We developed the Home Automated Telemanagement (HAT) system for patients on oral anticoagulation therapy. It consists of a home unit, HAT server, and clinician unit. Patients at home use a palmtop or a laptop connected with a prothrombin time (PT) monitor. Each HAT session consists of self-testing, feedback, and educational components. The symptom data and… (More)
A Malhotra and colleagues explain how and why a US initiative to get doctors to stop using interventions with no benefit is being brought to the UK A Malhotra consultant clinical associate 1 , D Maughan Royal College of Psychiatrists sustainability fellow 2 , J Ansell advanced trainee in general surgery 3 , R Lehman senior research fellow 4 , A Henderson… (More)
2 Abstract The development of a daily historical European – North Atlantic mean sea level pressure data set for 1850-2003 on a 5° latitude by longitude grid is described. This product, known as EMSLP, was produced using 86 continental and island stations distributed over the region 70° W-50° E, 25° – 70° N, blended with marine data from the International… (More)
Pregnant women attracted twice the number of Anopheles gambiae complex--the predominant African malaria-carrying mosquito--than did their non-pregnant counterparts. We postulate that physiological and behavioural changes that occur during pregnancy are responsible for increased attractiveness, which could be important in intervention strategies aimed at… (More)
BACKGROUND Incisional hernias are common complications of midline closure following abdominal surgery and cause significant morbidity, impaired quality of life and increased health care costs. The 'Hughes Repair' combines a standard mass closure with a series of horizontal and two vertical mattress sutures within a single suture. This theoretically… (More)
BACKGROUND The incidence of incisional hernias (IHs) following midline abdominal incisions is difficult to estimate. Furthermore recent analyses have reported inconsistent findings on the superiority of absorbable versus non-absorbable sutures. OBJECTIVE To estimate the mean IH rate following midline laparotomy from the published literature, to identify… (More)
We describe a case of palato-pharyngo-laryngeal myoclonus, an unusual variant of palatal myoclonus, which presented with dysphagia and dysarthria. The aetiology and presenting features of myoclonus are discussed. Various treatment options are considered.