JRSM short reports最新文献_第4页

Managing patients for zoonotic disease in hospitals. 管理医院人畜共患病患者。

JRSM short reports Pub Date : 2013-07-01 DOI: 10.1177/2042533313490287

Clifford Warwick, Susan Corning

引用次数: 14

How do online patient support communities affect the experience of inflammatory bowel disease? An online survey. 在线患者支持社区如何影响炎症性肠病患者的体验?一个在线调查。

JRSM short reports Pub Date : 2013-07-01 eCollection Date: 2013-01-01 DOI: 10.1177/2042533313478004

Neil S Coulson

{"title":"How do online patient support communities affect the experience of inflammatory bowel disease? An online survey.","authors":"Neil S Coulson","doi":"10.1177/2042533313478004","DOIUrl":"https://doi.org/10.1177/2042533313478004","url":null,"abstract":"Objective: To explore how participation in an online support community may impact upon the experience of inflammatory bowel disease (IBD).Design: An online survey.Setting: Study participants recruited through 35 IBD online communities.Participants: A total of 249 males and females aged 16-69 years, living with either Crohn's disease (65.9%) or ulcerative colitis (26.1%) or awaiting formal diagnosis (8%).Results: Patients reported being members for an average of two years, with the majority accessing the community on a daily (46.9%) or weekly (40%) basis. Spending on average four hours per week online, approximately two-thirds of members posted between one and five messages per week. Members joined to find others in a similar situation and to obtain and share information and emotional support. Through participation members accessed a wealth of knowledge about all aspects of living with IBD and this was helpful in terms of accepting their illness and learning to manage it. The community also helped members see their illness more positively as well as contributing to an improvement in subjective wellbeing. However, some negatives aspects were noted.Conclusions: Online support communities may provide a useful shared space through which IBD patients may seek and provide both informational and emotional support. Many of these benefits may not be available through traditional healthcare. Whilst online support communities may be beneficial for those who choose to participate in them, they are not without limitations. Health professionals should be aware of the potential benefits and limitations of online communities.","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 8","pages":"2042533313478004"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313478004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31736295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 72

Evidence and ideology as a rationale for light-therapy in Russia: from the Soviet Union to the present day. 证据和意识形态作为俄罗斯光疗的基本原理:从苏联到现在。

JRSM short reports Pub Date : 2013-07-01 DOI: 10.1177/2042533313476697

Charlotte Kühlbrandt, Martin McKee

{"title":"Evidence and ideology as a rationale for light-therapy in Russia: from the Soviet Union to the present day.","authors":"Charlotte Kühlbrandt, Martin McKee","doi":"10.1177/2042533313476697","DOIUrl":"https://doi.org/10.1177/2042533313476697","url":null,"abstract":"Light therapy is still used to treat a number of common diseases in Russia. The practice is firmly anchored in history: Soviet clinical practice was divorced from the emerging field of evidence-based medicine. Medical researchers were cut off from international medical research and scientific literature, with much Soviet scientific activity based on a particular socialist ideology. In this study, the use of light therapy serves as a case study to explore tensions between international evidence-based medicine and practices developed in isolation under the Soviet Union, the legacy of which is to the detriment of many patients today. We used four different search methods to uncover scientific and grey literature, both historical and contemporary. We assessed the changing frequency of publications over time and contrasted the volume of literature on light therapy with more orthodox treatments such as statins and painkillers. Our search found an increasing number and comparatively large body of scientific publications on light therapy in the Russian language, and many publications emanating from prestigious Russian institutions. Combined with our analysis of the historical literature and our appraisal of 22 full text articles, this leads us to suggest that light therapy entered mainstream Soviet medical practice before the Stalinist period and still occupies an important position in contemporary Russian clinical practice. We propose that this outdated treatment survives in Russia in part due to the political, economic and social forces that helped to popularize it during Soviet times, and by the seeming justification offered by poorly executed studies. ","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 8","pages":"2042533313476697"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313476697","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31736390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Hypertriglyceridemic pancreatitis in pregnancy: case reports and review of the literature. 妊娠期高甘油三酯血症性胰腺炎:病例报告和文献回顾。

JRSM short reports Pub Date : 2013-07-01 eCollection Date: 2013-01-01 DOI: 10.1177/2042533313481211

Kumar Thulasidass, Tahseen A Chowdhury

引用次数: 10

Rapid diagnosis of combined multifocal gastrointestinal stromal tumours and coeliac disease in a patient with type 1 neurofibromatosis. 快速诊断一名1型神经纤维瘤病患者的多灶性胃肠道间质瘤和乳糜泻。

JRSM short reports Pub Date : 2013-07-01 eCollection Date: 2013-01-01 DOI: 10.1177/2042533313476687

Mary Hussey, Grainne Holleran, Deirdre McNamara

引用次数: 0

Inappropriate use of proton pump inhibitors among medical inpatients: a questionnaire-based observational study. 住院病人不适当使用质子泵抑制剂:一项基于问卷的观察性研究。

JRSM short reports Pub Date : 2013-06-25 eCollection Date: 2013-01-01 DOI: 10.1177/2042533313497183

Muhammad Haroon, Faiza Yasin, Syed K M Gardezi, Fahd Adeeb, Frank Walker

{"title":"Inappropriate use of proton pump inhibitors among medical inpatients: a questionnaire-based observational study.","authors":"Muhammad Haroon, Faiza Yasin, Syed K M Gardezi, Fahd Adeeb, Frank Walker","doi":"10.1177/2042533313497183","DOIUrl":"https://doi.org/10.1177/2042533313497183","url":null,"abstract":"Objectives: To evaluate the appropriateness of proton pump inhibitor (PPI) prescribing by conducting an audit of medical inpatients against recommended guidelines.Design: Questionnaire-based study. All medical wards were audited and different information was documented by patients' medical records review (both hospital visit notes and general practitioner's letters) and short interview, where we asked them to name the clinical reason for using PPI.Setting: This study was carried out in the setting of a regional hospital (537-bed, secondary care referral centre) in Ireland.Participants: The study participants were all consecutive medical patients admitted to the medical wards at Waterford Regional Hospital, Waterford.Main outcome measures: The appropriateness of PPI usage in our regional hospital by assessing the level of its prescribing against published guidelines (NICE, 2000).Results: During the audit period, 205 consecutive medical inpatients were assessed. Seventy-nine percent (162 out of 205) of the studied patients were found to be using PPI. For 45% (n = 73) of patients, there was no documentation of valid indication for being on PPI. Overall, 64% of patients were prescribed PPI by hospital doctors, either during their current or previous admissions. We noted that 31% (n = 51) of patients were taking PPI for ≥2 years and another 25% of patients were using PPI for about one year. Only 12% (n = 20) of patients had undergone endoscopy procedures.Conclusion: Inappropriate use of PPI remains common in hospital practice. The risks of using long-term PPI must be weighed against the benefits.","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 8","pages":"2042533313497183"},"PeriodicalIF":0.0,"publicationDate":"2013-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313497183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31736300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 45

Writer's cramp: is focal dystonia the best explanation? 作家痉挛:局灶性肌张力障碍是最好的解释吗?

JRSM short reports Pub Date : 2013-06-05 Print Date: 2013-07-01 DOI: 10.1177/2042533313480071

Michael H Pritchard

{"title":"Writer's cramp: is focal dystonia the best explanation?","authors":"Michael H Pritchard","doi":"10.1177/2042533313480071","DOIUrl":"https://doi.org/10.1177/2042533313480071","url":null,"abstract":"Often considered no more than an historical curiosity, writer's cramp remains an important disability in the workplace and the mechanism, which has puzzled the best medical minds for generations, remains contentious. A remarkable range of hypotheses has been put forward to try and explain a disability which periodically reached epidemic and economically worrying levels, but in the end medical opinion has accepted the explanation put forward by neurologists Sheehy and Marsden in 1983 that this was caused by a form of focal dystonia. However, the majority of the historical descriptions of writer's cramp do not fit the classical parameters of focal dystonia and are more accurately described as a progressive forearm muscle fatigue. Today's keyboard operators continue to complain of symptoms identical to their clerical forebears demonstrating that this is a problem which has evolved but not disappeared; this has the paradoxical advantage that modern research techniques enable this complaint to be revisited. The result shows that two varieties of writer's cramp have always existed and while focal dystonia remains a valid explanation for a minority of cases, the much more common fatigue-based complaint is better explained by chronic compartment syndrome of the forearm. ","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 7","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2013-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313480071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Dermatology, an interdisciplinary approach between community and hospital care. 皮肤科，社区和医院护理之间的跨学科方法。

JRSM short reports Pub Date : 2013-06-05 Print Date: 2013-07-01 DOI: 10.1177/2042533313486641

Soudeh Mashayekhi, Reza Hajhosseiny

引用次数: 6

Stabbing and safeguarding in children and young people: a Pan-London service evaluation and audit. 刺伤和保护儿童和青少年:一个泛伦敦服务评估和审计。

JRSM short reports Pub Date : 2013-06-05 Print Date: 2013-07-01 DOI: 10.1177/2042533313485236

John R Apps, Carrie Williams, Anne McGuinness, Susie Gabbie, Alastair G Sutcliffe

{"title":"Stabbing and safeguarding in children and young people: a Pan-London service evaluation and audit.","authors":"John R Apps, Carrie Williams, Anne McGuinness, Susie Gabbie, Alastair G Sutcliffe","doi":"10.1177/2042533313485236","DOIUrl":"https://doi.org/10.1177/2042533313485236","url":null,"abstract":"Objectives: To characterize paediatric presentations of stabbing to emergency departments across London and to audit existing referral rates to the police and social services against the new standard set by the General Medical Council.Design: Retrospective multi-centre service evaluation/audit.Setting: All emergency departments within London.Participants: Patients under 18 years of age presenting to emergency departments with non-accidental stabbing between 1 April 2007 and 30 April 2009.Main outcome measures: Patient age, nature of assault, assailant, injuries and management. Rates of documented referral to police and social services, as mandated by GMC guidance.Results: A total of 381 presentations were identified from 20 out of the 32 hospitals in London, 160 of whom were less than 16 years old. The majority were seen only by emergency department staff and only a minority (28%) were admitted. Three died in the departments. A knife was the commonest weapon and the limbs the most common site of injury. Referrals to police were documented in only 30% of patients (43% if <16 years old) and to social services in 16% (31% if <16 years old) of those discharged. In the majority, there was no documentation (police 64%, social services 79%).Conclusions: A significant number of paediatric stabbings present to emergency departments across London. The majority of these are discharged directly from departments. Of those discharged, documentation regarding referral rates to Police and Social Services was poor, and documented referral rates low. This study covered a period prior to the introduction of new General Medical Council guidance and a repeat audit to assess subsequent documented referrals is required.","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 7","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2013-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313485236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31606458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

The birth of forceps. 产钳的诞生。

JRSM short reports Pub Date : 2013-06-05 Print Date: 2013-07-01 DOI: 10.1177/2042533313478412

Sukhera Sheikh, Inithan Ganesaratnam, Haider Jan

引用次数: 12