Paul Hughes

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OBJECTIVE To determine whether to use (18) F-fluorodeoxyglucose positron emission tomography (FDG PET) scans in the preoperative staging of bladder cancer (BC). PATIENTS AND METHODS In all, 233 patients with muscle-invasive BC (MIBC) or high-risk non-MIBC being considered for radical cystectomy (RC) between 2005 and 2011 had FDG-PET and computed(More)
BACKGROUND Rapid Response Teams aim to accelerate recognition and treatment of acutely unwell patients. Delays in delivery might undermine efficiency of the intervention. Our understanding of the causes of these delays is, as yet, incomplete. AIM To identify modifiable causes of delays in the treatment of critically ill patients outside intensive care(More)
Cataract surgery remains the most widely performed intraocular procedure throughout the world. Safety and accuracy of the procedure are paramount and techniques should remain under constant review. Recently, the introduction of the femtosecond laser to assist cataract surgery has provided ophthalmologists with an exciting tool that may further improve(More)
PURPOSE OF REVIEW Emerging data in the peer-reviewed literature indicate that femtosecond laser-assisted cataract surgery (LCS) is a well tolerated and effective alternative to conventional phacoemulsification. Initial reports have largely been based on findings from an optimal patient selection. As confidence with the technology has grown, clinical(More)
AFL football is a team sport that entertains millions and contributes a huge amount of money to the Australian economy. Scheduling games in the AFL is difficult, as a number of different, often conflicting, factors must be considered. In this paper, we propose the use of a multi-objective evolutionary algorithm for determining such a schedule. We detail the(More)
On this 35th anniversary of the enact­ ment of Medicaid, it is important to reflect on the program’s role in the U.S. health care system. The Medicaid program is the third largest source of health insurance in the United States—after employer-based coverage and Medicare. The significance of Medicaid’s role in providing health insur­ ance cannot be(More)
Recent environmental turbulence including financial crisis, intensified competitive forces, rapid technological change and high market turbulence have dramatically changed the current business climate. The managers firms have to plan and decide what the best approaches that best fit their firms in order to pursue superior performance. This research aims to(More)
The lower fill of a 14th-16th century garderobe contained food plants, some indication of waste ground vegetation, and lumps of fen peat. There were numerous mud rush, Juncus gerardi, fruits, perhaps from floor debris since >house fauna= insects were abundant, but conceivably indicating flooding by brackish water. Other wetland biota were also present. The(More)