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Mr W Martin Nichols (1910-1979): From prisoner of war to first Aberdeen neurosurgeon. W Martin Nichols 先生（1910-1979 年）：从战俘到首位阿伯丁神经外科医生。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-09-23 DOI: 10.1177/14782715241282360
Mark Pecover, David Nichols, Peter Alwyn Bodkin
{"title":"Mr W Martin Nichols (1910-1979): From prisoner of war to first Aberdeen neurosurgeon.","authors":"Mark Pecover, David Nichols, Peter Alwyn Bodkin","doi":"10.1177/14782715241282360","DOIUrl":"10.1177/14782715241282360","url":null,"abstract":"<p><p>The Department of Neurosurgery at Aberdeen Royal Infirmary (ARI) marked its 75th anniversary in 2023. The unit began on 1 April 1948 when Mr W Martin Nichols became the first full-time neurosurgeon in the North of Scotland. Prior to World War II (WWII), there were only a handful of surgeons dedicated to the specialty in the UK. Martin Nichols was one of a new wave of pioneering surgeons who had sought out experience in this fledgling field and went on to establish post-war units in teaching hospitals across the country. Like others of his generation, the war had an enormous effect on his career. Here we discuss his early formative career gaining experience in the leading centres of the day, WWII and his 5 years as a prisoner of war, going on to set up the new unit in Aberdeen. We are fortunate to have had access to many of Nichols' letters and other materials that provide valuable insights into the period.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298387","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
Caught in the act - pancreatic actinomycosis masquerading as malignancy. 猝不及防--伪装成恶性肿瘤的胰腺放线菌病。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-07-28 DOI: 10.1177/14782715241265144
Nikhil Kenny Thomas, John P Thomas, Mukundan Swaminathan
{"title":"Caught in the act - pancreatic actinomycosis masquerading as malignancy.","authors":"Nikhil Kenny Thomas, John P Thomas, Mukundan Swaminathan","doi":"10.1177/14782715241265144","DOIUrl":"10.1177/14782715241265144","url":null,"abstract":"<p><p>A 57-year-old male with a background of chronic pancreatitis presented with acutely worsening abdominal pain and vomiting. He previously had a pancreatic duct stent <i>in situ</i> which had been removed 1 year prior to presentation. Initially suspected to be acute-on-chronic pancreatitis, a computed tomography (CT) scan of the abdomen and pelvis revealed an atrophic pancreas and a new mass in the pancreatic head, raising the suspicion of pancreatic malignancy. An urgent endoscopic ultrasound (EUS)-guided fine needle biopsy of the pancreatic head mass surprisingly revealed the presence of actinomyces colonies on histological evaluation. Prompt initiation of a prolonged antibiotic course led to significant clinical and radiological improvement. This case highlights the rare presentation of pancreatic actinomycosis which can often masquerade as malignancy. Although a gut commensal, actinomyces can elicit pathogenic effects if allowed to enter tissues through a breach in the mucosal lining such as following abdominal surgery or pancreatic duct intervention as observed in this case. Early recognition and appropriate treatment with antibiotics can lead to clinical recovery and complete resolution of the infection.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789362","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
Cardiogenic shock secondary to immune checkpoint inhibitor associated myocarditis. 继发于免疫检查点抑制剂相关心肌炎的心源性休克。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1177/14782715241276900
Kuan Ken Lee, Tanith Bain, Andrew Flapan
{"title":"Cardiogenic shock secondary to immune checkpoint inhibitor associated myocarditis.","authors":"Kuan Ken Lee, Tanith Bain, Andrew Flapan","doi":"10.1177/14782715241276900","DOIUrl":"10.1177/14782715241276900","url":null,"abstract":"<p><p>Immune checkpoint inhibitors have transformed the treatment for multiple cancers and are increasingly used in recent years, but they can cause potentially life-threatening cardiac toxicity. We report a case of a 64-year-old gentleman who presented to the Emergency Department with symptoms of fatigue and breathlessness whilst receiving treatment with an immune checkpoint inhibitor, pembrolizumab, for cholangiocarcinoma. He was found to be in cardiogenic shock with an abnormal electrocardiogram and elevated cardiac troponin at presentation. Echocardiogram demonstrated severely impaired right and left ventricular function. Computed tomography pulmonary angiography and invasive coronary angiography excluded pulmonary embolism and acute myocardial infarction, respectively, and he was diagnosed with immune checkpoint inhibitor associated myocarditis. He was treated with high-dose methylprednisolone and a dobutamine infusion. Within days, his troponin and C-reactive protein levels decreased, and his left ventricular function improved. He was established on heart failure therapies and discharged from hospital 12 days later.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037266","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 and alcohol problems turn up everywhere: cooperation and coordination could help. 毒品和酗酒问题无处不在：合作与协调将有所帮助。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-09-03 DOI: 10.1177/14782715241279091
Angela Thomas, Peter Rice, Roy Robertson
{"title":"Drug and alcohol problems turn up everywhere: cooperation and coordination could help.","authors":"Angela Thomas, Peter Rice, Roy Robertson","doi":"10.1177/14782715241279091","DOIUrl":"10.1177/14782715241279091","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120866","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
Less than full-time training, barriers and future needs. A UK-wide online survey of doctors in training. 非全职培训、障碍和未来需求。英国范围内对受训医生的在线调查。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1177/14782715241273741
Hannah Preston, Emma Spencer, Robert Ker, Jonathan Guckian, Marilena Giannoudi
{"title":"Less than full-time training, barriers and future needs. A UK-wide online survey of doctors in training.","authors":"Hannah Preston, Emma Spencer, Robert Ker, Jonathan Guckian, Marilena Giannoudi","doi":"10.1177/14782715241273741","DOIUrl":"10.1177/14782715241273741","url":null,"abstract":"<p><strong>Background: </strong>The the current views of less-than full-time (LTFT) training by both LTFT and full-time (FT) doctors in training, with regards to health and well-being, clinical and non-clinical opportunities, in addition to associated future workforce implications and challenges, are uncertain.</p><p><strong>Methods: </strong>We performed a cross-sectional study of UK-based doctors in training via an online questionnaire, designed and piloted by the Royal College of Physicians Edinburgh (RCPE) Trainees and Members Committee. Design was informed by prior investigation into LTFT training undertaken amongst similar populations by RCPE in 2019. The survey was distributed from May to September 2023 via email to trainees across the United Kingdom and was open to all specialties and training grades. The survey focused on lived experience of both LTFT and FT training, as well as perceived challenges for the future workforce.</p><p><strong>Results: </strong>There were 648 responses from doctors in training across the United Kingdom, with an even spread of LTFT and FT trainees. Most responses (53%) were from trainees in medical specialties. Most LTFT trainees plan to train at this pace for more than 5 years. LTFT was commonly linked to improved work-life balance and well-being, with FT training perceived to feature high stress and burnout. Concerns around LTFT relate to administrative errors, reduced training opportunities and colleague prejudice. Trainees are concerned about LTFT leading to rota gaps and incoherent workforce planning around training numbers.</p><p><strong>Conclusion: </strong>With ever-increasing popularity in LTFT training, flexible and robust long-term workforce planning is necessary for the system to adapt to a new normal and improve retention of doctors in training.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298386","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
Dr Alison Margaret Kerr OBE MD FRCPE FRCPaed. 艾莉森-玛格丽特-科尔博士（Dr Alison Margaret Kerr OBE MD FRCPE FRCPaed）。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-08-06 DOI: 10.1177/14782715241270320
Jan Kerr, Malcolm Kerr
{"title":"Dr Alison Margaret Kerr OBE MD FRCPE FRCPaed.","authors":"Jan Kerr, Malcolm Kerr","doi":"10.1177/14782715241270320","DOIUrl":"https://doi.org/10.1177/14782715241270320","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898623","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 use of frailty questionnaires in inpatients in two neurorehabilitation units in the East Midlands - A cross-sectional cohort study with follow-up to 1-year after discharge from inpatient rehabilitation. 东米德兰地区两家神经康复中心住院病人虚弱程度问卷的使用情况--一项横断面队列研究，对住院康复病人出院后 1 年的随访。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-04-05 DOI: 10.1177/14782715241242509
Laura Edwards, Vina Tesorero, Fattaneh Zonouzi, Piera Santullo, Phoebe Owen, Adam L Gordon
{"title":"The use of frailty questionnaires in inpatients in two neurorehabilitation units in the East Midlands - A cross-sectional cohort study with follow-up to 1-year after discharge from inpatient rehabilitation.","authors":"Laura Edwards, Vina Tesorero, Fattaneh Zonouzi, Piera Santullo, Phoebe Owen, Adam L Gordon","doi":"10.1177/14782715241242509","DOIUrl":"10.1177/14782715241242509","url":null,"abstract":"<p><strong>Background: </strong>Frailty correlates with poor clinical outcomes and is not routinely assessed in neurorehabilitation inpatient settings.</p><p><strong>Methods: </strong>We recruited adults from two neurorehabilitation units. We administered six validated tools for assessing frailty and collected data around length of stay, discharge, readmission and change in rehabilitation outcome measures.</p><p><strong>Results: </strong>Seventy-eight participants aged between 31 and 84 years were recruited with a range of neurological diagnoses. Frailty prevalence ranged between 23% and 46%, depending on the scale used, with little agreement between tools. Frailty status did not correlate with age, gender, length of stay, discharge destination and rehabilitation outcome measures. One-year readmission was higher in participants rated as frail by the Frail-Non-Disabled Questionnaire, the FRESH-screening questionnaire and the Clinical Frailty Scale.</p><p><strong>Conclusion: </strong>Frailty ascertainment was variable depending on the tool used. Three frailty indices predicted readmission rate at 1 year but no other outcome measures. Therefore, frailty tools may have limited utility in this clinical population.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872903","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
Learning points about myalgic encephalomyelitis/chronic fatigue syndrome: Bridging the gap between research, clinical practice and awareness. 有关肌痛性脑炎/慢性疲劳综合征的学习要点：弥合研究、临床实践和认识之间的差距。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-05-27 DOI: 10.1177/14782715241257968
Bhanu Wahi-Singh
{"title":"Learning points about myalgic encephalomyelitis/chronic fatigue syndrome: Bridging the gap between research, clinical practice and awareness.","authors":"Bhanu Wahi-Singh","doi":"10.1177/14782715241257968","DOIUrl":"10.1177/14782715241257968","url":null,"abstract":"<p><p>This essay examines the complex landscape of myalgic encephalomyelitis, commonly known as chronic fatigue syndrome, highlighting its chronic and multisystemic nature with elusive causative factors. It discusses clinical challenges in diagnosis and management, emphasising the importance of increased education and awareness among healthcare professionals. The role of empathic, person-centred care in improving patient outcomes is underscored, urging for a paradigm shift towards understanding and addressing the profound impact of myalgic encephalitis/chronic fatigue syndrome on patients' lives.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155620","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
Existing and emerging GLP-1 receptor agonist therapy: Ramifications for diabetic retinopathy screening. 现有和新兴的 GLP-1 受体激动剂疗法：对糖尿病视网膜病变筛查的影响。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-04-05 DOI: 10.1177/14782715241244843
George Iype Varughese, Sarita Jacob
{"title":"Existing and emerging GLP-1 receptor agonist therapy: Ramifications for diabetic retinopathy screening.","authors":"George Iype Varughese, Sarita Jacob","doi":"10.1177/14782715241244843","DOIUrl":"10.1177/14782715241244843","url":null,"abstract":"<p><p>GLP-1 receptor agonist treatment revolutionised the management of type 2 diabetes mellitus with significant enhancement of cardiovascular risk reduction. They have been instrumental in effectively managing the glycaemic control of this at-risk patient group. This class of drugs are associated with rapid improvement in glucose levels and consequently, transient early worsening of <i>pre-existing diabetic retinopathy</i> (DR) which is well-recognised, but this paradox is less commonly perceived in routine clinical practice. The recent shortage of supply has resulted in an enforced hiatus to prescribing all existing GLP-1 receptor agonists, which is expected to last all through 2024. This becomes even more pertinent as their DR could have progressed due to worsening HbA1c as a result of the unforeseen interruption to GLP-1 receptor agonist treatment. Therefore, when these medications are recommenced in a few months' time, all prescribers need to be aware of these patients' most up-to-date DR status and liaise with their affiliated screening service.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871861","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
Pseudomesothelioma due to squamous cell lung cancer: An uncommon occurrence. 鳞状细胞肺癌引起的假性脂肪瘤：不常见的病例
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI: 10.1177/14782715241258502
Brandon Sze Mann Tan, Graeme Penman Currie, Andrea Chapman, Senthil Ragupathy, David Robert Miller
{"title":"Pseudomesothelioma due to squamous cell lung cancer: An uncommon occurrence.","authors":"Brandon Sze Mann Tan, Graeme Penman Currie, Andrea Chapman, Senthil Ragupathy, David Robert Miller","doi":"10.1177/14782715241258502","DOIUrl":"10.1177/14782715241258502","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176470","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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