1,211 results match your criteria: "Worthing & Southland Hospitals NHS Trust[Affiliation]"

Introduction And Aims: Existing therapies for Anorexia Nervosa (AN) have limited effectiveness, necessitating the development of novel therapies and interventions. Hypothesizing and targeting clear mechanisms of change within treatment offer potential opportunities to improve them. The SPEAKS program aimed to develop, trial, and evaluate a therapy which targets key emotional and social factors known to be relevant in the development and maintenance of AN.

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Unlabelled: The prevalence of autistic students in schools is continuously increasing. Typically, the social and sensory differences associated with autism can make the school environment difficult to manage. Autistic students are more likely to experience mental health difficulties than their non-autistic peers.

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Background: Peanut allergy (PA) is one of the most prevalent food allergies with a lack of favorable safety/efficacy treatment. A cucumber mosaic virus-like particle expressing peanut allergen component Ara h 2 (VLP Peanut) has been developed as a novel therapeutic approach for PA.

Objective: We assessed the tolerogenic properties and reactivity of VLP Peanut.

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A 12-year-old Bengal cat with unclassified cardiomyopathy presented for signs consistent with aortic thromboembolism (ATE). It was treated with clopidogrel and rivaroxaban as antithrombotic therapy, combined with narcotic analgesia and frusemide. After initially making a clinical improvement, the cat's condition suddenly deteriorated, with a presumptive diagnosis of clostridial myonecrosis.

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Background: Bennett's fracture, a fracture-dislocation of the base of the first metacarpal, poses significant challenges due to the unique biomechanics of the thumb's carpometacarpal (CMC) joint. Effective management is critical to restoring thumb function and preventing long-term complications such as arthritis and instability.

Objective: This article provides a comprehensive overview of Bennett's fracture, including its mechanism of injury, diagnostic considerations, and management strategies, with a focus on conservative and surgical options.

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The impact of psoriatic arthritis on quality of life: a systematic review.

Ther Adv Musculoskelet Dis

December 2024

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, Windmill Road, Oxford OX3 7HE, UK.

Background: Psoriatic arthritis (PsA) is a chronic inflammatory condition that can affect individuals of all ages. Patients may experience a range of physical and psychological issues.

Objective: To examine the impact of PsA on an individual's quality of life (QoL) and physical function.

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A considerable amount of morbidity and disability are caused by a wide variety of neurological illnesses together referred to as neurodegenerative diseases. Among them, Alzheimer's and Parkinson's diseases are the most prevalent and have been thoroughly studied. The development of intervention techniques that focus on the unfavorable elements of these diseases, particularly those that could help halt their course, has become increasingly important.

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The integration of psychiatric treatment into emergency services is critical to improving the management of severe mental health emergencies. Emergency departments (EDs) are frequently the initial point of contact for patients with mental emergencies, but they are not always prepared to offer adequate care. This systematic review aims to analyze the effectiveness of collaborative care models (CCMs), psychiatric consultation-liaison (C-L) teams, and telepsychiatry in enhancing psychiatric treatment in emergencies.

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Background Fragility fractures, often caused by osteoporosis, are a major public health concern among the growing population of the United Kingdom (UK). In addition to being a major source of illness and mortality, the rising incidence of osteoporosis places a heavy strain on healthcare systems if it is not adequately managed. In order to lower the risk of additional fractures, current guidelines place a strong emphasis on the timely evaluation and treatment of fragility fractures.

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Older women with non-ST-elevation acute coronary syndrome undergoing invasive or conservative management: an individual patient data meta-analysis.

Eur Heart J Open

November 2024

Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, 4th Floor William Leech Building, Newcastle upon Tyne NE2 4HH, UK.

Article Synopsis
  • A study evaluated the effectiveness of invasive versus conservative treatment strategies in older women with non-ST-elevation acute coronary syndrome (NSTEACS), addressing the lack of representation of this group in clinical trials.
  • The analysis included 717 women and found that the invasive strategy showed a lower risk of myocardial infarction (MI) and urgent revascularization compared to the conservative approach, although it didn't significantly reduce overall mortality rates.
  • The findings suggest that while invasive treatment is beneficial for reducing MI in older women with NSTEACS, it does not impact the overall risk of death or other severe outcomes after one year.
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Background: Patient-reported outcome measures (PROMs) have become crucial in assessing cataract surgery, especially with increasing patient expectations. The RayPro database offers a platform for tracking PROMs after surgery. The purpose of this study is to investigate determinants of patient satisfaction following cataract surgery by analysing PROMs.

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Article Synopsis
  • * She was diagnosed with hyperglycemia and ketosis, treated for diabetic ketoacidosis (DKA) with insulin, and later transitioned to an insulin regimen after discharge.
  • * The case is significant for recognizing immune checkpoint inhibitor-induced diabetes mellitus (ICI-DM) as a potential side effect of immunotherapy, leading to the discontinuation of her cancer treatment and planning for surgery.
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Long-term segregation and seclusion for people with an intellectual disability and/or autism in hospitals: critique of the current state of affairs.

Br J Psychiatry

December 2024

Cornwall Intellectual Disability Equitable Research (CIDER), Cornwall Partnership NHS Foundation Trust, Truro, UK; and CIDER, Peninsula School of Medicine, University of Plymouth, UK.

Article Synopsis
  • The Department of Health and Social Care released a report in November 2023, highlighting the negative impacts of solitary confinement on people with learning disabilities and autism, but the recommendations are largely not supported by evidence-based practices.
  • The report raises issues regarding the terminology used, such as "solitary confinement," assumptions about long-term segregation, and unfairly placing responsibility on clinicians for situations outside their control.
  • A critical appraisal of the report aims to summarize its potential benefits while pointing out specific concerns and advocating for best practices in mental health care.
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: Evisceration and incisional hernia (IH) represent a significant morbidity following open or laparoscopic colorectal surgery where midline laparotomy or extraction incision (EI) are performed. We executed a systematic review to evaluate primary mesh closure of laparotomy or EI in colorectal resections of benign or malignant conditions. : A comprehensive literature search was performed using PubMed, Science Direct, Cochrane, and Google Scholar databases for studies comparing prophylactic mesh to traditional suture techniques in closing laparotomy in open approach or EI when minimally invasive surgery was adopted in colorectal procedures, regardless of the diagnosis.

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Expanding therapeutic options in Crohn's disease.

Lancet

December 2024

Translational Gastroenterology Unit, Nuffield Department of Experimental Medicine, University of Oxford, Oxford OX3 9DU, UK. Electronic address:

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Article Synopsis
  • Ankle fractures are frequent injuries in emergency departments that often require realignment, traditionally managed with sedation or anesthesia, which have risks.
  • The ankle block, a type of regional anesthesia, is gaining popularity for its localized pain relief and reduced systemic complications, enhanced by ultrasound guidance.
  • While there are challenges like the need for specialized training and sometimes insufficient pain control, the ankle block is becoming a favored, opioid-sparing option in emergency care, with potential for broader application through ongoing advancements and research.
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There is considerable interest in understanding the developmental origins and health implications of individual differences in brain structure and function. In this pre-registered study we demonstrate that a hidden subgroup within the general population-people with synesthesia (e.g.

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Bile duct injuries (BDIs) are dreaded complications of one of the most common general surgical procedures. The injury impacts the quality of life and may have several long-term complications. In some cases, it can also lead to mortality.

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Developing a risk prediction tool for lung cancer in Kent and Medway, England: cohort study using linked data.

BJC Rep

October 2023

Early Cancer Diagnosis and Cancer Health Inequalities, Kent and Medway Cancer Alliance, Maidstone, UK.

Background: Lung cancer has the poorest survival due to late diagnosis and there is no universal screening. Hence, early detection is crucial. Our objective was to develop a lung cancer risk prediction tool at a population level.

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Impact of parathyroidectomy on quality of life in primary hyperparathyroidism.

Br J Oral Maxillofac Surg

December 2024

University Hospitals Sussex NHS Foundation Trust, Department of Oral and Maxillofacial Surgery, St Richard's Hospital, Chichester PO19 6SE, United Kingdom; University Hospitals Sussex NHS Foundation Trust, Department of Oral and Maxillofacial Surgery Worthing, Worthing Hospital BN11 2DH, United Kingdom. Electronic address:

Patients with primary hyperparathyroidism (PHPT) frequently report symptoms that are associated with the disease and impact on their quality of life (QoL). While parathyroidectomy corrects calcium and PTH levels, its impact on improving patients' QoL is not clear. In this single centre prospective study, we aimed to assess the impact of a parathyroidectomy on PHPT patients' pre and post parathyroidectomy QoL over a period of three years and nine months.

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Background And Objective: Highly variable pain mechanisms in people with low back pain or spine-related leg pain might contribute to inefficacy of neuropathic pain medication. This meta-analysis aimed to determine how neuropathic pain is identified in clinical trials for people taking neuropathic pain medication for low back pain or spine-related leg pain and whether subgrouping based on the presence of neuropathic pain influences efficacy.

Methods: EMBASE, MEDLINE, Cochrane Central, CINAHL [EBSCO], APA PsycINFO, ClinicalTrials.

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Background: Canine superficial pyoderma is a common bacterial skin infection of dogs, generally caused by Staphylococcus pseudintermedius. The C4 strain of Staphylococcus felis was recently discovered to have strong antimicrobial activity against S. pseudintermedius in mice.

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Article Synopsis
  • * A systematic review and meta-analysis of 263 patients revealed no significant difference in vasopressor requirements, but hydroxocobalamin improved mean arterial pressure and reduced total vasopressor doses at 1 and 6 hours.
  • * The results suggest hydroxocobalamin is more effective than methylene blue for improving hemodynamics, but more high-quality research is needed to confirm these findings.
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Aim: Psychosis is associated with significant health and societal costs. Early intervention in psychosis services (EIP) are highly effective in promoting recovery, yet substantial proportions of young people disengage. The current study aimed to develop and evaluate a novel engagement intervention in EIP services.

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