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Tuesday 19 June 2018

WUTH publication: Is it necessary to change instruments between sampling sites when taking multiple tissue specimens in musculoskeletal infections?

Citation: Annals of the Royal College of Surgeons of England. 2018, 100(7), 563-565 [Epub 2018 Jun 18]
Author: Makki D, Abdalla S, El Gamal TA, Harvey D, Jackson G, Platt S
Abstract: Introduction Surgical debridement of orthopaedic infections allows biopsy for microbiology and facilitates successful treatment. It is recommended that biopsy instruments are changed when taking multiple samples. This study compared assessed cross-contamination between biopsy sites when using same instruments to take tissue samples from multiple sites. Materials and methods During the surgical debridement, we defined five sampling sites and marked them with diathermy. Two sampling techniques were performed on same patient to minimise any potential bias arising from the type of host and the severity of infection. First, fresh instruments were used for each biopsy site. Titleond, the instruments used in the first sampling site were reused to take samples from the remaining sites. By comparing the microbiology results of the samples taken by each technique for each site we determined cross-contamination with microorganisms. Results Fifteen patients with foot and ankle infections (mean age 56 years) were included. Ten patients were diabetic and five had neuropathies. Cross-contamination between sampling sites occurred in eight cases when the same instruments were used to take biopsies (P = 0.002, Fisher's exact test). One or more microorganisms were involved in cross-contamination and the latter always occurred between two consecutive sites rather than sites that were further apart. Conclusion It is important to use fresh instruments for each biopsy site when taking multiple samples in musculoskeletal infection as cross-contamination might occur otherwise and affect microbiological studies.
KEYWORDS: Multiple samples; Orthopaedic infections; Sampling instruments; Tissue sampling

Link to PubMed record

Monday 18 June 2018

WUTH publication: Lessons from cadaveric dissection in AWR

Citation: Hernia: the journal of hernias and abdominal wall surgery. 2018 Jun 15 [Epub ahead of print]
Author: Walsh C, Battersby C, Suggett N, Slade D

Link to PubMed record

Thursday 14 June 2018

Stroke


Relevant articles from MA Healthcare journals to support your staff’s education and practice
June 2018

Both the diagnosis and care of stroke victims is a key issue for health professionals in the UK; today there are over 1.2 million stroke survivors that are   discharged from hospitals who need care. It is a condition that is currently one of the largest causes of disability, and one third of survivors require help with daily activities from others, such as professional carers, family and friends.
We have provided a list of relevant articles from MA Healthcare journals dealing with stroke, thereby providing your NHS staff with research, information and tips that will support both their work and their patients.
(Access to links via OpenAthens authentication currently only work on the desktop version of our MAG Online Library)
British Journal of Cardiac Nursing:
·         Stroke: the key risk factors http://www.magonlinelibrary.com/doi/10.12968/bjca.2017.12.11.552
·         Room for improvement in stroke prevention and treatment http://www.magonlinelibrary.com/doi/10.12968/bjca.2017.12.4.162
·         Initial assessment and management of stroke
British Journal of Hospital Medicine:
·         Chronic stroke disease http://www.magonlinelibrary.com/doi/10.12968/hmed.2016.77.5.C66
·         Secondary prevention of stroke http://www.magonlinelibrary.com/doi/10.12968/hmed.2015.76.7.C104
British Journal of Neuroscience Nursing:
·         Antithrombotic treatment for ischaemic stroke http://www.magonlinelibrary.com/doi/10.12968/bjnn.2017.13.Sup5.S26
·         Thrombectomy in acute ischaemic stroke and the implications for nursing practice http://www.magonlinelibrary.com/doi/10.12968/bjnn.2016.12.Sup5.S28
·         A 2-week stroke review identifies unmet needs in patients discharged home from a hyperacute stroke unit
·         Managing atrial fibrillation to prevent stroke
International Journal of Therapy and Rehabilitation:
·         Hyper acute stroke unit patient suitability for early supported discharge: Coordination and data analysis project http://www.magonlinelibrary.com/doi/10.12968/ijtr.2016.23.Sup11.S536
·         A qualitative study exploring patients', with mild to moderate stroke, and their carers' perceptions of healthy lifestyles http://www.magonlinelibrary.com/doi/10.12968/ijtr.2017.24.9.375
·         Factors associated with outcomes of inpatient stroke rehabilitation
·         Immediate effects of arm slings on posture, balance and gait in sub-acute stroke patients: A case control study
Nursing and Residential Care:
·         Stroke and dysphagia: fluids, diet and medication http://www.magonlinelibrary.com/doi/10.12968/nrec.2017.19.1.12
·         Ibuprofen linked to heart attack and stroke http://www.magonlinelibrary.com/doi/10.12968/nrec.2015.17.9.487
Nurse Prescribing:
·         Antithrombotic treatment for ischaemic stroke http://www.magonlinelibrary.com/doi/10.12968/npre.2017.15.7.345
·         What acute care nurses should know about stroke medications http://www.magonlinelibrary.com/doi/10.12968/npre.2016.14.2.68
British Journal of Nursing:
·         Adherence to medication and self-management in stroke patients http://www.magonlinelibrary.com/doi/10.12968/bjon.2014.23.3.158
·         Preventing muscular contractures through routine stroke patient care http://www.magonlinelibrary.com/doi/10.12968/bjon.2014.23.14.781
British Journal of Community Nursing:
·         Recognising and managing atrial fibrillation in the community http://www.magonlinelibrary.com/doi/10.12968/bjcn.2014.19.9.422
·         Living with companion animals after stroke: experiences of older people in community and primary care nursing
British Journal of Healthcare Assistants:
·         Stroke and stroke rehabilitation, 3: nursing skills http://www.magonlinelibrary.com/doi/10.12968/bjha.2016.10.1.20
·         Stroke and stroke rehabilitation, 4: occupational therapy http://www.magonlinelibrary.com/doi/10.12968/bjha.2016.10.2.67
Journal of Paramedic Practice:
·         World Stroke Day highlights continuing need for rapid assessment and transport of stroke patients by paramedics
·         Stroke assessment and management in pre-hospital settings http://www.magonlinelibrary.com/doi/10.12968/jpar.2017.9.8.354
Independent Nurse:
·         Cancer, strokes, menopause http://www.magonlinelibrary.com/doi/10.12968/indn.2014.12.19
·         Stroke, diabetic teens, COPD http://www.magonlinelibrary.com/doi/10.12968/indn.2014.6.15
British Journal of Healthcare Management:
·         E-health for stroke survivors and their carers http://www.magonlinelibrary.com/doi/10.12968/bjhc.2017.23.10.462
·         Vision problems following stroke: Developing a best practice statement http://www.magonlinelibrary.com/doi/10.12968/bjhc.2015.21.7.326

Wednesday 13 June 2018

Pain Management


Relevant articles from MA Healthcare journals to support your staff’s education and practice
June 2018
Health Professionals across the NHS are actively involved in helping thousands of patients each year with effective pain management. This is a crucial element of care provision – via accurate diagnoses and early interventions, professionals can reduce the severity of pain and the risk of chronic conditions, as well as greatly improve the quality of life and overall mental and physical health of the patient.
We have provided a list of relevant articles from MA Healthcare journals dealing with this area, thereby providing your NHS staff with research, information and tips that will support both their work and the care of their patients

(Access to links via OpenAthens authentication currently only work on the desktop version of our MAG Online
British Journal of Cardiac Nursing
·         Ablation of atrial fibrillation: pain relief by visualisation
Published Online: April 07, 2015

British Journal of Community Nursing
·         Wound management should not be a pain
Published Online: September 01, 2017

British Journal of Healthcare Assistants
·         BPS1: Minimising pain at wound dressing-related procedures
Published Online: September 27, 2013

British Journal of Healthcare Management
·         A silent epidemic: effective pain management in the community
Published Online: June 24, 2014

·         The clinical nurse specialist's role in chronic pain management services
Published Online: December 15, 2014


British Journal of Hospital Medicine
·         Postoperative pain management
Published Online: October 12, 2015

·         Analgesic prescribing in palliative care

Published Online: December 09, 2014

·         Managing Pain

Published Online: January 17, 2014

·         Diagnosis and management of acute non-degenerative neck pain

Published Online: August 16, 2013

·         Continuous peripheral nerve blocks for postoperative pain

Published Online: October 10, 2016

British Journal of Mental Health Nursing
·      Getting to grips with chronic pain: Key publications
Published Online: December 06, 2016


British Journal of Midwifery
·         An exploration of the benefits and drawbacks of intrapartum pain management strategies
Published Online: September 09, 2014

·         Non-pharmacological pain management strategies for labour: Maintaining a physiological outlook

Published Online: February 02, 2017

·         Pain in labour and the intrapartum use of intramuscular opioids—how effective are they?

Published Online: July 07, 2017

·         Supporting an ethnic minority woman's choice for pain relief in labour: A reflection

Published Online: May 02, 2016

·         Lower back pain in labour

Published Online: March 24, 2014

·         Non-pharmacological pain management strategies for labour: Maintaining a physiological outlook
Published Online: February 02, 2017

British Journal of Neuroscience Nursing

·         Neuropathic pain: an overview

Published Online: June 24, 2014

British Journal of Nursing
·         Pain management in cancer nursing
Published Online: May 23, 2014

·         Acute pain services following surgery for colorectal cancer

Published Online: March 04, 2014

·         Managing pain medications in long-term care: nurses' views

Published Online: May 15, 2015

·         Management of pain following craniotomy
Published Online: July 23, 2015

Dental Nursing

·         Pain part 1: introduction to pain

Published Online: July 06, 2017

Journal of Aesthetic Nursing

·         Is there a strong evidence base for pain relief prior to medical aesthetic procedures?

Published Online: September 29, 2013

·         Pain-management strategies for cosmetic injectable treatments: an overview
Published Online: September 02, 2015

Journal of Paramedic Practice

·         Pain: highlighting the law and ethics of pain relief in end-of-life patients

Published Online: July 06, 2015

·         Appropriate pain assessment tools for use in patients with dementia in the out-of-hospital environment
Published Online: November 16, 2016

·         Continuing Professional Development: Pain management in children in the pre-hospital environment
Published Online: March 07, 2018

·         Continuing Professional Development: Pain management for paramedic practice
Published Online: January 29, 2015

·         A brief history of analgesia in paramedic practice
Published Online: July 31, 2014

Journal of Wound Care

·         The effect of Ringer's solution within a dressing to elicit pain relief

Published Online: April 11, 2016

Independent Nurse

·         Relieving musculoskeletal pain

Published Online: March 10, 2015

·         Managing chronic pain in children

Published Online: October 21, 2015

International Journal of Palliative Nursing
·         Achieving effective control in cancer pain: a review of current guidelines
Published Online: January 20, 2014

·         How do nurses in specialist palliative care assess and manage breakthrough cancer pain? A
Published Online: January 20, 2014

·         Treating cancer pain: the palliative nursing dilemma

Published Online: January 25, 2016

·         Neuropathic pain in people with cancer (part 2): pharmacological and non-pharmacological management

Published Online: August 27, 2015


International Journal of Therapy and Rehabilitation

·         Relaxation and chronic pain: A critical review

Published Online: June 09, 2016

·         The impact of spinal cord stimulation for upper extremity complex regional pain syndrome on level of function

Published Online: May 22, 2014

Nurse Prescribing
·         Pain and side effects in older people
Published Online: January 11, 2016

·         Pain, inflammation and wound healing

Published Online: March 15, 2018

·         Palliative care: Medicines for actively dying patients without pain

Published Online: July 09, 2016

·         Pain and side effects in older people

Published Online: January 11, 2016

Nursing and Residential Care
·         Observational pain assessment in advanced dementia
Published Online: June 14, 2014

·         The role of palliative care in pain relief and affirming life

Published Online: March 05, 2014