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BACKGROUND Previous reports document visual illusions resembling hallucinogen persisting perception disorder (HPPD) after risperidone treatment in patients with histories of previous LSD exposure. METHODS We report a case with visual disturbances resembling HPPD after each of three consecutive risperidone dose increases. RESULTS Contrasting with… (More)
Joe Annandale describes how changing the respiratory nurse specialist role can improve outpatient waiting times and meet patients' needs.
The British Thoracic Society (BTS) Home Oxygen Guideline provides detailed evidence-based guidance for the use of home oxygen for patients out of hospital. Although the majority of evidence comes from the use of oxygen in patients with chronic obstructive pulmonary disease, the scope of the guidance includes patients with a variety of long-term respiratory… (More)
BACKGROUND There is increasing interest in the cardiovascular pathology independently associated with chronic obstructive pulmonary disease (COPD). We examined the influence of long-term oxygen therapy (LTOT) on heart rate (RR) and QT time-series in COPD. METHODS Ten hypoxic stable COPD patients underwent Holter ECG monitoring for 24 h and physical… (More)
BACKGROUND There is increasing interest in cardiovascular co-morbidities of chronic obstructive pulmonary disease (COPD). Heart rate turbulence (HRT) and phase-rectified signal averaging (PRSA) techniques quantify the heart's acceleration/deceleration capacities. We postulated that these methods can help assess the integrity of cardiac control in hypoxic… (More)
Chronic obstructive pulmonary disease (COPD) is a growing challenge for the NHS. New technologies, such as telehealth, offer opportunities for health and social care providers to look at innovative ways to manage the condition. Studies show telehealth services can reduce admissions and bed days, and boost patient satisfaction, but more research is needed to… (More)