1
|
Parmar K, Sonawane P, Sonawane P, Ekpeno I, Cresswell J. Assessment of the oncological safety of NICE guidelines on low risk bladder cancer surveillance. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00322-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
|
2
|
Hogg P, Cresswell J. Interprofessional research teams in radiography - where the magic happens. Radiography (Lond) 2021; 27 Suppl 1:S9-S13. [PMID: 34127374 DOI: 10.1016/j.radi.2021.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 05/13/2021] [Accepted: 05/17/2021] [Indexed: 10/21/2022]
Abstract
Based on publications and professional experiences, this article, intended for academic and clinical therapy/diagnostic radiographers, considers conducting research in interprofessional teams, including its values and how to go about achieving it. Whilst there is a growing number of journal papers published by interprofessional teams, almost nothing is published about how best to build interprofessional research relationships or harness the potential of the different professional experience to deliver novel research within the radiography literature. Thus, this article draws heavily on our experiences of creating, working within and leading interprofessional teams which have a specific focus on conducting radiography-related research. Suggestions are proposed about how to create an interprofessional research team and how to get the best out of it. Values of working within an interprofessional research team, to self, to research quality and to the end users of the research are considered.
Collapse
Affiliation(s)
- P Hogg
- University of Salford, UK.
| | | |
Collapse
|
3
|
Tan WS, Ahmad A, Feber A, Mostafid H, Cresswell J, Fankhauser CD, Waisbrod S, Hermanns T, Sasieni P, Kelly JD. Development and validation of a haematuria cancer risk score to identify patients at risk of harbouring cancer. J Intern Med 2019; 285:436-445. [PMID: 30521125 PMCID: PMC6446724 DOI: 10.1111/joim.12868] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND A lack of consensus exists amongst national guidelines regarding who should be investigated for haematuria. Type of haematuria and age-specific thresholds are frequently used to guide referral for the investigation of haematuria. OBJECTIVES To develop and externally validate the haematuria cancer risk score (HCRS) to improve patient selection for the investigation of haematuria. METHODS Development cohort comprise of 3539 prospectively recruited patients recruited at 40 UK hospitals (DETECT 1; ClinicalTrials.gov: NCT02676180) and validation cohort comprise of 656 Swiss patients. All patients were aged >18 years and referred to hospital for the evaluation of visible and nonvisible haematuria. Sensitivity and specificity of the HCRS in the validation cohort were derived from a cut-off identified from the discovery cohort. RESULTS Patient age, gender, type of haematuria and smoking history were used to develop the HCRS. HCRS validation achieves good discrimination (AUC 0.835; 95% CI: 0.789-0.880) and calibration (calibration slope = 1.215) with no significant overfitting (P = 0.151). The HCRS detected 11.4% (n = 8) more cancers which would be missed by UK National Institute for Health and Clinical Excellence guidelines. The American Urological Association guidelines would identify all cancers with a specificity of 12.6% compared to 30.5% achieved by the HCRS. All patients with upper tract cancers would have been identified. CONCLUSION The HCRS offers good discriminatory accuracy which is superior to existing guidelines. The simplicity of the model would facilitate adoption and improve patient and physician decision-making.
Collapse
Affiliation(s)
- W. S. Tan
- Division of Surgery & Interventional ScienceUniversity College LondonLondonUK
- Department of UrologyUniversity College London HospitalLondonUK
| | - A. Ahmad
- Cancer IntelligenceCancer Research UKLondonUK
| | - A. Feber
- Division of Surgery & Interventional ScienceUniversity College LondonLondonUK
- UCL Cancer InstituteLondonUK
| | - H. Mostafid
- Department of UrologyRoyal Surrey County HospitalGuildfordUK
| | - J. Cresswell
- Department of UrologyJames Cook University HospitalMiddlesbroughUK
| | - C. D. Fankhauser
- Department of UrologyUniversity Hospital ZurichUniversity of ZurichZurichSwitzerland
| | - S. Waisbrod
- Department of UrologyUniversity Hospital ZurichUniversity of ZurichZurichSwitzerland
| | - T. Hermanns
- Department of UrologyUniversity Hospital ZurichUniversity of ZurichZurichSwitzerland
| | - P. Sasieni
- Faculty of Life Sciences & MedicineSchool of Cancer & Pharmaceutical SciencesInnovation HubGuys Cancer CentreGuys HospitalKing's College LondonLondonUK
| | - J. D. Kelly
- Division of Surgery & Interventional ScienceUniversity College LondonLondonUK
- Department of UrologyUniversity College London HospitalLondonUK
| |
Collapse
|
4
|
Abstract
While on student elective from the Dental School of Bristol University, the authors had the chance to study the basic principles of traditional Chinese medicine and to observe the treatment of orofacial disease in a modern general hospital in Shanghai and in a specialist stomatological hospital at Beijing Medical University. The background to traditional herbal medicine and various forms of acupuncture encountered during their visit is discussed, as are some case histories. They report that clinical experience in China suggests that the combination of traditional Chinese and Western treatment techniques offers better results than either method alone.
Collapse
Affiliation(s)
- F Au
- Dental Students, Bristol University
| | | |
Collapse
|
5
|
Dudderidge T, Nabi G, Mom J, Umez-Eronini N, Hrouda D, Cresswell J, McCracken S. A novel non-invasive aid for bladder cancer diagnosis: A prospective, multi-centre study to evaluate the ADXBLADDER test. ACTA ACUST UNITED AC 2018. [DOI: 10.1016/s1569-9056(18)31835-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
6
|
Nikapota AD, Cresswell J, Appleyard S, Catt SL. Quality of Life after Bladder Cancer: A Prospective Study Comparing Patient-related Outcomes after Radical Surgery or Radical Radiotherapy for Bladder Cancer. Clin Oncol (R Coll Radiol) 2015; 28:373-5. [PMID: 26746001 DOI: 10.1016/j.clon.2015.12.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Revised: 11/17/2015] [Accepted: 11/19/2015] [Indexed: 11/17/2022]
Affiliation(s)
- A D Nikapota
- Sussex Cancer Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, Sussex, UK.
| | - J Cresswell
- Department of Urology, James Cook University Hospital, Middlesbrough, UK
| | - S Appleyard
- Sussex Cancer Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, Sussex, UK
| | - S L Catt
- Sussex Health Outcomes Research & Education in Cancer (SHORE-C), Brighton and Sussex Medical School, University of Sussex, Brighton, UK
| |
Collapse
|
7
|
Cavallaro F, Cresswell J, Hurt L, Kirkwood B, Ronsmans C. Wealth Disparities in Obstetric Surgery for Absolute Maternal Indications in Ghana. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
8
|
Connor J, Burgess E, Cresswell J, Righarts A, Dickson N. P04.14 Prevalence and consistency of opinions on same-sex partnerships over 12 years in a new zealand birth cohort. Br J Vener Dis 2015. [DOI: 10.1136/sextrans-2015-052270.268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
9
|
Cresswell J, Mariappan P, Thomas SA, Khan MS, Johnson MI, Fowler S. Radical cystectomy: Analysis of trends in UK practice 2004–2012, from the British Association of Urological Surgeons’ (BAUS) Section of Oncology Dataset. Journal of Clinical Urology 2015. [DOI: 10.1177/2051415815595325] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: To analyse the British Association of Urological Surgeons’ (BAUS) radical cystectomy (RC) dataset, to examine the trends in patient selection, use of neoadjuvant chemotherapy (NAC) and operative technique. Methods: Data for RC were entered into a database voluntarily, by operating surgeons. A comparison was made to the Hospital Episode Statistics (HES) data, to estimate the proportion of cases captured by the dataset. Results: From 2004 to 2012, data was collected on 5321 patients undergoing RC. This constituted 37.1% of all HES RC cases during the corresponding time period. Notable trends were: An increasing use of NAC, the introduction of minimally-invasive surgery (23.5% in 2012), a dramatic reduction in blood transfusion rates and the increasing yields from lymph node dissection. The ileal conduit urinary diversion predominated as the urinary diversion of choice (80% of cases). Conclusions: This analysis of a large multi-centre dataset provides insight into RC practice in the UK, over 8 years. The major weaknesses of the study were that only one-third of cases were recorded and that outcome data was very limited. Mandatory publication of outcome data from 2016 should increase the recording of cases and provide material for a more complete analysis.
Collapse
Affiliation(s)
- J Cresswell
- Department of Urology, James Cook University Hospital, Middlesbrough, UK
| | - P Mariappan
- Department of Urology, Western General Hospital, Edinburgh, Scotland, UK
| | - SA Thomas
- Department of Urology, Royal Derby Hospital, UK
| | - MS Khan
- Department of Urology, Guy’s Hospital, London, UK
| | - MI Johnson
- Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK
| | - S Fowler
- British Association of Urological Surgeons, London, UK
| | | |
Collapse
|
10
|
Mukhopadhyay S, Smith S, Cresswell J. Lifelong learning in obstetrics and gynaecology: how theory can influence clinical practice. J OBSTET GYNAECOL 2011; 31:476-9. [DOI: 10.3109/01443615.2011.587050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
11
|
French JJ, Cresswell J, Wong WK, Seymour K, Charnley RM, Kirby JA. T cell adhesion and cytolysis of pancreatic cancer cells: a role for E-cadherin in immunotherapy? Br J Cancer 2002; 87:1034-41. [PMID: 12434297 PMCID: PMC2364324 DOI: 10.1038/sj.bjc.6600597] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2002] [Revised: 08/19/2002] [Accepted: 08/22/2002] [Indexed: 11/09/2022] Open
Abstract
Pancreatic cancer is an aggressive and potent disease, which is largely resistant to conventional forms of treatment. However, the discovery of antigens associated with pancreatic cancer cells has recently suggested the possibility that immunotherapy might become a specific and effective therapeutic option. T cells within many epithelia, including those of the pancreas, are known to express the alphaEbeta7-integrin adhesion molecule, CD103. The only characterised ligand for CD103 is E-cadherin, an epithelial adhesion molecule which exhibits reduced expression in pancreatic cancer. In our study, CD103 was found to be expressed only by activated T cells following exposure to tumour necrosis factor beta 1, a factor produced by many cancer cells. Significantly, the expression of this integrin was restricted mainly to class I major histocompatibility complex-restricted CD8+ T cells. The human pancreatic cancer cell line Panc-1 was transfected with human E-cadherin in order to generate E-cadherin negative (wild type) and positive (transfected) sub-lines. Using a sensitive flow cytometric adhesion assay it was found that the expression of both CD103 (on T cells) and E-cadherin (on cancer cells) was essential for efficient adhesion of activated T cells to pancreatic cancer cells. This adhesion process was inhibited by the addition of antibodies specific for CD103, thereby demonstrating the importance of the CD103-->E-cadherin interaction for T-cell adhesion. Using a 51Cr-release cytotoxicity assay it was found that CD103 expressing T cells lysed E-cadherin expressing Panc-1 target cells following T cell receptor stimulation; addition of antibodies specific for CD103 significantly reduced this lysis. Furthermore, absence of either CD103 from the T cells or E-cadherin expression from the cancer cells resulted in a significant reduction in cancer cell lysis. Therefore, potentially antigenic pancreatic cancer cells could evade a local anti-cancer immune response in vivo as a consequence of their loss of E-cadherin expression; this phenotypic change may also favour metastasis by reducing homotypic adhesion between adjacent cancer cells. We conclude that effective immunotherapy is likely to require upregulation of E-cadherin expression by pancreatic cancer cells or the development of cytotoxic immune cells that are less dependent on this adhesion molecule for efficient effecter function.
Collapse
Affiliation(s)
- J J French
- Applied Immunobiology Group, Department of Surgery, The Medical School, University of Newcastle, NE2 4HH, UK
| | | | | | | | | | | |
Collapse
|
12
|
Fenner M, Cresswell J, Hurley R, Baldwin T. Relationship between capitulum size and pre-dispersal seed predation by insect larvae in common Asteraceae. Oecologia 2002; 130:72-77. [PMID: 28547027 DOI: 10.1007/s004420100773] [Citation(s) in RCA: 76] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2000] [Accepted: 07/03/2001] [Indexed: 11/29/2022]
Abstract
The evolution of a showy floral display as an advertisement to pollinators could simultaneously advertise the availability of resources to pre-dispersal seed-predators. The hypotheses tested here are that the incidence of seed predation by bud-infesting insect larvae in capitula of Asteraceae is positively related to (1) capitulum size among species, (2) capitulum size within species, (3) capitulum lifespan, and (4) the degree of flowering asynchrony on individual plants. Three populations of each of 20 common herbaceous species of Asteraceae from disturbed ground and grassland habitats were monitored for the presence of pre-dispersal, seed-eating insect larvae. Mean capitulum size (receptacle width) of each species was measured. In a sub-set of eight species, individual capitula were tagged to determine their flowering phenology and lifespan (from anthesis to seed shedding). From these data an index of flowering synchrony on individual plants was derived. Among species, the incidence of larval infestation increased with capitulum size. Small-flowered species such as Achillea millefolium were largely free of bud-infesting larvae, whilst large-flowered species such as Arctium minus were heavily infested. In three cases investigated in greater detail, bud infestation was found to increase with capitulum size within species, suggesting a potential for natural selection to favour smaller capitula. No relationship was found between infestation levels and either capitulum lifespan or degree of flowering synchrony, and there was no evidence that the relationship between capitulum size and infestation was confounded by correlations with these other features. The results support hypotheses 1 and 2, but not 3 and 4. It is suggested that the characteristic capitulum size of each species may represent a trade-off between the opposing selection pressures of pollinators and pre-dispersal seed predators.
Collapse
Affiliation(s)
- M Fenner
- School of Biological Sciences, University of Southampton, Bassett Crescent East, SO16 7PX, Southampton, UK
| | - J Cresswell
- School of Biological Sciences, University of Exeter, Hatherly Laboratories, Prince of Wales Road, EX4 4PS, Exeter, UK
| | - R Hurley
- Centre for Environmental Sciences, University of Southampton, SO17 1BJ, Southampton, UK
| | - T Baldwin
- Centre for Environmental Sciences, University of Southampton, SO17 1BJ, Southampton, UK
| |
Collapse
|
13
|
French J, Cresswell J, Wong W, Seymour K, Charnley R, Kirby J. Upper GI 05. Br J Surg 2002. [DOI: 10.1046/j.1365-2168.89.s.1.27_5.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
14
|
Cresswell J, Robertson H, Neal DE, Griffiths TR, Kirby JA. Distribution of lymphocytes of the alpha(E)beta(7) phenotype and E-cadherin in normal human urothelium and bladder carcinomas. Clin Exp Immunol 2001; 126:397-402. [PMID: 11737053 PMCID: PMC1906227 DOI: 10.1046/j.1365-2249.2001.01652.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The primary aim of this work was to survey normal urothelium and transitional cell carcinoma (TCC) for the presence of T lymphocytes expressing the intraepithelial, CD103(+) phenotype. This antigen defines the alpha(E)beta(7)-integrin. The adhesive counter-receptor for alpha(E)beta(7) is E-cadherin, which is down-regulated during cancer progression. The secondary aim was to determine the pattern of distribution of CD103(+) lymphocytes in relation to E-cadherin expression in bladder cancer. Cryostat sections of normal bladder and TCC were treated with antibodies specific for human CD103, CD3, CD8 and E-cadherin. Visualization was performed by immunoperoxidase or alkaline phosphatase development with light and confocal microscopy. Dual staining and serial sections were used to assess the relationship between these antigens. Four samples of normal bladder and 26 TCC samples were assessed. Occasional T lymphocytes (CD3(+)) were seen in normal urothelium and lamina propria. In the urothelium the majority of these T lymphocytes (71%) were also CD8(+) and of these 68% expressed the CD103 marker. In the lamina propria 62% of the T lymphocytes were CD8(+) and 56% of these expressed the CD103 marker. In carcinomas significantly greater numbers of CD103(+) T lymphocytes were present in the surrounding stroma rather than infiltrating the carcinomas (P = 0.0006). Of those T lymphocytes infiltrating the tumours, 71% were CD8(+) and of these 58% expressed CD103. In the surrounding stroma 52% of lymphocytes were CD8(+) and 82% of this subset expressed CD103. Infiltration by CD103(+) lymphocytes was not related to the intensity of E-cadherin expression. T lymphocytes of the CD103(+) phenotype are present in normal urothelium where they may play a role in immunosurveillance. Rather than infiltrating into carcinomas, these cells predominate in the surrounding stroma which could suggest a failure of immune function.
Collapse
Affiliation(s)
- J Cresswell
- Department of Surgery, The Medical School, University of Newcastle, Newcastle upon Tyne, UK.
| | | | | | | | | |
Collapse
|
15
|
Price A, Obel O, Cresswell J, Catch I, Rutter S, Barik S, Heller SR, Weetman AP. Comparison of thyroid function in pregnant and non-pregnant Asian and western Caucasian women. Clin Chim Acta 2001; 308:91-8. [PMID: 11412820 DOI: 10.1016/s0009-8981(01)00470-3] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
BACKGROUND Gestational thyrotoxicosis may be more prevalent in Asian women. METHODS We have measured thyroid function, ferritin and bone specific alkaline phosphatase (BALP) as peripheral markers of thyroid function and hCG in Asian and western Caucasian women in non-pregnant and early pregnancy. RESULTS TSH was lower in Asian women in non-pregnancy but not during normal pregnancy and this may reflect increased sensitivity of the thyroid gland to thyroid stimulation in the Asian population. No ethnic difference was found in FT3, FT4 or hCG but ferritin was lower and BALP higher in Asian women whether pregnant or not and this may be a reflection of iron balance and vitamin D status. CONCLUSIONS We found during normal pregnancy that dynamic patterns of change for thyroid hormones and hCG are not different in Asian and western Caucasian women. We have developed gestation related reference intervals, which are a pre-requisite to the study of ethnic differences in gestation thyrotoxicosis in pregnancy.
Collapse
Affiliation(s)
- A Price
- Department of Clinical Chemistry, Northern General Hospital NHS Trust, Herries Road, Sheffield S5 7AU, UK.
| | | | | | | | | | | | | | | |
Collapse
|
16
|
Abstract
This qualitative study sought to evaluate the effects of shiatsu therapy on clients attending hospice day services. Eleven clients with advanced progressive disease received five therapy sessions each at weekly intervals. Data about the effects was collected through five unstructured interviews with each client. Four of these were conducted before, during, and shortly after the therapy regime, and the fifth was undertaken four weeks after treatment ended. All the interviews were tape-recorded, transcribed and subject to content analysis. The results of the analysis revealed significant improvements in energy levels, relaxation, confidence, symptom control, clarity of thought and mobility. These benefits were of variable duration - in some instances lasting a few hours but in others extending beyond the 5-week treatment regime. Action to ensure research trustworthiness included keeping research journals to provide an audit trail, conducting member checks and using peer debriefing. The study involved three overlapping cohorts of participants in a data collection period that took approximately 6 months.
Collapse
|
17
|
Cresswell J, Roberts JT, Neal DE. Urethral recurrence after radical radiotherapy for bladder cancer. J Urol 2001; 165:1135-7. [PMID: 11257654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
PURPOSE Following cystectomy for bladder cancer, orthotopic reconstruction may result in a decreased risk of urethral recurrence compared to cutaneous diversion. We evaluate the rate of urethral recurrence after radical external beam radiotherapy. MATERIALS AND METHODS We reviewed the records of 214 men who had received radical radiotherapy at a single center from 1990 to 1995. Patients treated with chemotherapy were excluded from study. RESULTS A total of 214 men (median age 69 years, range 39 to 86) underwent radical radiotherapy for cure. Tumor stages were T1 in 7%, T2 in 41%, T3 in 42% and T4a in 10% of the patients. Median followup was 32 months (range 1 month to 8.4 years) and 5-year survival rate was 30%. Urethral recurrence developed in 7 (3.2%) cases and was detected within 18 months (median 10 months, range 3 months to 5 years) of followup in 5. In 2 of these 7 cases recurrence developed in the prostatic urethra, and when these 2 cases were excluded from analysis the recurrence rate decreased to 2.3%. A total of 64 men completed 5-year followup, with a 4.7% rate of urethral recurrence (3.1% excluding prostatic urethral recurrence). Multifocal disease, bladder neck involvement, prostatic disease and cis were possible risk factors for urethral recurrence. CONCLUSIONS The risk of urethral recurrence after radical radiotherapy for transitional cell carcinoma of the bladder is comparable with that reported after orthotopic reconstruction. It is not possible to exclude completely that men at higher risk were offered cystectomy, but the data are consistent with the suggestion that continued contact with urine may be protective.
Collapse
Affiliation(s)
- J Cresswell
- Department of Surgery, The Medical School, University of Newcastle, Newcastle upon Tyne, United Kingdom
| | | | | |
Collapse
|
18
|
Cresswell J. Smoking cessation and cancer: ways of discouraging tobacco use. Prof Nurse 2001; 16:1141-3. [PMID: 12029959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
|
19
|
Cresswell J. National Service Frameworks: producing quality cardiac care. Prof Nurse 2001; 16:1018-9. [PMID: 12029727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
|
20
|
Cresswell J. Budget busters. Community Nurse 1999; 5:10. [PMID: 10732567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
|
21
|
Cresswell J. The real horrors. Community Nurse 1999; 5:10. [PMID: 10732568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
|
22
|
Cresswell J. National asset. Community Nurse 1999; 5:10. [PMID: 10732555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
|
23
|
Cresswell J. Give practice nurses their due. Community Nurse 1999; 5:10. [PMID: 10732554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
|
24
|
Cresswell J. Promises, promises, promises.... Community Nurse 1999; 5:10. [PMID: 10524033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
25
|
Cresswell J. Easing that itch ... treatments for lice and scabies. Community Nurse 1999; 5:29-30. [PMID: 10524037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
26
|
Cresswell J. Crown Review II report: the issues facing prescribers. Community Nurse 1999; 5:37-8. [PMID: 10524039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
27
|
Cresswell J. A valuable message. Community Nurse 1999; 5:8. [PMID: 10524020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
28
|
Cresswell J. Hypertension: only the tip of the iceberg. Community Nurse 1999; 5:30-1. [PMID: 10524028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
29
|
Cresswell J. A strategic plan. Community Nurse 1999; 5:10. [PMID: 10513542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
|
30
|
Cresswell J. A weighty issue. Community Nurse 1999; 5:10. [PMID: 10513530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
31
|
Cresswell J. Practice nurses = quality service. Community Nurse 1999; 5:10. [PMID: 10513529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
32
|
Cresswell J. The changing face of district nursing services. Community Nurse 1999; 5:13-4. [PMID: 10513517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
33
|
Cresswell J. Crown Review: a framework and policy for prescribing. Community Nurse 1999; 5:47-8. [PMID: 10513526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
34
|
Cresswell J. It's getting there. Community Nurse 1999; 5:10. [PMID: 10513516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
35
|
Cresswell J. You reap what you sow. Community Nurse 1999; 5:10. [PMID: 10513515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
|
36
|
Cresswell J. Smoking cessation: a job for the health professional. Community Nurse 1999; 5:13-4. [PMID: 10326411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
|
37
|
Cresswell J. New guidelines on venous leg ulcer management. Community Nurse 1999; 5:53-5. [PMID: 10326410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
|
38
|
Cresswell J. Fungal skin infections: what the nurses thought. Community Nurse 1998; 4:30-1. [PMID: 10326379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
|
39
|
Cresswell J. Domestic violence. The extent of the problem. Community Nurse 1998; 4:13-4, 17. [PMID: 10326375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
|
40
|
Cresswell J. A timely booster. Community Nurse 1998; 4:8. [PMID: 9763984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
41
|
Cresswell J. A force to be reckoned with. Community Nurse 1998; 4:10. [PMID: 9763974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/11/2023]
|
42
|
Cresswell J. The NHS--taking a look back. Community Nurse 1998; 4:26-8. [PMID: 9763978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
43
|
Cresswell J. Let's focus on the real issues. Community Nurse 1998; 4:10. [PMID: 9763962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
44
|
Cresswell J. Harsh cuts. Community Nurse 1998; 4:10. [PMID: 9763963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
45
|
Cresswell J. A cover-up operation to target sunseekers. Community Nurse 1998; 4:25-8. [PMID: 9763967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
Although the link between sun and skin cancer is well known, many people still ignore this fact in the pursuit of a 'healthy' tan. Jackie Cresswell highlights the dangers and looks at the risks.
Collapse
|
46
|
Cresswell J. Group protocols and the law. Community Nurse 1998; 4:37-9. [PMID: 9763969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
47
|
Cresswell J. Strike while the iron's hot. Community Nurse 1998; 4:11. [PMID: 9763949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
48
|
Cresswell J. A fast service from nurses. Community Nurse 1998; 4:12-3. [PMID: 9763951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
49
|
Cresswell J. Twilight zones. Community Nurse 1998; 4:11. [PMID: 9763950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
50
|
Cresswell J. A fight on our hands. Community Nurse 1998; 4:11. [PMID: 9763937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|