JRSM OpenPub Date : 2022-09-01DOI: 10.1177/20542704221115956
Charlotte Olivia Riley, Brian McKinstry, Karen Fairhurst
{"title":"Accuracy of telephone screening tools to identify dementia patients remotely: systematic review.","authors":"Charlotte Olivia Riley, Brian McKinstry, Karen Fairhurst","doi":"10.1177/20542704221115956","DOIUrl":"https://doi.org/10.1177/20542704221115956","url":null,"abstract":"<p><p>The COVID19 pandemic highlighted the need for remote diagnosis of cognitive impairment and dementia. Telephone screening for dementia may facilitate prompt diagnosis and optimisation of care. However, it is not clear how accurate telephone screening tools are compared with face-to-face screening. We searched Cochrane, MEDLINE, Embase, Web of Science, PubMed and Scopus for all English language papers published between January 1975 and February 2021 which compared telephone screening for dementia/ mild cognitive impairment and an in-person reference standard, performed within six-weeks. We subsequently searched paper reference lists and contacted authors if data were missing. Three reviewers independently screened studies for inclusion, extracted data, and assessed study quality using an adapted version of the Joanna Briggs Institute's critical appraisal tool. Twenty-one studies including 944 participants were found. No one test appears more accurate, with similar validities as in-person testing. Cut-offs for screening differed between studies based on demographics and acceptability thresholds and meta-analysis was not appropriate. Overall the results suggest telephone screening is acceptably sensitive and specific however, given the limited data, this finding must be treated with some caution. It may not be suitable for those with hearing impairments and anxiety around technology. Few studies were carried out in general practice where most screening occurs and further research is recommended in such lower prevalence environments.</p>","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":"13 9","pages":"20542704221115956"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/ef/10.1177_20542704221115956.PMC9445501.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33455368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-08-09eCollection Date: 2022-08-01DOI: 10.1177/20542704221086162
Elizabeth Mooney, Matthew D Smith, Emily J Henderson
{"title":"An unwell patient with Parkinson's disease: Hyperpyrexia syndrome in a heatwave.","authors":"Elizabeth Mooney, Matthew D Smith, Emily J Henderson","doi":"10.1177/20542704221086162","DOIUrl":"https://doi.org/10.1177/20542704221086162","url":null,"abstract":"<p><p>Hyperpyrexia syndrome in Parkinson's disease (PD) is a medical emergency requiring prompt action. This can be precipitated by numerous provoking factors, in particular withdrawal of dopaminergic medication. We report a case of a patient with PD presenting with confusion, dramatic worsening of PD symptoms and pyrexia in the context of a heatwave, <b>potentially mediating its effect through dehydration and impaired medication absorption</b>. Precipitous cooling and conversion of dopaminergic medication to a rotigotine patch due to drowsiness led to her rapid improvement. The possibility of infection was covered however no source of infection or evidence of inflammatory response was found, but remained an important differential. This case highlights the importance of recognising and managing hyperpyrexia syndrome in PD and the possibility of uncharacteristically hot weather being a cause.</p>","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":"13 8","pages":"20542704221086162"},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/c8/10.1177_20542704221086162.PMC9373140.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40708230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-07-07eCollection Date: 2022-07-01DOI: 10.1177/20542704221111243
Joel Lexchin
{"title":"Sponsorship of Australian and New Zealand medical societies by healthcare companies: an observational study.","authors":"Joel Lexchin","doi":"10.1177/20542704221111243","DOIUrl":"https://doi.org/10.1177/20542704221111243","url":null,"abstract":"<p><strong>Objectives: </strong>To examine sponsorship of Australian and New Zealand medical societies by healthcare companies and whether societies have policies to deal with conflicts of interest.</p><p><strong>Design: </strong>Cross-sectional study conducted in March 2022.</p><p><strong>Setting: </strong>Australia and New Zealand.</p><p><strong>Participants: </strong>Medical societies in both countries.</p><p><strong>Main outcome measures: </strong>The percent of medical societies that list sponsorship from healthcare companies on either their home webpages or the webpages of their annual meetings and/or that issue prospectuses to potential sponsors. The percent of societies with sponsorship that also have policies about their interactions with their sponsors. Whether societies feature their sponsors' logos on their webpages and have hyperlinks to sponsors' webpages and what percent of societies' annual revenue comes from sponsorships.</p><p><strong>Results: </strong>Ninety-two medical societies were identified. Sixty-two had healthcare company sponsorship and 10 of the societies with sponsorship had policies to deal with interactions with their sponsors. Fifty-four societies displayed the logos of their sponsors on their home webpages and/or the webpages of their annual meetings. Only 6 societies provided enough information to calculate what percent of their revenue comes from sponsorships. For 5 of the 6 the percent was well below 50%.</p><p><strong>Conclusions: </strong>The acceptance of sponsorships from healthcare companies by Australian and New Zealand societies is common and few societies have policies to deal with these relationships. In general, societies appear to get only a small percent of their annual revenue from sponsorships.</p>","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":"13 7","pages":"20542704221111243"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/6f/10.1177_20542704221111243.PMC9272183.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40503978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-06-23eCollection Date: 2022-06-01DOI: 10.1177/20542704221103912
N Suzuki, F F Cintra, M L Cintra, M G Maciel, Emi Amstalden, F Teixeira, F Kubba
{"title":"\"A case of vanishing bone disease complicated by chylothorax- diagnosis and treatment\".","authors":"N Suzuki, F F Cintra, M L Cintra, M G Maciel, Emi Amstalden, F Teixeira, F Kubba","doi":"10.1177/20542704221103912","DOIUrl":"10.1177/20542704221103912","url":null,"abstract":"<p><p>A 16-year old girl with Gorham-Stout disease is presented. She had progressive replacement of the bones of her left arm and shoulder girdle by fibroadipose tissue and numerous proliferated, non-neoplastic, lymphatic channels. The clinico-pathologic features of this condition are discussed, as are its possible complications and available therapeutic modalities.</p>","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":"13 6","pages":"20542704221103912"},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/0c/10.1177_20542704221103912.PMC9237928.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40468246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-04-04eCollection Date: 2022-04-01DOI: 10.1177/20542704221086166
Diogo André, Fabiana Gouveia, Rafael Nascimento, Helena Luís, Mónica Caldeira, Caldeira Ferreira, António José Chaves
{"title":"ASIA syndrome: Adverse reaction or autoimmunity?","authors":"Diogo André, Fabiana Gouveia, Rafael Nascimento, Helena Luís, Mónica Caldeira, Caldeira Ferreira, António José Chaves","doi":"10.1177/20542704221086166","DOIUrl":"10.1177/20542704221086166","url":null,"abstract":"<p><strong>Introduction: </strong>Adjuvant-Induced Autoimmune / Auto-inflammatory Syndrome (ASIA) is an immune-mediated condition by the exposure of material previously considered inert, such as silicone, aluminum salts, mineral oils, hyaluronic acid and metallic implants. In addition to a genetic component, there is a risk of development of an undifferentiated connective tissue disease, which varies clinically and laboratorially depending on the adjuvant material used.</p><p><strong>Patients and methods: </strong>This paper addresses two cases reported, in caucasian subjects, born and residents in Madeira Island, Portugal. In this article are described two different histological patterns occurring in ASIA patients, due to mammoplasty with silicone.</p><p><strong>Conclusion: </strong>Although ASIA does not meet the diagnostic requirements for connective tissue disease, there is a close relationship with the development of autoimmune conditions. These cases aim to alert the medical community to the existence of this entity, encourage the notification of situations arising from exposure to adjuvants and investigate the presence of a genetic predisposition and a suggestive histological pattern in excisional biopsies of satellite adenomegalies.</p>","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":" ","pages":"20542704221086166"},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8984841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42995116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-04-01DOI: 10.1177/20542704221095371
L. Lilis, Fergus Wood, D. Dickerson
{"title":"Scrotal Masson's tumour masquerading as dysplastic polyorchidism – a case report","authors":"L. Lilis, Fergus Wood, D. Dickerson","doi":"10.1177/20542704221095371","DOIUrl":"https://doi.org/10.1177/20542704221095371","url":null,"abstract":"Summary This case describes a rare genitourinary presentation of a Masson's tumour, preoperatively assumed to be a dysplastic third testis.","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44203453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-04-01DOI: 10.1177/20542704221086386
Ş. Demirel, M. Shetty, M. Patel, K. Mahmood
{"title":"First presentation of pyoderma gangrenosum in a patient with partial immunoglobulin A deficiency","authors":"Ş. Demirel, M. Shetty, M. Patel, K. Mahmood","doi":"10.1177/20542704221086386","DOIUrl":"https://doi.org/10.1177/20542704221086386","url":null,"abstract":"Summary We describe the case of a 58-year-old female with an intensely painful and rapidly enlarging necrotic cutaneous ulcer to the right shin on a background of partial immunoglobulin A deficiency (IgAD). She was seen by various healthcare professionals and managed with upscaling antibiotics for cellulitis requiring an inpatient hospital stay. The dermatology team made a clinical diagnosis of ulcerative Pyoderma Gangrenosum (PG) on assessing the patient 13 days post-onset of symptoms. The patient responded dramatically to steroids and oral tetracycline. This case highlights the unusually described association between PG and IgAD as well as the diagnostic challenge seen in patients presenting with PG.","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48687585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-03-09eCollection Date: 2022-03-01DOI: 10.1177/20542704221077556
Shameer Deen, Emmanuel Ogbu, Nicholas Faure Walker, Nkwam Michael Nkwam
{"title":"Spontaneous ureteric rupture due to high pressure chronic retention.","authors":"Shameer Deen, Emmanuel Ogbu, Nicholas Faure Walker, Nkwam Michael Nkwam","doi":"10.1177/20542704221077556","DOIUrl":"10.1177/20542704221077556","url":null,"abstract":"<p><p>Spontaneous ureteric rupture is a rare phenomenon which can be traumatic or non-traumatic that may arise from ureteric obstruction, trauma, mucosal inflammation from urolithiasis, connective tissue disease or retroperitoneal fibrosis. High pressure chronic retention is characterised by noctural enuresis, a tense palpable bladder, hypertension, progressive renal impairment, bilateral hydronephrosis and hydroureter on imaging. Obstructive urological symptoms are typically absent in uncomplicated cases. We report the case of a 69-year-old male who presented with high pressure chronic retention and spontaneous ureteric rupture demonstrated on a noncontrast CT. This patient was managed with a urethral catheter on free drainage and a retrograde ureteric stent. The patient's condition improved, and the stent was removed after a uretero-pyeloscopy which revealed no extravasation. He later underwent a successful transurethral resection of the prostate.</p>","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":" ","pages":"20542704221077556"},"PeriodicalIF":0.0,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8915211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45725421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-03-01DOI: 10.1177/20542704221086165
J. La-Crette, A. Abdelhamid, A. Chadwick, A. Chakraborty
{"title":"Life-Threatening Bronchospasm","authors":"J. La-Crette, A. Abdelhamid, A. Chadwick, A. Chakraborty","doi":"10.1177/20542704221086165","DOIUrl":"https://doi.org/10.1177/20542704221086165","url":null,"abstract":"Summary While Eosinophilic Asthma is frequently underdiagnosed, COPD is often misdiagnosed. This case focusses on a COPD misdiagnosis that had life-threatening consequences. The patient was a 59-year-old, male smoker, who presented to the Emergency Department with a week's history of increasing shortness of breath. On presentation, severe respiratory acidosis persisted acidotic despite Nebulisers, Oxygen, Steroids, and Magnesium. He was intubated for two weeks and had severe bronchospasm associated with type 2 respiratory failure. Eosinophils on admission were markedly elevated and remained so despite a week of intravenous steroids. As he missed the window for ECMO, we were advised to look at his diagnostic spirometry. Surprisingly, the spirometry done by his general practitioner, two years prior, showed Asthma not COPD. His blood eosinophils were elevated then, too. A revised diagnosis of Eosinophilic Asthma was given. Intravenous steroids were increased, and nebulised steroids were started. Soon thereafter, his condition improved, and he was stepped down from Intensive care. Hopefully, this case report increases physician knowledge of the different Asthma phenotypes and reduces incidences where correct treatment is only started during an avoidable life-threatening exacerbation.","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49617169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JRSM OpenPub Date : 2022-02-14eCollection Date: 2022-02-01DOI: 10.1177/20542704221079120
Leah Hawkins, Mohammed Ayaz Khalid, Alan Barton
{"title":"Pneumomediastinum and subcutaneous emphysema post cocaine and amphetamine insufflation.","authors":"Leah Hawkins, Mohammed Ayaz Khalid, Alan Barton","doi":"10.1177/20542704221079120","DOIUrl":"https://doi.org/10.1177/20542704221079120","url":null,"abstract":"<p><p>A 20-year-old gentleman presented with blood-streaked vomitus after insufflation of an unknown amount of powder cocaine and amphetamine. This was taken with an unspecified amount of alcohol. Other notable symptoms were dysphagia, chest pain, palpitations and the patient reported a 'crunchy' sensation in his chest. A chest x-ray revealed pneumomediastinum and a computerised tomography (CT) trauma confirmed these findings with associated subcutaneous emphysema without an identifiable cause. Follow up investigations included a barium swallow and gastroscopy which showed no obvious perforation but mild gastritis and duodenitis. He was managed conservatively with proton pump inhibitor cover and his symptoms resolved.</p>","PeriodicalId":17674,"journal":{"name":"JRSM Open","volume":"13 2","pages":"20542704221079120"},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/8f/10.1177_20542704221079120.PMC8855391.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39939754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}