- Cardiac Imaging and Diagnostics
- Gastrointestinal Bleeding Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Esophageal and GI Pathology
- Liver Disease and Transplantation
- Gallbladder and Bile Duct Disorders
- Advanced X-ray and CT Imaging
- Cerebrovascular and Carotid Artery Diseases
- Pancreatitis Pathology and Treatment
- Viral-associated cancers and disorders
- Liver Disease Diagnosis and Treatment
- Pancreatic and Hepatic Oncology Research
- Coronary Interventions and Diagnostics
- Atrial Fibrillation Management and Outcomes
- Pediatric Hepatobiliary Diseases and Treatments
- Gastrointestinal disorders and treatments
- Lymphoma Diagnosis and Treatment
- Global Health Workforce Issues
- Inflammatory Bowel Disease
- Liver Diseases and Immunity
- Social Media in Health Education
- Vascular anomalies and interventions
- Pregnancy and Medication Impact
- Drug Transport and Resistance Mechanisms
- Pneumocystis jirovecii pneumonia detection and treatment
Worthing Hospital
2023
Cork University Hospital
2023
University College Cork
2023
SGS Germany GmbH (Germany)
2023
University Hospitals Sussex NHS Foundation Trust
2020-2022
East Sussex Healthcare NHS Trust
2022
Conquest Hospital
2022
Russells Hall Hospital
2016-2020
IIJ Research Laboratory
2020
West Midlands Police
2018
Background Endoscopy within 24 h of admission (early endoscopy) is a quality standard in acute upper gastrointestinal bleeding (AUGIB). We aimed to audit time endoscopy outcomes and identify factors affecting delayed (>24 admission). Methods This prospective multicentre enrolled patients admitted with AUGIB who underwent inpatient between November December 2017. Analyses were performed associated endoscopy, compare patient outcomes, including length stay mortality rates, early groups....
The vanishing bile duct syndrome (VBDS) is a condition secondary to inciting triggers resulting in destruction and eventual disappearance of intrahepatic ducts leading cholestasis. overall outcome varies often depends on the nature precipitating cause. VBDS has been found be associated with adverse drug reactions, infectious diseases, autoimmune ischemia, humoral factors malignancies irreversible. objective this clinical case report highlight need for broad differential include similar...
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with numerous cardiac complications. We describe a case of type 1 ST-segment elevation myocardial infarction (STEMI) focal myocarditis unmasked in patient infected SARS-CoV-2 no previous history, the hope increasing understanding severity and possible complications disease 2019 (COVID-19) improving its clinical management.
<h3>Introduction</h3> Oesophageal cancer<b> is often diagnosed at a late stage and has an aggressive nature with poor prognosis low five-year</b><b> survival rates.</b> Palliative treatment with<b> self-expanding metal stents indicated to relieve dysphagia in patients oesophageal cancer, however it important evaluate the complications issues that develop post stenting.</b> <h3>Methods</h3> A retrospective study of all patients<b> cancer undergoing stent insertion from</b> October 2020 2022...
A 36-year-old patient presented with severe early-onset obstetric cholestasis on a background of having pre-term induction labor at 33 weeks during her only previous pregnancy. The had significantly abnormal liver biochemistry bilirubin 78 µmol/L, ALP 318 u/L, ALT 280 and bile acid levels 420 µmol/L. received ursodeoxycholic 750 mg 3 times day, rifampicin 500 twice aspirin 150 once metformin day. However, despite this, the still suffered from intractable pruritus level was above 100 µmol/L...
The use of post exposure prophylaxis for human immunodeficiency virus (HIV) following sexual (PEPSE) was retrospectively audited in an inner city genitourinary clinic against the 2015 national guidelines by British Association Sexual Health and HIV (BASHH). One-hundred out a total 101 patients (99%) had baseline test done. 82.1% (n=83) were given PEPSE prescriptions fitting within recommended indications lower than 90% target set BASHH. 84.2% (n=85) administered 72 hours 90%. 61.4% (n=62)...
Commentary on: The cost-effectiveness of cardiac computed tomography for patients with stable chest pain Agus AM, McKavanagh P, Lusk L, et al . Heart doi:10.1136/ heartjnl-2015-308247
Objective To assess the diagnostic performance of CT fractional flow reserve (CT-FFR) and to whether its use in addition coronary angiography (CTCA) changed investigation management patients with suspected artery disease (CAD). Method A retrospective case note review was carried out for 200 consecutive at Russells Hall Hospital, Dudley, United Kingdom, who had CTCA sent Heartflow CT-FFR analysis (HeartFlow, Redwood City, CA) between January 2018 December 2019. Results Patients > 0.8 were...
When delivering or planning any learning intervention it is important to consider the available educational media. Educational media can be used supplement, consolidate basis of and they come delivered in a variety different formats. In this article we look at use endoscopy training.
Computed Tomography coronary angiography (CTCA) is a non-invasive imaging technique used to detect heart disease(CHD) in patients with stable chest pain of suspected cardiac origin. Exercise electrocardiography stress test (EST) use has previously been the choice investigation Rapid Access Chest Pain Clinics (RACPC). However studies have shown that 30% people attending RACPC are either unsuitable for EST or achieve non-diagnostic results.1 Randomised control trials CT showing more...
Anticoagulants are used in the treatment and prevention of thromboembolism. The most common indications for long-term anticoagulation with warfarin atrial fibrillation, mechanical heart valves venous A number anticoagulants available, including unfractioned heparin, low molecular weight vitamin K antagonists; warfarin, acenocoumarol phenindione. These have been many years, at present people who require an anticoagulant prescribed warfarin.However, recent national guidelines recommended use...
When delivering or planning any learning intervention it is important to consider the available educational media. Educational media can be used supplement, consolidate basis of and they come delivered in a variety different formats. In this article we look at use endoscopy training.