8,288 results match your criteria: "University Hospital of Coventry & Warwickshire[Affiliation]"

Inversion of the photoplethysmographic (PPG) signal is a rarely reported case. This signal anomaly can have implications for PPG-based cardiovascular assessments. The conditions for PPG signal inversion in the vicinity of the dorsalis pedis (DPA) artery of the foot were investigated.

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Background: The clinical pathogenesis of COVID-19 necessitates a comprehensive and homogeneous study to understand the disease mechanisms. Identifying clinical symptoms and laboratory parameters as key predictors can guide prognosis and inform effective treatment strategies. This study analyzed comorbidities and laboratory metrics to predict COVID-19 mortality using a homogeneous model.

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Article Synopsis
  • The study analyzed global, regional, and national trends in injury burden and identified risk factors contributing to injuries using data from the GBD 2019.
  • In 2019, there were approximately 713.9 million injury incidents and 4.3 million injury-related deaths globally, with low bone mineral density emerging as the leading risk factor.
  • The findings emphasize the need for effective global injury prevention policies by highlighting the persistent impact of injuries on global health.
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Article Synopsis
  • Understanding the link between infections and severe acute malnutrition is crucial for effectively managing malnourished children in Africa, but research on the pathogens affecting this population is limited.
  • A systematic review of 60 studies identified 5,845 pathogens, primarily focusing on viruses, bacteria, parasites, and fungi, with significant contributions from HIV and malaria.
  • The study highlights a concerning lack of data on fungal infections and antibiotic resistance, as well as high fatality rates in malnourished children, emphasizing the need for more comprehensive research in this area.
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Background/objectives: The adverse effects of cancer and the long-term sequelae of associated treatments result in reduced quality of life and increased mortality for patients. Supporting patients with cancer to mitigate adverse outcomes is an important aspect of oncology care and the primary purpose of cancer rehabilitation. A retrospective service evaluation was conducted to evaluate the effectiveness of the core iCan patient-centred cancer rehabilitation service.

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Article Synopsis
  • Ensemble tree-based models, particularly the BME model developed for cardiovascular outcomes, showed promise in handling correlated hospital-level data better than traditional methods.
  • The study involved a large dataset from 42 UK hospitals, focusing on predicting 30-day mortality rates for cardiac surgery patients, to compare the performance of various modeling techniques.
  • Results indicated that while the BME model had superior prediction power at smaller sample sizes, traditional Xgboost models performed better with larger datasets, suggesting mixed effects can improve machine learning applications in healthcare.
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Sudden cardiac death (SCD) is responsible for 15%-20% of deaths globally/year, predominantly due to ventricular arrhythmias (VA) caused by vulnerable cardiac substrate. Identifying those at risk has proved difficult with several limitations of current methods. We evaluated the evidence for magnetocardiography (MCG) in predicting SCD events.

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Nurse knowledge, attitudes, and barriers to pressure injuries: A cross-sectional study in an Australian metropolitan teaching hospital.

J Tissue Viability

November 2024

Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Ghent University, Gent, Belgium; Swedish Centre for Skin and Wound Research, Nursing Science Unit, School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Background: Pressure injuries are associated with significant clinical complications with negative effects on the patient's emotional, psychological, social and physical wellbeing. However, in Australia little is known about the knowledge and attitudes of nurses towards hospital-acquired pressure injuries.

Objective: To determine nurse knowledge and attitudes towards hospital-acquired pressure injuries and to identify barriers towards prevention.

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Background: Digital health interventions (DHIs) could support prevention and management of cardiometabolic disease. However, those who may benefit most often experience barriers to awareness and adoption of these interventions.

Objective: Among South Asian individuals, we evaluated user experience of DHIs for prevention and management of cardiometabolic disease, aiming to understand barriers and facilitators to initial and ongoing use.

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Blended diets for children and young people: applying the evidence to nursing practice.

Br J Nurs

October 2024

Professor in Children and Family Nursing, School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, and Lead for Health and Care Research/Director for Research & Strategy, Centre for Care Excellence, University Hospitals Coventry and Warwickshire NHS Trust, Coventry.

Enteral tube feeding is commonly used for children and young people with complex health and care needs. Blended diets are becoming more widely used and there is increasing evidence to show the benefits of a blended diet for children, young people and their families. This article aims to collate recent evidence on blended diets and describe the implications for nursing practice.

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Emergency admissions (EA), where a patient requires urgent in-hospital care, are a major challenge for healthcare systems. The development of risk prediction models can partly alleviate this problem by supporting primary care interventions and public health planning. Here, we introduce SPARRAv4, a predictive score for EA risk that will be deployed nationwide in Scotland.

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The British Sleep Society position statement on Daylight Saving Time in the UK.

J Sleep Res

October 2024

Centre for Human and Applied Physiological Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

There is an ongoing debate in the United Kingdom and in other countries about whether twice-yearly changes into and out of Daylight Saving Time should be abolished. Opinions are divided about whether any abolition of Daylight Saving Time should result in permanent Standard Time, or year-long Daylight Saving Time. The British Sleep Society concludes from the available scientific evidence that circadian and sleep health are affected negatively by enforced changes of clock time (especially in a forward direction) and positively by the availability of natural daylight during the morning.

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Characteristics and outcomes of infants admitted to a parent-infant inpatient psychiatric unit: A pilot study.

Infant Ment Health J

November 2024

Helen Mayo House, Child and Adolescent Mental Health Services, Women's and Children's Health Network, Glenside, South Australia, Australia.

Article Synopsis
  • * A pilot study in Australia evaluated 31 mother-infant pairs over three months, finding improvements in maternal well-being and the mother-infant relationship, while also highlighting significant concerns for the infants, including high rates of physical and developmental issues.
  • * Although infants showed improved socio-emotional responsiveness after PIU admission, the study's small sample size and observational methods limit its broader applicability, suggesting a need for more extensive research to identify effective strategies for supporting vulnerable infants in these settings.
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The UK Deceased Donor Kidney Transplant Outcome Prediction (UK-DTOP) Tool, developed using advanced artificial intelligence (AI), significantly enhances the prediction of outcomes for deceased-donor kidney transplants in the UK. This study analyzed data from the UK Transplant Registry (UKTR), including 29,713 transplant cases between 2008 and 2022, to assess the predictive performance of three machine learning models: XGBoost, Random Survival Forest, and Optimal Decision Tree. Among these, XGBoost demonstrated exceptional performance with the highest concordance index of 0.

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Introduction: The objective of this study was to assess the readability and quality of online written information on epistaxis.

Methods: The terms 'epistaxis' and 'nosebleed' were entered into Google. The first six webpages generated for each search term were screened.

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Uptake of health economic evaluations alongside clinical trials in Australia: an observational study.

Trials

October 2024

Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Background: Australia's clinical trials sector is highly productive with continued sector investment needed to enhance research impact. Generating economic evidence alongside trials has the potential to facilitate the implementation of trial results into practice. Ascertaining the use of health economic evaluations alongside clinical trials can assist in determining whether clinical trials fully realize and operationalize their potential to change policy and practice.

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Reply to: Hypothermic cardiac arrest: Criteria for extracorporeal cardiopulmonary resuscitation.

Resuscitation

November 2024

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK; Critical Care Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

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Wingate anaerobic test as a potential predictor of 500-m time in short track speed skating.

J Sports Sci

October 2024

Department of Trauma and Orthopedic Surgery, Sports Traumatology, UniversitätsCentrum für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.

Short-Track Speed Skating (STSS) is an Olympic discipline in which anaerobic performance plays a central role. An established assessment tool for anaerobic performance in STSS athletes is the Wingate Anaerobic Test (WAnT). The aim of this study was to investigate whether WAnT could be used as a predictor of sport-specific performance in the STSS 500-m races.

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Objective: Work with older patients and their carers to co-design a tool that improves patient - general practice communication and continuity of care following discharge of an older person from hospital.

Methods: Experience Based Co-Design with three teams of six to seven lay people (older patients and their carers), each supported by a corresponding general practice group. The process included an implementation-focused event with participants using the intervention in a live role-play.

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Prognostic value of repeated peak oxygen uptake measurements in patients with a left ventricular assist device.

J Heart Lung Transplant

October 2024

Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Background: Peak oxygen uptake (pVO) predicts mortality in patients with heart failure on left ventricular assist device (LVAD) support. This follow-up of the PRO-VAD study examines the prognostic value of repeated pVO measurements during long-term follow-up.

Methods: This multicenter follow-up study included patients from the original PRO-VAD cohort who performed a cardiopulmonary exercise test (CPET) twice.

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Plasma proteomics identifies proteins and pathways associated with incident depression in 46,165 adults.

Sci Bull (Beijing)

September 2024

Institute of Science and Technology for Brain-Inspired Intelligence (ISTBI), Fudan University, Shanghai 200433, China; Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence, Fudan University, Ministry of Education, Shanghai 200433, China; Department of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai 200433, China. Electronic address:

Proteomic alterations preceding the onset of depression offer valuable insights into its development and potential interventions. Leveraging data from 46,165 UK Biobank participants and 2920 plasma proteins profiled at baseline, we conducted a longitudinal analysis with a median follow-up of 14.5 years to explore the relationship between plasma proteins and incident depression.

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Aim: We sought the cardiopulmonary exercise testing (CPET) parameter that most accurately reflected therapeutic efficacy in patients with hypertrophic cardiomyopathy (HCM).

Methods: Well-being questionnaire, N-terminal brain natriuretic peptide measurements, echocardiography, and CPET were performed in patients with symptomatic non-obstructive HCM during phase II, randomized, open-label multicentre study, before and after 16 weeks of traditional or sacubitril/valsartan treatment. Patients were followed 36 months after the initial CPET.

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The role of nutrient sensing dysregulation in anorexia of ageing: The little we know and the much we don't.

Appetite

December 2024

School of Biomedical, Nutritional, and Sport Science, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, NE2 4HH, UK; Human Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, NE2 4HH, UK. Electronic address:

The age-related decline in appetite and food intake - termed "anorexia of ageing" - is implicated in undernutrition in later life and hence provides a public health challenge for our ageing population. Eating behaviour is controlled, in part, by homeostatic mechanisms which sense nutrient status and provide feedback to appetite control regions of the brain. Such feedback signals, propagated by episodic gut hormones, are dysregulated in some older adults.

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