JRSM short reports最新文献

{"title":"Current state of medical device nomenclature and taxonomy systems in the UK: spotlight on GMDN and SNOMED CT.","authors":"Judith White,&nbsp;Grace Carolan-Rees","doi":"10.1177/2042533313483719","DOIUrl":"https://doi.org/10.1177/2042533313483719","url":null,"abstract":"<p><p>A standardised terminology for describing medical devices can enable safe and unambiguous exchange of information. Proposed changes to EU-wide medical devices regulations mandate the use of such a system. This article reviews two important classification systems for medical devices in the UK. The Global Medical Device Nomenclature (GMDN) provides a classification system specifically for medical devices and diagnostics, and facilitates data exchange between manufacturers and regulators. SNOMED CT is the terminology of choice in the NHS for communicating, sharing and storing information about patients' healthcare episodes. Harmonisation of GMDN and SNOMED CT will encourage use of single terminology throughout the lifetime of a device; from regulatory approval through clinical use and post-marketing surveillance. Manufacturers will be required to register medical devices with a European device database (Eudamed) and to fit certain devices with a Unique Device Identifier; both are efforts to improve transparency and traceability of medical devices. Successful implementation of these elements depends on having a consistent nomenclature for medical devices. </p>","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 7","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2013-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313483719","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31606457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Small bowel gastrointestinal tumour: An interesting case of presentation, diagnosis and treatment.","authors":"Stratos Sofos,&nbsp;Georgios Dimitrakakis,&nbsp;Paul Blake,&nbsp;Agamemnon Pericleous,&nbsp;David Stewart Jackson,&nbsp;Mohamed Salih","doi":"10.1177/2042533313481214","DOIUrl":"https://doi.org/10.1177/2042533313481214","url":null,"abstract":"We report the diagnosis and surgical management of the interesting case of a patient with a gastrointestinal stromal tumour (GIST).","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 7","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2013-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313481214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arterial embolization in the management of connective tissue tumours.","authors":"Oisin Jf Keenan,&nbsp;Buchir Arumilli,&nbsp;Finn Farquharson,&nbsp;Nicholas Chalmers,&nbsp;Ashok Paul","doi":"10.1177/2042533313476685","DOIUrl":"https://doi.org/10.1177/2042533313476685","url":null,"abstract":"Arterial embolization may be used effectively for connective tissue tumours: to reduce bleeding during surgical excision, or for palliative treatment.","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 7","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2013-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313476685","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ankle osteomyelitis: an unusual presentation.","authors":"Shibby Robati,&nbsp;Kenneth Porter,&nbsp;Mohammad Shahid,&nbsp;Thomas Crompton,&nbsp;Nemandra Sandiford","doi":"10.1177/2042533313476682","DOIUrl":"https://doi.org/10.1177/2042533313476682","url":null,"abstract":"Pain around the ankle occurs and is one of the most common complaints seen by medical practitioners treating patients with sporting injuries. Although there are many possible causes of ankle pain, common causes include injuries to the bony, ligamentous and tendinous structures around the joint. Injury to the cartilage leading to early arthritis can present as acute pain, swelling and instability. Acute osteomyelitis in this healthy, active population without any open injury is rare. We present a case of a traumatic cause of osteomyelitis affecting the hindfoot bones and resulting in significant bone injury and disability from a closed footballing injury.","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 6","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2013-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313476682","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of individually wrapped presterilized small orthopaedic implants increase operating time: a prospective experimental study.","authors":"Yasmeen Khan,&nbsp;Szymon Tokarczyk,&nbsp;Imran Khan,&nbsp;Kyriacos Eleftheriou,&nbsp;Christopher Pearce","doi":"10.1177/2042533313476413","DOIUrl":"https://doi.org/10.1177/2042533313476413","url":null,"abstract":"<p><strong>Objective: </strong>There have been concerns about the potential increases in operating time associated with the use of individually wrapped presterilized small orthopaedic implants compared with our traditional method of screw banks. We set out to quantify this theory.</p><p><strong>Design: </strong>Prospective experimental study.</p><p><strong>Setting: </strong>Theatre.</p><p><strong>Participants: </strong>Orthopaedic Surgical Trainees and Theatre Scrub team.</p><p><strong>Main outcome measure: </strong>The time taken to complete the operation.</p><p><strong>Results: </strong>The use of prepacked and sterilized implants added 2 min 56 s to the use of a bank with a full complement of normal screws that required tapping and 3 min 58 s if self-tapping screws were used (P < 0.001).</p><p><strong>Conclusion: </strong>Using individually wrapped presterilized small orthopaedic implants increases operating time.</p>","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 6","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2013-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313476413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foreign body airway obstruction causing a ball valve effect.","authors":"Johnny Kenth,&nbsp;Che Ng","doi":"10.1177/2042533313482458","DOIUrl":"https://doi.org/10.1177/2042533313482458","url":null,"abstract":"Foreign body airway obstruction (FBAO) in adults is a rare but potentially fatal anaesthetic airway emergency.1","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 6","pages":"2042533313482458"},"PeriodicalIF":0.0,"publicationDate":"2013-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313482458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a general practitioner-led urgent care centre in an urban setting: description of service model and plan of analysis.","authors":"Shamini Gnani,&nbsp;Farzan Ramzan,&nbsp;Tim Ladbrooke,&nbsp;Hugh Millington,&nbsp;Saiful Islam,&nbsp;Josip Car,&nbsp;Azeem Majeed","doi":"10.1177/2042533313486263","DOIUrl":"https://doi.org/10.1177/2042533313486263","url":null,"abstract":"Estimates of patients attending with conditions deemed non-urgent or inappropriate for accident and emergency services vary widely, from 6 to 80%. Previous research suggests that general practitioners (GPs) working in emergency departments can reduce referral rates, diagnostic testing, the proportion of patients who become emergency hospital admissions, and inappropriate attendances. However, little of this previous research is recent and new models of care for GPs working in emergency departments have now been developed, which remain to be evaluated. In this paper, we describe an integrated urgent care model, which was commissioned by NHS Hammersmith and Fulham in 2009 to manage the rising number of urgent attendances at local hospitals and its associated evaluation. The evaluation will include examining the effect of the system on outcomes such as utilization of diagnostic tests and effect on unplanned hospital admissions. If the new model of care is shown to be both clinically effective and cost-effective, the model and the proposed plan of evaluation will also be helpful to other areas that are considering the introduction of similar models of GP-led urgent care.","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 6","pages":"2042533313486263"},"PeriodicalIF":0.0,"publicationDate":"2013-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313486263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An underused opportunity to introduce ACE inhibitors and influence prognosis: observational study of patients undergoing aortic surgery.","authors":"Kayria Muttardi,&nbsp;Ali Haydar,&nbsp;Chee Kiang Phua,&nbsp;Neil Chapman,&nbsp;Michael Jenkins,&nbsp;Nicholas Jw Cheshire,&nbsp;Colin D Bicknell","doi":"10.1177/2042533313484145","DOIUrl":"https://doi.org/10.1177/2042533313484145","url":null,"abstract":"Objective To asses whether Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are underused in patients with aortic disease due to concerns regarding flow limiting (>70%) renal artery stenosis (RAS). Design A prospective analysis of patients admitted for aortic surgery was performed (January–July 2009). Co-morbidity, ACEI/ARB use and renal function were recorded. Computerised tomography (CT) angiograms were reviewed by a single blinded radiologist for the presence and severity of RAS. Setting St Mary's Hospital, Vascular Unit, Imperial College Healthcare NHS Trust, London, UK. Participants 75 randomly selected patients admitted to our vascular unit including elective and emergency admissions. Main outcome measures Indications for ACEI therapy were identified as determined by the National Institute of Health and Clinical Excellence (NICE) guidance. The ratio of the measurement distal to the stenosis and at the area of maximal stenosis on CT angiography were used to calculate the percentage RAS. Results 60 patients were identified (15 patients excluded due to previously modified renal vessels). The median age was 73 [interquartile range 68, 77]. Their underlying aortic disease included 52 (87%) aortic aneurysm, 6 (10%) with aortic dissection, 1 (1.7%) patient with occlusive disease and 1 (1.7%) patient with mycotic disease. Overall, 56/60 (93%) patients had at least one indication for ACEI therapy. 33/60 (55%) of patients were already receiving ACEI. CT angiogram examination demonstrated 17/60 (28%) patients have RAS of some degree, of which only 9/60 (15%) have flow limiting RAS. Conclusion A large proportion of aortic patients do not receive ACEI/ARB therapy despite definite indications and a low prevalence of flow-limiting RAS is low. After the exclusion of RAS at angiography, careful introduction of ACEI therapy with appropriate monitoring could be considered for many more patients.","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 6","pages":"2042533313484145"},"PeriodicalIF":0.0,"publicationDate":"2013-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313484145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using mixed methods in health research.","authors":"Shema Tariq,&nbsp;Jenny Woodman","doi":"10.1177/2042533313479197","DOIUrl":"https://doi.org/10.1177/2042533313479197","url":null,"abstract":"<p><p>Mixed methods research is the use of quantitative and qualitative methods in a single study or series of studies. It is an emergent methodology which is increasingly used by health researchers, especially within health services research. There is a growing literature on the theory, design and critical appraisal of mixed methods research. However, there are few papers that summarize this methodological approach for health practitioners who wish to conduct or critically engage with mixed methods studies. The objective of this paper is to provide an accessible introduction to mixed methods for clinicians and researchers unfamiliar with this approach. We present a synthesis of key methodological literature on mixed methods research, with examples from our own work and that of others, to illustrate the practical applications of this approach within health research. We summarize definitions of mixed methods research, the value of this approach, key aspects of study design and analysis, and discuss the potential challenges of combining quantitative and qualitative methods and data. One of the key challenges within mixed methods research is the successful integration of quantitative and qualitative data during analysis and interpretation. However, the integration of different types of data can generate insights into a research question, resulting in enriched understanding of complex health research problems. </p>","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 6","pages":"2042533313479197"},"PeriodicalIF":0.0,"publicationDate":"2013-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313479197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growing interest in use of geographic information systems in health and healthcare research: a review of PubMed from 2003 to 2011.","authors":"Negin A Sanati,&nbsp;Mehri Sanati","doi":"10.1177/2042533313478810","DOIUrl":"https://doi.org/10.1177/2042533313478810","url":null,"abstract":"Abstract in Undetermined\u0000There has been an increasing interest in applying\u0000GIS into health and healthcare research in recent\u0000years.4,5 However, this increasing interest has not\u0000yet been gauged. In order to address this, the current\u0000study was performed to examine the crude\u0000number and the annual rate of papers with\u0000‘Geographic Information Systems’ among their\u0000MeSH Terms in PubMed (a free database which is\u0000maintained by US National Library of Medicine).","PeriodicalId":89182,"journal":{"name":"JRSM short reports","volume":"4 6","pages":"2042533313478810"},"PeriodicalIF":0.0,"publicationDate":"2013-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2042533313478810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31605925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}