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. Sun, 29 Jan 2012 18:56:20 +0100 http://www.medworm.com/index.php?rid=5628063&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%3D22268297%26dopt%3DAbstract Authors: Hodgson H PMID: 22268297 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628063 Thu, 01 Dec 2011 05:00:00 +0100 5628063 http://www.medworm.com/index.php?rid=5628062&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%3D22268298%26dopt%3DAbstract Authors: Patterson L PMID: 22268298 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628062 Thu, 01 Dec 2011 05:00:00 +0100 5628062 http://www.medworm.com/index.php?rid=5628061&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%3D22268299%26dopt%3DAbstract Authors: Bion J, Evans T PMID: 22268299 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628061 Thu, 01 Dec 2011 05:00:00 +0100 5628061 http://www.medworm.com/index.php?rid=5628060&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%3D22268300%26dopt%3DAbstract Authors: Dobson R, Meier UC, Marta M, Ramagopalan S, Giovannoni G Abstract Over the last few years, vitamin D deficiency has emerged as a risk factor for many diseases. Public awareness of the importance of the 'sunshine vitamin' is increasing, however deficiency remains an ongoing problem. Is an awareness of the importance of vitamin D enough to promote healthy people to take supplements or is a different approach required? In this article the importance of vitamin D is discussed and data showing that knowledge of this is not sufficient to encourage people to take supplements are presented. PMID: 22268300 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628060 Thu, 01 Dec 2011 05:00:00 +0100 5628060 http://www.medworm.com/index.php?rid=5628058&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%3D22268301%26dopt%3DAbstract This study suggests that ALoS can be reduced and sustained with a cultural and behavioural shift in consultant working patterns, without affecting readmission rate or inpatient mortality. PMID: 22268301 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628058 Thu, 01 Dec 2011 05:00:00 +0100 5628058 http://www.medworm.com/index.php?rid=5628056&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%3D22268302%26dopt%3DAbstract Authors: Bishop N PMID: 22268302 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628056 Thu, 01 Dec 2011 05:00:00 +0100 5628056 http://www.medworm.com/index.php?rid=5628055&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%3D22268303%26dopt%3DAbstract Authors: Goddard AF, Evans T, Phillips C Abstract In 2010, 2,176 medical registrars in England (43%) responded to a survey of attitudes to current and future working conditions. Regarding current working, 88% were currently happy with their job with respect to their specialty but only 49% were happy with respect to acute medicine. Even if pay was increased, 59% would only want to work a 48-hour week or less. Regarding future jobs, 59% were worried about future job prospects with 91% exploring ways of extending their training. Only 36% would consider working away from their current location as a consultant, only 42% of those trained in acute medicine wish to take part in the acute take, 15% would consider a 'sub-consultant' post and only 60% were looking forward to becoming a consul... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628055 Thu, 01 Dec 2011 05:00:00 +0100 5628055 http://www.medworm.com/index.php?rid=5628031&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%3D22268304%26dopt%3DAbstract This study evaluated whether the quality of information handed over for patients requiring weekend review was adequate. Two external doctors imagined themselves as the doctor on-call and judged whether the handed-over information was adequate for each case. Of the 1,130 handovers evaluated, 867 were handed over using a computerised proforma and discussed at the handover meeting, 148 using the computerised proforma but not discussed, 30 handovers were handwritten. Of handovers of patient details and background information, 87.3% were judged of adequate quality by the first auditor and 86.0% by the second. Similarly 70.6% and 75.8% of handovers of action plans were of adequate quality. Use of computerised proforma and discussion at a handover meeting gave the highest percentage of handovers ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5628031 Thu, 01 Dec 2011 05:00:00 +0100 5628031 http://www.medworm.com/index.php?rid=5627990&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%3D22268305%26dopt%3DAbstract The objective of this study was to offer HIV testing to all patients attending the acute medical admissions unit (AMU) in Newcastle upon Tyne to assess feasibility, acceptability and point prevalence in accordance with the 2008 UK National HIV testing guidelines. A prospective audit was performed offering HIV testing to all patients with the capacity to give verbal consent who attended the AMU. In total, 3,753 eligible patients were admitted during the audit period and 586 (15.6%) were considered for testing. Of those approached, 108 (18.4%) were clinically ineligible to test and 478 were offered a test. In the 396 patients who consented (82.8%), there were two new HIV diagnoses (point prevalence 0.5%). Offering HIV testing in an AMU setting is feasible and acceptable to patients. The high... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627990 Thu, 01 Dec 2011 05:00:00 +0100 5627990 http://www.medworm.com/index.php?rid=5627989&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%3D22268306%26dopt%3DAbstract Authors: Ellins J PMID: 22268306 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627989 Thu, 01 Dec 2011 05:00:00 +0100 5627989 http://www.medworm.com/index.php?rid=5627988&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%3D22268307%26dopt%3DAbstract Authors: Hill S PMID: 22268307 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627988 Thu, 01 Dec 2011 05:00:00 +0100 5627988 http://www.medworm.com/index.php?rid=5627987&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%3D22268308%26dopt%3DAbstract Authors: Mamoojee Y, Chadwick D Abstract Cerebrospinal fluid (CSF) polymerase chain reaction (PCR) assays have become the main diagnostic tests for central nervous system viral infections in recent years. Previous studies have suggested algorithms based on CSF leukocyte count and total protein levels to determine when CSF PCR assays are indicated. Based on these criteria, 1,469 CSF PCR tests requested over a two-year period were reviewed. A proportion of positive PCR results were found in children with normal CSF, unlike in adults where such occurrences were extremely rare. The results suggest that applying a strategy of screening CSF specimens using leukocyte count, glucose and protein, at least in adults, may have avoided more than half of CSF PCR requests with little detriment t... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627987 Thu, 01 Dec 2011 05:00:00 +0100 5627987 http://www.medworm.com/index.php?rid=5627986&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%3D22268309%26dopt%3DAbstract Authors: Claridge A Abstract Ward rounds (WRs) have been a valuable resource in medical education for both learners and teachers since first recorded in 1660. Previous studies have shown that over 50% of junior doctor learning occurs on WRs. However, postgraduate medical education in the UK has changed significantly over recent years with the adoption of the foundation programme and the application of the European Working Time Directive (EWTD). Using an anonymous questionnaire and small group discussions, foundation year doctors were surveyed regarding their perceptions of the educational value of WRs. Eighteen per cent of foundation year doctor learning occurs on WRs. Hindrances to learning and teaching include lack of time, increasing patient numbers and an absence of team consis... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627986 Thu, 01 Dec 2011 05:00:00 +0100 5627986 http://www.medworm.com/index.php?rid=5627985&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%3D22268310%26dopt%3DAbstract Authors: Kurien M, Azmy IA, Sanders DS Abstract Out-of-programme (OOP) activities enable postgraduate trainees to undertake an experience outside of their individual subspecialty training programmes. Activities vary but may include a period of research, additional clinical experiences or time for a planned career break. Determining whether to go OOP is a common dilemma faced by many trainees as they progress through postgraduate training. This review assesses the options trainees have with regards to going OOP, evaluates the potential advantages and disadvantages and also provides advice for those considering an OOP activity. PMID: 22268310 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627985 Thu, 01 Dec 2011 05:00:00 +0100 5627985 http://www.medworm.com/index.php?rid=5627984&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%3D22268311%26dopt%3DAbstract Authors: Brill SE, Lim WS, Brown JS PMID: 22268311 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627984 Thu, 01 Dec 2011 05:00:00 +0100 5627984 http://www.medworm.com/index.php?rid=5627983&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%3D22268312%26dopt%3DAbstract Authors: Hogan C, Wilkins E Abstract HIV is neuroinvasive with early involvement of the nervous system and has the potential to cause disease at any site of the neuro-axis during the evolution from seroconversion to late stage HIV. Disease may result from direct viral infection, indirect immune-deficiency driven opportunistic infections, AIDS-defining cancers, antiretroviral (ARV) drug therapy, or less well elucidated associations, such as vascular events (Table 1). Recognition of each of these is paramount in the prevention or attenuation of long-term morbidity. Though the epidemiology of neurological disease has altered substantially since the arrival of combination antiretroviral therapy (cART), with reduced incidence and improved survival, the spectrum of central nervous system... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627983 Thu, 01 Dec 2011 05:00:00 +0100 5627983 http://www.medworm.com/index.php?rid=5627982&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%3D22268313%26dopt%3DAbstract Authors: Heath I PMID: 22268313 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627982 Thu, 01 Dec 2011 05:00:00 +0100 5627982 http://www.medworm.com/index.php?rid=5627981&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%3D22268314%26dopt%3DAbstract Authors: Shanahan F Abstract As society changes, doctors must adapt. Despite remarkable advances in medicine, the pace of change--greater now than ever--is challenging doctors to define their role and relevance. Is medicine really facing a crisis? Are claims for a malaise in medicine overstated? Regardless, the profession has been called upon to respond collectively to change. However, clinicians as individuals will need to be equipped with a strategy for embracing and enjoying change. Approaches will vary but one constant should be a steadfast adherence to the scientific basis of medicine as a way of thinking. Engagement with the medical humanities will also help doctors stay fresh and deepen their understanding of what it feels like to be ill. In so doing, clinicians will find in... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627981 Thu, 01 Dec 2011 05:00:00 +0100 5627981 http://www.medworm.com/index.php?rid=5627980&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%3D22268315%26dopt%3DAbstract Authors: Compston A PMID: 22268315 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627980 Thu, 01 Dec 2011 05:00:00 +0100 5627980 http://www.medworm.com/index.php?rid=5627979&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%3D22268316%26dopt%3DAbstract Authors: Arulanantham N, Anderson M, Gittoes N, Ferner RE PMID: 22268316 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627979 Thu, 01 Dec 2011 05:00:00 +0100 5627979 http://www.medworm.com/index.php?rid=5627978&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%3D22268317%26dopt%3DAbstract Authors: Sehgal V, Vijayan S, Yasmin S, Srirangalingam U, Pati J, Drake WM PMID: 22268317 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627978 Thu, 01 Dec 2011 05:00:00 +0100 5627978 http://www.medworm.com/index.php?rid=5627977&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%3D22268318%26dopt%3DAbstract Authors: Turner-Stokes L, Goebel A, Abstract Complex regional pain syndrome (CRPS) is a debilitating, painful condition in a limb associated with sensory, motor, autonomic, skin and bone abnormalities. Pain is typically the leading symptom, but is often associated with limb dysfunction and psychological distress. Prompt diagnosis and early treatment is required to avoid secondary physical problems related to disuse of the affected limb and the psychological consequences of living with undiagnosed chronic pain. UK guidelines have recently been developed for diagnosis and management in the context of primary and secondary care. The purpose of this concise guideline is to draw attention to these guidelines. Information in this article has been extracted from the main document and ada... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627977 Thu, 01 Dec 2011 05:00:00 +0100 5627977 http://www.medworm.com/index.php?rid=5627976&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%3D22268319%26dopt%3DAbstract Authors: Fullerton JN, Perkins GD PMID: 22268319 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627976 Thu, 01 Dec 2011 05:00:00 +0100 5627976 http://www.medworm.com/index.php?rid=5627975&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%3D22268320%26dopt%3DAbstract Authors: Nolan JP PMID: 22268320 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627975 Thu, 01 Dec 2011 05:00:00 +0100 5627975 http://www.medworm.com/index.php?rid=5627974&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%3D22268321%26dopt%3DAbstract Authors: O'Neill B, McAuley D PMID: 22268321 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627974 Thu, 01 Dec 2011 05:00:00 +0100 5627974 http://www.medworm.com/index.php?rid=5627973&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%3D22268322%26dopt%3DAbstract Authors: Parekh D, Dancer RC, Thickett DR PMID: 22268322 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627973 Thu, 01 Dec 2011 05:00:00 +0100 5627973 http://www.medworm.com/index.php?rid=5627972&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%3D22268323%26dopt%3DAbstract Authors: O'Callaghan DJ, Gordon AC PMID: 22268323 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627972 Thu, 01 Dec 2011 05:00:00 +0100 5627972 http://www.medworm.com/index.php?rid=5627971&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%3D22268324%26dopt%3DAbstract Authors: Kanona H, Tuboku-Metzger V, Wahab K Abstract This lesson reports the case of a 32-year-old female presenting with left-sided homonymous hemianopia after a road traffic accident. A diagnosis of vertebral artery dissection (VAD) was missed at presentation after an initial computed tomography head scan was normal. Later, VAD was confirmed on neck magnetic resonance imaging. VAD is an uncommon cause of stroke in the young and, to date, there are no current emergency guidelines available for the management of patients with the condition. PMID: 22268324 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627971 Thu, 01 Dec 2011 05:00:00 +0100 5627971 http://www.medworm.com/index.php?rid=5627970&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%3D22268325%26dopt%3DAbstract Authors: Rao U, O'Sullivan M Abstract This lesson reports the case of endophthalmitis, a rare presentation of infective endocarditis (IE), two months following cardiac surgery. Although inflammatory markers were increased, blood cultures were negative. Transoesophageal echocardiography demonstrated an aortic root abscess. Culture of tissue obtained at surgery revealed the infective organism to be Aspergillus fumigatus, a rare cause of IE in the immunocompetent patient. PMID: 22268325 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627970 Thu, 01 Dec 2011 05:00:00 +0100 5627970 http://www.medworm.com/index.php?rid=5627969&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%3D22268326%26dopt%3DAbstract Authors: Levine D, Bleakley A PMID: 22268326 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627969 Thu, 01 Dec 2011 05:00:00 +0100 5627969 http://www.medworm.com/index.php?rid=5627968&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%3D22268327%26dopt%3DAbstract Authors: Quantrill S, Webbe D PMID: 22268327 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627968 Thu, 01 Dec 2011 05:00:00 +0100 5627968 http://www.medworm.com/index.php?rid=5627967&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%3D22268328%26dopt%3DAbstract Authors: Chandrasekara H, Hardy K PMID: 22268328 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627967 Thu, 01 Dec 2011 05:00:00 +0100 5627967 http://www.medworm.com/index.php?rid=5627966&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%3D22268329%26dopt%3DAbstract Authors: Garg P PMID: 22268329 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627966 Thu, 01 Dec 2011 05:00:00 +0100 5627966 http://www.medworm.com/index.php?rid=5627965&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%3D22268330%26dopt%3DAbstract Authors: McAdoo SP, Pusey CD PMID: 22268330 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627965 Thu, 01 Dec 2011 05:00:00 +0100 5627965 http://www.medworm.com/index.php?rid=5627964&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%3D22268331%26dopt%3DAbstract Authors: Bateman DE PMID: 22268331 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627964 Thu, 01 Dec 2011 05:00:00 +0100 5627964 http://www.medworm.com/index.php?rid=5627963&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%3D22268332%26dopt%3DAbstract Authors: Sharp CA, Bruce IN PMID: 22268332 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627963 Thu, 01 Dec 2011 05:00:00 +0100 5627963 http://www.medworm.com/index.php?rid=5627962&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%3D22268333%26dopt%3DAbstract Authors: Stachow E, Berry M, Johnston A PMID: 22268333 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627962 Thu, 01 Dec 2011 05:00:00 +0100 5627962 http://www.medworm.com/index.php?rid=5627961&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%3D22268334%26dopt%3DAbstract Authors: Nash EF, Kavanagh D, Williams S, Bikmalla S, Gray A, Whitehouse JL PMID: 22268334 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5627961 Thu, 01 Dec 2011 05:00:00 +0100 5627961 http://www.medworm.com/index.php?rid=5364336&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%3D22034695%26dopt%3DAbstract Authors: Goddard AF PMID: 22034695 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364336 Sat, 01 Oct 2011 04:00:00 +0100 5364336 http://www.medworm.com/index.php?rid=5364335&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%3D22034696%26dopt%3DAbstract Authors: Targett G PMID: 22034696 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364335 Sat, 01 Oct 2011 04:00:00 +0100 5364335 http://www.medworm.com/index.php?rid=5364334&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%3D22034697%26dopt%3DAbstract This study reviewed clinical practice in London and Scotland against national guidelines. All hospitals responsible for acute medical admissions completed a telephone survey (n = 25 London; n = 23 Scotland). All used an early warning system at point of entry to care. Eleven different systems were used in London and five in Scotland. Forty per cent of London hospitals and 70% of Scottish hospitals incorporated the minimum data set recommended by NICE. Overall, Scotland was closer to achieving standardisation. If NEWS is implemented, consideration of the NHS QIS approach may support a more consistent response. PMID: 22034697 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364334 Sat, 01 Oct 2011 04:00:00 +0100 5364334 http://www.medworm.com/index.php?rid=5364333&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%3D22034698%26dopt%3DAbstract Authors: Pearce S Abstract A foundation trust will usually elect one or more medical staff representatives to the board of governors. This person is likely to be the most influential member of that board through knowledge, experience and self-confidence. This paper outlines the experience of one medical staff governor and some of the ways in which it is possible to support colleagues as well as management. Most importantly the role can have a crucial watchdog function when major financial pressures impinge on resources. The role is ideally suited to a senior physician with reduced clinical commitments. It repays the time and trouble invested. PMID: 22034698 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364333 Sat, 01 Oct 2011 04:00:00 +0100 5364333 http://www.medworm.com/index.php?rid=5364332&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%3D22034699%26dopt%3DAbstract Authors: Middleton J PMID: 22034699 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364332 Sat, 01 Oct 2011 04:00:00 +0100 5364332 http://www.medworm.com/index.php?rid=5364331&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%3D22034700%26dopt%3DAbstract Authors: Gompels LL, Chinoy H, Devakumar V, Bax D, Mackworth-Young CG Abstract Significant changes to the structure and entry into specialist training continue to be implemented. This is likely to have had a long-term impact on rheumatology service provision and the proportion of trainees undertaking academic medicine. An online questionnaire was sent to all trainees on the Joint Royal Colleges Postgraduate Training Board (JRCPTB) database. Out of 211 trainees, 141 responded (66.8%). Of these, 33 (23%) were registered for, or had been awarded, an MD or PhD with a wide variety of funding sources. Mainstream funding sources included Arthritis Research UK, the Medical Research Council, the National Institute for Health Research and the Wellcome Trust, but a substantial number of train... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364331 Sat, 01 Oct 2011 04:00:00 +0100 5364331 http://www.medworm.com/index.php?rid=5364330&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%3D22034701%26dopt%3DAbstract Authors: Black D, Dewhurst G Abstract All physicians who are training young doctors of the future recognise the current challenge of doing this in the NHS. The recently published Temple Report documents the challenge and some of the solutions. For Kent, Surrey and Sussex (KSS) Deanery, one of the responses was to implement a new structure and process at local level--the local faculty groups (LFGs)--to ensure appropriate curriculum delivery. This paper sets out the history, structure and purpose of LFGs, describes what happens during a LFG meeting in both open and closed sessions and presents feedback of learning from two years in action across 11 acute trusts in the South East Coast (SEC) strategic health authority area. The experience of trainers in SEC is that the local faculty g... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364330 Sat, 01 Oct 2011 04:00:00 +0100 5364330 http://www.medworm.com/index.php?rid=5364329&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%3D22034702%26dopt%3DAbstract In conclusion, medical student-delivered teaching of alcohol education programmes to school pupils appears to be feasible and welcome by schools, teachers, pupils and medical students. PMID: 22034702 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364329 Sat, 01 Oct 2011 04:00:00 +0100 5364329 http://www.medworm.com/index.php?rid=5364328&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%3D22034703%26dopt%3DAbstract Authors: Egom EE, Chirico D, Clark AL Abstract There are numerous reports of thiazide-induced hyponatraemia (TIH) and its incidence is growing as a result of increasing prescription after guidelines recommending thiazides as first-line treatment of essential hypertension have been introduced. Thiazide diuretics are a common cause of severe hyponatraemia that is usually induced within two weeks of starting the thiazide diuretic, but it can occur any time and very rapidly in susceptible patients. Despite several relevant reports and years of clinical experience, TIH remains a very common clinical scenario. Although its impact has recently been reviewed, little attention has been given to the practical approach for preventing this medical complication. In the present review, the epide... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364328 Sat, 01 Oct 2011 04:00:00 +0100 5364328 http://www.medworm.com/index.php?rid=5364327&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%3D22034704%26dopt%3DAbstract This study assesses the impact of institution-wide policy changes on CEA performance in symptomatic patients. Between two study periods (1 January 2007 and 31 December 2007; 1 August 2008 and 31 July 2009) transient ischaemic attack (TIA) clinics, an acute stroke protocol and utilisation of vascular operating lists, were adopted. Following the changes, the interval between the INE and CEA fell from 23 (n = 65; interquartile range (IQR) 9-66) to 6.5 (n = 52; IQR 2-13.5) days (p < 0.001) with 32.3% v 82.7% performed within two weeks (p < 0.001). Significant improvements were seen in the time taken from onset of symptoms to presentation, and presentation to a carotid duplex and surgical review. Univariate analyses suggest this improvement is associated with the type of INE, point of pre... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364327 Sat, 01 Oct 2011 04:00:00 +0100 5364327 http://www.medworm.com/index.php?rid=5364326&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%3D22034705%26dopt%3DAbstract Authors: Brown C, Martineau F, Spry E, Yudkin JS Abstract The UK has recognised the important role its health professionals play in achieving the Millennium Development Goals. For doctors to contribute to these efforts without detracting from domestic service and training commitments presents a challenge. Moreover, doctors need suitable education in order to make appropriate and effective contributions in resource-poor settings. In this article it is argued that, while mechanisms exist within current UK postgraduate training that permit a degree of flexibility to training pathways, they are not structured in a way that facilitates work in low and middle income countries. Furthermore, the knowledge and skills required to make contributions to global health are not sufficiently serve... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364326 Sat, 01 Oct 2011 04:00:00 +0100 5364326 http://www.medworm.com/index.php?rid=5364325&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%3D22034706%26dopt%3DAbstract Authors: Polkey MI, Moxham J Abstract In chronic obstructive pulmonary disease (COPD) a pathophysiological cycle occurs such that locomotor muscle weakness and fatiguabilty exist, which in turn limit exercise performance both because of leg discomfort and also because anaerobic metabolism leads to lactic acid production. Since the lactic acid is buffered by bicarbonate there is consequent carbon dioxide (CO2) production. Patients with advanced COPD are flow limited and cannot excrete the CO2 by raising ventilation and thus these patients experience breathlessness which discourages exercise and, in turn, prompts further deconditioning. Structured exercise, termed pulmonary rehabilitation is at the core of reversing the cycle but novel strategies should be employed for patients with ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364325 Sat, 01 Oct 2011 04:00:00 +0100 5364325 http://www.medworm.com/index.php?rid=5364324&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%3D22034707%26dopt%3DAbstract Authors: Roberts LN, Arya R PMID: 22034707 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364324 Sat, 01 Oct 2011 04:00:00 +0100 5364324 http://www.medworm.com/index.php?rid=5364323&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%3D22034708%26dopt%3DAbstract Authors: Breen KA, Hunt BJ PMID: 22034708 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364323 Sat, 01 Oct 2011 04:00:00 +0100 5364323 http://www.medworm.com/index.php?rid=5364322&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%3D22034709%26dopt%3DAbstract Authors: Hilson A PMID: 22034709 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364322 Sat, 01 Oct 2011 04:00:00 +0100 5364322 http://www.medworm.com/index.php?rid=5364321&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%3D22034710%26dopt%3DAbstract Authors: Lulsegged A, Saeed E, Langford E, Duffield C, El-Hasani S, Pareek N PMID: 22034710 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364321 Sat, 01 Oct 2011 04:00:00 +0100 5364321 http://www.medworm.com/index.php?rid=5364320&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%3D22034711%26dopt%3DAbstract Authors: Derry CP, Wilkie MD, Al-Shahi Salman R, Davenport RJ Abstract Autoimmune limbic encephalitis is an increasingly recognised cause of cognitive decline and confusion. The typical presentation is with subacute cognitive decline, behavioural disturbance and seizures. Magnetic resonance imaging may show characteristic changes in the medial temporal regions. The diagnosis is confirmed by identification of elevated voltage-gated potassium channel antibody (VGKC-Ab) titres. It is a highly treatable condition, often responding well to intravenous immunoglobulin or steroids. Recognition of autoimmune limbic encephalitis is sometimes delayed--usually because the diagnosis has not been considered--which can result in long-term neurological consequences. PMID: 22034711 [PubMed - in... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364320 Sat, 01 Oct 2011 04:00:00 +0100 5364320 http://www.medworm.com/index.php?rid=5364319&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%3D22034712%26dopt%3DAbstract Authors: Brown M PMID: 22034712 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364319 Sat, 01 Oct 2011 04:00:00 +0100 5364319 http://www.medworm.com/index.php?rid=5364318&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%3D22034713%26dopt%3DAbstract Authors: Whitehorn J, Farrar J PMID: 22034713 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364318 Sat, 01 Oct 2011 04:00:00 +0100 5364318 http://www.medworm.com/index.php?rid=5364317&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%3D22034714%26dopt%3DAbstract Authors: Kelly P PMID: 22034714 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364317 Sat, 01 Oct 2011 04:00:00 +0100 5364317 http://www.medworm.com/index.php?rid=5364316&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%3D22034715%26dopt%3DAbstract Authors: Moore EM, Lockwood DN Abstract Leishmaniasis is an uncommon infectious disease in the UK with a variety of clinical presentations. Physicians should remember to consider this diagnosis in patients with an appropriate travel history (including the Mediterranean basin) and seek help with diagnostics from a specialised parasitology laboratory. Treatment regimens may be unfamiliar to the general physician, and thus should also be discussed with an expert. PMID: 22034715 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364316 Sat, 01 Oct 2011 04:00:00 +0100 5364316 http://www.medworm.com/index.php?rid=5364315&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%3D22034716%26dopt%3DAbstract Authors: Akinosoglou KA, Pasvo G PMID: 22034716 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364315 Sat, 01 Oct 2011 04:00:00 +0100 5364315 http://www.medworm.com/index.php?rid=5364314&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%3D22034717%26dopt%3DAbstract Authors: Konda S PMID: 22034717 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364314 Sat, 01 Oct 2011 04:00:00 +0100 5364314 http://www.medworm.com/index.php?rid=5364313&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%3D22034718%26dopt%3DAbstract Authors: Shah BN, Foster W, Yue A, Corbett S PMID: 22034718 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364313 Sat, 01 Oct 2011 04:00:00 +0100 5364313 http://www.medworm.com/index.php?rid=5364312&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%3D22034719%26dopt%3DAbstract Authors: Burns-Cox C PMID: 22034719 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364312 Sat, 01 Oct 2011 04:00:00 +0100 5364312 http://www.medworm.com/index.php?rid=5364311&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%3D22034720%26dopt%3DAbstract Authors: Garg P, Ashrafi R, McKay E, Davis G PMID: 22034720 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364311 Sat, 01 Oct 2011 04:00:00 +0100 5364311 http://www.medworm.com/index.php?rid=5364310&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%3D22034721%26dopt%3DAbstract Authors: Madan A PMID: 22034721 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364310 Sat, 01 Oct 2011 04:00:00 +0100 5364310 http://www.medworm.com/index.php?rid=5364309&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%3D22034722%26dopt%3DAbstract Authors: Dudley N PMID: 22034722 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364309 Sat, 01 Oct 2011 04:00:00 +0100 5364309 http://www.medworm.com/index.php?rid=5364308&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%3D22034723%26dopt%3DAbstract Authors: Patel M PMID: 22034723 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364308 Sat, 01 Oct 2011 04:00:00 +0100 5364308 http://www.medworm.com/index.php?rid=5364307&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%3D22034724%26dopt%3DAbstract Authors: Watson P, Gaffney K PMID: 22034724 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364307 Sat, 01 Oct 2011 04:00:00 +0100 5364307 http://www.medworm.com/index.php?rid=5364306&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%3D22034725%26dopt%3DAbstract Authors: Smith SM, Bell D, Hopkinson NS, Valentine J, Shaw EL, Partridge MR, Elkini SL PMID: 22034725 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364306 Sat, 01 Oct 2011 04:00:00 +0100 5364306 http://www.medworm.com/index.php?rid=5364305&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%3D22034726%26dopt%3DAbstract Authors: Booth JA, Booth C, Crawford SM PMID: 22034726 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5364305 Sat, 01 Oct 2011 04:00:00 +0100 5364305 http://www.medworm.com/index.php?rid=5164749&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%3D21853820%26dopt%3DAbstract Authors: Trebble TM, Hydes T PMID: 21853820 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164749 Sun, 31 Jul 2011 23:00:00 +0100 5164749 http://www.medworm.com/index.php?rid=5164748&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%3D21853821%26dopt%3DAbstract Authors: Scarpello J PMID: 21853821 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164748 Sun, 31 Jul 2011 23:00:00 +0100 5164748 http://www.medworm.com/index.php?rid=5164747&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%3D21853822%26dopt%3DAbstract This study aimed to compare interventions made by pharmacists attending consultant-led ward rounds in addition to providing a ward pharmacy service, with those made by pharmacists providing a word pharmacy service alone. A prospective non-randomised controlled study on five inpatient medical wards was carried out at two teaching hospitals. A mean of 1.73 physician-accepted interventions were made per patient for the study group, compared to 0.89 for the control (Mann Whitney U, p < 0.001) with no difference between groups in the nature or clinical importance of the interventions. One physician-accepted intervention was made every eight minutes during the consultant-led ward rounds, compared to one every 63 minutes during a ward pharmacist visit. Pharmacists attending consultant-led ward... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164747 Sun, 31 Jul 2011 23:00:00 +0100 5164747 http://www.medworm.com/index.php?rid=5164746&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%3D21853823%26dopt%3DAbstract In this study of case records of patients admitted to hospital as emergencies, some key factors that may underlie diagnostic errors were assessed. From these observations, possibilities for improving the quality of diagnosis and the planning of subsequent care are explored. This paper shows that cognitive biases, believed to distort diagnostic conclusions, can be applied quite specifically to stages in clinical care. These observations led to the proposal of a clinical assessment with a method designed to encourage analytical reasoning. In addition, minor defects in standard practice are shown to adversely influence diagnosis. The findings of this study offer possible means of improving the quality of diagnosis and subsequent patient care, and perhaps pave the way for prospective studies. ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164746 Sun, 31 Jul 2011 23:00:00 +0100 5164746 http://www.medworm.com/index.php?rid=5164745&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%3D21853824%26dopt%3DAbstract Authors: Vaughan L, McAlister G, Bell D Abstract An electronic survey was used to assess perceptions of the disruption caused by the August transition and explore support for possible solutions. In total, 763 responses from members and fellows of the Royal College of Physicians of Edinburgh and the Society of Acute Medicine were received. The majority perceived the August transition to have a negative impact on patient care (93.1%), patient safety (90.4%) and training (57.8%) for a period of up to one month. In total 680/737 respondents wished to shift away from a single changeover day, with strong support for a staggered changeover by grade. Changes to consultant working practices were felt to be beneficial, especially the cancellation of outpatient clinics (75%) and the restricti... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164745 Sun, 31 Jul 2011 23:00:00 +0100 5164745 http://www.medworm.com/index.php?rid=5164744&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%3D21853825%26dopt%3DAbstract Authors: Watkins PJ PMID: 21853825 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164744 Sun, 31 Jul 2011 23:00:00 +0100 5164744 http://www.medworm.com/index.php?rid=5164743&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%3D21853826%26dopt%3DAbstract Authors: Britnell M PMID: 21853826 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164743 Sun, 31 Jul 2011 23:00:00 +0100 5164743 http://www.medworm.com/index.php?rid=5164742&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%3D21853827%26dopt%3DAbstract Authors: Dixon M PMID: 21853827 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164742 Sun, 31 Jul 2011 23:00:00 +0100 5164742 http://www.medworm.com/index.php?rid=5164741&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%3D21853828%26dopt%3DAbstract Authors: Brims FJ, Asiimwe A, Andrews NP, Prytherch D, Higgins BR, Kilburn S, Chauhan AJ Abstract Historically, acute medical staffing numbers have been lower on weekends and in winter numbers of medical admissions rise. An analysis of acute exacerbations of chronic obstructive pulmonary disease (AECOPD) admissions to Portsmouth Hospitals over a seven-year period was undertaken to examine the effects of admission on a weekend, of winter, and with the opening of a medical admissions unit (MAU). In total, 9,915 admissions with AECOPD were identified. Weekend admissions accounted for 2,071 (20.9%) of cases, winter accounted for 3,026 (30.5%) admissions, and 522 (34.4%) deaths. Adjusted odds ratio (OR) for death on day 1 after winter weekend admission was 2.89 (95% confidence interval ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164741 Sun, 31 Jul 2011 23:00:00 +0100 5164741 http://www.medworm.com/index.php?rid=5164740&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%3D21853829%26dopt%3DAbstract Authors: Pearce JM PMID: 21853829 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164740 Sun, 31 Jul 2011 23:00:00 +0100 5164740 http://www.medworm.com/index.php?rid=5164739&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%3D21853830%26dopt%3DAbstract This article explores the long recognised but underappreciated connection between the two, revealing that DM makes a substantial contribution to the burden of incident TB around the world and may also worsen TB severity and treatment outcome. The dual management of the diseases may be challenging but must be addressed, both in low and high income settings, because the rising worldwide diabetes burden poses a threat to global TB control. PMID: 21853830 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164739 Sun, 31 Jul 2011 23:00:00 +0100 5164739 http://www.medworm.com/index.php?rid=5164738&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%3D21853831%26dopt%3DAbstract Authors: Allan N, Bell D, Pittard A Abstract The aim of this study was to audit cardiac arrest documentation within a UK teaching hospital, survey the regional use of proformas for data collection, and consider the need for a standardised national template. A prospective audit comparing cardiac arrest documentation to General Medical Council (GMC) professional standards and the 'Utstein' fields was carried out, along with a survey of regional resuscitation officers for the use of standardised templates. The main outcome measures were the design of 'best practice' template using GMC guidelines and the 'Utstein' fields. An audit of medical notes involving a cardiac arrest call against the template was performed. There was limited documentation concerning process, events and outcome o... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164738 Sun, 31 Jul 2011 23:00:00 +0100 5164738 http://www.medworm.com/index.php?rid=5164737&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%3D21853832%26dopt%3DAbstract Authors: Friedland JS PMID: 21853832 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164737 Sun, 31 Jul 2011 23:00:00 +0100 5164737 http://www.medworm.com/index.php?rid=5164736&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%3D21853833%26dopt%3DAbstract Authors: Drew O, Patel R PMID: 21853833 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164736 Sun, 31 Jul 2011 23:00:00 +0100 5164736 http://www.medworm.com/index.php?rid=5164735&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%3D21853834%26dopt%3DAbstract Authors: Wilson M PMID: 21853834 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164735 Sun, 31 Jul 2011 23:00:00 +0100 5164735 http://www.medworm.com/index.php?rid=5164734&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%3D21853835%26dopt%3DAbstract Authors: Conroy S PMID: 21853835 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164734 Sun, 31 Jul 2011 23:00:00 +0100 5164734 http://www.medworm.com/index.php?rid=5164733&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%3D21853836%26dopt%3DAbstract Authors: Srirangalingam U, Selvaratnam R, Monson JP, Grossman AB PMID: 21853836 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164733 Sun, 31 Jul 2011 23:00:00 +0100 5164733 http://www.medworm.com/index.php?rid=5164732&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%3D21853837%26dopt%3DAbstract Authors: Sen Gupta P, Crofts M, Antrobus K, Anderson JV PMID: 21853837 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164732 Sun, 31 Jul 2011 23:00:00 +0100 5164732 http://www.medworm.com/index.php?rid=5164731&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%3D21853838%26dopt%3DAbstract Authors: O'Driscoll BR, Howard LS, Davison AG, Abstract There is considerable controversy concerning the benefits and risks of oxygen treatment in many situations and healthcare professionals receive conflicting advice about safe oxygen use. The British Thoracic Society (BTS) has published up-to-date, evidence-based guidelines for emergency oxygen use in the UK in order to encourage the safe use of oxygen in emergency situations and improve consistency of clinical practice. The purpose of this concise guideline is to summarise the key recommendations, particularly concerning emergency oxygen use in the hospital setting. PMID: 21853838 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164731 Sun, 31 Jul 2011 23:00:00 +0100 5164731 http://www.medworm.com/index.php?rid=5164730&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%3D21853839%26dopt%3DAbstract Authors: Ali FR PMID: 21853839 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164730 Sun, 31 Jul 2011 23:00:00 +0100 5164730 http://www.medworm.com/index.php?rid=5164729&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%3D21853840%26dopt%3DAbstract Authors: Huissoon AP, Krishna MT PMID: 21853840 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164729 Sun, 31 Jul 2011 23:00:00 +0100 5164729 http://www.medworm.com/index.php?rid=5164728&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%3D21853841%26dopt%3DAbstract Authors: Johnston SL PMID: 21853841 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164728 Sun, 31 Jul 2011 23:00:00 +0100 5164728 http://www.medworm.com/index.php?rid=5164727&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%3D21853842%26dopt%3DAbstract Authors: Spickett GP, Stroud C PMID: 21853842 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164727 Sun, 31 Jul 2011 23:00:00 +0100 5164727 http://www.medworm.com/index.php?rid=5164726&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%3D21853843%26dopt%3DAbstract Authors: Savic S, Wood P PMID: 21853843 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164726 Sun, 31 Jul 2011 23:00:00 +0100 5164726 http://www.medworm.com/index.php?rid=5164725&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%3D21853844%26dopt%3DAbstract Authors: Yeap PM, Tziotzios C, McMillan N, Walters M PMID: 21853844 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164725 Sun, 31 Jul 2011 23:00:00 +0100 5164725 http://www.medworm.com/index.php?rid=5164724&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%3D21853845%26dopt%3DAbstract Authors: Matos AC, Srirangalingam U, Barry T, Grossman AB PMID: 21853845 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164724 Sun, 31 Jul 2011 23:00:00 +0100 5164724 http://www.medworm.com/index.php?rid=5164723&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%3D21853846%26dopt%3DAbstract Authors: Sandilands E, Bateman N PMID: 21853846 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164723 Sun, 31 Jul 2011 23:00:00 +0100 5164723 http://www.medworm.com/index.php?rid=5164722&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%3D21853847%26dopt%3DAbstract Authors: Wilmshurst P PMID: 21853847 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164722 Sun, 31 Jul 2011 23:00:00 +0100 5164722 http://www.medworm.com/index.php?rid=5164721&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%3D21853848%26dopt%3DAbstract Authors: Chandrasekara H, Marsh J, O'Brien S, Hardy K PMID: 21853848 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164721 Sun, 31 Jul 2011 23:00:00 +0100 5164721 http://www.medworm.com/index.php?rid=5164720&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%3D21853849%26dopt%3DAbstract Authors: Kurien M, Sanders DS PMID: 21853849 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164720 Sun, 31 Jul 2011 23:00:00 +0100 5164720 http://www.medworm.com/index.php?rid=5164719&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%3D21853850%26dopt%3DAbstract Authors: Patel K, Perkins L, Mann S PMID: 21853850 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164719 Sun, 31 Jul 2011 23:00:00 +0100 5164719 http://www.medworm.com/index.php?rid=5164718&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%3D21853851%26dopt%3DAbstract Authors: Dainty P, Elizabeth J PMID: 21853851 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164718 Sun, 31 Jul 2011 23:00:00 +0100 5164718 http://www.medworm.com/index.php?rid=5164717&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%3D21853852%26dopt%3DAbstract Authors: Abayaratne D, Babu S, McCulloch A, Dufus C, Kurukulaaratchy R PMID: 21853852 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164717 Sun, 31 Jul 2011 23:00:00 +0100 5164717 http://www.medworm.com/index.php?rid=5164716&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%3D21858944%26dopt%3DAbstract Authors: Guha K PMID: 21858944 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164716 Sun, 31 Jul 2011 23:00:00 +0100 5164716 http://www.medworm.com/index.php?rid=5164715&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%3D21858945%26dopt%3DAbstract Authors: Glazier JJ PMID: 21858945 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164715 Sun, 31 Jul 2011 23:00:00 +0100 5164715 http://www.medworm.com/index.php?rid=5164714&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%3D21858946%26dopt%3DAbstract Authors: Capel M, Gazi T, Finlay I PMID: 21858946 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=5164714 Sun, 31 Jul 2011 23:00:00 +0100 5164714 http://www.medworm.com/index.php?rid=4775978&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%3D21526684%26dopt%3DAbstract Authors: Allan R PMID: 21526684 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775978 Thu, 31 Mar 2011 23:00:00 +0100 4775978 http://www.medworm.com/index.php?rid=4775977&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%3D21526685%26dopt%3DAbstract Authors: Weinberger S, Holmboe E, Cheshire M, Ingham J PMID: 21526685 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775977 Thu, 31 Mar 2011 23:00:00 +0100 4775977 http://www.medworm.com/index.php?rid=4775976&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%3D21526686%26dopt%3DAbstract Authors: Thompson D, Mathieson P, Wynick D, Griffin G, Evans T, PMID: 21526686 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775976 Thu, 31 Mar 2011 23:00:00 +0100 4775976 http://www.medworm.com/index.php?rid=4775975&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%3D21526687%26dopt%3DAbstract Authors: Woolhouse I PMID: 21526687 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775975 Thu, 31 Mar 2011 23:00:00 +0100 4775975 http://www.medworm.com/index.php?rid=4775974&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%3D21526688%26dopt%3DAbstract Authors: Easterbrook PJ PMID: 21526688 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775974 Thu, 31 Mar 2011 23:00:00 +0100 4775974 http://www.medworm.com/index.php?rid=4775973&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%3D21526689%26dopt%3DAbstract Authors: Glynn N, Bennett K, Silke B There is increasing emphasis on prevention of emergency medical readmissions. The broad pattern of acute medical readmissions was studied over a seven-year period and the impact of any readmission on 30-day mortality was recorded. Significant predictors of outcome, including co-morbidity and illness severity score, were entered into a multivariate regression model, adjusting the univariate estimates of the readmission status on mortality. In total, 23,114 consecutive acute medical patients were admitted between 2002-8; the overall readmission rate was 27%. Readmission independently predicted an increased 30-day mortality; the odds ratio, was 1.12 (95% confidence interval (CI) 1.09 to 1.14). This fell to 1.05 (95% CI 1.02 to 1.08) when adjusted for o... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775973 Thu, 31 Mar 2011 23:00:00 +0100 4775973 http://www.medworm.com/index.php?rid=4775972&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%3D21526690%26dopt%3DAbstract The objective of this study was to describe the provision of consultant rheumatology services and the pattern of inequalities in UK rheumatology service provision, and to summarise the five-year impact of the new NHS consultant contract and the Musculoskeletal Services Framework in England and Wales. All consultants on the British Society for Rheumatology/Arthritis Research UK Consultant Workforce Register in January 2007 and January 2009 were sent questionnaires about timetable and working conditions and the personal and job-related details currently held about them on the register. Response rates were 87% in 2007 and 86% in 2009. The number of whole-time equivalent (WTE) rheumatologists in the UK increased from 470 to 531 (13%). Levels of provision in 2009 were lower in Scotland (1 WTE p... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775972 Thu, 31 Mar 2011 23:00:00 +0100 4775972 http://www.medworm.com/index.php?rid=4775971&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%3D21526691%26dopt%3DAbstract This article illustrates the potential of these programmes but also urges caution when assessing the success of these schemes both from an individual and organisational perspective. PMID: 21526691 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775971 Thu, 31 Mar 2011 23:00:00 +0100 4775971 http://www.medworm.com/index.php?rid=4775970&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%3D21526692%26dopt%3DAbstract Authors: Griffiths P, Anderson A, Coyne C, Beastall H, Hill J This paper describes the implementation of an interprofessional patient record (IPPR) at Sheffield Teaching Hospitals NHS Foundation Trust (STHFT). The IPPR was a two-year project, commencing in May 2008, aimed at creating a single IPPR to which all staff contribute. Prior to the IPPR, records were profession specific with nursing, medical and therapy staff keeping separate ones. This paper describes the process for the project including the stakeholder engagement plan, the development of IPPR standards, the education and training programme and the key measures used to assess implementation. The staff survey and clinical audit data suggest that the IPPR was successfully implemented with many of the perceived benefits realise... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775970 Thu, 31 Mar 2011 23:00:00 +0100 4775970 http://www.medworm.com/index.php?rid=4775969&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%3D21526693%26dopt%3DAbstract Authors: Skitt LC, Hurley JJ, Turner JK, Green AJ, Pinch N, Dolwani S, Swift GL, Green T During their careers, most general physicians are involved in the decision-making process for patients that potentially require percutaneous endoscopic gastrostomy (PEG) insertion. However, poor patient selection and less than favourable outcomes are frequently observed in this group. With the aim of identifying and addressing the underlying issues, the PEG service at University Hospital Llandough was radically changed over an eight-year period. The development of a nurse-led pre-assessment service and design of a specific referral form was successful in reducing the number of PEG referrals and consequently the 30-day mortality rate. Furthermore, the educational and training needs of general physic... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775969 Thu, 31 Mar 2011 23:00:00 +0100 4775969 http://www.medworm.com/index.php?rid=4775968&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%3D21526694%26dopt%3DAbstract This study aimed to ascertain the value of posters at medical meetings to presenters and delegates. The usefulness of posters to presenters at national and international meetings was evaluated by assessing the numbers of delegates visiting them and the reasons why they visited. Memorability of selected posters was assessed and factors influencing their appeal to expert delegates identified. At both the national and international meetings, very few delegates (< 5%) visited posters. Only a minority read them and fewer asked useful questions. Recall of content was so poor that it prevented identification of factors improving their memorability. Factors increasing posters' visual appeal included their scientific content, pictures/graphs and limited use of words. Few delegates visit posters ... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775968 Thu, 31 Mar 2011 23:00:00 +0100 4775968 http://www.medworm.com/index.php?rid=4775967&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%3D21526695%26dopt%3DAbstract Authors: Atkinson S, Sachedina N, King J, Mak M, Morganstein L, Mytton OT, Thomas J This paper presents an analysis of the views and ideas generated at a recent health policy discussion for doctors in training. This provides an illustration of the creativity and enthusiasm that trainees can bring to the policy sphere by providing unique insights and a fresh perspective. PMID: 21526695 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775967 Thu, 31 Mar 2011 23:00:00 +0100 4775967 http://www.medworm.com/index.php?rid=4775966&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%3D21526696%26dopt%3DAbstract Authors: Hutchinson T, Young J, Forsyth D The National Service Framework for Older People resulted in the widespread introduction of intermediate care (IC) services. However, although these services have shared common aims, there has been considerable diversity in their staffing, organisation and delivery. Concerns have been raised regarding the clinical governance of IC with a paucity of data to evaluate the effectiveness, quality and safety of these services. This paper presents the results of a national pilot audit of IC services focusing particularly on clinical governance issues. The results confirm these concerns and provide support for a larger scale national audit of IC services to monitor and improve care quality. PMID: 21526696 [PubMed - in process] (Source: Clinical Medi... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775966 Thu, 31 Mar 2011 23:00:00 +0100 4775966 http://www.medworm.com/index.php?rid=4775965&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%3D21526697%26dopt%3DAbstract Authors: Elliott MW Non-invasive ventilation (NIV) has become the standard of care for most patients with ventilatory failure due to an acute exacerbation of chronic obstructive pulmonary disease (COPD). In all but a small minority, even of the very sickest, there is little to be lost by at least a short trial of NIV. In patients with acute cardiogenic pulmonary oedema, NIV results in a more rapid physiological improvement and resolution of dyspnoea, but the benefits in terms of survival have been called into question by two recent randomised controlled trials. There are no randomised controlled trials of NIV in patients with acute ventilatory failure due to obesity but the outcome from invasive ventilation is poor and the results of NIV encouraging. Finally, NIV may have a role during... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775965 Thu, 31 Mar 2011 23:00:00 +0100 4775965 http://www.medworm.com/index.php?rid=4775964&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%3D21526698%26dopt%3DAbstract Authors: Savage MW PMID: 21526698 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775964 Thu, 31 Mar 2011 23:00:00 +0100 4775964 http://www.medworm.com/index.php?rid=4775963&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%3D21526699%26dopt%3DAbstract Authors: Sheares KK Acute PE is a cardiovascular emergency and early risk stratification is important in the management of these patients. Pre-test clinical prediction models together with D-dimer assays help select those who require imaging. Each hospital should develop a strategy for investigating patients with suspected PE depending on local expertise, resources and the patient population. PMID: 21526699 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775963 Thu, 31 Mar 2011 23:00:00 +0100 4775963 http://www.medworm.com/index.php?rid=4775962&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%3D21526700%26dopt%3DAbstract Authors: Martin FC PMID: 21526700 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775962 Thu, 31 Mar 2011 23:00:00 +0100 4775962 http://www.medworm.com/index.php?rid=4775961&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%3D21526701%26dopt%3DAbstract Authors: Conn HO The incidence of idiopathic normal pressure hydrocephalus (INPH) is seen to be relatively rare, ie about two per million inhabitants per year. Five studies on the prevalence of INPH in elderly patients, from three countries, have been published between 1985 and 2009.1-5 Prevalence ranged from 0.41% to 2.94% (mean 0.8%), ie slightly less than one per 100 based on samples ranging from 170 to 982 subjects. This surprisingly high percentage was not found in a survey that attempted to identify every person with INPH in a small county in Norway with a population of 219,748. Attempts to identify all patients with INPH overlook many cases. INPH is actually a very common disease and its prevalence increases with age. PMID: 21526701 [PubMed - in process] (Source: Clinical Me... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775961 Thu, 31 Mar 2011 23:00:00 +0100 4775961 http://www.medworm.com/index.php?rid=4775960&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%3D21526702%26dopt%3DAbstract Authors: Evans JG PMID: 21526702 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775960 Thu, 31 Mar 2011 23:00:00 +0100 4775960 http://www.medworm.com/index.php?rid=4775959&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%3D21526703%26dopt%3DAbstract Authors: Kirkwood TB PMID: 21526703 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775959 Thu, 31 Mar 2011 23:00:00 +0100 4775959 http://www.medworm.com/index.php?rid=4775958&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%3D21526704%26dopt%3DAbstract Authors: Lamb S PMID: 21526704 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775958 Thu, 31 Mar 2011 23:00:00 +0100 4775958 http://www.medworm.com/index.php?rid=4775957&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%3D21526705%26dopt%3DAbstract Authors: Jones R, Jones J, Causer J, Ewins D, Goenka N, Joseph F PMID: 21526705 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775957 Thu, 31 Mar 2011 23:00:00 +0100 4775957 http://www.medworm.com/index.php?rid=4775956&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%3D21526706%26dopt%3DAbstract Authors: Day CP PMID: 21526706 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775956 Thu, 31 Mar 2011 23:00:00 +0100 4775956 http://www.medworm.com/index.php?rid=4775955&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%3D21526707%26dopt%3DAbstract Authors: Fallowfield J, Hayes P PMID: 21526707 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775955 Thu, 31 Mar 2011 23:00:00 +0100 4775955 http://www.medworm.com/index.php?rid=4775954&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%3D21526708%26dopt%3DAbstract Authors: Cowan ML, Thomas HC, Foster GR PMID: 21526708 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775954 Thu, 31 Mar 2011 23:00:00 +0100 4775954 http://www.medworm.com/index.php?rid=4775953&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%3D21526709%26dopt%3DAbstract Authors: Stubbs MA, Morgan MY PMID: 21526709 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775953 Thu, 31 Mar 2011 23:00:00 +0100 4775953 http://www.medworm.com/index.php?rid=4775952&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%3D21526710%26dopt%3DAbstract Authors: Arulraj R, Neuberger J PMID: 21526710 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775952 Thu, 31 Mar 2011 23:00:00 +0100 4775952 http://www.medworm.com/index.php?rid=4775951&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%3D21526711%26dopt%3DAbstract Authors: Watkins S, Holmes PA, Howard RS This lesson describes a patient who had a cardiac arrest during an episode of status epilepticus provoked by a first fit. This is an exceptional sequence of events and should lead to investigation for an underlying cause. Unsuspected cocaine abuse is common and may provoke prolonged status epilepticus, particularly if there is a low seizure threshold. A toxic screen should be undertaken in all patients presenting with unexplained status epilepticus even if abuse of illicit substances is denied. PMID: 21526711 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775951 Thu, 31 Mar 2011 23:00:00 +0100 4775951 http://www.medworm.com/index.php?rid=4775950&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%3D21526712%26dopt%3DAbstract Authors: Cooper RM, Magrath AF, Modi S, Somauroo JD Frequently patients with coronary artery disease (CAD) present with chest pain. Anginal equivalents such as dyspnoea and fatigue, or radiation of pain to the neck, jaw and arm, are also well described. Absence of chest pain with chronic left arm and neck pain is more unusual but demonstrates the heterogeneity of presentation. CAD should be considered in those anginal equivalents in the absence of 'strangling and anxiety of the breast'. PMID: 21526712 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775950 Thu, 31 Mar 2011 23:00:00 +0100 4775950 http://www.medworm.com/index.php?rid=4775949&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%3D21526713%26dopt%3DAbstract Authors: Connolly CK PMID: 21526713 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775949 Thu, 31 Mar 2011 23:00:00 +0100 4775949 http://www.medworm.com/index.php?rid=4775948&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%3D21526714%26dopt%3DAbstract Authors: Gorringe A, King J, Whitehurst E, Murray D, Leonard P PMID: 21526714 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775948 Thu, 31 Mar 2011 23:00:00 +0100 4775948 http://www.medworm.com/index.php?rid=4775947&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%3D21526715%26dopt%3DAbstract Authors: Parks T, Kingham E, McEwen D, Cooper S PMID: 21526715 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775947 Thu, 31 Mar 2011 23:00:00 +0100 4775947 http://www.medworm.com/index.php?rid=4775946&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%3D21528508%26dopt%3DAbstract Authors: Khan A, Garg P PMID: 21528508 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775946 Thu, 31 Mar 2011 23:00:00 +0100 4775946 http://www.medworm.com/index.php?rid=4775945&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%3D21528509%26dopt%3DAbstract Authors: Ala L, Hughes T PMID: 21528509 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4775945 Thu, 31 Mar 2011 23:00:00 +0100 4775945 http://www.medworm.com/index.php?rid=4670800&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%3D21404771%26dopt%3DAbstract Authors: Allan R PMID: 21404771 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670800 Tue, 01 Feb 2011 00:00:00 +0100 4670800 http://www.medworm.com/index.php?rid=4670799&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%3D21404772%26dopt%3DAbstract Authors: Adshead F PMID: 21404772 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670799 Tue, 01 Feb 2011 00:00:00 +0100 4670799 http://www.medworm.com/index.php?rid=4670798&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%3D21404773%26dopt%3DAbstract Authors: Collin C PMID: 21404773 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670798 Tue, 01 Feb 2011 00:00:00 +0100 4670798 http://www.medworm.com/index.php?rid=4670797&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%3D21404774%26dopt%3DAbstract Authors: Henderson P, Satsangi J PMID: 21404774 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670797 Tue, 01 Feb 2011 00:00:00 +0100 4670797 http://www.medworm.com/index.php?rid=4670796&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%3D21404775%26dopt%3DAbstract Authors: Petkar S, Bell W, Rice N, Iddon P, Cooper P, McKee D, Curtis N, Hanley M, Stuart J, Mackway Jones K, Fitzpatrick AP Transient loss of consciousness (T-LOC), or blackout, is common in acute medicine. Clinical skills are not done well, with at least 74,000 patients misdiagnosed and mistreated for epilepsy in England alone. The aim of this study was to provide a rapid, structured assessment and an electrocardiogram (ECG) for patients with blackouts, aiming to identify high risk, reduce misdiagnoses, reduce hospital admission rates for low-risk patients, diagnose and treat where appropriate, and also provide onward specialist referral. The majority of patients had syncope, and very few had epilepsy. A high proportion had an abnormal ECG. A specialist-nurse-led rapid access blackou... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670796 Tue, 01 Feb 2011 00:00:00 +0100 4670796 http://www.medworm.com/index.php?rid=4670795&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%3D21404776%26dopt%3DAbstract Authors: Woodmansey P PMID: 21404776 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670795 Tue, 01 Feb 2011 00:00:00 +0100 4670795 http://www.medworm.com/index.php?rid=4670794&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%3D21404777%26dopt%3DAbstract Authors: Herring R, Desai T, Caldwell G In April 2009 a 'considerative checklist' was developed to ensure that all important aspects of care on a team's routine and post-take general internal medicine ward rounds had been addressed and in order to answer the question: How long should a ward round take, when conducted to high standards of quality and safety at the point of care? The checklist has been used on 120 ward rounds: 90 routine ward rounds and 30 post-take ward rounds. Overall, the average time per patient was 12 minutes (10 minutes on routine rounds and 14 minutes on post-take rounds). The considerative checklist has encouraged and enabled documented evidence of high quality and safe medical care, and anecdotally improved team working, communication with patients, and team and... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670794 Tue, 01 Feb 2011 00:00:00 +0100 4670794 http://www.medworm.com/index.php?rid=4670793&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%3D21404778%26dopt%3DAbstract This article presents the results from a Department of Health-funded pilot into the use of a CPST designed for recruitment to the acute specialties (AS). The pilot paper consisted of 99 items from the validated GP question bank and 40 new items aimed specifically at topics of relevance to AS training. The CPST successfully differentiated between applicants. The overall test and the GP section showed high internal reliability, whereas the AS pilot section performed less well. A detailed item analysis revealed that the AS pilot items were, on average, more difficult and of poorer quality than the GP items. Important issues that need to be addressed in the early development phase of a test used for high stakes selection to specialty training programmes are discussed. PMID: 21404778 [PubMe... Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670793 Tue, 01 Feb 2011 00:00:00 +0100 4670793 http://www.medworm.com/index.php?rid=4670792&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%3D21404779%26dopt%3DAbstract This article explores the role of a GP with a special interest in acute medicine working with secondary care. The reasons why such a role may be helpful are outlined. Philosophies within primary and secondary care are explored and system changes explained. It is argued that while the primary/secondary care interface is widening, objectives on both sides are the same. It is suggested that future training programmes should allow enough flexibility for this role to evolve. PMID: 21404779 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670792 Tue, 01 Feb 2011 00:00:00 +0100 4670792 http://www.medworm.com/index.php?rid=4670791&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%3D21404780%26dopt%3DAbstract This article describes an analysis of the National Reporting and Learning System database of patient safety incidents concerning insulin reported from NHS providers in England and Wales over six years. The main causes are discussed and the ongoing developments by the National Patient Safety Agency and partner organisations to reduce insulin errors are described. PMID: 21404780 [PubMed - in process] (Source: Clinical Medicine) Clinical Medicine journals http://www.medworm.com/rss/comments.php?id=4670791 Tue, 01 Feb 2011 00:00:00 +0100 4670791