Postgraduate Medical Journal articles from November 2001

Postgraduate Medical Journal archives from November 2001

Use of non-heart-beating donors in renal transplantation.
November 1, 2001... Abstract The rate of renal transplantation has plateaued and is now limited by the number of donor organs available. In the past all donor kidneys came from living donors or controlled non-heart beating donors. It was not until the...

Amyloidosis.
November 1, 2001... Abstract Amyloidosis is not a single disease but a series of diseases in which there is extracellular deposition of a protein which, although it may be derived from different and unrelated sources, folds into a [beta] pleated sheet. ...

Management of neurogenic dysphagia.
November 1, 2001... Dysphagia is common in patients with neurological disorders. It may result from lesions in the central or peripheral nervous system as well as from diseases of muscle and disorders of the neuromuscular junction. Drugs that are commonly used in...

Pathophysiological and clinical aspects of breathing after stroke.
November 1, 2001... Stroke may disrupt breathing either by (A) causing a disturbance of central rhythm generation, (B) interrupting the descending respiratory pathways leading to a reduced respiratory drive, or (C) causing bulbar weakness leading to aspiration....

Drug related medical emergencies in the elderly: role of adverse drug reactions and non-compliance.
November 1, 2001... Abstract Background--Adverse drug reactions and non-compliance are important causes of admissions in the elderly to medical clinics. The contribution of adverse drug reactions and non-compliance to admission by the medical emergency...

Adenocarcinoma of the lung in Chinese patients: a revisit and some perspectives from the literature.
November 1, 2001... Abstract Aim--To establish an updated clinical profile of adenocarcinoma of the lung. Design--Retrospective review of clinical charts, chest radiography, and computed tomography of consecutive patients who attended Queen Mary Hospital...

Medical Anniversary.
November 1, 2001... Sir William James Erasmus Wilson, 25 November 1809 Sir William James Erasmus Wilson (1809- 84) was born in Marylebone High Street, London, the son of an Aberdeen naval surgeon who settled as a surgeon in Dartford, Kent. He was educated at...

Mutagen sensitivity and p53 expression in colorectal cancer in China.
November 1, 2001... Abstract Objective--This study was designed to investigate DNA damage and/or repair capability, non-random chromatid breakage, and p53 expression in patients with colorectal cancer. Methods--The bleomycin sensitivity assay was used in...

Non-hepatic hyperammonaemia: an important, potentially reversible cause of encephalopathy.
November 1, 2001... Abstract The clinical syndrome of encephalopathy is most often encountered in the context of decompensated liver disease and the diagnosis is usually clear cut. Non-hepatic causes of encephalopathy are rarer and tend to present to a wide...

Mycoplasma pneumoniae induced popliteal artery thrombosis treated with urokinase.
November 1, 2001... Abstract A 5 year old boy with serological and clinical evidence of Mycoplasma pneumoniae infection, which was complicated by popliteal artery thrombosis, is described. Intra-arterial urokinase, in conjunction with medical treatment,...

Peritoneal encapsulation: a preoperative diagnosis is possible.
November 1, 2001... Abstract Peritoneal encapsulation is an exceedingly rare developmental abnormality in which the small intestine is encased in an accessory peritoneal sac between the omentum and mesocolon. Two clinical signs associated with the dense...

Education and training in internal medicine in Europe.
November 1, 2001... Sir William Osler was the Regius Professor of Medicine in Oxford at the end of World War I. In those days there was a great demand for postgraduate medical education. This was the motive for the foundation of the Fellowship of Postgraduate...

Visual disturbances and weight gain.
November 1, 2001... A 51 year old man presented with a two year history of gradually deteriorating vision in his left eye, accompanied by 34 kg weight gain, easy bruising, and hypertension which was relatively resistant to conventional treatment. The patient...

Acute myeloid leukaemia with tell-tale computed tomography scans.
November 1, 2001... A 36 year old man with acute myeloid leukaemia presented with recurrent episodes of fever and a three day history of right sided pleuritic pain and left upper abdominal pain after two cycles of chemotherapy. The patient had received several...

Failure to develop diabetic ketoacidosis in a newly presenting type 1 diabetic patient.
November 1, 2001... An 18 year old woman presented with a two week history of polyuria, polydypsia, and accelerated weight loss. On examination she was thin, dehydrated, hypotensive (blood pressure 88/58 mm Hg), and tachycardic (pulse 130 beats/min). Random blood...

Diabetes and rapidly advancing pneumonia.
November 1, 2001... A 20 year man, who was known to have had type 1 diabetes for the past one year, had high grade fever with chills and rigors, and cough with expectoration for 15 days. He was admitted with epigastric pain, vomiting, and tachypnoea after not...

Cutaneous gangrene in a renal dialysis patient.
November 1, 2001... A 54 year old obese man with end stage renal disease secondary to membranous and cresentric glomerulonephritis, receiving haemodialysis, was admitted for painful necrotising abdominal and left groin wounds. He had hyperlipidaemia, coronary...

LETTERS TO THE EDITOR.(Letter to the Editor)
November 1, 2001... Autoamputation of the tongue EDITOR,--The case published by Patel et al recently of autoamputation of the tongue is an unusual life threatening incident worthy of reporting. [1] However, the authors' statement that such an occurrence has...

Risk Matters in Healthcare.(Review)
November 1, 2001... The reviewers have been asked to rate these books in terms of four items: readability, how up to date they are, accuracy and reliability, and value for money, using simple four point scales. From their opinions we have derived an overall "star"...