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Morgan-Rowe L, Simring D, Raja J, Agu O, Richards T, Ivancev K. The Use of an Endovascular Stent Graft with ‘Home-made’ Fenestrations to Treat an Infected Aortic Endograft in an Emergency Setting: A Short Report. Eur J Vasc Endovasc Surg 2011. [DOI: 10.1016/j.ejvs.2011.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Conroy DM, Altaf N, Goode SD, Braithwaite BD, MacSweeney ST, Richards T. Use of the Hardman Index in Predicting Mortality in Endovascular Repair of Ruptured Abdominal Aortic Aneurysms. ACTA ACUST UNITED AC 2011; 23:274-9. [DOI: 10.1177/1531003511408737] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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79
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Aung N, Ling HZ, Aggarwal S, Flint J, Weissert S, Cheng A, Richards T, Francis DP, Mayet J, Thomas M, Okonko DO. 107 Expansion of the red cell distribution width and evolving iron deficiency as predictors of poor outcome in chronic heart failure. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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80
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Calmet D, Ameon R, Beck T, Bombard A, Bourquin MN, Brun S, De Jong P, Forte M, Fournier M, Herranz M, Jerome S, Klett A, Kwakman P, Llaurado M, Loyen J, Michel R, Nardoux P, Richards T, Schuler C, Tokonami S, Woods M. International standardisation work on the measurement of radon in air and water. RADIATION PROTECTION DOSIMETRY 2011; 145:267-272. [PMID: 21498866 DOI: 10.1093/rpd/ncr077] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Radon is considered to be the main source of human exposure to natural radiation. As stated by the World Health Organization, the exposure due to the inhalation of indoor radon is much greater than the one via the ingestion of water as radon degasses from water during handling. In response to these concerns about the universal presence of radon, environmental assessment studies are regularly commissioned to assess the radon exposure of public and workers. The credibility of such studies relies on the quality and reliability of radon analysis as well as on the sample representativeness of the radiological situation. The standard-setting approach, based on consensus, seemed to lend itself to a settlement of technical aspects of potential comparison. At present, two Working Groups of the International Standardization Organization are focussing on drafting standards on radon and its decay products measurement in air and water. These standards, which aim for a set of rigorous metrology practices, will be useful for persons in charge of the initial characterisation of a site with respect to natural radioactivity as well as to those performing the routine surveillance of specific sites.
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Schick U, Richards T, Miah A, Nutting C. Stereotactic Body Radiotherapy: Overview of the 2010 Royal College of Radiologists’ Annual Scientific Meeting. Clin Oncol (R Coll Radiol) 2011; 23:165-7. [DOI: 10.1016/j.clon.2011.01.156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2011] [Accepted: 01/11/2011] [Indexed: 10/18/2022]
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82
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Cross J, Amiri N, Fung C, Simring D, Ivancev K, Harris P, Richards T. Endovascular repair of abdominal aortic aneurysms (AAA) outside manufacturers instructions for use: Infra-renal sealing is not a safe option. Int J Surg 2011. [DOI: 10.1016/j.ijsu.2011.07.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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83
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Richards T. Flexible retirement age is needed to tackle Europe's ageing population. West J Med 2010. [DOI: 10.1136/bmj.c5668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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84
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Richards T, Groves T. BMJ extends its European reach. West J Med 2010. [DOI: 10.1136/bmj.c4681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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85
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Goode S, Chowdhury A, Crockett M, Beech A, Simpson R, Richards T, Braithwaite B. Laser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810nm). J Vasc Surg 2010. [DOI: 10.1016/j.jvs.2010.06.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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86
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Richards T, Neretnieks I. Filtering of Clay Colloids in Bentonite Detritus Material. Chem Eng Technol 2010. [DOI: 10.1002/ceat.201000108] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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87
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Richards T. Novel partnerships help poor countries extend access to health services. West J Med 2010. [DOI: 10.1136/bmj.c2897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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88
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Shah M, Martin A, Myers B, MacSweeney S, Richards T. Recognising anaemia and malnutrition in vascular patients with critical limb ischaemia. Ann R Coll Surg Engl 2010; 92:495-8. [PMID: 20513273 DOI: 10.1308/003588410x12664192075738] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
INTRODUCTION Anaemia is a common problem in surgical patients. Patients with critical limb ischaemia (CLI) suffer chronic inflammation, repeated infection, require intervention, and can have a protracted hospital stay. The aims of this study were to assess anaemia and nutritional status in patients presenting with CLI. PATIENTS AND METHODS Two observational studies were undertaken, initially a retrospective series of 27 patients with CLI. Patient demographics, clinical details, transfusion status and in-patient laboratory haemoglobin values (Hb) were recorded. In a prospective series of 32 patients, laboratory markers to identify the cause for anaemia were assessed. Further nutritional status was assessed by records of height, weight, body mass index and a validated scoring system. RESULTS In the retrospective series, 15 patients (56%) were anaemic. Ten (37%) were transfused a median of 2 units (range, 2-13), a total of 35 units. Patients who were transfused had lower Hb on admission (P = 0.0019), most were anaemic on admission (90%). At discharge, most patients were anaemic (n = 23; 83%). In the prospective series of 32 patients, 20 (63%) were anaemic. Nutritional assessment was performed on 18, only seven patients were scored undernourished. This was increased to 23 by an independent assessor. Anaemia was associated with malnutrition (n = 17; P = 0.049) and an increased hospital stay (mean 25 days [SD 16] vs mean 12 days [SD 8], P = 0.0125; total 513 vs 144 bed days). CONCLUSIONS Anaemia and poor nutrition are common and not recognised in vascular patients presenting with critical limb ischaemia. Anaemia is associated with and increased length of hospital stay.
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Richards T. EU reshuffle has health potential. West J Med 2010. [DOI: 10.1136/bmj.c382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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90
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Richards T. EU seeks to define its role in global health strategies. West J Med 2009. [DOI: 10.1136/bmj.b5370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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91
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Richards T. New centre seeks to promote global health security. West J Med 2009. [DOI: 10.1136/bmj.b4869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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92
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Richards T. Brave new world. West J Med 2009. [DOI: 10.1136/bmj.b4537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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93
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Richards T. Governments must act now to prevent slide into poverty and ill health after recession. BMJ : BRITISH MEDICAL JOURNAL 2009. [DOI: 10.1136/bmj.b4087] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Richards T, Goode S, Hinchliffe R, Altaf N, MacSweeney S, Braithwaite B. The Importance of Anatomical Suitability and Fitness for the Outcome of Endovascular Repair of Ruptured Abdominal Aortic Aneurysm. J Vasc Surg 2009. [DOI: 10.1016/j.jvs.2009.07.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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95
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Richards T. Views from Venice. West J Med 2009. [DOI: 10.1136/bmj.b3362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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96
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Kleinhans NM, Johnson LC, Richards T, Greenson J, Dawson G, Aylward EH. Abnormal Functional Connectivity during Emotional Face Processing is Associated with Neural Abnormalities in the Amygdala in Autism Spectrum Disorders. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)70059-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Goode SD, Kuhan G, Altaf N, Simpson R, Beech A, Richards T, MacSweeney ST, Braithwaite BD. Suitability of Varicose Veins for Endovenous Treatments. Cardiovasc Intervent Radiol 2009; 32:988-91. [DOI: 10.1007/s00270-009-9616-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2008] [Revised: 04/11/2009] [Accepted: 04/24/2009] [Indexed: 10/20/2022]
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98
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Richards T. Advocacy for all. West J Med 2009. [DOI: 10.1136/bmj.b2212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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99
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Richards T. Europe's governments should set targets to reduce health inequalities. West J Med 2009. [DOI: 10.1136/bmj.b2075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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100
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Shah N, Weber D, Orlowski R, Wang M, Thomas SK, Richards T, Giralt S, Qazilbash M, Alexanian R, Shah JJ. Role of autologous stem cell transplant after induction therapy with bortezomib-lenolidomide or bortezomib-thalidomide in newly diagnosed multiple myeloma patients. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.8596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
8596 Background: The introduction of novel therapeutic options with bortezomib and immunomodulatory agents in the up-front management of multiple myeloma (MM) has significantly improved induction response rates. However, the role of high dose chemotherapy and autologous stem cell transplant (ASCT) after induction with these highly active agents is not known, especially in patients with only a partial response to induction therapy. Methods: We conducted a retrospective review of 95 newly diagnosed MM patients treated with induction bortezomib-lenolidomide-dexamethasone (BLD) or bortezomib-thalidomide-dexamethasone (BTD) prior to ASCT. Responses were graded according to IMWG criteria. Results: 19 patients received BLD and 76 patients received BTD. All patients were conditioned with a melphalan-based regimen. Of the 19 patients who underwent induction with BLD, complete response (CR), very good partial response (VGPR) and partial response (PR) were achieved in 2 (11%), 8 (42%) and 9 (47%) respectively for an overall response rate (ORR) of 19/19 (100%). After ASCT, CR, VGPR and PR were achieved in 9 (47%), 5 (26%) and 5 (26%) respectively for a continued ORR of 21/21 (100%). Notably, 4/8 (50%) of patients with a VGPR after induction therapy with BLD improved to a CR after ASCT. 3/9 (33%) of patients with an initial PR to BLD improved to a CR and 1/9 (11%) with a PR improved to VGPR after ASCT. Of the 76 patients who underwent induction with BTD, CR, VGPR and PR were achieved in 6 (8%), 37 (49%) and 31(41%) respectively for an ORR of 74/76 (97%). 1 patient had stable disease and 1 patient had progressive disease. After ASCT, 27/76 (36%) achieved a CR, 30/76 (39%) a VGPR and 18/76 (24%) a PR for an ORR of 75/76 (99%). Of the patients who initially had a VGPR to BTD 16/37 (43%) improved to a CR while 5/32(16%)of PR patients improved to a CR and 9/32 (28%) of PR patients improved to a VGPR. Conclusions: Of the 40 patients who only achieved a PR after induction therapy with BLD or BTD, 16 (40%) had further improvement to a CR or VGPR after ASCT. Thus there is a significant benefit of ASCT in these patients who initially demonstrate relative resistance to induction therapy with highly active regimens. [Table: see text]
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