Journal articles on the topic 'Detroit. St. Mary's Hospital'

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1

Campbell, Liz. "Developing Leadership Talent: Transforming St Mary's Hospital." International Journal of Leadership in Public Services 3, no. 2 (July 2007): 56–59. http://dx.doi.org/10.1108/17479886200700014.

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Leigh, Terry J., Howard A. Bird, Ian Hindmarch, Patrick D. L. Constable, and Verna Wright. "Factor Analysis of the St. Mary's Hospital Sleep Questionnaire." Sleep 11, no. 5 (September 1988): 448–53. http://dx.doi.org/10.1093/sleep/11.5.448.

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3

Ballantyne, J. "St Mary's: the History of a London Teaching Hospital." JRSM 97, no. 8 (July 30, 2004): 405–6. http://dx.doi.org/10.1258/jrsm.97.8.405-a.

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4

Goodwin, N. J. "Voting on trust status for St Mary's Hospital, London." BMJ 304, no. 6830 (March 28, 1992): 845. http://dx.doi.org/10.1136/bmj.304.6830.845.

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Reinarz, J. "Review: St Mary's: The History of a London Teaching Hospital." Social History of Medicine 17, no. 3 (December 1, 2004): 528–29. http://dx.doi.org/10.1093/shm/17.3.528.

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6

Renton, A. M., C. A. Ison, L. Whitaker, K. Kirtland, E. Kupek, and J. R. Harris. "Neisseria gonorrhoeae isolated at St. Mary's Hospital London, 1980-91." Sexually Transmitted Infections 69, no. 4 (August 1, 1993): 286–89. http://dx.doi.org/10.1136/sti.69.4.286.

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7

Hennell, T., and J. R. Ashton. "Neisseria gonorrhoeae isolates at St Mary's Hospital, London 1980-91." Sexually Transmitted Infections 70, no. 1 (February 1, 1994): 74. http://dx.doi.org/10.1136/sti.70.1.74.

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8

Baron, J. H. "Why do medical students choose St Mary's Hospital Medical School?" BMJ 313, no. 7072 (December 21, 1996): 1646–47. http://dx.doi.org/10.1136/bmj.313.7072.1646.

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9

Lawrence, Christopher. "St. Mary's: The History of a London Teaching Hospital (review)." Bulletin of the History of Medicine 78, no. 3 (2004): 722–23. http://dx.doi.org/10.1353/bhm.2004.0129.

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10

Shrubsole, Debbie. "Introducing a feeding tube kit bag and passport for patients with a gastrostomy." British Journal of Nursing 32, no. 13 (July 6, 2023): S16. http://dx.doi.org/10.12968/bjon.2023.32.13.s16.

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Debbie Shrubsole Clinical Nutrition Nurse Specialist, Community Division, St Mary's Hospital, Isle of Wight NHS Trust, won a Bronze Award in the Nutrition Nurse of the Year category of the BJN Awards 2023
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11

Chang, H. K., S. Y. Kim, J. I. Kim, S. I. Kim, J. K. Whang, J. Y. Choi, J. M. Park, et al. "Ten-Year Experience With Bowel Transplantation at Seoul St. Mary's Hospital." Transplantation Proceedings 48, no. 2 (March 2016): 473–78. http://dx.doi.org/10.1016/j.transproceed.2015.12.065.

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Komakech, David, Jacob Eyul, Angela Meric Birungi, Violah Nahurira, and Ronald Okidi. "Jodhpur disease complicated by postoperative intussusception in St. Mary's Hospital Lacor." Journal of Pediatric Surgery Case Reports 63 (December 2020): 101642. http://dx.doi.org/10.1016/j.epsc.2020.101642.

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13

Harris, C. M., H. A. Dudley, B. Jarman, and P. H. Kidner. "Preregistration rotation including general practice at St Mary's Hospital Medical School." BMJ 290, no. 6484 (June 15, 1985): 1811–13. http://dx.doi.org/10.1136/bmj.290.6484.1811.

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14

Burton, R. "St Mary's Hospital, Isle of Wight: a suitable background for caring." BMJ 301, no. 6766 (December 22, 1990): 1423–25. http://dx.doi.org/10.1136/bmj.301.6766.1423.

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15

Jones, R. W., M. Clarke, N. Kanellopoulos, D. Lioupis, and R. Fowles. "The AIDMAN project – a telemedicine approach to cardiology investigation, referral and outpatient care." Journal of Telemedicine and Telecare 6, no. 1_suppl (February 2000): 32–34. http://dx.doi.org/10.1258/1357633001933961.

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The AIDMAN pilot project will connect health clinics on remote Greek islands with a mainland hospital. We have developed a virtual consultation workstation for the project, together with a satellite communication network. A UK pilot site has been used to test the concepts and applications between a surgery in Chorleywood and St Mary's Hospital in London.
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16

Beck, Eduard J., Sundhiya Mandalia, David L. Miller, and John R. W. Harris. "improving survival of AIDS patients St Mary's Hospital, London, 1982-1991 Hospital service interventions and." International Journal of STD & AIDS 9, no. 5 (May 1, 1998): 280–90. http://dx.doi.org/10.1258/0956462981922214.

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Summary: The relationship between changes in hospital service interventions at St Mary's Hospital, London, reduced case fatality for patients with their first episode of Pneumocystis carinii pneumonia (PCP) and improved survival from diagnosis of AIDS was investigated for the period 1982-1991. Multivariate logistic regression models identified factors independently associated with episode survival; for those patients who survived their first episode of PCP, survival from time of diagnosis of AIDS was analysed using multivariate Cox's proportional hazards models. The case-fatality rate after 1987 was significantly lower for the 159 subjects. Median survival from diagnosis of AIDS increased significantly from 142 days to 554 days ( P =0.01). Improved survival of first episode of PCP was associated with it being the index diagnosis and having a haemoglobin at diagnosis of PCP greater than 12 g/dl. The presence of a concurrent AIDS-defining condition in patients who presented with an A-a gradient equal to or greater than 40 mmHg was associated with reduced episode survival, especially before 1987. For the 126 individuals who survived their first episode of PCP, death rates were lowest in patients treated with primary or secondary PCP prophylaxis and those who received zidovudine since their first episode of PCP. Survival in patients with HIV disease is better in patients who receive appropriate antiretroviral treatment of HIV infection and timely treatment of opportunistic illnesses. Early diagnosis of HIV-1 infection with early diagnosis and treatment of first episode of PCP was associated with improved episode survival. Subsequent medical follow up combined with PCP prophylaxis and zidovudine were significantly associated with long-term survival.
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17

Warren, Inga. "Getting Started on the Special Care Baby Unit: Preparation and Protocol." British Journal of Occupational Therapy 57, no. 12 (December 1994): 462–66. http://dx.doi.org/10.1177/030802269405701202.

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Attempts are being made to introduce occupational therapy onto Special Care Baby Units. To help those who are planning a new service, this article offers a personal account of the evolution of occupational therapy on the Winnicett Baby Unit at St Mary's Hospital, London, and describes the protocol on which the service there is based.
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18

Tanaghow, A. F. S. "Mohsen Sohbi Naguib, Senior Lecturer in Psychiatry and Honorary Consultant Psychiatrist at St Mary's Hospital and St Charles Hospital, London." Psychiatric Bulletin 17, no. 8 (August 1993): 507. http://dx.doi.org/10.1192/pb.17.8.507-a.

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19

Accorsi, S., P. A. Onek, S. Declich, M. Lukwiya, P. D. Mattei, and M. Fabiani. "The increasing burden of infectious diseases on hospital services at St Mary's Hospital Lacor, Gulu, Uganda." American Journal of Tropical Medicine and Hygiene 64, no. 3 (March 1, 2001): 154–58. http://dx.doi.org/10.4269/ajtmh.2001.64.154.

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20

Graham, D. E., and T. F. Cawsey. "Quality and Governance in Hospitals." Healthcare Management Forum 8, no. 4 (December 1995): 39–44. http://dx.doi.org/10.1016/s0840-4704(10)60931-3.

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What is the role of the board in quality initiatives in an organization? How can the board improve its own processes through quality initiatives? What are the quality attributes that a board should monitor? The board at St. Mary's Hospital in Kitchener addressed these questions, resulting in a rethinking of the board's role and its relationship to the operation of the hospital. This article discusses how the board has been restructured, and how it has shifted over the past few years to a CQI focus.
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21

Bennett, Katie. "Robotic Surgery: da Vinci® and beyond." Bulletin of the Royal College of Surgeons of England 94, no. 1 (January 1, 2012): 8–9. http://dx.doi.org/10.1308/147363512x13189526438431.

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In 2001 the first da Vinci® robot (Intuitive Surgical Inc) was installed in the UK at St Mary's hospital, London. It was initially used for high-volume, standard surgical procedures. More than 10 years on, 27 robots are in use in England. The da Vinci® robot, used primarily in urology but also in gynaecology, ENT, colorectal, cardiology and paediatrics, is making an indelible mark on the NHS.
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22

Lorentzon, Maria, and Kevin Brown. "Florence Nightingale as 'mentor of matrons': correspondence with Rachel Williams at St Mary's Hospital." Journal of Nursing Management 11, no. 4 (July 2003): 266–74. http://dx.doi.org/10.1046/j.1365-2834.2003.00375.x.

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23

Neumann, Michele, and Keith W. Jacobs. "Relationship between Dietary Components and Aspects of Sleep." Perceptual and Motor Skills 75, no. 3 (December 1992): 873–74. http://dx.doi.org/10.2466/pms.1992.75.3.873.

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To test the hypothesis that major dietary constituents are related to quantity or quality of sleep, 27 adult volunteers participated in a five-day study. Subjects completed detailed dietary logs each day, and each morning completed the St. Mary's Hospital Sleep Questionnaire. Dietary data were converted to seven major nutritional constituents and these were averaged over the 5-day period. None of the 98 correlations between diet and sleep were significant. These findings provide no support for a link between sleep and diet in adults.
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24

Numata, Sanae, Yasuhiro Nakamura, Yutaka Imamura, Junichi Honda, Seiya Momosaki, and Masamichi Kojiro. "Rapid Quantitative Analysis of Human Cytomegalovirus DNA by the Real-Time Polymerase Chain Reaction Method." Archives of Pathology & Laboratory Medicine 129, no. 2 (February 1, 2005): 200–204. http://dx.doi.org/10.5858/2005-129-200-rqaohc.

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Abstract Context.—Human cytomegalovirus (CMV) infection is a progressive and life-threatening complication in immunocompromised patients even now. Therefore, early and accurate treatment based on rapid and certain detection is needed to prevent fatal CMV infection diseases. Objective.—To study a quicker, simpler, and less expensive method of quantitative analysis using real-time polymerase chain reaction based on the SYBR Green I method of CMV detection for appropriate treatment of CMV infection in immunocompromised patients. Design.—We quantified 50 samples tested by direct immunoperoxidase staining of leukocytes with peroxidase-labeled monoclonal antibody (C7-HRP test), 30 samples from healthy persons, and 47 samples from 7 patients suspected of having CMV infection diseases. We used the primer set in the pp65 gene of CMV and whole blood without a preparatory process. The setting for the study was the First Department of Pathology, Kurume University School of Medicine, St Mary's Hospital, and the Gene Section of the Clinical Laboratory at St Mary's Hospital, Fukuoka, Japan. Results.—The results obtained with this method corresponded well with conventional C7-HRP tests and demonstrated excellent reproduction. Additionally, the results were better correlated with the clinical course than were C7-HRP tests. Conclusions.—This method was more useful than the C7-HRP test as a rapid diagnostic test for early treatment of CMV infection. This test also demonstrated its usefulness for monitoring CMV infection during treatment using ganciclovir. Moreover, it was quicker, simpler, and cheaper than other real-time polymerase chain reaction methods.
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Min, Jiyoung, Jiwon Shinn, and Hun-Sung Kim. "Development of a predictive model for the side effects of liraglutide." Cardiovascular Prevention and Pharmacotherapy 4, no. 2 (April 30, 2022): 87–93. http://dx.doi.org/10.36011/cpp.2022.4.e12.

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Background: Liraglutide, a drug used for the management of obesity, has many known side effects. In this study, we developed a predictive model for the occurrence of liraglutide-related side effects using data from electronic medical records (EMRs).Methods: This study included 237 patients from Seoul St. Mary's Hospital and Eunpyeong St. Mary's Hospital who were prescribed liraglutide. An endocrinologist obtained medical data through an EMR chart review. Model performance was evaluated using the mean of the area under the receiver operating characteristic curve (AUROC) with a 95% confidence interval (CI).Results: A predictive model was developed for patients who were prescribed liraglutide. However, 37.1% to 75.5% of many variables were missing, and the AUROC of the developed predictive model was 0.630 (95% CI, 0.551–0.708). Patients who had previously taken antiobesity medication had significantly fewer side effects than those without previous antiobesity medication use (20.7% vs. 41.4%, P<0.003). The risk of side effect occurrence was significantly higher in patients with diabetes than in patients without diabetes by 2.389 times (odds ratio, 2.389; 95% CI, 1.115–5.174).Conclusions: This study did not successfully develop a predictive model for liraglutide-related side effects, primarily due to issues related to missing data. When prescribing antiobesity drugs, detailed records and basic blood tests are expected to be essential. Further large-scale studies on liraglutide-related side effects are needed after obtaining high-quality data.
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Garner, James Staurt. "The great experiment: The admission of women students to St Mary's Hospital Medical School, 1916–1925." Medical History 42, no. 1 (January 1998): 68–88. http://dx.doi.org/10.1017/s0025727300063341.

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27

Flynn, M., E. Wylie, and H. Kitchener. "O315 Outcomes of HIV positive women referred to the colposcopy clinic at St Mary's Hospital, Manchester." International Journal of Gynecology & Obstetrics 107 (October 2009): S182. http://dx.doi.org/10.1016/s0020-7292(09)60687-1.

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28

Stefanini, Angelo. "Influence of Health Education on Local Beliefs." Tropical Doctor 17, no. 3 (July 1987): 132–34. http://dx.doi.org/10.1177/004947558701700314.

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Health education can sometimes lead to unexpected results when people adapt their beliefs to new ideas being taught. Recent experience of the department of health education at St Mary's Hospital Lacor is presented to illustrate this phenomenon. The Acholi practice of removing children's unerupted deciduous canine teeth is reviewed, and the results of a retrospective study of hospital admissions of children with complications following the operation are analysed. The increased number of such admissions following a health education campaign is discussed, and it is concluded that a more radical approach is needed to counteract the harmful belief. Partial success and indirect positive results should not satisfy health workers whose main goal must be to make people fully understand what is dangerous to their wellbeing.
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Martin, Shirley, Sanjay Purkayastha, Rachel Massey, Paraskevas Paraskeva, Paris Tekkis, Roger Kneebone, and Ara Darzi. "The Surgical Care Practitioner: A Feasible Alternative. Results of A Prospective 4-Year Audit at St Mary's Hospital Trust, London." Annals of The Royal College of Surgeons of England 89, no. 1 (January 2007): 30–35. http://dx.doi.org/10.1308/003588407x160819.

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INTRODUCTION Surgical care practitioners (SCPs) are an expanding group of professionals, drawn from nursing and the allied health professions. Amongst other functions, SCPs can provide a range of surgical procedures including a ‘minor surgical’ service. The aim of this study was to audit the volume and outcomes related to the SCP service at St Mary's since its inception. PATIENTS AND METHODS All prospectively collected data regarding SCP-managed patients between 2001 and 2005 were retrospectively audited. Volume, case mix, waiting times, complications and patient satisfaction were recorded and evaluated. RESULTS In this 4-year period, the SCP performed 381 minor operative cases (year 1 to year 4: 32, 74, 114 and 161 cases, respectively). These included excision of lipomas, sebaceous cysts and suspicious naevi under local anaesthesia and 7 similar cases under general anaesthetic. There were 11 minor postoperative complications which included 7 wound infections which were all resolved with a short course of oral antibiotics, 2 seromas of which one needed aspiration under local anaesthetic and one minor wound dehiscence which was re-sutured the same day. Overall, 71% were seen within 1 month of referral, 16% within 1–2 months, 3% within 3 months and 10% within 6 months. In addition, 59% were seen and treated within 20 min of their appointed time, 15% within 30–60 min and 24% within 1–2 h. The 3-month patient perspective audit carried out between May and July 2004 included 59 completed patient questionnaires following surgery; 100% were totally satisfied with the care that they received; 98% were happy to see the SCP and 98% documented that they would recommend the SCP to others. CONCLUSIONS The 4-year period of using an SCP at St Mary's shows that it is feasible and safe for minor operative procedures, that it contributes positively to waiting times and is acceptable to patients.
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Oh, C. K., E. H. Kim, B. I. Lee, S. N. Oh, H. H. Lee, J. S. Kim, Y. S. Cho, K. M. Lee, S. W. Kim, and H. Choi. "P457 Small bowel involvement proximal to the terminal ileum is a major risk factor for intestinal resection in patients with small bowel Crohn’s disease." Journal of Crohn's and Colitis 18, Supplement_1 (January 1, 2024): i924. http://dx.doi.org/10.1093/ecco-jcc/jjad212.0587.

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Abstract Background The current Montreal classification categorizes Crohn's disease (CD) with small bowel involvement into two groups: L1 and L3. The study aimed to investigate the significance of small bowel involvement proximal to the terminal ileum as a significant risk factor for intestinal resection. Methods We conducted a retrospective review of the medical records of Crohn's disease patients diagnosed between January 2001 and December 2020 at Seoul St. Mary's Hospital, St. Vincent Hospital, and Eunpyeong St. Mary's Hospital. The extent of small bowel involvement was independently assessed by two experienced gastrointestinal radiologists using conventional CT, CT enterography, or MR enterography at the time of diagnosis. The terminal ileum was defined as the distal ileal segment within 10 cm from the ileocecal valve and the jejunum was defined as the proximal 1/2 of the small intestine beyond the ligament of Treitz. Radiologic disease activity and fibrostenosis at the time of diagnosis were also scored as 0, 1, and 2 using Maglinte classification, respectively. Results Out of 617 CD patients, 346 were included in the study, while 271 were excluded due to radiologic noninvolvement of the small bowel, inadequate or missing radiologic data, initial diagnosis made at another institution, or diagnosis through surgery. Median age at diagnosis was 24 years (range 10-76) and 250 (72.3%) were male. The median follow-up duration was 53 months (4-201). During the follow-up period, 43 patients (12.4%) underwent intestinal resection. Small bowel involvement proximal to the terminal ileum was significantly associated with a higher cumulative risk of intestinal resection (15.4% vs. 3.5%, P=0.006). Neither jejunal involvement or colonic involvement (L3 vs. L1) showed a significant association with cumulative risk of intestinal resection (16.0% vs. 11.1%, P=0.222; 12.4% vs. 12.4%, P=0.773). Radiologic disease activity and fibrostenotic score at the time of diagnosis were significantly associated with the cumulative risk of intestinal resection, respectively (0% vs. 4.4% vs. 19.7%, P&lt;0.001; 8.5% vs. 16.7% vs. 28.2%, P&lt;0.001). Conclusion Small bowel involvement proximal to the terminal ileum was a major risk factor for requiring intestinal resection in patients with small bowel CD, while jejunal involvement was not. These findings suggest a need for subclassifying small bowel CD.
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Youn, Chun Song, Seung Pill Choi, Hyeon Woo Yim, and Kyu Nam Park. "Out-of-hospital cardiac arrest due to drowning: An Utstein Style report of 10 years of experience from St. Mary's Hospital." Resuscitation 80, no. 7 (July 2009): 778–83. http://dx.doi.org/10.1016/j.resuscitation.2009.04.007.

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32

Akpan, Anietie, and Omolade Longe. "Polypharmacy and potentially inappropriate medications (PIMS) in older adults referred to a liaison psychiatry service." BJPsych Open 7, S1 (June 2021): S306—S307. http://dx.doi.org/10.1192/bjo.2021.811.

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AimsThe older adult is more likely to be prescribed a lot of medications (polypharmacy) on account of multi-morbidity and being under the care of several specialists. Adverse drug events and reactions account for a significant number of acute hospital presentations in this population group with increased risks of delirium, lasting cognitive impairment, falls and death.Medications are not routinely reviewed or rationalised in the elderly, often contributing to preventable harm.We sought to estimate the prevalence of polypharmacy and potentially inappropriate medications, anticholinergics in particular, in patients (65 years and older) referred to the St Mary's Hospital Liaison Psychiatry Department over a 3-month period.MethodBetween 01/06/2019 and 31/08/2019 all referral forms (from in-patient wards and A&E) for patients aged 65+ years were screened for medications currently prescribed and administered. The medications were confirmed via the St. Mary's Hospital electronic records, pharmacists’ completed Medicines Reconciliation and GP Summary Care Records. Polypharmacy was defined as patients prescribed 5 or more medications. Drugs with anticholinergic properties were considered as an example of Potentially Inappropriate Medication (PIMs) using the Anticholinergic Burden Scale. 77 patients were referred in the time period. 9 were excluded due to incomplete/unreconciled medication information.Result77.94% (n = 53) were prescribed 5 or more medications.38.24% (n = 26) were prescribed over 10 medications.10.29% (n = 7) prescribed over 15 medications.69% of (n = 47) prescribed an anticholinergic.42.65% (n = 29) prescribed more than 1 anticholinergic.ConclusionPolypharmacy and potentially inappropriate prescribing remain widespread within the older adult population.Increased anticholinergic burden further compounds risks of cognitive impairment, delirium and death.Other categories of Potentially Inappropriate Medications, including those no longer needed, ought to be identified and reviewed. Over-the-counter medications also need to be screened for.Elimination or reduction of anticholinergic burden may improve quality of life for patients, as well as cost burden on services.Pharmacovigilance, collaborative working, regular and systematic medication reviews, and on-going training are needed across services providing care for the older adult.
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Persad, R. V., and M. L. Forman. "An analysis of the determinants of negative cone biopsies." International Journal of Gynecologic Cancer 1, no. 3 (April 1991): 121–24. http://dx.doi.org/10.1111/j.1525-1438.1991.tb00026.x.

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Between January and December 1989, 608 colposcopies were performed under the waiting list initiative at St Mary's Hospital in Manchester on patients seen for the first time after an abnormal cervical smear. Following colposcopy, 100 of these patients were subjected to cone biopsies for the management of cervical intra-epithelial neoplasia (CIN). The negative cone biopsy rate was 9%. The authors outline the reasons for its occurrence following a review of all the histologic and cytologic material for this group. The main reason for the negative cone biopsies in this series was the disappearance of the abnormal epithelium, presumably due to fortuitous complete excision or regression of the lesion following colposcopic punch biopsy.
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Stafford, N. D., R. C. D. Herdman, S. Forster, and A. J. Munrot. "Kaposi's sarcoma of the head and neck in patients with AIDS." Journal of Laryngology & Otology 103, no. 4 (April 1989): 379–82. http://dx.doi.org/10.1017/s0022215100109016.

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AbstractOver a 40 month period, 219 patients with AIDS were seen at St. Mary's Hospital, London. Kaposi's sarcoma, one of the criteria for diagnosing the syndrome, was the presenting feature in 62 patients. Eighty four patients developed Kaposi's sarcoma at some stage of their disease and the head and neck region was involved in 56 of them.Although Kaposi's sarcoma is rarely life threatening in AIDS, potential airway obstruction, pain or cosmetic disfigurement may justify treating the lesion. Whilst cutaneous tumours may be managed by using radiotherapy (16 Gray in four fractions over four days), this treatment produces a sever mucositis when used to treat mucosal disease; we, therefore use a combination of vincristine and bleomycin for this.
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35

Tyrer, P., S. Merson, P. Harrison-Read, S. Lynch, P. Birkett, and S. Onyett. "A pilot study of the effects of early intervention on clinical symptoms and social functioning in psychiatric emergencies." Irish Journal of Psychological Medicine 7, no. 2 (September 1990): 132–34. http://dx.doi.org/10.1017/s0790966700016694.

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AbstractA pilot study of the effects of early intervention by a multidisciplinary community team in patients presenting as psychiatric emergencies to an inner London teaching hospital (St. Mary's) is described. Of 22 consecutive emergency referrals, 20 agreed to be formally assessed, 18 were successfully engaged and 16 had assessments of symptoms and social functioning assessed over a four week period. There was significant improvement in clinical symptoms but no important changes in social functioning. The discordance between improvement in social function and symptoms was unexpected and may reflect the unusual social circumstances of life in metropolitan London or be a consequence of the high proportion (55%) of patients seen with personality disorders.
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36

Glynn, A. A. "Museum review * Alexander Fleming Laboratory Museum * St Mary's Hospital, Praed Street, London W2 1NY, UK [Curator: Kevin Brown]." Journal of Antimicrobial Chemotherapy 58, no. 1 (May 2, 2006): 233–34. http://dx.doi.org/10.1093/jac/dkl148.

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37

Ortega, F., L. Sarmiento, B. Mompeo, A. Centol, A. Nicolaides, M. Leon, and N. Christopoulos. "Morphological Study of the Valvular Distribution in the Long Saphenous Vein." Phlebology: The Journal of Venous Disease 9, no. 2 (June 1994): 59–62. http://dx.doi.org/10.1177/026835559400900204.

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Objective: To measure the distribution of valves in the long saphenous vein. Design: Morphological study of the intervalvular distance of the long saphenous vein. Setting: Department of Morfología, Facultad de Ciencias de la Salud (Universidad de Las Palmas de Gran Canaria, Spain) and Academic Vascular Surgery Unit, St Mary's Hospital, London, UK. Material: Twenty lower extremities from adult cadavers with no evidence of lower limb venous disease. Methods: Anatomical dissection of the long saphenous vein, with accurate measurement of valve distribution. Results: There were on average 8.7 valves in the long saphenous vein, with 6.3 above the knee and 2.4 below the knee. Conclusion: Contrary to classical anatomical texts on this subject there are more valves in the long saphenous vein in the thigh than in the calf.
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38

Goodman, Robert. "Trainees' Forum: Psychiatrists' Views on their Preregistration Year." Bulletin of the Royal College of Psychiatrists 11, no. 10 (October 1987): 341–44. http://dx.doi.org/10.1192/s0140078900018162.

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Since its introduction in 1953, the preregistration year has been divided equally between medicine and surgery. The General Medical Council has recently shown renewed interest in possible modifications to this time honoured scheme. One pilot scheme at St Mary's Hospital in London has successfully incorporated a four month period of general practice in the preregistration year, reducing the preregistration medical and surgical jobs to four months each. Another pilot scheme in Sheffield involves four months of psychiatry, four months of general medicine, and four months of general surgery. A psychiatric perspective on possible changes in the preregistration year is included in a report that derives from a conference held by the Royal College of Psychiatrists, the Association of University Teachers of Psychiatry, and the Association of Psychiatrists in Training.
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39

Choi, W. Y., H. W. Nam, J. H. Youn, W. S. Kim, and W. K. Kim. "Toxoplasma antibody titers by indirect latex agglutination test in patients of Kangnam St. Mary's Hospital and Cheju Medical Center." Korean Journal of Parasitology 27, no. 3 (1989): 171. http://dx.doi.org/10.3347/kjp.1989.27.3.171.

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40

Jo, Seongmin, Jinkwan Hong, Sang-Eun Lee, Moran Ki, Bo Youl Choi, and Minki Sung. "Airflow analysis of Pyeongtaek St Mary's Hospital during hospitalization of the first Middle East respiratory syndrome patient in Korea." Royal Society Open Science 6, no. 3 (March 2019): 181164. http://dx.doi.org/10.1098/rsos.181164.

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Middle East respiratory syndrome (MERS) is known to be transmitted through close contact. However, epidemiological surveys of MERS in Korea indicated that some secondary patients were infected without close contact. Therefore, the possibility of other transmission routes must be identified. In this study, the possibility of MERS spreading through airflow was investigated on the eighth floor of Pyeongtaek St Mary's Hospital. Computational fluid dynamics was used to analyse the indoor airflow and passive tracer diffusion during the index patient's stay. Six cases were simulated for different outdoor wind directions and indoor mechanical ventilation operations. When a passive tracer was released in ward 8104, where the index patient was hospitalized, the passive tracer spread through the indoor airflow, which was created by the outdoor airflow. Ward 8109, which had the largest number of infected cases and was far distant from ward 8104, showed passive tracer concentration in all cases. This result indicates that MERS may have spread through airflow. The study results do not imply that the infection pathway of MERS is airborne. However, the results show the possibility of MERS spreading through airflow in specific environments such as poor ventilation environments.
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41

Smith, J. R., S. Murphy, J. Mellers, M. James, L. E. M. Osborne, M. Byrne, P. Munday, J. R. W. Harris, and S. M. Forster. "Risk Factors of Female HIV-Seropositive Patients Attending the Clinic for Sexually Transmitted Diseases at St Mary's Hospital, London." International Journal of STD & AIDS 1, no. 5 (September 1990): 328–29. http://dx.doi.org/10.1177/095646249000100504.

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42

Reneman, L. "Long-term prospects of malnourished children after rehabilitation at the nutrition rehabilitation centre of St Mary's Hospital, Mumias, Kenya." Journal of Tropical Pediatrics 43, no. 5 (October 1, 1997): 293–96. http://dx.doi.org/10.1093/tropej/43.5.293.

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43

Beer, Philip, SH Abdalla, Estella Matutes, and Barbara Bain. "Teaching cases from the Royal Marsden and St Mary's Hospital case 29: Striking generalized lymphadenopathy in 'acute myeloid leukemia'." Leukemia & Lymphoma 46, no. 1 (January 2005): 155–56. http://dx.doi.org/10.1080/10428190412331286087.

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44

Kalodiki, E., L. Calahoras, G. Geroulakos, and A. N. Nicolaides. "Liquid Crystal Thermography and Duplex in the Preoperative Marking of Varicose Veins." Phlebology: The Journal of Venous Disease 10, no. 3 (September 1995): 110–14. http://dx.doi.org/10.1177/026835559501000307.

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Objective: To determine the role of liquid crystal thermography (LCT) in preoperative marking of varicose veins and incompetent perforating veins. Design: Single patient group study comparing techniques. Setting: Teaching hospital vascular laboratory. Patients: Two hundred patients (265 legs) referred to St Mary's Hospital Vascular Laboratory for preoperative varicose vein marking. Methods: Patients were studied using LCT and duplex ultrasonography to identify calf perforating veins. Results: In part I of the study LCT identified 47 ‘areas at risk’, 42 of which were demonstrated to contain incompetent perforating veins on duplex examination (positive predictive value 89%). Thirty-eight of these 42 patients were explored at operation and 36 (95%) were confirmed as incompetent. The remaining two perforating veins could not be located. In part II of the study LCT identified 327 ‘areas at risk’, 299 of which were demonstrated to contain incompetent perforating veins on duplex examination (positive predictive value 91%). Conclusion: LCT is useful in the identification of incompetent perforating veins, it is easy to perform, less time consuming, cheaper and can replace duplex scanning.
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45

Emami, Maryam, Mohammad Reza Heidari, Mohsen Naseri, Fatemeh Alijaniha, and Anoshirvan Kazemnejad. "Comparison between St Mary's Hospital Sleep and Richards-Campbell Sleep Questionnaires on Sleep Quality in Patients with Acute Coronary Syndrome." Qom Univ Med Sci J 12, no. 12 (February 1, 2019): 53–62. http://dx.doi.org/10.29252/qums.12.12.53.

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46

Ison, C. A., L. Whitaker, and A. Renton. "Concordance of auxotype/serovar classes ofNeisseria gonorrhoeaebetween sexual contacts." Epidemiology and Infection 109, no. 2 (October 1992): 265–71. http://dx.doi.org/10.1017/s0950268800050214.

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SUMMARYOne hundred and three known sexual-contact pairs of patients with culture-proven gonorrhoea who attended St Mary's Hospital, London between May 1989 and February 1991 were identified. All isolates from these patients were serotyped and auxotyped and compared for type concordance within sexual-contact pairs. Serotype was concordant in 80 (78%) of 103 sexual-contact pairs, auxotype in 88 (85%) and auxotype/serovar (A/S) class in 66 (64%) on the first screening. All pairs of isolates showed concordance in both serotype and auxotype when typing was repeated using a single set of serotyping reagents and of auxotyping media. Seventeen serovars. 9 auxotypes and 36 A/S classes were found in this population. Our results suggest that both serotyping and auxotyping may be used as markers to allow tracing of sexual-contact pairs, but that a single set of reagents should be used to ensure maximum reliability.
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47

Naudé, C., and PJ Fletcher. "Audit and re-audit of the completion of drug chart allergy boxes at St Mary's Hospital, Imperial College Healthcare NHS Trust." Archives of Disease in Childhood 97, no. 5 (April 22, 2012): e12.2-e12. http://dx.doi.org/10.1136/archdischild-2012-301728.25.

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48

Mathias, Christopher J., I. MacDonald, and D. Jordan. "8th meeting of the Clinical Autonomic Research Society at St Mary's Hospital Medical School/Imperial College, London, on 16th November 1990." Clinical Autonomic Research 1, no. 1 (March 1991): 81–96. http://dx.doi.org/10.1007/bf01826065.

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49

Beck, E. J., S. Mandalia, K. Leonard, R. J. Griffith, J. R. W. Harris, and D. L. Miller. "Case-control study of sexually transmitted diseases as cofactors for HIV-1 transmission." International Journal of STD & AIDS 7, no. 1 (January 1, 1996): 34–38. http://dx.doi.org/10.1258/0956462961917023.

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The aim of the study was to investigate the association between infection with HIV-1 infection and a history of other sexually transmitted diseases (STD). We were able to match 1295 HIV-1 infected patients who attended St Mary's Hospital between 1985 and 1991 with 1273 seronegative controls on gender, sexual orientation, injecting drug use and age at time of test. The cases were 3 times more likely to have a history of ever having had another STD than the controls: multivariate conditional logistic regression showed that, after controlling for sexual behaviour, for known sexual contact with an HIV infected individual or AIDS patient or with a resident from a high HIV prevalence area, area of residence and for year of test, a history of gonorrhoea, syphilis, hepatitis B, genital herpes or genital warts were all significantly associated with HIV-1 seropositive status. These findings reinforce the need for HIV containment strategies to be promoted in conjunction with containment programmes for other STDs.
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50

Hale, R. J., F. L. Wilcox, C. H. Buckley, V. R. Tindall, W. D. J. Ryder, and J. P. Logueh. "Prognostic factors in uterine cervical carcinoma: a clinicopathological analysis." International Journal of Gynecologic Cancer 1, no. 1 (1991): 19–23. http://dx.doi.org/10.1111/j.1525-1438.1991.tb00034.x.

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A clinicopathological analysis of 235 patients with stage IB/IIA cervical carcinoma was performed. These patients represent all those treated between 1975 and 1989 inclusive by primary Wertheim's hysterectomy at St Mary's Hospital, Manchester. We found that a significantly higher proportion of tumors from patients under 40 years of age contained mucin and that overall the adenosquamous carcinomas had a significantly greater incidence of lymph node metastases (P= 0.00049). Pelvic lymph node metastases had no effect on prognosis in these adenosquamous carcinomas but did in squamous carcinomas (P= 0.0004) and adenocarcinomas (P= 0.0001). Univariate log-rank analysis showed that variables associated with survival were: pregnancy at diagnosis (P= 0.0238), lymphatic permeation (P< 0.0001), vascular permeation (P< 0.0001), lymph node metastases (P< 0.0001), tumor volume (P< 0.0001), canal length of tumor (P= 0.0009), cervical stromal tumor-free rim (P= 0.0027), parametrial extension (P= 0.0008) and adequacy of excision (P= 0.0389). In a multivariate regression analysis (Cox's regression model) lymphatic permeation, tumor volume, pregnancy at diagnosis and lymph node metastases were independent prognostic variables.
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