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Journal of the Royal College of Physicians of Edinburgh最新文献

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Leiden manifesto and evidence-based research: Are the appropriate standards being used for the correct evaluation of pluralism, gaps and relevance in medical research? 莱顿宣言与循证研究：是否使用了适当的标准来正确评估医学研究的多元化、差距和相关性？
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI: 10.1177/14782715241227991
Ivan David Lozada-Martinez, Luz Miryam Lozada-Martinez, Ornella Fiorillo-Moreno
{"title":"Leiden manifesto and evidence-based research: Are the appropriate standards being used for the correct evaluation of pluralism, gaps and relevance in medical research?","authors":"Ivan David Lozada-Martinez, Luz Miryam Lozada-Martinez, Ornella Fiorillo-Moreno","doi":"10.1177/14782715241227991","DOIUrl":"10.1177/14782715241227991","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"4-6"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730725","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
Successful treatment of confluent and reticulated papillomatosis with a combination of doxycycline and topical tretinoin. 多西环素和局部维A酸联合疗法成功治疗了汇合型和网状型乳头状瘤病。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-02-15 DOI: 10.1177/14782715241227468
Ingrid Pao Lin Ting, Jiu Wen Kiing
{"title":"Successful treatment of confluent and reticulated papillomatosis with a combination of doxycycline and topical tretinoin.","authors":"Ingrid Pao Lin Ting, Jiu Wen Kiing","doi":"10.1177/14782715241227468","DOIUrl":"10.1177/14782715241227468","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"59-61"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736345","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
Rory Henry Grattan Fisher FRCPE, FRCPC. 罗里-亨利-格拉坦-费舍尔教授 FRCPE、FRCPC。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-18 DOI: 10.1177/14782715241240174
Anthony Seaton
{"title":"Rory Henry Grattan Fisher FRCPE, FRCPC.","authors":"Anthony Seaton","doi":"10.1177/14782715241240174","DOIUrl":"10.1177/14782715241240174","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"110"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159260","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
RCPE Podcasts. RCPE 播客。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-02-29 DOI: 10.1177/14782715241236566
{"title":"RCPE Podcasts.","authors":"","doi":"10.1177/14782715241236566","DOIUrl":"10.1177/14782715241236566","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"112"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991416","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 case report of pancreatic exocrine insufficiency in a patient with Parkinson's disease: A coincidence or is there more to it than meets the eye? 帕金森病患者胰腺外分泌功能不全的病例报告：是巧合还是另有隐情？
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-02-23 DOI: 10.1177/14782715241234078
David Edwards, Babu Krishnan, Mustafa Jalal
{"title":"A case report of pancreatic exocrine insufficiency in a patient with Parkinson's disease: A coincidence or is there more to it than meets the eye?","authors":"David Edwards, Babu Krishnan, Mustafa Jalal","doi":"10.1177/14782715241234078","DOIUrl":"10.1177/14782715241234078","url":null,"abstract":"<p><p>Pancreatic exocrine insufficiency (PEI) is an under-diagnosed condition. Untreated PEI can result in developing gastrointestinal symptoms and long-term complications including weight loss, nutrient deficiencies, sarcopenia and osteoporosis. Current best practice recommends testing for PEI in certain disorders including chronic pancreatitis, cystic fibrosis, pancreatic cancer and post-pancreatic surgery. However, there is increasing evidence that PEI is associated with a number of conditions in addition to the aforementioned diseases. These 'at-risk' conditions are a heterogeneous group of diseases, for example, diabetes mellitus, people living with human immunodeficiency virus, high alcohol intake, and coeliac disease. The pathophysiology of some of 'at-risk' conditions is becoming increasingly recognised; therefore, the list of associated conditions are in evolving process. We present a case of a 60-year-old male with Parkinson's disease and persistent abdominal pain who was found to have low faecal elastase levels indicative of severe PEI. His past medical history included none of the known risk factors for PEI. After examining the literature, we report a similar pathophysiological process underlying the development of pancreatitis and Parkinson's disease which is dysfunction of the Unfolded Protein Response. We suggest further research to assess the prevalence of PEI in the population of patients with Parkinson's disease.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"38-40"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139940905","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
'This wretched state': Robert Burns's illness and the daybook of Charles Fleeming. 这种可悲的状态"：罗伯特-伯恩斯的疾病与查尔斯-弗莱明的日记本。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI: 10.1177/14782715231223327
Moira Hansen
{"title":"'This wretched state': Robert Burns's illness and the daybook of Charles Fleeming.","authors":"Moira Hansen","doi":"10.1177/14782715231223327","DOIUrl":"10.1177/14782715231223327","url":null,"abstract":"<p><p>While now known globally as Scotland's national poet, in November 1781 the daybook of surgeon Charles Fleeming simply records him as 'Robert Burns, Lint Dresser'. Discovered in the 1950s, the daybook documents Fleeming's treatment of Burns during a period of illness which would have a profound impact on the poet's life and creative output. The book's discovery added to the theories about the nature of Burns's illness, often at odds with Burns's own later descriptions. This paper presents a fresh examination of Burns's treatment, challenging those theories by considering Fleeming's prescriptions in the context of key medical authorities of the time. In considering Burns's entry in the daybook in its entirety, the wider value of Fleeming's daybook as a private record of medical practice at the time is highlighted, pointing to the potential value of this and other such volumes as underappreciated archival research material.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"66-73"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730726","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 epidemiological characteristics of sleep disordered breathing in congestive heart failure: A prospective, single centre study in Southeast Asia. 充血性心力衰竭患者睡眠呼吸紊乱的流行病学特征：东南亚单中心前瞻性研究。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-20 DOI: 10.1177/14782715241239704
Albert Iruthiaraj Lourdesamy Anthony, Rosilawati Abdul Rani
{"title":"The epidemiological characteristics of sleep disordered breathing in congestive heart failure: A prospective, single centre study in Southeast Asia.","authors":"Albert Iruthiaraj Lourdesamy Anthony, Rosilawati Abdul Rani","doi":"10.1177/14782715241239704","DOIUrl":"10.1177/14782715241239704","url":null,"abstract":"<p><strong>Background: </strong>The presence of sleep-disordered breathing (SDB) in congestive heart failure (CHF) is associated with poor prognosis and is underdiagnosed despite advances in CHF management. The prevalence of SDB in CHF remains understudied in South East Asia.</p><p><strong>Methods: </strong>A prospective, observational single-centre study was conducted where 116 consecutive patients in a specialised heart failure clinic underwent level 1, attended polysomnography (PSG).</p><p><strong>Results: </strong>The prevalence of SDB was 78% using the apnoea-hypopnea index (AHI), AHI ⩾ 5/h threshold, and 59% with the AHI ⩾ 15/h threshold. Obstructive sleep apnoea (OSA) was the predominant type of SDB and was associated with increased body mass index and neck circumference. STOP-BANG was predictive of SDB, especially in men. Central sleep apnoea (CSA) patients had worse sleep indexes and lower awake arterial carbon dioxide. SDB was also homogenously present in preserved ejection fraction (EF) CHF.</p><p><strong>Conclusion: </strong>Most of the CHF patients were found to have SDB with the utility of PSG. Local CHF guidelines should include sleep testing for all patients with CHF.The study is registered on ClinicalTrials.gov (NCT05332223) as 'The Epidemiological Characteristics of SDB in Patients with Reduced or Preserved EF CHF'.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"18-25"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177118","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
Final call: Climate change and us. 最后通话：气候变化与我们
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-17 DOI: 10.1177/14782715241239085
Hugh Montgomery
{"title":"Final call: Climate change and us.","authors":"Hugh Montgomery","doi":"10.1177/14782715241239085","DOIUrl":"10.1177/14782715241239085","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"101-104"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144312","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
Physicians, know thy patient. 医生，了解你的病人。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-24 DOI: 10.1177/14782715241240510
Isaac Ks Ng
{"title":"Physicians, know thy patient.","authors":"Isaac Ks Ng","doi":"10.1177/14782715241240510","DOIUrl":"10.1177/14782715241240510","url":null,"abstract":"<p><p>Person-centered care is presently the standard healthcare model, which emphases shared clinical decision-making, patient autonomy and empowerment. However, many aspects of the modern-day clinical practice such as the increased reliance on medical technologies, artificial intelligence, and teleconsultation have significantly altered the quality of patient-physician communications. Moreover, many countries are facing an aging population with longer life expectancies but increasingly complex medical comorbidities, which, coupled with medical subspecialization and competing health systems, often lead to fragmentation of clinical care. In this article, I discuss what it truly means for a clinician to know a patient, which is, in fact, a highly intricate skill that is necessary to meet the high bar of person-centered care. I suggest that this can be achieved through the implementation of a holistic biopsychosocial model of clinical consultation at the physician level and fostering coordinated and continuity of care at the health systems level.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"84-88"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207866","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
George Charles Jenkins MB PhD FRCPath, FRCPE. George Charles Jenkins MB PhD FRCPath, FRCPE.
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-02-26 DOI: 10.1177/14782715241236263
Anthony Seaton
{"title":"George Charles Jenkins MB PhD FRCPath, FRCPE.","authors":"Anthony Seaton","doi":"10.1177/14782715241236263","DOIUrl":"10.1177/14782715241236263","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"111"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973877","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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