Browsing by Title
Now showing items 411-430 of 1801
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Daily remote ischaemic conditioning following acute myocardial infarction: a randomised controlled trial.
(2018-05)BACKGROUND: Remote ischaemic conditioning (rIC) is a cardioprotective tool which has shown promise in preclinical and clinical trials in the context of acute ischaemia. Repeated rIC post myocardial infarction may provide ... -
Day-case adenotonsillectomy for sleep apnoea in children?
(2015-12)OBJECTIVES: Many clinicians are concerned about possible airway or respiratory complications following adenotonsillectomy for sleep related breathing disorder (SRBD), and routinely admit such patients for overnight monitoring. ... -
Day-case closure of ileostomy: feasible, safe and efficient.
(2015-09)AIM: Over 5000 loop ileostomy closures were performed in the UK in 2013 with a median inpatient stay of 5 days. Previously we have successfully implemented a 23-h protocol for loop ileostomy closure which was modified for ... -
Daycase trauma list: a safe and cost-effective service delivery.
(2019-09)INTRODUCTION: Daycase trauma surgery is an evolving and a novel approach. The aim of our study was to report our experience of daycase trauma surgery with a focus on safety, patient experience, complications and limitations. ... -
Dealing with vascular anomalies during radial forearm free flap harvest: report of two cases and review of the literature.
(2019-06)Radial forearm free flap reconstruction for head and neck cancer is very common, and it is widely considered a workhorse flap. Although this flap has a relatively reliable anatomy, surgeons need to be aware of possible ... -
Decision-making for older patients undergoing Emergency Laparotomy: Defining Patient and Clinician Values and Priorities.
(2020-05)AIM: There remains limited knowledge on what patients value and prioritise in their decision to undergo emergency laparotomy (ELap) and during their subsequent recovery. The aim of this study was to explore factors in ... -
Dedicated peri-operative pathway improved day case discharge rate for anterior cruciate ligament reconstructions
(2019)The authors proposed that a well-developed peri-operative pathway for anterior cruciate ligament (ACL) reconstructions improve day case discharge rate with high patient satisfaction. A prospective observational study was ... -
Defecation pain and coccydynia due to an anteverted coccyx: a case report.
(2012-07)INTRODUCTION: Defecation pain is a common problem with many etiologies implicated. Elucidating a cause requires a thorough medical history, examination and appropriate investigations, which may include endoscopy, barium ... -
Defining the cause of death in hospitalised patients with acute kidney injury.
(2012-11)BACKGROUND: The high mortality rates that follow the onset of acute kidney injury (AKI) are well recognised. However, the mode of death in patients with AKI remains relatively under-studied, particularly in general ... -
Defining uremic arterial functional abnormalities in patients recently started on haemodialysis: combined in vivo and ex vivo assessment.
(2014-12)Endothelial dysfunction is a key initiating event in vascular disease in chronic kidney disease (CKD) patients and haemodialysis (HD) patients exhibit significant vascular abnormalities. To understand this further, we ... -
Delayed administration of dopaminergic drugs is not associated with prolonged length of stay of hospitalized patients with Parkinson's disease.
(2016-11)BACKGROUND: Punctual delivery of dopaminergic medication to Parkinson's disease (PD) patients may be important in optimizing disease control. We tested the hypothesis that prompt delivery of l-dopa medications to emergency ... -
Delayed discharge from mental health inpatient care in the UK
(2013)Background Delayed discharge from hospital creates additional pressure on staff and finances. While legal sanctions are in place for acute trusts, the concept of a delayed transfer is generally poorly defined in mental ... -
Delayed presentation of small bowel injury during suprapubic catheterisation.
(2010-04)We present a case of small intestine injury resulting from suprapubic catheter insertion. This case is of particular interest for three reasons. Firstly, the presentation of the injury was delayed by three months, until ... -
Delayed recognition of pediatric calcaneal osteomyelitis: a case report.
(2015-09)INTRODUCTION: The diagnosis of calcaneal osteomyelitis is a challenge, and diagnostic delays have been reported in the literature. The progression is often indolent, laboratory results commonly fail to reveal an underlying ... -
Delays between the onset of symptoms and first rheumatology consultation in patients with rheumatoid arthritis in the UK: an observational study.
(2019-03)OBJECTIVE: To investigate delays from symptom onset to rheumatology assessment for patients with a new onset of rheumatoid arthritis (RA) or unclassified arthritis. METHODS: Newly presenting adults with either RA or ... -
Delineating outcomes of patients with diffuse large b cell lymphoma using the national comprehensive cancer network-international prognostic index and positron emission tomography-defined remission status; a population-based analysis.
(2016-04)The recently devised National Comprehensive Cancer Network International Prognostic Index (NCCN-IPI) appears superior to the revised IPI (R-IPI) in delineating outcome in diffuse large B-cell lymphoma. We examined the ... -
Delivering an Optimised Behavioural Intervention (OBI) to people with low back pain with high psychological risk; results and lessons learnt from a feasibility randomised controlled trial of Contextual Cognitive Behavioural Therapy (CCBT) vs. Physiotherapy.
(2015-06)Background: Low Back Pain (LBP) remains a common and costly problem. Psychological obstacles to recovery have been identified, but psychological and behavioural interventions have produced only moderate improvements. Reviews ... -
Demand for CT scans increases during transition from paediatric to adult care: An observational study from 2009 to 2015.
(2017-11)OBJECTIVE: Avoiding unnecessary radiation exposure is a clinical priority in children and young adults. We aimed to explore demand for CT scans in a busy general hospital with particular interest in the period of transition ... -
Dementia and delirium: cause for concern
(2016)Delirium prevention should be key to a person-centred approach and central to our work with people with dementia, says Claire Biernacki. She explains it’s causes and predisposing factors. The types of delirium and how it ... -
Demographic associations of high estimated sodium intake and frequency of consumption of high-sodium foods in people with chronic kidney disease stage 3 in England.
(2014-07)OBJECTIVE: The objective of this study was to investigate sodium intake in a cohort of people with chronic kidney disease (CKD) Stage 3 in England to identify demographic characteristics of subgroups with high sodium intake ...
