Richard J. Butterworth

Mixed connective tissue disease presenting with recurrent rhabdomyolysis

Louisa Kent, Richard J. Butterworth, Monika Hofer, Eirini Giavri et autres

We describe the case of a young woman with recurrent rhabdomyolysis caused by mixed connective tissue disease (MCTD). She initially presented with subacute progressive muscle weakness, myalgia, headache, fever, dark urine and diplopia. Examination revealed proximal muscle weakness, bilateral VI nerve palsies …

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Stroke: think FAST, then SLOW3

Richard J. Butterworth

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Hepatitis E virus-associated brachial neuritis presenting with orthopnoea as a result of bilateral diaphragmatic weakness

Samuel Mackrill, Prithwiraj Chakrabarti, Richard J. Butterworth, Veeresh K. Patil

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A mechanic with confusion and right-sided weakness

Evan Edmond, Christopher Haighton, Edward J. Botcherby, Alex J. Thompson et autres

A 47-year-old man presented as a thrombolysis call. A family member had visited that morning, finding him confused with difficulty speaking and dragging his right leg and arm. There had been difficulty finding words for several days. He had been seen at …

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Trends in recruitment into core medical training in the UK

Richard J. Butterworth, Stephen A. Harding, David A Black

The Physician Specialty Recruitment Office of the Royal College of Physicians has overseen recruitment into core medical training since 2009. This has allowed trends in recruitment numbers and the experience of applicants to be followed. Current recruitment into core training is not …

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Assessing neurology training in the UK

Geraint N. Fuller, Richard J. Butterworth

Measuring outcomes in neurological practice is difficult. What should be measured? How should outcomes be corrected for the case mix and varying severity of a disease? If this is difficult in the context of a clinical trial, it is harder still in …

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Lessons of the month 3: Spontaneous resolution of frontotemporal brain sagging syndrome

Louisa Kent, Richard J. Butterworth, Christopher Robert Butler

We present a case of a man with headache and progressive behavioural disturbance. His cognitive decline progressed over a few months such that he was unable to hold a conversation or carry out any daily tasks such as washing and dressing. He …

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Presenting and visualizing image results for professional image searchers: A field evaluation

Ayşe Göker, Richard J. Butterworth, Andy MacFarlane, Simone Stumpf

Creative professionals such as journalists and copywriters are an important group of users who need to search for images as part of their work task. We describe the design and evaluation of a ‘high density’ image search interface targeted at this user …

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Presenting and visualizing results on an image retrieval user interface

Ayşe Göker, Richard J. Butterworth, Andy MacFarlane, Simone Stumpf

The volume of images available online has increased significantly but the choices offered by image retrieval systems have not kept pace. We describe the design and evaluation of a ’high density’ im-age search interface focusing on the results pages. We quantitatively and …

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Expeditions through image jungles

Ayşe Göker, Richard J. Butterworth, Andrew W. Macfarlane, Tarique Ahmed et autres

Purpose – Searching for appropriate images as part of a work task is a non-trivial problem. Journalists and copywriters need to find images that are not only visually appropriate to accompany the documents they are creating, but are acceptably priced and licensed. …

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The TOS2 Study: an International Multi-Centre Audit Assessing the Standard of Neurological Examination (P4.190)

Jason P. Appleton, Andreea Ilinca, Arne G. Lindgren, Andreas Puschmann et autres

Objective: To establish whether the standard of neurological examination can be improved by use of a simple patient assessment score. Background: In a previous audit we demonstrated that in-patients referred to neurology at United Kingdom (UK) hospitals were not fully examined prior …

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Improving the likelihood of neurology patients being examined using patient feedback

Jason P. Appleton, Andreea Ilinca, Arne G. Lindgren, Andreas Puschmann et autres

We aimed to establish whether recall of elements of the neurological examination can be improved by use of a simple patient assessment score. In a previous study we demonstrated that in-patients referred to neurology at two United Kingdom (UK) hospitals were not …