Type of publication:
Journal article
Author(s):
Yao, Alexander; *Richards, Emma; Dalton, C Lucy.
Citation:
Journal of Laryngology & Otology. 1-22, 2024 Feb 14.
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Type of publication:
Journal article
Author(s):
Yao, Alexander; *Richards, Emma; Dalton, C Lucy.
Citation:
Journal of Laryngology & Otology. 1-22, 2024 Feb 14.
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Type of publication:
Journal article
Author(s):
*Nwaneri, Chukwuemeka; *Aboshehata, Ahmed M; *Marsh, Adrian R.
Citation:
Cureus. 16(1):e51954, 2024 Jan.
Abstract:
It is well documented that prolonged immobilization and heavy alcohol consumption can independently cause rhabdomyolysis; however, entrapment on a fence following alcohol consumption resulting in rhabdomyolysis without prolonged coma or seizures has not been reported. We report a case of a 25-year-old man who, following alcohol consumption, whilst attempting to climb a fence, became entrapped and desperately had to clinch on the fence with both forearms for over three hours, resulting in rhabdomyolysis. This case report highlights the importance of recognizing the potential complications associated with prolonged immobilization and the subsequent management of rhabdomyolysis.
Link to full-text [open access - no password required]
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Type of publication:
Journal article
Author(s):
Holt, Simon; Verrill, Mark; *Pettit, Laura; Rigg, Anna; Hickish, Tamas; Archer, Caroline; Dent, Jo; Dillon, Marianne; Nathan, Mark; Barthelmes, Ludger; Rehman, Shazza; Sharaiha, Yousef; Innis, Paige; Sai-Giridhar, Priya; Khawaja, Saira.
Citation:
British Journal of Cancer. 2024 Feb 02.
Abstract:
BACKGROUND: For a tumour profiling test to be of value, it needs to demonstrate that it is changing clinical decisions, improving clinical confidence, and of economic benefit. This trial evaluated the use of the Oncotype DX Breast Recurrence Score R assay against these criteria in 680 women with hormone receptor-positive (HR+), HER2-negative early breast cancer with 1-3 lymph nodes positive (LN+) in the UK National Health Service (NHS). METHODS: Prior to receipt of the Recurrence Score (RS) result, both the physician and the patient were asked to state their preference for or against chemotherapy and their level of confidence on a scale of 1-5. Following receipt of the RS result, the physician and patient were asked to make a final decision regarding chemotherapy and record their post-test level of confidence. RESULTS: Receipt of the RS result led to a 51.5% (95% CI, 47.2-55.8%) reduction in chemotherapy, significantly increased the relative and absolute confidence for both physicians and patients and led to an estimated saving to the NHS of 787 per patient. CONCLUSION: The use of the Oncotype DX assay fulfils the criteria of changing clinical decisions, improving confidence and saving money.
Link to full-text [open access - no password required]
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Type of publication:
Journal article
Author(s):
*Crooks S.A.; *Paavana T.; *Heaver C.
Citation:
Orthopaedics and Trauma. 38(1) (pp 56-64), 2024. Date of Publication: February 2024.
Abstract:
Exertional leg pain is a common problem in the athletic population, presenting with a constellation of similar symptoms. Delayed or incorrect diagnosis and treatment may result in significant morbidity and avoidable cessation of activity. Multiple causes such as chronic exertional compartment syndrome (CECS), medial tibial stress syndrome (MTSS), nerve or vascular entrapment syndromes may be responsible. A thorough history and focused clinical examination is mandated, and may yield clues as to the definitive diagnosis. Investigative adjuncts include imaging, compartment pressure measurement and electrodiagnostic studies. Whilst specific management depends on the underlying cause, the mainstay of initial management is activity modification, with surgery reserved for those who fail to respond to conservative measures.
Type of publication:
Service improvement case study
Author(s):
*Stacy Durnall
Citation:
SaTH Improvement Hub, March 2024
Abstract:
To increase discharge profile of pre 12pm discharges to 33% by 14th January 2024.
Type of publication:
Service improvement case study
Author(s):
*Kallum Claire
Citation:
SaTH Improvement Hub, April 2024
Abstract:
I aim to improve completion of the adult mental health triage form in SaTH ED by 20% by 31/05/2023 through the use of a poster, which will highlight the necessity of completion as well as serving as a reminder for staff to complete paperwork in the correct manner.
Type of publication:
Service improvement case study
Author(s):
*Emma Salvoni
Citation:
SaTH Improvement Hub, February 2024
Abstract:
To reduce the time taken to get the keys to the drugs cupboard in SAU assessment area by one hour a day by January 2024.
Type of publication:
Service improvement case study
Author(s):
*Beth Toop
Citation:
SaTH Improvement Hub, February 2024
Abstract:
To decrease the number of errors or missing patient identification wristbands on Ward 24 by 50% by the end of November 2024 as evidenced by data collected by phlebotomy service.
Type of publication:
Service improvement case study
Author(s):
*Oleg Lujanschi
Citation:
SaTH Improvement Hub, November 2023
Abstract:
To improve the assessment and provision of analgesia (where required) for patients presenting in ED with a suspected Neck of Femur Fracture to ensure all patients meet the national standard by 15 December 2023. Additionally, the aim is to improve the percentage of patients who receive an x-ray when presenting to ED with a suspected Neck of Femur Fracture in line with the national standard of 90 minutes by 15 December 2023.
Type of publication:
Service improvement case study
Author(s):
*Layla Brice
Citation:
SaTH Improvement Hub, December 2023
Abstract:
To improve the drugs round process to facilitate improved patient care. Standardisation of ward 27 drugs trolley to focus on improving patient and staff experience by the end of January 2023