Planning, Costing and Managing your Systematic Reviews (PaniCMaSteR)

Whether you are conducting commissioned research, a review for your PhD, or surveying methodological developments in your discipline, a major challenge is managing the logistics of the systematic review process. This short course draws on expertise from successfully conducting over 50 funded reviews for a variety of purposes and with a range of published outputs. The Course Team has developed tools for planning and costing systematic reviews for research and consultancy and has produced guidelines for managing the review process which will form the basis of this very practical and interactive workshop. 

Who will benefit from the course?

This workshop, based on previous successful short courses by the same team, will meet the needs of those wishing to plan, cost and manage their first independent review of the literature. It will also be beneficial for more experienced reviewers who wish to gain experience of a variety of tips and tools to manage the review process. No previous familiarity of conducting systematic reviews is required although participants will be expected to have a good awareness of what a systematic review is and what it involves.      

·         Experienced researchers wishing an insight into specific project management challenges associated with systematic reviews

·         Systematic Reviewers who wish to advance to managing their own review

·         PhD Students in topic areas who are undertaking a substantive review of the literature

·         Research administrators who want an overview of the systematic review process and its implications for finance and administration

Course Faculty

Andrew Booth, Reader in Evidence Based Information Practice, School of Health and Related Research (ScHARR)
Lead author and contributor to Systematic Approaches to a Successful Literature Review (Sage, 2011)          

Expected Outcomes

By the end of this programme participants will be able to:

·         Characterise the main systematic approaches to reviewing the literature and their implications in terms of time, personnel and money

·         Identify major decision points along the pathway of the systematic review process

·         Describe a variety of useful tools and techniques designed to facilitate the planning and conduct of a systematic review

·         Identify common review problem scenarios and strategies to resolve them successfully 

Accommodation and Meals

Lunch and light refreshments will be provided

Accommodation is not included in the cost of the course, please contact us scharr-scu@sheffield.ac.uk for information on local hotels.

Course Dates

Friday 12th April 2013

Venue

The Ridge Conference Centre, Sheffield

Fees

£200 per person

Bookings

Click HERE to book online

Contact Us

email : ScHARR Short Course UnitScHARR Short Course Unit

Tel: +44 222 2968
Fax: +44 222 4095

Future Courses

We will be offering new courses in the future as well as repeating selected subjects which have generated high demand.
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New Evidence Alerts available

There are three new Evidence Alerts for you to subscribe to.

They are:

• Fall Prevention Horizon Scanning
• Patient Safety Horizon Scanning
• Orthopaedics Horizon Scanning

Please visit the Library webpage to subscribe to these bulletins.

Make an appointment at the Library Surgery!

The Integrated Library Service is running a Library Surgery for staff based at the Clatterbridge site.  Come and see us on Mondays and Thursdays between 1.00pm - 5.00pm at the J. Aitken Library Resource Room, Wirral Postgraduate Medical Centre, Clatterbridge Hospital.

Outside these hours material can be loaned and consulted, computers, printing and copying are available 24/7 and there is access to help and support.

Make an appointment or drop in to find out more about…

·         Searching for the best evidence for patient care

·         Setting up Evidence Alerts to keep you up to date

·         Which are the best websites for health information

·         How to find books & journal articles on your topic

·         Creating and managing your Athens account

·         How we can support your research & audit activities

·         Critically appraising research studies

DON’T FORGET! You can visit the library website at http://www.whnt.nhs.uk/library to:

·          ‘Ask a Librarian’ online enquiry service

·         Renew and request books & journals

·         Subscribe to Evidence Alerts

·         Request training or a literature search

·         Search the library catalogue

e-Learning Resources for Appraisal & Revalidation

London Deanery have launched a range of e-learning resources to support appraisal and revalidation.  They are freely available to all doctors. 

The resources are aimed at supporting both appraisees and appraisers by providing guidance, tips and useful information about the appraisal process.

They are accessible via the London Deanery webpage.

e-Learning Modules
These online learning modules take about 45 - 60 minutes to complete and cover a range of key topics helpful for both appraisees and appraisers:

• Getting the most out of your appraisal
• Top tips on developing your PDP 
• Quality improvement activity for appraisal and revalidation 
• Challenge in appraisal
• Calibrating supporting information in medical appraisal
• Tips for appraisers

The modules are hosted on the BMJ learning platform and any doctor is able to register for free access.  

Podcasts
Our podcasts are a collection of several short bite sized films (3-4 minutes) covering a range of key topics, helpful for both appraisees and appraisers :

• Introduction to appraisal and revalidation
• GMC Domains
• Managing challenging situations in appraisals
• Multi Source Feedback and Patient Satisfaction Questionnaires
• Reflection
• Gathering Supporting Information 

WUTH publication: Atraumatic, symptomatic ankle plica successfully treated by arthroscopic debridement: a case report.

Citation: The journal of foot and ankle surgery, 2012 Jul-Aug; 51(4), 472-4
Author: Highcock AJ, Cohen D, Platt S
Abstract: Synovial plicae, both symptomatic and asymptomatic, are increasingly being diagnosed with the expansion of arthroscopic procedures in synovial joints. Ankle plicae, however, remain an uncommon diagnosis and have previously only been reported as symptomatic in the post-traumatic ankle. Here the authors present a case report of an atraumatic, symptomatic ankle plica successfully treated with arthroscopic debridement.

Link to Pubmed record 

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: Plantar verrucous carcinoma masquerading as toe web intertrigo.

Citation: The Australasian Journal of Dermatology, 2012, May;53(2): e20-2
Author: McKay C, McBride P, Muir J
Abstract: A 77-year-old man presented with a 6-month history of intractable toe web intertrigo located in the third and fourth web spaces of his left foot. Biopsy and histological examination confirmed the presence of a verrucous carcinoma. Verrucous carcinoma of the foot has been called epithelioma cuniculatum, a case arising in the intertriginous area of the foot is presented.

Link to Pubmed record 

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: Frequency of Infant Stroking Reported by Mothers Moderates the Effect of Prenatal Depression on Infant Behavioural and Physiological Outcomes

Citation: ScienceDaily, 2012, 7 (10), e45446
Author: Helen Sharp, Andrew Pickles, Michael Meaney, Kate Marshall, Florin Tibu, Jonathan Hill

Link to record

WUTH publication: Diagnosis of Clostridium difficile-associated disease: examination of multiple algorithms using toxin EIA, glutamate dehydrogenase EIA and loop-mediated isothermal amplification.

Citation: British Journal of Biomedical Science, 2012, 69(3), 112-8
Author: Bamber AI, Fitzsimmons K, Cunniffe JG, Beasor CC, Mackintosh CA, Hobbs G
Abstract: The laboratory diagnosis of Clostridium difficile infection (CDI) needs to be accurate and timely to ensure optimal patient management, infection control and reliable surveillance. Three methods are evaluated using 810 consecutive stool samples against toxigenic culture: CDT TOX A/B Premier enzyme immunoassay (EIA) kit (Meridian Bioscience, Europe), Premier EIA for C. difficile glutamate dehydrogenase (GDH) (Meridian Bioscience, Europe) and the Illumigene kit (Meridian Bioscience, Europe), both individually and within combined testing algorithms. The study revealed that the CDT TOX A/B Premier EIA gave rise to false-positive and false-negative results and demonstrated poor sensitivity (56.47%), compared to Premier EIA for C. difficile GDH (97.65%), suggesting this GDH EIA can be a useful negative screening method. Results for the Illumigene assay alone showed sensitivity, specificity, negative predictive value (NPV) and positive predictive value (PPV) of 91.57%, 98.07%, 99.03% and 84.44%, respectively. A two-stage algorithm using Premier EIA for C. difficile GDH/Illumigene assay yielded superior results compared with other testing algorithms (91.57%, 98.07%, 99.03% and 84.44%, respectively), mirroring the Illumigene performance. However, Illumigene is approximately half the cost of current polymerase chain reaction (PCR) methods, has a rapid turnaround time and requires no specialised skill base, making it an attractive alternative to assays such as the Xpert C. difficile assay (Cepheid, Sunnyvale, CA). A three-stage algorithm offered no improvement and would hamper workflow.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: Access to the next wave of biologic therapies (Abatacept and Tocilizumab) for the treatment of rheumatoid arthritis in England and Wales: addressing treatment outside the current NICE guidance.

Citation: Clinical Rheumatology, 2012 Jun, 31(6), 1005-12
Author: Chiu Y, Ostor AJ, Hammond A, Sokoll K, Anderson M, Buch M, Ehrenstein MR, Gordon P, Steer S, Bruce IN
Abstract: Patients in England and Wales with rheumatoid arthritis (RA) receive treatment from the National Health Service (NHS) with therapies approved by the European Medicines Agency (EMA), under guidance from the National Institute for Health and Clinical Excellence (NICE). This document overviews the current NICE guidelines for the treatment of RA and identifies scenarios when such guidance may not represent the optimum management strategy for individual patients. Specifically, we consider the use of tocilizumab or abatacept as the most appropriate treatments for some patients. In such scenarios, it may be possible for the clinician to secure access to the required therapy through an application procedure known as an 'individual funding request', the process of which is described in detail here. At present, it is unclear the extent to which the proposed reform of the NHS will affect the role of NICE in providing guidance and setting standards of care. Until the full impact of the proposed changes are realized, individual funding requests will remain a valuable way of securing the optimal treatment for all patients suffering from RA.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service

To view all WUTH publications please link here.

New evidence alerts bulletins available

Child Health Horizon Scanning bulletin - this monthly horizon scanning bulletin will alert you to new innovations and good practice in service provision, as well as potential future risk factors relating to Child Health. This bulletin is produced by North West health librarians. 

Kidney Diseases - Updates providing the latest evidence, resources and news relating to kidney diseases.

NHS Evidence: Eyes on Evidence - Eyes on Evidence helps to contextualise important new evidence that could signal a change in clinical practice.

WUTH publication: Use of Johan forceps as endoloop pushers for laparoscopic appendicectomy.

Citation: Annals of the Royal College of Surgeons of England, 2012, 94(7), 533-4
Author: Siddique K, Siddiqi N, Sedman P

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service .

To view all WUTH publications please link here.

WUTH publication: "Many issues and beliefs affect individual sun safety advice".

Citation: Nursing Times, 2012, 108(29), 11
Author: Dean M

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

MacMillan Coffee Morning in the Education Centre

Dear colleague,

Make time for what really matters: come to our World’s Biggest Coffee Morning TODAY, 10am-12pm in the Dining Room, Education Centre.

·         Buy some of our delicious homemade cakes

·         Take time out for a tea or coffee

·         Win prizes on our Tombola

·         Try your luck with our ‘Guess how many sweets in the jar’ game

·         Leave a message in memory of a loved one or send a message to cancer

We look forward to welcoming you to help us raise money for an extremely worthy cause.  Please forward this on to any colleagues you think will be interested.

Best wishes

The Library Team

WUTH publication: Uncommon ophthalmologic disorders in intensive care unit patients.

Citation: Journal of Critical Care, 2012, September 18.
Author: Grixti A, Sadri M, Datta AV
Abstract: Ophthalmologic complications are frequently encountered in intensive care unit (ICU) patients (Grixti et al. Ocul Surf 2012;10(1):26-42). However, eye care is often overlooked in the critical care setting or just limited to the ocular surface because treatment is focussed on the management of organ failures. Lack of awareness about other less common intraocular sight-threatening conditions may have a devastating effect on the patient's vision. To identify specific, frequently missed uncommon ocular disorders in ICU, a literature review using the keywords "Intensive Care," "Eye care," "ITU," "ICU," "Ophthalmological disorders," "Eye disorders" was performed. The databases of CINAHL, PuBMed, EMBASE, and Cochrane library were searched. The higher quality studies are summarized in the table with statements of methodology to clarify the level of evidence. The most prevalent ophthalmologic disorders identified in critically ill subjects include exposure keratopathy, chemosis, and microbial keratitis. In addition, uncommon eye disorders reported in ICU include metastatic endogenous endophthalmitis, acute primary angle closure, ischemic optic neuropathy, pupil abnormalities, vascular occlusions, and rhino-orbital cerebral mucormycosis. Early diagnosis and effective treatment will help to prevent visual loss.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service .

To view all WUTH publications please link here.

WUTH publication: Elective versus symptomatic intravenous antibiotic therapy for cystic fibrosis.

Citation: Cochrane Database of Systematic Reviews (Online), 2012, Jul 11,
Author: Breen L, Aswani N
Abstract: BACKGROUND: Pseudomonas aeruginosa is the commonest micro-organism associated with respiratory infections in cystic fibrosis. Retrospective studies have suggested that using an aggressive policy of intravenous anti-pseudomonal antibiotics at regular intervals, irrespective of symptoms, increases survival.
OBJECTIVES: To determine whether there is evidence that an elective (regular) versus symptomatic intravenous antibiotic regimen is associated with an improvement in clinical status and survival rates in people with cystic fibrosis. To identify any adverse effects associated with the use of elective intravenous antibiotics, including an increase in the development of resistant organisms.
SEARCH METHODS: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises references identified from comprehensive electronic database searches, handsearches of relevant journals and abstract books of conference proceedings.Date of the most recent search of the Group's Cystic Fibrosis Trials Register: 15 March 2012.
SELECTION CRITERIA: All randomised or quasi-randomised controlled trials describing the use of elective compared with symptomatic intravenous antibiotic policies for any duration or dose regimen. Elective versus symptomatic intravenous antibiotic regimens against any organisms were considered. People with cystic fibrosis of any age or disease severity were included.
DATA COLLECTION AND ANALYSIS: Both authors independently assessed trial eligibility and quality; both extracted the data.
MAIN RESULTS: Searches identified four studies. Two studies reporting results from a total of 79 participants were included in the review. Differences in study design and objectives meant that data could not be pooled for meta-analysis. Neither study demonstrated significant differences in outcome measures between intervention and comparison groups.
AUTHORS' CONCLUSIONS: Studies are insufficient to identify conclusive evidence favouring a policy of elective intravenous antibiotic administration, despite its widespread use, neither are the potential risks adequately evaluated. The results should be viewed with caution, as participant numbers are small. Clearly there is a need for a well-designed, adequately-powered, multicentred randomised controlled trial to evaluate these issues.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

Oxford Specialist Handbooks FREE online

The library has purchased the Oxford Specialist Handbooks series.  These titles provide comprehensive but conscise introductions to a range of subjects.

There are 68 Oxford Specialist Handbooks, covering the following specialties:
Anaesthesia, Cardiology, Critical Care, End of Life Care, Neurology, Paediatrics, Pain Medicine, Psychiatry, Radiology and Surgery.

The list of titles and links to the full text can be accessed from the library catalogue.

You will need your NHS Athens Account to access the full text. If you haven’t registered for an NHS Athens account already, click here to link to our help-sheet to find out how to register.

Keep up to date with journal articles published by WUTH staff

A new feature on the library blog allows you to keep up to date with the latest publications by WUTH staff.

The library is collecting details of journal articles authored by WUTH staff as they are published on the Pubmed database. From July 2012 we are posting the details of each journal article on the library blog. As the collection of WUTH publications grows this will be a useful record of some of the research output of the Trust.

By subscribing to receive alerts from the library blog you will be alerted to new WUTH publications via email.

This alert is just one of several available to staff via the library’s Evidence Alerts service. The service aims to save you time by alerting you to the latest evidence and developments in your area of interest. You can also subscribe to a number of horizon scanning bulletins which will alert you to examples of good practice, innovation and potential future risk factors, covering a range of topics from cancer to infection control to end of life care.

To subscribe to the library blog and other Evidence Alerts, complete the subscription form.

For further details and support please contact the McArdle Library.

Tutorial for research / dissertation planning

Leeds University Library have launched a new online resource to support students working on their final year projects/dissertations. The Final Chapter: The Undergraduate Research Project Guide, covers a number of topics related to carrying out a final year research project, such as ‘planning and preparing your project’, ‘doing a literature review’ and ‘critical thinking and evaluation’. The resource includes some really great videos of staff and students from Leeds talking about final year projects, including their top tips for success.

The Final Chapter aims to help students develop their research skills so that they can undertake their final year project successfully, and contribute to them having a positive experience of research based learning.

WUTH publication: A rare congenital neck lump.

Citation: BMJ Case Reports, 2012 Sept 7,
Author: Owen R, Bowen J
Abstract: We describe the case and present a radiological image of a neck lump identified antenatally with ultrasound imaging. Postnatally a left-sided asymptomatic neck lump was identified in the left posterior triangle of the neck. Repeat ultrasound and CT imaging were arranged confirming a cyst adjacent to the cervical oesophagus and displacing the carotid sheath anteriorly. Complete cyst excision was achieved with no complications. Histological analysis identified a 30×22×20 mm cyst with a smooth muscle layer within the cyst wall and a lining of respiratory epithelium. These findings were consistent with a diagnosis of cervical duplication cyst (CDC). Proximity to the carotid sheath and oesophagus can make CDC excision potentially dangerous hence preoperative CT scanning was useful to establish the anatomical relations of the cyst in this case.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: Use of a sharps bin to provide lower limb traction.

Citation: Annals of the Royal College of Surgeons of England, 2012, Jul
Author: Kazi HA, Thomas TG

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: Acute Angle Closure Glaucoma (AACG): an important differential diagnosis for acute severe headache.

Citation: Acute Medicine, 2011, 10(2), 77-8
Author: Authors: Renton BJ, Bastawrous A
Abstract: Acute headache is a common presenting symptom in the acute medical unit. We present a case of Acute Angle Closure Glaucoma (AACG) presenting with acute severe headache. It highlights the importance of remembering this ophthalmologic emergency and reminds us of its clinical presentation. The rapid assessment and diagnosis of AACG allowed prompt treatment and likely prevented the patient from losing her vision.


Link to PubMed record.

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service

To view all WUTH publications please link here

New search functionality for the Cochrane Library

On 15 September 2012, Wiley will be introducing an improved search interface for The Cochrane Library. The Cochrane Library contains a number of databases of the highest quality evidence including ‘gold standard’ systematic reviews and cost-effectiveness studies.

Users will see major changes to the layout of search pages and will soon be able to use new search features including:
• Auto-suggest features within both basic and MeSH search functions
• Updated display of search results and filtering options
• Ability to view search terms and results on the same page
• Ability to insert lines and add one search to one another
• Improved MeSH look-up feature
• Hover-over Tool Tips giving a brief explanation of the functions

More information is available online including a PowerPoint demonstration outlining the new features at: www.thecochranelibrary.com/view/0/ccochnewsearch.html

WUTH publication: Do quality improvement systems improve health library services? A systematic review

Citation: Health Information and Libraries Journal, 2012, Jul 26
Author: Hannah Gray, Gary Sutton, Victoria Treadway
Abstract: Background
A turbulent financial and political climate requires health libraries to be more accountable than ever. Quality improvement systems are widely considered a ‘good thing to do’, but do they produce useful outcomes that can demonstrate value?
Objectives
To undertake a systematic review to identify which aspects of health libraries are being measured for quality, what tools are being used and what outcomes are reported following utilisation of quality improvement systems.
Results
Many health libraries utilise quality improvement systems without translating the data into service improvements. Included studies demonstrate that quality improvement systems produce valuable outcomes including a positive impact on strategic planning, promotion, new and improved services and staff development. No impact of quality improvement systems on library users or patients is reported in the literature.
Conclusions
The literature in this area is sparse and requires updating. We recommend further primary research is conducted in health libraries focusing upon the outcomes of utilising quality improvement systems. An exploration of quality improvement systems in other library sectors may also provide valuable insight for health libraries.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service

To view all WUTH publications please link here.

WUTH publication: Systematic review of descriptive studies that investigated associated factors with the management of incontinence in older people in

Citation: International journal of older people nursing. 2011, Dec 19
Authors: Roe B, Flanagan L, Jack B, Shaw C, Williams K, Chung A, Barrett J
Abstract: roe b, flanagan l, jack b, shaw c, williams k, chung a & barrett j (2011) Systematic review of descriptive studies that investigated associated factors with the management of incontinence in older people in care homes. International Journal of Older People Nursing doi: 10.1111/j.1748-3743.2011.00300.x Background.  Incontinence is prevalent among older populations and residents in care homes. Aim and objectives.  This paper is a review of descriptive studies that investigated associated factors related to managing urinary incontinence in older people in care homes. A systematic literature review was undertaken. MEDLINE and CINHAL were searched from 1996-2010 using the Cochrane Incontinence Review Group search strings for urinary and faecal incontinence including all research designs. Results.  Sixteen studies were identified that reported on associated factors related to comorbidities, management preferences, policies, staff views and knowledge or methodological studies. Non-invasive methods involving toileting and use of pads were common management approaches. No studies aimed at maintaining continence were identified. Conclusions.  Factors associated with incontinence need to also be considered when planning and managing care for individuals, and developing and designing systems of care within care homes. Further study in care home populations to change or inform practice and provide effective care is warranted. Preventive studies that maintain continence are required. Implications for practice.  Older people and their families should be involved with decisions regarding their preferred care, goals, management and outcomes for managing incontinence, promoting or maintaining continence.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: An under-recognized clinical and histopathological condition.

Citation: Clinical and experimental dermatology. 2012, Jan, 37(1).
Authors: Zappala TM, Leonard N, Salim A

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: Common ocular surface disorders in patients in intensive care units.

Citation: The Occular Surface. 2012, Jan, 10(1)
Authors: Grixti A, Sadri M, Edgar J, Datta AV
Abstract: Ocular surface disorders are frequently encountered in patients in Intensive Care Units (ICUs). Because of significant impairment of major organs, treatment is focused on the management of organ failures. Therefore, ophthalmological complications are frequently overlooked in this setting. To identify the types and frequencies of ocular surface disorders reported in patients in ICUs, a literature review using the keywords: Intensive Care; Eye care; ICU; ITU; Ophthalmological disorders; Eye disorders was performed. The databases of CINAHL, PUBMED, EMBASE and COCHRANE library were searched. The higher quality papers are summarized in tables with statements of methodology to clarify the level of evidence. The most prevalent ocular disorders identified in ICU patients were exposure keratopathy (3.6% to 60%), chemosis (9% to 80%), and microbial keratitis. Of the various eye care measures that have been advocated to prevent exposure keratopathy, the most effective is the application of moisture chambers or polyethylene covers. Early diagnosis and effective treatment will help to prevent microbial keratitis and visual loss.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: 'Bubbles in my eye'. Perfluorocarbon liquid residue in the anterior chamber.

Citation: Clinical and experimental optometry. 2012, 95(5), 555-556
Authors: Bastawrous A, Kumar V

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service

To view all WUTH publications please link here.

WUTH publication: The rheumatoid foot and ankle: current evidence.

Citation: Foot and ankle surgery. 2012, Jun, 18(2)
Authors: Loveday DT, Jackson GE, Geary NP
Abstract: The management of rheumatoid patients is a complex process due to the chronic, systemic, multi-joint and extra-articular nature of the disease. In comparison, osteoarthritis and post-traumatic arthritis usually involve a single joint and are hence not comparable to rheumatoid pathology. This review sets out to specifically look at studies on rheumatoid patients with interventions for foot or ankle disease. MEDLINE, EMBASE, the Cochrane databases, Current Controlled Trials and the WHO International Clinical Trials Registry Platform are all searched for relevant studies.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service

To view all WUTH publications please link here.

WUTH publication: Breast Cancer Risk After Supradiaphragmatic Radiotherapy for Hodgkin's Lymphoma in England and Wales: A National Cohort Study.

Citation: Journal of Clinical Oncology. 2012, Jun 25.
Authors: Swerdlow AJ, Cooke R, Bates A, Cunningham D, Falk SJ, Gilson D, Hancock BW, Harris SJ, Horwich A, Hoskin PJ, Linch DC, Lister TA, Lucraft HH, Radford JA, Stevens AM, Syndikus I, Williams MV
Abstract: PURPOSETo investigate breast cancer risk after supradiaphragmatic radiotherapy administered to young women with Hodgkin's lymphoma (HL) in a much larger cohort than previously to provide data for patient follow-up and screening individualized according to treatment type, age, and time point during follow-up.
PATIENTS AND METHODS Breast cancer risk was assessed in 5,002 women in England and Wales treated for HL with supradiaphragmatic radiotherapy at age < 36 years from 1956 to 2003, who underwent follow-up with 97% completeness until December 31, 2008.ResultsBreast cancer or ductal carcinoma in situ developed in 373 patients, with a standardized incidence ratio (SIR) of 5.0 (95% CI, 4.5 to 5.5). SIRs were greatest for those treated at age 14 years (47.2; 95% CI, 28.0 to 79.8) and continued to remain high for at least 40 years. The maximum absolute excess risk was at attained ages 50 to 59 years. Alkylating chemotherapy or pelvic radiotherapy diminished the risk, but only for women treated at age ≥ 20 years, not for those treated when younger. Cumulative risks were tabulated in detail; for 40-year follow-up, the risk for patients receiving ≥ 40 Gy mantle radiotherapy at young ages was 48%.
CONCLUSION This article provides individualized risk estimates based on large numbers for patients with HL undergoing follow-up after radiotherapy at young ages. Follow-up of such women needs to continue for 40 years or longer and may require more-intensive screening regimens than those in national general population programs. Special consideration is needed of potential measures to reduce breast cancer risk for girls treated with supradiaphragmatic radiotherapy at pubertal ages.

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service

To view all WUTH publications please link here

Library staff picks: The Girl with the Dragon Tattoo by Stieg Larsson

"This is the first book in the ‘Girl with the Dragon Tattoo’ trilogy. It is a fantastic piece of storytelling with a powerful message.”
Graham, Librarian

Library staff picks are our favourite novels from the Read and Relax collection. You can browse our Read and Relax collection via the library catalogue or come in the McArdle Library to find out more!

WUTH publication: A device-occluded ductus arteriosus rendered patent by acute dissection involving the main pulmonary artery and the descending aorta

Citation: European heart journal cardiovascular imaging. 2012, Jul 11

Author: Rittoo D, Khan A, Kumar A, Hughes D

Link to PubMed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service

To view all WUTH publications.

Tell us what you think about the library service and win a £25 book token!

Join in the big conversation by completing a short questionnaire about the library and enter our prize draw to win a £25 book token.

This questionnaire is part of the library services' commitment to ensure a high quality service is provided to our users.  Your response is very important to us.

To complete the questionnaire online please go to: https://www.surveymonkey.com/s/RCGGZMC
Your answers and comments will be used to evaluate and improve our service and will be treated with complete confidentiality.

We anticipate that this survey will take you approximately 4 minutes to complete.
The closing date is Friday 27th July.
Thank you!

New! Request journal articles and book online

You can now submit requests for books and journal articles that aren’t available in our own collection via the library website. First, check that we don’t have a copy of the item by searching the library catalogue . Then, complete the online Inter Library Loan request form . Library staff will contact you when your item is ready to collect.

Qualitative Research Methods Courses

The Health Experiences Research Group, Department of Primary Care Health Sciences, University of Oxford is offering the following programme of qualitative research methods courses from September to November 2012.
Note that our courses are very popular, so please book early to avoid disappointment.

For further details about each course or to make a booking, please go to https://www.oxforduniversitystores.co.uk/browse/product.asp?catid=165&modid=5&compid=1

Please pass the information on to anyone who might be interested and/or display it on your noticeboards.

INTRODUCTION TO QUALITATIVE INTERVIEWING
20-21 September 2012 (FILLING FAST)
This two-day course is aimed at researchers who have little or no experience of qualitative interviewing. Previous courses have attracted researchers from the health service, clinicians and social scientists. The only requirements are an interest in qualitative interviewing and the desire to conduct better interviews. The course aims to provide hands on practical experience of different qualitative interviewing skills. £395

ANALYSING QUALITATIVE INTERVIEWS
18-19 October 2012 (JUST 5 PLACES REMAINING)
This two day course is aimed at researchers who are planning to undertake or manage qualitative research using in-depth or semi structured interviews or those who have already collected qualitative interview data which they are unsure how to analyse. It aims to introduce the principles and practice of qualitative interview data analysis, with particular emphasis on thematic analysis techniques. It uses a combination of practical workshops, group discussions and formal lectures. The course will also introduce participants to narrative analysis and discourse analysis. £440

INTRODUCTION TO FOCUS GROUPS
26 October 2012 (FILLING FAST)
This one day course is aimed at health professionals, researchers and postgraduate students who want to develop skills in organising and facilitating focus groups and in analysing focus group data. The course is suitable for those with little or no understanding of focus group method as well as those wishing to review and broaden existing skills. Practical exercises and small group work will be used throughout the course to develop competence in designing topic guides, moderating focus groups and analysing data. £225

Opportunity for Researchers

Research Networks: Underpinning Discovery, Supporting Knowledge Transfer
27th September 2012, The Barbican, London

What can UK research be doing differently to gain more value out of investments, partnerships and eventual outcomes?

How can networks gain an advantage when leveraging for funding and investment?

Research networks are not just about connecting people, but about creating the right environments and the right support that can help to boost creative knowledge transfer.

Given the spiraling costs associated with R&D, the process needs to become more efficient and deliver better value for money.

High Profile Presentations will Include

• The ATLAS experiment at the CERN Large Hadron Collider


• Maximising the impact of the European Research Area


• Collaboration through Knowledge Transfer Networks and through new partnerships


• The next generation of biobanking


• How the Research Excellence Framework can improve quality and outcomes

Confirmed Speakers Include
Professor Paul Boyle
President, Science Europe, and Chief Executive, Economic and Social Research Council (ESRC)
David Way
Director of Knowledge Exchange and Special Projects, Technology Strategy Board
Dr Matthew Hallsworth
Managing Director, NIHR Office for Clinical Research Infrastructure (NOCRI)
Paul Clark
Director of Policy, Universities UK

View Full Details of Programme and Speakers

At Research Networks: developing infrastructure to support science, we will explore how to foster pioneering research and innovation. The programme will showcase best practice of knowledge transfer, collaboration and excellence, highlighting the network infrastructures that can help to deliver results.

Delegates will have the chance to challenge, discuss and debate the key issues and gain relevant insight applicable to their professional roles which they can embed within their organisations and improve services.

WUTH publication: Spontaneous regression of a childhood tumour with anaplastic histological features.

Citation: Clinical and Experimental Dermatology. 2012, Jul 4.

Authors: Biswas A, Tan BB

Link to PubMed record.


For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

WUTH publication: Saccular abdominal aortic aneurysm: clear cause of exquisite back pain.

Citation: BMJ Case Reports. 2012, Jul 3
Authors: Owen RP, Chan C

Link to PubMed record

WUTH publication: Systematic review of care intervention studies for the management of incontinence and promotion of continence in older people in care homes with urinary incontinence as the primary focus (1966-2010)

Citation: Geriatr Gerontol Int. 2012 Jun 7;

Authors: Flanagan L, Roe B, Jack B, Barrett J, Chung A, Shaw C, Williams KS

Abstract: The aim of this paper was to compare published studies of care interventions for the management and promotion of continence, with urinary incontinence as the primary focus, in older care home residents. Incontinence is a prevalent and serious problem amongst older people in care homes, with an increasing international focus. MEDLINE and CINAHL searches via OVID (January 1966 to May 2010) were carried out, with studies limited to English language publications only. Included in this search were studies investigating urinary and fecal incontinence in people aged 65 years or older in care homes. Studies on surgical or pharmacological interventions or fecal incontinence alone were excluded. A total of 33 interventional studies were identified. Toileting programs and incontinence pads are the mainstays of treatment, with some studies implying significant economic and labor costs. Drug therapy as an adjunct to toileting programs has so far shown only moderate benefits. Combined physical therapy/behavioral therapies have shown effective short-term improvements. Adaptations to physical environment and staff training techniques might also be paramount. Exercise and Functional Incidental Training programs, although expensive, might provide additional benefit by reducing wetness rates and improving appropriate toileting rates. Combined complex behavioral interventions are now a common feature and their effectiveness for the management of urinary incontinence should be determined in future studies. Studies including long-term effectiveness on maintaining continence with full economic evaluation are also warranted in this population.
Link to Pubmed record

WUTH publication: Pre-operative assessment of elective surgical patients

Citation: Nurs Stand. 2012 Mar 28-Apr 3;26(30):51-6; quiz 58

Authors: Pritchard MJ

Abstract: Patients due to undergo elective surgery who are not considered to be medically fit, may have their operation postponed or even cancelled. Not only will this result in significant anxiety for the person, but it will also have financial implications for the hospital, in terms of lost theatre time. In an attempt to prevent postponing or cancelling scheduled surgery, pre-operative assessment is essential to ensure that the patient is physically and emotionally prepared. This article examines the main components of pre-operative assessment and how addressing any problems before surgery can help to improve post-operative outcomes for patients.

Link to Pubmed record

BNF app for smartphones is launched!

The NICE British National Formulary (BNF) app has been developed to provide easy access to the latest up-to-date prescribing information from the BNF - the most widely-used medicines information resource within the NHS.

It is available to download for free by health and social care professionals who work for or who are contracted by NHS England.

Users will need to enter their NHS Athens username and password to activate the app and download the content. Find out more at NHS Athens.

For more details and to download the app.

Oxford Handbooks available online

You can now access over 100 titles online from the Oxford Handbooks series at Oxford Medicine Online - http://oxfordmedicine.com/.

The list of titles and links to the full text can be accessed from the library catalogue at http://www.whnt.nhs.uk/hrod/development/library_services/.

Some important notes: You will need your NHS Athens Account to access the full text. If you haven’t registered for an NHS Athens account already, click here to link to our help-sheet to find out how to register.

UpToDate is now available in the McArdle Library!

We are pleased to announce that you can now access UpToDate in the McArdle Library at Arrowe Park Hospital.

How do I access UpToDate?
The integrated Library Service has purchased an institutional license for access to UpToDate. This is valid until 31/12/12. UpToDate is accessible from any computer/laptop that is connected to the WUTH Intranet. If you have registered for the Trust Intranet you can also access this resource from an off-site PC.Click here for instructions on how to access UpToDate.

What is UpToDate?
UpToDate provides you with a summary of the latest evidence in your specialty or area of interest. It can be used as a tool to help you answer clinical questions quickly, increase your clinical knowledge, and improve patient care. A topic summary provides you with a synthesis of the literature, the latest evidence, and specific recommendations for patient care.

Which topics does UpToDate cover?
Currently, UpToDate covers the following topics:
• Critical Care
• Drug Information
• Emergency Medicine
• Endocrinology
• Family Medicine
• Gastroenterology
• Gynaecology
• Haematology
• Hepatology
• Infectious Diseases
• Nephrology
• Neurology
• Obstetrics
• Oncology
• Paediatrics
• Pulmonology
• Rheumatology
• Surgery
• Women's Health

Where can I give feedback about UpToDate?
Please submit a Library Suggestion Form to give any feedback about UpToDate.


Find out more!
If you would like to find out more about how the library can support evidence based practice in your team, please contact us; we can send a Librarian to your next team meeting or simply talk you through the wide range of services available.

You may also visit the Integrated Library Service web pages at www.whnt.nhs.uk/library.


If you think any of your colleagues would benefit from receiving these alerts, please direct them to the Evidence Alerts web page.Acknowledgement: