scholarly journals Should interventional radiology gain speciality status within the royal college of radiologists?

2020 ◽  
pp. 20201118
Author(s):  
Yakup Kilic ◽  
Shahzad Illyas

Interventional Radiology (IR) medicine’s best kept secret will revolutionise healthcare like never before. The legacy Charles Dotter left behind not only showcases IR’s pursuit of innovative and complex techniques in order to provide better treatment options for patients, it also sparked an opportunity for radiologists to use their imagination and creativity to develop IR into a speciality catering for the 21st century. By utilising imaging as well as clinical and minimal invasive surgical knowledge IRs are able to play an integral role in caring for patients in nearly all specialities. Over the past few decades, the absence of radiology in the leadership management arena has allowed other specialities to perpetuate turf wars and utilise techniques developed by IR. A concerted effort is required by the wider radiology community to address the problems faced by IR and to recognise its true potential as a speciality to further improve patient care.

2021 ◽  
Vol 35 (03) ◽  
pp. 198-203
Author(s):  
Hassan ElHawary ◽  
Aslan Baradaran ◽  
Jad Abi-Rafeh ◽  
Joshua Vorstenbosch ◽  
Liqin Xu ◽  
...  

AbstractBones comprise a significant percentage of human weight and have important physiologic and structural roles. Bone remodeling occurs when healthy bone is renewed to maintain bone strength and maintain calcium and phosphate homeostasis. It proceeds through four phases: (1) cell activation, (2) resorption, (3) reversal, and (4) bone formation. Bone healing, on the other hand, involves rebuilding bone following a fracture. There are two main types of bone healing, primary and secondary. Inflammation plays an integral role in both bone remodeling and healing. Therefore, a tightly regulated inflammatory response helps achieve these two processes, and levels of inflammation can have detrimental effects on bone healing. Other factors that significantly affect bone healing are inadequate blood supply, biomechanical instability, immunosuppression, and smoking. By understanding the different mechanisms of bone healing and the factors that affect them, we may have a better understanding of the underlying principles of bony fixation and thereby improve patient care.


2020 ◽  
Vol 26 (6) ◽  
pp. 379-380
Author(s):  
Christopher O'Loughlin

SUMMARYTraining in neuroscience is vital to the future of psychiatry as a medical specialty. Trainees and trainers alike demonstrate a desire to keep up to date with developments in the associated scientific fields. Neuroscience increasingly underpins clinical assessments, treatment options and patients’ expectations. Psychiatry training in the UK can embrace neuroscience at many levels, from discussing patient presentations with supervisors, to teaching programmes supported by the Royal College of Psychiatrists’ activities. Although challenges remain, neuroscience literacy enhances the specialty and will improve patient care.


2016 ◽  
Vol 27 (3) ◽  
pp. S145-S146
Author(s):  
D. Dasilva ◽  
A. Sparks ◽  
A. Kim ◽  
G. Lynskey ◽  
J. Spies ◽  
...  

2021 ◽  
pp. 8-17
Author(s):  
Ashok Kumar .. ◽  
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The number of mobile Medicare applications has grown exponentially over the past few years, and it is expected to continue to grow soon. The use of health apps promises to be a good way to improve patient care and make work easier for professional. However, some cases of malfunction or misdiagnosis and treatment recommendations have been reported. Regulation is essential to protect users and support product development. So, to suppress the malfunctions we present a pharmacopeia Medicare app in which the customer can see the original profile and the specification of any stimulant with its useful information. This inculcates a clean process which procures a less chance of misapplication of the drugs. These mobile medical app companies have improved access to clinical references and point of care tools. However, it is difficult to identify mobile medical apps that are suitable for the practice of pharmacy. This app is entirely based on our experience in accrediting websites with health-related content and journal.


2021 ◽  
Author(s):  
Lorella Palazzo ◽  
Clarissa Hsu ◽  
Deborah Barnes ◽  
Marlaine Figueroa-Gray ◽  
Mikael Anne Greenwood-Hickman ◽  
...  

Abstract BACKGROUND Early detection of dementia may improve patient care and quality of life, yet as many as half of patients are undiagnosed. Electronic health record (EHR) data could potentially be used to help to identify patients at risk of having undiagnosed dementia who could be targeted for outreach and assessment, but acceptability to patients and caregivers is unknown. METHOD We conducted five focus groups at Kaiser Permanente Washington, an integrated healthcare system in Washington State, to explore feelings about timing of dementia diagnosis, use of EHR-33 based tools to predict risk of undiagnosed dementia, and communication about risk. Two team members analyzed transcripts using inductive thematic coding. RESULTS Participant groups included: patients with dementia or mild cognitive impairment, patients with neither diagnosis, and caregivers. People who were non-white or Hispanic were oversampled. Forty patients and caregivers (63% women; 59% non-white/Hispanic) participated in focus 39 groups. Participants supported early diagnosis, describing benefits such as time to adjust to the disease, plan, involve caregivers, and identify resources. They also acknowledged the possible psychosocial toll of receiving the diagnosis. Participants also supported use of an EHR-based tool, but some worried about accuracy and privacy. Participants emphasized that information about dementia risk should be communicated thoughtfully by a trusted provider and should include advice about prognosis, treatment options and other resources. CONCLUSION Overall, patients and caregivers supported using EHR-based tools to help identify patients at risk of having undiagnosed dementia. Such tools must be implemented carefully to address concerns and ensure patients and caregivers are adequately supported.


2021 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Leonard Ranasinghe

A patient diagnosed with dengue fever was recently treated at a hospital in California. This rare case raises the concern that dengue fever may become a larger threat in the future for the contiguous United States, which is not currently considered endemic for the disease. Over the past decade, there has been an increase in the number of cases; therefore, dengue fever must be given greater consideration in the differential diagnosis, especially with a patient travel history to endemic parts of the world. This case report examines the management of a patient presenting with dengue fever and demonstrates that continued vigilance, prompt testing, and patient education can improve patient care and decrease disease prevalence in the future.


2020 ◽  
Vol 7 ◽  
Author(s):  
G. Bryan Cornwall ◽  
Andrea Davis ◽  
William R. Walsh ◽  
Ralph J. Mobbs ◽  
Alexander Vaccaro

Spine surgery (lumbar, cervical, deformity, and entire spine) has increased in volume and improved in outcomes over the past 50 years because of innovations in surgical techniques and introduction of new technologies to improve patient care. Innovation is described as a process to add value or create change in an enterprise's economic or social potential. This mini review will assess two of three assessments of innovation in spine surgery: scientific publications and patents issued. The review of both scientific publications and issued patents is a unique assessment. The third assessment of innovation: regulatory clearances of medical devices and equipment for spine surgery and their evolution over time, will also be discussed.


2015 ◽  
Vol 8s1 ◽  
pp. NMI.S29523 ◽  
Author(s):  
Iris J. Grooten ◽  
Tessa J. Roseboom ◽  
Rebecca C. Painter

Nausea and occasional vomiting in early pregnancy (NVP) are common. When vomiting is severe or protracted, it is referred to as hyperemesis gravidarum (HG). HG affects up to 3% of pregnancies and is characterized by weight loss, dehydration, electrolyte imbalance, and the need for hospital admission. HG has significant consequences for maternal well-being, is associated with adverse birth outcomes, and leads to major health care costs. Treatment options are symptomatic, hampered by the lack of evidence-based options including studies on nutritional interventions. One of the reasons for this lack of evidence is the use of a broad range of definitions and outcome measures. An internationally accepted definition and the formulation of core outcomes would facilitate meta-analysis of trial results and implementation of evidence in guidelines to ultimately improve patient care.


2017 ◽  
Vol 210 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Tom Burns ◽  
Martin Baggaley

SummaryOver the past 15 years there has been a move away from consultants having responsibility for the care of patients both in the community and when in hospital towards a functional split in responsibility. In this article Tom Burns and Martin Baggaley debate the merits or otherwise of the split, identifying leadership, expertise and continuity of care as key issues; both recognise that this move is not evidence based.


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