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Tyldesley S, Chow V, Santi-Banez P, French J. 27 TIME INTERVALS FROM REFERRAL TO CONSULT AND TIME TO RADIOTHERAPY IN A CANADIAN PROVINCE FROM 1984 TO 2006. Radiother Oncol 2009. [DOI: 10.1016/s0167-8140(12)72414-3] [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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152
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Mackenzie R, Steel A, French J, Wharton R, Lewis S, Bates A, Daniels T, Rosenfeld M. Views regarding the provision of prehospital critical care in the UK. Emerg Med J 2009; 26:365-70. [PMID: 19386879 DOI: 10.1136/emj.2008.062588] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
AIMS There is a lack of consensus regarding the role for critical care in the prehospital environment in the UK. It was hypothesised that this related to differences in views and understanding among opinion leaders within influential prehospital care organisations. METHODS A 38-item survey was developed by an established paramedic-physician prehospital critical care service. The survey was distributed to individuals in senior positions within seven organisations that have a major influence on UK prehospital services. Analysis comprised a description of the distribution of results, assessment of the level of agreement with each statement by professional background and current involvement in prehospital critical care and evaluation of the overall consistency of responses. Free-text comments were invited to illustrate the reasoning behind each response. RESULTS There were 32 respondents. The estimated response rate was 40%. The consistency of the questionnaire responses was very high. Overall, all individuals agreed with most of the statements. Paramedic respondents were more likely to disagree with statements that suggested that critical care involved interventions that exceed the current capability of the NHS ambulance service (p<0.05). Free-text comments revealed wide differences of opinion. CONCLUSION Although there appears to be broad agreement among opinion leaders regarding the concepts underpinning existing prehospital critical care services, areas of contention are highlighted that may help explain the current lack of consensus. Cooperative efforts to assess the current demand and clinical evidence would assist in the creation of a joint consensus and allow effective future planning for the provision of prehospital critical care throughout the UK.
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French J, Ranasinghe I, Shugman I, Leung M, Juergens C, Aliprandi-Costa B, Devlin G, Brieger D. Symptom-onset to First Medical Contact Times for ACS Patients have Reduced Recently in Australia and New Zealand. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.278] [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]
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154
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Mackenzie R, French J, Lewis S, Steel A. A pre-hospital emergency anaesthesia pre-procedure checklist. Scand J Trauma Resusc Emerg Med 2009. [PMCID: PMC3313139 DOI: 10.1186/1757-7241-17-s3-o26] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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155
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Gronseth G, French J. Invited Article: Practice parameters and technology assessments: What they are, what they are not, and why you should care. Neurology 2008; 71:1639-43. [DOI: 10.1212/01.wnl.0000336535.27773.c0] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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156
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157
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French J, Jlala H, Foxall G, Hardman J, Bedforth N. 236. A Comparison of Needle Guidance Using Live Three-Dimensional Multiplanar Ultrasound With Two-Dimensional Ultrasound in a Tissue Simulator. Reg Anesth Pain Med 2008. [DOI: 10.1136/rapm-00115550-200809001-00124] [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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158
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Castro-Tirado AJ, de Ugarte Postigo A, Gorosabel J, Jelínek M, Fatkhullin TA, Sokolov VV, Ferrero P, Kann DA, Klose S, Sluse D, Bremer M, Winters JM, Nuernberger D, Pérez-Ramírez D, Guerrero MA, French J, Melady G, Hanlon L, McBreen B, Leventis K, Markoff SB, Leon S, Kraus A, Aceituno FJ, Cunniffe R, Kubánek P, Vítek S, Schulze S, Wilson AC, Hudec R, Durant M, González-Pérez JM, Shahbaz T, Guziy S, Pandey SB, Pavlenko L, Sonbas E, Trushkin SA, Bursov NN, Nizhelskij NA, Sánchez-Fernández C, Sabau-Graziati L. Flares from a candidate Galactic magnetar suggest a missing link to dim isolated neutron stars. Nature 2008; 455:506-9. [DOI: 10.1038/nature07328] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2008] [Accepted: 07/31/2008] [Indexed: 11/09/2022]
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159
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Szypula K, Chalmers A, Foxall G, French J, Woods L. 313. A Survey of Knowledge of Local Anaesthetic Toxicity among Clinical Staff in a Consultant Led Obstetric Unit in the UK. Reg Anesth Pain Med 2008. [DOI: 10.1136/rapm-00115550-200809001-00277] [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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160
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Jlala H, Foxall G, French J, Hardman J, Bedforth N. Ultrasound-Guided Catheter Insertion into an in Vitro Model: A Feasibility Study. Reg Anesth Pain Med 2008. [DOI: 10.1097/00115550-200809001-00155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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161
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Jlala H, Foxall G, French J, Hardman J, Bedforth N. 402. Effect of Pre-Operative Multimedia Information on Patients' Anxiety Regarding Regional Anaesthesia. Reg Anesth Pain Med 2008. [DOI: 10.1136/rapm-00115550-200809001-00478] [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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Steel A, Wharton R, Bates A, French J, Lewis S, Mackenzie R. Ketamine use in prehospital critical care. Emerg Med J 2008; 25:618-619. [PMID: 18723729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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163
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Jlala H, Foxall G, French J, Hardman J, Bedforth N. 400. Ultrasound-Guided Catheter Insertion into an in Vitro Model: A Feasibility Study. Reg Anesth Pain Med 2008. [DOI: 10.1136/rapm-00115550-200809001-00155] [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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164
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Jlala H, French J, Hardman J, Bedforth N. 404. Anaesthetists' Attitude Toward Anxious Patients: A Survey. Reg Anesth Pain Med 2008. [DOI: 10.1136/rapm-00115550-200809001-00490] [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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165
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Tobing D, French J, Varigos J, Meehan A, Billah B, Krum H. Do patients with heart failure appropriately undergo invasive procedures post-myocardial infarction? Results from a prospective multicentre study. Intern Med J 2008; 38:845-51. [PMID: 18397275 DOI: 10.1111/j.1445-5994.2007.01594.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND The degree of adherence to guideline recommendations that patients following myocardial infarction (MI) with congestive heart failure (CHF) undergo early angiography, and angioplasty if indicated, is unknown. METHODS We prospectively evaluated the use of invasive procedures in patients with segment-elevation myocardial infarction (STEMI), non-STEMI and CHF, admitted in 1 month to 16 Australian hospitals. RESULTS Of 475 post-MI patients (248 (52.2%) with STEMI), 112 (23.6%) had CHF, (57 (23.0%) with STEMI). Patients with CHF, compared with those without CHF, were older (67.8 vs 63.2 years; P = 0.002) and were more often women (34 vs 24%, P = 0.03), but had similar rates of other risk factors. Compared with post-MI patients without CHF, patients with CHF had fewer invasive procedures: angiography 72.3% versus 85.1% (P = 0.002) and angioplasty 33.9% versus 52.9% (P < 0.001) (12 (2.5%) patients underwent coronary surgery in-hospital); and among STEMI patients (angiography 72.3% CHF vs 89.5% no CHF [P < 0.001]; angioplasty 50.9% CHF vs 69.1% no CHF [P = 0.011]); these differences remained significant after adjustment for clinical covariates. Of the 121 (25.5%) post-MI patients aged > or =75 years, compared with those <75 years, the frequencies of angiography and angioplasty procedures were 66.1% versus 87.6% (P < 0.001) and 33.9% versus 53.4% (P < 0.001), respectively; 66% of the elderly with, and without, CHF had angiography. CONCLUSION The presence of CHF post-MI resulted in lower rates of use of angiography and angioplasty, which was not explained by lower procedure rates in the elderly. As these guideline-recommended procedures may improve survival in patients with CHF post-MI, future strategies should aim to enhance their use.
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Nash KL, Collier JD, French J, McKeon D, Gimson AES, Jamieson NV, Wallwork J, Bilton D, Alexander GJM. Cystic fibrosis liver disease: to transplant or not to transplant? Am J Transplant 2008; 8:162-9. [PMID: 17973959 DOI: 10.1111/j.1600-6143.2007.02028.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Biliary cirrhosis complicates some adults with cystic fibrosis (CF) and may require transplantation. Cardio-respiratory disease severity varies such that patients may require liver transplantation, heart/lung/liver (triple) grafts or may be too ill for any procedure. A 15-year experience of adults with CF-related liver disease referred for liver transplantation is presented with patient survival as outcome. Twelve patients were listed for triple grafting. Four died of respiratory disease after prolonged waits (4-171 weeks). Eight underwent transplantation (median wait 62 weeks); 5-year actuarial survival was 37.5%. Four died perioperatively; only one is alive at 8-years. Eighteen patients underwent liver transplant alone (median wait 7 weeks); 1- and 5-year actuarial survival rates were 100% and 69%. Three long-term survivors required further organ replacement (two heart/lung and one renal). Two others were turned down for heart/lung transplantation and four have significant renal impairment. Results for triple grafting were poor with unacceptable waiting times. Results for liver transplant alone were satisfactory, with acceptable waiting times and survival. However, further grafts were required and renal impairment was frequent. The policy of early liver transplantation for adults with CF with a view to subsequent heart/lung or renal transplantation needs assessment in the context of long-term outcome.
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Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J. Practice Parameter: Evaluating an apparent unprovoked first seizure in adults (an evidence-based review): [RETIRED]. Neurology 2007; 69:1996-2007. [DOI: 10.1212/01.wnl.0000285084.93652.43] [Citation(s) in RCA: 211] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Bulliard C, Murali R, Chang LY, Brennan ME, French J. Subcutaneous dermatofibrosarcoma protuberans in skin of the breast: may mimic a primary breast lesion. Pathology 2007; 39:446-8. [PMID: 17676490 DOI: 10.1080/00313020701444523] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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170
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Tobing D, Gohil J, Hopkins A, Hsieh V, Taylor D, Rajaratnam R, Lo S, Leung D, Juergens C, French J. Implications of Pre-Procedural Anaemia in Patients Undergoing Percutaneous Coronary Intervention—Experience from a Regional Cardiac Centre. Heart Lung Circ 2007. [DOI: 10.1016/j.hlc.2007.06.264] [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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171
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MacCormick J, McAlister H, Crawford J, French J, Crozier I, Shelling A, Nel C, Rees M, Skinner J. Misdiagnosis of Long QT Syndrome as Epilepsy. Heart Lung Circ 2007. [DOI: 10.1016/j.hlc.2007.06.220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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172
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Fowler SJ, French J, Screaton NJ, Foweraker J, Condliffe A, Haworth CS, Exley AR, Bilton D. Nontuberculous mycobacteria in bronchiectasis: prevalence and patient characteristics. Eur Respir J 2006; 28:1204-10. [PMID: 16807259 DOI: 10.1183/09031936.06.00149805] [Citation(s) in RCA: 100] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The aim of the current study was to investigate the prevalence and clinical associations of nontuberculous mycobacteria (NTM) in a well-characterised cohort of patients with adult-onset bronchiectasis. The sputum of all patients attending a tertiary referral bronchiectasis clinic between April 2002 and August 2003 was examined for mycobacteria as part of an extensive diagnostic work-up. NTM-positive patients subsequently had further sputa examined. A modified bronchiectasis scoring system was applied to all high-resolution computed tomography (HRCT) scans from NTM-positive patients, and a matched cohort without NTM. Out of 98 patients attending the clinic, 10 had NTM in their sputum on first culture; of those, eight provided multiple positive cultures. Three patients were treated for NTM infection. A higher proportion of NTM-positive than -negative patients were subsequently diagnosed with cystic fibrosis (two out of nine versus two out of 75). On HRCT scoring, more patients in the NTM-positive group had peripheral mucus plugging than in the NTM-negative group. In the current prospective study of a large cohort of patients with bronchiectasis, 10% cultured positive for nontuberculous mycobacteria in a random clinic sputum sample. Few clinical parameters were helpful in discriminating between groups, except for a higher prevalence of previously undiagnosed cystic fibrosis and of peripheral mucus plugging on high-resolution computed tomography in the nontuberculous mycobacteria group.
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French J, Steel A, Clements R, Lewis S, Wilson M, Teasdale B, Mackenzie R, Black J. Best BETS: a call for scrutiny. Emerg Med J 2006; 23:490. [PMID: 16714533 PMCID: PMC2564366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
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174
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Duncan G, French J, Cannon J, Lengoc S, Soo J. 163 Melanoma incidence and radiotherapy utilization in British Columbia 1986–2003. Radiother Oncol 2005. [DOI: 10.1016/s0167-8140(05)80324-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Houston JP, Kirkwood SC, Fu DJ, Adams DH, Farmen M, Downing ACM, Mukhopadhyay N, Breier A, Kinon BJ, Liu-Seifert H, Houston J, Kaiser C, Ahl J, Braga FM, Aroniadou-Anderjaska V, Li H, Rogawski MA, Wernicke J, Lu Y, Hall J, DeSouza D, Waninger A, Tran P, Wernicke J, Rosen A, Lu Y, Hall J, Lee T, Iyengar S, Knopp K, Goldstein D, Ahmed S, Entsuah R, Ortega-Leon W, Eng M, Tummala R, Lipkovich I, Deberdt W, Buckley P, Csernansky J, Peuskens J, Kollack-Walker S, Rotelli M, Giovanni S, Amhed F, Movsesyan V, Cernak I, Schinelli S, Stoica B, Faden A, Byrnes KR, Garay J, Fricke S, Faden AI, Bennett JP, Sridhar J, Akula N, Abaan H, Uren A, Tomita Y, Zoubak L, Pattabiraman N, Ekwerike A, Nakajima T, Kamei H, Kawakami H, Hayashi T, Saeki H, French J, Briggs D, Lee C, Spiegel K, Williams RN, Chase TN. Abstracts from the ASENT 2005 Annual Meeting March 3–5, 2005. NeuroRx 2005. [DOI: 10.1602/neurorx.2.3.533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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