Journal of the Royal Society of Medicine最新文献

{"title":"Medical misinformation and the crisis of professional authority.","authors":"Martino Deidda, Luca Saba","doi":"10.1177/01410768261435340","DOIUrl":"10.1177/01410768261435340","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"114-116"},"PeriodicalIF":5.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond clinical toxicology: protecting our poisoned patients.","authors":"R E Ferner, J K Aronson, S M Bradberry","doi":"10.1177/01410768261440369","DOIUrl":"10.1177/01410768261440369","url":null,"abstract":"<p><p>The immediate management of poisoned patients is a major activity in emergency departments and acute medical wards. This can mean the neglect of more detailed enquiry that would make clear the underlying cause of the poisoning and suggest ways to reduce the risk of repeated poisoning for the individual and more generally. The history and circumstances of poisoning may make the precipitants evident, but it is still important to consider what factors contributed. Here, we divide poisoning into unintentional and intentional, and suggest how these major groups may be subdivided. There is a need in unintentional poisoning to consider whether the patient has been poisoned because of their vulnerability, for example, resulting from dementia. Where a carer such as a parent or partner has committed an error, they too may be vulnerable. If the poisoning is a result of error by a clinical professional, then the question of clinical competence can arise. If the poisoning is deliberate, mental ill-health may have contributed, and the patient may not have capacity to make decisions. There may also be a conflict between what the patient wants and what the clinician deems to be in the patient's best interest, in which case it may be necessary to consider mental capacity. A systematic approach to these important questions can offer the best prospect for prevention of further poisoning for the individual. Broader attempts to prevent poisoning require good data on the causes and circumstances in which it occurs, but these are often lacking.</p>","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"102-106"},"PeriodicalIF":5.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of evidence-based research.","authors":"Hans Lund, Karen A Robinson","doi":"10.1177/01410768261433038","DOIUrl":"10.1177/01410768261433038","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"107-113"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitigating clinical risk, the old fashioned way.","authors":"Kamran Abbasi","doi":"10.1177/01410768261453866","DOIUrl":"10.1177/01410768261453866","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"119 4","pages":"95"},"PeriodicalIF":5.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148032205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The problematic history of randomised controlled trials Part 3: Mainland, Hill and the future of RCTs.","authors":"Robert Aj Matthews","doi":"10.1177/01410768261419062","DOIUrl":"10.1177/01410768261419062","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"83-88"},"PeriodicalIF":7.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12913031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146202065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intentions and actions towards leaving healthcare work since COVID-19: group-based trajectory analyses in the UK-REACH cohort.","authors":"Raman Mishra, Anna L Guyatt, Asta Medisauskaite, Christopher A Martin, Shingai Musuka, Srinivasa Vittal Katikireddi, Katherine Woolf, Manish Pareek","doi":"10.1177/01410768261419581","DOIUrl":"10.1177/01410768261419581","url":null,"abstract":"<p><strong>Objectives: </strong>Retaining healthcare workers is often challenging. We studied predictors and patterns of leaving or wanting to leave healthcare work over time (attrition intentions and/or actions) in a UK cohort.</p><p><strong>Design: </strong>Using five waves of longitudinal data (2020-2024), we performed group-based trajectory analysis to identify subgroups of healthcare workers with similar patterns of attrition intentions and/or actions over time. We described the characteristics of individuals in each trajectory, and used age-, sex- and occupation-adjusted multinomial logistic regression to identify predictors of trajectory membership.</p><p><strong>Settings: </strong>United Kingdom.</p><p><strong>Participants: </strong>Participants of the United Kingdom Research study into Ethnicity and COVID-19 outcomes in Healthcare workers (UK-REACH, <i>N</i> = 5499).</p><p><strong>Main outcome measures: </strong>'Attrition intentions and/or actions' was defined as a healthcare worker having intentions (or having taken action) to leave their role (including early retirement).</p><p><strong>Results: </strong>We identified three trajectories of attrition intentions and/or actions: consistently low (47.7%), moderate and increasing (36.8%) and consistently high (15.5%). Attrition intentions were linked to action: the majority of the 'consistently high' group had taken action to leave or change their job. Factors associated with the two latter trajectories included older age, job role (nursing, midwifery and dental), experiencing discrimination and poor mental health. Financial insecurity was strongly associated with attrition intentions and/or actions.</p><p><strong>Conclusions: </strong>Over half of UK healthcare workers surveyed intended or had taken action to leave or change their role. Interventions to enhance workforce sustainability could be targeted at older workers and those in nursing, midwifery and dental roles and focus on reducing discrimination, improving mental health and protecting the financial security healthcare worker jobs offer.</p>","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"73-82"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12935585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geopolitical tension as an emerging structural determinant of population mental health.","authors":"Julio Torales, João Mauricio Castaldelli-Maia, Antonio Ventriglio","doi":"10.1177/01410768261430257","DOIUrl":"10.1177/01410768261430257","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"89-90"},"PeriodicalIF":7.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12979211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aiming to be a 'good enough' doctor?","authors":"Eric J Will","doi":"10.1177/01410768261421814","DOIUrl":"10.1177/01410768261421814","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"68"},"PeriodicalIF":7.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12948696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147307106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In putting patients first, don't forget staff wellbeing.","authors":"Kamran Abbasi","doi":"10.1177/01410768261450134","DOIUrl":"10.1177/01410768261450134","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"119 3","pages":"67"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13173338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147930677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaccination systems under pressure: what the UK COVID-19 Inquiry teaches us about preparedness.","authors":"Ben Kasstan-Dabush, Edward Pk Parker, Sadie Bell, Rahma Abdi, Helen Bedford, Tracey Chantler","doi":"10.1177/01410768261418780","DOIUrl":"10.1177/01410768261418780","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"69-72"},"PeriodicalIF":7.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}