Cardiac imaging to investigate suspected cardiac pain in the post-treadmill era.
This article will review the differing imaging modalities, the patient experience, accuracy, prognostic data and future prospects for cardiac computed tomography and magnetic resonance imaging.
PMID: 25301906 [PubMed - in process] (Source: Clinical Medicine)
Source: Clinical Medicine - October 1, 2014 Category: Journals (General) Authors: Gosling OE, Morgan-Hughes G, Bellenger NG Tags: Clin Med Source Type: research
Brugada syndrome: a review of the literature.
Abstract
Brugada syndrome is an example of a channelopathy caused by an alteration in the transmembrane ion currents that together constitute the cardiac action potential. Approximately 20% of the cases of Brugada syndrome have been shown to be associated with mutations in the gene coding for the sodium ion channel in the cell membranes of the muscle cells of the heart. Patients with Brugada syndrome are prone to develop ventricular tachyarrhythmias that may lead to syncope, cardiac arrest or sudden cardiac death. Many clinical situations have been reported to unmask or exacerbate the electrocardiography (...
Source: Clinical Medicine - October 1, 2014 Category: Journals (General) Authors: Sheikh AS, Ranjan K Tags: Clin Med Source Type: research
Quality of care for people with dementia in general hospitals: national cross-sectional audit of patient assessment.
This study aims to examine the quality of assessment of people with dementia admitted to hospital. Cross-sectional case-note audit of key physical and psychosocial assessments was carried out in 7,934 people with dementia who were discharged from 206 general hospitals. Most people had no record of a standardised assessment of their cognitive state (56.8%, 95% confidence interval [CI] = 55.8-58.0) or functioning (74.2%, 95% CI = 73.2-75.1). Information from carers was documented in 39.0% of cases (95% CI = 37.9-40.1). There was considerable variation across hospital sites. Key assessments were less likely when people were a...
Source: Clinical Medicine - October 1, 2014 Category: Journals (General) Authors: Souza R, Gandesha A, Hood C, Chaplin R, Young J, Crome P, Crawford MJ Tags: Clin Med Source Type: research
Virtues and values in medicine revisited: individual and global health.
Abstract
In response to the call from an international panel for 'much needed rethinking' about the goals and purposes of the education of healthcare professionals, we suggest that there must be an explicit account of the virtues and values that will inform healthcare practice in the 21st century. We propose that a renewed emphasis is needed on reviving the well-honed clinical skills and humanistic attributes in medicine as crucial for optimum affordable (and sustainable) care of individual patients. Analogous virtues should be linked to the quest for improving the health of whole populations, nationally a...
Source: Clinical Medicine - October 1, 2014 Category: Journals (General) Authors: Benatar S, Upshur R Tags: Clin Med Source Type: research
UK postgraduate medicine examinations: opportunities for international candidates.
Abstract
The medical profession is global, and ambitious trainee physicians around the world are eager to attain internationally recognised postgraduate medical qualifications. The MRCP(UK) and specialty certificate examinations of the Federation of Royal Colleges of Physicians of the United Kingdom provide such qualifications, and between 2002 and 2013, the number of international candidates attempting these examinations grew substantially. Delivering these proven and reliable UK-based examinations in other countries has many local benefits: it enhances careers, strengthens medical training and improves s...
Source: Clinical Medicine - October 1, 2014 Category: Journals (General) Authors: McAlpine L, Selamaj E, Shannon C, Chis L, Dacre J, Elder A Tags: Clin Med Source Type: research
