Search

Your search keyword '"L. C. Beishon"' showing total 2 results
Start Over Author "L. C. Beishon"
2 results on '"L. C. Beishon"'

1. Clinical effectiveness

Author

A. Abdullah, A. N. Omar, R. Mulcahy, A. Clapp, E. Tullo, D. Carrick-Sen, J. Newton, B. Hirst, V. Krishnaswami, A. Foster, D. Vahidassr, T. Chavan, A. Matthew, C. P. Trolan, C. Steel, G. Ellis, D. J. Ahearn, K. Lotha, P. Shukla, D. R. Bourne, A. Mathur, K. Musarrat, A. Patel, G. Nicholson, E. Nelson, S. McNicholl, H. McKee, J. Cuthbertson, E. Lunt, S. Lee, J. Okeke, J. Daniel, A. Naseem, S. Ramakrishna, I. Singh, J. R. Barker, A. J. Weatherburn, L. Thornton, C. Holly, J. Jones, A. Varanasi, A. Verma, J. A. H. Foster, C. Carmichael, C. Cawston, S. Homewood, M. Leitch, J. Martin, J. McDicken, J. Lonnen, J. Bishop-Miller, L. C. Beishon, J. K. Harrison, S. P. Conroy, J. R. F. Gladman, J. Sim, F. Byrne, J. Currie, S. Ollman, S. Brown, M. Wilkinson, A. Manoj, F. Hussain, A. Druhan, M. Thompson, J. Tsang, J. Soh, C. Offiah, T. Coughlan, P. O'Brien, D. J. H. McCabe, S. Murphy, J. McManus, D. O'Neill, D. R. Collins, K. Warburton, N. Maini, A.- L. Cunnington, P. Mathew, K. Hoyles, M. Lythgoe, H. Brewer, J. Western-Price, K. Colquhoun, K. Ramdoo, J. Bowen, O. T. Dale, R. Corbridge, A. Chatterjee, M. A. Gosney, L. Richardson, L. Daunt, A. Ali, R. Harwood, L. A. Beveridge, J. Harper, L. D. Williamson, J. S. T. Bowen, L. Wentworth, K. Wardle, J. Ruddlesdin, S. Baht, N. Roberts, O. Corrado, J. Morell, P. Baker, N. Whiller, I. Wilkinson, M. Barber, A. Maclean, J. Frieslick, A. Reoch, A. McSorley, A. Crawford, S. Sarup, A. Niruban, J. D. Edwards, S. J. Bailey, H. M. May, P. Mathieson, H. Jones, R. Ray, R. Prettyman, R. Gibson, A. Heaney, K. Hull, B. Manku, S. Bellary, S. Ninan, G. Chhokar, D. Sweeney, W. Nivatongs, S. Y. Wong, T. Aung, T. Kalsi, G. Babic-Illman, D. Harari, M. Aljaizani, A. T. Pattison, J. Fox, S. Reilly, V. Chauhan, M. Azad, J. Youde, J. Lagan, H. Cooper, D. Komrower, V. Price, C. B. von Stempel, B. Gilbert, N. Bouwmeester, H. W. Jones, T. Win, C. Weekes, R. Hodgkinson, S. Walker, K. Le Ball, and Z. N. Muir

Subjects
Aging, Pediatrics, medicine.medical_specialty, Type 1 diabetes, Health professionals, Demographics, business.industry, General Medicine, medicine.disease, Diabetes mellitus, medicine, Physical therapy, Hypoglycaemic episode, Outpatient clinic, Analysis of variance, Geriatrics and Gerontology, business, Older people
Abstract

Introduction: Although older individuals are more prone to hypoglycaemia, it is not known if they have sufficient understanding of the risks of hypoglycaemia or the factors that predispose to it. We evaluated the effectiveness of hypoglycaemia education and examined the factors that increased susceptibility to hypoglycaemia among older people with diabetes. Methods: Forty-five patients (male/female) aged >65 years and known to have diabetes were identified through outpatient clinics at a secondary care hospital. Information relating to education received, awareness of hypoglycaemia and associated risk factors was collected using a standard questionnaire. Additionally, data regarding demographics, treatment regimes, patient attitudes, hypoglycaemic awareness and risks and barriers to self-management of diabetes was collected. Patients were categorised as low, moderate and high risk based on their responses. Independent sample t-tests and Analysis of Variance were carried out to identify factors contributing to high hypoglycaemic risk. Results: Overall, 70% of the patients reported receiving education about hypoglycaemia from health professionals and 95% of them reported good understanding of hypoglycaemia and were able to self-test. Proportion of women receiving education was, however, lower than men (52% women versus 88% men). Compared with men, women were less likely to recognise (59 versus 73%), or act appropriately to a hypoglycaemic episode (59 versus 78%). The mean number of hypoglycaemic episodes per year (41 versus 12) and the duration of hypoglycaemia (9.9 versus 6.3 min) was also greater among women compared with men. The duration of diabetes (P = 0.018), female gender, type 1 diabetes (0.002) and lack awareness of medications causing hypos (P = 0.006) were strong predictors of hypoglycaemia risk. Conclusions: There are significant gaps in education around hypoglycaemia in older people with diabetes. Women, people with longer duration and type 1 diabetes in particular, need additional attention and future educational initiatives need to address these issues.

Published
2013
Full Text
View/download PDF

2. Neurovascular coupling methods in healthy individuals using transcranial doppler ultrasonography: A systematic review and consensus agreement.

Author

Ball JD, Hills E, Altaf A, Ramesh P, Green M, Surti FB, Minhas JS, Robinson TG, Bond B, Lester A, Hoiland R, Klein T, Liu J, Nasr N, Junejo RT, Müller M, Lecchini-Visintini A, Mitsis G, Burma JS, Smirl JD, Pizzi MA, Manquat E, Lucas SJ, Mullinger KJ, Mayhew S, Bailey DM, Rodrigues G, Soares PP, Phillips AA, Prokopiou PC, and C Beishon L

Subjects
Humans, Consensus, Healthy Volunteers, Ultrasonography, Doppler, Transcranial methods, Neurovascular Coupling physiology, Cerebrovascular Circulation physiology
Abstract

Neurovascular coupling (NVC) is the perturbation of cerebral blood flow (CBF) to meet varying metabolic demands induced by various levels of neural activity. NVC may be assessed by Transcranial Doppler ultrasonography (TCD), using task activation protocols, but with significant methodological heterogeneity between studies, hindering cross-study comparisons. Therefore, this review aimed to summarise and compare available methods for TCD-based healthy NVC assessments. Medline (Ovid), Scopus, Web of Science, EMBASE (Ovid) and CINAHL were searched using a predefined search strategy (PROSPERO: CRD42019153228), generating 6006 articles. Included studies contained TCD-based assessments of NVC in healthy adults. Study quality was assessed using a checklist, and findings were synthesised narratively. 76 studies (2697 participants) met the review criteria. There was significant heterogeneity in the participant position used (e.g., seated vs supine), in TCD equipment, and vessel insonated (e.g. middle, posterior, and anterior cerebral arteries). Larger, more significant, TCD-based NVC responses typically included a seated position, baseline durations >one-minute, extraneous light control, and implementation of previously validated protocols. In addition, complementary, combined position, vessel insonated and stimulation type protocols were associated with more significant NVC results. Recommendations are detailed here, but further investigation is required in patient populations, for further optimisation of TCD-based NVC assessments., Competing Interests: Data availabilityThis was a systematic review of existing research studies and no primary research was conducted. Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Published
2024
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results