4,028 results match your criteria: "Kings College Hospital NHS Foundation Trust.[Affiliation]"

Introduction: Advances have been made in understanding the aetiology of functional neurological disorder (FND); however, its pathophysiological mechanisms have not been definitively demonstrated. Evidence suggests interacting roles for altered emotional processing and interoception, elevated autonomic arousal, and dissociation, but there is limited evidence demonstrating their causal influence on specific FND symptoms. Our superordinate aim is to elucidate potentially shared and distinct aetiological factors and mechanisms in two common FND subtypes, functional seizures (FS) and functional motor symptoms (FMS).

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An integrated diabetes and mental health intervention for people with type 1 diabetes and severe disordered eating: a prospective proof-of-concept cohort study.

Lancet Diabetes Endocrinol

July 2024

Diabetes Research Group, King's College London, SE5 9RJ, London, UK; King's Diabetes Centre, King's College Hospital NHS Foundation Trust, London, UK; Diabetes, Endocrinology and Obesity Institute, King's Health Partners, Guy's Hospital, London, UK.

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Objectives: Artificial intelligence (AI) tools are becoming more available in modern healthcare, particularly in radiology, although less attention has been paid to applications for children and young people. In the development of these, it is critical their views are heard.

Materials And Methods: A national, online survey was publicised to UK schools, universities and charity partners encouraging any child or young adult to participate.

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Article Synopsis
  • During autumn/winter 2022, the UK saw an unusual rise in severe group A streptococcal infections in children, primarily manifesting as pneumonia with fluid in the lungs.
  • Clinicians documented 185 cases from children under 16, revealing that most patients were healthy prior to infection, with many also suffering from respiratory viral coinfections.
  • The study underscores the importance of routine vaccinations against common viruses and group A streptococcus, as well as the effectiveness of molecular testing to aid in diagnosis and reporting.
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Charcot neuro-osteoarthropathy (CNO) is a rare but devastating complication of diabetes associated with high rates of morbidity; yet, many nonfoot specialists are unaware of it, resulting in missed and delayed diagnosis. Clinical practice guidelines (CPGs) have proven useful in improving quality of care and standardizing practice in diabetes and diabetic foot care. However, little is known about the consistency in recommendations for identification and management of active CNO.

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Exploring the Experiences of Living With the Post-COVID Syndrome: A Qualitative Study.

Health Expect

June 2024

Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Introduction: Many people experience persistent symptoms for more than 12 weeks following SARS-CoV-2 infection, which is known as post-COVID-19 condition (PCS) or Long COVID (LC). PCS can impair people's quality of life and daily functioning. However, there is a lack of in-depth research exploring the PCS patient journey, as well as gendered aspects of patients' experiences.

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Background: Supraphysiologic levels of oxygen could have potential adverse effects on the brain that may be dose and time dependent in patients with brain injury. We therefore aimed to assess whether exposure to excess supplemental oxygen, measured as time-weighted mean exposure to hyperoxemia, was associated with intensive care unit (ICU) mortality in patients with intracerebral hemorrhage (ICH).

Methods: In this single-center retrospective cohort study, we included all patients admitted to our ICU with a diagnosis of primary spontaneous ICH.

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Diagnostic Criteria for Primary Tic Disorders: Time for Reappraisal.

Mov Disord

August 2024

Department of Clinical Neurosciences, Hotchkiss Brain Institute and Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.

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An Algorithm for Jaw Pain among Divers.

J Clin Med

May 2024

Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, 4031 Basel, Switzerland.

Temporomandibular disease (TMD) is commonly seen, and divers also experience pain in the temporomandibular joint (TMJ) or masticatory muscles. This article aims to provide a tool for diving physicians or medical professionals involved in diving medicine since jaw pain among divers is a pertinent subject and can be challenging to evaluate without some background in dentistry or maxillofacial surgery. A basic algorithm was developed to provide a tool to differentiate jaw pains experienced by divers.

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Background: Liver disease is the third leading cause of premature death in the UK. Transplantation is the only successful treatment for end-stage liver disease but is limited by a shortage of suitable donor organs. As a result, up to 20% of patients on liver transplant waiting lists die before receiving a transplant.

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Intraocular pressure (IOP) is currently the only modifiable risk factor for glaucoma and all licensed treatments lower IOP. However, many patients continue to lose vision despite IOP-lowering treatment. Identifying biomarkers for progressive vision loss would have considerable clinical utility.

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Background: Optical coherence tomography (OCT) and intravascular ultrasound (IVUS) are superior to coronary angiography for guiding percutaneous coronary intervention (PCI). However, whether one technique is superior to the other is inconclusive.

Methods: We searched PubMed, Embase, the Cochrane Library, and ClinicalTrials.

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Increased survival for resuscitated Utstein-comparator group patients conveyed directly to cardiac arrest centres in a large rural and suburban population in England.

Resuscitation

August 2024

Department of Research, Audit, Innovation, and Development (RAID), East Anglian Air Ambulance, Norwich, UK; Emergency and Urgent Care Research in Cambridge (EUReCa), PACE Section, Department of Medicine, Cambridge University, Cambridge, UK; Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine (Research & Clinical Innovation), Birmingham, UK.

Aim: The cohort of patients in which cardiac arrest centres (CAC) in rural and suburban populations confer the greatest survival benefit remains unclear. The aim of this study was to assess whether the transfer of resuscitated Utstein-comparator out-of-hospital cardiac arrest (OHCA) patients direct to a CAC was associated with improved survival to hospital discharge compared to patients conveyed to non-specialist centres.

Methods: A consecutive sample of adult (≥18 years old) Utstein-comparator patients (witnessed collapse and initial shockable rhythm) were included from the East of England Ambulance Service NHS Trust Utstein resuscitation registry; 2018-2022.

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Improving early diagnosis of bronchopulmonary dysplasia.

Expert Rev Respir Med

May 2024

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

Introduction: Bronchopulmonary disease (BPD) is associated with long-term neurodevelopmental and cardiorespiratory complications, often requiring significant use of resources. To reduce this healthcare burden, it is essential that those at high risk of BPD are identified early so that strategies are introduced to prevent disease progression. Our aim was to discuss potential methods for improving early diagnosis in the first week after birth.

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Article Synopsis
  • In April 2020, the UK Government started a program called NHS Test and Trace to test people for COVID-19 using nose-and-throat swabs done by trained staff.
  • They wanted to see if people could do the swabbing themselves (self-swabbing) and if it was just as effective.
  • After studying over 3,200 people, they found that self-swabbing works nearly as well as swabbing by trained staff, which is good for quick testing in the future.
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BCLA CLEAR Presbyopia: Management with corneal techniques.

Cont Lens Anterior Eye

August 2024

Department of Ophthalmology, Aotearoa New Zealand National Eye Centre, The University of Auckland, Auckland, New Zealand; College of Health & Life Sciences, Aston University, Birmingham, UK.

Article Synopsis
  • * Key factors for successful treatment involve evaluating the patient's visual needs, ocular health, and any previous surgeries, alongside strict contraindications for refractive surgery.
  • * Different approaches like laser ablation, corneal inlays, and conductive keratoplasty offer various ways to adjust corneal shape and focus, with recommended follow-up care to monitor the effects and complications after the procedure.
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Objectives: Our aim was to determine the prevalence and explanatory factors associated with outcomes in children with acute liver failure (ALF) admitted to the PICU, who also develop severe acute kidney injury (AKI).

Design: Retrospective cohort, 2003 to 2017.

Setting: Sixteen-bed PICU in a university-affiliated tertiary care hospital.

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Rationale: Clinical outcomes in acute ischemic stroke due to medium vessel occlusion (MeVO) are often poor when treated with best medical management. Data from non-randomized studies suggest that endovascular treatment (EVT) may improve outcomes in MeVO stroke, but randomized data on potential benefits and risks are hitherto lacking. Thus, there is insufficient evidence to guide EVT decision-making in MeVO stroke.

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Article Synopsis
  • Platelet transfusions are commonly administered in ICUs for patients with low platelet counts (thrombocytopenia), but the specific practices and their outcomes are not well-documented.
  • In a study of 504 ICU patients across Europe and the U.S., 20.8% received platelet transfusions, primarily using pooled products, with varying practices in dosage and volume across different countries.
  • The research found that while platelet transfusions are frequent, they provide limited increases in platelet counts, indicating potential inconsistencies in their effectiveness and administration practices.
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