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Patients' experience of care as key to improving quality of care. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-22 Ami Schattner
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Addressing inequalities in cardiovascular health remains an urgent priority. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Antonis A Kousoulis,Anisha Soni,Bernard M Y Cheung,Albert Ferro
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Computer image analysis with artificial intelligence: a practical introduction to convolutional neural networks for medical professionals. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Georgios Kourounis,Ali Ahmed Elmahmudi,Brian Thomson,James Hunter,Hassan Ugail,Colin Wilson
Artificial intelligence tools, particularly convolutional neural networks (CNNs), are transforming healthcare by enhancing predictive, diagnostic, and decision-making capabilities. This review provides an accessible and practical explanation of CNNs for clinicians and highlights their relevance in medical image analysis. CNNs have shown themselves to be exceptionally useful in computer vision, a field
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Risk factors of major bleeding detected by machine learning method in patients undergoing liver resection with controlled low central venous pressure technique. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Jing Liu,Bingbing Cao,Yuelian Luo,Xianqing Chen,Hong Han,Li Li,Jianfeng Zeng
BACKGROUND Controlled low central venous pressure (CLCVP) technique has been extensively validated in clinical practices to decrease intraoperative bleeding during liver resection process; however, no studies to date have attempted to propose a scoring method to better understand what risk factors might still be responsible for bleeding when CLCVP technique was implemented. METHODS We aimed to use
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Uric acid and diabetes mellitus: an update. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Shailendra K Singh,Rina Singh,Santosh K Singh,Mir A Iquebal,Sarika Jaiswal,Pradeep K Rai
The relationship between diabetes mellitus (DM) and high serum uric acid is complex and controversial. Many epidemiological studies have reported a positive association, whereas others have reported an inverse association or none. In the pathogenesis of DM it is the intracellular urate that is more important than the extracellular and dissociation between the two is possible. Evidence suggests that
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Spontaneous coronary artery dissection: an overview. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Rasha Kaddoura,Fathima Aaysha Cader,Ashraf Ahmed,Mirvat Alasnag
The prevalence of spontaneous coronary artery dissection (SCAD) has increased over the last decades in young adults presenting with acute coronary syndrome. Although the diagnostic tools, including intracoronary imaging, have permitted a more accurate diagnosis of SCAD, the prognosis and overall outcomes remain dismal. Furthermore, the disproportionate sex distribution affecting more women and the
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Circulating sex hormone-binding globulin levels and ischemic stroke risk: a Mendelian randomization study. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Youjie Zeng,Si Cao,Heng Yang
PURPOSE Previous studies have presented conflicting findings regarding the protective effects of circulating sex hormone-binding globulin (SHBG) on ischemic stroke (IS). This study aimed to assess the causal effect of SHBG on IS using Mendelian randomization (MR) analysis and to identify potential mediators. METHODS First, the causal effect of SHBG on any IS (AIS), cardioembolic stroke (CES), large
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Differences in empathy levels among physicians based on specialty: a nationwide cross-sectional study. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Takashi Watari,Nathan Houchens,Tomoe Otsuka,Takeshi Endo,Seiji Odagawa,Yasuhisa Nakano,Hitomi Kataoka,Mamoru Miwa,Daisaku Yamasaki,Yasuharu Tokuda,Yoshihiko Shiraishi,Kota Sakaguchi
PURPOSE OF STUDY A physician's ability to empathize is crucial for patient health outcomes, and this differs according to speciality, personal characteristics, and environmental factors. This study aimed to examine the empathy levels among physicians based on their specialities and to identify the influencing factors. STUDY DESIGN A nationwide, online, cross-sectional survey was conducted using the
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The relationship between low handgrip strength with or without asymmetry and fall risk among middle-aged and older males in China: evidence from the China Health and Retirement Longitudinal Study. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Yilin Wang,Yalian Huang,Xiaoyan Chen
PURPOSE This study sought to explore the potential correlation between low handgrip strength (HGS) with or without asymmetry and fall risk in middle-aged and older Chinese adults. METHODS Baseline characteristic data from participants 45+ years of age and data regarding fall events collected from two rounds (2011-2013) of the China Health and Retirement Longitudinal Study were utilized for the present
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Risk factors for thromboembolic events in patients hospitalized for COVID-19 pneumonia in a general ward and requiring treatment with oxygen. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-17 Raphaël Degrave,Juliette Murris,Anaïs Charles-Nelson,Olivier Hermine,Raphaël Porcher,Philippe Ravaud,Xavier Mariette,Pierre-Louis Tharaux,Matthieu Resche-Rigon,Olivier Sanchez,Sandrine Katsahian,,Jean-Benoît Arlet
PURPOSE To assess risk factors for arterial and venous thromboses (AVT) in patients hospitalized in general wards for COVID-19 pneumonia and requiring oxygen therapy. METHODS Our study was based on three randomized studies conducted as part of the CORIMUNO-19 platform in France between 27 March and 26 April 2020. Adult inpatients with COVID-19 pneumonia requiring at least 3 l/min of oxygen but not
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Effect of basal metabolic rate on rheumatoid arthritis: a Mendelian randomization study. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-17 Qin Zhang,Ang Liu,Cheng Huang,ZhenCheng Xiong,Qi Cheng,Jun Zhang,Jun Lin,Huilin Yang
PURPOSE Basal metabolic rate (BMR) as one of the most basic and significant indicators of metabolism has been associated with human health. Previous studies showed that the development of rheumatoid arthritis (RA) is linked to BMR; however, the causal relationship between BMR and RA is unknown. Thus, we aimed to explore the causal relationship between BMR and RA as well as RA-related factors. METHODS
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Cerebral venous thrombosis: a practical review. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-17 Afshin Borhani-Haghighi,Etrat Hooshmandi
The evolution of the Coronavirus Disease-2019 pandemic and its vaccination raised more attention to cerebral venous thrombosis (CVT). Although CVT is less prevalent than arterial stroke, it results in larger years of life lost. CVT is more common in women and young patients. Predisposing factors are categorized as transient factors such as pregnancy, puerperium, oral contraceptive pills, trauma, and
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Aitongping patch could alleviate cancer pain via suppressing microglia activation and modulating the miR-150-5p/CXCL12 signaling. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-17 Yunlong Chen,Mianhua Wu
PURPOSE We aimed to investigate the pharmacological effects and mechanisms of the Aitongping formula for treating cancer pain. METHODS We enrolled 60 cancer patients with Numeric Rating Scale above 4 and grouped them randomly as a Control group (N = 30) and a Patch group (N = 30). We also established bone cancer mice models via tumor implantation. And the animal groups were established as a Sham group
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More specific feedback: why "confidence" in feedback is too ambiguous. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-16 Maxwell Uetz,Sonia Ananthakrishnan,Asher Tulsky,Lindsay B Demers,Craig Noronha
High quality feedback should be delivered in a timely manner, based on specific direct observation, and formulated to be actionable on the part of the trainee. Utilizing "confidence" as a point of feedback does not meet these criteria given the ambiguity and lack of actionable steps towards improvement. "Confidence"-based feedback makes a judgment about the trainee's internal state leading to potentially
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Trends in research grant applications and outcomes among medical students in the United Kingdom: a national self-reported cross-sectional survey. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-16 Deborah Inyang,Rachael Madume,Anna Chiara Corriero,Agbolahan Sofela,Temidayo Osunronbi,
BACKGROUND Research funding disparities contribute to clinical academic workforce inequalities. Hence, our study explores the association between student demographics and research grant application rates and outcomes among UK medical students. METHODS This is a national multicentre cross-sectional survey of UK medical students in the 2020-21 academic year. Multiple zero-inflated negative binomial regression
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"Are you here to hold my hand?" A first lesson in confronting microaggressions. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-16 Jenna Guma
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Healthcare apprenticeships: assessing the potential benefits to an acute care provider NHS organization. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-16 Alfred Ball,John Brecknell
The introduction of healthcare-based apprenticeships to become both a physician associate and a doctor has been approved for delivery in England. This will revolutionize medical training and it is hoped that medical training would be more accessible. This has generated a mixture of reactions, some enthusiastic and others concerned. This paper gauges interest among staff at Barking, Havering, and Redbridge
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Sensitivity and specificity of folate receptor α-positive circulating tumour cells in gastric cancer. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-16 Beibei Cao,Liang Liu,Rui Zhang,Hongliang Dong,Jie Shen
PURPOSE We aimed to investigate whether folate receptor α (FRα)-positive circulating tumour cells (CTCs) could be used as a noninvasive liquid biopsy approach in gastric cancer (GC). METHODS Tissue microarray and bioinformatic analyses were used to evaluate FRα expression in GC. Patients with FRα-positive CTC examinations at our institute between July 2021 and May 2022 were retrospectively evaluated
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Characteristics of Japanese physician influencers on Twitter during the COVID-19 pandemic and fact-checking their tweets on COVID-19-related drugs. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-15 Tomoya Suzuki,Tetsuya Tanimoto,Sae Kamamoto,Akihiko Ozaki,Hiroyuki A Torii,Daisuke Hase,Anju Murayama,Hiroki Yoshimura,Kazuko Uno
BACKGROUND During the coronavirus disease-2019 (COVID-19) pandemic, segments of the public relied on social media platforms such as Twitter for medical information shared by medical personnel. Although physicians are likely to disseminate more accurate information on Twitter than non-medical individuals, it cannot be taken for granted. As such, tweets written by physicians in Japan should also be scrutinized
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Doctors' pay in the United Kingdom: evaluating the broader impacts of change. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-06 Tomas Ferreira
The United Kingdom's National Health Service (NHS) faces a mounting workforce crisis, with compensation being a focal point of discontent. This editorial explores the real-term erosion of doctors' salaries in the UK, using the Retail Price Index as a more comprehensive measure of inflation. Comparisons with international standards reveal significant disparities, contributing to the emigration of medical
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Evaluation of National Anaesthetics Teaching in Undergraduate Medicine (ENATUM). Postgrad. Med. J. (IF 5.1) Pub Date : 2023-10-17 Prakrit R Kumar,Saskia K Wicks,Ranya V Kumar,Augustus Rottenberg,Omar Mostafa,Manolis Gavalas
BACKGROUND During a global pandemic where anaesthetists play a pertinent role in treating coronavirus 2019 (COVID-19), it is crucial to inspire medical students to consider a career in anaesthetics and perioperative care. Where anaesthetic skills are vital for all surgical foundation doctors, regardless of whether they have a rotation in anaesthetics, this study seeks to establish the current level
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A mediation analysis of metabolic and inflammatory factors in the severe sleep apnea-coronary heart disease association. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-10-12 Jing Lin,Baihe Sheng,Xinyu Zhang
BACKGROUND It is unclear whether metabolic and inflammatory factors mediate the association between severe sleep apnea and coronary heart disease (CHD) in observational studies based on the large-scale population. This study aims to assess the association between severe sleep apnea and CHD and to explore the extent to which this association is mediated by metabolic factors and C-reactive protein (CRP)
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Reduced muscle strength is closely linked to computed tomography-defined myosteatosis among inpatients with cirrhosis. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-10-12 Chao Sun,Tianming Zhao,Wanting Yang,Gaoyue Guo,Han Wang,Chaoqun Li,Yangyang Hui,Binxin Cui,Xiaoyu Wang,Xiaofei Fan,Xingliang Zhao
BACKGROUND Myosteatosis indicates pathological fat infiltration in muscles and is regarded as a distinct disease from sarcopenia. This muscular condition exhibits a link to muscle fiber disarrangement coinciding with disrupted muscle contractility and weakened mechanical action, mirrored as decreased muscle quality. However, the relationship between handgrip strength (HGS) and computed tomography-defined
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Association of arbitrary prescribing behavior to costly drug expenditures: a pharmacoeconomic study in primary care. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-10-12 N Ipek Kirmizi Sonmez,Volkan Aydin,Omer Atac,Ahmet Akici
BACKGROUND We aimed to examine the cost-related prescribing performance of primary care physicians who had a higher versus lower tendency of arbitrary prescribing. METHODS In this cross-sectional study, we evaluated the prescriptions of primary care physicians in Istanbul, collected with 3:1 systematic sampling. We determined higher versus lower arbitrary prescribing by the physician's degree of writing
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Changes in spectrum of biopsy-proven kidney diseases within decade: an analysis based on 10 199 cases from South China. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-10-12 Xiao-Jun Chen,Yao Huang,Shuguang Yuan,Yachun Han,Zheng Li,Xiangqing Xu,Xiao Fu,Fenghua Peng,Sanyong Zhang,Liuxia Xiang,Kewen Shi,Xinyuan Cui,Zurong Zhang,Jinying Wei,Shiyu Xia,Yang Xiao,Lin Sun,Hong Liu,Xuejing Zhu
PURPOSE To assess the regional epidemiological trends of kidney diseases over time in the South China using renal biopsy-proven cases. METHODS This retrospective observational cohort study was conducted at the Institute of Nephrology, Second Xiangya Hospital of Central South University, and encompasses all patients diagnosed with kidney disease via biopsy from 2012 to 2021. RESULTS The study sample
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What an aspiring medical student should know about medicine. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-10-09 Isaac K S Ng
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Caduceus vs. Rod of Asclepius: A Serpentine Dilemma in Medical Iconography. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-10-09 Muhammad Hamza Shah,Salim Usman,Sakshi Roy,Arjun Ahluwalia,Amer Harky
This scholarly inquiry delves into the historical significance of two enduring medical symbols: the Rod of Asclepius and the Caduceus. Tracing their origins back to ancient Greek mythology, we uncover their distinct identities and profound meanings as symbols of healing, unity among medical practitioners, and ethical responsibilities. Beyond aesthetics, these emblems serve as powerful educational tools
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Polymath: to be or not to be? Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-30 Marianna Evangelia Kapsetaki
Is it best to achieve excellence in one or multiple fields? Is it better to be a medical doctor reading only medical textbooks all your life or is it better to also tour around the world as a concert pianist and investigate the mysteries of the brain by conducting research projects? As a medical doctor, classical pianist, and neuroscientist, I discuss the advantages, disadvantages, opportunities, and
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LRRK2 G2019S and Parkinson's disease: insight from Neuroinflammation. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-30 Xiao-Yan Yao,Li-Na Guan,Qi Chen,Chao Ren
The multiple hypothesis holds that the pathogenesis of Parkinson's disease (PD) requires many factors such as heredity, environment and ageing. Mutations in Leucine-rich repeat kinase 2 (LRRK2) are recognized the risk factors of PD, and closely related to sporadic and familial PD and can regulate a variety of cellular pathways and processes. An Increasing number of studies has shown that glial hyp
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Retraction of: Predictors of COVID-19 vaccine hesitancy in Germany: a cross-sectional, population-based study. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-29
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Lapatinib-induced PRIDE complex: a new kid on the block. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-21 Abheek Sil,Bartika Sikder,Surajit K Biswas,Atanu Chandra
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The impact of Chat Generative Pre-trained Transformer (ChatGPT) on medical education. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-21 Jonathan J Y Heng,Desmond B Teo,L F Tan
Artificial intelligence (AI) in medicine is developing rapidly. The advent of Chat Generative Pre-trained Transformer (ChatGPT) has taken the world by storm with its potential uses and efficiencies. However, technology leaders, researchers, educators, and policy makers have also sounded the alarm on its potential harms and unintended consequences. AI will increasingly find its way into medicine and
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How the physician's financial wellness could impact patient safety. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-19 Julianna L Richards,Karolina Brook
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Future of medical research in Sri Lanka: amidst economic chaos. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-17 Nilanka Perera,Saman B Gunatilake
Sri Lanka is facing an economic crisis and medical research is significantly affected at present with researchers facing many obstacles. Urgent remedial measures are required to overcome the current situation if medical research is to continue in Sri Lanka.
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Impact of immune regulation and differentiation dysfunction of mesenchymal stem cells on the disease process in ankylosing spondylitis and prospective analysis of stem cell transplantation therapy. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-09 Xinzhe Feng,Junjie Qiao,Weidong Xu
Ankylosing spondylitis (AS) is a rheumatic bone and joint disease caused by inflammation, erosion, and pathological bone formation. The pathological features of chronic inflammation, bone destruction, and pathological ossification occur due to the disruption of the body's immune regulation and altered bone remodeling balance. Mesenchymal stem cells (MSCs) have multidirectional differentiation potential
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Evaluating the risk of sepsis attributing to obesity: a two-sample Mendelian randomization study. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Jing Hu,Quan Gan,Dong Zhou,Xing Xia,Wei Xiang,Rong Xiao,Jing Tang,Jie Li
BACKGROUND Sepsis is a reaction to infection with high morbidity and mortality. It has been noted that patients with obesity were more likely to suffer from sepsis. However, the causality remains elucidating, as reverse causality and residual confounding could not be largely mitigated in conventional observational studies. OBJECTIVE To evaluate the risk of sepsis attributed to obesity phenotypes including
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Endoscopic retrograde cholangiopancreatography as a single-modality 'gold-standard' treatment for common bile duct stones in the elderly. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 David Manson,Faris Soliman,Usama Mohamed,Krishnamurthy Somasekar
BACKGROUND There are more octogenarians presenting with gallstone disease each year. Many are not suitable for surgical intervention. An alternative treatment option for common bile duct stones in the elderly is endoscopic retrograde cholangiopancreatography (ERCP) with or without stent insertion. METHODS We conducted a retrospective study using a prospectively collected database, analysing the outcomes
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From adversity to advancement: leveraging war-tested approaches for the post-conflict reformation of the Ukrainian healthcare landscape. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Favour Tope Adebusoye,Joecelyn Kirani Tan,Wireko Andrew Awuah,Hareesha Rishab Bharadwaj,Wara Naeem,Tomas Ferreira,Sakshi Roy,Toufik Abdul-Rahman,Volodymyr Lychko
The Russo-Ukrainian Conflict has had significant repercussions on Ukraine's healthcare system, resulting in civilian casualties and damage to healthcare institutions. The disruption of personnel, medical supplies, and patient transportation has created considerable challenges for healthcare services. However, there are successful approaches from comparable contexts that can serve as a catalyst for
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Glasgow Coma Scale on admission as predictor of neurological sequelae at discharge and acute respiratory failure in patients with heatstroke. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Lan Chen,Liyun Lu,Yuan Fang,Jingnan Ren,Xiaoling Yang,Zhumei Gong,Yuping Zhang,Xiuqin Feng
BACKGROUND Transient neuronal dysfunction may occur in most brain regions with heatstroke (HS). This study aimed to explore the prognostic significance of initial Glasgow Coma Scale (GCS) scores in HS. METHODS Retrospective data regarding HS were obtained from six hospitals. The primary outcome was neurological sequelae at discharge. Secondary outcomes included acute respiratory failure (ARF) and intensive
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Limitations of large language models in medical applications. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Jiawen Deng,Areeba Zubair,Ye-Jean Park
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Rational quality and cost of critical care systems are more important than individual considerations: a view from India. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-08-24 Sugata Dasgupta,Atanu Chandra
Critical or Intensive Care Units (CCU/ICUs) play a crucial role in treating critically ill patients, but they contribute significantly to healthcare costs. In India and many other resource-limited countries, private ICU treatment is largely unaffordable for the poor and even a section of the middle class, who are not substantially insured. It is essential for all stakeholders involved in critical care
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Lipoprotein(a) and functional outcome of acute ischemic stroke when discordant with low-density lipoprotein cholesterol. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-08-24 Wenjing Dong,Xiaoyan Zhong,Ke Yuan,Mengyuan Miao,Yujia Zhai,Bizhong Che,Tan Xu,Xiang Xu,Chongke Zhong
BACKGROUND Several studies have indicated that residual cardiovascular risk might be associated with elevated lipoprotein(a) [Lp(a)] even in the setting of controlled low-density lipoprotein cholesterol (LDL-C). We aimed to prospectively examine the association between Lp(a) and unfavorable functional outcome among patients with acute ischemic stroke when Lp(a) and LDL-C were discordant. METHODS Based
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Predictors of self-reported research engagement and academic-career interest amongst medical students in the United Kingdom: a national cross-sectional survey. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-08-18 William Adeboye,Temidayo Osunronbi,David Faluyi,Efua Abankwa,Semhar Abraha,Fatima Adamu-Biu,Zain Ahmad,Izieduwa Akhionbare,Chimba Chimba,Anna C Corriero,Ikenna Ibeanusi,Deborah Inyang,Robert Jones,Rachael Madume,Valentine Mberu,Christine A Mitoko,Ellen Nelson-Rowe,Marguerite O'Riordan,Serena Shoker,,Agbolahan Sofela
BACKGROUND We hypothesised that the gender/ethnic disparities and reductions in the UK academic-clinician workforce stem from research experience in medical school. This study investigated the factors influencing research engagement and academic-career interests among UK medical students. METHODS Using a 42-item online questionnaire, a national multicentre cross-sectional survey of UK medical students
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Generalized papular eruption-an unusual side effect of leuprolide acetate. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-08-07 Amit Aggarwal,Gautam R Choudhary,Rahul Jena
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Barriers to research productivity amongst postgraduate trainees: results from a survey of 333 medical and surgical residents. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-08-07 Saqib K Bakhshi,Komal Abdul Rahim,Asma A H Merchant,Noreen Afzal,Namra Qadeer Shaikh,Ali A Noorali,Maryam P A Lakhdir,Saad B Z Mahmood,Muhammad Tariq,Adil H Haider
PURPOSE We aimed to determine the perceptions of, barriers to, and predictors of research engagement amongst residents at a national level in Pakistan. METHODS This cross-sectional study used REDCap for online survey dissemination to residents from 12 institutes accredited by the national accreditation body (College of Physicians and Surgeons Pakistan) for core medical and surgical specialties. Logistic
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Nimesulide-induced severe leukocytoclastic vasculitis leading to penile and limb gangrene: a case report. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-08-03 Deepak P Bhirud,Amit Aggarwal,Shashank Tripathi,Vikram Singh,Mahendra Singh,Arjun S Sandhu
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Reflection in clinical practice: guidance for postgraduate doctors in training. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-11-20 Emma Richardson,Gordon Jackson Koku,Harjinder Kaul
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Development and validation of a predictive model for pulmonary hemorrhage in computed tomography-guided percutaneous lung biopsy. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-07-29 Song Yang,Jie Li,Wangjia Wang,Lejing Lou,Xiao Jin,Shijia Wang,Jihao Cai,Chang Cai
PURPOSE This study aimed to identify risk factors for pulmonary hemorrhage (PH) and higher-grade PH that complicate computed tomography (CT)-guided percutaneous lung biopsy (CT-PNLB) and establish predictive models to quantify the risk. METHODS A total of 2653 cases of CT-PNLB were enrolled. Multivariate logistic regression was used to identify independent risk factors to develop a nomogram prediction
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Isolated angioedema due to face mask and other cases of isolated angioedema. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-07-20 Sengul Aksakal
Isolated angioedema can be divided into two groups as mast cell-mediated angioedema and bradykinin-mediated angioedema according to the known mechanisms of occurrence. However, angioedema can also occur with mechanisms whose cause is unknown. Treatment varies according to the mechanism of angioedema formation. In this prospective study, we present the causes of 80 isolated angioedema cases admitted
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Association between regional quota program in medical schools and practical clinical competency based on General Medicine In-Training Examination score: a nationwide cross-sectional study of resident physicians in Japan. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-07-20 Sho Fukui,Kiyoshi Shikino,Yuji Nishizaki,Taro Shimizu,Yu Yamamoto,Hiroyuki Kobayashi,Yasuharu Tokuda
PURPOSE A regional quota program (RQP) was introduced in Japan to ameliorate the urban-rural imbalance of physicians. Despite concerns about the low learning abilities of RQP graduates, the relationship between the RQP and practical clinical competency after initiating clinical residency has not been evaluated. METHODS We conducted a nationwide cross-sectional study to assess the association between
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Abnormal electrocardiogram and poor prognosis in heart failure with preserved ejection fraction. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-07-10 Tiantian He,Chen Liu,Weihao Liang
PURPOSE Electrocardiogram (ECG) is generally performed in patients with heart failure with preserved ejection fraction (HFpEF), but the prognostic value of abnormal ECG is not fully understood. We aim to explore the prognostic value of abnormal ECG at baseline in HFpEF using data from the TOPCAT trial. METHODS A total of 1736 patients from TOPCAT-Americas were included and divided into normal versus
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The war in Sudan: what it means for its people and its already crippled health care system. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-07-10 Amera Elzubeir,Sarah Elzubeir
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Artificial intelligence in orthopaedics: can Chat Generative Pre-trained Transformer (ChatGPT) pass Section 1 of the Fellowship of the Royal College of Surgeons (Trauma & Orthopaedics) examination? Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-21 Rory Cuthbert,Ashley I Simpson
PURPOSE Chat Generative Pre-trained Transformer (ChatGPT) is a large language artificial intelligence (AI) model which generates contextually relevant text in response to questioning. After ChatGPT successfully passed the United States Medical Licensing Examinations, proponents have argued it should play an increasing role in medical service provision and education. AI in healthcare remains in its
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ChatGPT: the threats to medical education. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-21 Richard C Armitage
While it offers abundant advantages, ChatGPT threatens to significantly harm the educational attainment, and the intellectual life, of students of medicine and the subjects that compliment it. This technology poses a serious threat to the ability of such students to deliver safe and effective medical care once they graduate to clinical practice. Institutions that providemedical education must react
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Are Richard Wagner's operas a potential tool to teach medical students and young doctors humanities? Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-21 Gunter Wolf
There is an increasing interest in using poems and novels as a powerful resource to teach medical students ethical and professional behavior, virtues, and to illustrate the complexity of the doctor-patient relationship. This approach as part of a narrative medicine provides a framework for approaching a patient's problems more holistically and also offers a method for addressing existential inner qualities
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Sickle cell disease and coronavirus disease-2019 (COVID-19) infection: a single-center experience. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-08-22 Sindhu P Devarashetty,Udhayvir S Grewal,Kimberly Le Blanc,Jacqueline Walton,Tabitha Jones,Runhua Shi,Samip R Master,Richard P Mansour,Poornima Ramadas
PURPOSE Sickle cell disease (SCD) has been found to be associated with an increased risk of hospitalization and death from coronavirus disease-2019 (COVID-19). We sought to study clinical outcomes in patients with SCD and a diagnosis of COVID-19 infection. METHODS We conducted a retrospective analysis of adult patients (>18 years) with SCD who were diagnosed with COVID-19 infection between 1 March
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Neuro- and cognitive diversity in surgery and allied professions: celebrating difference and optimising performance. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-07-03 Chris R Bowman,Wyn G Lewis
Neurotypicality (NT) and neurodiversity (ND) are two terms used to describe separate ways of thinking and experiencing the world. The prevalence of ND within surgery and allied professions is poorly studied or understood but is likely to be significant and increasing. If our aim is to be truly inclusive, ND's effects on teams and our willingness and ability to adapt adequately must improve.
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Identification of blood metabolites linked to the risk of intervertebral disc diseases: a comprehensive Mendelian randomization study. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-07-03 Linsong Ji,Yanping Wang,Tingsheng Lu,Jianwen Yang,Chunshan Luo,Bing Qiu
BACKGROUND Intervertebral disc degeneration (IVDD) has affected millions of people worldwide and dramatically affects human beings' quality of life. Observational studies hypothesize that metabolites play key roles as markers and effectors of IVDD, but their causality has not yet been illustrated. METHODS We conducted comprehensive Mendelian randomization (MR) to determine the causal relationship between
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Physical and psychosocial characteristics differ between individuals with knee pain and different knee osteoarthritis diagnostic criteria. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-21 Guo Jeng Tan,Sheng Hui Kioh,Sumaiyah Mat,Shirley H L Chan,Jacintha M Y Lee,Yee Wen Tan,Maw Pin Tan
PURPOSE Knee pain and osteoarthritis (OA) are common and often lead to disability among older adults. Existing published evidence, however, utilizes differing criteria to define studies' knee OA populations. We, therefore, aimed to determine whether differences exist in the characteristics of individuals with the presence of knee pain and different diagnostic criteria for knee OA. METHODS The Promoting
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War-induced obstetric emergencies necessitate improved global intervention. Postgrad. Med. J. (IF 5.1) Pub Date : 2023-09-21 Nikitina Iryna Mykolaivna,Amal Olabisi Ahmad,Favour Tope Adebusoye,Wireko Andrew Awuah,Jack Wellington,Pearl Ohenawaa Tenkorang,Toufik Abdul-Rahman,Edouard Lansiaux