Oxford Handbooks and Textbooks

You have access to over 200 of the Oxford Handbooks and Textbook e-book collection.
Recent updates include the new 2015 editions of  Oxford Handbook of Anaesthesia, Oxford Handbook of Children's and Young People's Nursing, Oxford Handbook of Mental Health Nursing, and Parkinson's Disease and Other Movement Disorders.
You can access them with your Open Athens account (Your institution is NHS England.) at http://www.oxfordhandbooks.com

WUTH publication: Unusual finding of concrescence

Citation: BMJ Case Reoprts. 2016 Mar 23
Author: Palermo D, Davies-House A
Abstract: Concrescence is a rare dental anomaly whereby adjacent teeth are united by cementum. It has been reported to occur in around 0.8% of permanent dental extractions and a correct diagnosis prior to surgical intervention is important to ensure that patients can make an informed decision about their treatment and to reduce the potential for dentolegal action against the responsible clinician. An 83-year-old woman was referred to the Oral and Maxillofacial Surgery Department at the Wirral University Teaching Hospital, for extraction of her upper left first molar tooth. The operator noted that, when the upper left first molar was extracted, the upper left second molar tooth was also removed. Clinically, the roots of the adjacent teeth appeared fused and a diagnosis of concrescence was established. The patient was informed of the complication and provided with a 1-week review appointment, at which stage she was discharged.
 
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BMJ Case Reports

WUTH has an institutional subscription to BMJ Case Reports. BMJ Case Reports is a peer-reviewed, valuable collection of case reports in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. This is the largest single collection of case reports online with more than 11,000 articles from over 70 countries.  Our Trust-wide subscription now means that as well as searching BMJ Case Reports, you can now submit a case report for free, allowing you to avoid the usual annual fellowship fee of £168.  To access BMJ Case Reports, all you need is a WUTH OpenAthens account.  Log in here with your OpenAthens.

If you’re interested in submitting a case report, take a look at the Instructions for Authors and contact the Library and Knowledge Service for the WUTH Fellowship code (you’ll need this to submit).  

WUTH publication: Patient-Reported Experience of Modified Transperineal Template Guided Saturation Biopsy Under General Anaesthesia and without Prophylactic Catheterisation

Citation: Urologia Internationalis. 2016, 96(4), 479-83
Author: Sarkar D, Ekwueme K, Parr N
Abstract: Results of patient feedback questionnaire following transperineal template guided saturation biopsy (TPSB) without prophylactic catheterisation.
INTRODUCTION AND OBJECTIVE: TPSB is increasingly utilised in the diagnosis and characterisation of prostate cancer. However, there is little data on patient experience after undergoing this procedure. We circulated a questionnaire to 511 consecutive patients from July 2007 to December 2014 and now analyse the responses.
MATERIALS AND METHODS:
The mean age for the cohort was 64 (range 43-82). A mean of 28 biopsy cores (range 13-43) were taken under general anaesthesia (GA), as day case procedure. Patients received diclofenac 100 mg suppository on completion of the procedure. The questionnaire explored symptoms at 1 h, 1, 3 and 7 days postoperatively.RESULTS:
There were 301 responses (59%). Following TPSB, 38% initially experienced rectal bleeding, falling significantly to 3% on day 7 (p < 0.001) and it was not a serious condition in all cases. A majority reported haematuria at 1 h but persisting at 1 week in over one quarter (p < 0.001). Nevertheless, although initially often dark, none had other than pale pink by the end of the reporting period. In contrast, the incidence of haematospermia increased over 7 days, rising significantly to 38% by this stage (p < 0.001). Several patients commented that the procedure was more tolerable than their previous conventional TRUS biopsy and 20 (6.6%) with voiding difficulty required catheterisation. In all, 23% patients felt pain, and out of these 23% only 5% required minor analgesia at day 7.CONCLUSION:
TPSB under GA without prophylactic catheterisation is well tolerated, carrying acceptable postoperative symptom rates. Interestingly, a significant proportion of patients ejaculate within 7 days, which again suggests good tolerance to the procedure. Patients should be provided with this data preoperatively when they are considering TPSB.
© 2016 S. Karger AG, Basel.

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WUTH publication: Life-threatening Petersen's hernia following open Beger's procedure

Citation: Journal of Surgical Case Reports. 2016, 3
Author: Goh YL, Haworth A, Wilson J, Magee CJ
Abstract: Petersen's hernia (an internal hernia between the transverse mesocolon and Roux limb following Roux-en-Y reconstruction) is well described following laparoscopic gastric bypass surgery. We describe a Petersen-type hernia in a patient who had undergone complex open upper gastrointestinal surgery for chronic pancreatitis.
Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016.

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WUTH publication:

Citation: Clinical interventions in aging. 2016, 11, 185-8
Author: Cheema MR, Ismaeel SM
Abstract: Temporal arteritis, also known as giant cell arteritis (GCA), is a systemic vasculitis that predominantly involves the temporal arteries. It is a medical emergency and should be treated promptly as it can lead to permanent loss of vision. It is very commonly associated with a raised erythrocyte sedimentation rate (ESR), usually >50 mm/h, one of the essential criteria defined by the American College of Rheumatology classification of GCA. Here, we describe the case of a 73-year-old male presenting with a 2-day history of a sudden onset of a severe left-sided headache, which had the signs and symptoms consistent with GCA but he had an ESR of only 27 mm/h. The patient was urgently treated with prednisolone 60 mg per day, and his symptoms dramatically improved within 24 hours of therapy. Temporal artery biopsy results were consistent with an inflammatory response, and withdrawal of treatment led to a relapse of the symptoms. The patient was slowly tapered off the high steroid dose and is now currently managed on a low steroid dose. We should keep a high index of suspicion for GCA in patients presenting with clinical symptoms of GCA even though the ESR is <50 mm/h as stated in the criteria for GCA diagnosis.
KEYWORDS: erythrocyte sedimentation rate; giant cell arteritis; prednisolone; temporal arteritis

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Library Training Sessions

Your Library & Knowledge Service is getting excellent feedback on its training sessions

So here is a quick reminder of what we offer:

• "First Steps in Searching"
• "Finding the Evidence"
• "Introduction to Critical Appraisal"
• "Reflective writing for revalidation"

all customised to your needs and provided at a time and place suitable for you or your team. To request a session please contact mcardle.library@nhs.net

BMJ Case Reports

BMJ Case Reports is a peer-reviewed, valuable collection of case reports in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. This is the largest single collection of case reports online with more than 11,000 articles from over 70 countries.  Our subscription means that as well as searching BMJ Case Reports, WUTH staff can now submit a case report for free, allowing you to avoid the usual annual fellowship fee of £168.  To access BMJ Case Reports, all you need is a WUTH OpenAthens account.  Log in here with your OpenAthens.  If you’re interested in submitting a case report, take a look at the Instructions for Authors and contact the Library and Knowledge Service for the WUTH Fellowship code (you’ll need this to submit).

BMA Critical Appraisal workshops

The BMA Library is running both a Basic Critical Appraisal Skills workshop and an Extended Critical Appraisal Skills workshop on dates in May and October.

For full details of these workshops, including how to book a place, please visit – http://www.bma.org.uk/librarycourses

If you have any queries about these workshops please contact Euphemia Abraham – eabraham@bma.org.uk

WUTH publication: Absence of extensor indicis tendon complicating reconstruction of the extensor pollicis longus

Citation: The Journal of Hand Surgery (European volume). 2017, 42(5), 528-29. [Epub 2016 Mar 2]
Author: Taylor J, Casaletto JA

Link to PubMed record