Journal of the Royal College of Physicians of Edinburgh最新文献_第9页

Corridor care: Everywhere and anywhere. 走廊关怀：无处不在，无处不在。

IF 0.9

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-03-01 Epub Date: 2025-02-10 DOI: 10.1177/14782715251319951

Clare Bostock

引用次数: 0

Delirium assessment, management and barriers to effective care across Scotland: A secondary analysis of survey data from World Delirium Awareness Day 2023. 苏格兰全境谵妄评估、管理和有效护理障碍：对2023年世界谵妄意识日调查数据的二次分析

IF 0.9

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-03-01 Epub Date: 2024-11-29 DOI: 10.1177/14782715241301486

Fariha Naeem, Rose S Penfold, Roy L Soiza, Rebecca Von Haken, Heidi Lindroth, Keibun Liu, Peter Nydhal, Terry J Quinn

{"title":"Delirium assessment, management and barriers to effective care across Scotland: A secondary analysis of survey data from World Delirium Awareness Day 2023.","authors":"Fariha Naeem, Rose S Penfold, Roy L Soiza, Rebecca Von Haken, Heidi Lindroth, Keibun Liu, Peter Nydhal, Terry J Quinn","doi":"10.1177/14782715241301486","DOIUrl":"10.1177/14782715241301486","url":null,"abstract":"Introduction: Delirium is a common, severe neuropsychiatric syndrome in hospitalised older adults. We evaluated use of validated delirium assessment tools, adherence to national guidelines and prevalence and management of delirium across Scotland, identifying barriers to effective care.Methods: Secondary analysis of national survey data, collected by participating clinicians on World Delirium Awareness Day (15 March 2023).Results: Among 120 responses (3,257 patients), the 4AT was the most frequently used assessment tool (75%), while 14% of units reported using clinical judgement alone. The delirium assessment rate was 74%, with a prevalence of 22% at 8 am. Management protocols varied, with frequent routine non-pharmacological interventions including pain management (88%), hydration (87%) and open family visiting (80%). Barriers to delirium care included insufficient staffing and training.Conclusion: While many hospital settings follow national delirium guidelines, some still rely on clinical judgement for assessment, with variability in management protocols and practices. We have highlighted key barriers to effective delirium care in Scotland.","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"6-13"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751580","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

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

IF 0.9

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 0.9

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

引用次数: 0

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 0.9

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 0.9

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":0.9,"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}

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 0.9

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

Hereditary haemochromatosis: A review. 遗传性血色素沉着病：综述。

IF 0.9

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-12-01 Epub Date: 2024-11-10 DOI: 10.1177/14782715241298724

Prabhsimran Singh, Charles Millson, Robert Driver

引用次数: 0