A5001088347- Diabetic Foot Ulcer Assessment and Management
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Orthopedic Infections and Treatments
- Tendon Structure and Treatment
- Wound Healing and Treatments
- Diagnosis and Treatment of Venous Diseases
- Bacterial Identification and Susceptibility Testing
- Foot and Ankle Surgery
- Lower Extremity Biomechanics and Pathologies
- Antimicrobial Resistance in Staphylococcus
- Peripheral Artery Disease Management
- Palliative Care and End-of-Life Issues
- Orthopedic Surgery and Rehabilitation
- Infective Endocarditis Diagnosis and Management
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Geriatric Care and Nursing Homes
- Venous Thromboembolism Diagnosis and Management
- Surgical site infection prevention
- Diphtheria, Corynebacterium, and Tetanus
- Pasture and Agricultural Systems
- Bee Products Chemical Analysis
- Clostridium difficile and Clostridium perfringens research
- Medical Malpractice and Liability Issues
Arrowe Park Hospital
2017-2024
Hull York Medical School
2018-2024
University of Hull
2018-2024
Wirral University Teaching Hospital NHS Foundation Trust
2016-2019
Newcastle University
2008
Brooke
1973
<h3>Importance</h3> Platelet-rich plasma injections are used as a treatment for chronic midportion Achilles tendinopathy, but evidence this is limited. <h3>Objective</h3> In adults with to assess the effects of single platelet-rich injection, compared sham on outcome Victorian Institute Sport Assessment-Achilles (VISA-A) score (a composite measure tendinopathy severity). <h3>Design, Setting, and Participants</h3> A participant-blinded, multicenter randomized clinical trial that included 240...
Background: Delirium is a complex condition, stressful for all involved. Although highly prevalent in palliative care settings, it remains underdiagnosed and associated with poor outcomes. Guideline-adherent delirium may improve its detection, assessment management. Aim: To inform future definitive study that tests whether an implementation strategy designed to guideline-adherent settings improves patient outcomes (reduced proportion of in-patient days delirium). Design: With Patient...
The introduction of functional rehabilitation for patients with Achilles tendon rupture has dramatically changed treatment programs this condition. authors introduced a weight-bearing protocol an acute treated operatively and nonoperatively in 2002. They hypothesized that no significant differences would exist the rerupture rates outcomes between groups. Between 2002 2008, collected data on 80 consecutive orthosis complete rupture. Following evidence-based counseling, 51 chose nonoperative...
Seven patients with diphtheroid endocarditis after prosthetic valve replacement are reported.Diphtheroids grown from blood cultures should not be dismissed as contaminants without repeated cultures, agglutinin, and L-form studies.Diphtheroid may increase in incidence the wider use of pre-and postoperative antibiotic prophylaxis, cause some examples 'negative' cultures.Four survived on a regimen sodium fusidate (Fucidin) erythromycin.
Background: The spring ligament is an important medial arch stabilizer. However, when disrupted, it does not cause planovalgus deformity until the foot cyclically loaded. We propose that tibionavicular (TN) plays role. this imaged in routine magnetic resonance imaging (MRI) sequences. Methods: A prospective case-control study using a novel MRI sequence to image TN 20 normal feet creating baseline appearance of ligament. then scanned patients with adult acquired flatfoot (AAFD). All had...
The aim of this paper was to present the clinical features patients with musculoskeletal sources methicillin-sensitive Staphylococcus aureus (MSSA) septicaemia.A total 137 presented MSSA septicaemia between 2012 and 2015. primary source infection in 48 (35%). Musculoskeletal considered when endocarditis other obvious were excluded. All an arthroplasty at time evaluated for any prosthetic involvement.The most common site spine, which occurred 28 (58%), associated abscess formation 16. Back...
Introduction Surgical debridement of orthopaedic infections allows biopsy for microbiology and facilitates successful treatment. It is recommended that instruments are changed when taking multiple samples. This study compared assessed cross-contamination between sites using same to take tissue samples from sites. Materials methods During the surgical debridement, we defined five sampling marked them with diathermy. Two techniques were performed on patient minimise any potential bias arising...
Delirium is a complex condition in which altered mental state and cognition causes severe distress poor clinical outcomes for patients families, anxiety stress the health professionals support staff providing care, higher care costs. Hospice are at high risk of developing delirium, but there significant variation delivery. The primary objective this study to demonstrate feasibility an implementation strategy (designed help deliver good practice delirium guidelines), participant recruitment...
To our knowledge, there is currently no information available about the rate of venous thromboembolism (VTE) or recommendations regarding chemoprophylaxis for patients whose lower limb immobilized in a plaster cast. We report retrospective case series assessing symptomatic VTE treated with Given complex, heterogeneous nature this group patients, many risk factors VTE, we hypothesized that would be higher than general population.Patients cast between 2006 and 2018 were identified using room...
Category: Ankle, Diabetes, Midfoot/Forefoot Introduction/Purpose: Venous thrombo-embolism (VTE) is a costly and potentially life threatening complication of limb immobilisation in plaster Paris cast. It now generally recommended that patients undergoing cast are given LMWH therapy. The gold standard treatment for diabetic with Charcot feet total contact casting (TCC). TCC also employed the management foot ulceration (DFI). Such often prolonged time frame greater than 6 weeks. In general...
Background Venous Thrombo-Embolism is a recognized complication of lower limb immobilization. In the neuropathic patient total contact casting (TCC) used in management acute charcot neuroathropathy and/or to off-load ulcers, frequently for long time periods. To our knowledge there no literature stating prevalence VTE patients undergoing TCC. We perceive that with active have other risk factors which would predispose them this condition and mandate use prophylaxis. report retrospective case...
Category: Basic Sciences/Biologics Introduction/Purpose: When performing surgical debridement to treat chronically infected orthopaedic cases our unit routinely samples 5 intraoperative specimens for microbiology. Best practice and achieving accurate sampling would suggest that a new scalpel forceps each site yield the most valid results.The alternate option be use same instruments. The aim of this prospective study was compare two techniques in treating foot ankle cases. Methods: Ten...
<h3>Background</h3> Delirium is a complex condition, distressing for patients, family members and staff, associated with poor outcomes. Despite high prevalence in the palliative care setting, it remains under-diagnosed. guideline-adherent may both prevent alleviate delirium. The best way to improve delirium-guideline adherence, whether better adherence reflected reduced delirium, not known. Prompt dissemination of feasibility findings critical avoid research waste. <h3>Methods</h3> To inform...
Category: Basic Sciences/Biologics, Hindfoot, Midfoot/Forefoot Introduction/Purpose: The medial ligaments are integral in stabalising the column. Failure of these structures causes adult acquired flatfoot deformity (AAFD). superomedial-cancaneonavicular component spring ligament(SLC) includes capsule talonavicular joint and merges with anterior superficial deltoid complex, stabilising joint. However, when disrupted, it does not cause planovalgus until foot is cyclically loaded. We...