Editorial Volume 1 Issue 2

2002 ◽  
Vol 1 (2) ◽  
Keyword(s):  
Case Reports ◽  
Editorial Team ◽  
Original Research ◽  
Self Assessment ◽  
Acute Medicine ◽  
Questions And Answers ◽  
Medical Emergencies ◽  
Near Future

When I was invited to take over as Editor of this journal, I had little idea of the amount of work which went into its production. I am indebted to Paul Jenkins for staying on in the role of sub-editor, and for helping me up a very steep learning curve over the past few months. I am certain that regular readers will wish to join me in thanking Paul and his editorial team for all their hard work during the last three years. The new editorial board has been expanded to include physicians with a broad range of specialty interests. We will be making use of their expertise and their contacts within their fields to commission reviews on a range of topics relevant to Physicians involved in the Acute Medical take. The intention is to cover all of the common (and some less common) conditions presenting as medical emergencies over a four yearly cycle. Ultimately this will mean that regular subscribers will have access to a comprehensive ‘textbook’ of acute medicine, with ongoing regular updates. The cycle schedule has already been determined, and a provisional plan is listed on page 71. The second section of the journal will include some new features. Some of these will be commissioned, but we would also like to encourage submissions from the readership. Case reports of a ‘General Medical’ nature, pieces of original research and audits relevant to Acute Medicine would be most welcome for this section. ‘Viewpoint’ is intended as a soapbox for anyone with a strong opinion which they would like to air in around 1000 words. This edition contains reviews of the management of suspected pulmonary embolism, diabetic ketoacidosis, anaphylaxis and cellulitis, all relatively common presentations on an Acute Medical take. In addition, we have a detailed review of the management of severe asthma, written from an intensivist’s perspective. This should provide an insight into the management of this complex group of patients, for those of you who are unfamiliar with what goes on beyond the ITU doors. Our ‘How to do it’ feature for this edition is an ophthalmologists’ view of fundoscopy, and some key abnormalities of the optic disc. Self assessment questions and answers are included at the back of this edition. Unfortunately, external CPD credits cannot currently be accrued by completion of these, although we hope to remedy this in the near future. I am sure this will not detract from the enjoyment of reading the journal, which I hope you find as educational an experience as I have had in editing it.

Editorial

2002 ◽  
Vol 1 (3) ◽  
Author(s):  
Chris Roseveare ◽  
Keyword(s):  
Case Reports ◽  
Gastrointestinal Haemorrhage ◽  
Medical Emergency ◽  
Editorial Team ◽  
Original Research ◽  
Acute Medicine ◽  
Previous Edition ◽  
Interesting Paper ◽  
Medical Emergencies ◽  
A Minor

So the brief ‘respite’ of summer is over, and we find ourselves plunging, once more towards the abyss of winter bed pressures. Hopefully those of you working at the coalface will find time to browse through the following pages. The production of a third issue in this ‘shortened’ year, following the launch of the Journal in July, is a credit to the hard work of the editorial and publishing teams. I am, as ever, grateful for their support. Next year will see a return to the planned 4-monthly cycle, with issues anticipated in March, July and November. One casualty of the tight schedule has been a minor adjustment to the cycle of reviews – COPD will now appear next Spring. In its place we have included an interesting paper reviewing the management of Neuroleptic Malignant Syndrome and Serotonin Syndrome, submitted by Consultant Psychiatrist David McNamara. Gastrointestinal haemorrhage and atrial fibrillation will be more familiar to readers, while Dr Joanna Girling’s review of the management of medical emergencies in pregnancy is essential reading for any physician working close to a maternity unit. Myasthenia gravis may not be the commonest medical emergency; nonetheless it is important that physicians are able to suspect, diagnose and initiate treatment for this condition. As I mentioned in my last editorial, I am keen to encourage submissions of case reports, audits, and pieces of original research provided they would appeal to a general medical readership. Cases need not be rare conditions, but must contain a clear teaching message for the reader. In future editions case reports will be categorised as ‘Tales of the Unexpected’, and ‘A Case to Remember’ (a memorable case or one with a message that readers should remember in future). The report on page 106 is an example of the latter – an important reminder that a radiological diagnosis of ‘pneumonia’ does not always imply an infective cause. Finally, I would like to thank those of you who have written with feedback following the previous edition of CPD Acute Medicine. We are clearly attempting to appeal to physicians from a broad range of backgrounds, and I hope that all readers find something which appeals to them in the pages which follow. Please feel free to write with your comments on any issue which you would like to share with the editorial team – depending on the response we may consider including a correspondence section in future editions of the journal.

Editorial Volume 1 Issue 1

2002 ◽  
Vol 1 (1) ◽  
Author(s):  
Paul F Jenkins ◽  
Keyword(s):  
Case Reports ◽  
General Medicine ◽  
Work Load ◽  
Original Research ◽  
Acute Medicine ◽  
The Past ◽  
Review Articles ◽  
Medical Emergencies

As you can see, the title of the Journal has changed and this is intended to emphasize its educational direction. It will continue to commission articles covering general medical topics with a particular emphasis on the management of acute medical emergencies, aiming to reflect the challenges that face those physicians responsible for supporting the acute medical intake. The CME component will continue,so helping to facilitate the accumulation of CPD points in General Medicine. As always we welcome submissions for publication and these can take the form of original research in areas of relevance to Acute Medicine or case-reports. We will continue to commission review articles as otherwise it proves impossible to maintain the cycle and the combination of articles we have planned. I am particularly enthused by the combination of topics covered in this Edition and I do hope that you enjoy reading them as much as I have enjoyed my editing duties. Profound thanks as always to those who have so kindly contributed;we do appreciate the extra commitment, especially in these days of inexorably heavier work-load for clinicians. This is my last Journal as Editor and I must extend my gratitude to those who have written articles over the past four years, to the member of the Editorial Board and of course to the Staff at RILA who have self lessly supported the Editor’s task. Unfailingly efficient they have been a complete pleasure to work with and very under tanding of the occasional memory lapse of this particular Editor! Chris Roseveare, Consultant in Acute Medicine in Southampton, takes over and the new editorial board will be announced in the next issue. Chris has some brilliant ideas and will lead this Journal to renewed success I am sure. I wish him the best of luck.

Editorial Volume 16 Issue 4

2017 ◽  
Vol 16 (4) ◽  
pp. 155-155
Author(s):  
Chris Roseveare ◽  
Keyword(s):  
Internal Medicine ◽  
Case Reports ◽  
Editorial Team ◽  
Research Committee ◽  
Acute Medicine ◽  
The Future ◽  
New Vision ◽  
The Uk

My time has come. After 15 years and over 50 editions it is time for me to hang up my metaphorical red biro, and hand over the role of Editor. It has been an interesting job, and I am extremely grateful to everyone who has contributed and supported the journal over this period. When I took on the position in 2002, this journal was very different to how it is today. Some readers may recall its original incarnation as the CPD journal of Internal Medicine, part of a series of publications produced at that time by Rila. Initially this was comprised predominantly of commissioned review articles, running over a 5 year cycle which was designed to cover the common conditions managed by ‘general’ physicians. As time progressed, the number of unsolicited submissions grew steadily – initially (and continually) dominated by case reports, but with a slowly increasing number of research-based articles as the readership expanded. The quality of these submissions improved further when we finally attained indexing in PubMed, which also attracted more international submissions. I am delighted that the current edition features research papers from the Netherlands and Singapore, both of which have a growing community of Acute Physicians. I remain hopeful that the number of acute medicine-related research submissions from the UK will rise as the speciality grows. The number of high quality abstracts presented at the Society for Acute Medicine (SAM) meetings is indicative of the amount of work that is going on, but it is disappointing that so few of these turn into publications in peerreviewed journals. Acute Physicians are busy people with constant and year-round operational pressures, which may mean that writing up research is continually pushed down the list of priorities. Perhaps also the fact that the number of consultant posts across the continues to exceed the number of Acute Internal Medicine trainees removes some of the ‘pressure to publish’ which is felt by trainees in other hospital specialities. My hopes for the future of this journal have been boosted by the appointment of Tim Cooksley as my replacement ‘Editor in Chief’, who will take over from the Spring 2018 edition onwards. Tim has been a hard working member of the editorial team over recent years, and prior to this was a regular contributor to the journal. He has a strong research background and is a leading member of the SAMBA academy and SAM research committee. I would also like to thank the other members of the editorial board without whose support and contributions this job would have been completely untenable. I understand that Tim plans to keep many of these colleagues in post, as well as bringing in some ‘new blood’ to create a fresh new vision for the future. I wish them all well, and will look forward to reading (as opposed to writing) these editorials. Thanks, finally, to all of the loyal readers who have stuck with the journal over the past 2 decades. I hope that we have managed to keep you entertained and educated on those occasional moments of respite during the acute medical on-call. I wish you all well for the future.

scholarly journals Turning the page

2015 ◽  
Vol 97 (5) ◽  
pp. iv-iv
Author(s):  
Tim Lane
Keyword(s):  
Case Reports ◽  
Editorial Team ◽  
Research Review ◽  
Original Research ◽  
Significant Shift ◽  
Digital Platform ◽  
Digital Version ◽  
Paper Version ◽  
Video Library

This year will see some fundamental changes at the Annals – changes that are aimed at both enhancing and maintaining its appeal across the broad range of surgical specialties. In this respect, there have already been some important refinements to the structure of the Editorial board. The Annals will now have representatives on its panel from the diapason of subspecialties. It is hoped that this will ensure an equitable apportionment of high-quality original research, review articles and case reports from across the surgical spectrum. It represents the single most tangible adjustment to the structure of the Annals in a generation and one of which I am sure Sir Cecil Wakeley would have approved. I would like to take this opportunity to formally welcome our new board members and invite them to join with our other long-term stalwarts into what is a uniquely collegiate editorial team. As many of our fellows and members will already be aware, there has been a significant shift made over the last few months in the handling of research contributions to the Annals. In recent weeks we have completed the transition to our new submissions portal and it is encouraging that reviewers and authors alike have commended it in equal measure. While we are sadly not in a position to accept much of the material submitted to the journal (we currently accept only one tenth of all the articles subjected to peer review) we can at least aim to improve and enhance the experience for all those involved. In many ways this digital migration is a precursor to a number of innovations that will fundamentally transform the way in which we produce the Annals, the most significant of which is the launch of our new digital platform this month. These innovations signal a gradual move away from the printed version as the principal conduit by which the Annals is distributed. Inevitably, there will be those who will lament the passing of this hitherto more familiar and tactile media and so measures are in hand to allow for a more limited production of a paper version of the Annals for RCS fellows and members who continue to elect to receive their Annals in the traditional format. Medical colleges around the world are currently undergoing similar deliberations and for some a digital version may represent the only opportunity to maintain editorial independence – unhindered by the implications of a commercial publishing partner. It is however hoped that for the vast majority of fellows and members, the new and enhanced digital platform will offer significant advantages such that the digital version becomes the de facto medium of choice. Matt Whitaker and the team at the Annals should be congratulated for their sterling efforts in making this transition. The new site, now live at http://publishing.rcseng.ac.uk , will enhance the experience of finding, accessing, reading, citing, sharing and saving articles from the Annals, Bulletin and FDJ. Sign-on will be much easier; page load times quicker and the search engine more powerful and intuitive. The new platform boasts improved functionality, full in-page article text and multi-media, citation tracking, reference generators and advanced social media integration. We are simultaneously launching a new video library where we will be hosting our technical videos. It will, I am certain, become a huge resource for our surgical fraternity. Our new platform will be followed later this year by the inevitable and ubiquitous app, which will allow readers to download issues of the Annals and read them offline and at leisure on whatever their tablet of choice might be. It is my belief that these and forthcoming changes herald the transformation of the Annals into a truly modern journal with all the digital services that authors and readers now rightly expect from their RCS publication. Tim Lane Editor-in-Chief, [email protected]

Editorial

2016 ◽  
Vol 15 (1) ◽  
pp. 2-2
Author(s):  
Chris Roseveare ◽  
Keyword(s):  
The Netherlands ◽  
Editorial Team ◽  
Patient Specific ◽  
Service Improvement ◽  
Single Individual ◽  
National Goal ◽  
Acute Medicine ◽  
North West ◽  
The Past

Clinicians working in acute medicine will be familiar with change. The speciality and the environment we work in has changed continually over the past 15 years – I often reflect that no two years have been the same since I started working in the field back in 1999. Change is important, in order to achieve best practice, but sustaining such improvements can be an enormous challenge. The regular turnover of medical staff, local management restructuring and the constantly shifting National goal posts often conspire against us. It is easy for ‘changefatigue’ to set in. Submissions to this journal often describe local audits and service improvement projects which have raised standards: a low baseline may result in a statistically significant improvement from a relatively small intervention – often an education programme or poster campaign to raise awareness of the problem. However, what happens next is far more important: can the improvement be sustained when the key driver behind the project – the enthusiast – moves on, after their 4 month block of acute medicine comes to an end? One year on, we are often back where we started. Two articles in this edition appear to have achieved the Holy Grail of sustainability. In the paper by Joanne Botten from Musgrove Park, door to antibiotic time was improved for patients with neutopaenic sepsis by introducing a system whereby the antibiotics could be administered without waiting for a prescription to be written. The combination of a neutropaenic sepsis alert card and a patient-specific direction empowered the nurses and patients to ensure administration within an hour of arrival in over 90% of cases, a figure which has been sustained for over a year. Sustainable change is often facilitated by modifications in paperwork, but crucially the project’s success was not reliant on a single individual. The value of engaging with the wider team is also shown in Gary Misselbook’s paper describing sustained improvement in the layout and utility of an AMU procedure room. The authors describe how repeated attempts by different registrars had failed to achieve more than temporary reorganisation; the change was only sustained when nursing, infection control and administrative staff became involved in the process. The multiprofessional nature of the AMU is one of its greatest assets – we would all do well to remember this when instigating change. On a similar note, observant readers may have noticed some changes to the editorial board of this journal – I am delighted to welcome Dr Tim Cooksley, acute physician from Manchester and Dr Prabath Nanayakkara from the VUMC in the Netherlands. Tim came through the acute medicine training programme in the North West and his role in the acute oncology service at the Christie Hospital as well as his active involvement in the SAMBA project over recent years brings an important perspective to the editorial team. Prabath has been heavily involved with the development of acute medicine in the Netherlands and co-hosted the successful SAMSTERDAM meeting in 2014. His international perspective will be welcome as we attempt to extend the reach of Acute Medicine to our European neighbours over the coming years. I am very grateful to Nik Patel, Mark Jackson and Ashwin Pinto for their help and support during the past decade and wish them well for the future.

scholarly journals Impact of Nutrition on Pulmonary Arterial Hypertension

Nutrients ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 169
Author(s):  
María Callejo ◽  
Joan Albert Barberá ◽  
Juan Duarte ◽  
Francisco Perez-Vizcaino
Keyword(s):  
Pulmonary Arterial Hypertension ◽  
Animal Models ◽  
Gut Microbiota ◽  
Arterial Hypertension ◽  
Case Reports ◽  
Host Immune System ◽  
Dietary Polyphenols ◽  
Pulmonary Arterial ◽  
Near Future

Pulmonary arterial hypertension (PAH) is characterized by sustained vasoconstriction, vascular remodeling, inflammation, and in situ thrombosis. Although there have been important advances in the knowledge of the pathophysiology of PAH, it remains a debilitating, limiting, and rapidly progressive disease. Vitamin D and iron deficiency are worldwide health problems of pandemic proportions. Notably, these nutritional alterations are largely more prevalent in PAH patients than in the general population and there are several pieces of evidence suggesting that they may trigger or aggravate disease progression. There are also several case reports associating scurvy, due to severe vitamin C deficiency, with PAH. Flavonoids such as quercetin, isoflavonoids such as genistein, and other dietary polyphenols including resveratrol slow the progression of the disease in animal models of PAH. Finally, the role of the gut microbiota and its interplay with the diet, host immune system, and energy metabolism is emerging in multiple cardiovascular diseases. The alteration of the gut microbiota has also been reported in animal models of PAH. It is thus possible that in the near future interventions targeting the nutritional status and the gut dysbiosis will improve the outcome of these patients.

scholarly journals DIAGNOSTIC TESTS AND CLINICAL CHARACTERISTICS OF COVID-19 IN CHILDREN: AN INTEGRATIVE REVIEW

2020 ◽  
Vol 29 ◽  
Author(s):  
Michelle Darezzo Rodrigues Nunes ◽  
Sandra Teixeira de Araújo Pacheco ◽  
Cícero Ivan Alcantara Costa ◽  
Jaciane Alexandre da Silva ◽  
Welker da Silva Xavier ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Case Reports ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
Integrative Review ◽  
Research Articles ◽  
Original Research ◽  
Role Of Nursing ◽  
And Performance

ABSTRACT Objective: to identify in nursing literature scientific production on tests and clinical characteristics of COVID-19 in children and discuss the role of nursing in their care. Methods: an integrative review, which took place between April and June 2020, at Web of Science, CINAHL, BDENF, IBECS, LILACS, MEDLINE (via PubMed) to answer the guiding question: what do research articles on COVID-19 in children reveal? Original research articles published from January to May 2020 were included. Studies without research methodology (case reports, reflection, recommendations), review articles, studies focusing on other themes or conducted exclusively with neonates, infants, adolescents, and adults were excluded. Results: database search found 314 references. After exclusions, 59 studies were selected to be read in full. Of these, 14 articles were selected to compose this review, empirically grouped according to their similarities into two categories: Tests used in COVID-19 in children and Main clinical findings of COVID-19 in children. Conclusion: studies emphasize clinical tests and findings of COVID-19 in children; therefore, the role of nursing at the time of preparation and performance of such tests stands out, since they are an instrument for assessment and follow-up of children with coronavirus as well as in the promotion of adequate and qualified care to minimize the signs and symptoms of this disease, with a view to prompt restoration of their health.

scholarly journals Editorial for the Inaugural Issue: Grande Medical Journal (GMJ)

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Prakash Kafle
Keyword(s):  
Medical Journal ◽  
Review Process ◽  
Peer Review Process ◽  
Case Reports ◽  
Editorial Policy ◽  
Original Research ◽  
Scientific Quality ◽  
Double Blind ◽  
Clinical Images

We are proud and honored to launch the inaugural issue of our new academic endeavor – Grande Medical Journal (GMJ), published by Academic & Research Department, Grande International Hospital (GIH). GMJ is an annual, open, peer-reviewed interdisciplinary journal that encompasses all fields of medicine and clinical practice. GMJ will be published both in print and online. It will be freely accessible via the internet through GIH’s website with open access to the full text of articles. There will be no subscription fees to the readers or processing fees for the authors. Publisher and authors who publish in the journal will jointly retain the copyright to their article. The editorial policy of GMJ will be guided by the high standards of scientific quality and integrity, professional responsibility, and ethical legacy. GMJ follows double-blind peer-review process. This minimizes the possibility of a biased opinion ensuring a responsible and ethical environment. GMJ will be initially published as one issue per year, and with contributions from national and international physicians and scientists, we aim to increase the frequency to two issues per year. GMJ will publish original research, clinical review, invited reviews, case report, clinical problem solving, clinical images, short communications, and editorials. This inaugural issue features fifteen scientific papers - 1 invited review, 3 original researches, 2 clinical reviews, 1 clinical images article, 8 case reports. The editorial board is committed to get the journal indexed in major search engines, indices, and databases to increase their visibility/ searchability and recognition in wider scientific community. For us to achieve these goals, in the forthcoming issues we seek to publish original, high-quality, peerreviewed papers including original clinical and editorials, clinical reviews, and correspondence on matters that will provide comprehensive coverage on all aspects and subspecialties of medicine. We would like to thank everyone who has worked diligently behind the scenes to bring this inaugural issue to fruition. This launch of the GMJ would not have been possible without the contributions from authors, and experienced and devoted reviewers who willingly signed up for timeconsuming workloads and enthusiastically agreed to provide their critical input to the review process. Thank you all for your trust and support. Indeed, it is a real honor to serve as the founding editors. Sincerely Yours,Prakash Kafle, MSEditor-in-Chief

scholarly journals RESEARCH ON AGING: THE INTERNATIONAL VIEW FROM THE EDITORS' DESKS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S195-S195
Author(s):  
Jeffrey Burr ◽  
Kyungmin Kim ◽  
Sae Hwang Han
Keyword(s):  
Public Health ◽  
Public Policy ◽  
Social Work ◽  
Review Process ◽  
Original Research ◽  
Aging Studies ◽  
Acceptance Rates ◽  
International View

Abstract We review the scope, content, and focus of the peer-reviewed journal, Research on Aging (SAGE), publishing its 41st volume this year. We will discuss how scholarship produced from researchers around the globe has changed over the years. Data on submissions, acceptance rates, and the important role of an international editorial board will be presented. The review process will be described, along with suggestions on how to increase chances of success when submitting original research. Although Research on Aging is sometimes considered to focus primarily on social gerontology, the scope in recent years has widened considerably, with manuscripts in aging studies published from such fields as economics, psychology, demography, public health, and public policy, as well as from sociology, and social work, among others. One of several special issues forthcoming in the journal will be described to demonstrate the possibilities for international impact.

Editorial

2004 ◽  
Vol 3 (3) ◽  
Author(s):  
Chris Roseveare ◽  
Keyword(s):  
Case Reports ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Favourable Outcome ◽  
Thyroid Storm ◽  
Acute Medicine ◽  
General Internal ◽  
The Face ◽  
Similar Theme

While the profile of the subspecialty of Acute Medicine continues to rise, so does the burden of work under which we are continually placed. Changes in General Practice out-of-hours cover, reduced junior doctor hours, continued pressure to achieve four hour A&E wait targets along with the arrival of yet another winter will be familiar themes for many readers. There are times when it may seem difficult to stay positive in the face of such adversity. In these moments of despair, I have recently taken to reading our ward admissions list in search of light relief. This list, compiled by non-clinical staff, describes the problems which doctors referring patients to the AMU ascribe to their patients. ‘COPD Exasperation’ appears to be a common problem (not least amongst the junior medical staff), while I hope that the patient admitted with ‘aspirations of pneumonia’ wasn’t too disappointed by his final diagnosis. A patient with Wegener’s granulomatosis was admitted several times with ‘acute f lare-up of vagueness’, an aff liction with which many of us will be familiar. My favourite, however, remains the unfortunate patient described as ‘Bilateral amputee – off legs’; things clearly could not get much worse for this man! If your own search for light relief leads you to browse through the following pages you will find more useful reviews, case reports and the second in our ‘Controversies in acute medicine’ series. This time Guha and Sheron tackle the issue of f luid resuscitation in chronic liver disease, an area which is frequently a source of considerable confusion. I have only ever treated one patient with thyroid storm, sadly without a favourable outcome; Ben Turner’s overview of the management of this rare condition will hopefully equip readers to deal with the consequences, should you ever be faced with such a problem. At the other end of the pulse-rate spectrum, bradyarrhythmias are a more familiar on-take emergency. In part one of a series of reviews on arrhythmias to be published over the next few editions, this subject is tackled in some detail. Diarrhoea and Cardiac Arrest have both been areas traditionally avoided by consultant physicians. In these days of the ‘hands-on’ consultant (preferably gloved!), I would urge colleagues to be prepared for such eventualities by taking note of our final two reviews. I am pleased to report that my continued pleas for submissions has resulted in more than a trickle of case reports, which has enabled us to publish two ‘Cases to remember’ in this edition. More on a similar theme would be most welcome. Mike Jones, originally brought into the editorial board for his renal expertise, wears his hat as Secretary of the SAC in General Internal Medicine to give an insight into Training developments in Acute Medicine in Viewpoint. Submissions for this section would again be welcomed. I hope you enjoy this edition, and that you continue to find the journal helpful in your everyday practice and personal CPD into the New Year.

Sign in / Sign up

Export Citation Format

Share Document