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Chan K, Dinh D, Hare D, Lockwood S, Neil C, Prior D, Brennan A, Lefkovits J, Carruthers H, Reid C, Driscoll A. Management of Acute Decompensated Heart Failure in Rural vs Metropolitan Settings: A Victorian Experience. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Randhawa M, Jones R, Stratton I, Bahl A, Bottomley D, Carruthers H. The National Radium-223 Dichloride Audit Group: Data from Patients in 17 UK Oncology Centres with Metastatic Castrate-resistant Prostate Cancer Treated with Radium-223 Dichloride. Clin Oncol (R Coll Radiol) 2019. [DOI: 10.1016/j.clon.2018.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Driscoll A, Dinh D, Wong J, Toogood G, Hopper I, Zimmet H, Brennan A, Lefkovits J, Carruthers H, Mariani J, Connor H, Reid C. Adherence to Guideline Directed Medical Therapy of Patients Admitted to Hospital with Acute Heart Failure. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Stange D, Allos B, Carruthers H, Watkins S, Stevenson R, Ghafoor Q. Should Multiple SABRs Leave you Breathless? Toxicity and Outcomes at University Hospital Birmingham. Clin Oncol (R Coll Radiol) 2018. [DOI: 10.1016/j.clon.2018.02.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Ghafoor Q, Allos B, Stevenson R, Watkins S, Yahya S, Stange D, Howard H, Davies K, Carruthers H. Normal Tissue Dose Constraints for Multiple Lung Stereotactic Radiotherapy Treatments. Clin Oncol (R Coll Radiol) 2018; 30:455. [PMID: 29571935 DOI: 10.1016/j.clon.2018.03.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Accepted: 03/05/2018] [Indexed: 12/25/2022]
Affiliation(s)
- Q Ghafoor
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK.
| | - B Allos
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
| | - R Stevenson
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
| | - S Watkins
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
| | - S Yahya
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
| | - D Stange
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
| | - H Howard
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
| | - K Davies
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
| | - H Carruthers
- University Hospital Birmingham Cancer Centre, University Hospital Birmingham, Edgbaston, Birmingham, UK
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Allos B, Carruthers H, Harrop V, Stange D, Misheva T, Stevenson R, Watkins S, Ghafoor Q. Stereotactic ablative body radiotherapy (SABR) for multiple lung tumours: hazardous or harmless? Lung Cancer 2018. [DOI: 10.1016/s0169-5002(18)30163-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Shea A, De Risio L, Carruthers H, Ekiri A, Beltran E. Clinical features and disease progression of L-2-hydroxyglutaric aciduria in 27 Staffordshire bull terriers. Vet Rec 2016; 179:545. [PMID: 27729589 DOI: 10.1136/vr.103783] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2016] [Indexed: 11/04/2022]
Abstract
To describe the development of clinical signs (CS) and outcome of L-2-hydroxyglutaric aciduria (L-2-HGA), owners of 119 Staffordshire bull terriers positive for the known L-2-hydroxyglutarate dehydrogenase autosomal-recessive mutations were requested to complete a questionnaire regarding their pet's CS. Questionnaires were returned for 27 dogs, all with neurological abnormalities-not all questions were answered in all cases. The mean age of CS onset was 12 months (range 2.5-60). Gait dysfunction was reported in 26/26 dogs, with stiffness of all four limbs the most common (24/26) and earliest recognised abnormality. Kyphosis (19/26), body and/or head tremors (19/26) and hypermetria (15/26) were frequent. Behavioural changes were present in 24/27 dogs; most commonly staring into space (21/24), signs of dementia (17/24) and loss of training (15/24). Eighteen dogs demonstrated paroxysmal seizure-like/dyskinetic episodes. Nineteen (70 per cent) dogs were alive at a mean survival time of 76.6 months (12-170) after onset of CS. L-2-HGA was the cause of euthanasia in six dogs. Euthanasia occurred at a mean survival time of 44 months (8.5-93) after onset of CS, with 2/8 dogs euthanased within 12 months. L-2-HGA is considered a progressive neurological disease; however, CS can be successfully managed with affected dogs potentially living a normal lifespan.
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Affiliation(s)
- A Shea
- Neurology/Neurosurgery Service, Centre for Small Animal Studies, The Animal Health Trust, Newmarket, UK
| | - L De Risio
- Neurology/Neurosurgery Service, Centre for Small Animal Studies, The Animal Health Trust, Newmarket, UK
| | | | - A Ekiri
- One Health Institute, School of Veterinary Medicine, University of California, Davis, California, USA
| | - E Beltran
- Neurology/Neurosurgery Service, Queen Mother Hospital for Animals, Royal Veterinary College, Potter's Bar, UK
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Brennan A, Dinh D, Lefkovits J, Stub D, Brien R, Carruthers H, Andrianopoulos N, Duffy S, Dick R, Clark D, Hiew C, New G, Warren R, McNeil J, Reid C. Ensuring the Quality in Clinical Quality Registries – Design and Implementation of Rigorous Audit Activities in the Victorian Cardiac Outcomes Registry (VCOR). Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Driscoll A, Brennan A, Dinh D, Lefkovits J, Hare D, Carruthers H, Hopper I, Kaye D, Neil C, Prior D, Reid C. The Victorian Cardiac Outcomes Registry (VCOR) Heart Failure Snapshot. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.292] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Miller V, Carruthers H, Morris J, Hasan SS, Archbold S, Whorwell PJ. Letter: efficacy of hypnotherapy in one thousand patients with irritable bowel syndrome--authors' reply. Aliment Pharmacol Ther 2015; 41:1223-4. [PMID: 25939472 DOI: 10.1111/apt.13205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
Affiliation(s)
- V Miller
- Neurogastroenterology Unit, Wythenshawe Hospital, Manchester, UK
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Jacinto AML, Mellanby RJ, Chandler M, Bommer NX, Carruthers H, Fairbanks LD, Gow AG. Urine concentrations of xanthine, hypoxanthine and uric acid in UK Cavalier King Charles spaniels. J Small Anim Pract 2013; 54:395-8. [PMID: 23859747 DOI: 10.1111/jsap.12106] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Xanthine urolithiasis and asymptomatic xanthinuria have been diagnosed in Cavalier King Charles spaniel dogs suggesting that primary xanthinuria may be a breed-related disorder, although its prevalence remains unclear. The hypothesis of this study was that asymptomatic xanthinuria is common in Cavalier King Charles spaniel dogs. METHODS Free catch urine samples were collected from 35 client-owned Cavalier King Charles spaniel dogs and from 24 dogs of other breeds. The purine metabolites were measured by high-performance liquid chromatography. The urine ratios of xanthine/creatinine and hypoxanthine/creatinine were calculated and compared between the two groups of dogs. RESULTS The urine concentrations of purine metabolites were not significantly different between the two groups and were very low in both. The urine concentrations of xanthine in all 35 Cavalier King Charles spaniel were markedly lower than in the previously reported case of xanthine urolithiasis in a UK Cavalier King Charles spaniel dog. CLINICAL SIGNIFICANCE Asymptomatic xanthinuria was not detected in this UK Cavalier King Charles spaniel population. This data may be used as a reference for urinary purine metabolite concentrations in the dog.
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Affiliation(s)
- A M L Jacinto
- Royal Dick School of Veterinary Studies, Division of Veterinary Clinical Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Roslin, Midlothian, Scotland, EH25 9RG
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Carruthers H, Rusbridge C, Dubé MP, Holmes M, Jeffery N. Association between cervical and intracranial dimensions and syringomyelia in the cavalier King Charles spaniel. J Small Anim Pract 2009; 50:394-8. [DOI: 10.1111/j.1748-5827.2009.00768.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Rusbridge C, Carruthers H, Dubé MP, Holmes M, Jeffery ND. Syringomyelia in cavalier King Charles spaniels: the relationship between syrinx dimensions and pain. J Small Anim Pract 2007; 48:432-6. [PMID: 17608656 DOI: 10.1111/j.1748-5827.2007.00344.x] [Citation(s) in RCA: 83] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES This study was designed to test the hypothesis that pain associated with syringomyelia in dogs is dependent upon size and involvement of the dorsal part of the spinal cord. METHODS Masked observers determined syrinx dimensions and precise location within the spinal cord on magnetic resonance images of 55 cavalier King Charles spaniels with syringomyelia. After removal of masking, syrinx size and location were compared between the cohorts of dogs that exhibited pain with those that did not. RESULTS Maximum syrinx width was the strongest predictor of pain, scratching behaviour and scoliosis in dogs with syringomyelia. Both pain and syrinx size were positively correlated with syrinxes located in the dorsal half of the spinal cord. CLINICAL SIGNIFICANCE Large syrinxes associated with damage to the dorsal part of the spinal cord are associated with persistent pain suggesting that the pain behaviour expressed by this group of patients is likely to be "neuropathic pain," resulting from disordered neural processing in the damaged dorsal horn. As such it is likely that conventional analgesic medication may be ineffective.
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Affiliation(s)
- C Rusbridge
- Stone Lion Veterinary Centre, 41 High Street, Wimbledon Village, London SW19 5AU, UK
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