Andrew William Diamond was appointed as a consultant in anaesthesia at Frenchay Hospital, Bristol, in 1968. He enjoyed a year working in Denmark before taking up his consultant post in Bristol. He had considered a career in intensive care medicine, but his main interest was the control and management of pain. He was skilled in the use of regional anaesthetic blocks after his experience in Denmark. At the time, regional anaesthesia was uncommon in the UK—very few patients were comfortablewith the idea of being awakeduring their surgery.
{"title":"Andrew Diamond","authors":"Gareth Greenslade","doi":"10.1136/bmj.p2312","DOIUrl":"https://doi.org/10.1136/bmj.p2312","url":null,"abstract":"Andrew William Diamond was appointed as a consultant in anaesthesia at Frenchay Hospital, Bristol, in 1968. He enjoyed a year working in Denmark before taking up his consultant post in Bristol. He had considered a career in intensive care medicine, but his main interest was the control and management of pain. He was skilled in the use of regional anaesthetic blocks after his experience in Denmark. At the time, regional anaesthesia was uncommon in the UK—very few patients were comfortablewith the idea of being awakeduring their surgery.","PeriodicalId":9314,"journal":{"name":"BMJ","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136295033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Findings on examination of the peripheral nervous system in 4000 people without polyneuropathy are a reminder that what counts as normal changes with age. Vibration sensation was absent at the hallux and Achilles tendon reflexes were lost in a third of older people. In contrast, superficial pain sensation and patellar reflexes remained stable. Sural nerve action potential amplitude declined with age and, beyond the age of 80, becameunrecordable in a quarter of participants (Neurologydoi:10.1212/WNL.0000000000207665).
{"title":"Nervous system changes . . . and other stories","authors":"","doi":"10.1136/bmj.p2222","DOIUrl":"https://doi.org/10.1136/bmj.p2222","url":null,"abstract":"Findings on examination of the peripheral nervous system in 4000 people without polyneuropathy are a reminder that what counts as normal changes with age. Vibration sensation was absent at the hallux and Achilles tendon reflexes were lost in a third of older people. In contrast, superficial pain sensation and patellar reflexes remained stable. Sural nerve action potential amplitude declined with age and, beyond the age of 80, becameunrecordable in a quarter of participants (Neurologydoi:10.1212/WNL.0000000000207665).","PeriodicalId":9314,"journal":{"name":"BMJ","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135481445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Does the Earth belong to animals or plants, land or sea? Arrogantly, humanity has presumed the Earth to be its own. A particular world view has bent the Earth toourwhims, imposingan imagined superiority over environments andother species—andother, less privileged, humans. That world view, driven by the extractive excesses of capitalism and colonialism, continues to harm people and the planet. It treats species, natural resources, and traditional andpoorer communities as commodities to be exploited and profited from.
{"title":"Climate emergency: Treat Earth as an ancestor, not a commodity","authors":"Kamran Abbasi","doi":"10.1136/bmj.p2288","DOIUrl":"https://doi.org/10.1136/bmj.p2288","url":null,"abstract":"Does the Earth belong to animals or plants, land or sea? Arrogantly, humanity has presumed the Earth to be its own. A particular world view has bent the Earth toourwhims, imposingan imagined superiority over environments andother species—andother, less privileged, humans. That world view, driven by the extractive excesses of capitalism and colonialism, continues to harm people and the planet. It treats species, natural resources, and traditional andpoorer communities as commodities to be exploited and profited from.","PeriodicalId":9314,"journal":{"name":"BMJ","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134947422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A man in his 30s presented with a three month history of an unusual odour from the armpits. On examination, the axillary hair shafts were encircled by what appeared to be soft yellow-white material. The hair roots and adjacent skinwere not affected.Dermoscopywithpolarised light showedyellowish-white creamy concretions adherent to several hair shafts (fig 1, left). Under ultraviolet light (a Wood’s lamp with a wavelength range of 360-400 nm) these concretions exhibited green, purple, and red fluorescence (fig 1, right). The findings represent an atypical example of trichomycosis axillaris, a superficial bacterial infection of axillary hair caused by corynebacterium, which usually fluoresces with pale yellow light under UV dermoscopy. The diagnosis is usually made clinically, but bacterial culture can be used to confirm the causative bacteria. The condition mainly affects young adults, and risk factors include hyperhidrosis and living in areas with high humidity.1 Management includes shaving the affected hair or using topical antibiotics.1
{"title":"A diagnosis under ultraviolet light","authors":"Conghui Li, Yuping Ran","doi":"10.1136/bmj-2023-075704","DOIUrl":"https://doi.org/10.1136/bmj-2023-075704","url":null,"abstract":"A man in his 30s presented with a three month history of an unusual odour from the armpits. On examination, the axillary hair shafts were encircled by what appeared to be soft yellow-white material. The hair roots and adjacent skinwere not affected.Dermoscopywithpolarised light showedyellowish-white creamy concretions adherent to several hair shafts (fig 1, left). Under ultraviolet light (a Wood’s lamp with a wavelength range of 360-400 nm) these concretions exhibited green, purple, and red fluorescence (fig 1, right). The findings represent an atypical example of trichomycosis axillaris, a superficial bacterial infection of axillary hair caused by corynebacterium, which usually fluoresces with pale yellow light under UV dermoscopy. The diagnosis is usually made clinically, but bacterial culture can be used to confirm the causative bacteria. The condition mainly affects young adults, and risk factors include hyperhidrosis and living in areas with high humidity.1 Management includes shaving the affected hair or using topical antibiotics.1","PeriodicalId":9314,"journal":{"name":"BMJ","volume":"396 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135385933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Kernahan (née Hardy) was born in Sunderland and qualified with honours at Durham, having won numerous student prizes. She chose a career in paediatrics. After house jobs at the Royal Victoria Infirmary in Newcastle she went to Bristol for two years of general medicine and then on to Great Ormond Street, where she first encountered children with leukaemia. She returned to Newcastle as senior registrar and worked with Willie Walker, treating children with leukaemia. As part of the married women’s retainer scheme she spent 11 years as senior registrar before being appointed consultant in 1981. She contributed enormously to the dramatic rise in survival rates from leukaemia across the UK. Loved by children and parents and hugely supportive of nurses and trainee doctors, she was an exceptional and caring doctor. She married Russell in 1970, and he predeceased her. She leaves two sons and eight grandchildren
{"title":"Jennifer Kernahan","authors":"Mike Reid, Alan Craft","doi":"10.1136/bmj.p2167","DOIUrl":"https://doi.org/10.1136/bmj.p2167","url":null,"abstract":"Jennifer Kernahan (née Hardy) was born in Sunderland and qualified with honours at Durham, having won numerous student prizes. She chose a career in paediatrics. After house jobs at the Royal Victoria Infirmary in Newcastle she went to Bristol for two years of general medicine and then on to Great Ormond Street, where she first encountered children with leukaemia. She returned to Newcastle as senior registrar and worked with Willie Walker, treating children with leukaemia. As part of the married women’s retainer scheme she spent 11 years as senior registrar before being appointed consultant in 1981. She contributed enormously to the dramatic rise in survival rates from leukaemia across the UK. Loved by children and parents and hugely supportive of nurses and trainee doctors, she was an exceptional and caring doctor. She married Russell in 1970, and he predeceased her. She leaves two sons and eight grandchildren","PeriodicalId":9314,"journal":{"name":"BMJ","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kar Hao Teoh: talented foot and ankle surgeon killed in South Africa","authors":"Penny Warren","doi":"10.1136/bmj.p2190","DOIUrl":"https://doi.org/10.1136/bmj.p2190","url":null,"abstract":"","PeriodicalId":9314,"journal":{"name":"BMJ","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Among the failings of medical research, the under-representationofwomenandethnicminorities in clinical studies is nothing short of a scandal. In 1994 the US National Institutes of Health made it mandatory for government funded research to include both these groups. The UK National Institute for Health and Care Research issued guidance on sex and gender in 2020. Yet, despite these and other requirements, increased awareness, and numerous pledges, progress is unacceptably slow.
{"title":"Under-representation of women in research: a status quo that is a scandal","authors":"Kamran Abbasi","doi":"10.1136/bmj.p2091","DOIUrl":"https://doi.org/10.1136/bmj.p2091","url":null,"abstract":"Among the failings of medical research, the under-representationofwomenandethnicminorities in clinical studies is nothing short of a scandal. In 1994 the US National Institutes of Health made it mandatory for government funded research to include both these groups. The UK National Institute for Health and Care Research issued guidance on sex and gender in 2020. Yet, despite these and other requirements, increased awareness, and numerous pledges, progress is unacceptably slow.","PeriodicalId":9314,"journal":{"name":"BMJ","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135488331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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