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Woodward A, Ward D, Jackson J. Exploring the Long-term Influence of the Family Nurse Partnership on the Lives of Young Mothers. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Lassemillante A, Nitis S, McCoy S, Fawcett J, Jarrett M, Woodward A, Macdonald G, Campbell K, Hickman I. Food and dietary behaviours as cardiometabolic risk factors in liver transplant recipients. JOURNAL OF NUTRITION & INTERMEDIARY METABOLISM 2017. [DOI: 10.1016/j.jnim.2017.04.229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Leary A, Tomai B, Swift A, Woodward A, Hurst K. Nurse staffing levels and outcomes – mining the UK national data sets for insight. Int J Health Care Qual Assur 2017; 30:235-247. [DOI: 10.1108/ijhcqa-08-2016-0118] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Despite the generation of mass data by the nursing workforce, determining the impact of the contribution to patient safety remains challenging. Several cross-sectional studies have indicated a relationship between staffing and safety. The purpose of this paper is to uncover possible associations and explore if a deeper understanding of relationships between staffing and other factors such as safety could be revealed within routinely collected national data sets.
Design/methodology/approach
Two longitudinal routinely collected data sets consisting of 30 years of UK nurse staffing data and seven years of National Health Service (NHS) benchmark data such as survey results, safety and other indicators were used. A correlation matrix was built and a linear correlation operation was applied (Pearson product-moment correlation coefficient).
Findings
A number of associations were revealed within both the UK staffing data set and the NHS benchmarking data set. However, the challenges of using these data sets soon became apparent.
Practical implications
Staff time and effort are required to collect these data. The limitations of these data sets include inconsistent data collection and quality. The mode of data collection and the itemset collected should be reviewed to generate a data set with robust clinical application.
Originality/value
This paper revealed that relationships are likely to be complex and non-linear; however, the main contribution of the paper is the identification of the limitations of routinely collected data. Much time and effort is expended in collecting this data; however, its validity, usefulness and method of routine national data collection appear to require re-examination.
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Williams A, Salih I, Woodward A. Inguinal hernia repair in wales – Are welsh surgeons following the guidleines? Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.08.250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Woodward A, Ward D. Supporting Teenage Mothers: A Mixed Method Analysis of the Family Nurse Partnership in one UK site. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw172.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Jones A, Dave J, Fisher R, Hulme K, Rill L, Zamora D, Woodward A, Brady S, MacDougall R, Goldman L, Lang S, Peck D, Apgar B, Shepard S, Uzenoff R, Willis C. TU-FG-209-08: Distribution of the Deviation Index (DI) in Digital Radiography Practices Across the United States. Med Phys 2016. [DOI: 10.1118/1.4957578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chiu KW, Robson S, Devi JL, Woodward A, Whittem T. The cardiopulmonary effects and quality of anesthesia after induction with alfaxalone in 2-hydroxypropyl-β
-cyclodextrin in dogs and cats: a systematic review. J Vet Pharmacol Ther 2016; 39:525-538. [DOI: 10.1111/jvp.12312] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Accepted: 03/20/2016] [Indexed: 11/30/2022]
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Williams E, Jones H, Woodward A, Kumar N, Shinkwin M. Regional referral pattern to wales' tertiary hepatobilary unit. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Williams E, Griffiths A, Visser T, Shinkwin M, Woodward A, Rasheed A. Changing trends in diagnosis and management of appendicitis: A 9-year study. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Shinkwin M, Williams E, Woodward A, Rasheed A, Nutt M. A 9-year review of laparoscopic fundoplication with EMPHASIS on age and outcome. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rees M, Richardson K, Woodward A. Use of the risk adjusted mortality index (rami): A valid index of in-hospital mortality risk in surgical patients? Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Buresh R, Hornbuckle L, Garrett D, Garber H, Woodward A. Associations Between Measures of Health-Related Fitness, and Metabolic Function In College Students. Med Sci Sports Exerc 2015. [DOI: 10.1249/01.mss.0000476694.30558.aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Sanjay P, Fulke JL, Shaikh IA, Woodward A. Anatomical differentiation of direct and indirect inguinal hernias: Is it worthwhile in the modern era? Clin Anat 2015; 23:848-50. [PMID: 20641068 DOI: 10.1002/ca.21022] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2009] [Revised: 05/09/2010] [Accepted: 06/08/2010] [Indexed: 11/10/2022]
Abstract
The study aimed to assess the clinical accuracy of differentiating direct and indirect inguinal hernias preoperatively by different grades of surgeons. A retrospective audit was conducted over a 9-year period and comprised all adult inguinal hernia patients operated by one consultant surgeon. The hernias were differentiated into direct and indirect hernias based on the direction of cough impulse and the deep ring occlusion test. The preoperative diagnosis was compared with intraoperative findings. During the study period, 503 patients were examined. Of these, 272 patients were diagnosed as having indirect hernias and 56 patients as having direct hernias. In 175 patients, no attempt was made to differentiate indirect and direct hernias. When compared with intraoperative findings, the diagnosis was correct in 77% of the indirect hernias and 55% of direct hernias. Of the patients in whom no differentiation was attempted, 115 patients had indirect hernias, 56 had direct hernias, and four had both. For indirect hernias, the diagnostic accuracy was 82, 63, and 30% for consultant, registrars, and senior house officers. For direct hernias, the diagnostic accuracy was 66, 50, and 44%, respectively. This study demonstrates relatively poor accuracy in diagnosing direct inguinal hernias regardless of seniority.
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Woodward A, Berger L, Skerratt L. In vitro sensitivity of the amphibian pathogen Batrachochytrium dendrobatidis to antifungal therapeutics. Res Vet Sci 2014; 97:364-6. [DOI: 10.1016/j.rvsc.2014.06.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2013] [Revised: 06/26/2014] [Accepted: 06/28/2014] [Indexed: 10/24/2022]
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Gill GV, Wallymahmed ME, Wallymahmed A, MacFarlane IA, Woodward A. Glycaemic streaming in type 1 diabetes: implications for intervention? PRACTICAL DIABETES 2013. [DOI: 10.1002/pdi.1781] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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41
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Stephenson BM, Sanders DL, Woodward A, Kingsnorth AN. Familial female femoral herniation. Hernia 2013; 17:191-2. [PMID: 23430041 DOI: 10.1007/s10029-013-1062-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Accepted: 02/08/2013] [Indexed: 10/27/2022]
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42
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Sanjay P, Marioud A, Woodward A. Anaesthetic preference and outcomes for elective inguinal hernia repair: a comparative analysis of public and private hospitals. Hernia 2012; 17:745-8. [DOI: 10.1007/s10029-012-1011-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2012] [Accepted: 10/29/2012] [Indexed: 11/28/2022]
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Tin ST, Woodward A, Ameratunga S. TAUPO BICYCLE STUDY: FOLLOW UP RESPONSE, PERSONAL CHARACTERISTICS AND INJURY OUTCOME. Inj Prev 2012. [DOI: 10.1136/injuryprev-2012-040590w.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tin Tin S, Woodward A, Ameratunga S. COMPLETENESS OF INJURY OUTCOME DATA IN A COHORT OF CYCLISTS. Inj Prev 2012. [DOI: 10.1136/injuryprev-2012-040580g.27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Williamson JS, Harries RL, Davies G, Woodward A. Spontaneous resolution of an inferior epigastric artery pseudoaneurysm secondary to surgical drain placement. Ann R Coll Surg Engl 2012; 94:e193-4. [PMID: 22943319 PMCID: PMC3954359 DOI: 10.1308/003588412x13373405384855] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We report the case of a 73-year-old woman who was found to have an inferior epigastric artery pseudoaneurysm caused by surgical drain placement during a laparotomy for an appendix abscess. She presented with pain around the drain site two months following surgery and intravenous contrast computed tomography (CT) revealed a right inferior epigastric artery pseudoaneurysm. A decision was made to manage this expectantly as she remained stable with no other complications. Following a period of nine months of observation, repeat intravenous contrast CT showed evidence of spontaneous regression and thrombosis of the pseudoaneurysm. She remains well and her symptoms have now resolved.
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Cardis E, Armstrong BK, Bowman JD, Giles GG, Hours M, Krewski D, McBride M, Parent ME, Sadetzki S, Woodward A, Brown J, Chetrit A, Figuerola J, Hoffmann C, Jarus-Hakak A, Montestruq L, Nadon L, Richardson L, Villegas R, Vrijheid M. Risk of brain tumours in relation to estimated RF dose from mobile phones: results from five Interphone countries. Occup Environ Med 2011; 68:631-40. [PMID: 21659469 PMCID: PMC3158328 DOI: 10.1136/oemed-2011-100155] [Citation(s) in RCA: 86] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Objectives The objective of this study was to examine the associations of brain tumours with radio frequency (RF) fields from mobile phones. Methods Patients with brain tumour from the Australian, Canadian, French, Israeli and New Zealand components of the Interphone Study, whose tumours were localised by neuroradiologists, were analysed. Controls were matched on age, sex and region and allocated the ‘tumour location’ of their matched case. Analyses included 553 glioma and 676 meningioma cases and 1762 and 1911 controls, respectively. RF dose was estimated as total cumulative specific energy (TCSE; J/kg) absorbed at the tumour's estimated centre taking into account multiple RF exposure determinants. Results ORs with ever having been a regular mobile phone user were 0.93 (95% CI 0.73 to 1.18) for glioma and 0.80 (95% CI 0.66 to 0.96) for meningioma. ORs for glioma were below 1 in the first four quintiles of TCSE but above 1 in the highest quintile, 1.35 (95% CI 0.96 to 1.90). The OR increased with increasing TCSE 7+ years before diagnosis (p-trend 0.01; OR 1.91, 95% CI 1.05 to 3.47 in the highest quintile). A complementary analysis in which 44 glioma and 135 meningioma cases in the most exposed area of the brain were compared with gliomas and meningiomas located elsewhere in the brain showed increased ORs for tumours in the most exposed part of the brain in those with 10+ years of mobile phone use (OR 2.80, 95% CI 1.13 to 6.94 for glioma). Patterns for meningioma were similar, but ORs were lower, many below 1.0. Conclusions There were suggestions of an increased risk of glioma in long-term mobile phone users with high RF exposure and of similar, but apparently much smaller, increases in meningioma risk. The uncertainty of these results requires that they be replicated before a causal interpretation can be made.
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Tin ST, Woodward A, Ameratunga S. Injuries to pedal cyclists on New Zealand Roads, 1988-2007. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tin ST, Woodward A, Ameratunga S. Multiple injury profiles of different road users in New Zealand, 2000-2007. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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49
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Tin ST, Woodward A, Ameratunga S. Regional differences in pedal cyclist injuries in New Zealand: risk in scarcity? Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Woodward A, Wallymahmed M, Wilding JP, Gill GV. Nurse-led clinics for strict hypertension control are effective long term: a 7 year follow-up study. Diabet Med 2010; 27:933-7. [PMID: 20653752 DOI: 10.1111/j.1464-5491.2010.03039.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
AIMS The primary aim was to assess long-term blood pressure in 110 patients with Type 2 diabetes who had achieved optimal blood pressure control during attendance at a protocol-based nurse-led hypertension intensive intervention clinic 7 years previously. The secondary aim was to assess modifiable cardiovascular risk factor status. METHODS One hundred and ten patients who attended the clinic during 2000-2002 were selected to reattend to have their blood pressure measured to the same standard as it was during the intensive intervention clinic, by the same specialist nurse. Treatment details were recorded. RESULTS Of the 110 patients, 36 (33%) had died; 69 (63%) of the remaining 74 patients were eligible to be contacted by letter; and 35 (51%) agreed to reattend. Age was 70 +/- 9 years; 21 (60%) were male; and the duration of diabetes was 17 +/- 7 years. Compared with 7 years previously, there was no difference in blood pressure control (systolic 130 +/- 17 vs. 131 +/- 16 mmHg, P = 0.62; diastolic 68 +/- 9 vs. 65 +/- 9 mmHg, P = 0.11). The number of patients with blood pressure <130/80 mmHg remained the same: 17 (49%) vs. 17 (49%; P > 0.99). During the 7 year period, 14 (40%) vs. 20 (57%) had macrovascular disease (P = 0.23), and 14 (40%) vs. 19 (54%) microvascular disease (P = 0.33). Thirteen (37%) vs. 18 (51%) were taking three or more antihypertensive drugs (P = 0.33), and 26 (74%) vs. 28 (80%) angiotensin-converting enzyme inhibitor or angiotensin receptor blocker (P = 0.77). CONCLUSIONS Optimal blood pressure control was sustained with no significant changes to antihypertensive medication, demonstrating the effectiveness of a protocol-based nurse-led clinic in achieving strict BP control.
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