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Now showing items 245-264 of 1773
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Can a district hospital assess its doctors for re-licensure?
(2008)CONTEXT: The Chief Medical Officer's recommendations on medical regulation in the UK suggest that National Health Service (NHS) trusts should assess their doctors and confirm whether they remain fit to practise ... -
Can a targeted GP-led clinic improve outcomes for street sex workers who use heroin?
(2010)Female street sex workers in the UK are often addicted to heroin, and sex work may be a result of the economic drive to fund this addiction. This study looks at outcomes of a primary care drugs treatment intervention for ... -
Can I leave the theatre? A key to more reliable workplace-based assessment.
(Br J Anaesth. 2014 Jun;112(6):1083-91. doi: 10.1093/bja/aeu052. Epub 2014 Mar 17., 2014)BACKGROUND: The value of workplace-based assessments such as the mini-clinical evaluation exercise (mini-CEX), and clinicians' confidence and engagement in the process, has been constrained by low reliability and limited ... -
Can Rheumatologists Predict Eventual Need for Orthopaedic Intervention in Patients with Rheumatoid Arthritis? Results of a Systematic Review and Analysis of Two UK Inception Cohorts.
(2017-03)Purpose of Review: The structural damage caused by rheumatoid arthritis (RA) can often be mitigated by orthopaedic surgery in late disease. This study evaluates the value of predictive factors for orthopaedic interventio ... -
Cancelled operations: a 7-day cohort study of planned adult inpatient surgery in 245 UK National Health Service hospitals.
(2018-10)BACKGROUND: Cancellation of planned surgery impacts substantially on patients and health systems. This study describes the incidence and reasons for cancellation of inpatient surgery in the UK NHS. METHODS: We conducted ... -
Cannabidiol protects an in vitro model of the blood-brain barrier from oxygen-glucose deprivation via PPARγ and 5-HT1A receptors.
(2016-03)BACKGROUND AND PURPOSE: In vivo and in vitro studies have demonstrated a protective effect of cannabidiol (CBD) in reducing infarct size in stroke models and against epithelial barrier damage in numerous disease models. ... -
Carbohydrate counting and insulin dose adjustment: group education for people with type 2 diabetes.
(2011)A group education programme at the Royal Derby Hospital for type 2 diabetes patients. The impact of the programme, which provided information on carbohydrate and insulin, on patients' weight, HbA1c levels, and insulin ... -
Carcinoma of Unknown Primary (CUP) in a patient presenting with lower back pain: An Important Clinical Lesson
(2020-09)Carcinoma of unknown primary (CUP) is associated with high rates of morbidity and mortality. We report a case of a 33-year-old female, diagnosed with CUP, after presenting with gradual onset worsening lower back pain. ... -
Cardiac Output assessed via Esophageal Doppler Monitoring Fails to Predict Changes in Renal Microvascular Perfusion
(2019-10)Background: Vasoactive drugs are routinely used clinically to alter mean arterial blood pressure (MAP) and cardiac output (CO) and to maintain organ perfusion. However, the effect of such drugs on microvascular visceral ... -
Cardiac Resynchronization Therapy Leads to Improvements in Handgrip Strength
(2016-06-24)Background: A reduction in skeletal muscle performance measured by handgrip strength is common in heart failure. No trial has investigated the role of cardiac resynchronization therapy, which leads to improvements in cardiac ... -
Cardiovascular Determinants of Aerobic Exercise Capacity in Adults With Type 2 Diabetes.
(2020-07)OBJECTIVE: To assess the relationship between subclinical cardiac dysfunction and aerobic exercise capacity (peak VO2) in adults with type 2 diabetes (T2D), a group at high risk of developing heart failure. RESEARCH DESIGN ... -
Cardiovascular outcomes in patients with normal and abnormal 24-hour ambulatory blood pressure monitoring
(2010)Introduction. 24-hour ambulatory blood pressure monitoring (ABPM) plays an important role in assessing cardiovascular prognosis, through presence or absence of ABPM-related prognostic features. Objectives. To study ... -
Cardiovascular Risk Profiles amongst Women in a Multiethnic Population in Inner City Britain: A Potential Impact of Anaemia
(2013)The risk of diabetes is markedly reduced in men with iron deficiency anaemia (IDA). The nature of this relationship in women is not clear, nor is there information about the influence of ethnicity, given the increased ... -
Care Bundles for Acute Kidney Injury: Do They Work?
(2016-07)Acute kidney injury (AKI) is common and is associated with poor patient outcomes, which in some cases appear associated with deficiencies in the provision of care. Care bundles (CBs) are a structured set of practices ... -
Care of the dying: priorities for the future
(Br J Hosp Med (Lond). 2014 Jul;75(7):364-5. doi: 10.12968/hmed.2014.75.7.364., 2014) -
A career in rehabilitation medicine.
(2019-12) -
Carotid artery aneurysm: last among equals.
(2016-05)A 66-year-old man presented initially with a swelling in the left side of the neck, which was confirmed to be a carotid artery aneurysm on ultrasonography. He was subsequently admitted reporting intermittent episodes of ...