The British Student Doctor Journal最新文献

{"title":"Climate change and mental health: what can we do about the impending pandemic?","authors":"James Spencer Street","doi":"10.18573/bsdj.339","DOIUrl":"https://doi.org/10.18573/bsdj.339","url":null,"abstract":"Mental health sequelae of the changing climate arise through various pathways -- direct and indirect, acute and chronic. As the consequences of the climate emergency become more frequent and severe, these pathways may align to impair wellbeing and increase the risk of psychopathology in populations across the globe, especially in vulnerable and underprivileged communities, leading to a mental health epidemic of unprecedented proportions. \u0000 \u0000The healthcare community should thus do all it can to prepare for the coming crisis before it arrives. I propose four ways we can all act within clinical practice to begin mitigate the effects of climate change: (1) become environmentalists and work with sustainability groups at our Trusts; (2) conduct more research to address the understudied areas of climate-triggered mental disease; (3) be involved in teaching and outreach about global heating and its consequences; (4) address our own cognitive biases that climate change will never impact us. \u0000","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"62 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613549","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}

{"title":"Sustainability in British skin surgery - a medical student’s perspective","authors":"Rafsan Chowdhury, Roshan Vijayan","doi":"10.18573/bsdj.328","DOIUrl":"https://doi.org/10.18573/bsdj.328","url":null,"abstract":"The drive for sustainability is becoming ever more apparent and important in our day to day lives. Healthcare is a major field where more sustainable alternatives, and systematic changes must be considered, in order to improve the environmental impact of skin surgery and medicine. Over time, behaviours and methods that could be potentially detrimental environmentally, can become integrated deeply within departmental protocols. Here, the potential key contributors to reduced sustainability within the field of skin surgery are discussed from the perspective of a medical student with interest in Plastic and Dermatological Surgery, with possible measures and discussion points to move forwards.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"48 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139612073","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}

{"title":"Hit snooze on your biological clock","authors":"Sashini Jayasinghe","doi":"10.18573/bsdj.325","DOIUrl":"https://doi.org/10.18573/bsdj.325","url":null,"abstract":"Ovarian reserve can be defined as the quality and quantity of oocytes in the ovaries. Ovarian reserve directly correlates with fertility. Ageing causes a natural decline in fertility, with ovaries having performed their full function by menopause, leaving females unable to conceive. Recent studies by Sfakianoudis et al. have explored the use of injected platelet rich plasma (PRP) to boost ovarian reserve and combat infertility. While this is currently a novel concept, the results are encouraging and PRP could well be introduced as a viable fertility treatment.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"100 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139612515","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}

{"title":"“Is it urgent?”: seeking medical assistance for mental health during a pandemic","authors":"Gareth Rhys Williams","doi":"10.18573/bsdj.292","DOIUrl":"https://doi.org/10.18573/bsdj.292","url":null,"abstract":"<jats:p>None</jats:p>","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"56 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613230","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}

{"title":"What has been the most important advancement in neurosurgical practice over the last 10 years?","authors":"Francesco Magni","doi":"10.18573/bsdj.345","DOIUrl":"https://doi.org/10.18573/bsdj.345","url":null,"abstract":"Neurosurgery is considered one of the oldest specialties, with evidence of surgical intervention being observed in skull specimens dating back to pre-history. Yet, the modern idea of neurosurgery is a very recent concept. Increasingly sophisticated technology has revolutionised the field, but arguably the greatest impact on patient outcomes has come from an only seemingly less exciting reform, which has transformed the structure of the service. \u0000  \u0000Over the last decade, efforts have been made to redefine the relationship between patients and healthcare practitioners, in favour of a more holistic and collaborative approach with the patient being placed at the centre of their own care. This shift has particularly impacted specialities like neurosurgery, where meticulous care planning frequently involves input from several other experts and healthcare professionals. Furthermore, advancements in the field of neurosurgery tend to stem from the process of optimisation of techniques, or tool kits, that were actually devised decades ago. \u0000  \u0000True paradigm shifts simply do not occur as frequently, and they are the result of new ways of understanding disease, or new ways of working. The work towards multidisciplinary approaches, patient centred care and social care constitutes the most significant advancement for patient outcomes and satisfaction in the field of neurosurgery over the last decade.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"87 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139612967","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}

{"title":"What advancements in clinical neurosciences need to occur in the next 10 years?","authors":"Immanuel Sani","doi":"10.18573/bsdj.263","DOIUrl":"https://doi.org/10.18573/bsdj.263","url":null,"abstract":"As modern science progresses so too must clinical neuroscience for the betterment of suffering individuals. From the inception of clinical neuroscience, scientific breakthroughs have enhanced our knowledge of how certain pathologies impair the function of the nervous system. Clinical neuroscience now plays a pivotal role when informing the scientific community about the developments in diagnosis, prognosis, and treatment of neurological disorders. The prevalence and morbidity associated with Fibromyalgia, Glioblastoma multiforme and, Alzheimer’s disease warrants extensive research to develop treatments that improve patients’ quality of life and reduce the financial burden on healthcare services worldwide. Significant progress has been made in clinical neuroscience within the past decade, yet with the exponential evolution of technology, researchers and clinicians must endeavour to transcend the current frontiers of knowledge on the diagnosis, prevention, and treatment of neurological disorders.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"86 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139612977","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}

{"title":"Starting a non-profit at medical school","authors":"Ethan Waisberg","doi":"10.18573/bsdj.332","DOIUrl":"https://doi.org/10.18573/bsdj.332","url":null,"abstract":"<jats:p>None</jats:p>","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"42 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139611932","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}

{"title":"Neurobehavioural rehabilitation of dysexecutive syndrome following traumatic brain injury - a narrative review of management","authors":"Shivaali Karelia, Neel Halder","doi":"10.18573/bsdj.314","DOIUrl":"https://doi.org/10.18573/bsdj.314","url":null,"abstract":"Background: \u0000Traumatic brain injury (TBI) leads to >200,000 hospital admissions in the UK annually. Frontal lobes are frequently affected, leading to a sequela of symptoms affecting behaviour, emotions, and cognition; a cluster of symptoms referred to as dysexecutive syndrome (also known as frontal lobe syndrome). People who survive this, experience long-term sequelae and require long-term support through neurological rehabilitation. The UK has robust guidelines on the medical/physical aspects of rehabilitation following brain injury. However, these guidelines mention little information on the management of neurobehavioural problems following TBI. The aim of this review is to determine what the evidence-based neurobehavioural management of patients with dysexecutive syndrome following TBI is in the UK. \u0000 \u0000Methods: \u0000A systematic review of articles using MEDLINE, EMBASE (1974 – present) and Web of Science was conducted. Search terms included frontal lobe syndrome, dysexecutive syndrome, traumatic brain injury, neurorehabilitation, neurological rehabilitation, neurological management, behaviour therapy and behavioural management. Additional references were sourced from the search results and author NH, a medical director within a hospital catering to people with brain injury. \u0000 \u0000Results: \u0000168 results were obtained. 21 articles remained following exclusions: 19 original articles and 2 reviews. Interventions mentioned included: behavioural psychotherapy, memory training, feedback, awareness interventions, goal management training, social skills training, work placements, problem solving training, metacognitive skills, token economy and response cost. Interventions were utilised using a person-centred approach, however, generally there was a lack of consensus as the most effective one. Only 2 studies considered the long-term outcomes of rehabilitation. \u0000 \u0000Discussion: \u0000Successful rehabilitation of dysexecutive syndrome post-TBI involves using a person-centred approach, to determine which intervention will target the problem of concern to the patient. Few papers address behavioural rehabilitation of dysexecutive syndrome post-TBI. Further research is required to determine the most effective and beneficial interventions for patients in both the short- and long-term.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"99 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139612381","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}

{"title":"What is the most important innovation in neurosurgical practice that will emerge in the next 10 years?","authors":"Philip Howard","doi":"10.18573/bsdj.358","DOIUrl":"https://doi.org/10.18573/bsdj.358","url":null,"abstract":"Brain computer interfaces BCIs are automated neurostimulators that analyse brain signals and translate them into output. They aim to allow modulation of neurological functioning at cellular and network levels without the need for clinician-performed adjustments. BCIs are beginning to progress from the research and development phase to their introduction into clinical neurosurgery. Some anticipated applications include advanced treatment of cerebral palsy and stroke, aiming to restore function to these patients. In time, they will become one of the most significant innovations in neurosurgery.  \u0000Provided here is a review of BCI research to date and their implementation into clinical neuroscience, aiming to highlight the importance of BCIs as a developing treatment modality in neurosurgery in the next decade.   \u0000A review of the literature was performed using Pubmed as the primary database. BCI applications, recent technological advancements and current challenges facing these devices were reviewed. Trends in research and development were considered and are discussed.  It was found that significant developments have been made in manufacturing BCIs that can interpret cortical processes with adequate spatial and temporal resolution. It was shown that the number of procedures to implant neuromodulators taking place in the UK each year is increasing, with more funding provided for BCI research each year. Further to this, a review of publication data found that neuromodulation devices placed among the top new patent categories in neurosurgery in recent years, a large portion of which were BCIs. These results highlight the continually growing interest in BCI research and their application in neurosurgery.  \u0000In conclusion, BCIs will become an increasingly important area of innovation in neurosurgery.  Advances in translational neuroscience, imaging technologies and signal analysis will provide clearer insights into disease processes, allowing increasingly complex devices to address current limitations in the treatment of these conditions. ","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613606","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}

{"title":"The impact of surgery on self-reported metamorphopsia and vision-related quality of life in patients with an idiopathic full-thickness macular hole","authors":"Muhammad Tayyab Bhatti, M. Sandinha","doi":"10.18573/bsdj.237","DOIUrl":"https://doi.org/10.18573/bsdj.237","url":null,"abstract":"Background:Metamorphopsia (distorted vision) is among the most common symptoms reported by patients with idiopathic full thickness macular hole (iFTMH) and is related to significant deterioration in Vision-Related Quality-of-Life (VRQoL). Surgical closure with pars plana vitrectomy (PPV) is the chief determinant of visual acuity postoperatively, but the extent of visual improvement is variable. The aim of this study was to assess the impact of surgery on the self-reported prevalence and severity of metamorphopsia and the VRQoL in patients with an iFTMH. Methods: Prospective consecutive case series study. The Metamorphopsia Questionnaire (MeMoQ) and the National Eye Institute Visual Functioning Questionnaire - 39 (VFQ-39; assesses the VRQoL) were completed by patients before and three months post-PPV for iFTMH. The pre- and post-operative presence and severity of metamorphopsia was highlighted through a severity scale with a maximum of 9 points for the 9 questions in the MeMoQ. Responses for the VFQ-39 were categorised into subscales as per the VFQ-39 guidance. Wilcoxon signed rank test was performed for each subscale to identify subscales with a statistically significant improvement post-PPV. Results: 30 patients: 9 male, 21 female. Age range 47-82 y/o. Operated between August 2019 - December 2020 at St Paul’s Eye Unit, Liverpool. There was a statistically significant improvement of metamorphopsia (P<0.05) following surgery, with a mean reduction in severity of 2.18 points. In the VFQ-25, a statistically significant improvement (P<0.05) was seen in the following subscales; general vision, near activities, distance activities, social functioning, mental health, role difficulties, dependency, driving and peripheral vision.  Discussion: This study highlights the significant improvement of metamorphopsia associated with an improvement in vision in patient who underwent vitrectomy for FTMH. The significant improvement in the mental health is particularly interesting in this COVID era where patients are susceptible to an increased risk of mental health deterioration. ","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130008548","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}