abstract：:What is the place of medico-historical cases in the professional practice of the disciplinary field of medicine and biology? How can these patients from the past be used for teaching and continuing medical education? How to justify their place in biomedical publications? In this article, we explain all the legitimacy ...

journal_title：Postgraduate medical journal

authors： Charlier P,Donnell S,Lippi D,Nerlich A,Asensi V,Perciaccante A,Appenzeller O,Bianucci R

更新日期：2021-02-01 00:00:00

abstract：BACKGROUND:Repetitive laboratory testing in stable patients is low-value care. Electronic health record (EHR)-based interventions are easy to disseminate but can be restrictive. OBJECTIVE:To evaluate the effect of a minimally restrictive EHR-based intervention on utilisation. SETTING:One year before and after interve...

journal_title：Postgraduate medical journal

authors： Chin KK,Krishnamurthy A,Zubair T,Ramaswamy T,Hom J,Maggio P,Shieh L

更新日期：2021-02-01 00:00:00

abstract：PURPOSE:Large population studies now demonstrate that frailty is prevalent in all adult age groups. Limited data exist on the association between frailty and surgical outcome in younger patients. The aim of the study was to explore the agreement between frailty identification tools and collect pilot data on their predi...

journal_title：Postgraduate medical journal

authors： Dale MacLaine T,Baker O,Burke D,Howell SJ

更新日期：2021-01-12 00:00:00

abstract：:Ultrasound guidance has been reported to facilitate the performance of lumbar punctures (LPs). However, the use of ultrasound guidance has not yet received consistent conclusions. We performed a systematic review and meta-analysis to determine the efficacy of ultrasound-guided LPs. PubMed, Embase and the Cochrane Libr...

journal_title：Postgraduate medical journal

authors： Shu L,Huang J,Liu JC

更新日期：2021-01-01 00:00:00

abstract：:Psoriasis (PsO) is a chronic skin disease. This study aims to evaluate clinical and subclinical response to calcipotriol+betamethasone foam, in patients with PsO, comparing, for the first time, data from microvascular ultrasound (MicroV) and shear wave elastography (SWE) with Psoriasis Area and Severity Index (PASI). ...

journal_title：Postgraduate medical journal

authors： Guazzaroni M,Ferrari D,Lamacchia F,Marisi V,Tatulli D,Marsico S,Orlacchio A,Floris R,Bianchi L,Dattola A

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Asthma, a common childhood condition, often presents with chronic cough. While evaluating for chronic cough, many specialists obtain a baseline chest radiograph (CR) to assess for other causes. Usually read as 'normal', sometimes CRs will reveal evidence of airway inflammation in the form of subtle findings,...

journal_title：Postgraduate medical journal

authors： Abeles M,Akerman M,Halaby C,Pirzada M

更新日期：2020-12-03 00:00:00

abstract：:Postgraduate medical education (PME) quality assurance at Health Education England (HEE) currently relies upon survey data. As no one metric can reflect all aspects of training, and each has its limitations, additional metrics should be explored. At HEE (West Midlands), we explored the use of learner outcomes, special...

journal_title：Postgraduate medical journal

authors： Pinnell J,Tranter A,Cooper S,Whallett A

更新日期：2020-11-12 00:00:00

abstract：BACKGROUND:We aimed to report the incidence of hospital-acquired hypophosphataemia and hyperphosphataemia along with their associated in-hospital mortality. METHODS:We included 15 869 adult patients hospitalised at a tertiary medical referral centre from January 2009 to December 2013, who had normal serum phosphate le...

journal_title：Postgraduate medical journal

authors： Thongprayoon C,Cheungpasitporn W,Chewcharat A,Petnak T,Mao MA,Srivali N,Bathini T,Vallabhajosyula S,Qureshi F,Kashani K

更新日期：2020-10-21 00:00:00

abstract：INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been caused the greatest pandemic of our century. Many of the deaths related to it are due to a systemic inflammatory response, which has been called 'cytokine storm'. OBJECTIVES:We developed a comprehensive review of the pathophysiology mec...

journal_title：Postgraduate medical journal

authors： Mélo Silva Júnior ML,Souza LMA,Dutra REMC,Valente RGM,Melo TS

更新日期：2020-10-02 00:00:00

abstract：BACKGROUND:There is paucity of evidence regarding the role of drain in laparoscopic cholecystectomy (LC) in acute calculous cholecystitis (ACC), and surgeons have placed the drains based on their experiences, not on evidence-based guidelines. This study aims to assess the value of drain in LC for ACC in a randomised co...

journal_title：Postgraduate medical journal

authors： Valappil MV,Gulati S,Chhabra M,Mandal A,Bakshi S,Bhattacharyya A,Ghatak S

更新日期：2020-10-01 00:00:00

abstract：:People with early-onset dementia have a potential risk of being marginalised with respect to care and social support as a result of the blame and stigma associated with their condition, and because they have reduced access to treatment options and postdiagnostic care. The limited use of community services and the resu...

journal_title：Postgraduate medical journal

authors： Nwadiugwu M

更新日期：2020-09-03 00:00:00

abstract：BACKGROUND:Sleep deprivation and fatigue from long-shift work impacts doctors' personal safety, inhibits cognitive performance and risks clinical error. The aim of this study was to assess the sleep quality of surgical trainees participating in European Working Time Directive-compliant training rotations within a UK de...

journal_title：Postgraduate medical journal

authors： Brown C,Abdelrahman T,Lewis W,Pollitt J,Egan R,members of the Welsh Surgical Research Initiative.

更新日期：2020-09-01 00:00:00

abstract：:Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has spread in nearly 200 countries in less than 4 months since its first identification; accordingly, the coronavirus disease 2019 (COVID 2019) has affirmed itself as a clinical challenge. The prevalence of pre-existing cardiovascular diseases in patients wi...

journal_title：Postgraduate medical journal

authors： Sisti N,Valente S,Mandoli GE,Santoro C,Sciaccaluga C,Franchi F,Cameli P,Mondillo S,Cameli M

更新日期：2020-07-30 00:00:00

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

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

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Despite obesity being a major risk factor for ischaemic stroke (IS), the association between body mass index (BMI) and IS in patients with hypertension remains uncertain. OBJECTIVE:To assess the association between BMI and IS among elderly hypertensive patients in China. METHODS AND RESULTS:We recruited 35...

journal_title：Postgraduate medical journal

authors： Huang J,Liu L,Yu YL,Chen CL,Lo K,Huang YQ,Tang ST,Feng YQ

更新日期：2020-03-27 00:00:00

abstract：:Essential tremor is the most common cause of tremor involving upper limbs, head and voice. The first line of treatment for limb tremor is pharmacotherapy with propranolol or primidone. However, these two drugs reduce the tremor severity by only half. In medication refractory and functionally disabling tremor, alternat...

journal_title：Postgraduate medical journal

authors： Sharma S,Pandey S

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:The prognostic value of serum uric acid (SUA) for incident acute coronary syndrome (ACS) in hypertensive subjects is uncertain. Therefore, the present study examined the association between SUA and incident ACS in a large cohort of Chinese hypertensive adults. METHODS:This was a retrospective cohort study, ...

journal_title：Postgraduate medical journal

authors： Shen G,Huang JY,Yu YL,Liu L,Chen CL,Zhang B,Huang YQ,Feng YQ

更新日期：2020-02-01 00:00:00

abstract：:In recent years, the short Synacthen test (SS) has become the most widely used test to assess adrenal reserve. Despite its frequent use, there are still several areas related to the short Synacthen test (SST), which have no consensus including the optimum sampling times, that is, whether a 60 min post-Synacthen admini...

journal_title：Postgraduate medical journal

authors： Dineen R,Mohamed A,Gunness A,Rakovac A,Cullen E,Barnwell N,Neary C,Behan LA,Boran G,Gibney J,Sherlock M

更新日期：2020-02-01 00:00:00

abstract：:Long intergenic non-coding RNA 01296 (LINC01296) has been reported to play an important role in many human malignancies, but a consistent perspective has not been established now. To explore the prognostic value of LINC01296 in different types of human solid malignant tumours, we performed this meta-analysis.An electr...

journal_title：Postgraduate medical journal

authors： Dai C,Dai C,Ni H,Xu Z

更新日期：2020-01-01 00:00:00

abstract：PURPOSE OF THE STUDY:To explore which factors increase the likelihood of being deemed appointable to core anaesthesia training in the UK and whether those factors subsequently predict performance in postgraduate training. STUDY DESIGN:Observational study linking UK medical specialty recruitment data with postgraduate ...

journal_title：Postgraduate medical journal

authors： Aslet M,Paton LW,Gale T,Tiffin PA

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:After primary percutaneous coronary intervention (PPCI) in patients with acute ST elevation myocardial infarction (STEMI), dual antiplatelet therapy (DAPT) is recommended to continue for 1 year. Occasionally, DAPT interruption may be required due to bleeding issues or unplanned surgical procedures. OBJECTIV...

journal_title：Postgraduate medical journal

authors： Tam CC,Lee J,Chan KW,Lam CC,Wong YT,Chan E,Sze M,Lam YM,Chan C,Tse HF,Siu CW

更新日期：2020-01-01 00:00:00

abstract：PURPOSE OF THE STUDY:Genome-wide association studies have revealed an association of ADAMTS7 polymorphisms with the risk of cardiovascular diseases. Nonetheless, the role of ADAMTS7 polymorphisms on myocardial infarction (MI) risk remains poorly understood. Here, we aim to evaluate the effect of ADAMTS7 tag single nucl...

journal_title：Postgraduate medical journal

authors： Liang LL,Zhou YL,Cheng J,Xiao YT,Tang ZB,Liu SM,Lian JC,Wang XX,Liu X,Xiong XD

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Circulating nitric oxide (NO) and lipid levels are closely associated with coronary artery disease (CAD). It is unclear whether the rs1799983 polymorphism in endothelial nitric oxide synthase (NOS3) gene is associated with plasma levels of NO and lipids. This systematic review and meta-analysis (Preferred Re...

journal_title：Postgraduate medical journal

authors： Luo Z,Jia A,Lu Z,Muhammad I,Adenrele A,Song Y

更新日期：2019-07-01 00:00:00

abstract：:Teams within surgery have been through countless cycles of refinement with an ever-increasing list of surgical team members. This results in a more dispersed team, making effective teamwork harder to achieve. Furthermore, the ad hoc nature of surgical teams means that team familiarity is not always given. The impact o...

journal_title：Postgraduate medical journal

authors： Kumar H,Morad R,Sonsati M

更新日期：2019-06-01 00:00:00

abstract：:For millennia, the smile has been recognised as a powerful communication device, offering benefits to both giver and receiver with few drawbacks. A sign of compassion, empathy and friendliness, smiling can benefit healthcare professionals and their patients, helping to build a relationship of trust. But beware the fal...

journal_title：Postgraduate medical journal

authors： Beamish AJ,Foster JJ,Edwards H,Olbers T

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Workforce studies show a declining proportion of UK junior doctors proceeding directly to specialist training, with many taking career breaks. Doctors may be choosing to delay this important career decision. AIM:To assess doctors' views on the timing of choosing a clinical specialty. METHODS:Surveys of two...

journal_title：Postgraduate medical journal

authors： Lachish S,Goldacre MJ,Lambert TW

更新日期：2018-11-01 00:00:00

abstract：PURPOSE OF STUDY:The aim of the study is to describe the prevalence of illicit drug use in England and Wales using data from the UK Survey of Non-Medical Use of Prescription Drugs (NMURx) programme and to compare against the well-established Crime Survey England and Wales (CSEW). The rationale is that recreational and ...

journal_title：Postgraduate medical journal

authors： Ng FL,Rockhill K,Black J,May KP,Whittington MD,Wood DM,Dargan PI,Green JL

更新日期：2018-11-01 00:00:00

abstract：:The NHS 'Choose Wisely' campaign places greater emphasis on the clinician-patient dialogue. Patients are often in receipt of their laboratory data and want to know whether they are normal. But what is meant by normal? Comparator data, to a measured value, are colloquially known as the 'normal range'. It is often assum...

journal_title：Postgraduate medical journal

authors： Whyte MB,Kelly P

更新日期：2018-11-01 00:00:00

abstract：INTRODUCTION:Women's participation in medicine has increased dramatically during the last 50 years, yet Office for National Statistics data (2016) regarding annual pay continue to show an unequivocal 34% deficit in female doctors' remuneration compared with their male counterparts. This study aimed to identify whether ...

journal_title：Postgraduate medical journal

authors： Brown C,Harries RL,Abdelrahman T,Thomas C,Pollitt MJ,Lewis WG

更新日期：2018-09-01 00:00:00

abstract：:Learning curves graphically represent the relationship between learning effort and learning outcome. Learning curves are increasingly used in research, the design of randomised controlled trials, the assessment of competency, healthcare education and training programme design. In this review we have outlined the princ...

journal_title：Postgraduate medical journal

authors： Valsamis EM,Chouari T,O'Dowd-Booth C,Rogers B,Ricketts D

更新日期：2018-09-01 00:00:00

abstract：OBJECTIVE:Increased serum amyloid A (SAA) levels have been investigated in various human malignancies, but a consistent perspective has not been established to date. This study systematically reviewed the association between SAA levels and cancers. METHODS:Cochrane Library, PubMed and Embase were carefully searched fo...

journal_title：Postgraduate medical journal

authors： Zhou J,Sheng J,Fan Y,Zhu X,Tao Q,He Y,Wang S

更新日期：2018-09-01 00:00:00

abstract：INTRODUCTION:A surgical approach to airway management may be essential in situations of difficult or failed airway, where immediate airway access is needed to provide oxygenation. However, the procedure is uncommonly performed and expertise among emergency clinicians may be limited. OBJECTIVES:The aim of this study wa...

journal_title：Postgraduate medical journal

authors： Alshareef H,Al Saawi A,Almazroua F,Alyami H,Reilly GO,Mitra B

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:The grade cricket competition, also known as premier cricket, supplies players to the state and national teams in Australia. The players involved are generally high-performing amateur (subelite) club cricketers. However, to date, there is no study on the injury epidemiology of Australian grade cricket. AIM:...

journal_title：Postgraduate medical journal

authors： Soomro N,Redrup D,Evens C,Strasiotto LP,Singh S,Lyle D,Singh H,Ferdinands RED,Sanders R

更新日期：2018-08-01 00:00:00

abstract：PURPOSE OF THE STUDY:The aim of this study was to investigate the association of fluid overload, measured by bioelectrical impedance vector analysis (BIVA) and also by accumulated fluid balance, with 30-day mortality rates in patients admitted to the emergency department (ED). DESIGN:We conducted a prospective observa...

journal_title：Postgraduate medical journal

authors： Kammar-García A,Pérez-Morales Z,Castillo-Martinez L,Villanueva-Juárez JL,Bernal-Ceballos F,Rocha-González HI,Remolina-Schlig M,Hernández-Gilsoul T

更新日期：2018-07-01 00:00:00

abstract：AIM:Leptin, synthesised by adipocytes, has been identified as a hormone that can influence inflammatory activity. Several studies have investigated leptin levels in patients with multiple sclerosis (MS), but the results are not consistent. This study aims to derive a more precise evaluation on the relationship between ...

journal_title：Postgraduate medical journal

authors： Xie XF,Huang XH,Shen AZ,Li J,Sun YH

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Essential Skills in the Management of Surgical Cases (ESMSC) is a novel 3-day international undergraduate surgical masterclass. Its current curriculum (Cores integrated for Research-Ci4R) is built on a tetracore, multiclustered architecture combining high-fidelity and low-fidelity simulation-based learning (...

journal_title：Postgraduate medical journal

authors： Sideris M,Hanrahan J,Tsoulfas G,Theodoulou I,Dhaif F,Papalois V,Papagrigoriadis S,Velmahos G,Turner P,Papalois A

更新日期：2018-05-01 00:00:00

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

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

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:This explorative study was triggered by the '#hellomynameis' campaign initiated by Dr Kate Granger in the UK. Our objectives were twofold: first, to measure rates of introduction in an Irish hospital setting by both consultant and non-consultant hospital doctors. Second to establish whether such practices we...

journal_title：Postgraduate medical journal

authors： Gillen P,Sharifuddin SF,O'Sullivan M,Gordon A,Doherty EM

更新日期：2018-04-01 00:00:00

abstract：:Tobacco smoking contributes to about six million deaths per year and is predicted to increase in the future. Several pharmacological interventions are used for smoking cessation. Trials using nicotine replacement therapy (NRT) in acute coronary syndrome (ACS) showed inconclusive results. Furthermore, three trials usin...

journal_title：Postgraduate medical journal

authors： Chehab OM,Dakik HA

更新日期：2018-02-01 00:00:00

abstract：PURPOSE OF THE STUDY:This study aims to describe all unsolicited electronic invitations received from potential predatory publishers or fraudulent conferences over a 12-month period following the first publication as a corresponding author of a junior academician. STUDY DESIGN:Unsolicited invitations received at an in...

journal_title：Postgraduate medical journal

authors： Mercier E,Tardif PA,Moore L,Le Sage N,Cameron PA

更新日期：2018-02-01 00:00:00