Pub Date : 2013-09-01DOI: 10.1097/01244666-200609000-00009
N. Cromie
Death rates are doubled in patients with AF, independent of all other known predictors of mortality. Only antithrombotic therapy has been shown to reduce AF-related deaths.7-9 A fifth of strokes are attributed to AF with AF-related strokes being more severe. Undiagnosed ‘silent AF’ is a likely cause of some ‘cryptogenic’ strokes.7,10 Asymptomatic cerebral emboli are common in patients with AF with an increased incidence of cognitive impairment and dementia being seen.11,12 Paroxysmal AF carries the same stroke risk as permanent or persistent AF.13 AF patients have a worse quality of life, with reduced exercise tolerance, even if believed to be asymptomatic.14 The quality of life is worse in AF patients compared with those having a history of myocardial infarction.15 It is thought in some patients AF results in impairment of left ventricular systolic function, with improvement of function after maintenance of sinus rhythm.16 mEchanisms
{"title":"Atrial Fibrillation","authors":"N. Cromie","doi":"10.1097/01244666-200609000-00009","DOIUrl":"https://doi.org/10.1097/01244666-200609000-00009","url":null,"abstract":"Death rates are doubled in patients with AF, independent of all other known predictors of mortality. Only antithrombotic therapy has been shown to reduce AF-related deaths.7-9 A fifth of strokes are attributed to AF with AF-related strokes being more severe. Undiagnosed ‘silent AF’ is a likely cause of some ‘cryptogenic’ strokes.7,10 Asymptomatic cerebral emboli are common in patients with AF with an increased incidence of cognitive impairment and dementia being seen.11,12 Paroxysmal AF carries the same stroke risk as permanent or persistent AF.13 AF patients have a worse quality of life, with reduced exercise tolerance, even if believed to be asymptomatic.14 The quality of life is worse in AF patients compared with those having a history of myocardial infarction.15 It is thought in some patients AF results in impairment of left ventricular systolic function, with improvement of function after maintenance of sinus rhythm.16 mEchanisms","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"79 1","pages":"135 - 140"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73762893","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}
Pub Date : 2012-11-01DOI: 10.1177/1350506812455912
B. Clements
{"title":"List of Referees for 2012","authors":"B. Clements","doi":"10.1177/1350506812455912","DOIUrl":"https://doi.org/10.1177/1350506812455912","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"80 1","pages":"2 - 2"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86896509","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}
Pub Date : 2012-03-12DOI: 10.1007/978-94-009-8069-3
Paul Sharpstone Frcp, J. A. P. T. Frcp
{"title":"Renal Glomerular Diseases","authors":"Paul Sharpstone Frcp, J. A. P. T. Frcp","doi":"10.1007/978-94-009-8069-3","DOIUrl":"https://doi.org/10.1007/978-94-009-8069-3","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76146670","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}
This book is part of the Royal Society of Medicine Press “Get Through …” series aimed at doctors in training. It’s a pocket size book of multiple choice questions with answers and a mock examination at the end to test yourself. The First Part FRCR exam has gone through some renovation recently so this book is timely and comprehensive. It is written by three specialist registrars in Radiology (all passed their exam first time) and edited by Jerry Williams Head of Radiological Physics Training for South East Scotland. The book will appeal to trainee radiologists who are sitting their FRCR part 1 exam, lecturers in Physics for Radiologists and also Radiology tutors.
{"title":"Get through First FRCR: MCQs for the Physics Module","authors":"Winder John","doi":"10.1201/b13204","DOIUrl":"https://doi.org/10.1201/b13204","url":null,"abstract":"This book is part of the Royal Society of Medicine Press “Get Through …” series aimed at doctors in training. It’s a pocket size book of multiple choice questions with answers and a mock examination at the end to test yourself. The First Part FRCR exam has gone through some renovation recently so this book is timely and comprehensive. It is written by three specialist registrars in Radiology (all passed their exam first time) and edited by Jerry Williams Head of Radiological Physics Training for South East Scotland. The book will appeal to trainee radiologists who are sitting their FRCR part 1 exam, lecturers in Physics for Radiologists and also Radiology tutors.","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"22 1","pages":"107 - 107"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80958725","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}
s of the Japanese Journal of Ornithology, Volume 58
《日本鸟类学杂志》第58卷
{"title":"LIST OF REFEREES FOR 2009","authors":"McClure","doi":"10.2326/048.009.0101","DOIUrl":"https://doi.org/10.2326/048.009.0101","url":null,"abstract":"s of the Japanese Journal of Ornithology, Volume 58","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"6 1","pages":"2 - 2"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86924395","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}
This textbook, published in 2009, is aimed at Final Year students of Medicine sitting their Surgical examination paper. It contains 250 Single Best Answer questions. The layout is that the book contains five practice papers, each containing 50 questions. The student is advised to allow between 1–1½ hours per paper. The book gives the correct answer and, usefully, a brief commentary to that answer. There is a satisfactory, albeit short, examination-orientated discussion of the answer. As with any textbook of this nature, there can be a few, albeit relatively minor, critiques such as the absence of the mention of laparoscopic surgery when discussing appendicectomy and perforated duodenal ulcer. The description of thyroid cancer would warrant a line or two on the usefulness of fine needle biopsy in most thyroid cancers apart from follicular tumour (in which it cannot distinguish benign from malignant). On Page 45, Question 1, on gallbladder incisions, it would be more appropriate to include a discussion of laparoscopic gallbladder incisions which are, by far, the most common method of surgical access for today's gallbladder procedures. In the index, under Thyroid Cancers, Pages 33 and 123 are given, but on Page 123 there is no mention of thyroid cancer. Leaving aside these relatively minor points, this book is a useful revision text for students undertaking Final Medicine examinations in Surgery. The authors are relatively young, one being a Registrar in Emergency Medicine, the other being an academic Fellow in Vascular Surgery, and have a sense of the current standards of final surgical examinations in Medicine. The questions are in a modern format and the commentaries are, by and large, timely and up-to-date. The book can be recommended as a revision text in those anxious few months prior to medical finals.
{"title":"GET AHEAD! SURGERY: 250 SBAS FOR FINALS","authors":"R. Spence","doi":"10.1201/b13548","DOIUrl":"https://doi.org/10.1201/b13548","url":null,"abstract":"This textbook, published in 2009, is aimed at Final Year students of Medicine sitting their Surgical examination paper. It contains 250 Single Best Answer questions. The layout is that the book contains five practice papers, each containing 50 questions. The student is advised to allow between 1–1½ hours per paper. The book gives the correct answer and, usefully, a brief commentary to that answer. There is a satisfactory, albeit short, examination-orientated discussion of the answer. \u0000 \u0000As with any textbook of this nature, there can be a few, albeit relatively minor, critiques such as the absence of the mention of laparoscopic surgery when discussing appendicectomy and perforated duodenal ulcer. The description of thyroid cancer would warrant a line or two on the usefulness of fine needle biopsy in most thyroid cancers apart from follicular tumour (in which it cannot distinguish benign from malignant). On Page 45, Question 1, on gallbladder incisions, it would be more appropriate to include a discussion of laparoscopic gallbladder incisions which are, by far, the most common method of surgical access for today's gallbladder procedures. In the index, under Thyroid Cancers, Pages 33 and 123 are given, but on Page 123 there is no mention of thyroid cancer. Leaving aside these relatively minor points, this book is a useful revision text for students undertaking Final Medicine examinations in Surgery. \u0000 \u0000The authors are relatively young, one being a Registrar in Emergency Medicine, the other being an academic Fellow in Vascular Surgery, and have a sense of the current standards of final surgical examinations in Medicine. The questions are in a modern format and the commentaries are, by and large, timely and up-to-date. The book can be recommended as a revision text in those anxious few months prior to medical finals.","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"8 1","pages":"203 - 203"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82077636","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}
Pub Date : 2009-05-01DOI: 10.1016/b978-1-4160-2299-2.x0071-0
N. M. Flanagan
{"title":"INTEGRATIVE MEDICINE FOR CHILDREN","authors":"N. M. Flanagan","doi":"10.1016/b978-1-4160-2299-2.x0071-0","DOIUrl":"https://doi.org/10.1016/b978-1-4160-2299-2.x0071-0","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"8 1","pages":"140 - 140"},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84205448","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}
"Dave Brubek, the swingingest!" True words for our mentor Jack Rhymes with back track Kerouac. His words go, man, go. Like a man with no end his secrets he'll lend And the words go, man, go Right, Left, To and Fro Back to his Write which is Right, and on and on and on till the heavy coolness weighs heavy on battling eyes, and the tape runs out and your voice still echoes. sitting, watching, waiting Tell you what Take a rest Brother, allow us to show you some of our steps Right and Left and Write which is right, but Left -
{"title":"My hero","authors":"Andrew Uprichard","doi":"10.2307/j.ctvqsf3dq.6","DOIUrl":"https://doi.org/10.2307/j.ctvqsf3dq.6","url":null,"abstract":"\"Dave Brubek, the swingingest!\" True words for our mentor Jack Rhymes with back track Kerouac. His words go, man, go. Like a man with no end his secrets he'll lend And the words go, man, go Right, Left, To and Fro Back to his Write which is Right, and on and on and on till the heavy coolness weighs heavy on battling eyes, and the tape runs out and your voice still echoes. sitting, watching, waiting Tell you what Take a rest Brother, allow us to show you some of our steps Right and Left and Write which is right, but Left -","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"89 1 1","pages":"80 - 81"},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83927972","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}
Pub Date : 2009-03-06DOI: 10.1126/science.323.5919.1261d
B. Kelly
Editorial Testing Times As I write, the inquests have begun. Two natural phenomena, one very large and one very small, have exercised our minds, and our economies, recently. The larger, a volcano under Iceland's Eyjafjallajoekull glacier, comprehensively grounded Europe's commercial airlines, causing chaos and stranding registered voters everywhere. The second was a microscopic villain. The influenza virus H1N1 (Swine Flu) surfaced in the United States, twirled its pantomime moustache menacingly, and ignited the 2009 pandemic. Governments immediately raced to stockpile supplies of vaccine and Tamiflu. In both cases, the question now being asked is whether the official response was over zealous. Many lives were lost to that influenza virus, but none to volcanic ash in jet engines. So far. For both events, however, the outcome might have been very different. Begging Wordsworth's indulgence, our retrospection is, I would contend, drama, recollected in tranquility. Conall McCaughey's superb and timely review considers the biology of that influenza virus. Using it as a template, he expounds on viral structure, its ubiquity and abundance, mechanisms of replication and dissemination, and how anti viral therapies work. Mature readers will recall diligently writing serial essays, confident in the knowledge that each would be marked with forensic fairness, by dedicated, selfless examiners who, with luck, would overlook minor obfuscations, and score hosanna's to their worthy prose. In the tick of a cosmic clock, those same readers would find themselves marking interminable essays; wading though cryptographic handwriting to unearth the morass of random half-learned facts that lay concealed, or perhaps, congealed, beneath. As an assessment tool, the essay is now a thing of the past, in medicine at least, and the multiple-choice question is looking like an endangered species too. In the second of this edition's reviews, Paul McCoubrie considers the assessment process, why it remains essential, and in an encyclopedic exposition, demonstrates just how far we have moved away from foolscap and writer's cramp. Professor Brew Atkinson's presidential Ulster Medical Society address is also within these pages. Professor Atkinson's masterly article details our understanding of the pituitary gland, from Ancient Egypt, via David and Goliath, to our current genetic understanding of pituitary-related diseases. My thanks, as ever, for all your papers. Please keep them coming. May I finally take this opportunity to wish you and yours a wonderful summer.
{"title":"Testing Times","authors":"B. Kelly","doi":"10.1126/science.323.5919.1261d","DOIUrl":"https://doi.org/10.1126/science.323.5919.1261d","url":null,"abstract":"Editorial Testing Times As I write, the inquests have begun. Two natural phenomena, one very large and one very small, have exercised our minds, and our economies, recently. The larger, a volcano under Iceland's Eyjafjallajoekull glacier, comprehensively grounded Europe's commercial airlines, causing chaos and stranding registered voters everywhere. The second was a microscopic villain. The influenza virus H1N1 (Swine Flu) surfaced in the United States, twirled its pantomime moustache menacingly, and ignited the 2009 pandemic. Governments immediately raced to stockpile supplies of vaccine and Tamiflu. In both cases, the question now being asked is whether the official response was over zealous. Many lives were lost to that influenza virus, but none to volcanic ash in jet engines. So far. For both events, however, the outcome might have been very different. Begging Wordsworth's indulgence, our retrospection is, I would contend, drama, recollected in tranquility. Conall McCaughey's superb and timely review considers the biology of that influenza virus. Using it as a template, he expounds on viral structure, its ubiquity and abundance, mechanisms of replication and dissemination, and how anti viral therapies work. Mature readers will recall diligently writing serial essays, confident in the knowledge that each would be marked with forensic fairness, by dedicated, selfless examiners who, with luck, would overlook minor obfuscations, and score hosanna's to their worthy prose. In the tick of a cosmic clock, those same readers would find themselves marking interminable essays; wading though cryptographic handwriting to unearth the morass of random half-learned facts that lay concealed, or perhaps, congealed, beneath. As an assessment tool, the essay is now a thing of the past, in medicine at least, and the multiple-choice question is looking like an endangered species too. In the second of this edition's reviews, Paul McCoubrie considers the assessment process, why it remains essential, and in an encyclopedic exposition, demonstrates just how far we have moved away from foolscap and writer's cramp. Professor Brew Atkinson's presidential Ulster Medical Society address is also within these pages. Professor Atkinson's masterly article details our understanding of the pituitary gland, from Ancient Egypt, via David and Goliath, to our current genetic understanding of pituitary-related diseases. My thanks, as ever, for all your papers. Please keep them coming. May I finally take this opportunity to wish you and yours a wonderful summer.","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"45 1","pages":"45 - 45"},"PeriodicalIF":0.0,"publicationDate":"2009-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75112221","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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