Response to: The diagnosis of central retinal artery occlusion after mRNA-SARS-CoV-2 vaccination
We would like to thank Dr Auet al. for their interest in and thoughtful comments on our case report.1 (Source: QJM)
Source: QJM - January 28, 2022 Category: Internal Medicine Source Type: research

Response to: Adrenal haemorrhage and COVID-19 vaccine-induced immune thrombotic thrombocytopenia: correspondence
Dear Editor, (Source: QJM)
Source: QJM - January 17, 2022 Category: Internal Medicine Source Type: research

Could focused bedside transthoracic echocardiography improve the diagnosis of ascending aortic dissection?
I read with interest the article by Dr Schattner,1 which highlights the pitfalls that can lead to a delayed diagnosis of ascending aortic dissection. Aortic dissection is a life-threatening condition and diagnostic delays significantly increase the risk of mortality. Dr Schatter reports that a delayed diagnosis is often associated with an atypical presentation, which may include the absence of chest pain/atypical chest pain or acute coronary syndrome/congestive heart failure on presentation. (Source: QJM)
Source: QJM - January 17, 2022 Category: Internal Medicine Source Type: research

Adrenal haemorrhage and COVID-19 vaccine-induced immune thrombotic thrombocytopenia: correspondence
Dear Editor, (Source: QJM)
Source: QJM - January 17, 2022 Category: Internal Medicine Source Type: research

Response to: Could focused bedside transthoracic echocardiography improve the diagnosis of ascending aortic dissection?
Sir, (Source: QJM)
Source: QJM - January 17, 2022 Category: Internal Medicine Source Type: research

Response to: Skin reactions to mRNA-1273 SARS-CoV-2 vaccine
We thank Wanget al. for their letter regarding our article on erythema multiforme after SARS-CoV-2 messenger RNA vaccination.1 We agree with Wanget al.2 that it is important to distinguish between immediate-type and delayed-type skin reactions when assessing the safety of further doses of the vaccine. (Source: QJM)
Source: QJM - January 17, 2022 Category: Internal Medicine Source Type: research

Skin reactions to mRNA-1273 SARS-CoV-2 vaccine
Shih-Ta Shang and Po-Jen Hsiao contributed equally to this work. (Source: QJM)
Source: QJM - January 17, 2022 Category: Internal Medicine Source Type: research

Corrigendum to: The complexity of multivalve infective endocarditis in intravenous drug users
QJM: An International Journal of Medicine 2021. (Source: QJM)
Source: QJM - December 28, 2021 Category: Internal Medicine Source Type: research

COVID-19 booster vaccination and dialysis patients
If you do not work in renal medicine you may not have realized that dialysis patients given the COVID-19 vaccine, demonstrate significantly lower antibody response compared to healthy controls. National strategies for Booster COVID-19 vaccines range from targeting vulnerable patient populations, to broadening out to healthcare workers or as in Israel, targeting the whole adult population. We welcome the Commentary piece by Dr Yen and colleagues from Chang Gung University in Taiwan who highlight the importance of dialysis patients receiving the booster vaccine. They summarize our current knowledge and draw our attention to ...
Source: QJM - November 5, 2021 Category: Internal Medicine Source Type: research

Corrigendum
In the originally published versions of the below listed manuscripts, author O M P Jolobe ’s corresponding address should read: “Oscar M P Jolobe MRCP(UK), Flat 6 Souchay Court, 1 Clothorn Road. Manchester, M20 6BR” instead of “From the Medical Division, Manchester Medical Society, Simon Building, Brunswick Street, Manchester M13 9PL”. (Source: QJM)
Source: QJM - November 5, 2021 Category: Internal Medicine Source Type: research

Would Louis Pasteur be accepted for medical school entry today?
As a consequence of increasing pressures on our medical schools —has our entry selection processes become more rigid and formulaic with the significant risk that we fail to reward the lateral thinkers and those with an innovatory spirit? (Source: QJM)
Source: QJM - October 4, 2021 Category: Internal Medicine Source Type: research

Comparative Study between the Effect of Ultrasound Guided Pectoral Nerve Block (PEC 1) versus Serratus Anterior Plane Block (SAPB) For Postoperative Analgesia in Modified Radical Mastectomy
ConclusionSAPB was effective in reducing postoperative pain scores for 6 -12  hours and lower total 24-h postoperative opioid and analgesic consumption after Modified Radical Mastectomy under general anesthesia, compared to PEC 1 block. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Comparison between Nalbuphine and Ketamine as an adjuvant to Heavy Bupivacaine on Post Dural Puncture Headache
ConclusionAdding nalbuphine, and not ketamine, with hyperbaric bupivacaine in spinal anesthesia decreased incidence of post dural puncture headache, and prolonged the duration of sensory block. Both groups provided adequate anesthesia and analgesia with good hemodynamic stability. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

A Comparative Study between Intrathecal Fentanyl and Dexmedetomidine as Adjuvants to Hyperbaric Levobupivacaine 0.5% in Patients Undergoing Infra Umbilical Surgeries
ConclusionFrom the current study we can conclude that using intrathecal 5 µg dexmedetomidine seems to be a suitable alternative to 25 µg fentanyl as adjuvants to 0.5% hyperbaric levobupivacaine in spinal anaesthesia. Its associated with prolonged motor and sensory block and provides good quality of intraoperative analgesia and extended duration of post operative analges ia as compared to fentanyl. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Effects of Delayed Supine Positioning after Induction of Subarachnoid Block on Post-spinal Hemodynamic Changes Compared to Traditional Subarachnoid Block: prospective observational randomized controlled dose response clinical study
ConclusionUnder the conditions of this study delayed supine positioning after induction of SAB for 2.5  minutes is of great value in gaining an adequate level of anesthesia with more hemodynamic stability and less vasopressor need as a management of hypotension compared to the conventional SAB in Knee Arthroscope surgery. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research