Journal of the Royal College of Physicians of Edinburgh最新文献_第3页

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-03-01 Epub Date: 2025-02-28 DOI: 10.1177/14782715251325577

Graeme P Currie

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Dementia after stroke-risk prediction and management. 卒中后痴呆的风险预测和管理。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-03-01 Epub Date: 2024-12-25 DOI: 10.1177/14782715241308365

Marni James, Emily Ball, Eugene Yee Hing Tang, Gillian Mead

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Less than full-time training and future needs. 少于全日制培训及未来需要。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-03-01 Epub Date: 2025-01-24 DOI: 10.1177/14782715251314568

Noor Jawad, Ali Jawad

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The historical evolution of smallpox treatment in Japan visualised through Japanese artwork and woodblock prints. 天花治疗在日本的历史演变通过日本艺术品和木版版画可视化。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.1177/14782715241307997

Wen Xin Rachel Chua, Shyer Wern Goh, Wen Hon Darren Wee, Hanna Osawa, Sharavan Sadasiv Mucheli, Bingwen Eugene Fan

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Low-dose methotrexate in Rheumatology: A reinvented drug. 低剂量甲氨蝶呤在风湿病学中的应用：一种重新发明的药物。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI: 10.1177/14782715241312256

Kushagra Gupta, Vinod Ravindran

{"title":"Low-dose methotrexate in Rheumatology: A reinvented drug.","authors":"Kushagra Gupta, Vinod Ravindran","doi":"10.1177/14782715241312256","DOIUrl":"10.1177/14782715241312256","url":null,"abstract":"Low-dose methotrexate (LD-MTX) is the anchor drug used in the treatment of various rheumatological illnesses. There are a lot of misconceptions associated with the long-term use of MTX in the minds of practitioners. The origin of most of these myths stems from the ill effects associated with high-dose MTX used in cancer chemotherapy. In this review, we have summarised and discussed the latest data regarding the safety of LD-MTX. The current evidence underscores the safety of LD-MTX. It is not associated with liver and lung fibrosis as previously thought. Other major concerns such as bone marrow suppression and increased risk of infection are rare with chronic LD-MTX therapy. Hypersensitivity pneumonitis is a rare acute lung toxicity associated with MTX intake, it does not cause interstitial lung disease and in fact, may be protective against it. There is a slight concern about the increased risk of skin malignancy associated with MTX intake; however, association with no other malignancy has been found. It has taken many decades for researchers to clear the various preconceptions associated with MTX. It is time for the academic community to embrace LD-MTX as a new, separate and reinvented drug.","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"59-68"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956674","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}

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Esophagitis dissecans superficialis: Often underdiagnosed entity. 浅表性食管炎：常被误诊。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-02-24 DOI: 10.1177/14782715251322854

Fazil Mohammed, Shiran Shetty, Megha Murali, Geetha Vasudevan, Balaji Musunuri

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Cauda equina syndrome due to extramedullary hematopoiesis. 髓外造血引起的马尾综合征。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-02-10 DOI: 10.1177/14782715251318873

Uddalak Chakraborty, Amlan Kusum Datta, Adreesh Mukherjee, Sudeshna Malakar

引用次数: 0

Thanks to Reviewer. 感谢审稿人。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-01-29 DOI: 10.1177/14782715251316448

引用次数: 0

Medical emergencies in hospital: The role of treatment escalation plans in out-of-hours decision-making. 医院医疗紧急情况：治疗升级计划在非工作时间决策中的作用。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-12-01 Epub Date: 2024-12-04 DOI: 10.1177/14782715241298525

Tze Yi Gan, Roy Harris, D Robin Taylor

{"title":"Medical emergencies in hospital: The role of treatment escalation plans in out-of-hours decision-making.","authors":"Tze Yi Gan, Roy Harris, D Robin Taylor","doi":"10.1177/14782715241298525","DOIUrl":"10.1177/14782715241298525","url":null,"abstract":"Background: Out-of-hours medical emergencies are common in acute hospitals, and are often attended by staff who are unfamiliar with the patient's clinical background. Information in the hospital notes may or may not include guidance about how best to deal with clinical deterioration. The use of Treatment Escalation Plans (TEPs) attempts to address these deficiencies.Methods: This was an observational, questionnaire-based evaluation of the experience of trainee hospital doctors who attended out-of-hours medical emergencies.Results: Sixty-five medical emergencies were evaluated by a total of 38 doctors. Thirty patients had a TEP, attended by 20 doctors, and 35 without a TEP were attended by 27 doctors. Information from medical notes to facilitate decision-making was deemed sufficient by the attending doctor in 77% of patients with a TEP, compared to 54% of patients with no TEP. Only 10% of patients with a TEP had their treatment escalated at the time of the call, whereas this occurred in 20% of patients without a TEP (NS). A TEP was deemed 'somewhat' or 'very' helpful by trainees in 21/30 of the cases who had one. In 27/35 cases who did not have a TEP, trainees deemed that it would have been helpful to have had one. Twelve of 38 participants (32%) considered that there was a discrepancy between what was 'expected' and what they considered to be 'right' when managing out-of-hours emergencies.Conclusion: TEPs have an important role in delivering key information that shapes out-of-hours decision-making in deteriorating patients. Both objective outcomes and the subjective quality of medical decision-making are enhanced when a TEP is available.","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"284-289"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773634","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

A physical directory. 物理目录。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-12-01 Epub Date: 2024-12-11 DOI: 10.1177/14782715241307790

引用次数: 0