239 results match your criteria: "St George's University Hospital NHS[Affiliation]"
World J Methodol
December 2024
Department of Gastroenterology, St George's University Hospital NHS Foundation Trust, London SW17 0QT, United Kingdom.
The importance and utility of biobanks has increased exponentially since their inception and creation. Initially used as part of translational research, they now contribute over 40% of data for all cancer research papers in the United States of America and play a crucial role in all aspects of healthcare. Multiple classification systems exist but a simplified approach is to either classify as population-based or disease-oriented entities.
View Article and Find Full Text PDFWorld J Methodol
December 2024
Department of Gastroenterology, St George's University Hospital NHS Foundation Trust, London SW17 0QT, United Kingdom.
Research surveys are believed to have originated in antiquity with evidence of them being performed in ancient Egypt and Greece. In the past century, their use has grown significantly and they are now one of the most frequently employed research methods including in the field of healthcare. Modern validation techniques and processes have allowed researchers to broaden the scope of qualitative data they can gather through these surveys such as an individual's views on service quality to nationwide surveys that are undertaken regularly to follow healthcare trends.
View Article and Find Full Text PDFEthn Health
February 2025
Institute for Global Health, University College London, London, UK.
Objectives: COVID-19 disproportionately affected people of Black ethnicities whilst also negatively affecting the health, wellbeing and livelihoods of people living with HIV. This may have been amplified by pre-existing socioeconomic marginalisation, poorer health, and structural racism. Despite being disproportionately affected by the pandemic, little is known about lived experiences of the COVID-19 pandemic within these communities.
View Article and Find Full Text PDFBMC Med Educ
November 2024
Genomics Education Programme, NHS England, Birmingham, UK.
Background: Powerful new genomic technologies are transforming the way healthcare is delivered, shaping medical practice across all specialties. In this rapidly changing landscape, there is an urgent need to equip the clinical workforce with knowledge and skills to navigate the new healthcare terrain. Co-design of healthcare resources with end users is increasingly gaining traction as a method of ensuring that educational content and delivery are tailored to users' needs, increasing likelihood of use and resulting in better outcomes for patients.
View Article and Find Full Text PDFLaryngoscope
October 2024
ENT Department, Guy's and St Thomas's NHS Foundation Trust, London, UK.
Objectives: Laryngology disease burden is growing while theater capacity is falling. Over half a million patients are waiting for ENT care in England alone (1). The demand for laryngology services has continued to grow significantly, particularly post-COVID (2).
View Article and Find Full Text PDFChildren (Basel)
September 2024
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Background: Delirium is a common and reversible neurobehavioral condition with significant morbidity and mortality ramifications for older patients. Consequentially, clear guidelines exist pertaining to its swift identification and management. However, studies suggest that adherence to these guidelines are poor.
View Article and Find Full Text PDFKidney Int Rep
September 2024
Renal medicine, St George's University Hospital NHS Foundation Trust, London.
[This corrects the article DOI: 10.1016/j.ekir.
View Article and Find Full Text PDFIntern Med J
October 2024
Department of Cardiology, St. George's University Hospital NHS Foundation Trust, London, UK.
The World Health Organization recognises that sexual harassment is an occupational hazard in medicine, but the prevalence of sexual harassment by patients is unknown. This global meta-analysis found that a pooled prevalence of 45.13% of 18 803 physicians from several specialities (e.
View Article and Find Full Text PDFLangenbecks Arch Surg
September 2024
Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Purpose: Diverting Loop Ileostomy (DLI) with intraoperative colonic lavage has emerged as a potential alternative to Total Abdominal Colectomy (TAC) for treating Fulminant Clostridium Difficile Colitis (FCDC). This study aims to provide an updated review comparing DLI with TAC in managing FCDC.
Methods: A systematic literature search was conducted using PubMed, Scopus, and Embase to identify retrospective and prospective studies comparing DLI with TAC for fulminant CDC treatment.
Anaesth Intensive Care
November 2024
Department of Intensive Care Medicine, ST George's University Hospital NHS Trust, London, UK.
Importance: Supplementing potassium in an effort to maintain high-normal serum concentrations is a widespread strategy used to prevent atrial fibrillation after cardiac surgery (AFACS), but is not evidence-based, carries risks, and is costly.
Objective: To determine whether a lower serum potassium concentration trigger for supplementation is noninferior to a high-normal trigger.
Design, Setting, And Participants: This open-label, noninferiority, randomized clinical trial was conducted at 23 cardiac surgical centers in the United Kingdom and Germany.
Int J STD AIDS
October 2024
Axess Sexual Health, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
People in prison often experience risk factors that can lead to poor sexual health which is compounded by social deprivation. In response, the British Association for Sexual Health and HIV (BASHH) has published the first national standards in the management of UK prisons, providing recommendations for commissioners, service providers, health care providers and people in prison. Nine standards have been devised which cover aspects of sexual health diagnosis and management, public health measures, and some reproductive health issues.
View Article and Find Full Text PDFWorld J Clin Cases
August 2024
Department of Gastroenterology, St George's University Hospital NHS Foundation Trust, London SW17 0QT, United Kingdom.
A case report entitled "Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction" recently published in the presented a rare cause of gastric outlet obstruction and highlighted the atypical manner in which gastrointestinal tuberculosis (TB) can present. The literature with regards to this rare pathology is limited to case reports and case series with the largest being published using data from between 2003 and 2013. However, since then the diagnostic tools available have significantly changed with more modern and increasingly accurate tests now available.
View Article and Find Full Text PDFTrials
August 2024
1st Department of Obstetrics and Gynecology of the University of Athens, Alexandra Hospital, Athens, Greece.
Colorectal Dis
October 2024
Department of Surgery and Cancer, Imperial College London, London, UK.
Aim: The clinical burden of pelvic exenteration (PE) for locally advanced rectal cancer (LARC) is nationally under-reported. The widespread use of pelvic MRI since 2005 has increased the accuracy of local staging and awareness of the need for 'beyond TME (total mesorectal excision)' surgery. The aim of this study was to assess the volume of patients undergoing PE within England, which factors affected survival outcomes and whether the use of MRI has influenced these outcomes.
View Article and Find Full Text PDFBr J Surg
July 2024
Section of Vascular Surgery, Department of Surgery & Cancer, Faculty of Medicine, Imperial College, London, UK.
Purpose Of Review: Universal antiretroviral (ART) coverage and virological suppression are fundamental to ending AIDS in children by 2030. Availability of new paediatric dolutegravir (DTG)-based ART formulations is a major breakthrough and will undoubtedly help achieve this goal, but treatment challenges still remain.
Recent Findings: Paediatric formulations remain limited compared to those for adults, especially for young children, those unable to tolerate DTG or with DTG-based first-line ART failure.
Health Technol Assess
June 2024
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Background: Health economic assessments are used to determine whether the resources needed to generate net benefit from an antenatal or newborn screening programme, driven by multiple benefits and harms, are justifiable. It is not known what benefits and harms have been adopted by economic evaluations assessing these programmes and whether they omit benefits and harms considered important to relevant stakeholders.
Objectives: (1) To identify the benefits and harms adopted by health economic assessments in this area, and to assess how they have been measured and valued; (2) to identify attributes or relevance to stakeholders that ought to be considered in future economic assessments; and (3) to make recommendations about the benefits and harms that should be considered by these studies.
J Stroke Cerebrovasc Dis
August 2024
Neuroscience and Ageing Research Unit, Institute for Advanced Medical Reasearch and Training, College of Medicine, University of Ibadan, Nigeria.
Background: Stroke is a leading cause of death and disability in Nigeria. Effective stroke management is essential to reduce morbidity and mortality. Few trained neurologists in Nigeria are mostly concentrated in the cities, making non-specialists the backbone of acute stroke management in Nigeria.
View Article and Find Full Text PDFJ Cardiothorac Vasc Anesth
August 2024
Cardiothoracic Intensive Care Unit, St George's University Hospital NHS Foundation Trust, London, United Kingdom.
Objectives: To describe the incidence of postoperative hypotension in patients undergoing cardiac surgery during the first 12 hours in the intensive care unit (ICU) and any relationship between hypotension and the development of acute kidney injury (AKI).
Design: This was a retrospective, observational cohort study.
Setting: The study took place in a single-center tertiary teaching hospital in London, UK.
Reprod Sci
September 2024
Laboratory of Medical Biology-Genetics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GR-54124, Greece.
The functional unit within mammalian ovaries is the ovarian follicle. The development of the ovarian follicle is a lengthy process beginning from the time of embryogenesis, passing through multiple different stages of maturation. The purpose of this review is to describe the most basic events in the journey of ovarian follicle development, discussing the importance of ovarian reserve and highlighting the role of several factors that affect oocyte quality and quantity during aging including hormonal, genetic and epigenetic factors.
View Article and Find Full Text PDFJ Laryngol Otol
June 2024
Audiovestibular Department, St George's University Hospital NHS Foundation Trust, London, UK.
Background: Patients presenting to the emergency department with acute vertigo pose a diagnostic challenge. While 'benign' peripheral vestibulopathy is the most common cause, the possibility of a posterior circulation stroke is paradoxically the most feared and missed diagnosis in the emergency department.
Objectives: This review will attempt to cover the significant advances in the ability to diagnose acute vertigo that have occurred in the last two decades.