{"title":"Paget's Disease of the Bone.","authors":"Garry Swann","doi":"10.1080/0140511031000135168","DOIUrl":"https://doi.org/10.1080/0140511031000135168","url":null,"abstract":"Sir James Paget (1814–1899) began his distinguished career in the lowly position of clinical clerk to the physicians at St. Bartholomew’s Hospital, London. In due course he became assistant surgeon, and ultimately his singlemindedness and tireless application were rewarded by the achievement of eminence as a physiologist, pathologist, surgeon and teacher. Paget was an exceptional observer and writer on clinical matters; he is now chiefly remembered for his original descriptions of the two conditions that are named after him, Paget’s Disease of the Nipple and Paget’s Disease of the Bone. Paget’s descriptions of these two conditions were so perfect in the clinical aspect that practically nothing has been added to them since he first described them. 1 Paget was elected a Fellow of the Royal Society in 1851, created a baronet in 1871, and elected President of the Royal College of Surgeons in 1875. The James Paget Hospital in Great Yarmouth, the town of his birth, is named after him. Paget’s Disease of the Bone, also known as osteitis deformans, is a disease of unknown cause, characterized by localized areas of bone destruction which is followed by replacement with over-developed, light, soft, porous bone. This re-growth is associated with deformities such as thickening of portions of the skull and bending of the weight-bearing bones, but the abundant new bone is structurally abnormal and weak. Fractures of the long bones are common, and basilar invagination of the skull, internal hydrocephalus and long tract signs have also been reported. Malaise, high-output cardiac failure and cranial nerve compression, especially auditory or ocular, are also characteristic. Paget’s Disease of the Bone is most prevalent in Europe, and especially in north-west England. It is rare in patients under the age of 40, though up to 3% of the population over the age of 55 is thought to be affected (in bone disease, the incidence of Paget’s is second only to osteoporosis). Nevertheless, there is evidence that its prevalence is decreasing. 2 The patient shown here was first clinically photographed in 1974, aged 51 (Figure 1), with onset of the disease having taken place in the late 1960s. His treatment mirrors the developments in therapy that have taken place over the years. In the 1970s he received porcine, and later salmon, calcitonin, which was effective for pain relief. This drug can also assist in relieving some of the neurological complications of Paget’s Disease, such as deafness. In the early 1990s this patient received two courses of disodium etidronate, the first-generation bisphosphonate. More recently he has had further treatment with risidronate, a second-generation bisphosphonate, which clinical studies have shown to be effective in controlling Paget’s Disease, returning the alkaline phosphatase bone turnover marker in the blood to normal levels. Sarcomatous change can occur in the bones in chronic cases. The patient returned for further photography in 1985 (Fig","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 2","pages":"80-1"},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000135168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22510080","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}
{"title":"The design and construction of an interactive website concerning biomedical photography.","authors":"Robin Williams, Gigi Williams","doi":"10.1080/0140511031000151502","DOIUrl":"https://doi.org/10.1080/0140511031000151502","url":null,"abstract":"<p><p>The purpose of this communication is to make readers aware of what the authors believe is an important online resource about medical and scientific photography for doctors, scientists and students. It is a website freely accessible and its URL is http://msp.rmit.edu.au. The site is designed as a resource base: it is not meant to be a 'course' but the reader will find much practical information about technique and applications of scientific imaging methods. The site is currently a comprehensive collection of resources relating to invisible radiation photography but there are plans to expand the site to a range of clinical recording topics, and other potential contributors are asked to join the project. It contains a vast collection of photographs from many photographers as well as graphs, diagrams, tables and references. This paper also discusses some of the important issues surrounding the 'publication' of such a site such as currency and access versus credibility; technological obsolescence, site design and usage.</p>","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 2","pages":"54-9"},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000151502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22510075","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}
{"title":"Diabetic retinopathy screening.","authors":"","doi":"10.1080/0140511031000135249","DOIUrl":"https://doi.org/10.1080/0140511031000135249","url":null,"abstract":"<p><p>As part of the Institute of Medical Illustrators' (IMI) scheme for continuing professional development (CPD), worksheets will be published at regular intervals in this Journal. These are designed to provide the members of IMI with a structured CPD activity that offers one way to earn credits. It is recognized that this worksheet requires some time spent obtaining and reading a number of publications. As a way of ensuring that the allocated time has been spent on the activities a number of self-assessment exercises (SAEs) have been included. Upon completion of this worksheet, you will be credited with 10 CPD points. The answers to the SAEs, along with any notes you make and other publications you find, should be kept in your CPD portfolio.</p>","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 2","pages":"82-3"},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000135249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22510081","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}
{"title":"The development of an improved method of photography for mole-monitoring at the University Hospital of North Durham.","authors":"Carolyn Bray","doi":"10.1080/0140511031000091248","DOIUrl":"https://doi.org/10.1080/0140511031000091248","url":null,"abstract":"<p><p>The past decade has witnessed a dramatic increase in the number of patients presenting with pigmented lesions to general practitioners. This increase is reflected in the number of patients referred for whole body mole-monitoring photographs to the Medical Photography and Illustration Department of the University Hospital of North Durham. Through a process of qualitative and quantitative research, an improved method of whole body photographic mole-monitoring was devised and implemented within this department. All aspects of the mole-monitoring service were evaluated, from the original photographic request to the photographic session and patient interaction. This process also offered the opportunity to explore the possible use of new technologies.</p>","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 2","pages":"60-6"},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000091248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22510076","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}
{"title":"Whither medical illustration?","authors":"Simon Brown","doi":"10.1080/0140511031000135230","DOIUrl":"https://doi.org/10.1080/0140511031000135230","url":null,"abstract":"","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 2","pages":"67-9"},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000135230","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22510077","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}
{"title":"Digital images and the electronic patient record in the 21st century.","authors":"Sean Brennan","doi":"10.1080/0140511031000091275","DOIUrl":"https://doi.org/10.1080/0140511031000091275","url":null,"abstract":"The author has previously outlined the concept of Electronic Patient Records (EPR) and Electronic Health Records (EHR), as well as the role that Medical Illustration as a professional body should play in national programmes in this connection. This paper provides an update on the EPR and EHR programmes, assessing how far these programmes have developed in that time, and attempts to identify in more detail the potential role of medical illustrators. The original paper sought not to define the technical standards required for the collection, storage and distribution of digital images, but simply to clarify the EPR and EHR objectives, and suggest that those with expertise in this specific area should become actively engaged in the strategic planning of EPRs. This paper reiterates those objectives.","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 1","pages":"31-3"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000091275","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22528183","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}
{"title":"The use of linear scales in the photography of skin lesions.","authors":"Graeme M Ainslie, James Reilly","doi":"10.1080/0140511031000091239","DOIUrl":"https://doi.org/10.1080/0140511031000091239","url":null,"abstract":"<p><p>In medical photography linear scales are widely used to monitor change in size. Although accuracy on the image is generally accepted as being perfectly adequate, there is a degree of uncertainty. This led the first author to investigate the use of linear scales when photographing skin lesions at the Victoria Hospital, Kirkcaldy. Established methods of determining photographic accuracy are by themselves insufficient: the outcome must relate to how the end product is used, i.e., by visual assessment and/or manual measurement. As well as showing that the accuracy concerned is adequate for current requirements, this work presents a definitive value.</p>","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 1","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000091239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22528830","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}
{"title":"National Occupational Standards for medical illustrators.","authors":"Jane Tovey","doi":"10.1080/0140511031000091220","DOIUrl":"https://doi.org/10.1080/0140511031000091220","url":null,"abstract":"<p><p>We live in a changing and complex world, which is about to become even more so as we become more standards-focused and driven by attaining documented quality levels throughout our working lives. Many of the different initiatives affecting our profession at the moment are standards-orientated. Some are being led by the Institute of Medical Illustrators, while others have a wider, national focus and are linked with the Government's Making the Change proposals. This paper attempts to clarify a rather confusing situation and demonstrate how the various initiatives will eventually link together to underpin the structure of medical illustration and healthcare science in the future.</p>","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 1","pages":"11-4"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000091220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22528829","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}
{"title":"Froment's sign.","authors":"Craig Richardson, Gerd Fabre","doi":"10.1080/0140511031000091284","DOIUrl":"https://doi.org/10.1080/0140511031000091284","url":null,"abstract":"Froment’s sign derives its name from Jules Froment (1878–1946) who noted that instances of injury and paralysis to the ulnar nerve resulted in a reduced functionality and muscular weakness in the pinch grip between the thumb and index finger of the affected hand. Froment’s sign presents after damage to the ulnar nerve, which innervates the adductor pollicis and interossei muscles, which provide adduction of the thumb and extension of the interphalangeal joint. The flexor pollicis longus muscle tries to compensate for this loss of power to maintain pressure to the grip by flexing the tip of the thumb at the interphalangeal joint, causing the pinching effect. This is demonstrated by asking the patient to grip a flat object or piece of paper between the thumb and index finger of both hands and to pull in opposite directions. The unaffected hand grasps the surface of the object firmly, using the pulp of the surface of thumb and index finger, with the distal phalanx extended or slightly flexed. The affected hand, however, demonstrates a pinch that is weak, gripping the object with the tips of the thumb and index finger and the distal phalanx of the thumb markedly flexed. The image shown displays the condition in the left hand after ulnar nerve transsection caused by falling onto a smashed coffee mug (Figure 1).","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 1","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000091284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22528184","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}
{"title":"Applying quality management tools to medical photography services: a pilot project.","authors":"Peter Murray","doi":"10.1080/0140511031000091257","DOIUrl":"https://doi.org/10.1080/0140511031000091257","url":null,"abstract":"<p><p>The Medical Photography Department at Peterborough Hospitals NHS Trust set up a pilot project to reduce the turnaround time of fundus fluorescein angiograms to the Ophthalmology Department. Quality management tools were used to analyse current photographic practices and develop more efficient methods of service delivery. The improved service to the Ophthalmology Department demonstrates the value of quality management in developing medical photography services at Peterborough Hospitals.</p>","PeriodicalId":76645,"journal":{"name":"The Journal of audiovisual media in medicine","volume":"26 1","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0140511031000091257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22528831","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}