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  1. Article: Urinary tract cancers: An overview for general practice.

    Yaxley, Julian P

    Journal of family medicine and primary care

    2017  Volume 5, Issue 3, Page(s) 533–538

    Abstract: Urinary tract cancers are common and comprise a gamut of lesions ranging from small benign tumors to aggressive neoplasms with high mortality. The predominant urinary tract malignancy is bladder cancer. The clinical challenge is early detection and ... ...

    Abstract Urinary tract cancers are common and comprise a gamut of lesions ranging from small benign tumors to aggressive neoplasms with high mortality. The predominant urinary tract malignancy is bladder cancer. The clinical challenge is early detection and adequate follow-up because recurrence is high and delayed diagnosis is associated with poor prognosis. Primary care physicians form a key part of the management apparatus for these patients and may be responsible for ensuring adequate ongoing surveillance. This article aims to outline the evaluation of patients in whom urinary tract cancer is suspected and briefly review the general principles of treatment.
    Language English
    Publishing date 2017-01-17
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 2735275-4
    ISSN 2278-7135 ; 2249-4863
    ISSN (online) 2278-7135
    ISSN 2249-4863
    DOI 10.4103/2249-4863.197258
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Prescribing patterns of nebulized bronchodilators: A prospective chart review.

    Yaxley, Julian P

    Journal of family medicine and primary care

    2016  Volume 5, Issue 2, Page(s) 501–502

    Language English
    Publishing date 2016-09-27
    Publishing country India
    Document type Journal Article
    ZDB-ID 2735275-4
    ISSN 2278-7135 ; 2249-4863
    ISSN (online) 2278-7135
    ISSN 2249-4863
    DOI 10.4103/2249-4863.192330
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Resistant hypertension: an approach to management in primary care.

    Yaxley, Julian P / Thambar, Sam V

    Journal of family medicine and primary care

    2015  Volume 4, Issue 2, Page(s) 193–199

    Abstract: Hypertension is widely encountered in family medicine. Despite its prevalence, many patients have uncontrolled or difficult-to-control blood pressure. Resistant hypertension is defined as hypertension that is poorly responsive to treatment and requires ... ...

    Abstract Hypertension is widely encountered in family medicine. Despite its prevalence, many patients have uncontrolled or difficult-to-control blood pressure. Resistant hypertension is defined as hypertension that is poorly responsive to treatment and requires the use of multiple medications to achieve acceptable blood pressure ranges. It may be a consequence of secondary hypertension or have no identifiable cause. Resistant hypertension is important to recognise because it places patients at risk of end-organ damage. Primary care physicians should be aware of the therapeutic approach for hypertension when traditional therapy fails. This article aims to familiarise readers with the evaluation and management of resistant hypertension by outlining the most recent evidence-based treatment options.
    Language English
    Publishing date 2015-01-22
    Publishing country India
    Document type Journal Article
    ZDB-ID 2735275-4
    ISSN 2278-7135 ; 2249-4863
    ISSN (online) 2278-7135
    ISSN 2249-4863
    DOI 10.4103/2249-4863.154630
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Electrical burn causing a unique pattern of neurological injury.

    Schaefer, Nathan R / Yaxley, Julian P / O'Donohue, Peter / Lisec, Carl / Jeyarajan, Eshwarshanker

    Plastic and reconstructive surgery. Global open

    2015  Volume 3, Issue 4, Page(s) e378

    Abstract: Neurological involvement is not uncommon in patients who sustain electrical injury. The exact mechanism of nervous system damage following electrical trauma is not fully understood. The gamut of possible neurologic manifestations following electrical ... ...

    Abstract Neurological involvement is not uncommon in patients who sustain electrical injury. The exact mechanism of nervous system damage following electrical trauma is not fully understood. The gamut of possible neurologic manifestations following electrical injury is diverse. This case report describes a young man with a unique pattern of neurological injury following an electrical burn. The combination of brachial plexopathy, partial Horner's syndrome, and phrenic nerve palsy secondary to electrical injury has not been previously described in the literature.
    Language English
    Publishing date 2015-05-07
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000000344
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Long-term outcomes of high-dose-rate brachytherapy for intermediate- and high-risk prostate cancer with a median follow-up of 10 years.

    Yaxley, John W / Lah, Kevin / Yaxley, Julian P / Gardiner, Robert A / Samaratunga, Hema / MacKean, James

    BJU international

    2017  Volume 120, Issue 1, Page(s) 56–60

    Abstract: Objective: To evaluate the long-term outcomes of high-dose-rate (HDR) brachytherapy for patients with intermediate- and high-risk prostate cancer.: Subjects and methods: We retrospectively analysed a prospective longitudinal cohort database including ...

    Abstract Objective: To evaluate the long-term outcomes of high-dose-rate (HDR) brachytherapy for patients with intermediate- and high-risk prostate cancer.
    Subjects and methods: We retrospectively analysed a prospective longitudinal cohort database including a single-surgeon series of 507 consecutive men treated with external beam radiotherapy and an HDR prostate brachytherapy boost between August 2000 and December 2009. The risk factors used were based on the D'Amico classification. We measured the incidence of no biochemical evidence of disease (bNED) based on the Phoenix definition of failure (nadir PSA + 2 ng/mL). We also reviewed the incidence of urethral stricture in this cohort.
    Results: With minimum and median follow-ups of 6 and 10.3 years, respectively, the bNED rates for men with intermediate- and high risk disease were 93.3% and 74.2%, respectively, at 5 years and 86.9% and 56.1%, respectively, at 10 years. The 10-year bNED rate for men with only one intermediate-risk factor was 94%, whereas for patients with all three high-risk factors it was 39.5%. The overall urethral stricture rate was 13.6%. Before 2005, the urethral stricture rate was 28.9% and after January 2005 it was 4.2%. For the 271 men with a minimum follow-up of 10 years the actuarial 10-year prostate cancer-specific survival rate was 90.8% and the actuarial overall survival rate was 86.7%.
    Conclusions: For men with intermediate- or high-risk prostate cancer features, who are considered not suitable for, or wish to avoid a radical prostatectomy, HDR prostate brachytherapy remains an appropriate treatment option. From December 2004, prevention strategies decreased the risk of post-brachytherapy urethral strictures.
    MeSH term(s) Aged ; Brachytherapy/adverse effects ; Brachytherapy/methods ; Dose Fractionation ; Dose-Response Relationship, Radiation ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Neoplasm Recurrence, Local/prevention & control ; Prostatic Neoplasms/mortality ; Prostatic Neoplasms/pathology ; Prostatic Neoplasms/radiotherapy ; Radiation Dosage ; Retrospective Studies ; Risk Assessment ; Survival Analysis ; Survival Rate ; Treatment Outcome
    Language English
    Publishing date 2017-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.13659
    Database MEDical Literature Analysis and Retrieval System OnLINE

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