8,195 results match your criteria British Journal Of Hospital Medicine[Journal]


Prescribing for yourself, family and friends.

Authors:
Rachel Birch

Br J Hosp Med (Lond) 2019 Apr;80(4):C62-C64

Medicolegal Consultant, Medical Protection, Edinburgh EH2 2HN.

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http://dx.doi.org/10.12968/hmed.2019.80.4.C62DOI Listing

Imaging the patient with heel pain.

Br J Hosp Med (Lond) 2019 Apr;80(4):192-195

Consultant Trauma and Orthopaedic Surgeon, Department of Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn.

Heel pain is a common presentation in primary care and affects a wide range of the population but predominantly elderly, obese and athletic patients. History and clinical assessment are paramount in the management of this condition but the presentation can confound clinicians, necessitating the use of imaging to confirm or clarify the diagnosis when there is clinical uncertainty. This article illustrates the various conditions producing heel pain to help clinicians determine the appropriate imaging modality to image the common causes of heel pain. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.192DOI Listing

A giant renal artery aneurysm presenting as a calcified hydatid cyst.

Br J Hosp Med (Lond) 2019 Apr;80(4):iii

Professor, Department of Radiology, Medical Faculty, NEU University, Konya, Turkey.

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http://dx.doi.org/10.12968/hmed.2019.80.4.iiiDOI Listing
April 2019
3 Reads

Erratum.

Authors:

Br J Hosp Med (Lond) 2019 04;80(4):235

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http://dx.doi.org/10.12968/hmed.2019.80.4.235aDOI Listing

Management of ankle fractures in children.

Br J Hosp Med (Lond) 2019 Apr;80(4):201-203

Associate Professor, Academic Orthopaedics, Department of Trauma and Sports Medicine, University of Nottingham, Queen's Medical Centre, Nottingham.

Ankle fractures are a common injury in children and adolescents - 1 in 1000 children will sustain an ankle fracture each year. Understanding the diagnosis and management of these injuries is vital for any doctor or clinician working in the emergency department, orthopaedics or providing community care. This review identifies the important features of high- and low-risk ankle fractures, how to prevent the use of unnecessary radiation and the management of these injuries. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.201DOI Listing
April 2019
2 Reads

Foundation forum: developing leadership skills among foundation trainees.

Br J Hosp Med (Lond) 2019 Apr;80(4):225-227

Consultant and Foundation Training Director, Department of Rheumatology, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire.

Foundation forums have been adopted over the last few years to provide representation for newly qualified doctors, but they do not develop essential leadership, management and quality improvement skills for those recruited - key attributes that have been formally identified by General Medical Council (2012) guidance. A foundation forum was set up across three Oxford deanery hospitals. Forum members were assigned classical forum roles, but were also tasked to complete quality improvement projects, organize a national quality improvement conference, and undergo formal leadership and management training. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.225DOI Listing
April 2019
1 Read

The UK Pleural Society.

Br J Hosp Med (Lond) 2019 Apr;80(4):186-187

Professor of Respiratory Medicine, Oxford Respiratory Trials Unit, Nuffield Department of Medicine, University of Oxford, Oxford, and Oxford NIHR Biomedical Research Centre, Oxford.

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http://dx.doi.org/10.12968/hmed.2019.80.4.186DOI Listing

Putting service back into health care through servant leadership.

Br J Hosp Med (Lond) 2019 Apr;80(4):220-224

Professor of Medical Education and Director of Strategic Educational Development, Swansea University Medical School, Swansea.

Servant leadership theory is little reported on in NHS leadership development strategies despite clear alignment with the core values underpinning health care for all. This article reviews the key concepts of servant leadership and suggests that it should be viewed as a core leadership style for those working in health-care organizations. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.220DOI Listing

Clinical News.

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Br J Hosp Med (Lond) 2019 Apr;80(4):188-191

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http://dx.doi.org/10.12968/hmed.2019.80.4.188DOI Listing

Management of cardiogenic shock in patients with acute coronary syndromes.

Br J Hosp Med (Lond) 2019 Apr;80(4):204-210

Consultant Cardiologist, Barts Interventional Group, Barts Heart Centre, Barts Health NHS Trust, London EC1A 7BE and Senior Clinical Lecturer, NIHR Biomedical Research Centre at Barts, Barts Health NHS Trust and Queen Mary University of London, London.

Cardiogenic shock remains a major problem affecting a large proportion of patients with acute coronary syndromes, with a persistent high mortality rate. Although mechanical reperfusion with percutaneous coronary intervention has improved outcomes following acute coronary syndromes, there is limited evidence supporting the other current treatments used to manage patients with cardiogenic shock (intra-aortic balloon pumps, percutaneous left ventricular assist devices and extracorporeal membrane oxygenation). This article looks at these options, assessing current evidence and recent advances. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.204DOI Listing
April 2019
4 Reads

Digoxin toxicity precipitated by Helicobacter pylori eradication therapy.

Br J Hosp Med (Lond) 2019 Apr;80(4):228-229

Resident Specialist, Department of Medicine, Mater Dei Hospital, Malta.

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http://dx.doi.org/10.12968/hmed.2019.80.4.228DOI Listing

Diagnosis and management of primary immune thrombocytopenia in adults.

Br J Hosp Med (Lond) 2019 Apr;80(4):C54-C57

onsultant Haematologist, Department of Haematology, Guy's and St Thomas' Hospital, London.

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http://dx.doi.org/10.12968/hmed.2019.80.4.C54DOI Listing

Encephalitis.

Br J Hosp Med (Lond) 2019 Apr;80(4):C32-C34

Doctor, Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool.

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http://dx.doi.org/10.12968/hmed.2019.80.4.C50DOI Listing

Epistaxis from ruptured pseudoaneurysm of the internal carotid artery.

Br J Hosp Med (Lond) 2019 Apr;80(4):iv

Consultant, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.

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http://dx.doi.org/10.12968/hmed.2019.80.4.ivDOI Listing
April 2019
1 Read

Clinician engagement is essential for the diffusion of digital innovation.

Br J Hosp Med (Lond) 2019 Apr;80(4):184-185

Lecturer, Faculty of Life Sciences and Medicine, King's College London, London.

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http://dx.doi.org/10.12968/hmed.2019.80.4.184DOI Listing
April 2019
0.366 Impact Factor

Rapid sequence induction: an old concept with new paradigms.

Br J Hosp Med (Lond) 2019 Apr;80(4):C58-C61

Specialist Registrar in Anaesthesia and Intensive Care, Department of Anaesthesia, University College Hospital NHS Foundation Trust, London.

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http://dx.doi.org/10.12968/hmed.2019.80.4.C58DOI Listing

Radiotherapy in the control of bleeding from primary and secondary lung tumours.

Br J Hosp Med (Lond) 2019 Apr;80(4):211-215

Clinical Oncology Consultant, Department of Radiotherapy, The Christie NHS Foundation Trust, Manchester.

This literature review clarifies the role of radiotherapy in the management of low-volume haemoptysis. Embase and Medline were interrogated, and PRISMA guidelines were then used to select relevant articles. Seventy-eight articles were considered relevant and manually reviewed. Read More

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http://www.magonlinelibrary.com/doi/10.12968/hmed.2019.80.4.
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http://dx.doi.org/10.12968/hmed.2019.80.4.211DOI Listing
April 2019
5 Reads

Improving patient flow in a busy acute NHS hospital: the surgical hot clinic.

Br J Hosp Med (Lond) 2019 Apr;80(4):234-235

Surgical Consultant Department of General Surgery Queen's Hospital Barking, Havering and Redbridge University Hospitals NHS Trust Romford Essex.

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http://dx.doi.org/10.12968/hmed.2019.80.4.234DOI Listing

Care of the dying in hospital: a medical student perspective.

Br J Hosp Med (Lond) 2019 Apr;80(4):235

Medical Student King's College London School of Medical Education London SE1 1UL.

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http://dx.doi.org/10.12968/hmed.2019.80.4.235DOI Listing

Extravasation and pigmentation post iron infusion.

Br J Hosp Med (Lond) 2019 Apr;80(4):ii

Consultant in Acute Medicine, Department of Acute Medicine, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham.

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http://dx.doi.org/10.12968/hmed.2019.80.4.iiDOI Listing
April 2019
1 Read

Managing the patient with heel pain.

Br J Hosp Med (Lond) 2019 Apr;80(4):196-200

Consultant Trauma and Orthopaedic Surgeon, Department of Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn.

Heel pain presents frequently to primary care, commonly affecting athletic and elderly patients. Its presentation can be a common source of confusion for clinicians given the wide variety of differential diagnoses and the similarities in presenting symptoms and signs. This review classifies heel pain according to site of pain and explores the common pathologies clinicians may encounter. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.196DOI Listing

Complete oesophageal obstruction after endoscopic variceal ligation.

Br J Hosp Med (Lond) 2019 Apr;80(4):230-231

Chief Physician, Department of Gastroenterology, The Affiliated Hospital of Gui Zhou Medical University, Gui Yang City, Gui Zhou 550004, China.

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http://dx.doi.org/10.12968/hmed.2019.80.4.230DOI Listing
April 2019
0.366 Impact Factor

Spontaneous iliopsoas haematoma leading to kidney ischaemia.

Br J Hosp Med (Lond) 2019 Apr;80(4):231

Consultant, Department of Diagnostic Science - Radiology and Interventional Radiology Unit, ASST Santi Paolo and Carlo Hospital, Milano, Italy.

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http://dx.doi.org/10.12968/hmed.2019.80.4.231DOI Listing
April 2019
1 Read

Jacob Winslow: distinguished Danish anatomist.

Authors:
Harold Ellis

Br J Hosp Med (Lond) 2019 Apr;80(4):232

Emeritus Professor of Surgery, Guy's, King's and St Thomas' School of Biomedical Sciences, London SE1 1UL.

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http://dx.doi.org/10.12968/hmed.2019.80.4.232DOI Listing

The importance of pain management in perioperative outcomes.

Authors:
Ben Morrison

Br J Hosp Med (Lond) 2019 Apr;80(4):237

Clinical Fellow, Department of Anaesthesia, Royal Marsden NHS Foundation Trust, London SW3 6JJ.

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http://dx.doi.org/10.12968/hmed.2019.80.4.237DOI Listing

Critical care escalation for treatment-refractory haematological malignancies.

Br J Hosp Med (Lond) 2019 Apr;80(4):238

Specialist Registrar in Anaesthesia and Intensive Care, Department of Critical Care, Guy's and St Thomas' Hospital, London.

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http://dx.doi.org/10.12968/hmed.2019.80.4.238DOI Listing
April 2019
1 Read

Shared perioperative decision making: a shift in the doctor-patient paradigm.

Br J Hosp Med (Lond) 2019 Apr;80(4):216-219

Consultant Anaesthetist, Department of Anaesthesia, The Royal London Hospital, London E1 1BB.

The high-risk surgical patient only constitutes approximately 4% of the elective non-cardiac surgical population but contributes to the vast majority of in-hospital deaths following surgery. This, in conjunction with a high morbidity rate, can lead to a perioperative pathway fraught with challenges. It is incredibly difficult to anticipate which complications may arise and the risks involved before surgery. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.216DOI Listing
April 2019
0.366 Impact Factor

Primary cutis verticis gyrata: magnetic resonance imaging findings.

Br J Hosp Med (Lond) 2019 Apr;80(4)

Professor, Department of Radiology, Medical Faculty, Selcuk University, 42075, Konya, Turkey.

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http://dx.doi.org/10.12968/hmed.2019.80.4.iDOI Listing

Postpartum sacral insufficiency fracture: magnetic resonance imaging findings.

Br J Hosp Med (Lond) 2019 Mar;80(3):iv

Professor, Department of Radiology, School of Medicine, Selcuk University, Konya, Turkey.

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http://dx.doi.org/10.12968/hmed.2019.80.3.ivDOI Listing

The double life of cardiopulmonary resuscitation.

Authors:
Michael H Stone

Br J Hosp Med (Lond) 2019 Mar;80(3):176

Coventry.

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http://dx.doi.org/10.12968/hmed.2019.80.3.176DOI Listing
March 2019
1 Read

Overview of eosinophilic oesophagitis.

Br J Hosp Med (Lond) 2019 Mar;80(3):132-138

Professor of Health Services Research, Department of Health Services Research, Durham University, Durham.

Eosinophilic oesophagitis is a disease that has been recognized in the past 30 years. It causes dysphagia and other symptoms of oesophageal dysfunction. Eosinophilic oesophagitis presents either with a chronic feeling of difficulty swallowing, with food moving slowly through the oesophagus, or as an acute food bolus obstruction requiring emergency attention. Read More

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http://www.magonlinelibrary.com/doi/10.12968/hmed.2019.80.3.
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http://dx.doi.org/10.12968/hmed.2019.80.3.132DOI Listing
March 2019
7 Reads
0.366 Impact Factor

Systematic reviews in pandemic influenza: education is needed to improve quality.

Authors:
Kieran Walsh

Br J Hosp Med (Lond) 2019 Mar;80(3):126-127

Clinical Director, BMJ, BMA House, London WC1H 9JR.

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http://www.magonlinelibrary.com/doi/10.12968/hmed.2019.80.3.
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http://dx.doi.org/10.12968/hmed.2019.80.3.126DOI Listing
March 2019
3 Reads

Fungal diseases at the medical front door.

Br J Hosp Med (Lond) 2019 Mar;80(3):157-161

Consultant in Infectious Diseases, Infection and Immunodeficiency Unit, Ninewells Hospital and Medical School, Dundee.

Fungal diseases are an increasingly recognized cause of mortality worldwide and often pose diagnostic challenges. This article focuses on common fungal diseases as they may present in the acute medical unit, looking at the initial investigation and management of four common diseases: Pneumocystis jirovecii pneumonia, cryptococcal meningitis, candidaemia and allergic bronchopulmonary aspergillosis. There is an increase in morbidity and mortality if these conditions are not correctly diagnosed and thus appropriate therapy is delayed. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.3.157DOI Listing
March 2019
2 Reads

An introduction to Kaizen in health care.

Br J Hosp Med (Lond) 2019 Mar;80(3):168-169

Head of Business Development, ImproveWell Ltd, London.

Kaizen is a Japanese word with two parts: 'zen' meaning 'good' and 'kai' meaning 'change', translating literally as 'good change' or 'improvement'. Kaizen or continuous improvement-based approaches have been applied to many industries including health care. Kaizen principles include that everyone should be involved in daily improvement, that managers and front-line staff work together and that solutions should be small and incremental. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.3.168DOI Listing

Management of acute diverticulitis.

Authors:
Alex J Sagar

Br J Hosp Med (Lond) 2019 Mar;80(3):146-150

Core Surgical Trainee 2, Surgical Emergency Unit, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 0LQ.

Acute diverticulitis is a major health-care concern. The optimal management of this common condition has been critically examined in recent years leading to a number of paradigm changes. In many areas, the debate continues. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.3.146DOI Listing
March 2019
4 Reads

Never events: on their 10th anniversary, do we need a new name?

Br J Hosp Med (Lond) 2019 Mar;80(3):124-125

Consultant Anaesthetist, Department of Anaesthesia, Imperial College Healthcare NHS Trust, London W2 1NY.

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http://dx.doi.org/10.12968/hmed.2019.80.3.124DOI Listing

From isoniazid to psychobiotics: the gut microbiome as a new antidepressant target.

Br J Hosp Med (Lond) 2019 Mar;80(3):139-145

Professor of Psychiatry, Department of Psychiatry and APC Microbiome Ireland, University College Cork, Ireland.

An awareness of the importance of the gut-brain axis in psychiatric disorders such as depression is increasing. The gut microbiome is a key component of this axis. Gut bacteria can communicate with the brain through a variety of pathways including the hypothalamic-pituitary-adrenal axis, immune modulation, tryptophan metabolism and the production of various neuroactive compounds. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.3.139DOI Listing
March 2019
1 Read

Clinical News.

Authors:

Br J Hosp Med (Lond) 2019 Mar;80(3):128-131

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http://dx.doi.org/10.12968/hmed.2019.80.3.128DOI Listing

Antimicrobial stewardship.

Br J Hosp Med (Lond) 2019 Mar;80(3):C42-C45

Microbiologist and Infectious Diseases Consultant, Department of Microbiology, Chelsea & Westminster NHS Foundation Trust, London SW10 9NH, North West London Pathology, Imperial College Healthcare NHS Trust, London, and National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, Hammersmith Campus, London.

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http://dx.doi.org/10.12968/hmed.2019.80.3.C42DOI Listing

An intussuscepting colonic lipoma causing prolapse of the sigmoid colon in an adult.

Br J Hosp Med (Lond) 2019 Mar;80(3):ii

Consultant Surgeon, Department of Trauma and Orthopaedics, Brighton and Sussex University Hospitals NHS Trust, Brighton.

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http://dx.doi.org/10.12968/hmed.2019.80.3.iiDOI Listing

Naloxone prescribing: room for finesse.

Br J Hosp Med (Lond) 2019 Mar;80(3):C46-C48

Consultant Emergency Physician, Emergency Department, Royal Devon and Exeter Hospital, Exeter.

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http://dx.doi.org/10.12968/hmed.2019.80.3.C46DOI Listing

Diagnosis and management of shoulder instability.

Br J Hosp Med (Lond) 2019 Mar;80(3):C34-C38

Consultant, Department of Orthopaedics, University College London, London.

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http://dx.doi.org/10.12968/hmed.2019.80.3.C34DOI Listing

An ethics refresher for doctors in moral distress: theory and practice.

Authors:
Luke Pj Martin

Br J Hosp Med (Lond) 2019 Mar;80(3):C39-C41

Teaching and Research Fellow, Education Department, North Tyneside General Hospital, Northumbria Healthcare NHS Foundation Trust, North Shields and Doctoral Fellow, PEALS Research Centre, Newcastle University, Newcastle NE2 4HE.

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http://www.magonlinelibrary.com/doi/10.12968/hmed.2019.80.3.
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http://dx.doi.org/10.12968/hmed.2019.80.3.C39DOI Listing
March 2019
5 Reads

Kikuchi-Fujimoto disease presenting as post-traumatic pyrexia of unknown origin.

Br J Hosp Med (Lond) 2019 Mar;80(3):170-171

Consultant Physician, Department of Medicine, South West Acute Hospital, Western Health and Social Care Trust, Enniskillen, Northern Ireland.

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http://www.magonlinelibrary.com/doi/10.12968/hmed.2019.80.3.
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http://dx.doi.org/10.12968/hmed.2019.80.3.170DOI Listing
March 2019
6 Reads

Acute urinary retention associated with spinal arteriovenous malformation.

Br J Hosp Med (Lond) 2019 Mar;80(3):iii

Consultant, Neurology Center, Taichung Veterans General Hospital, Taichung, Taiwan.

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http://dx.doi.org/10.12968/hmed.2019.80.3.iiiDOI Listing

The proactive elderly care team: dementia screening of over 20 000 patients.

Authors:
Peter McCann

Br J Hosp Med (Lond) 2019 Mar;80(3):162-166

Clinical Director, Department of Elderly Care, Lancashire Teaching Hospitals NHS Foundation Trust, Chorley, Lancashire PR6 8NS.

The proactive elderly care team was introduced at Lancashire Teaching Hospitals NHS Foundation Trust in October 2012. This article describes how the team performed over 5 years (up to the end of December 2017). The proactive elderly care team had three broad aims related to all non-elective patients over the age of 75 years who either came to accident and emergency or were admitted into the hospital, irrespective of speciality: To screen all patients over the age of 75 years for delirium and dementia To identify patients over 75 years who were the most frail, and would benefit from a comprehensive geriatric assessment and targeted interventions To reduce length of stay for patients over the age of 75 years without any increase in their readmission rate. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.3.162DOI Listing
March 2019
7 Reads

A huge cavity in the right upper abdomen.

Br J Hosp Med (Lond) 2019 Mar;80(3):173

Consultant, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.

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http://dx.doi.org/10.12968/hmed.2019.80.3.173DOI Listing
March 2019
1 Read
0.366 Impact Factor

Assessment and treatment of depression associated with dementia.

Br J Hosp Med (Lond) 2019 Mar;80(3):151-156

Consultant in Old Age Psychiatry, Department of Psychiatry, Stratheden Hospital, NHS Fife, Cupar.

Depression is a frequent diagnosis for people with dementia, with between 25% and 42% of such patients receiving antidepressants. The diagnosis can be challenging to make, and this patient group is more vulnerable to side effects of commonly used medications. This article outlines the diagnostic considerations and therapeutic approaches for managing depression in people with dementia. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.3.151DOI Listing

Sir Frank Holdsworth: innovative orthopaedic surgeon.

Authors:
Harold Ellis

Br J Hosp Med (Lond) 2019 Mar;80(3):174

Emeritus Professor of Surgery, Guy's, King's and St Thomas' School of Biomedical Sciences, London SE1 1UL.

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http://dx.doi.org/10.12968/hmed.2019.80.3.174DOI Listing

Neonatal gastric perforation: when to expect and how to manage.

Br J Hosp Med (Lond) 2019 Mar;80(3)

Consultant Paediatric Surgeon and Urologist, Department of Paediatric Surgery, Bristol Royal Children's Hospital, Bristol BS2 8BJ.

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http://dx.doi.org/10.12968/hmed.2019.80.3.iDOI Listing