Publications by authors named "A Bardwell"

Background: Public demand and scrutiny, an aging population, inefficient funding and the legacy of Covid-19 are just some of the challenges the United Kingdom's health service faces. In imaging and oncology, there has been an exponential growth in service need against a workforce which is struggling to recruit and retain. This project aims to explore what the current, and future, workforce perceive the main opportunities and solutions, threats and risks are.

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Context: Spasticity is characterized by increased muscle tone and stretch reflexes, often caused by an upper motor neuron (UMN) syndrome. Many patients live with their dysfunction of their upper or lower limbs for many years and are managed by a multidisciplinary team including physical medicine and rehabilitation specialists, neurologists, and/or physical therapists in an attempt to decrease their spasticity and enhance their quality of life. Reconstructive surgery is a treatment option for many patients living with spasticity.

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Article Synopsis
  • Hematopoietic stem cell transplantation (HSCT) can lead to various cardiovascular complications, and this study aimed to assess the occurrence and risk factors of these events in patients post-transplant.
  • Researchers analyzed data from 3,354 adult patients who underwent HSCT from 2008 to 2019, tracking cardiovascular outcomes within 100 days and beyond, with a focus on incidents like heart failure and atrial fibrillation.
  • Results showed a low short-term incidence of cardiovascular events (4.1%) but a higher long-term incidence (13.9%), particularly among allogeneic transplant recipients and individuals with pre-existing heart conditions.
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Article Synopsis
  • A study aimed to create a risk score for assessing cardiovascular risks in patients undergoing hematopoietic stem cell transplantation (HSCT) due to limited existing guidelines.
  • Using data from the CARE-BMT study, researchers analyzed various predictive factors related to cardiovascular events in over 2,400 HSCT patients, leading to the development of a point-based risk score.
  • This score categorizes patients into low, intermediate, and high-risk groups for cardiovascular issues post-transplant, potentially aiding in specialist referrals and long-term monitoring of high-risk individuals.
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Objective: The novel ultrasound magnetic needle navigation technique can visualize the entire needle and identify its projected trajectory. We hypothesized that this technique increases the first-attempt success rate of central venous puncture by novice learners compared with the conventional needle navigation technique.

Methods: This prospective, randomized, controlled trial with a crossover design included 50 participants with limited prior experience in US-guided procedures.

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