Author: Blair S
For more information about obtaining the full text of journal
articles, please visit our Document / Book Supply service.
Thursday 28 March 2013
WUTH publication: The NHS working at weekends as it does during the week is a non-starter.
Citation: BMJ (Clinical Research Edition), 2013, Mar 26, 346
Author: Blair S
Author: Blair S
Friday 8 March 2013
Celebrate international Womens day - with our free recommended resources
To
celebrate international Womens day on the 8th of March we are linking to a
series of recommended and favourite sites covering women and gender studies. http://lselibraryresearch.blogspot.co.uk/
In this first section: International Womens day resources.
A collection of special sites created by organisations to celebrate this event
Hear the One Woman Song from the UN
UN website
Has a history of the event, records of past days, news and basic facts and figures about women.
ILO puts the spotlight on sexual harassment. See their statement
Council of Europe Statements and files.
internationalwomensday.com is a global hub for sharing International Women’s Day information, events, news and resources. Find out about the history of the day and events in your area.
Follow it in real time on the Twitter section.
The resources section. has posters badges and online videos.
UK Government has released an interesting map showing its efforts to encourage female empowerment worldwide.
Goldman Sachs 10,000 women - photo site sharing the success stories of Women entrepreneurs worldwide.
Accenture have released research on what makes women happy in the workplace
TES- teaching guides for schools about Womens day
In this first section: International Womens day resources.
A collection of special sites created by organisations to celebrate this event
Hear the One Woman Song from the UN
UN website
Has a history of the event, records of past days, news and basic facts and figures about women.
ILO puts the spotlight on sexual harassment. See their statement
Council of Europe Statements and files.
internationalwomensday.com is a global hub for sharing International Women’s Day information, events, news and resources. Find out about the history of the day and events in your area.
Follow it in real time on the Twitter section.
The resources section. has posters badges and online videos.
UK Government has released an interesting map showing its efforts to encourage female empowerment worldwide.
Goldman Sachs 10,000 women - photo site sharing the success stories of Women entrepreneurs worldwide.
Accenture have released research on what makes women happy in the workplace
TES- teaching guides for schools about Womens day
See
our scoop.it guide http://www.scoop.it/t/women-and-gender-studies
Heather
dawson
LSE
WUTH publication: Ankle Arthrodesis vs TTC Arthrodesis: Patient Outcomes, Satisfaction, and Return to Activity.
Citation: Foot and Ankle International, 2013, March 6th, epub ahead of print
Authors: Ajis A, Tan KJ, Myerson MS
Abstract: BACKGROUND: It is believed that patients with an ankle arthrodesis (AA) have better outcomes than after a tibiotalocalcaneal (TTC) arthrodesis due to preservation of subtalar motion. However, there are no studies comparing actual functional outcomes and patient satisfaction between AA and TTC arthrodesis. METHODS: We retrospectively analyzed patient satisfaction and functional outcomes of patients after an AA and TTC arthrodesis using a postal survey. A total of 173 patients who underwent TTC and 100 AA patients from 2002 to 2010 were identified with a minimum of 24 months follow-up. In all, 53 AA and 64 TTC arthrodesis patients were included in the study, with the remainder lost to follow-up. A return to activity questionnaire and SF-12 scores were used to compare functional outcomes. The mean follow-up time was 63 months.
RESULTS: Both groups showed good outcomes with a low visual analogue pain score (2.7 for AA and 2.8 for TTC), high satisfaction score (90.6% for AA and 87.5% for TTC), and return to work (77.4% for AA and 73.0% for TTC). In all, 84.6% of AA and 81.0% of TTC patients would have the surgery again. There were no significant differences between the 2 groups for these parameters. However, when asked if their desired activity level was met, fewer AA patients met their desired level (58.5% for AA and 66.5% for TTC, P = .02). AA patients were also more likely to feel their level was unmet due to the foot and ankle (85.6% for AA vs 25.7% for TTC, P < .001).
CONCLUSIONS: Both AA and TTC arthrodesis were associated with good functional outcomes and satisfaction. AA patients had higher postoperative activity expectations and were less likely to meet them. When they failed to meet these expectations, they were much more likely to attribute it to their operated ankle. We believe it is because of the different ways the 2 groups of patients are counseled preoperatively, which highlights the importance of managing patient expectations.
LEVEL OF EVIDENCE: Level III, retrospective comparative study.
Authors: Ajis A, Tan KJ, Myerson MS
Abstract: BACKGROUND: It is believed that patients with an ankle arthrodesis (AA) have better outcomes than after a tibiotalocalcaneal (TTC) arthrodesis due to preservation of subtalar motion. However, there are no studies comparing actual functional outcomes and patient satisfaction between AA and TTC arthrodesis. METHODS: We retrospectively analyzed patient satisfaction and functional outcomes of patients after an AA and TTC arthrodesis using a postal survey. A total of 173 patients who underwent TTC and 100 AA patients from 2002 to 2010 were identified with a minimum of 24 months follow-up. In all, 53 AA and 64 TTC arthrodesis patients were included in the study, with the remainder lost to follow-up. A return to activity questionnaire and SF-12 scores were used to compare functional outcomes. The mean follow-up time was 63 months.
RESULTS: Both groups showed good outcomes with a low visual analogue pain score (2.7 for AA and 2.8 for TTC), high satisfaction score (90.6% for AA and 87.5% for TTC), and return to work (77.4% for AA and 73.0% for TTC). In all, 84.6% of AA and 81.0% of TTC patients would have the surgery again. There were no significant differences between the 2 groups for these parameters. However, when asked if their desired activity level was met, fewer AA patients met their desired level (58.5% for AA and 66.5% for TTC, P = .02). AA patients were also more likely to feel their level was unmet due to the foot and ankle (85.6% for AA vs 25.7% for TTC, P < .001).
CONCLUSIONS: Both AA and TTC arthrodesis were associated with good functional outcomes and satisfaction. AA patients had higher postoperative activity expectations and were less likely to meet them. When they failed to meet these expectations, they were much more likely to attribute it to their operated ankle. We believe it is because of the different ways the 2 groups of patients are counseled preoperatively, which highlights the importance of managing patient expectations.
LEVEL OF EVIDENCE: Level III, retrospective comparative study.
For more information about obtaining the full text of journal
articles, please visit our Document / Book Supply service.
Wednesday 6 March 2013
NHS Change Day – collective action to demonstrate how small changes can have a big impact
WHAT IS CHANGE DAY?
NHS Change Day – collective
action to demonstrate how small changes can have a big impact
On the 13 March 2013 NHS
Change Day will bring together the individual creativity, energy and innovative
thinking of thousands of NHS staff from across clinical and non-clinical areas
of work, in a single day of collective action to improve care for patients,
their families and their carers. The
idea is to make a small change and make it every day practice.
Change Day is an NHS grassroots initiative devised and driven by emergent clinical and managerial leaders and improvement leaders, who want to make this call to action the single largest simultaneous improvement event in the NHS.
Change Day is an NHS grassroots initiative devised and driven by emergent clinical and managerial leaders and improvement leaders, who want to make this call to action the single largest simultaneous improvement event in the NHS.
It is about galvanising
and engaging the frontline in improvement, through individuals and teams
pledging to make a change in their practice which will improve patient
experience, clinical outcomes or spreading and adopting best practice and
championing innovation. This will be a countrywide event and will coincide with
Healthcare Innovation Expo at Excel in the same day.
The idea of NHS Change Day is create a mass movement of people working
in the NHS demonstrating the difference they can make - by one simple act – and
proving that we can make a big impact is possible when we work together in the
NHS. Our initial aim was for 65,000 people to take part, 65 being the number of
years the NHS has been in existence. To date we have over 90,000 supported
pledges.
You can take
part by going to the NHS Change Day website at http://www.changemodel.nhs.uk/changeday and make their pledge online, share you
story of what happened, make a video clip, join in the discussions on the forum
and become part of the growing list of active supporters and organisations
taking part on the day.
Follow
us on:
Twitter - #NHSchangeday
facebook.com/NHSchangeday
YouTube –
http://www.youtube.com/user/NHSchangeDay
iTunes or at
http://nhschangeday.podbean.com
Access evidence based Dermatology topics via UpToDate
UpToDate content now covers
all the major areas of dermatology, including medical dermatology, paediatric
dermatology and procedural dermatology. UpToDate’s graphics search also
allows you to search for and download a range of dermatology images.
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.
How can I access UpToDate?
You can access UpToDate via the WUTH intranet (click on the
‘UpToDate’ link in the Clinical box) or via www.uptodate.com with your Athens account.
Dermatology topics
include:
· Acne and rosacea
· Bullous disease
· Cosmetic dermatology
· Cutaneous lymphoma
· Dermatitis
· Dermatologic diagnosis
· Dermatologic surgery
· Drug eruptions
· Genodermatoses
· Hair and scalp disease
· Infections and infestations
· Melanocytic lesions and disorders of pigmentation
· Nonmelanoma skin cancer and related disorders
· Other topics in dermatology
· Papulosquamous disorders
· Pediatric dermatology
· Photodermatology
· Skin and systemic disease
· Urticaria and angioedema
· Bullous disease
· Cosmetic dermatology
· Cutaneous lymphoma
· Dermatitis
· Dermatologic diagnosis
· Dermatologic surgery
· Drug eruptions
· Genodermatoses
· Hair and scalp disease
· Infections and infestations
· Melanocytic lesions and disorders of pigmentation
· Nonmelanoma skin cancer and related disorders
· Other topics in dermatology
· Papulosquamous disorders
· Pediatric dermatology
· Photodermatology
· Skin and systemic disease
· Urticaria and angioedema
You can register for an Athens account at www.evidence.nhs.uk. For more information please contact the
Integrated Library Service on extension 8610 or visit our webspages at www.whnt.nhs.uk/library. The library service can provide individual or group
training on using UpToDate and a whole range of useful resources. Please
request training here.
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