STAN: Are fetal ECGs the better way of monitoring?

Posted: August 15, 2011 at 5:21 AM   /   Blog

Cardiotocography (CTG) was introduced in the 1960s to monitor fetal cardiac activity in utero. Its use in the intrapartum period is an attempt to predict fetal acidosis, allowing clinicians to intervene before fetal asphyxia occurs. However, it tends to have poor sensitivity and specificity. When fetal blood sampling (FBS) is used in conjunction with CTG, […]

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Rapid-Response Teams

Posted: August 14, 2011 at 10:07 PM   /   Blog

Based on the well-known concept that early interventions lead to improved clinical outcomes, rapid-response teams have been gaining popularity in many countries around the world. These hospital-based teams aim to improve early identification of patients at risk of rapid clinical deterioration, and subsequently to provide specialized critical care at their bedside. While they have been […]

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Crossing the HLA Barrier: HLA-Desensitisation and Renal Transplantation

Posted: August 9, 2011 at 11:35 PM   /   Blog

HLA-sensitisation is observed in 30% of patients on the kidney-transplant waiting list and has long been a problem in transplantation treatment of kidney failure. In this study conducted across the UK, Germany and the Netherlands, Montgomery et al investigate the possibility of overcoming this obstacle to successful lasting treatment of renal failure. Published last month […]

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Career decision difficulties post foundation training – the medical student perspective

Posted: August 9, 2011 at 11:28 PM   /   Blog

In this article, published in the Journal of the Royal Society of Medicine (JRSM) Short Reports in May 2011, author Vishal Luther addresses the difficulties of choosing a specialization for medical students. Questionnaires were administered and filled out by 115 final year students from a medical school in London, UK. In the questionnaire, students ranked […]

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Aging and Osteoporosis in Breast and Prostate Cancer

Posted: August 8, 2011 at 7:22 PM   /   Blog

Osteoporosis is most prevalent in older women. If breast cancer treatment has caused women to go through menopause early, they may be at risk for osteoporosis at a younger age. Hormone deprivation therapy is one of several treatment options available to men with prostate cancer, and research shows that men who are given hormone deprivation […]

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How to Make a Lung

Posted: August 4, 2011 at 2:41 PM   /   Blog

Tissue engineering is a rapidly expanding field which strives to develop viable organs. In this article, Petersen et al describe a novel technique for regenerating damaged lung tissue. Adult rat lungs were treated with a protocol which removed all cellular components from the lung, leaving behind an extracellular matrix which retained the airway and vascular […]

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Should UK membership exams be held overseas?

Posted: August 4, 2011 at 2:38 PM   /   Blog

This opinion piece from the latest issue of the BMJ is of particular relevance to RCSI students, who come from a variety of countries and backgrounds. In addition, RCSI holds its own membership exams abroad, particularly in the Middle East. The writers of this piece stress that countries should be encouraged to develop their own […]

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Traumatic Cerebrovascular Injury and Patient Management

Posted: August 4, 2011 at 2:33 PM   /   Blog

As medical education has become more layered, the overlap of patient management in different specialities has increased. Such an overlap can create a difference in opinion regarding treatment course. This issue is highlighted in The University of Alabama’s recent publication in The World Journal of Emergency Surgery titled “Management of Blunt Extracranial Traumatic Cerebrovascular Injury: […]

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