All articles

Biodiversity and the importance of environmental literacy in medical education

Dominic O'Neill

Doctors have an important role in the protection and promotion of human health, from individual to global scales. As our climate changes and ecosystems are degraded, the protection of nature is becoming increasingly important for public and global health efforts. There is an increasingly large body of evidence highlighting the environment and human health as critically connected -- the variety of ecosystems on Earth provide human populations with many necessities for health and wellbeing. Future doctors, the healthcare leaders of tomorrow, should therefore be competent when considering environmental determinants of health in their practice, as these have a huge impact on health at community and population levels.

Management of severe shock in a young adult following lower GI bleeding within a rural context

Mark Boydell, Richard Moore

A 37 year old female with no previous medical history
presented to the emergency department (ED) in a rural
Australian hospital with a new onset of per rectum (PR)
bleeding which had been ongoing for the last 6 hours. Her
history was one of intermittent occasional PR bleeding and some changes in her bowel habit over the last 2 years.

The Dawn of Precision Medicine in Stroke

David Henshall

A personalised approach to care of patients is a defining feature of modern medicine. Holistic care considers both the biomedical and psychosocial aspects of disease so that even patients with the same diagnosis are treated as indi- viduals. Precision medicine represents a refinement of the ideals of personalised care based on modern advancements in fields such as genetics, and has potential to herald a new era of medicine.

The CMJ reviews the GIANT Health Event 2017

Jonathan C. M. Wan, Benjamin Beresford-Jones, Uddhav Vaghela

We attended the GIANT Health Event 2017 on the 29th November as press. Entering the former brewery situated on Brick Lane itself, the conference had a distinctly industrial feel, with stalls in the centre of the conference hall, with makeshift stages scattered throughout the building. First impressions aside, we felt that the venue was oddly fitting, and had a good feel to it. We were struck by the high-quality speakers on artificial intelligence (AI) on the main stage, who were clearly driven by a motivation to use novel tech and algorithms to improve patients’ lives, for example, through the Emma, a wearable device for individuals with Parkinson’s disease.

The Modern Medical Student Manual: A book review

The Modern Medical Student Manual

Jonathan C. M. Wan, Aidan C. Tan, Prannoy Chaudhuri-Vayalambrone, Benjamin Beresford-Jones, Christopher E. McMurran

Chris Lovejoy’s book ‘The Modern Medical Student Manual’ combines personal anecdote and a philosophical approach that stands out for the shortness of its nature and the uniqueness of its disposition. There is something to be said for a short guide for medical students written by a recently graduated Foundation Year doctor. While the book occasionally falls short of the easy ebb and flow of other authors in the field, and perhaps, at times, attempts to stretch beyond its reach, it more than makes up in the authenticity of its voice and the quality of its personal reflection.

Expression of Soluble Intercellular Adhesion Molecule 1 in Colorectal Cancer and Potential Use as Treatment Response Index

Anastasios Koutsoumourakis, Olga Giouleme

It has been previously demonstrated that there is a positive correlation between serum concentrations of soluble intercellular adhesion molecule (sICAM-1) with stage of colorectal cancer (CRC) progression and metastases. The present study was performed primarily to examine whether sICAM-1 levels are indeed affected by chemotherapy treatment in patients with metastatic CRC and secondly to examine whether such values can be used compared to CEA as a more reliable alternative treatment indices for patient monitoring with metastatic CRC during systemic chemotherapy.

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The Aneuploidy Conundrum

Sarah Adams

Cancer is characterised by its capacity for over-proliferation. Aneuploidy, meanwhile, has long been associated with a decreased rate of cell proliferation in untransformed cells and yet also predisposes to cancer. The paradoxical nature of these findings has meant that the role of aneuploidy in cancer remains hotly debated.

The Cambridge Medicine Journal’s guide to summer research projects

Benjamin Beresford-Jones

Cambridge summers are long, and this provides the perfect opportunity to organise a research project. Research projects offer crucial insights into the world of academic science that can’t be attained from the medical course – they can also be helpful later in your career, as the experience helps in MB/PhD and Academic Fellowship applications, and research publications and posters can gain points when applying to hospitals for Foundation Year programmes.

Tongue-tied: Management in Pierre Robin Sequence

Nikita Rajaraman Rajaraman, Elvino Barreto

An 18-month-old male with Pierre Robin Sequence (PRS) presented to A&E with airway obstruction and hypoxia due to retroglossoptosis. The patient was resuscitated immediately and intubated. Gold standard treatment was surgical management by mandibular distraction osteogenesis. However, as the patient was unable to afford the surgery, a simpler and cheaper surgical technique had to be employed. The procedure involved pulling the base of the tongue anteriorly and tying to the hyoid bone. This maintained airway patency and patient was extubated. Mother was given feeding and positioning advice for the child. It is expected that the mandibular growth will eventually catch up with the tongue growth.