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https://www.readbyqxmd.com/read/28230440/late-gastrointestinal-effects-of-pelvic-radiation-a-nurse-led-service
#1
Helen Ludlow, John Green, Jeff Turner
There are currently at least 2 million people in the UK living with and following a cancer diagnosis. Typically four out of every ten people with cancer will receive radiotherapy, but a large proportion of people who have pelvic radiotherapy may go on to develop gastrointestinal (GI) symptoms. This includes rectal bleeding and faecal incontinence, which can have a huge impact on quality of life. These problems often go under-reported by patients and are also under-recognised or under-treated by health professionals...
February 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28228410/prediction-of-the-true-iol-position
#2
Sverker Norrby, Rolf Bergman, Nino Hirnschall, Yutaro Nishi, Oliver Findl
PURPOSE: To develop algorithms for preoperative estimation of the true postoperative intraocular lens (IOL) position to be used for IOL power calculation. SETTING: Moorfields Eye Hospital NHS Foundation Trust, London, UK. METHODS: Fifty patients were implanted randomly with a 3-piece IOL model in one eye and a 1-piece model in the other eye. Preoperatively, the IOLMaster was used to determine axial length, anterior chamber depth and mean corneal radius...
February 22, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28222072/discrepancies-in-central-review-re-testing-of-patients-with-er-positive-and-her2-negative-breast-cancer-in-the-optima-prelim-randomised-clinical-trial
#3
S E Pinder, A F Campbell, J M S Bartlett, A Marshall, D Allen, M Falzon, J A Dunn, A Makris, L Hughes-Davies, R C Stein
BACKGROUND: There is limited data on results of central re-testing of samples from patients with invasive breast cancer categorised in their local hospital laboratories as oestrogen receptor (ER) positive and human epidermal growth factor receptor homologue 2 (HER2) negative. METHODS: The Optimal Personalised Treatment of early breast cancer usIng Multiparameter Analysis preliminary study (OPTIMA prelim) was the feasibility phase of a randomised controlled trial to validate the use of multiparameter assay-directed chemotherapy decisions in the UK National Health Service (NHS)...
February 21, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28217714/dr-hagis-a-fundus-image-database-for-the-automatic-extraction-of-retinal-surface-vessels-from-diabetic-patients
#4
Sven Holm, Greg Russell, Vincent Nourrit, Niall McLoughlin
A database of retinal fundus images, the DR HAGIS database, is presented. This database consists of 39 high-resolution color fundus images obtained from a diabetic retinopathy screening program in the UK. The NHS screening program uses service providers that employ different fundus and digital cameras. This results in a range of different image sizes and resolutions. Furthermore, patients enrolled in such programs often display other comorbidities in addition to diabetes. Therefore, in an effort to replicate the normal range of images examined by grading experts during screening, the DR HAGIS database consists of images of varying image sizes and resolutions and four comorbidity subgroups: collectively defined as the diabetic retinopathy, hypertension, age-related macular degeneration, and Glaucoma image set (DR HAGIS)...
January 2017: Journal of Medical Imaging
https://www.readbyqxmd.com/read/28207753/analysis-of-diagnoses-extracted-from-electronic-health-records-in-a-large-mental-health-case-register
#5
Yevgeniya Kovalchuk, Robert Stewart, Matthew Broadbent, Tim J P Hubbard, Richard J B Dobson
The UK government has recently recognised the need to improve mental health services in the country. Electronic health records provide a rich source of patient data which could help policymakers to better understand needs of the service users. The main objective of this study is to unveil statistics of diagnoses recorded in the Case Register of the South London and Maudsley NHS Foundation Trust, one of the largest mental health providers in the UK and Europe serving a source population of over 1.2 million people residing in south London...
2017: PloS One
https://www.readbyqxmd.com/read/28198326/charging-non-uk-residents-for-care-must-not-fall-to-staff-say-unions
#6
(no author information available yet)
Plans to charge overseas patients for non-urgent NHS treatment are unworkable and nurses and other healthcare workers must not be made to police them, health unions have warned.
February 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28196950/what-is-the-relationship-between-age-and-deprivation-in-influencing-emergency-hospital-admissions-a-model-using-data-from-a-defined-comprehensive-all-age-cohort-in-east-devon-uk
#7
Denis Pereira Gray, William Henley, Todd Chenore, Kate Sidaway-Lee, Philip Evans
OBJECTIVES: To clarify the relationship between social deprivation and age as two factors associated with emergency admissions to hospital. DESIGN: Emergency admissions for 12 months were analysed for patients in the NHS NEW Devon CCG. Social deprivation was measured by the Index of Multiple Deprivation (IMD). Logistic regression models estimated the separate and combined effects of social deprivation and age on the risk of emergency admissions for people aged under and over 65...
February 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28196811/the-heart-failure-epidemic-a-uk-perspective
#8
REVIEW
Martin R Cowie
Heart failure is appropriately described as an epidemic, with 1-2% of healthcare expenditure being directed at its management. In England, the National Institute for Health and Care Excellence (NICE) has issued guidance on best practice for the diagnosis and treatment of acute and chronic heart failure. Echocardiography is key to the diagnosis of the underlying cardiac abnormalities, and access to this (with our without biochemical testing using natriuretic peptides) is key to high quality and speedy diagnosis...
February 14, 2017: Echo Research and Practice
https://www.readbyqxmd.com/read/28186950/qualitative-study-of-paramedics-experiences-of-managing-seizures-a-national-perspective-from-england
#9
Adam J Noble, Darlene Snape, Steve Goodacre, Mike Jackson, Frances C Sherratt, Mike Pearson, Anthony Marson
OBJECTIVES: The UK ambulance service is expected to now manage more patients in the community and avoid unnecessary transportations to hospital emergency departments (ED). Most people it attends who have experienced seizures have established epilepsy, have experienced uncomplicated seizures and so do not require the full facilities of an ED. Despite this, most are transported there. To understand why, we explored paramedics' experiences of managing seizures. DESIGN AND SETTING: Semistructured interviews were conducted with a purposive sample of paramedics from the English ambulance service...
November 9, 2016: BMJ Open
https://www.readbyqxmd.com/read/28185499/improving-patient-safety-through-the-introduction-of-a-formal-triage-process
#10
Cliff Evans, Clare Hughes, John Ferguson
Emergency departments (EDs) in the UK are facing unprecedented increases in attendance, and the ability to safely assess, diagnose, treat, refer or discharge patients is a national challenge. This article discusses one component of a comprehensive ED strategy created to address serious concerns identified by regulators and develop and improve services in the department at Medway NHS Foundation Trust, Kent.
February 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28184066/direct-access-how-is-it-working
#11
S Turner, M Ross
Aim The aim of this study was to identify and survey dental hygienists and therapists working in direct access practices in the UK, obtain their views on its benefits and disadvantages, establish which treatments they provided, and what barriers they had encountered.Method The study used a purposive sample of GDC-registered hygienists and therapists working in practices offering direct access, identified through a 'Google' search. An online survey was set up through the University of Edinburgh, and non-responses followed up by post...
February 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28176188/adalimumab-for-treating-moderate-to-severe-hidradenitis-suppurativa-an-evidence-review-group-perspective-of-a-nice-single-technology-appraisal
#12
REVIEW
Paul Tappenden, Christopher Carroll, John W Stevens, Andrew Rawdin, Sabine Grimm, Mark Clowes, Eva Kaltenthaler, John R Ingram, Fiona Collier, Mohammad Ghazavi
As part of its single technology appraisal (STA) process, the UK National Institute for Health and Care Excellence (NICE) invited the manufacturer of adalimumab (AbbVie) to submit evidence on the clinical effectiveness and cost effectiveness of adalimumab for the treatment of moderate-to-severe hidradenitis suppurativa (HS). The appraisal assessed adalimumab as monotherapy in adult patients with an inadequate response to conventional systemic HS therapy. The School of Health and Related Research Technology Appraisal Group was commissioned to act as the independent Evidence Review Group (ERG)...
February 7, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/28174222/systematic-review-of-pathways-for-the-delivery-of-allergy-services
#13
Lavanya Diwakar, Carole Cummins, Richard Lilford, Tracy Roberts
OBJECTIVES: The incidence and prevalence of allergies worldwide has been increasing and allergy services globally are unable to keep up with this increase in demand. This systematic review aims to understand the delivery of allergy services worldwide, challenges faced and future directions for service delivery. METHODS: A systematic scoping review of Ovid, EMBASE, HMIC, CINAHL, Cochrane, DARE, NHS EED and INAHTA databases was carried out using predefined inclusion and exclusion criteria...
February 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28166675/the-uk-s-national-programme-for-it-why-was-it-dismantled
#14
Taghreed Justinia
This paper discusses the UK's National Programme for IT (NPfIT), which was an ambitious programme launched in 2002 with an initial budget of some £6.2 billion. It attempted to implement a top-down digitization of healthcare in England's National Health Service (NHS). The core aim of the NPfIT was to bring the NHS' use of information technology into the 21st century, through the introduction of an integrated electronic patient record systems, and reforming the way that the NHS uses information, and hence to improve services and the quality of patient care...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28165772/post-brexit-challenges-and-opportunities-for-radiology-beyond-the-european-union
#15
Marta Piorkowska, Vicky Goh, Thomas C Booth
We aim to review the challenges and opportunities that radiology may face once the United Kingdom (UK) leaves the European Union (EU). Even before the exit negotiations commence, uncertainty over future policies and funding within the UK may influence the National Health Service (NHS). We discuss the potential impact that financial, regulatory and social change may have on healthcare, and radiology in particular. Current difficulties in recruitment and retention of radiologists and the challenges that Brexit presents are considered...
February 6, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28162098/the-effect-of-universal-decolonization-with-screening-in-critical-care-to-reduce-mrsa-across-an-entire-hospital
#16
Craig W Bradley, Martyn A C Wilkinson, Mark I Garvey
OBJECTIVE To describe the effect of universal methicillin-resistant Staphylococcus aureus (MRSA) decolonization therapy in a large intensive care unit (ICU) on the rates of MRSA cases and acquisitions in a UK hospital. DESIGN Descriptive study. SETTING University Hospitals Birmingham (UHB) NHS Foundation Trust is a tertiary referral teaching hospital in Birmingham, United Kingdom, that provides clinical services to nearly 1 million patients every year. METHODS A break-point time series analysis and kernel regression models were used to detect significant changes in the cumulative monthly numbers of MRSA bacteremia cases and acquisitions from April 2013 to August 2016 across the UHB system...
February 6, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28162060/around-the-world
#17
(no author information available yet)
1. The Paediatric Wound Care and Tissue Viability Conference 24 March, Exeter, UK Email: ndht.externallearning@nhs.net.
February 6, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28145208/lgbt-equality-it-s-time-to-mind-your-language
#18
Mandy Day-Calder
Society and health care in the UK have, thankfully, come a long way since the days when being gay was illegal and people were offered barbaric aversion therapies and 'chemical castration' as a 'cure'. All NHS trusts now have policies to protect lesbian, gay, bisexual and transgender (LGBT) patients and staff. So, at least on paper, everyone is treated equally.
February 1, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28129748/the-speed-of-increasing-milk-feeds-a-randomised-controlled-trial
#19
Jane Abbott, Janet Berrington, Ursula Bowler, Elaine Boyle, Jon Dorling, Nicholas Embleton, Edmund Juszczak, Alison Leaf, Louise Linsell, Samantha Johnson, Kenny McCormick, William McGuire, Tracy Roberts, Ben Stenson
BACKGROUND: In the UK, 1-2% of infants are born very preterm (<32 weeks of gestation) or have very low birth weight (<1500 g). Very preterm infants are initially unable to be fed nutritional volumes of milk and therefore require intravenous nutrition. Milk feeding strategies influence several long and short term health outcomes including growth, survival, infection (associated with intravenous nutrition) and necrotising enterocolitis (NEC); with both infection and NEC being key predictive factors of long term disability...
January 28, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28129713/gynaecologists-attitude-to-abortion-provision-in-2015
#20
Wendy Diane Savage, Colin Francome
We aimed to ascertain the attitude of consultant gynaecologists towards the working of the 1967 Abortion Act, women's choice and decriminalisation of abortion, and whether they had requests on the grounds of foetal sex in the last five years. A postal questionnaire was sent to a 20% random sample of NHS gynaecologists, coded and analysed using SPSS. 286 doctors replied, 78%. 60% considered the abortion act was working satisfactorily. Ninety percent thought the woman should decide whether to continue the pregnancy in consultation with her doctor...
January 27, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
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