Abstract Background Targeted temperature management (TTM) of 32 to 34 °C has been the standard treatment for out-of-hospital cardiac arrest since clinical trials in 2002 indicated benefit on survival and neurological outcome. In 2013, a trial showed no difference outcome between TTM 33 36 °C. this meta-analysis, we investigate evidence animal models arrest. Methods We searched PubMed EMBASE adult studies using as different or global brain ischemia which reported neurobehavioural outcome,...

Background Traumatic brain injury (TBI) is a major cause of disability and death in young adults worldwide. It results around 1 million hospital admissions annually the European Union (EU), causes majority 50,000 deaths from road traffic accidents leaves further ≈10,000 people severely disabled. Objective The Eurotherm3235 Trial was pragmatic trial examining effectiveness hypothermia (32–35 °C) to reduce raised intracranial pressure (ICP) following severe TBI morbidity mortality 6 months...

A 7-year-old girl presented with an asymptomatic right supraclavicular swelling. Radiographs were interpreted as showing a non-union of her clavicle. No treatment was given at this time. However, she represented 12 years later upper limb pain and altered sensation. Examination revealed positive Allen's test on the right. Repeat radiographs demonstrated pseudarthrosis clavicle, associated secondary complication thoracic outlet syndrome vascular neurological complications present....

Abstract Opioid use disorder among pregnant women is common and rapidly increasing nationwide. Group prenatal care an innovative alternative to individual for has been shown improve women's health providers’ satisfaction adherence care. We describe a novel group program colocated in opioid treatment that integrates care, substance counseling, medication‐assisted treatment. Our interprofessional model draws on the unique contributions of physicians, midwives, nurses, mental professionals...

There has been an increasing demand for diagnostic flexible sigmoidoscopy. In order to improve our services, we established a nurse specialist led sigmoidoscopy clinic in 1999. The aim of this study was review the outcomes service between 1999 and 2004.The following information collected prospectively: source referral, presenting symptoms, result sigmoidoscopy, depth insertion, follow-up plan complications.A total 3956 patients had performed 2004. symptoms were as follows: rectal bleeding...

The importance and benefits of interdisciplinary practice in health care have been well documented. Despite this, few medical schools developed formal curriculum opportunities for teaching. Here, as an example nursing students teaching learning together, we describe a novel approach to peer-assisted led by on fluid electrolyte balance.Teaching sessions were collaborative group fourth-year students, under the supervision staff. Each session had different stations aimed at encouraging...

Training medical image analysis models traditionally requires large amounts of expertly annotated imaging data which is time-consuming and expensive to obtain. One solution automatically extract scan-level labels from radiology reports. Previously, we showed that, by extending BERT with a per-label attention mechanism, can train single model perform automatic extraction many in parallel. However, if rely on pure data-driven learning, the sometimes fails learn critical features or learns...

Abstract Background Neonatal Opioid Withdrawal Syndrome (NOWS) is a significant public health issue and while millions of neonates are affected each year, an optimal pharmacologic weaning protocol has yet to be demonstrated. In this study, we compare hospital length stay (LOS) treatment (LOT) for neonatal opioid withdrawal with morphine versus methadone. Methods This was single-site, open-label, randomized controlled pilot study conducted from October 2016-September 2018. Infants were...

A 15-year-old female Highland dancer presented to the accident and emergency department with an ankle inversion injury on a background of several weeks pain in right foot. radiograph foot demonstrated stress fracture at base second metatarsal. She was treated conservatively below knee removable supportive walking boot rocker bottom sole. re-presented 3 later pins needles foot; she given crutches use along side boot. Radiographs 12 after first presentation showed healing fracture. The patient...

Targeted temperature management (TTM) of 32-34 °C has been the standard treatment for out-of-hospital cardiac arrest since clinical trials in 2002 showed benefits to survival and neurological outcome. Recently, this challenged by another trial showing no difference outcome between TTM 33 36 °C. This protocol describes methodology a meta-analysis detailing temperature-reducing interventions treat global ischaemia animal models. By combining relevant data sets literature, we will explore...

Information retrieval (IR) from the free text within electronic health records (EHRs) is time consuming and complex. We hypothesize that natural language processing (NLP)-enhanced search functionality for EHRs can make clinical workflows more efficient reduce cognitive load clinicians.This study aimed to evaluate efficacy of 3 levels (no search, string NLP-enhanced search) in supporting IR users EHR documents a simulated environment.A environment was by uploading sets patient notes into an...

A 63-year-old woman presented with a low energy pelvic fracture, which showed no signs of healing. Initial fractures were to the right hemipelvis, later followed by fractured neck femur. We present complicated patient journey, management dilemmas and highlight growing concern long-term bisphosphonate treatment.

Background: Necrotising soft tissue infections (NSTI) are uncommon and remain a devastating disease.This study aims to document mortality rates, assess the value of laboratory risk indicator for necrotising fasciitis (LRINEC) score as diagnostic tool examine outcomes following reconstructive surgery wound closure.Methods: A retrospective case note review patients presenting our institute between 2004 2012 with histological or clinical diagnosis were identified.Results: Thirty-three primary...

The case of a healthy 33-year-old woman who underwent an elective caesarean section with incidental finding small free-floating cysts within the pelvic peritoneum is presented. Gross examination could not identify specimens. Histopathological investigation was necessary to classify specimens as benign mesothelial cysts. patient had no medical or surgical history and other risk factors. presented particularly interesting were non-adherent any abdominal structure, commonly described....

Thrombolysis treatment for acute ischaemic stroke can lead to better outcomes if administered early enough. However, contraindications exist which put the patient at greater risk of a bleed (e.g. recent major surgery, anticoagulant medication). Therefore, clinicians must check patient's past medical history before proceeding with treatment. In this work we present machine learning approach accurate automatic detection information in unstructured text documents such as discharge letters or...

Aims To review the literature focusing on anxiety and music therapy as a non-pharmacological anxiolytic for patients receiving mechanical ventilation to determine contexts, mechanisms outcomes of what works whom under circumstances. Background Mechanical is one numerous processes that critically ill patient requiring single or multi organ support may experience. This often frightening perplexing patient, particularly when mechanically ventilated. The abundance interventions, monitoring...

<h3>Introduction</h3> The demand for Gastrointestinal (GI) endoscopy continues to rise. Demand is expected supersede current provision of capacity through existing models leading a huge capacity-demand gap. Nurse Endoscopists (NE) can potentially meet this as the medical workforce struggles to. However there significant gap in training NE that means potential utilise pool from available not being maximised. basic skills JAG courses address practical but specific relate nurses taking on...

A 15-year-old Caucasian girl presented to her general practitioner with a tender, irreducible mass in the paraumbilical region. On examination, two small masses could be felt. She was referred surgery. Ultrasound imaging and MRI were unremarkable. However, clinical suspicion suggested multiple areas of abdominal wall herniation. The patient admitted for elective surgery exclude At operation, three subcutaneous found but no evidence Histopathology results from specimens showed mature adipose...

Abstract Background Information retrieval (IR) from the free text within Electronic Health Records (EHRs) is time-consuming and complex. We hypothesise that Natural Language Processing (NLP)-enhanced search functionality for EHRs can make clinical workflows more efficient reduce cognitive load clinicians. Objective To evaluate efficacy of three levels (no search, string NLP-enhanced search) in supporting IR users EHR documents a simulated environment. Methods A environment was by uploading...

<h3>Introduction</h3> Endoscopy units face an increasing demand on their ability to meet timeliness targets. One way of managing is work differently – and straight test (STT) offers this. Patients with lower gastrointestinal (LGI) symptoms are telephone triaged by a trained specialist nurse direct the appropriate endoscopic investigation, rather than attending clinic first. Clear benefits patient reduction in time wait until definitive (endoscopic) diagnosis, Trust freeing up out-patient...