Browsing by Title
Now showing items 1537-1556 of 1791
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Technical and clinical accuracy of three blood glucose meters: clinical impact assessment using error grid analysis and insulin sliding scales
(2016)Aims Manufacturers of point-of-care testing (POCT) glucose systems must adhere to International Organisation for Standardisation (ISO) 15197 performance standards, a tightened version of which becomes mandatory in May 2016. ... -
Techniques to improve intradialytic haemodynamic stability.
(2018-08)PURPOSE OF REVIEW: Intra-dialytic hypotension (IDH) remains a significant problem for patients undergoing chronic haemodialysis. IDH causes symptoms that degrade patients' experience, compromises dialysis delivery and is ... -
Ten-year experience of esophageal self-expanding metal stent insertion at a single institution
(2012)Palliation of malignant dysphagia can be achieved using self-expanding metal stents (SEMS). This study was conceived to confirm that the insertion of SEMS improved patient symptoms without serious complications and to allow ... -
Tendering: six steps to successful bidding.
(2016-08)The article discusses a six-steps guidance from the British Association for Sexual Health and HIV (BASHH) for tendering sexual health services. The six steps include the establishment of relationships with the sexual health ... -
Term admissions to neonatal units in England: A role for transitional care? A retrospective cohort study
(2017)To identify the primary reasons for term admissions to neonatal units in England, to determine risk factors for admissions for jaundice and to estimate the proportion who can be cared for in a transitional setting without ... -
Tertiary syphilis in the cervical spine: a case report and review of the literature.
(2013-03)As the prevalence of syphilis rises, an increase in tertiary syphilis with spinal involvement is predicted. We report what we believe to be the first case of compressive cervical spine syphilitic gummata, with central cord ... -
The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review.
(2020-03)OBJECTIVES: To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes. STUDY DESIGN: Four biomedical databases searched for studies published ... -
The 'be clear on bladder cancer campaign' significant increase in referrals with no change in urological cancers diagnosed
(2015-06)Introduction & Objectives: As part of the National 'Be Clear on Cancer' campaign the 'Blood in your pee' campaign launched in October 2013. Using media the public were advised to see their GP if they had noticed blood in ... -
The 'cut and push' technique: is it really safe?
(2012-07)Percutaneous endoscopic gastrostomy (PEG) feeding is routinely used as an endoscopic and effective method for providing enteral nutrition in those whose oral access has been diminished or lost. One technique for removal ... -
The accuracy of breast volume measurement methods: A systematic review.
(2016-06)Breast volume is a key metric in breast surgery and there are a number of different methods which measure it. However, a lack of knowledge regarding a method's accuracy and comparability has made it difficult to establish ... -
The Association between Polyclonal Combined Serum Free Light Chain Concentration and Mortality in Individuals with Early Chronic Kidney Disease.
(2015-07)A major component of increased mortality risk in people with chronic kidney disease (CKD) is associated with non-traditional cardiovascular risk factors including markers of inflammation. We studied whether a novel marker ... -
The audacity of hope: tyranny or liberation in dementia care
(2014)The introduction of cognitive enhancing medication has created an expectation that drug treatment is a significant part of dementia management to the point that rate of cholinesterase inhibitor prescribing has been suggested ... -
The benefit of radiologically-guided steroid injections for trapeziometacarpal osteoarthritis.
(2010-11)INTRODUCTION: Osteoarthritis of the trapeziometacarpal joint (TMJ) is a common condition causing significant disability. Conservative treatments include intra-articular steroid injections. PATIENTS AND METHODS: This clinical, ... -
The bowel cancer awareness campaign 'Be Clear on Cancer': sustained increased pressure on resources and over-accessed by higher social grades with no increase in cancer detected.
(2016-02)AIM: To evaluate the impact of the national 'Be Clear on Cancer' bowel cancer reminder campaign on service and diagnosis at a single UK institution. Secondly, to evaluate the socio-economic background of patients referred ... -
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The burden of comorbidity in people with chronic kidney disease stage 3: a cohort study.
(2015-12)BACKGROUND: Multimorbidity is a growing concern for healthcare systems, with many countries experiencing demographic transition to older population profiles. Chronic kidney disease (CKD) is common but often considered in ... -
The clinical utility and cost impact of cystatin C measurement in the diagnosis and management of chronic kidney disease: A primary care cohort study.
(2017-10)BACKGROUND: To reduce over-diagnosis of chronic kidney disease (CKD) resulting from the inaccuracy of creatinine-based estimates of glomerular filtration rate (GFR), UK and international guidelines recommend that ... -
The cost of ignoring acute cholecystectomy
(2009)INTRODUCTION: Biliary symptoms whilst awaiting elective cholecystectomy are common, resulting in hospital admission, further investigation and increased hospital costs. Immediate cholecystectomy during the first admission ... -
The cost-effectiveness of screening for ovarian cancer: results from the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).
(2017-07)BACKGROUND: To assess the within-trial cost-effectiveness of an NHS ovarian cancer screening (OCS) programme using data from UKCTOCS and extrapolate results based on average life expectancy. METHODS: Within-trial economic ...