15 results match your criteria: "Royal Berkshire Hospitals NHS Foundation trust[Affiliation]"

Article Synopsis
  • This study reviews the visual outcomes and factors affecting patients with Terson syndrome (TS) treated either with observation or surgery (pars plana vitrectomy, PPV).
  • Out of 117 eyes from 81 patients, the group that underwent surgery had worse initial visual acuity but showed similar final visual outcomes compared to the conservative management group.
  • The results indicate that while surgery can lead to quicker visual recovery, it poses a risk of intraoperative retinal tears if surgery is delayed beyond three months, and complications like epiretinal membrane (ERM) and retinal detachment are not linked to the management approach or timing.
View Article and Find Full Text PDF

Multiple myeloma and its treatment contribute to increased platelet reactivity.

Platelets

December 2023

Institute for Cardiovascular and Metabolic Research, School of Biological Sciences, University of Reading, Reading, UK.

Article Synopsis
  • Multiple myeloma (MM), smoldering myeloma (SM), and monoclonal gammopathy of undetermined significance (MGUS) can cause increased blood clot risks, but the reason why is not fully understood.
  • A study looked at how a treatment called Lenalidomide affects platelets (the parts of blood that help it clot) in patients with these conditions compared to healthy people.
  • The results showed that patients had more reactive platelets, meaning their blood was more likely to clot, especially after taking Lenalidomide; this suggests that further research is needed to understand the clotting issues better and find ways to prevent them.
View Article and Find Full Text PDF

Objective: Nail psoriasis is common, impairs fine motor finger functioning, affects cosmesis, and is associated with a lower quality of life. This review updates the previous Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations for nail psoriasis.

Methods: This systematic literature review of the PubMed, MEDLINE, Embase, and Cochrane databases examined the updated evidence since the last GRAPPA nail psoriasis treatment recommendations published in 2014.

View Article and Find Full Text PDF

High-altitude (HA) exposure may stimulate significant physiological and molecular changes, resulting in HA-related illnesses. HA may impact oxidative stress, antioxidant capacity, and iron homeostasis, yet it is unclear how both repeated exposure and HA acclimatization may modulate such effects. Therefore, we assessed the effects of weeklong repeated daily HA exposure (2,900-5,050 m) in altitude-naïve individuals ( = 21 individuals, 13 females, mean ± SD, 25.

View Article and Find Full Text PDF

Machine Learning-Based Risk Stratification for Gestational Diabetes Management.

Sensors (Basel)

June 2022

Department of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford OX3 7SQ, UK.

Gestational diabetes mellitus (GDM) is often diagnosed during the last trimester of pregnancy, leaving only a short timeframe for intervention. However, appropriate assessment, management, and treatment have been shown to reduce the complications of GDM. This study introduces a machine learning-based stratification system for identifying patients at risk of exhibiting high blood glucose levels, based on daily blood glucose measurements and electronic health record (EHR) data from GDM patients.

View Article and Find Full Text PDF

Aims: Catheter ablation for atrial fibrillation (AF) has historically required inpatient admission post-procedure, but same-day discharge (SDD) has recently been reported. We aimed to assess the efficacy and safety of SDD compared with overnight stay (OS) post-ablation.

Methods And Results: We performed a systematic search of the PubMed database.

View Article and Find Full Text PDF

Intravenous iron to treat anaemia following critical care: a multicentre feasibility randomised trial.

Br J Anaesth

February 2022

Radcliffe Department of Medicine, University of Oxford, Oxford, UK; Haematology Theme, NIHR Oxford Biomedical Research Centre, Oxford, UK; Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Background: Anaemia is common and associated with poor outcomes in survivors of critical illness. However, the optimal treatment strategy is unclear.

Methods: We conducted a multicentre, feasibility RCT to compare either a single dose of ferric carboxymaltose 1000 mg i.

View Article and Find Full Text PDF

Importance: Intravenous iron is recommended by many clinical guidelines based largely on its effectiveness in reducing anemia. However, the association with important safety outcomes, such as infection, remains uncertain.

Objective: To examine the risk of infection associated with intravenous iron compared with oral iron or no iron.

View Article and Find Full Text PDF

Real-world performance and accuracy of stress echocardiography: the EVAREST observational multi-centre study.

Eur Heart J Cardiovasc Imaging

April 2022

Department of Cardiology, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.

Aims: Stress echocardiography is widely used to identify obstructive coronary artery disease (CAD). High accuracy is reported in expert hands but is dependent on operator training and image quality. The EVAREST study provides UK-wide data to evaluate real-world performance and accuracy of stress echocardiography.

View Article and Find Full Text PDF

[18F]NaF PET imaging is a useful tool for measuring regional bone metabolism. However, due to tracer in urine, [18F]NaF PET images of the hip reconstructed using filtered back projection (FBP) frequently show streaking artifacts in slices through the bladder leading to noisy time-activity curves unsuitable for quantification. This study compares differences between quantitative outcomes at the hip derived from images reconstructed using the FBP and ordered-subset expectation maximization (OSEM) methods.

View Article and Find Full Text PDF

Purpose: Assessment of lacrimal resistance in patients with patent lacrimal systems is important in determining whether dacryocystorhinostomy (DCR) surgery is appropriate. Current techniques, including lacrimal syringing and dacryoscintigraphy (DSG), can be unreliable. We compare the results of a manometric tear duct test (mTDT) irrigation technique with DSG in these patients.

View Article and Find Full Text PDF

Despite significant advancements in the field of cardiovascular imaging, transoesophageal echocardiography remains the key imaging modality in the management of valvular pathologies. This paper provides echocardiographers with an overview of the modern role of TOE in the diagnosis and management of valvular disease. We describe how the introduction of 3D techniques has changed the detection and grading of valvular pathologies and concentrate on its role as a monitoring tool in interventional cardiology.

View Article and Find Full Text PDF

Anti-tubercular therapy for intraocular tuberculosis: A systematic review and meta-analysis.

Surv Ophthalmol

May 2017

National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore, Singapore; School of Materials Science & Engineering, Nanyang Technological University, Singapore, Singapore; Moorfields Eye Hospital, NHS Foundation Trust, London, UK. Electronic address:

Intraocular tuberculosis remains a diagnostic and management conundrum for both ophthalmologists and pulmonologists. We analyze the efficacy and safety of anti-tubercular therapy (ATT) in patients with intraocular tuberculosis and factors associated with favorable outcome. Twenty-eight studies are included in this review, with a total of 1,917 patients.

View Article and Find Full Text PDF