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Now showing items 405-424 of 1800
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The current state of epilepsy guidelines: A systematic review
(2016-01)Objective: The International League Against Epilepsy (ILAE) Epilepsy Guidelines Task Force, composed of 14 international members, was established in 2011 to identify, using systematic review methodology, international ... -
Current trends in breast surgery.
(2012-12)Breast surgery has evolved significantly over the last decade. This includes developments in pre-operative assessment of patients and surgical options offered to patients. Oncoplastic breast surgery has emerged as a new ... -
Curriculum evaluation from the trainees' perspective: application to the ALWP ATSM
(2010)Curriculum evaluation is a way to assess the quality of a curriculum or an educational intervention. The Advanced Labour Ward Practice (ALWP) ATSM (Advanced Training Skills Module) is the module that most advanced trainees ... -
Cutaneous cryotherapy in maxillofacial surgery
(2007)A good doctor should be aware of all available approaches to therapy. This applies equally to surgeons and physicians. Cryotherapy is frequently used by dermatologists to treat mucocutaneous disease but many head and neck ... -
Cytoplasmic PML promotes TGF-β-associated epithelial-mesenchymal transition and invasion in prostate cancer.
(2015-11)Epithelial-mesenchymal transition (EMT) is a key event that is involved in the invasion and dissemination of cancer cells. Although typically considered as having tumour-suppressive properties, transforming growth factor ... -
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 ...