Scot Med J
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Matthew Baillie was born in Shotts, Lanarkshire, Scotland in 1761 and died at Duntisbourne Abbots, Gloucestershire, England in 1823. In the intervening years he established himself as one of the foremost anatomists of his day, publishing one of the earliest treatises on pathological anatomy, and then as physician, eventually ministering to the Royal household and other notable patients and earning a considerable fortune in the process. Amongst his many honours he received an Honorary Fellowship of the Royal College of Physicians of Edinburgh, where he is commemorated in the frieze in the Great Hall. This article follows the trajectory of his career, introducing material not found in previous biographies.
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Meta Analysis
Polycystic ovary syndrome and the risk of endometrial, ovarian and breast cancer: An updated meta-analysis.
This updated meta-analysis aimed to further quantify the risk of endometrial, ovarian, and breast cancer in patients with polycystic ovary syndrome (PCOS), thus providing updated and more reliable estimates. ⋯ These results indicated that PCOS is a significant risk factor for endometrial cancer independent of BMI, but not for breast cancer. PCOS may increase the risk of ovarian cancer in younger women.
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To evaluate retrograde intrarenal surgery (RIRS) outcomes and to determine the effect of operative time on complications of RIRS. ⋯ Limiting the operation time to 60 minutes in RIRS seems to be important in reducing postoperative complications.
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As orthopaedic surgeons we use x-rays every day; not only when diagnosing pathology but often to assist in operative management of said pathology or ensure satisfactory outcomes for our patients in clinic. An awareness of the correct use of ionising radiation in the form of fluoroscopic imaging is therefore of great importance to reduce intraoperative exposure and has led to the development of the As Little As Reasonably Achievable (ALARA) principle. The primary aim of this study is to determine the knowledge and practises of radiation safety amongst orthopaedic surgeons in Scotland. ⋯ Of those surveyed 100% reported always wear lead aprons/gowns however only 46.2% (n = 34) frequently or always wear thyroid protection when using X-rays. Only 55% (n = 40) of those surveyed had completed a radiation safety course with this being far less likely amongst junior trainees (29%, n = 6) than amongst Consultants (82%, n = 23) and senior trainees (48%, n = 11) (p < 0.0001). To our knowledge this is the most extensive survey into the radiation practises of Orthopaedic Surgeons in the literature and shows the need for increased education and awareness of radiation safety practises, particularly amongst junior trainees.