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Surgery in the United Kingdom

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https://www.readbyqxmd.com/read/28630768/plastic-surgery-inclusion-in-the-undergraduate-medical-curriculum-perception-challenges-and-career-choice-a-comparative-study
#1
M Farid, R Vaughan, S Thomas
OBJECTIVE: The undergraduate medical curriculum has been overcrowded with core learning outcomes with no formal exposure to plastic surgery. The aim of this study was to compare medical students from two educational settings for the basic understanding, preferred learning method, and factors influencing a career choice in plastic surgery. DESIGN AND SETTING: A prospective cohort study based on a web-based anonymous questionnaire sent to final year medical students at Birmingham University (United Kingdom), McGill University (Canada), and a control group (non-medical staff)...
2017: Plastic Surgery International
https://www.readbyqxmd.com/read/28610601/positioning-in-macular-hole-surgery-pims-statistical-analysis-plan-for-a-randomised-controlled-trial
#2
Lauren Bell, Richard Hooper, Catey Bunce, Saruban Pasu, James Bainbridge
BACKGROUND: The treatment of idiopathic full-thickness macular holes involves surgery to close the hole. Some surgeons advise patients to adopt a face-down position to increase the likelihood of successful macular hole closure. However, patients often find the face-down positioning arduous. There is a lack of conclusive evidence that face-down positioning improves the outcome. The 'Positioning In Macular hole Surgery' (PIMS) trial will assess whether advice to position face-down after surgery improves the surgical success rate for the closure of large (≥400 μm) macular holes...
June 13, 2017: Trials
https://www.readbyqxmd.com/read/28602330/mean-shape-of-the-human-limbus
#3
Alejandra Consejo, Clara Llorens-Quintana, Hema Radhakrishnan, D Robert Iskander
PURPOSE: To characterize the mean topographic shape of the limbus of a normal human eye and determine whether it depends on age or refractive power. SETTING: University of Manchester, Manchester, United Kingdom. DESIGN: Prospective case series. METHODS: Participants with no previous ocular surgeries were included in this study. The left eye was measured with a corneoscleral topographer (Eye Surface Profiler). From the raw anterior eye height data, the topographic limbus was demarcated and fitted in 3 dimensions to a circle, an ellipse, and a Fourier series...
May 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28576203/trends-in-pediatric-strabismus-surgery-in-the-new-millennium-influence-of-funding-and-perceived-benefits-of-surgery
#4
Andrei-Alexandru Szigiato, Meggie Caldwell, Yvonne M Buys, Kamiar Mireskandari
OBJECTIVE: The rate of strabismus surgery was previously reported to be decreasing in the United Kingdom and Ontario. Data on the influence of government funding on surgical trends and recent population trends for surgery in pediatric patients in Canada are limited. This study aims to analyze the trend in pediatric strabismus procedures in Ontario from 2000 to 2013. DESIGN: A population based, retrospective data analysis. METHODS: An analysis of the yearly volume of strabismus procedures in the pediatric population of Ontario was performed, subdivided by number of muscles repaired and repeat procedures...
June 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28572042/an-analysis-of-the-operative-experience-of-plastic-surgery-trainees-in-the-united-kingdom-using-elogbook
#5
Lyndsey Highton, Andrew Lamb, Aidan Fitzgerald, Simon Wood, Vivien Lees, Robert Winterton
INTRODUCTION: We performed a comprehensive analysis of the operative experience of UK Plastic Surgery Trainees using the web-based eLogbook. METHODS: An analysis of data recorded prospectively by Plastic Surgery Registrars 2010-2014 in eLogbook. RESULTS: The eLogbook data of 336 Specialty Registrars entered from 2010 to 2014 was analysed. Over the six-year training programme, trainees participated in a mean of 2117 procedures and performed a mean of 1571 procedures with or without supervision...
May 22, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28566398/discharge-on-the-day-of-surgery-following-unicompartmental-knee-arthroplasty-within-the-united-kingdom-nhs
#6
B Bradley, S Middleton, N Davis, M Williams, M Stocker, M Hockings, D L Isaac
AIMS: Unicompartmental knee arthroplasty (UKA) has been successfully performed in the United States healthcare system on outpatients. Despite differences in healthcare structure and financial environment, we hypothesised that it would be feasible to replicate this success and perform UKA with safe day of surgery discharge within the NHS, in the United Kingdom. This has not been reported in any other United Kingdom centres. PATIENTS AND METHODS: We report our experience of implementing a pathway to allow safe day of surgery discharge following UKA...
June 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28549283/the-use-of-foot-pumps-compression-devices-in-the-perioperative-management-of-ankle-fractures-systematic-review-of-the-current-literature
#7
REVIEW
Rachel Clarkson, Samer S S Mahmoud, Amar Rangan, William Eardley, Paul Baker
BACKGROUND: Ankle fractures account for 9% of all fractures seen in the United Kingdom. 15,000 of these fractures undergo operative fixation each year. Soft tissue swelling impacts on timing of fixation due to fears of infection and wound dehiscence. The use of arterio-venous foot pumps (AVFP) is increasing in this population although the evidence for their efficacy is unclear. In order to address this, we present an overview of the evidence for AVFP device use following ankle fracture...
March 10, 2017: Foot
https://www.readbyqxmd.com/read/28545607/dynamically-weighted-evolutionary-ordinal-neural-network-for-solving-an-imbalanced-liver-transplantation-problem
#8
Manuel Dorado-Moreno, María Pérez-Ortiz, Pedro A Gutiérrez, Rubén Ciria, Javier Briceño, César Hervás-Martínez
OBJECTIVE: Create an efficient decision-support model to assist medical experts in the process of organ allocation in liver transplantation. The mathematical model proposed here uses different sources of information to predict the probability of organ survival at different thresholds for each donor-recipient pair considered. Currently, this decision is mainly based on the Model for End-stage Liver Disease, which depends only on the severity of the recipient and obviates donor-recipient compatibility...
March 2017: Artificial Intelligence in Medicine
https://www.readbyqxmd.com/read/28538469/an-assessment-of-the-clinical-acceptability-of-direct-acoustic-cochlear-implantation-for-adults-with-advanced-otosclerosis-in-the-united-kingdom
#9
Pádraig Thomas Kitterick, Guna Reddy-Kolanu, David Baguley, Jeremey Lavy, Peter Monksfield, Rupan Banga, Jaydip Ray, Ad Snik, Gerard M O'Donoghue
HYPOTHESIS: Assess the clinical acceptability of direct acoustic cochlear implantation for patients with advanced otosclerosis and the support for conducting a controlled trial of its effectiveness in the United Kingdom. BACKGROUND: Emerging evidence supports the efficacy of direct acoustic cochlear implantation in patients with advanced otosclerosis whose needs cannot be managed using the combination of stapes surgery and hearing aids. A controlled trial would provide evidence for its effectiveness and cost-effectiveness to healthcare commissioners...
May 22, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28532943/evaluation-of-preloaded-intraocular-lens-injection-systems-ex%C3%A2-vivo-study
#10
Mayank A Nanavaty, Magdalena Kubrak-Kisza
PURPOSE: To compare preloaded intraocular lens (IOL) injection systems. SETTING: Sussex Eye Hospital, Brighton, United Kingdom. DESIGN: Experimental study. METHODS: In 30 porcine eyes, 5 preloaded +22.0 diopters IOLs were implanted from each of the following preloaded IOL systems: Ultrasert (U), iTec (iT), Eyecee (E), iSert (iS), Rayone (R), and CT Lucia (CT). External and internal wound size was measured. Nozzle damage was assessed using digital photography...
April 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28532940/effect-of-individual-level-and-socioeconomic-factors-on-long-term-survival-after-cataract-surgery-over-a%C3%A2-30-year%C3%A2-period
#11
Claudia Geue, Sven Jonuscheit
PURPOSE: To evaluate survival and the risk for mortality after cataract surgery in relation to individual-level and socioeconomic factors in Scotland over 3 decades. SETTING: Linked healthcare data, United Kingdom. DESIGN: Representative population-based study. METHODS: A 5% random sample of Scottish decedents linked to hospital records (1981 to 2012) was assessed. Survival time, survival probability, and determinants of mortality were evaluated after the first and second recorded hospital episodes for cataract surgery...
April 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28532931/infectious-keratitis-after-laser-vision-correction-incidence-and-risk-factors
#12
Julie M Schallhorn, Steven C Schallhorn, Keith Hettinger, Stephen Hannan
PURPOSE: To describe the incidence and risk factors associated with microbial keratitis in a large population of laser vision correction (LVC) patients. SETTING: Optical Express centers, Glasgow, United Kingdom. DESIGN: Retrospective case series. METHODS: Records were searched to identify all cases of presumed microbial keratitis after LVC between January 1, 2008, and April 1, 2015. Consecutive patients having primary or enhancement LVC during that time served as controls...
April 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28499666/long-term-survival-after-off-pump-versus-on-pump-coronary-artery-bypass-graft-surgery-does-completeness-of-revascularization-play-a-role
#13
Umberto Benedetto, Massimo Caputo, Nishith N Patel, Francesca Fiorentino, Alan Bryan, Gianni D Angelini
BACKGROUND: We sought to compare the incidence of incomplete revascularization (IR) and long-term survival (up to 20years) after off-pump (OPCAB) versus on-pump (ONCAB) coronary artery bypass in a high OPCAB volume centre where OPCAB was introduced in 1996 and has become the preferred strategy over the years. METHODS AND RESULTS: From 1996 to 2015 a total of 7,427 OPCAB and 7128 ONCAB procedures were performed at Bristol Heart Institute, United Kingdom. We obtained 5423 propensity matched pairs for final comparison...
May 9, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28497453/trends-in-total-hip-arthroplasty-in-young-patients-results-from-a-regional-register
#14
Amit Kumar, Benjamin V Bloch, Colin Esler
INTRODUCTION: In the United Kingdom, over 83,000 primary total hip arthroplasties (THAs) were performed last year, of which 20% are in patients under the age of 60 years. These patients generally have a longer life expectancy and a higher activity level than an older cohort, which may potentially translate to higher revision rates. METHODS: We reviewed our Trent regional arthroplasty register to assess current surgical practice in younger patients undergoing total hip arthroplasty...
May 10, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28489637/pilot-study-comparing-closed-versus-open-tracheal-suctioning-in-postoperative-neonates-and-infants-with-complex-congenital-heart-disease
#15
Lyvonne N Tume, Paul B Baines, Rafael Guerrero, Margaret A Hurley, Robert Johnson, Atul Kalantre, Ram Ramaraj, Paul C Ritson, Laura Walsh, Philip D Arnold
OBJECTIVES: To determine the hemodynamic effect of tracheal suction method in the first 36 hours after high-risk infant heart surgery on the PICU and to compare open and closed suctioning techniques. DESIGN: Pilot randomized crossover study. SETTING: Single PICU in United Kingdom. PARTICIPANTS: Infants undergoing surgical palliation with Norwood Sano, modified Blalock-Taussig shunt, or pulmonary artery banding in the first 36 hours postoperatively...
May 9, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28483613/the-relationship-between-hospital-or-surgeon-volume-and-outcomes-in-lower-limb-vascular-surgery-in-the-united-kingdom-and-europe
#16
Edward A Goka, Patrick Phillips, Edith Poku, Munira Essat, Helen B Woods, Stephen J Walters, Eva C Kaltenthaler, Phil Shackley, Jonathan Michaels
INTRODUCTION: Peripheral vascular disease is a major cause of death and disability. The extent to which volume influences outcome of lower limb (LL) vascular surgery remains unclear. This review evaluated the relationship between hospital/surgeon volume and outcome in LL surgery. METHODOLOGY: Electronic databases; Medline, Embase, the Cochrane Library Databases, Science Citation Index, and CINAHL, proceedings from conferences, citations, and references of included studies were searched...
May 5, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28473651/how-well-are-we-managing-fragility-hip-fractures-a-narrative-report-on-the-review-with-the-attempt-to-setup-a-fragility-fracture-registry-in-hong-kong
#17
K S Leung, W F Yuen, W K Ngai, C Y Lam, T W Lau, K B Lee, K M Siu, N Tang, S H Wong, W H Cheung
INTRODUCTION: In setting up a disease registry for fragility fractures in Hong Kong, we conducted a retrospective systematic study on the management of fragility hip fractures. Patient outcomes were compared with the standards from our orthopaedic working group and those from the British Orthopaedic Association that runs a mature fracture registry in the United Kingdom. METHODS: Clinical data on fragility hip fracture patients admitted to six acute major hospitals in Hong Kong in 2012 were captured...
May 5, 2017: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/28473009/a-year-in-the-life-of-a-contaminated-heater-cooler-unit-with-mycobacterium-chimaera
#18
Mark I Garvey, Craig W Bradley, Jimmy Walker
OBJECTIVE Heater-cooler units (HCUs) have been shown to be a source of Mycobacterium chimaera infections. For the past year, weekly water samples have been taken from HCUs used at University Hospitals Birmingham (UHB) NHS Foundation Trust. We report the microbial contamination of the HCUs over a year detailing the decontamination regimes applied at UHB to reduce the microbial load. DESIGN Observational study SETTING UHB is a tertiary referral teaching hospital in Birmingham, United Kingdom, that provides clinical services to nearly 1 million patients every year...
May 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28462893/cost-effectiveness-of-gastric-band-surgery-for-overweight-but-not-obese-adults-with-type-2-diabetes-in-the-u-s
#19
John M Wentworth, Kim M Dalziel, Paul E O'Brien, Paul Burton, Frackson Shaba, Philip M Clarke, Neda Laiteerapong, Wendy A Brown
AIM: To determine the cost-effectiveness of gastric band surgery in overweight but not obese people who receive standard diabetes care. METHOD: A microsimulation model (United Kingdom Prospective Diabetes Study outcomes model) was used to project diabetes outcomes and costs from a two-year Australian randomized trial of gastric band (GB) surgery in overweight but not obese people (BMI 25 to 30kg/m(2)) on to a comparable population of U.S. adults from the National Health and Nutrition Examination Survey (N=254)...
July 2017: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/28442180/point-of-care-ultrasound-for-oral-and-maxillofacial-surgeons
#20
F M Ryba, K George
Point-of-care ultrasound is an ultrasound examination that is made at the bedside by the examining clinician in the Accident and Emergency department, clinic, ward, or operating theatre, and it has been growing in popularity since it was first introduced in the 1990s. It is used as an adjunct to clinical examination to aid diagnosis or treatment. We have carried out a pilot survey to assess whether oral and maxillofacial surgeons in the United Kingdom either need or desire to make such an examination. We present the results of our survey and discuss the uses and benefits of point-of-care ultrasound in oral and maxillofacial surgery...
July 2017: British Journal of Oral & Maxillofacial Surgery
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