Browsing Specialist Medicine by Title
Now showing items 1-20 of 322
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13-Valent vaccine serotype pneumococcal community acquired pneumonia in adults in high clinical risk groups.
(2018-02)There is debate regarding the value of vaccinating adults with the 13-valent pneumococcal conjugate vaccine (PCV-13). This analysis was conducted to investigate the risk of PCV-13 serotype community acquired pneumonia (CAP) ... -
A programme to spread eGFR graph surveillance for the early identification, support and treatment of people with progressive chronic kidney disease (ASSIST-CKD): protocol for the stepped wedge implementation and evaluation of an intervention to reduce late presentation for renal replacement therapy.
(2017-04)BACKGROUND: Patients who start renal replacement therapy (RRT) for End-Stage Kidney Disease (ESKD) without having had timely access to specialist renal services have poor outcomes. At one NHS Trust in England, a community-wide ... -
A randomised controlled study of mouth swab testing versus same day blood tests for HIV infection in young people attending a community drug service.
(2011-01)INTRODUCTION AND AIMS: This study was designed to determine whether providing an oral swab test in the community for blood borne virus testing leads to an increase in subsequent attendance for sexually transmitted infection ... -
A simple care bundle for use in acute kidney injury: a propensity score matched cohort study.
(2016-05)BACKGROUND: Consensus guidelines for acute kidney injury (AKI) have recommended prompt treatment including attention to fluid balance, drug dosing and avoidance of nephrotoxins. These simple measures can be incorporated ... -
Accidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy: a case report.
(2011-08)INTRODUCTION: Unintentional ingestion of a toothpick is not an uncommon event. Often the ingested toothpicks spontaneously pass through the gut without sequelae. However, serious complications can happen when these sharp ... -
Achieving Thoracic Oncology data collection in Europe: a precursor study in 35 Countries.
(2018-11)BACKGROUND: A minority of European countries have participated in international comparisons with high level data on lung cancer. However, the nature and extent of data collection across the continent is simply unknown, and ... -
Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review.
(2013-01)INTRODUCTION: An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneum or mesentery. Although they are considered as a rare cause of intestinal obstruction, paraduodenal hernias ... -
Acute kidney injury changes with the seasons.
(2018-04) -
Acute kidney injury in urology patients: incidence, causes and outcomes.
(2013-11)BACKGROUND: Acute kidney injury (AKI) is common in hospitalised patients and is associated with high mortality rates. However, the epidemiology of AKI in urology patients may differ due to a higher proportion of post-renal ... -
Acute kidney injury is independently associated with death in patients with cirrhosis
(2013-07)BACKGROUND AND AIMS: Current creatine-based criteria for defining acute kidney injury (AKI) are validated in general hospitalised patients but their application to cirrhotics (who are younger and have reduced muscle mass) ... -
Acute kidney: improving the pathway of care for patients and across healthcare.
(2015-11)PURPOSE OF REVIEW: Acute kidney injury (AKI) is common, harmful and of global concern. There is a need to understand the pathway of the management of AKI in order to identify potential areas where care can be improved, for ... -
Alteration of Lymphocytes Subpopulations and Immunoglobulins Levels in Patients with Diabetic Foot Ulcers Infected Particularly by Resistant Pathogens
(2016-12)The aim of our study was to analyse immune abnormalities in patients with chronic infected diabetic foot ulcers (DFUs) especially those infected by resistant microorganisms. Methods. 68 patients treated in our foot clinic ... -
An unusual case of severe high anion gap metabolic acidosis
(2011-04)We present a case of high anion gap metabolic acidosis with an unusual aetiology in a 75-year-old lady with hypoglycaemia, encephalopathy and relatively preserved renal function. Full toxicology and biochemical analysis ... -
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 ... -
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 ... -
Anesthesia Clinical Services Accreditation by Royal College of Anaesthetists UK: An example to follow
(2018-07)There has been an increasing awareness about the need of a system of quality assurance in the healthcare services throughout the world. Many of the advanced countries have developed meticulous guidelines and checklists to ... -
Anthropomorphic measurements that include central fat distribution are more closely related with key risk factors than BMI in CKD stage 3.
(2012-04)BACKGROUND: Body Mass Index (BMI) as a marker of obesity is an established risk factor for chronic kidney disease (CKD) and cardiovascular disease (CVD). However, BMI can overestimate obesity. Anthropomorphic measurements ... -
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 ... -
Anyone for TAMIS?
(2013-04)
