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High success, low 30-day mortality and prolonged survival following PEG insertion in motor neurone disease patients undergoing multidisciplinary clinic review. 接受多学科门诊复查的运动神经元病患者在插入 PEG 后,成功率高,30 天死亡率低,存活时间长。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.23-6-s28
Ching Cheng Daniel Hsieh, A Daniel Pearl, Emma Wesley
{"title":"High success, low 30-day mortality and prolonged survival following PEG insertion in motor neurone disease patients undergoing multidisciplinary clinic review.","authors":"Ching Cheng Daniel Hsieh, A Daniel Pearl, Emma Wesley","doi":"10.7861/clinmed.23-6-s28","DOIUrl":"https://doi.org/10.7861/clinmed.23-6-s28","url":null,"abstract":"","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 Suppl 6 ","pages":"28-29"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study. 严重脑外伤后脑脊液半乳糖苷-3 的时间分布及相关细胞因子反应:一项回顾性研究。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.23-6-s81
Melisa Cetin, Ping Yip, Wing Sze Leung, Zhou-Hao Liu
{"title":"Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study.","authors":"Melisa Cetin, Ping Yip, Wing Sze Leung, Zhou-Hao Liu","doi":"10.7861/clinmed.23-6-s81","DOIUrl":"https://doi.org/10.7861/clinmed.23-6-s81","url":null,"abstract":"","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 Suppl 6 ","pages":"81"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of filarial cervical abscess. 一个罕见的丝虫宫颈脓肿病例。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.23-6-s44
Ramzeen Nilam Hameed, Geetha Philips, K N Sreelatha, Soumya John
{"title":"A rare case of filarial cervical abscess.","authors":"Ramzeen Nilam Hameed, Geetha Philips, K N Sreelatha, Soumya John","doi":"10.7861/clinmed.23-6-s44","DOIUrl":"https://doi.org/10.7861/clinmed.23-6-s44","url":null,"abstract":"","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 Suppl 6 ","pages":"44-45"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addition of very low calorie diet (VLCD) during initiation of semaglutide in individuals with type 2 diabetes - interim results. 在 2 型糖尿病患者开始服用塞马鲁肽期间增加极低热量饮食 (VLCD)--中期结果。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.23-6-s71
Oluwaseun Anyiam, Katie Quinn, Bethan Phillips, Daniel Wilkinson, Kenneth Smith, Philip Atherton, Iskandar Idris
{"title":"Addition of very low calorie diet (VLCD) during initiation of semaglutide in individuals with type 2 diabetes - interim results.","authors":"Oluwaseun Anyiam, Katie Quinn, Bethan Phillips, Daniel Wilkinson, Kenneth Smith, Philip Atherton, Iskandar Idris","doi":"10.7861/clinmed.23-6-s71","DOIUrl":"https://doi.org/10.7861/clinmed.23-6-s71","url":null,"abstract":"","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 Suppl 6 ","pages":"71"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ANCA-negative ANCA-associated vasculitis: pitfalls of the 'vasculitis screen'. ANCA阴性ANCA相关性血管炎:"血管炎筛查 "的陷阱。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.2023-0398
Hannah Cooke, Matthew Wells, Keith Miller, Andrew R L Medford, Sam Patel
{"title":"ANCA-negative ANCA-associated vasculitis: pitfalls of the 'vasculitis screen'.","authors":"Hannah Cooke, Matthew Wells, Keith Miller, Andrew R L Medford, Sam Patel","doi":"10.7861/clinmed.2023-0398","DOIUrl":"10.7861/clinmed.2023-0398","url":null,"abstract":"<p><p>Despite its recognition as an 'ANCA-associated vasculitis' (AAV), eosinophilic granulomatosis with polyangiitis (EGPA) is ANCA negative in up to 60% of cases. Herein, we report the case of a young man with a clinical syndrome highly suggestive of EGPA but with repeated negative ANCA serology, ultimately presenting with cardiac arrest before recognition of the primary systemic vasculitis, whereupon he received successful induction therapy with high dose glucocorticoids and cyclophosphamide. The case illustrates the importance of awareness of ANCA negative AAV among general physicians in order to minimise morbidity and mortality.</p>","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 6","pages":"630-632"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140142856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop. 聚焦多学科学术团队:第三届 NIHR 纽卡斯尔 BRC 老年医学学术研讨会提案。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.2023-0389
Miles D Witham, Jackie Bridges, John Gladman, Adam L Gordon, Susan Kay, Jill Manthorpe, Helen C Roberts, Lynn Rochester, Oliver Todd, Adeela Usman, Avan A Sayer
{"title":"Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop.","authors":"Miles D Witham, Jackie Bridges, John Gladman, Adam L Gordon, Susan Kay, Jill Manthorpe, Helen C Roberts, Lynn Rochester, Oliver Todd, Adeela Usman, Avan A Sayer","doi":"10.7861/clinmed.2023-0389","DOIUrl":"10.7861/clinmed.2023-0389","url":null,"abstract":"<p><p>High-quality care for older people is best delivered by multidisciplinary teams involving a range of professions. Similarly, if research evidence is to effectively inform practice, it needs to be designed and executed by teams that are both multidisciplinary and multiprofessional. Here, we summarise the discussions from a 1-day workshop convened by the National Institute for Health and Care Research (NIHR) Newcastle Biomedical Research Centre in Spring 2021, which focussed on multidisciplinary academic teams. Barriers to success include small numbers of clinical academic researchers across all professions focussing on older people, and lack of career pathways, role models and support for non-medical clinical researchers. The workshop identified strengths in the tradition of multidisciplinary working in the care of older people, research questions that lend themselves naturally to multidisciplinary working, increasing interest from funders in multidisciplinary research, and untapped opportunities for greater commercial engagement. Initiatives to improve engagement of students and trainees, mentorship, career pathways, networking across research centres and possibly developing a national School of Older People's Care Research are all ways that we can ensure the growth of multidisciplinary research to best serve older people's health and social care in the future.</p>","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 6","pages":"611-614"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140142868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supervision, scheduling, satisfaction and shared working: how experiences of junior doctors relate to excess mortality within the NHS. 监督、日程安排、满意度和共同工作:初级医生的经历与国家医疗服务系统内死亡率过高的关系。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.2023-0129
Jack Charles Barton, Daniel Richardson, Amber Elyse Corrigan, Matthew R Solomons, Ashvin Kuri, Jonathan Round
{"title":"Supervision, scheduling, satisfaction and shared working: how experiences of junior doctors relate to excess mortality within the NHS.","authors":"Jack Charles Barton, Daniel Richardson, Amber Elyse Corrigan, Matthew R Solomons, Ashvin Kuri, Jonathan Round","doi":"10.7861/clinmed.2023-0129","DOIUrl":"10.7861/clinmed.2023-0129","url":null,"abstract":"<p><strong>Background: </strong>We sought to explore associations between trainee doctor perception and excess patient mortality.</p><p><strong>Methods: </strong>Data from two publicly available databases reflecting mortality and components of trainee satisfaction within 81 NHS healthcare institutions between the years 2012 and 2019 were analysed. Pearson's correlation coefficients were calculated.</p><p><strong>Results: </strong>All domains of trainee perception were correlated with excess mortality. Clinical supervision out of hours (R=-0.44; p<0.0001), teamwork (R=-0.36; p<0.0001) and clinical supervision at any time (R=-0.35; p<0.0001) were most strongly correlated. Most associations remained consistent year on year.</p><p><strong>Conclusion: </strong>Trainee doctor perceptions of clinical supervision, rota design and teamwork within the NHS are consistently correlated with excess patient mortality. Further exploration of these associations could identify opportunities for interventions to reduce excess patient mortality. Given the clinical significance of our findings, organisations should consider rapid implementation of evidence-based interventions where they exist.</p>","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 6","pages":"582-587"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of patients' suitability for a treatment break from bisphosphonates. 评估患者是否适合中断双膦酸盐治疗。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.23-6-s104
Annie Noor Gheasuddin
{"title":"Evaluation of patients' suitability for a treatment break from bisphosphonates.","authors":"Annie Noor Gheasuddin","doi":"10.7861/clinmed.23-6-s104","DOIUrl":"10.7861/clinmed.23-6-s104","url":null,"abstract":"","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 Suppl 6","pages":"104"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139105918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypothermic episodes during hospital admission and the correlation with clinical condition and mortality in different age groups. 不同年龄组入院时的低体温现象及其与临床状况和死亡率的相关性。
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.23-6-s12
Laura Pugh, Kishan Dattani
{"title":"Hypothermic episodes during hospital admission and the correlation with clinical condition and mortality in different age groups.","authors":"Laura Pugh, Kishan Dattani","doi":"10.7861/clinmed.23-6-s12","DOIUrl":"10.7861/clinmed.23-6-s12","url":null,"abstract":"","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 Suppl 6","pages":"12"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139105924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case. COVID-19后长期体位性心动过速综合征(PoTS):一个新病例
IF 4.4 4区 医学
Clinical Medicine Pub Date : 2023-11-01 DOI: 10.7861/clinmed.23-6-s48
Khin Kay Kay Kyaw
{"title":"Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case.","authors":"Khin Kay Kay Kyaw","doi":"10.7861/clinmed.23-6-s48","DOIUrl":"10.7861/clinmed.23-6-s48","url":null,"abstract":"","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"23 Suppl 6","pages":"48-49"},"PeriodicalIF":4.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139105939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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