MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Clinical Medicine' source. Sat, 30 Jan 2010 14:41:38 +0100 http://www.medworm.com/index.php?rid=3208948&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095286%26dopt%3DAbstract Authors: Allan R PMID: 20095286 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208948 Tue, 01 Dec 2009 00:00:00 +0100 3208948 http://www.medworm.com/index.php?rid=3208947&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095287%26dopt%3DAbstract Authors: Parker M, Hope T PMID: 20095287 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208947 Tue, 01 Dec 2009 00:00:00 +0100 3208947 http://www.medworm.com/index.php?rid=3208946&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095288%26dopt%3DAbstract Authors: Bray A, Myers J, Kendrick S, Dobson R, Felton T PMID: 20095288 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208946 Tue, 01 Dec 2009 00:00:00 +0100 3208946 http://www.medworm.com/index.php?rid=3208945&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095289%26dopt%3DAbstract Authors: Green CJ, Du-Pre P, Elahi N, Dunckley P, McIntyre AS Prescribing errors are a recognised problem on admission to acute medical wards which may be detrimental to patient care. The authors had anecdotal evidence that prescribed medicines do not always reach patients and the aim of this audit was to quantify this problem. Admission prescription charts on two separate occasions were studied in detail and all drugs prescribed but not given in the first 48 hours were recorded along with the reason given for omission. In total, 271 patient charts were analysed. Of these, 20% of prescriptions affecting 17% of patients did not reach patients. The two dominant reasons for medications not being given to patients were that the medication was not available on the ward (38% of omissions) or... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208945 Tue, 01 Dec 2009 00:00:00 +0100 3208945 http://www.medworm.com/index.php?rid=3208944&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095290%26dopt%3DAbstract This study investigated patients' attitudes to doctors in different attires in a hospital setting. A cross-sectional descriptive survey asked 586 adult patients to rate and rank photographs of a doctor in each of the following attires: scrubs, professional informal, professional formal, smart casual, casual and white coat. They were also asked to choose the single most important feature of a doctor's appearance out of six predetermined choices. Patients had most confidence in doctors wearing the white coat, followed by professional informal. Casual attire was the least confidence inspiring. No two attires were deemed to be equally rated or ranked. Varying demographic groups within the hospital rated and ranked some attire differently. Daily laundered clothing was considered to be the most ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208944 Tue, 01 Dec 2009 00:00:00 +0100 3208944 http://www.medworm.com/index.php?rid=3208943&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095291%26dopt%3DAbstract Authors: Das AK, Corrado OJ, Kyerematen E, Smithson JA, West RM A survey of 445 doctors in Yorkshire was conducted to ascertain their knowledge and awareness of alcohol units. Only 58% had some knowledge, and general practitioners scored better (69%) than hospital doctors (45%). However, 14% of doctors had no knowledge at all about alcohol units. Those who did not drink alcohol knew less than those who did and trainee doctors had significantly less knowledge than more senior physicians. Junior doctors who often deal with alcohol-related problems in their day-to-day hospital work had a poor knowledge. There needs to be a greater emphasis on alcohol and alcohol-related problems (including how to calculate alcohol units) in undergraduate and postgraduate curricula to improve doctors' know... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208943 Tue, 01 Dec 2009 00:00:00 +0100 3208943 http://www.medworm.com/index.php?rid=3208942&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095292%26dopt%3DAbstract Authors: Steves CJ, Schiff R, Martin FC Older people in care homes are clinically complex and particularly vulnerable to the effects of poor care and poor medicine. They are also a group to whom the NHS seems least committed. Geriatricians have become disengaged over the past two decades, as a result of social policies rather than clinical judgements. In 2000, the Royal College of Physicians, with the Royal College of Nursing and the British Geriatrics Society, issued guidance and recommendations for improving clinical practice. This paper reports progress since then based on results of national surveys of geriatric medicine departments and primary care trusts in England. The results show that important deficiencies persist, though most respondents were in favour of greater specialist ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208942 Tue, 01 Dec 2009 00:00:00 +0100 3208942 http://www.medworm.com/index.php?rid=3208941&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095293%26dopt%3DAbstract Authors: Scriven J, Mcewen R, Mistry S, Green C, Osman H, Bailey M, Ellis C By the beginning of July 2009 the West Midlands had seen more cases of novel H1N1 influenza (swine flu) than any other region in the U.K. Over a three-week period almost 850 people presented to Heartlands Hospital with flu-like symptoms. Of those admitted 52 adults were subsequently confirmed as having H1N1 infection. Most were younger than 30 and not from traditional influenza risk groups. The main risk factor for severe disease was asthma, and to a lesser extent pregnancy and obesity. Seven patients were admitted to intensive care and five developed an acute lung injury requiring prolonged admission. Two patients required extra corporeal membrane oxygenation and one died. Despite increased workload normal cli... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208941 Tue, 01 Dec 2009 00:00:00 +0100 3208941 http://www.medworm.com/index.php?rid=3208940&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095294%26dopt%3DAbstract Authors: Reddy Y, Willert RP Endoscopic ultrasound (EUS) is an increasingly available diagnostic and therapeutic tool used within the U.K. it has wide applications both in the gastrointestinal tract and mediastinum with its current main uses being in the staging of luminal malignancies and assessment of pancreatic and subepithelial lesions. The emergence of linear EUS has opened up new therapeutic avenues with fine needle aspiration, trucut biopsies, coeliac plexus blocks and transmural pseudocyst drainage all now possible. Future developments include localised brachytherapy/chemotherapy and alcohol ablation of unresectable pancreatic malignancies and EUS-guided endoscopic surgery. PMID: 20095294 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208940 Tue, 01 Dec 2009 00:00:00 +0100 3208940 http://www.medworm.com/index.php?rid=3208939&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095295%26dopt%3DAbstract Authors: Smith HA, Kindell J, Baldwin RC, Waterman D, Makin AJ There is little evidence to support tube feeding in advanced dementia although it is still frequently used in acute hospital settings. Patients present with complex problems and are often unable to make decisions about their healthcare needs. Multidisciplinary teams may be challenged by the difficult ethical decisions they are required to make in the best interests of their patients. This paper guides decision making in the management of patients with dementia and dysphagia in the acute hospital setting. A structured approach to information gathering, assessment and management is outlined with practical application of recent published guidelines and research evidence, which ensures appropriate individualised care. PMID:... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208939 Tue, 01 Dec 2009 00:00:00 +0100 3208939 http://www.medworm.com/index.php?rid=3208938&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095296%26dopt%3DAbstract Authors: Saunders J Attitudes to death are non-rational and culturally determined. This is relevant to concerns about shortages of organs for transplantation. Consent is not possible from a dead donor and the term 'resumed consent' offends against the principle of respect for autonomy that underpins consent. Consent is the fundamental principle of the Human Tissue Act 2004 in considering use of organs after death. These legal and ethical concerns create difficulties to be explored in a subsequent paper. PMID: 20095296 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208938 Tue, 01 Dec 2009 00:00:00 +0100 3208938 http://www.medworm.com/index.php?rid=3208937&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095297%26dopt%3DAbstract This study reviews organisational issues and consultant working patterns against these recommendations. Thirty-nine trusts in England and Wales were asked to participate in an online survey, which 27 completed. Twenty-six sites had an acute medical unit (AMU) and all had a lead consultant. Two trusts had no written operational policy. Of the 26 AMUs, 22 had at least level 1 facilities and 21 used an early warning score at point of entry to care. Ten reported a minimum of twice daily ward rounds seven days a week. Consultant of the day was the most common pattern of work. Ten trusts cancelled other clinical duties for consultants responsible for acute take. The pilot shows evidence of good practice in leadership and operational policies. Further work to standardise and improve acute care is... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208937 Tue, 01 Dec 2009 00:00:00 +0100 3208937 http://www.medworm.com/index.php?rid=3208936&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095298%26dopt%3DAbstract Authors: Smyth N PMID: 20095298 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208936 Tue, 01 Dec 2009 00:00:00 +0100 3208936 http://www.medworm.com/index.php?rid=3208935&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095299%26dopt%3DAbstract Authors: McEwan JR This one-day conference brought together around 100 doctors from a wide range of specialties and at different stages of their careers to examine areas that are of increasing importance to the profession as a whole. Information gathered and imparted to institutions such as the postgraduate deaneries, royal colleges and specialist societies will add to the impetus for cultural and organisational changes so that the real potential of doctors working less than full time is not lost to the economy, NHS or patients. PMID: 20095299 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208935 Tue, 01 Dec 2009 00:00:00 +0100 3208935 http://www.medworm.com/index.php?rid=3208934&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095300%26dopt%3DAbstract Authors: Winearls CG PMID: 20095300 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208934 Tue, 01 Dec 2009 00:00:00 +0100 3208934 http://www.medworm.com/index.php?rid=3208933&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095301%26dopt%3DAbstract Authors: Compston J PMID: 20095301 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208933 Tue, 01 Dec 2009 00:00:00 +0100 3208933 http://www.medworm.com/index.php?rid=3208932&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095302%26dopt%3DAbstract Authors: Jung A, Raman A, Mallewa M, Solomon T In this article, British neurologists share their experiences of neurology in Malawi--as educators and researchers. Malawi is a resource-poor country in Central Africa. The spectrum of neurological illnesses is varied and primarily related to HIV and neuroinfections. Structured overseas training programmes for residents can lead to academic exchange with mutual benefit. New links can be established which can then be used to launch international health initiatives. Such visits can also lead to the development of institutional links, the fostering of which can have a role in the achievement of the global health agenda. PMID: 20095302 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208932 Tue, 01 Dec 2009 00:00:00 +0100 3208932 http://www.medworm.com/index.php?rid=3208931&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095303%26dopt%3DAbstract Authors: Borysiewicz L The history of the control of infectious disease reflects the balance between our understanding of the nature of infection, the mechanisms of host resistance and the available technology to deliver an intervention. However, behind this 'biomedical' construct lies a deeper set of issues which embody serendipity, public understanding, and population-based intervention and its acceptability by the wider community, often complicated by the decisions and subsequent vacillations of policy makers. PMID: 20095303 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208931 Tue, 01 Dec 2009 00:00:00 +0100 3208931 http://www.medworm.com/index.php?rid=3208930&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095304%26dopt%3DAbstract Authors: Oakeley H A look at 50 years of personal photography, from Brownie Box to Canon digital single-lens reflex cameras, recording life, people, microscope slides and orchids in their habitats and in the studio to digitising old paintings, photos and herbarium specimens. Notes on photographic techniques and the use of ring flash, with comments on long-term conservation of digital images. PMID: 20095304 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208930 Tue, 01 Dec 2009 00:00:00 +0100 3208930 http://www.medworm.com/index.php?rid=3208929&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095305%26dopt%3DAbstract Authors: Akanbi MO This is a report of a Royal College of Physicians-sponsored study visit to the U.K. The 'Taking knowledge overseas' scheme enables promising, talented and motivated physicians to have access to high-quality postgraduate educational experience early in their career which will stimulate learning and encourage them to share good practice and knowledge on their return home. By the end of 2008, 26 doctors from low-income countries had benefited from the programme. PMID: 20095305 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208929 Tue, 01 Dec 2009 00:00:00 +0100 3208929 http://www.medworm.com/index.php?rid=3208926&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095306%26dopt%3DAbstract Authors: Greaves MW PMID: 20095306 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208926 Tue, 01 Dec 2009 00:00:00 +0100 3208926 http://www.medworm.com/index.php?rid=3208922&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095307%26dopt%3DAbstract Authors: Munro CS During recent decades, discoveries in genetic skin disease have produced insights into the biology of the skin, and in some cases permitted preventive prenatal diagnosis, but application of this knowledge in palliation or cure remains a tantalising prospect. PMID: 20095307 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208922 Tue, 01 Dec 2009 00:00:00 +0100 3208922 http://www.medworm.com/index.php?rid=3208920&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095308%26dopt%3DAbstract Authors: Finlay AY PMID: 20095308 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208920 Tue, 01 Dec 2009 00:00:00 +0100 3208920 http://www.medworm.com/index.php?rid=3208916&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095309%26dopt%3DAbstract Authors: Wood P, The primary antibody deficiency syndromes are a rare group of immunodeficiencies where diagnostic delay remains common due to limited awareness of the existence and heterogeneity of their presenting features. Referral for specialist assessment leads to earlier diagnosis and appropriate therapy to prevent or limit structural organ and tissue damage. Greater education of healthcare professionals is required to ensure prompt recognition and referral to specialists with expertise in the care of primary immunodeficiencies, especially since study of these rare conditions is a minor part of undergraduate and general postgraduate training. Greater awareness would lead to reduced morbidity, improved quality of life and survival outcomes in this patient group. PMID: 2009530... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208916 Tue, 01 Dec 2009 00:00:00 +0100 3208916 http://www.medworm.com/index.php?rid=3208912&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095310%26dopt%3DAbstract Authors: Banks M Gastro-oesophageal reflux disease results from impaired function of the LOS and acid clearance of the distal oesophagus. Most patients do not require investigation and respond either to lifestyle changes, antacid/alginates, H2A, PPI or a combination of these treatments. Surgery is only rarely indicated. PMID: 20095310 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208912 Tue, 01 Dec 2009 00:00:00 +0100 3208912 http://www.medworm.com/index.php?rid=3208911&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095311%26dopt%3DAbstract Authors: Irving PM PMID: 20095311 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208911 Tue, 01 Dec 2009 00:00:00 +0100 3208911 http://www.medworm.com/index.php?rid=3208910&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095312%26dopt%3DAbstract Authors: Robinson C, Punwani S, Taylor S Plain radiographs remain useful in the acute setting. Barium studies continue to be the mainstay investigation of the GI tract but are gradually being superseded by newer techniques for example CTC and small bowel MRI. Further studies are underway to establish the clinical utility of MR and clarify its place in the repertoire of GI imaging studies. PMID: 20095312 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208910 Tue, 01 Dec 2009 00:00:00 +0100 3208910 http://www.medworm.com/index.php?rid=3208908&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095313%26dopt%3DAbstract Authors: Foster GR PMID: 20095313 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208908 Tue, 01 Dec 2009 00:00:00 +0100 3208908 http://www.medworm.com/index.php?rid=3208907&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095314%26dopt%3DAbstract Authors: Aditya BS, Wilding JP PMID: 20095314 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208907 Tue, 01 Dec 2009 00:00:00 +0100 3208907 http://www.medworm.com/index.php?rid=3208906&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095315%26dopt%3DAbstract Authors: Pande SD, Ariyaratnam R, Burke MJ Hereditary haemochromatosis (HH) is an autosomal recessive condition in which inappropriately excess iron absorption from the intestine results in pathological deposition of iron in the parenchymal cells of organs leading to tissue damage associated with characteristic arthropathy. It is an important cause of joint pain in middle age and early diagnosis and treatment can reduce the long-term complications of the disease. PMID: 20095315 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208906 Tue, 01 Dec 2009 00:00:00 +0100 3208906 http://www.medworm.com/index.php?rid=3208905&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095316%26dopt%3DAbstract Authors: Tayal S, Chadwick D, Chawla G Clinicians need to consider syphilis in the differential diagnosis of macular or papular rashes with neurological conditions, particularly aseptic meningitis, as early diagnosis and treatment lead to a better prognosis. PMID: 20095316 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208905 Tue, 01 Dec 2009 00:00:00 +0100 3208905 http://www.medworm.com/index.php?rid=3208904&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095317%26dopt%3DAbstract Authors: Moseley I PMID: 20095317 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208904 Tue, 01 Dec 2009 00:00:00 +0100 3208904 http://www.medworm.com/index.php?rid=3208903&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095318%26dopt%3DAbstract Authors: Brady M, Main J PMID: 20095318 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208903 Tue, 01 Dec 2009 00:00:00 +0100 3208903 http://www.medworm.com/index.php?rid=3208902&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095319%26dopt%3DAbstract Authors: Dholakia S, Shalhoub J, Ellis M, Davies AH PMID: 20095319 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208902 Tue, 01 Dec 2009 00:00:00 +0100 3208902 http://www.medworm.com/index.php?rid=3208901&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095320%26dopt%3DAbstract Authors: Connolly CK PMID: 20095320 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208901 Tue, 01 Dec 2009 00:00:00 +0100 3208901 http://www.medworm.com/index.php?rid=3208900&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095321%26dopt%3DAbstract Authors: Pittman MA, Aggarwal G, Shee CD PMID: 20095321 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208900 Tue, 01 Dec 2009 00:00:00 +0100 3208900 http://www.medworm.com/index.php?rid=3208899&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095322%26dopt%3DAbstract Authors: Mason RH, Suntharalingam J PMID: 20095322 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208899 Tue, 01 Dec 2009 00:00:00 +0100 3208899 http://www.medworm.com/index.php?rid=3208898&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20095323%26dopt%3DAbstract Authors: PMID: 20095323 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208898 Tue, 01 Dec 2009 00:00:00 +0100 3208898 http://www.medworm.com/index.php?rid=3208897&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099383%26dopt%3DAbstract Authors: Joseph F, Reeve-Fowkes A, Ewins D, Goenka N PMID: 20099383 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208897 Tue, 01 Dec 2009 00:00:00 +0100 3208897 http://www.medworm.com/index.php?rid=3208895&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099384%26dopt%3DAbstract Authors: Kendall D, Hazarika R, Harrop J PMID: 20099384 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=3208895 Tue, 01 Dec 2009 00:00:00 +0100 3208895 http://www.medworm.com/index.php?rid=2970954&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19891057%26dopt%3DAbstract Authors: Falk RH PMID: 19891057 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2970954 Thu, 01 Oct 2009 00:00:00 +0100 2970954 http://www.medworm.com/index.php?rid=2970953&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19891058%26dopt%3DAbstract Authors: Inada-Kim M PMID: 19891058 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2970953 Thu, 01 Oct 2009 00:00:00 +0100 2970953 http://www.medworm.com/index.php?rid=2963888&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886093%26dopt%3DAbstract Authors: Allan R PMID: 19886093 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963888 Thu, 01 Oct 2009 00:00:00 +0100 2963888 http://www.medworm.com/index.php?rid=2963887&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886094%26dopt%3DAbstract Authors: Gawkrodger DJ PMID: 19886094 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963887 Thu, 01 Oct 2009 00:00:00 +0100 2963887 http://www.medworm.com/index.php?rid=2963886&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886095%26dopt%3DAbstract Authors: Berkin L, Burr B PMID: 19886095 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963886 Thu, 01 Oct 2009 00:00:00 +0100 2963886 http://www.medworm.com/index.php?rid=2963885&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886096%26dopt%3DAbstract Authors: Masding MG, McConnell W, Lewis C The Foundation Programme curriculum describes 'generic skills' for doctors, which illustrate many of the attributes of medical professionalism. Educators from the Dorset acute trusts have worked with faculty members of the School of Health and Social Care at Bournemouth University to create a course in professionalism for Foundation Programme Year 2 doctors. The course, held away from the hospital setting but facilitated by consultants as well as university staff, has six themes taught on different days: professionalism and judgement, relationship with society, accountability, teamworking and leadership, relationship with patients, and excellence and continuous improvement. The emphasis is on group discussion between the participants, and feedb... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963885 Thu, 01 Oct 2009 00:00:00 +0100 2963885 http://www.medworm.com/index.php?rid=2963884&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886097%26dopt%3DAbstract Authors: Darbyshire JL, Holman RR, Price HC PMID: 19886097 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963884 Thu, 01 Oct 2009 00:00:00 +0100 2963884 http://www.medworm.com/index.php?rid=2963883&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886098%26dopt%3DAbstract This study examined whether two machine-marked tests (MMTs; a clinical problem-solving test and situational judgement test), previously validated for selection into U.K. general practice (GP) training, could provide a valid methodology for shortlisting into core medical training (CMT). A longitudinal design was used to examine the MMTs' psychometric properties in CMT samples, and correlations between MMT scores and CMT interview outcomes. Independent samples from two years were used: in 2008, a retrospective analysis was conducted (n=1711), while in 2009, CMT applicants completed the MMTs for evaluation purposes (n=2265). Both MMTs showed good reliability in CMT samples, similar to GP samples. Both MMTs were good predictors of CMT interview performance (r = 0.56, p < 0.001 in 2008; r = ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963883 Thu, 01 Oct 2009 00:00:00 +0100 2963883 http://www.medworm.com/index.php?rid=2963882&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886099%26dopt%3DAbstract Authors: Record C, Day C Discounting of alcoholic products is universal in U.K. supermarkets with some chains selling own brand spirits for less than the duty payable per item. Eighty per cent of alcohol purchases are made by 30% of the population and this group are the main beneficiaries. In December 2008 the government announced its intention to consult on modifications to the Licensing Act 2003 to enable the introduction of mandatory conditions for the sale of alcoholic products in order to curtail alcohol harm. In this article it is shown that families in Britain have nothing to fear from the introduction of a 50 p/unit minimum price of alcohol as the overall effect should be a reduction in average weekly supermarket bills for the majority while harmful and hazardous drinkers will ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963882 Thu, 01 Oct 2009 00:00:00 +0100 2963882 http://www.medworm.com/index.php?rid=2963881&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886100%26dopt%3DAbstract Authors: Shalchi Z, Saso S, Li HK, Rowlandson E, Tennant RC It is a concern that increasing pressure to diagnose, treat and discharge patients rapidly is leading to unacceptably high readmission rates. Readmissions were studied over a two-month period. Patients were identified through the hospital coding system, and electronic discharge summaries provided details of each admission. In total, 69 readmissions were identified, representing 4.34% of medical admissions. Readmitted patients were older than those with single admissions (median age 75 and 71 years, respectively; p < 0.05). Initial length of stay was greater in those patients who would go on to be readmitted (median six days; single admission, two days; p < 0.0001). Seventy-one per cent of readmissions were deemed avoidab... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963881 Thu, 01 Oct 2009 00:00:00 +0100 2963881 http://www.medworm.com/index.php?rid=2963880&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886101%26dopt%3DAbstract Authors: Jenkins PO, Sultanzadeh J, Bhagwat M, Jenkins PF Pulmonary embolism (PE) continues to be associated with significant mortality despite advances in the diagnostic techniques available for its detection. Anticoagulation remains standard treatment in PE although there is a consensus view that 'step-up' to thrombolytic therapy in addition to anticoagulation is indicated in those patients who are systemically shocked at presentation--a group defined as having suffered 'massive pulmonary embolism'. Considerable research has been directed at attempting to identify further groups of patients with PE who are at high risk of morbidity and mortality--notably those who are labelled as having suffered 'sub-massive pulmonary embolism' where this is defined as the presence of right-heart str... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963880 Thu, 01 Oct 2009 00:00:00 +0100 2963880 http://www.medworm.com/index.php?rid=2963879&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886102%26dopt%3DAbstract Authors: Ryton BA, Liddle BJ Implementing national guidance such as that produced by the National Institute for Health and Clinical Excellence should be a priority for NHS trusts. The best way of managing successful implementation is through collaboration across the healthcare community. This helps to improve communication, ensures progress is being made and enables healthcare professionals to concentrate on the whole pathway of care, not just specific aspects of it. The Sheffield Parkinson's Stakeholder Group has successfully engaged all who are involved with providing the service across the city and has also received national recognition for its approach to implementation. PMID: 19886102 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963879 Thu, 01 Oct 2009 00:00:00 +0100 2963879 http://www.medworm.com/index.php?rid=2963878&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886103%26dopt%3DAbstract This article discusses the pros and cons of another more controversial alternative: a post-CCT fellowship. PMID: 19886103 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963878 Thu, 01 Oct 2009 00:00:00 +0100 2963878 http://www.medworm.com/index.php?rid=2963877&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886104%26dopt%3DAbstract Authors: Bewick T, Lim WS PMID: 19886104 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963877 Thu, 01 Oct 2009 00:00:00 +0100 2963877 http://www.medworm.com/index.php?rid=2963876&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886105%26dopt%3DAbstract Authors: Looi YC This recent conference provided an all-round review of the current issues to be considered in palliative care. A list of the top 10 points that one hospital physician found most useful is presented. PMID: 19886105 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963876 Thu, 01 Oct 2009 00:00:00 +0100 2963876 http://www.medworm.com/index.php?rid=2963875&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886106%26dopt%3DAbstract Authors: Mioxham J, Jolley C Breathlessness is a common symptom in respiratory, cardiovascular and malignant disease. It reduces exercise tolerance and mobility, and is an important determinant of quality of life. The multifactorial nature of the symptom often presents difficulties in understanding why individual patients are breathless, and how breathlessness should best be palliated, especially in advanced disease. However, insights into the neurophysiological factors underlying the symptom can be gained by considering the balance between the load on, and capacity of, the respiratory muscles and increased neural respiratory drive, reflecting increased respiratory effort. Mismatch between efferent neural respiratory drive and afferent feedback, reflecting the degree of neuromechanical... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963875 Thu, 01 Oct 2009 00:00:00 +0100 2963875 http://www.medworm.com/index.php?rid=2963874&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886107%26dopt%3DAbstract Authors: Lee CA PMID: 19886107 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963874 Thu, 01 Oct 2009 00:00:00 +0100 2963874 http://www.medworm.com/index.php?rid=2963873&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886108%26dopt%3DAbstract This article reviews the latest significant treatments which have the potential to impact greatly on a wide variety of disease states in the not too distant future. PMID: 19886108 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963873 Thu, 01 Oct 2009 00:00:00 +0100 2963873 http://www.medworm.com/index.php?rid=2963872&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886109%26dopt%3DAbstract Authors: Watts G PMID: 19886109 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963872 Thu, 01 Oct 2009 00:00:00 +0100 2963872 http://www.medworm.com/index.php?rid=2963871&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886110%26dopt%3DAbstract This article summarises the history of this important and common pattern of motor dysfunction. PMID: 19886110 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963871 Thu, 01 Oct 2009 00:00:00 +0100 2963871 http://www.medworm.com/index.php?rid=2963870&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886111%26dopt%3DAbstract This article summarises the recommendations from the U.K. national guidelines for HIV testing 2008. The guidelines provide the information needed to enable any clinician to perform an HIV test within good clinical practice and encourage 'normalisation' of HIV testing. The full version is available at www.bhiva.org/cmsl 222621.asp. PMID: 19886111 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963870 Thu, 01 Oct 2009 00:00:00 +0100 2963870 http://www.medworm.com/index.php?rid=2963869&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886112%26dopt%3DAbstract Authors: Ross S, Loke YK PMID: 19886112 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963869 Thu, 01 Oct 2009 00:00:00 +0100 2963869 http://www.medworm.com/index.php?rid=2963868&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886113%26dopt%3DAbstract Authors: Maxwell S PMID: 19886113 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963868 Thu, 01 Oct 2009 00:00:00 +0100 2963868 http://www.medworm.com/index.php?rid=2963867&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886114%26dopt%3DAbstract Authors: Norén GN, Edwards IR PMID: 19886114 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963867 Thu, 01 Oct 2009 00:00:00 +0100 2963867 http://www.medworm.com/index.php?rid=2963866&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886115%26dopt%3DAbstract Authors: Hughes D, Reynolds DJ PMID: 19886115 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963866 Thu, 01 Oct 2009 00:00:00 +0100 2963866 http://www.medworm.com/index.php?rid=2963865&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886116%26dopt%3DAbstract Authors: Pirmohamed M PMID: 19886116 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963865 Thu, 01 Oct 2009 00:00:00 +0100 2963865 http://www.medworm.com/index.php?rid=2963864&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886117%26dopt%3DAbstract Authors: Takhar G, Suthahar Y, Stratton R PMID: 19886117 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963864 Thu, 01 Oct 2009 00:00:00 +0100 2963864 http://www.medworm.com/index.php?rid=2963863&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886118%26dopt%3DAbstract Authors: Jeevarethinam A, Ihuoma A, Ahmad N Herpes zoster or shingles is the reactivation of dormant varicella zoster virus (VZV) in the dorsal root ganglia. Segmental motor paresis is rare and only few cases of brachial plexitis have been reported in the literature. This case reports herpes zoster resulting in unilateral brachial plexitis with predominant radial nerve palsy. The patient was treated successfully with aciclovir, gabapentin and physiotherapy with good recovery. Radial neuritis secondary to active herpes zoster has been rarely reported in the past. PMID: 19886118 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963863 Thu, 01 Oct 2009 00:00:00 +0100 2963863 http://www.medworm.com/index.php?rid=2963862&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886119%26dopt%3DAbstract Authors: Sado DM, Greaves K PMID: 19886119 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963862 Thu, 01 Oct 2009 00:00:00 +0100 2963862 http://www.medworm.com/index.php?rid=2963861&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886120%26dopt%3DAbstract Authors: Quinton R PMID: 19886120 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963861 Thu, 01 Oct 2009 00:00:00 +0100 2963861 http://www.medworm.com/index.php?rid=2963860&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886121%26dopt%3DAbstract Authors: Hilson A PMID: 19886121 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963860 Thu, 01 Oct 2009 00:00:00 +0100 2963860 http://www.medworm.com/index.php?rid=2963859&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886122%26dopt%3DAbstract Authors: Styles K, Rastogi A, Hussain S, Abraham S PMID: 19886122 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963859 Thu, 01 Oct 2009 00:00:00 +0100 2963859 http://www.medworm.com/index.php?rid=2963858&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19886123%26dopt%3DAbstract Authors: PMID: 19886123 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2963858 Thu, 01 Oct 2009 00:00:00 +0100 2963858 http://www.medworm.com/index.php?rid=2769224&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728496%26dopt%3DAbstract Authors: Allan R PMID: 19728496 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769224 Fri, 31 Jul 2009 23:00:00 +0100 2769224 http://www.medworm.com/index.php?rid=2769223&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728497%26dopt%3DAbstract Authors: Friedland JS PMID: 19728497 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769223 Fri, 31 Jul 2009 23:00:00 +0100 2769223 http://www.medworm.com/index.php?rid=2769222&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728498%26dopt%3DAbstract Authors: Dacre J, Shepherd S PMID: 19728498 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769222 Fri, 31 Jul 2009 23:00:00 +0100 2769222 http://www.medworm.com/index.php?rid=2769221&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728499%26dopt%3DAbstract Authors: Montgomery H There is now no dispute about climate change: it is happening, and human activity is driving it. Each day, the threat this poses becomes clearer--threatening our civilisation and also the survival of our species. The immediacy of this threat is also now recognised: it is not something 'for the next millenium' but for our lifetimes and those of our children. Without urgent action, the future is grim. But we can all respond to make the difference. And the time to do so is now. PMID: 19728499 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769221 Fri, 31 Jul 2009 23:00:00 +0100 2769221 http://www.medworm.com/index.php?rid=2769220&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728500%26dopt%3DAbstract Authors: Dainty P, Elizabeth J Elderly patients represent a large number of admissions to hospital, accounting for a disproportionate number of hospital bed days. Discharge planning can improve the safety and appropriateness of discharge from hospital, and can have a positive impact on length of stay and efficiency. Despite this, discharge planning is often neglected. This review, both evidence and experience based, is provided to aid with the safe discharge of elderly patients back into the community. PMID: 19728500 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769220 Fri, 31 Jul 2009 23:00:00 +0100 2769220 http://www.medworm.com/index.php?rid=2769219&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728501%26dopt%3DAbstract Authors: Snashall D Doctors deal with patient's disabilities every day but many in the profession have been nonplussed to see the focus of the disability rights lobbies shift from the recipients of care to the carers themselves. Until recently the number of practising doctors known to have significant disabilities was very low and for many reasons potential medical students were deterred from entering medical education. This piece would not even have been commissioned 14 years ago when the U.K. Disability Discrimination Act 1995 was passed. It is a measure of the change in society's view of disability, reinforced by law, that the issue of whether there are disabilities which, in themselves, render a doctor Unfit to practise can be analysed and discussed. PMID: 19728501 [PubMed - in... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769219 Fri, 31 Jul 2009 23:00:00 +0100 2769219 http://www.medworm.com/index.php?rid=2769218&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728502%26dopt%3DAbstract Authors: Cave J, Edwards SG, Miller RF, Ardeshna KM, Lee SM Patients with HIV are dying due to late diagnosis and physicians are being encouraged to increase HIV testing. The uptake of opt-in HIV screening for 113 lymphoma patients was audited at University College London Hospital. Of the 113 patients, 46 were not tested (41%). Previous research in the antenatal setting suggests that adopting opt-out screening would increase testing rates. PMID: 19728502 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769218 Fri, 31 Jul 2009 23:00:00 +0100 2769218 http://www.medworm.com/index.php?rid=2769217&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728503%26dopt%3DAbstract Authors: Chaponda M, Borra M, Beeching NJ, Almond DS, Williams PS, Hammond MA, Price VA, Tarry L, Taegtmeyer M This prospective observational study assessed the impact of the changes in junior doctors' working hours and waiting-time initiatives on teaching and learning opportunities for junior doctors in acute medicine. An audit cycle of post-take ward rounds including all medical admissions to an urban teaching hospital was conducted. During two seven-day periods in July 2006 and 2008, 317 and 354 patients were admitted respectively. In the two-year interval a number of changes were implemented resulting in a significant increase in patients reviewed by a consultant within 24 hours of admission. Target waiting times were being met but there were many missed learning opportunities for ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769217 Fri, 31 Jul 2009 23:00:00 +0100 2769217 http://www.medworm.com/index.php?rid=2769216&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728504%26dopt%3DAbstract Authors: Hassan TM, Ahmed SO, White AC, Galbraith N A postal survey of 3512 doctors in Birmingham was carried out to assess attitudes to becoming mentally ill. The response rate for the questionnaire was 70% (2462 questionnaires). In total, 1807 (73.4%) doctors would choose to disclose a mental illness to family and friends rather than to a professional. Career implications were cited by 800 (32.5%) respondents as the most frequent reason for failure to disclose. For outpatient treatment, 51.1% would seek formal professional advice. For inpatient treatment, 41.0% would choose a local private facility, with only 21.1% choosing a local NHS facility. Of respondents 12.4% indicated that they had experienced a mental illness. Stigma to mental health is prevalent among doctors. At present th... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769216 Fri, 31 Jul 2009 23:00:00 +0100 2769216 http://www.medworm.com/index.php?rid=2769215&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728505%26dopt%3DAbstract This study evaluates the patient and disease characteristics, potential cost implications and short-term outcomes of 64 adult patients admitted with HIV-related illnesses. The majority (65.6%) were black Africans and 75% were immigrants to the U.K. Of the 64 patients, 61% were unaware of their HIV status at admission; 50% had CD4 count <50 cells/microl and 48% had viral load >10(5) copies/ml. Thirty-eight patients had AIDS and this accounted for 66% of the total 897 inpatient days (equivalent to 16.5-30.2 patient years of highly active antiretroviral therapy (HAART), depending on the type of HAART regimen used). Fifteen (23.8%) died in hospital, and of these 11 had AIDS and a CD4 count <200 cells/microl. Immigrants from countries of high prevalence accounted for the majority of th... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769215 Fri, 31 Jul 2009 23:00:00 +0100 2769215 http://www.medworm.com/index.php?rid=2769214&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728506%26dopt%3DAbstract Authors: McKee M There is a broad consensus that international trade in goods is beneficial, providing of course that it is fair. Yet not all things that are traded are goods. Some can more appropriately be considered as 'bads'. The way things are viewed can change over time. Over a century ago the U.K. fought a war with China for the right to trade in narcotics yet now interdicts such shipments on the high seas. More recently, the international community has agreed the Framework Convention on Tobacco Control, showing that tobacco is moving from a good to a bad. However, there are other things that are legitimately traded where restrictions may be needed, such as alcohol. Global trade is simply a means to an end. The ultimate goal must include better health for all. PMID: 19728506 ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769214 Fri, 31 Jul 2009 23:00:00 +0100 2769214 http://www.medworm.com/index.php?rid=2769213&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728507%26dopt%3DAbstract Authors: Copeland N, Harris D, Gaballa MA Myocardial infarction (MI) and stroke are the first and third leading causes of death in the U.S.A. accounting for more than 1 in 3 deaths per annum. Despite interventional and pharmaceutical advances, the number of people diagnosed with heart disease is on the rise. Therefore, new clinical strategies are needed. Cell-based therapy holds great promise for treatment of these diseases and is currently under extensive preclinical as well as clinical trials. The source and types of stem cells for these clinical applications are questions of great interest. Human umbilical cord blood (hUCB) appears to be a logical candidate as a source of cells. hUCB is readily available, and presents little ethical challenges. Stem cells derived from hUCB are multi... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769213 Fri, 31 Jul 2009 23:00:00 +0100 2769213 http://www.medworm.com/index.php?rid=2769212&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728508%26dopt%3DAbstract This study shows that a small but significant number of cases of coeliac disease will be missed by relying on serology alone. As the diagnosis and management of disease shifts further towards general physicians and primary care, it is important that the limitations of serological testing are recognised. PMID: 19728508 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769212 Fri, 31 Jul 2009 23:00:00 +0100 2769212 http://www.medworm.com/index.php?rid=2769211&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728509%26dopt%3DAbstract Authors: Kendall M PMID: 19728509 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769211 Fri, 31 Jul 2009 23:00:00 +0100 2769211 http://www.medworm.com/index.php?rid=2769210&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728510%26dopt%3DAbstract Authors: Sibal L, Home PD PMID: 19728510 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769210 Fri, 31 Jul 2009 23:00:00 +0100 2769210 http://www.medworm.com/index.php?rid=2769209&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728511%26dopt%3DAbstract Authors: Monson JP PMID: 19728511 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769209 Fri, 31 Jul 2009 23:00:00 +0100 2769209 http://www.medworm.com/index.php?rid=2769208&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728512%26dopt%3DAbstract Authors: Narayanan P, Reznek R PMID: 19728512 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769208 Fri, 31 Jul 2009 23:00:00 +0100 2769208 http://www.medworm.com/index.php?rid=2769207&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728513%26dopt%3DAbstract Authors: Chew SL PMID: 19728513 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769207 Fri, 31 Jul 2009 23:00:00 +0100 2769207 http://www.medworm.com/index.php?rid=2769206&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728514%26dopt%3DAbstract Authors: Trainer P PMID: 19728514 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769206 Fri, 31 Jul 2009 23:00:00 +0100 2769206 http://www.medworm.com/index.php?rid=2769205&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728515%26dopt%3DAbstract Authors: Sabin HI PMID: 19728515 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769205 Fri, 31 Jul 2009 23:00:00 +0100 2769205 http://www.medworm.com/index.php?rid=2769204&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728516%26dopt%3DAbstract Authors: Fogo A, du Vivier A PMID: 19728516 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769204 Fri, 31 Jul 2009 23:00:00 +0100 2769204 http://www.medworm.com/index.php?rid=2769203&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728517%26dopt%3DAbstract Authors: Groves RW PMID: 19728517 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769203 Fri, 31 Jul 2009 23:00:00 +0100 2769203 http://www.medworm.com/index.php?rid=2769202&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728518%26dopt%3DAbstract Authors: Topham E PMID: 19728518 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769202 Fri, 31 Jul 2009 23:00:00 +0100 2769202 http://www.medworm.com/index.php?rid=2769201&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728519%26dopt%3DAbstract Authors: Dhoat S, Rustin M PMID: 19728519 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769201 Fri, 31 Jul 2009 23:00:00 +0100 2769201 http://www.medworm.com/index.php?rid=2769200&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728520%26dopt%3DAbstract Authors: Roberts N PMID: 19728520 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769200 Fri, 31 Jul 2009 23:00:00 +0100 2769200 http://www.medworm.com/index.php?rid=2769199&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728521%26dopt%3DAbstract Authors: Pemberton J, McComb JM Patients with syncope or epilepsy commonly present to primary or secondary care physicians. This lesson presents two patients, both known to have cardiac disease, with implanted cardiac devices, who presented with loss of consciousness, who were initially investigated for epilepsy, but were subsequently shown to have had a cardiac arrhythmia, diagnosed following device interrogation. PMID: 19728521 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769199 Fri, 31 Jul 2009 23:00:00 +0100 2769199 http://www.medworm.com/index.php?rid=2769198&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728522%26dopt%3DAbstract Authors: Fernando H, Sriraman R, Coppini DV PMID: 19728522 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769198 Fri, 31 Jul 2009 23:00:00 +0100 2769198 http://www.medworm.com/index.php?rid=2769197&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728523%26dopt%3DAbstract Authors: Karabus CD PMID: 19728523 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769197 Fri, 31 Jul 2009 23:00:00 +0100 2769197 http://www.medworm.com/index.php?rid=2769196&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728524%26dopt%3DAbstract Authors: Wallis S, Guptha SH PMID: 19728524 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769196 Fri, 31 Jul 2009 23:00:00 +0100 2769196 http://www.medworm.com/index.php?rid=2769195&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728525%26dopt%3DAbstract Authors: Chua F, Groth J PMID: 19728525 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769195 Fri, 31 Jul 2009 23:00:00 +0100 2769195 http://www.medworm.com/index.php?rid=2769194&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728526%26dopt%3DAbstract Authors: Cowie R, Field S PMID: 19728526 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769194 Fri, 31 Jul 2009 23:00:00 +0100 2769194 http://www.medworm.com/index.php?rid=2769193&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728527%26dopt%3DAbstract Authors: PMID: 19728527 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769193 Fri, 31 Jul 2009 23:00:00 +0100 2769193 http://www.medworm.com/index.php?rid=2769192&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19731420%26dopt%3DAbstract Authors: Kafetz K, Atkin N PMID: 19731420 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769192 Fri, 31 Jul 2009 23:00:00 +0100 2769192 http://www.medworm.com/index.php?rid=2769191&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19731421%26dopt%3DAbstract Authors: Jolobe OM PMID: 19731421 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2769191 Fri, 31 Jul 2009 23:00:00 +0100 2769191 http://www.medworm.com/index.php?rid=2649470&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634378%26dopt%3DAbstract Authors: Khoo CW, Lip GY PMID: 19634378 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649470 Sun, 31 May 2009 23:00:00 +0100 2649470 http://www.medworm.com/index.php?rid=2649469&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634379%26dopt%3DAbstract Authors: Thomas RH, Smith PE PMID: 19634379 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649469 Sun, 31 May 2009 23:00:00 +0100 2649469 http://www.medworm.com/index.php?rid=2649468&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634380%26dopt%3DAbstract Authors: Roberts I Mitigating climate change presents unrivalled opportunities for improving public health. The policies that need to be implemented to reduce greenhouse gas emissions will also bring about substantial reductions in heart disease, cancer, obesity, diabetes, road deaths and injuries, and air pollution. The health benefits arise because climate change policies necessarily impact on two of the most important determinants of health: human nutrition and human movement. Although the health co-benefits of climate change policies are increasingly recognised by health professionals they are not widely appreciated by those responsible for policy. Because the existence of important health co-benefits will dramatically reduce the cost to society of taking strong action to mitigate ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649468 Sun, 31 May 2009 23:00:00 +0100 2649468 http://www.medworm.com/index.php?rid=2649467&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634381%26dopt%3DAbstract Authors: McNeill G, Brahmbhatt DH, Prevost AT, Trepte NJ A cornerstone of the development of acute medicine has been the principle of consultant presence within the acute medical unit (AMU). There is the hypothesis that consultant supervision improves patient care. This view is not currently supported by firm scientific evidence. When Ipswich AMU opened in 2004, there was a consultant presence on some weekdays only. Admission data were collected and assessed with respect to the presence or absence of the consultant. Overall length of stay was significantly lower, by a mean of 1.3 days, when there was a consultant present, and 9% more patients were discharged on the same day of their assessment (95% confidence interval 5.7% to 12.6%, p < 0.001) without affecting readmission or mortal... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649467 Sun, 31 May 2009 23:00:00 +0100 2649467 http://www.medworm.com/index.php?rid=2649466&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634382%26dopt%3DAbstract Authors: Loo B, Parnell C, Brook G, Southall E, Mahy I The National Institute for Health and Clinical Excellence (NICE) guidelines for the management of atrial fibrillation were published in June 2006. It was anticipated that they would potentially lead to increased demand for echocardiography (ECHO), increased access to secondary care services (for example for cardioversion), and require additional resources for monitoring anticoagulation. A primary care survey was therefore initiated in South Devon, in advance of publication of the guidelines as a snapshot of existing practice, to determine any additional resources and education required to meet the new standards. The main aim was to determine what proportion of patients were managed exclusively in primary care, how frequently patien... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649466 Sun, 31 May 2009 23:00:00 +0100 2649466 http://www.medworm.com/index.php?rid=2649465&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634383%26dopt%3DAbstract Authors: John H, Buckley C, Koh L, Obrenovic K, Erb N, Rowe IF, The aim of this study was to analyse tuberculosis (TB) risk assessment for rheumatology patients commencing anti-tumour necrosis factor-alpha (anti-TNF-alpha) therapy using the British Thoracic Society (BTS) guidelines. Data were obtained retrospectively on 856 outpatients regionally receiving anti-TNF-alpha. Prior to commencing treatment, patients had the following assessments documented: respiratory examination, 47.4%; chest X-ray, 84.5%; TB history, 92.9%; and advice about TB risk, 45.8%. Of the 856 patients, 94.3% were on immunosuppressives but 27% had a tuberculin test; 12.6% had > or =1 high-risk factors for TB. In total, 3.4% were referred to a TB specialist and of these, 24.1% had no risk factors for TB. Of pat... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649465 Sun, 31 May 2009 23:00:00 +0100 2649465 http://www.medworm.com/index.php?rid=2649464&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634384%26dopt%3DAbstract Authors: Bell DJ, Suckling R, Rothburn MM, Blanchard T, Stoeter D, Michael B, Cooke RP, Kneen R, Solomon T The outcome of herpes simplex virus (HSV) encephalitis is improved with prompt initiation of aciclovir treatment. Delays are common, but there is little understanding of why they occur. The case notes of 21 adults admitted with suspected HSV encephalitis over one year were reviewed. The median (range) duration of illness was 2.5 (1-99) days. Seventeen (81%) patients had a lumbar puncture (LP) performed, at a median (range) time of 24 (2-114) hours after encephalitis was suspected. Lumbar puncture was delayed for a computed tomography (CT) scan in 15 patients, but only one of these had contraindications to an immediate LP. The median (range) time from presentation to starting acicl... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649464 Sun, 31 May 2009 23:00:00 +0100 2649464 http://www.medworm.com/index.php?rid=2649463&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634385%26dopt%3DAbstract This study aimed to evaluate timeliness of an outpatient urgent access neurovascular clinic in a district general hospital setting through an audit of delay from event to completion of evaluation following transient ischaemic attack (TIA) or minor stroke. Participants included those referred for evaluation of suspected TIA or minor stroke. The median delay from event to completion was 16 days, with 45% seen within two weeks of symptom onset, and 15% within one week of symptom onset. A weekly TIA clinic is not capable of achieving the National Clinical Guidelines for Stroke recommendation for evaluation within one week of symptoms. This audit supports the National Stroke Strategy recommendation for immediate evaluation of patients presenting with a recent TIA or minor stroke. PMID: 1963... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649463 Sun, 31 May 2009 23:00:00 +0100 2649463 http://www.medworm.com/index.php?rid=2649462&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634386%26dopt%3DAbstract This article presents patients' and doctors' perspectives on assessing capacity to consent to thrombolytic therapy for stroke. PMID: 19634386 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649462 Sun, 31 May 2009 23:00:00 +0100 2649462 http://www.medworm.com/index.php?rid=2649461&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634387%26dopt%3DAbstract Authors: Hollman A The Royal College of Physicians of London (RCP) was founded in the City of London in 1518 and at that time many of the royal, religious and lay residences had gardens. The gardens were used, among other things, to grow fruit trees, herbs for the kitchen and for strewing on the floor, and for leisure, with lawns, bowling and flowers. So it would have been natural for the RCP Fellows to wish to have a garden of their own. This was not possible until the College moved into its second and third homes in the City in 1614 and 1674 and good street plans of these sites, and of their gardens, have now become available, though we lack any details of the planting. The fourth home in Pall Mall East in 1815 was landlocked. Therefore when the fifth (and current) home in Regent's P... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649461 Sun, 31 May 2009 23:00:00 +0100 2649461 http://www.medworm.com/index.php?rid=2649460&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634388%26dopt%3DAbstract Authors: Kirwan D PMID: 19634388 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649460 Sun, 31 May 2009 23:00:00 +0100 2649460 http://www.medworm.com/index.php?rid=2649459&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634389%26dopt%3DAbstract Authors: Ellis C PMID: 19634389 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649459 Sun, 31 May 2009 23:00:00 +0100 2649459 http://www.medworm.com/index.php?rid=2649458&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634390%26dopt%3DAbstract Authors: Cohen J PMID: 19634390 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649458 Sun, 31 May 2009 23:00:00 +0100 2649458 http://www.medworm.com/index.php?rid=2649457&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634391%26dopt%3DAbstract Authors: Finch R PMID: 19634391 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649457 Sun, 31 May 2009 23:00:00 +0100 2649457 http://www.medworm.com/index.php?rid=2649456&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634392%26dopt%3DAbstract Authors: Karesh WB, Cook RA PMID: 19634392 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649456 Sun, 31 May 2009 23:00:00 +0100 2649456 http://www.medworm.com/index.php?rid=2649455&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634393%26dopt%3DAbstract Authors: Nunn P PMID: 19634393 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649455 Sun, 31 May 2009 23:00:00 +0100 2649455 http://www.medworm.com/index.php?rid=2649454&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634394%26dopt%3DAbstract Authors: Salisbury D PMID: 19634394 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649454 Sun, 31 May 2009 23:00:00 +0100 2649454 http://www.medworm.com/index.php?rid=2649453&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634395%26dopt%3DAbstract Authors: Kalra PA PMID: 19634395 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649453 Sun, 31 May 2009 23:00:00 +0100 2649453 http://www.medworm.com/index.php?rid=2649452&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634396%26dopt%3DAbstract Authors: Methven S, MacGregor MS CKD is common and its prevalence may be increasing. It carries with it a substantial cardiovascular risk but the vast majority of patients will never require dialysis. The minority requiring further investigation or complex management should be promptly identified and referred to a nephrologist. The remaining patients require lifelong monitoring in primary care and careful attention to their cardiovascular risk factors. PMID: 19634396 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649452 Sun, 31 May 2009 23:00:00 +0100 2649452 http://www.medworm.com/index.php?rid=2649451&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634397%26dopt%3DAbstract Authors: Lines S, Lewington A PMID: 19634397 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649451 Sun, 31 May 2009 23:00:00 +0100 2649451 http://www.medworm.com/index.php?rid=2649450&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634398%26dopt%3DAbstract Authors: Chow CL, Ong AC PMID: 19634398 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649450 Sun, 31 May 2009 23:00:00 +0100 2649450 http://www.medworm.com/index.php?rid=2649449&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634399%26dopt%3DAbstract Authors: Topham P PMID: 19634399 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649449 Sun, 31 May 2009 23:00:00 +0100 2649449 http://www.medworm.com/index.php?rid=2649448&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634400%26dopt%3DAbstract Authors: Crossingham I, Taggart S PMID: 19634400 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649448 Sun, 31 May 2009 23:00:00 +0100 2649448 http://www.medworm.com/index.php?rid=2649447&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634401%26dopt%3DAbstract Authors: Jordan R, Boulton R, Heydtmann M PMID: 19634401 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649447 Sun, 31 May 2009 23:00:00 +0100 2649447 http://www.medworm.com/index.php?rid=2649446&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634402%26dopt%3DAbstract Authors: Hewer RL PMID: 19634402 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649446 Sun, 31 May 2009 23:00:00 +0100 2649446 http://www.medworm.com/index.php?rid=2649445&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634403%26dopt%3DAbstract Authors: Fogden E, Brookes M PMID: 19634403 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649445 Sun, 31 May 2009 23:00:00 +0100 2649445 http://www.medworm.com/index.php?rid=2649444&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634404%26dopt%3DAbstract Authors: Rhodes B PMID: 19634404 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649444 Sun, 31 May 2009 23:00:00 +0100 2649444 http://www.medworm.com/index.php?rid=2649443&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634405%26dopt%3DAbstract Authors: Feathers L, Faull C, Tyrer F, Williams M, Baker I PMID: 19634405 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649443 Sun, 31 May 2009 23:00:00 +0100 2649443 http://www.medworm.com/index.php?rid=2649442&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19634406%26dopt%3DAbstract Authors: PMID: 19634406 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2649442 Sun, 31 May 2009 23:00:00 +0100 2649442 http://www.medworm.com/index.php?rid=2534295&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435108%26dopt%3DAbstract Authors: Allan R PMID: 19435108 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534295 Tue, 31 Mar 2009 23:00:00 +0100 2534295 http://www.medworm.com/index.php?rid=2534294&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435109%26dopt%3DAbstract Authors: Scarpello J PMID: 19435109 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534294 Tue, 31 Mar 2009 23:00:00 +0100 2534294 http://www.medworm.com/index.php?rid=2534292&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435110%26dopt%3DAbstract Authors: Weatherall D The potential for the holder of a senior academic post to influence the medical world is usually enshrined in their job description. Even though Oxford University failed to provide one, this account of 25 years of undirected activity suggests that such posts can influence events, albeit to a limited extent and not always in the expected direction. PMID: 19435110 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534292 Tue, 31 Mar 2009 23:00:00 +0100 2534292 http://www.medworm.com/index.php?rid=2534291&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435111%26dopt%3DAbstract Authors: Rogers P Climate change was originally expected to have its main impact on countries in temperate latitudes which, because of their relative wealth, would be best able to cope. It is now far more likely that much poorer states in the tropics and sub-tropics will experience severe impacts. This is compounded by the widening socioeconomic divide and the combination of these divisions, with environmental constraints, will have a profound impact on human security. The dangerous response to the prospects of mass migration and radical social movements is to attempt to maintain control without addressing underlying problems. Instead, there is an urgent need to embrace new concepts of sustainable security. PMID: 19435111 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534291 Tue, 31 Mar 2009 23:00:00 +0100 2534291 http://www.medworm.com/index.php?rid=2534290&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435112%26dopt%3DAbstract Authors: Rudd AG, Jenkinson D, Grant RL, Hoffman A Little research has been performed to determine how a stroke unit should be staffed and what the links are between patient dependency and staffing. For this study, 140 stroke units were randomly selected--35 from each of the four quartiles of performance in the National Sentinel Audit of Stroke. A questionnaire was sent to each of the units to collect data on patient numbers and dependency, staffing numbers and therapy, and nursing contact times on a single weekday. The response rate was 66% (92 sites) and information on 1,398 patients was provided. The median number of beds was 18 (interquartile range 12-24). Staffing levels per 10 beds were a median of 10.9 nurses, 1.7 physiotherapists, 1.3 occupational therapists and 0.4 speech and ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534290 Tue, 31 Mar 2009 23:00:00 +0100 2534290 http://www.medworm.com/index.php?rid=2534289&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435113%26dopt%3DAbstract This report presents results from an audit revealing that it is possible to anticipate a large proportion of deaths within an acute setting, but this is generally achieved very close to the end of life. Forty-nine per cent of patients were recognised as dying 24 hours or less before death, 17% between 24 and 36 hours before death, 21% between 36 and 72 hours before death, and 13% greater than 72 hours before death. It discusses the challenges around making the 'diagnosis of dying' and highlights that if clinicians do not feel confident in performing such a diagnosis, then patients cannot benefit from end-of-life care pathways. Instead of asking healthcare professionals to make accurate prognoses or diagnose dying, an environment needs to be created where teams feel comfortable in actively ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534289 Tue, 31 Mar 2009 23:00:00 +0100 2534289 http://www.medworm.com/index.php?rid=2534288&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435114%26dopt%3DAbstract Authors: Anderson P Children and adolescents are particularly vulnerable to the harmful effects of alcohol, with heavy drinking risking impaired brain development and future alcohol dependence. Advertisements increase expectancies about alcohol, leading to a greater likelihood of drinking. A systematic review of 13 longitudinal studies of over 38,000 young people found convincing evidence of an impact of media exposure and alcohol advertising on subsequent alcohol use, including initiation of drinking and heavier drinking among existing drinkers. All European countries, with the exception of the UK, have a ban on one or more types of advertising. Since self-regulation is reported as failing to prevent marketing which has an impact on younger people, and since advertising commonly cross... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534288 Tue, 31 Mar 2009 23:00:00 +0100 2534288 http://www.medworm.com/index.php?rid=2534287&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435115%26dopt%3DAbstract Authors: Mahungu TW, Rodger AJ, Johnson MA The 25th anniversary of the first reports of a catastrophic illness later classified as AIDS and the 10th anniversary of highly active antiretroviral therapy (HAART) both occurred in 2006. Where available, HAART has revolutionised the treatment of HIV. This success has brought challenges--the unknown long-term history of treated HIV infection, the development of toxicity and drug resistance, and the ageing HIV-infected patient. Despite these advances, the number of HIV cases continues to rise in vulnerable populations in under-resourced areas of the world. These anniversaries allow us to appreciate the milestones achieved thus far and those yet to be achieved. Only a collaborative global effort will stop the epidemic from overwhelming efforts ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534287 Tue, 31 Mar 2009 23:00:00 +0100 2534287 http://www.medworm.com/index.php?rid=2534286&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435116%26dopt%3DAbstract Authors: Davidson C, Higgens C The Royal College of Physicians (RCP) is to host the European School of Internal Medicine for two years from 2009-10. This affords a unique opportunity for specialist registrars to exchange ideas about professional development and training and to make contacts with young internists from across Europe. Such links should prove useful for future RCP initiatives in European medicine. PMID: 19435116 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534286 Tue, 31 Mar 2009 23:00:00 +0100 2534286 http://www.medworm.com/index.php?rid=2534285&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435117%26dopt%3DAbstract This article reviews the chequered history of terminology in this area and concludes that removing the obfuscation generated by poor usage of language should be the first step towards understanding the pathogenesis and improving the management of these, and similar, disorders. PMID: 19435117 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534285 Tue, 31 Mar 2009 23:00:00 +0100 2534285 http://www.medworm.com/index.php?rid=2534284&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435118%26dopt%3DAbstract Authors: McGill L Every year in the 27 member states of the European Union, patients are harmed when receiving healthcare. Sometimes this is the fault of individual or multiple healthcare workers but more often than not organisational or system failures are to blame. The injuries and deaths from unsafe healthcare can never be completely eradicated. However, steps can be taken by policymakers and those responsible for the delivery of healthcare in all countries to reduce the human and economic burden of adverse events in all healthcare settings. Patient safety is an area of healthcare where economies of scales can be achieved through a European Community approach to tackling the problems. Share experiences, expertise, best practice and research findings can help member states to improve... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534284 Tue, 31 Mar 2009 23:00:00 +0100 2534284 http://www.medworm.com/index.php?rid=2534283&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435119%26dopt%3DAbstract Authors: Tomson CR Despite a sustained and massive increase in spending with the NHS, the evidence that care has improved, other than in areas of performance that have been intensively managed or rewarded by additional cash bonuses, is poor to non-existent. This failure to achieve across-the-board improvement is attributable to the fact that the outcomes of healthcare are 'system properties' and are unlikely to improve as a result of more work being put through the same system, and instead will only improve if healthcare providers at all levels are actively encouraged to redesign the system to improve on current performance. The most important way to achieve the 'will' to make such changes is to use data, preferably collected with minimal additional work, to generate clinically convinc... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534283 Tue, 31 Mar 2009 23:00:00 +0100 2534283 http://www.medworm.com/index.php?rid=2534282&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435120%26dopt%3DAbstract Authors: McCarthy M, Brookes M, Scourfield P PMID: 19435120 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534282 Tue, 31 Mar 2009 23:00:00 +0100 2534282 http://www.medworm.com/index.php?rid=2534281&cid=s_38104_22_f&fid=38104&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435121%26dopt%3DAbstract Authors: Mitchison H In 2007, an assessment centre approach (a structured interview, a case-based discussion and a communication exercise) was implemented to replace the traditional interview for entry to core medical training. Feedback was obtained from 53 of 69 assessors, all consultants and most with extensive experience of the traditional system. Each station was rated by around 20 interviewers. This overwhelmingly rated the new process as useful in assessing the candidate (>90% for all stations). Comparison with the previous system was only provided by between 12 and 21 people per station. The structured interview was rated better (n=12), undecided (8), or worse (1); the case-based discussion better (16), or undecided (3); the communication station better (8), undecided (3), or... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=2534281 Tue, 31 Mar 2009 23:00:00 +0100 2534281