle cell trait (AS haemaglobinopathy) and ischaemic stroke are reported. The stroke involved the internal carotid artery territory in one and the brainstem in the other. A review of the literature is presented to suggest that the association of sickle cell trait and cerebral infarction is mo...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Radhakrishnan K,Thacker AK,Maloo JC,el-Mangoush MA

    更新日期:1990-12-01 00:00:00

  • A review of the drug events reported by 12,917 patients treated with cephalexin.

    abstract::This paper reviews the adverse events reported by 12,917 patients treated with cephalexin in formal clinical trials. Six percent of all patients reported adverse events, and in 3% the association with the drug was thought to be definite or probable. In the remaining 3%, the relationship was uncertain. The gastrointest...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章


    authors: Burt RA

    更新日期:1983-01-01 00:00:00

  • Myocardial abscess and sternal osteomyelitis following myocardial infarction and resuscitation.

    abstract::A 58 year old man presented with an anterior myocardial infarction requiring repeated resuscitation. He had impaired glucose tolerance. He died five weeks later and post-mortem examination revealed a myocardial abscess and sternal osteomyelitis due to Staphylococcus aureus. These had not been apparent clinically. The ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Smith RE,Martin JE,Mills PG

    更新日期:1989-08-01 00:00:00

  • Cerebral scintigraphy--the phoenix rises again.

    abstract::This paper reviews the development of cerebral scintigraphy from its early days of planar imaging with simple technetium-99m labelled compounds to the recent revival of the technique in the form of positron-emission and single-photon emission tomography. A short explanation of instrumentation and radiopharmaceuticals ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Shepstone BJ

    更新日期:1988-01-01 00:00:00

  • Early structured core training of junior trainees in ophthalmology.

    abstract::The implementation of modernizing medical careers (MMC) has resulted in some specialties being allocated very inexperienced trainees such as ophthalmology. We aim to describe the process of implementation of MMC and how it may affect the service provision in smaller specialities such as ophthalmology. A methodical app...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Patel N,Zia R,Dewitd D,Morris S,Ionides A

    更新日期:2007-12-01 00:00:00

  • Appendix sepsis tracking along the lateral cutaneous nerve of the thigh.

    abstract::A patient presented with tracking of pus from a chronic appendiceal abscess along the lateral cutaneous nerve of the thigh. In the absence of such a tunnel, which is only present in a small proportion of individuals, the infection would have resulted in a subinguinal psoas abscess. Although pus may conceivably extend ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Gatt D

    更新日期:1985-11-01 00:00:00

  • Introduction of clerking pro forma for surgical spinal patients at the Royal National Orthopaedic Hospital NHS Trust (London): an audit cycle.

    abstract::As a tertiary referral centre of spinal surgery, the Royal National Orthopaedic Hospital (RNOH) handles hundreds of spinal cases a year, often with complex pathology and complex care needs. Despite this, issues were raised at the RNOH following lack of sufficient documentation of preoperative and postoperative clinica...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Pace V,Farooqi O,Kennedy J,Park C,Cowan J

    更新日期:2018-05-01 00:00:00

  • Prostate cancer management: (1) an update on localised disease.

    abstract::Prostate cancer is receiving ever more publicity with the result that more men are having their prostate specific antigen checked and a greater proportion of men are diagnosed with potentially curable localised disease. Advances in the therapeutic modalities including radical surgery, external beam radiotherapy, and b...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Bott SR,Birtle AJ,Taylor CJ,Kirby RS

    更新日期:2003-10-01 00:00:00

  • Primary Sjögren's syndrome, ulcerative colitis and selective IgA deficiency.

    abstract::A 24-year-old man with primary Sjögren's syndrome presented with xerophthalmia, xerostomia, and marked parotid swelling. He had a previous history of selective IgA deficiency and ulcerative colitis treated with sulphasalazine. Immunosuppression and withdrawal of sulphasalazine resulted in rapid resolution of the parot...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Steuer A,McCrea DJ,Colaco CB

    更新日期:1996-08-01 00:00:00

  • Neurohormonal responses to antihypertensive treatment with captopril or hydrochlorothiazide.

    abstract::In order to assess the neurohormonal responses to oral administration of two drugs with different antihypertensive mechanisms, and their implications for long-term efficacy, we studied the changes in plasma renin activity, aldosterone, catecholamines and blood pressure after two cross-over periods of treatment with ca...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Rabinad E,Gaya J,Rivera F,Ingelmo M,Balcells A

    更新日期:1986-01-01 00:00:00

  • Failure of conventional chemotherapy in aggressive lymphomas.

    abstract::Between 1975 and 1982 in 2 centres in Glasgow, 53 previously untreated patients with aggressive non-Hodgkin's lymphomas received chemotherapy consisting of one of the following regimens-CVP, MOPP, CHOP or BACOP. Twenty nine patients (55%) entered complete remission (CR), 20 (38%) had partial remission (PR) and 4 (7%) ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Cunningham D,Hepplestone A,Gilchrist NL,Dagg JH,Evans IL,Soukop M

    更新日期:1987-01-01 00:00:00

  • Survey of the use of epinephrine (adrenaline) for anaphylaxis by junior hospital doctors.

    abstract:BACKGROUND:Anaphylaxis is a life threatening reaction where prompt and appropriate management can save lives. Epinephrine (adrenaline) is the treatment of choice; however, the recommended dose and route of administration of epinephrine used in the management of anaphylaxis is different from that used in the management ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Jose R,Clesham GJ

    更新日期:2007-09-01 00:00:00

  • Sudden cardiac death among competitive adult athletes: a review.

    abstract::Sudden cardiac death is the leading cause of mortality among young athletes with an incidence of 1-2 per 100,000 athletes per annum. It is described as 'an event that is non-traumatic, non-violent, unexpected, and resulting from sudden cardiac arrest within six hours of previously witnessed normal health'. Most predis...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Pugh A,Bourke JP,Kunadian V

    更新日期:2012-07-01 00:00:00

  • Subarachnoid haemorrhage: difficulties in diagnosis and treatment.

    abstract::Aneurysmal subarachnoid haemorrhage is associated with a uniquely severe headache of acute onset. Classical cases are readily identified as such, although this is not always the case. Four cases who were admitted to a district general hospital within a 3-month period are presented, because they demonstrate a variety o...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Johnston SD,Robinson TJ

    更新日期:1998-12-01 00:00:00

  • Galactorrhoea and pituitary mass: a typical prolactinoma?

    abstract::A 21 year old woman presenting with galactorrhoea, hyperprolactinaemia, and a pituitary mass on magnetic resonance imaging (MRI) is described who was referred to us before planned pituitary surgery. Although a thorough history did not suggest hypothyroidism, laboratory studies revealed profound primary hypothyroidism....

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Brändle M,Schmid C

    更新日期:2000-04-01 00:00:00

  • Pyogenic liver abscess with two normal ultrasound scans.

    abstract::I report a case of a large liver abscess causing a severe debilitating condition in which the diagnosis was delayed by several weeks following two normal ultrasound scans at days 5 and 19 of the illness. Up to one in four cases of liver abscess can be missed on ultrasound. A high degree of clinical suspicion must be m...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Bunney RG

    更新日期:1988-05-01 00:00:00

  • Longitudinal study of Chinese patients with pernicious anaemia.

    abstract:BACKGROUND:The survival of whites who have been treated for pernicious anaemia (PA) is unaffected, apart from incurring a greater risk of gastric cancers. The long term outcome of PA in Chinese is unknown. METHODS:A hospital based prospective longitudinal study of Chinese PA patients was conducted. Patients with known...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Chan JC,Liu HS,Kho BC,Lau TK,Li VL,Chan FH,Leong IS,Pang HK,Lee CK,Liang YS

    更新日期:2008-12-01 00:00:00

  • An aggressive intrasinusoidal lymphoma presenting with marked systemic disturbance but normal imaging studies.

    abstract::A patient with an aggressive intrasinusoidal non-Hodgkins lymphoma, presenting with marked systemic disturbance but only a mildly raised alkaline phosphatase as a localising sign is described. All imaging studies of the liver were normal and the diagnosis was delayed until a percutaneous liver biopsy was performed. On...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Camidge R,Ong E,Lucraft H

    更新日期:2000-02-01 00:00:00

  • Radiation effects on the intima-media thickness of the common carotid artery in post-radiotherapy patients with head and neck malignancy.

    abstract:BACKGROUND:Post-radiation large vessel injury has not received as much attention as microvascular irradiation injury. A few studies have shown that common carotid intima-media thickness (IMT) is increased after radiotherapy to the head and neck. However, in most of these studies, the irradiated subjects also had other ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Shariat M,Alias NA,Biswal BM

    更新日期:2008-11-01 00:00:00

  • Prolonged survival with adrenal cortical carcinoma.

    abstract::Recurrence of adrenal cortical carcinoma 22 years after first presentation is reported in a 54-year-old woman with Cushing's syndrome. This tumour is normally associated with poor prognosis and prolonged survival is rare. Although the patient had remained well with apparent 'cure' in the intervening years, it is sugge...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Shaw KM,Fisher C,Peters JL,Ross EJ

    更新日期:1979-10-01 00:00:00

  • Severe acute respiratory syndrome (SARS): epidemiology and clinical features.

    abstract::Severe acute respiratory syndrome (SARS) is a newly emerged infectious disease with a significant morbidity and mortality. The major clinical features include persistent fever, chills/rigor, myalgia, malaise, dry cough, headache, and dyspnoea. Older subjects may present without the typical febrile response. Common lab...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Hui DS,Chan MC,Wu AK,Ng PC

    更新日期:2004-07-01 00:00:00

  • Acute lymphoblastic leukaemia presenting with arthritis in an adult patient.

    abstract::The earliest manifestations of leukaemia often include rheumatic signs and symptoms. Arthritis is a well recognised complication of leukaemia in children, but acute and chronic leukaemia may also cause arthritis in adults. Leukaemic arthritis may occur at any time during the course of leukaemia and may be the presenti...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Usalan C,Ozarslan E,Zengin N,Büyükaýk Y,Güllü YH

    更新日期:1999-07-01 00:00:00

  • Cardiovascular complications of cirrhosis.

    abstract::Cardiovascular complications of cirrhosis include cardiac dysfunction and abnormalities in the central, splanchnic and peripheral circulation, and haemodynamic changes caused by humoral and nervous dysregulation. Cirrhotic cardiomyopathy implies systolic and diastolic dysfunction and electrophysiological abnormalities...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Møller S,Henriksen JH

    更新日期:2009-01-01 00:00:00

  • Audit of the prevalence and investigation of iron deficiency anaemia in patients with heart failure in hospital practice.

    abstract:PURPOSE OF THE STUDY:Iron deficiency anaemia (IDA) is associated with increased morbidity and mortality in heart failure patients. The aim of our audit was to evaluate the current practice in diagnosis and assessment of IDA in patients admitted with heart failure. STUDY DESIGN:We conducted a retrospective audit of pat...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Simon S,Ioannou A,Deoraj S,Metaxa S,Mandal AKJ,Missouris CG

    更新日期:2020-04-01 00:00:00

  • Advance directives and living wills.

    abstract::Under certain circumstances, living wills or advance directives may carry legal force in the UK. This paper traces the development of advance directives, clarifies their current legal position and discusses potential problems with their use. Case histories are used to illustrate some of the common dilemmas which docto...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Stewart K,Bowker L

    更新日期:1998-03-01 00:00:00

  • Coeliac disease with mild mucosal abnormalities: a report of four patients.

    abstract::In a routine adult gastroenterological practice, seventeen (15%) of 123 patients had small-intestinal biopsies which were neither normal nor were completely flat as found in classical coeliac disease. Some of these had a possible cause for the mild mucosal abnormality, but in six there was no other apparent cause and ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Scott BB,Losowsky MS

    更新日期:1977-03-01 00:00:00

  • The hypouricaemic effect of tienilic acid: experience in patients with hyperuricaemia.

    abstract::The anti-hypertensive effect of 250 mg tienilic acid was comparable to that of 50 mg hydrochlorothiazide. Unlike hydrochlorothiazide, tienilic acid caused a statistically significant decrease in the serum uric acid values. Clinically non-significant rises in blood urea nitrogen and serum creatinine occurred with both ...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: McMahon FG,Ryan JR,Jain AK

    更新日期:1979-01-01 00:00:00

  • Republished: obesity and colorectal cancer.

    abstract::Excess body weight, as defined by the body mass index (BMI), has been associated with several diseases and includes subjects who are overweight (BMI≥25-29.9 kg/m(2)) or obese (BMI≥30 kg/m(2)). Overweight and obesity constitute the fifth leading risk for overall mortality, accounting for at least 2.8 million adult deat...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章


    authors: Bardou M,Barkun AN,Martel M

    更新日期:2013-09-01 00:00:00

  • How, and when, can I restrain a patient?

    abstract::The need to restrain service users will vary according to the area of practice within which practitioners are employed. Many of the principles that relate to the issue of restraining service users are, however, applicable to all, or most, health and social care settings. While the emphasis should be on pre-emptive act...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审


    authors: Horsburgh D

    更新日期:2004-01-01 00:00:00