WUTH publication: Clinical outcomes of triamcinolone-assisted anterior vitrectomy after phacoemulsification complicated by posterior capsule rupture.

Citation: Journal of Cataract and Refractive Surgery, 2013, Jan 18
Author: Kasbekar S, Prasad S, Kumar BV
Abstract: PURPOSE: To compare the clinical outcomes in patients who had triamcinolone acetate-assisted anterior vitrectomy and patients who had anterior vitrectomy without triamcinolone acetate after phacoemulsification complicated by posterior capsule rupture and vitreous loss.
SETTING: Arrowe Park Hospital, Wirral, United Kingdom.
DESIGN: Retrospective consecutive case note review.
METHODS: Consecutive case notes of patients who had anterior vitrectomy assisted by triamcinolone acetonide (triamcinolone group) or without triamcinolone acetate (no-triamcinolone group) after posterior capsule rupture between January 2007 and January 2011 were identified and examined. Data recorded at the clinic visit preoperatively and 1 day and 3 months postoperatively were collated. Information recorded on the pro forma included visual acuity, ocular comorbidities, intraocular pressure (IOP), vitreous strands in the anterior chamber, and other adverse events.
RESULTS: No statistically significant difference was found in the visual acuity or IOP between 17 patients in the triamcinolone group and 34 patients in the no-triamcinolone group at any time point. Vitreous strands in the anterior chamber were noted in 1 patient in the triamcinolone group and 7 patients in the no-triamcinolone group. Cystoid macular edema (CME) was present in 3 patients in the no-triamcinolone group, including 1 patient with vitreomacular traction.
CONCLUSIONS: There was no significant increase in IOP after triamcinolone acetate-assisted anterior vitrectomy. Higher rates of CME and residual anterior chamber vitreous strands in the no-triamcinolone acetate group support the clinical use of triamcinolone acetate.
FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.

Link to Pubmed record

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WUTH publication: Standardized definition of contamination and evidence-based target necessary for high-quality blood culture contamination rate audit.

Citation: Journal of Hospital Infection. 2013 Jan 9.
Author: Harvey DJ, Albert S

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 LEAF bulletin available

There is a new LEAF bulletin available.

NHS Line Managers Bulletin - is a fortnightly bulletin from NHS Employers which gives managers in the NHS practical tips, tools and advice on key workforce issues.

WUTH publication: A systematic review on the use of prophylactic mesh during primary stoma formation to prevent parastomal hernia formation.

Citation: Colorectal Disease, 2012, 14(8), 931-6.
Author: Shabbir J, Chaudhary BN, Dawson R
Abstract: AIM: Despite advances in surgical technique, parastomal herniation is common. This systematic review aims to assess the efficacy of prophylactic mesh at primary operation in reducing the incidence of parastomal hernia.
METHOD: Medline, EMBASE and CENTRAL were searched for relevant publications between January 1980 and January 2010. The search strategy included text terms and MESH headings for parastomal hernia, mesh and prevention and/or prophylaxis of hernia. No language restrictions were applied. Bibliographies from the papers requested in full were manually checked. All randomized controlled trials were included regardless of the language of publication. Results were extracted from the papers by two observers independently on a predefined data sheet. Disagreements were resolved by discussion. REVMAN 5 was used for statistical analysis.
RESULTS: Of 27 possible studies three randomized controlled trials fulfilled the criteria for systematic review, with a total of 128 patients (mesh 64, no mesh 64). The two study groups were well matched demographically. The incidence of parastomal hernia in the mesh group was 12.5% (8/64) compared with 53% (34/64) in the control group (P < 0.0001). There was no difference in mesh related morbidity in the two groups.
CONCLUSION: Although only three trials with 128 patients fulfilled the criteria for this systematic review, the data suggest that the use of prophylactic prosthetic mesh at the time of primary stoma formation reduces the incidence of parastomal hernia.

Link to Pubmed record 

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.