Browsing Division of Medicine by Issue Date
Now showing items 1-20 of 375
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Gentamicin-associated acute kidney injury
(2009-12)BACKGROUND: The incidence of gentamicin-associated acute kidney injury (AKI) as defined by the RIFLE criteria is unknown. AIM AND DESIGN: We performed a retrospective observational study to examine this and the predictive ... -
UK Renal Registry 12th Annual Report (December 2009): chapter 12: epidemiology of methicillin resistant Staphylococcus aureus bacteraemia amongst patients receiving dialysis for established renal failure in England in 2008: a joint report from the UK Renal Registry and the Health Protection Agency.
(2010)BACKGROUND: From April 2007, all centres providing renal replacement therapy in England were asked to provide additional data on patients with Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia using a secure ... -
Role of routine oesophago-gastroduodenoscopy before cholecystectomy.
(2010)INTRODUCTION: A proportion of patients do not get symptomatic relief after cholecystectomy because there is an overlap in the symptomology of biliary and gasroduodenal pathologies. In our unit all the patients are offered ... -
Primary small bowel liposarcoma (atypical lipomatous tumour) with myogenic differentiation.
(2010)Primary small intestinal liposarcomas originating in the small bowel are uncommon with a generally poor prognosis due to the advanced stage at the time of diagnosis. We describe a case of primary small bowel dedifferentiated ... -
Anti-TNF-alpha agents are less effective for the treatment of rheumatoid arthritis in current smokers.
(2010-01)OBJECTIVES: To assess if smoking status at the time of commencing an anti-TNF-alpha agent for rheumatoid arthritis (RA) reduces the likelihood of achieving at least a moderate response on the European League Against ... -
Tissue-advanced glycation end product concentration in dialysis patients.
(2010-01)BACKGROUND AND OBJECTIVES: Tissue-advanced glycation end products (AGE) are a measure of cumulative metabolic stress. Assessment of tissue AGE by skin autofluoresence (AF) correlates well with cardiovascular outcomes in ... -
Troublesome belching with fetor odour.
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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 ... -
Rheumatoid cachexia and cardiovascular disease.
(2010-08)Both cachexia and cardiovascular disease are strongly associated with rheumatoid arthritis (RA) and linked to the chronic inflammatory process. Typically, rheumatoid cachexia occurs in individuals with normal or increased ... -
An unusual cause of a mediastinal mass.
(2010-08)Primary hyperparathyroidism (PHPT) is a disorder resulting in hypercalcaemia due to autonomous over secretion of parathyroid hormone. Mediastinal parathyroid adenoma is a rare disorder which can present with a widened ... -
The management of gastric polyps.
(2010-09)BACKGROUND: Gastric polyps are important as some have malignant potential. If such polyps are left untreated, gastric cancer may result. The malignant potential depends on the histological type of the polyp. The literature ... -
Breathlessness in advanced disease. 2: Patient assessment and management.
(2010-11)This second of a two part unit on breathlessness addresses patient assessment and management, including common treatments. Interventions that can be taught to, and used independently by, patients and carers are explored. -
Breathlessness in advanced disease. 1: Definitions, epidemiology and pathophysiology.
(2010-11)This first in a two part unit on breathlessness in advanced disease defines the condition and discusses the epidemiology. It gives an overview of the complex pathophysiology that contributes to breathlessness. -
An unusual cause of a sellar mass.
(2010-12)A 57-year-old man presented with features suggestive of a non-functioning pituitary tumour. He underwent trans-sphenoidal resection of the tumour which was found to be a chordoma and not a pituitary adenoma. This case ... -
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 ... -
Controversies in the management of infective complications of peritoneal dialysis.
(2011-01)Peritoneal dialysis is an effective form of renal replacement therapy. Despite improvements in connection technology, peritoneal infection is still the most important preventable cause of patient morbidity and mortality. ...
