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More than the malady - patients as role models. 不仅仅是疾病--病人是榜样。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-05 DOI: 10.1177/14782715241237571
Clive Weston
{"title":"More than the malady - patients as role models.","authors":"Clive Weston","doi":"10.1177/14782715241237571","DOIUrl":"10.1177/14782715241237571","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"98-100"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040644","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}
引用次数: 0
Drug-induced secondary haemophagocytic lymphohistiocytosis in hairy cell leukaemia. 毛细胞白血病中药物诱发的继发性嗜血细胞淋巴组织细胞增多症。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2023-12-30 DOI: 10.1177/14782715231220108
Katherine Stark, Cormac Rowe, Abhinav Mathur, James Matossian, Alastair Lawrie
{"title":"Drug-induced secondary haemophagocytic lymphohistiocytosis in hairy cell leukaemia.","authors":"Katherine Stark, Cormac Rowe, Abhinav Mathur, James Matossian, Alastair Lawrie","doi":"10.1177/14782715231220108","DOIUrl":"10.1177/14782715231220108","url":null,"abstract":"<p><p>Haemophagocytic lymphohistiocytosis (HLH) is a rare, aggressive, excess immune activation syndrome. Diagnosis can be challenging due to its several clinical mimics including sepsis. There are multiple aetiologies of HLH; in adults, it is most commonly triggered by infection, malignancy, drugs and autoimmune processes. Failure to rapidly diagnose and treat this condition can be fatal. The management of HLH includes identifying and removing the trigger, supportive management and immunosuppression. Identifying the trigger is essential to inform the most appropriate type of immunosuppression. Here, we report a case of likely drug-induced HLH in a patient recently treated for hairy cell leukaemia. The culprit drug was thought to be co-trimoxazole and this case report highlights a very rare complication of this commonly used drug. We discuss our management approach with steroid monotherapy and withdrawal of co-trimoxazole.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"29-33"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075453","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}
引用次数: 0
Spotlighting 'Medical Collegiality'. 聚焦 "医疗同仁"。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2023-12-30 DOI: 10.1177/14782715231221833
Isaac Ks Ng, Sarah Ml Tan, Lawrence Sc Law, Li Feng Tan, Desmond B Teo
{"title":"Spotlighting 'Medical Collegiality'.","authors":"Isaac Ks Ng, Sarah Ml Tan, Lawrence Sc Law, Li Feng Tan, Desmond B Teo","doi":"10.1177/14782715231221833","DOIUrl":"10.1177/14782715231221833","url":null,"abstract":"<p><p>'Collegiality' comes from the Latin term 'Collegium', which essentially refers to a community of individuals bounded by their collective pursuit of a common goal. The concept has historical roots in both organised religion and academia, with its use subsequently extended to various industrial and corporate settings including healthcare. Nowadays, 'collegiality' has become a common buzzword adopted by the medical fraternity - often deemed as having a polite and respectful demeanour, maintaining cordial work relationships and being a team player who demonstrates willingness to help others and avoid speaking ill of fellow colleagues. While it is true that workplace incivility, aggression, bullying and verbal abuse are not uncommonly reported in highly stressful healthcare settings, which are concerning phenomena that should be addressed and prevented, the concept of 'medical collegiality' is, in reality, a rich and multi-faceted concept that is not limited to behavioural attributes, but extends to larger cultural principles and organisational constructs. In this article, we herein define 'medical collegiality' as 'a collective manifestation of respect, empathy and solidarity within the medical fraternity, driven by a common pursuit of clinical excellence in patient care, demonstrated through interpersonal/work relationships and organisational culture', by referencing historical origins of 'collegiality' in organised religion and academia. We further review the concept of 'medical collegiality' through three core lenses of cultural, behavioural and structural collegiality. Finally, we discuss the importance of medical collegiality for physician mental health and well-being, and quality of clinical care.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"89-93"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075454","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}
引用次数: 0
Aseptic meningitis following spinal anaesthesia: An uncommon and challenging diagnosis. 脊髓麻醉后的无菌性脑膜炎：不常见且具有挑战性的诊断。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-01-12 DOI: 10.1177/14782715231223262
Sugata Dasgupta, Anurag Chatterjee, Atanu Chandra
{"title":"Aseptic meningitis following spinal anaesthesia: An uncommon and challenging diagnosis.","authors":"Sugata Dasgupta, Anurag Chatterjee, Atanu Chandra","doi":"10.1177/14782715231223262","DOIUrl":"10.1177/14782715231223262","url":null,"abstract":"<p><p>Drug-induced aseptic meningitis (DIAM) or chemical meningitis following spinal anaesthesia has rarely been reported. DIAM is caused by meningeal inflammation due to intrathecally administered drugs or secondary to systemic immunological hypersensitivity. We hereby present a case of a young adult with aseptic meningitis following neuraxial anaesthesia possibly provoked by bupivacaine. The initial cerebrospinal fluid (CSF) picture revealed neutrophilic pleocytosis and normal <i>glycorrhachia.</i> CSF culture was negative. The patient was put on invasive mechanical ventilation and started on intravenous antibiotics. There was a rapid improvement in clinical condition without any residual neurological deficit within the next few days. Aseptic meningitis following neuraxial anaesthesia can be prevented by strict aseptic protocols and careful inspection of visible impurities while administering the intrathecal drug. Detailed history taking, clinical examination, and focused investigations can distinguish between bacterial and chemical meningitis. Appropriate diagnosis of this entity may guide the treatment regimen, reducing hospital stay and cost.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"34-37"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425706","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}
引用次数: 0
Anticoagulation in venous thromboembolism for the general physician. 面向全科医生的静脉血栓栓塞症抗凝治疗。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-28 DOI: 10.1177/14782715241241834
Katherine Stark, Abhinav Mathur, Mohammed M Khan
{"title":"Anticoagulation in venous thromboembolism for the general physician.","authors":"Katherine Stark, Abhinav Mathur, Mohammed M Khan","doi":"10.1177/14782715241241834","DOIUrl":"10.1177/14782715241241834","url":null,"abstract":"<p><p>Venous thromboembolism (VTE) is frequently encountered across various specialties. The management of VTE has become more nuanced, requiring consideration of several factors when deciding on the choice and duration of anticoagulation. This evidence-based review article summarises the current practice and evidence behind anticoagulation in VTE, incorporating national and international guidelines. Factors influencing decision-making around the choice and duration of anticoagulation, along with special circumstances such as cancer and antiphospholipid syndrome, are discussed. The clinical utility of thrombophilia screening is also addressed.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"74-83"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319476","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}
引用次数: 0
Erosive pustular dermatosis of the scalp secondary to Erlotinib: A rare occurrence with trichoscopic perspective. 继发于厄洛替尼的头皮侵蚀性脓疱性皮肤病：罕见病例与三镜透视。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2023-12-01 Epub Date: 2023-08-30 DOI: 10.1177/14782715231196606
Sharang Gupta, Dimple Chopra, Preeyati
{"title":"Erosive pustular dermatosis of the scalp secondary to Erlotinib: A rare occurrence with trichoscopic perspective.","authors":"Sharang Gupta, Dimple Chopra, Preeyati","doi":"10.1177/14782715231196606","DOIUrl":"10.1177/14782715231196606","url":null,"abstract":"<p><p>Epidermal growth factor receptor inhibitors are anti-tumour agents that are frequently used for the treatment of neoplastic disorders. In addition to their cutaneous adverse effects, these drugs can rarely lead to erosive pustular dermatosis of the scalp. We report a case of a 67-year-old female who developed erosive pustular dermatosis of the scalp after being started on erlotinib from a trichoscopic perspective, which has been described in literature only once till now.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"255-257"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112565","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}
引用次数: 0
Ludwig's angina in a patient with ulcerative colitis on thiopurine therapy. 一例溃疡性结肠炎患者的Ludwig心绞痛接受硫嘌呤治疗。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2023-12-01 Epub Date: 2023-09-26 DOI: 10.1177/14782715231200503
Amit Yadav, Harshavardhan Telaprolu, Sourabha K Patro, Ujjwal Gorsi, Vishal Sharma
{"title":"Ludwig's angina in a patient with ulcerative colitis on thiopurine therapy.","authors":"Amit Yadav, Harshavardhan Telaprolu, Sourabha K Patro, Ujjwal Gorsi, Vishal Sharma","doi":"10.1177/14782715231200503","DOIUrl":"10.1177/14782715231200503","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"263-264"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153937","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}
引用次数: 0
Moral distress in healthcare professionals: Time to reflect. 医疗保健专业人员的道德困境:是时候反思了。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2023-12-01 Epub Date: 2023-11-24 DOI: 10.1177/14782715231215409
Graeme P Currie, Robert Bs Laing
{"title":"Moral distress in healthcare professionals: Time to reflect.","authors":"Graeme P Currie, Robert Bs Laing","doi":"10.1177/14782715231215409","DOIUrl":"10.1177/14782715231215409","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"237-238"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300300","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}
引用次数: 0
Sinus tachycardia and long-COVID: An opportunity in the challenge. 窦性心动过速和长covid:挑战中的机遇。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2023-12-01 Epub Date: 2023-11-22 DOI: 10.1177/14782715231213896
Abdallah Al-Mohammad, Andreas L Kyriacou
{"title":"Sinus tachycardia and long-COVID: An opportunity in the challenge.","authors":"Abdallah Al-Mohammad, Andreas L Kyriacou","doi":"10.1177/14782715231213896","DOIUrl":"10.1177/14782715231213896","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"312-313"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292052","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}
引用次数: 0
The evolution of ScotRIGHT: The first pan-Scotland physician trainee research network. ScotRIGHT 的演变：首个泛苏格兰实习医生研究网络。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2023-12-01 Epub Date: 2023-08-31 DOI: 10.1177/14782715231197240
Victoria El Moffat, Paul N Brennan, Daniel R Gaya, Peter C Hayes, Shahida Din
{"title":"The evolution of ScotRIGHT: The first pan-Scotland physician trainee research network.","authors":"Victoria El Moffat, Paul N Brennan, Daniel R Gaya, Peter C Hayes, Shahida Din","doi":"10.1177/14782715231197240","DOIUrl":"10.1177/14782715231197240","url":null,"abstract":"<p><p>Scotland has a distinguished track record in foundational clinical research. From the completion of the first clinical trial undertaken in scurvy to cloning the world's first whole mammal, Scottish basic and clinical research is world leading. More recently, challenges in access to research skills, funding and programmes by clinical trainees led to the development of alternatives to these typical avenues of accessing research opportunities. Trainee networks evolved to meet the needs of trainees looking to access projects and collaboratives beyond audit and quality improvement commonly performed during structured training. These networks have enjoyed enormous success and have succeeded in progressing projects which have impactful outputs for patients, and improving clinical services. Here, we describe the foundation of the first pan-Scotland physician trainee research network; Scottish Trainees Research In Gastroterology and Hepatology (ScotRIGHT). We outline the foundational efforts, requisites and foundations required to develop a research network.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"302-306"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10124534","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}
引用次数: 0
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