Publications by authors named "R Grech"

Article Synopsis
  • Stroke is a leading cause of serious health issues and death globally, and this study in Malta aimed to assess public knowledge about strokes to identify areas that could delay treatment.
  • A mixed methods approach involved qualitative interviews with stroke patients and surveys distributed to a broad segment of the Maltese population and healthcare workers, revealing significant knowledge gaps about stroke symptoms and responses.
  • The results indicated that education level and demographics influenced stroke knowledge, with targeted educational initiatives recommended to improve awareness and response, especially among vulnerable groups like older adults and rural residents.
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Hearing loss is the most common sensory impairment globally and can affect all ages. It can be classified into two categories, conductive and sensorineural, though both conditions may coexist. Various causes may be responsible for hearing loss including congenital, infectious, inflammatory and neoplastic.

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Background: Brain tumors are a leading cause of mortality in children. Accurate tumor grading is essential to plan treatment and for prognostication. Perfusion imaging has been shown to correlate well with tumor grade in adults, however there are fewer studies in pediatric patients.

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Purpose: To develop and validate a deep learning model for detection of nasogastric tube (NGT) malposition on chest radiographs and assess model impact as a clinical decision support tool for junior physicians to help determine whether feeding can be safely performed in patients (feed/do not feed).

Materials And Methods: A neural network ensemble was pretrained on 1 132 142 retrospectively collected (June 2007-August 2019) frontal chest radiographs and further fine-tuned on 7081 chest radiographs labeled by three radiologists. Clinical relevance was assessed on an independent set of 335 images.

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Numerous papers have reported the presence of reactive but benign bony exostosis in the external auditory canal of swimmers; of both cold and warm water. This outgrowth may lead to stenosis of the canal with associated complications such as repeated cerumen impaction, infections and also hearing loss. In this case report, we will present the case of a 62-year-old gentleman who was referred for imaging by an ENT specialist following difficulty with visualisation of the tympanic membrane during otoscopy.

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