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OBJECTIVE To evaluate different methods for community based screening for sight threatening diabetic eye disease. DESIGN Prospective study. SETTING Mobile screening unit visiting inner city community clinics; hospital assessment clinic (tertiary centre). SUBJECTS 395 diabetic patients registered with four general practices in an inner city location.(More)
OBJECTIVE To measure the cost effectiveness of systematic photographic screening for sight threatening diabetic eye disease compared with existing practice. DESIGN Cost effectiveness analysis. SETTING Liverpool. SUBJECTS A target population of 5000 diabetic patients invited for screening. MAIN OUTCOME MEASURES Cost effectiveness (cost per true(More)
AIMS Large-scale, baseline prevalence measurements in a population at the institution of systematic retinal screening are currently unavailable. We report the prevalence of all grades of retinopathy at entry into a systematic primary care-based diabetic eye screening programme. METHODS Primary care-based photographic screening utilizing mydriasis and(More)
The purpose of this study was to determine whether a short period (5 days) of night-shift work affected the pituitary-adrenal responses to CRH. Ten nurses (8 female and 2 male; age 28.1 +/- 1.7 yr: mean +/- SEM) working at the Royal Liverpool University Hospital, and who regularly undertook periods of night and day shift work were enrolled. Measurements(More)
A patient with a pituitary adenoma secreting follicle-stimulating hormone with co-existent primary hyperaldosteronism is described. After his second transsphenoidal surgery, the patient developed a Staphylococcus aureus pituitary abscess. Symptoms improved after abscess drainage. Subsequent cabergoline therapy arrested the deterioration of symptoms. and(More)
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