Is the English language a barrier to the non-English-speaking authors in academic publishing?
Academic publication in scientific journals is an integral part of a clinician’s professional journey. Writing a publishable scientific article can be a formidable task for a beginner and to even some established academics. It is a challenging but rewarding endeavour. Apart from being desirable criteria on speciality training application forms, generating an idea for an article into a well-written manuscript, struggling through multiple draft revisions, submission, receiving peer-review feedback and acceptance, strengthens our methodology, writing and communication skills. It prepares a clinician to critically interp...
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Jain, V. K., Iyengar, K. P., Vaishya, R. Tags: Letter Source Type: research

Impact of enhanced personal protective equipment on the physical and mental well-being of healthcare workers during COVID-19
Conclusion Our study demonstrates the undeniable negative impact on the front-line healthcare workers using enhanced PPE and lays the ground for larger multicentric assessments given for it to potentially be the norm for the foreseeable future. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Swaminathan, R., Mukundadura, B. P., Prasad, S. Tags: COVID-19 Letter Source Type: research

Green urine due to propofol
A previously healthy 72-year-old man was hospitalised for injuries sustained during a fall after taking sleep medication. His mental status deteriorated, and he demonstrated a Glasgow Coma Scale score of 8. He was tachypnoeic and hypoxic due to right-sided flail chest and multiple rib fractures. He was intubated and sedated with propofol at 160 mg/hour. His urine turned green within a few hours of initiating propofol (figures 1 and 2), and the discolouration resolved when the sedation was interrupted. Green urine is a rare side effect of propofol, with an incidence of less than 1% in patients receiving propofol.1 Excretion...
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Kuriyama, A. Tags: Images Source Type: research

'Black eyelid
A 22-year-old woman presented with blackish discolouration over the left upper eyelid for the past 6 weeks. Initially, the lesions presented as reddish discolouration of the left upper eyelid and later developed into a hyperpigmented macule. She presented to the dermatology out patient department because of increase in size and burning sensation for the past 3 days. A day prior to the onset of the lesion, she had been prescribed oral cotrimoxazole for the treatment of an upper respiratory tract infection by a general physician. She had history of similar lesions occurring over the same site previously on taking cotrimoxazo...
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Nivveditha, S., Karthikeyan, K. Tags: Images Source Type: research

Rheumatoid arthritis with 'tram-tracks and 'signet rings
A 54-year-old man presented with a history of cough, expectoration and breathlessness which had been worsening over the past 1 year. He did not have fever, night sweats or weight loss. He had been diagnosed to have rheumatoid arthritis 8 years ago. Examination showed synovitis in the metacarpophalangeal joints and wrists; deformities suggestive of rheumatoid arthritis were seen in multiple joints. Auscultation of the chest revealed bilateral infrascapular coarse crepitations. Interstitial lung disease and bronchiectasis were the likely differential diagnoses. A chest radiograph showed cystic and reticular changes in both l...
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Sharma, A., Kapil, A. Tags: Images Source Type: research

Interventions that improve adherence to antihypertensive medications in coronary heart disease patients: a systematic review
A systematic review is conducted to identify effective interventions that improved adherence to antihypertensive drugs among patients with coronary heart diseases (CHDs). Primary studies designed to measure interventions to improve adherence on antihypertensive drugs in patients with CHD were included. Three online databases, COCHRANE, EMBASE and MEDLINE, were searched for primary studies published in English from 2005 to 2019. Studies were screened independently for eligibility. Cochrane risk-of-bias tool and the Newcastle-Ottawa Scale were used for quality assessment of randomised controlled trials (RCTs) and non-randomi...
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Hong, J., Tiu, Y. C., Leung, P. Y. B., Wong, M. F., Ng, W. Y., Cheung, D., Mok, H. Y., Lam, W. Y., Li, K. Y., Wong, C. K. Tags: Reviews Source Type: research

COVID-19 detection by dogs: from physiology to field application--a review article
The objective of this literature review is to clarify the rationale behind dog’s ability to detect diseases, to assess the possible application for COVID-19 detection and to discuss the evidence available on the matter. Available evidence shows that properly trained disease-detector dogs are an efficient tool for identification of specific disease-associated volatile organic compounds marker profiles for a particular disease. And since COVID-19 positive persons have a specific volatilome different from non-infected persons, they can be recognised by the dogs, by sniffing different body fluids consequently aiding in t...
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Sakr, R., Ghsoub, C., Rbeiz, C., Lattouf, V., Riachy, R., Haddad, C., Zoghbi, M. Tags: COVID-19 Reviews Source Type: research

Written in the stars: did your specialty choose you?
Conclusions Personality types vary in different specialties. There may be links to zodiac signs which warrant further investigation. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Morgan, H., Collins, H., Moore, S., Eley, C. Tags: Original research Source Type: research

Sharing is caring: an analysis of #FOAMed Twitter posts during the COVID-19 pandemic
Conclusion #FOAMed tweets during the COVID-19 pandemic included a broad range of resources, advice and support. Despite the geographical, language and disciplinary variation of contributing users and the lack of organisational structure uniting them, this social media medical community has been able to construct, share and use emerging technical knowledge through a time of extraordinary challenge and uncertainty for the global medical community. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Rashid, M. A., Yip, S. W. L., Gill, D., Arfeen, Z. Tags: COVID-19 Original research Source Type: research

Associations between socioeconomic deprivation and pharmaceutical prescribing in primary care in England
Conclusion We identify novel associations of prescribing with deprivation. Further work is required to identify the underlying reasons for these associations so that appropriate interventions can be formulated to address drivers of inequality. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Mooney, J., Yau, R., Moiz, H., Kidy, F., Evans, A., Hillman, S., Todkill, D., Shantikumar, S. Tags: Editor's choice Original research Source Type: research

Comparison of an e-learning package with lecture-based teaching in the management of supraventricular tachycardia (SVT): a randomised controlled study
Conclusion E-learning seems to be the preferred method of learning and the method that confers longer retention time for both postgraduate and undergraduate medical students. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Mohee, K., Haboubi, H. N., Protty, M., Srinivasan, C., Townend, W., Weston, C. Tags: Original research Source Type: research

Do subtle findings on chest X-ray predict worse outcomes for paediatric asthma?
Conclusion This study shows a positive correlation between airway inflammation findings on baseline CR and subsequent ED visits in patients with asthma. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Abeles, M., Akerman, M., Halaby, C., Pirzada, M. Tags: Original research Source Type: research

Surgical factors associated with new-onset postoperative atrial fibrillation after lung resection: the EPAFT multicentre study
Conclusions Among patients undergoing lung resection, POAF was significantly associated with age, increasing invasiveness of approach and increasing extent of resection. In addition, POAF carried a significant long-term mortality rate and burden of cerebrovascular accident. Appropriate prophylaxis should be targeted at these groups. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Crispi, V., Isaac, E., Abah, U., Shackcloth, M., Lopez, E., Eadington, T., Taylor, M., Kandadai, R., Marshall, N. R., Gurung, A., Rogers, L. J., Marchbank, A., Qadri, S., Loubani, M. Tags: Original research Source Type: research

Human cytomegalovirus infection is associated with stroke in women: the US National Health and Nutrition Examination Survey 1999-2004
Conclusions We found a strong association between HCMV and stroke in women from the nationally representative population-based survey. This provide additional motivation for undertaking the difficult challenge to reduce the prevalence of stroke. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Zhen, J., Zeng, M., Zheng, X., Qiu, H., Cheung, B. M. Y., Xu, A., Wu, J., Li, C. Tags: Original research Source Type: research

Alerting on mortality among patients discharged from the emergency department: a machine learning model
Conclusions Although not frequent, patients may die following ED discharge. Machine learning-based tools may help ED physicians identify patients at risk. An optimised decision for hospitalisation or palliative management may improve patient care and system resource allocation. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 18, 2022 Category: General Medicine Authors: Barash, Y., Soffer, S., Grossman, E., Tau, N., Sorin, V., BenDavid, E., Irony, A., Konen, E., Zimlichman, E., Klang, E. Tags: Original research Source Type: research