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Alhariri S, Gutierrez J, Hutchinson A, Sairam S. Trend of gabapentin use in non-diabetic patients who are referred to a rheumatology clinic. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00536-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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2
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Davis KM, Eckert MC, Hutchinson A, Harmon J, Sharplin G, Shakib S, Caughey GE. Effectiveness of nurse-led services for people with chronic disease in achieving an outcome of continuity of care at the primary-secondary healthcare interface: A quantitative systematic review. Int J Nurs Stud 2021; 121:103986. [PMID: 34242979 DOI: 10.1016/j.ijnurstu.2021.103986] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 05/17/2021] [Accepted: 05/18/2021] [Indexed: 12/26/2022]
Abstract
BACKGROUND Globally, chronic disease is a leading cause of illness, disability and death and an important driver of health system utilization and spending. Continuity of care is a significant component of quality healthcare. However, an association between nurse-led services, interventions, patient outcomes and continuity of care at the primary and secondary interface as an outcome, has not been established for people with chronic disease. OBJECTIVE To identify the effectiveness of nurse-led services for people with chronic disease in achieving an outcome of continuity of care at the primary-secondary healthcare interface. DESIGN Quantitative systematic review. DATA SOURCES Systematic searches of Medline, Cochrane, Embase, Emcare, JBI and Scopus databases were conducted of studies published between 1946 and May 2019 using the search terms "nurse", "continuity of care" and "chronic disease". REVIEW METHODS Quality of the included studies was assessed using the Cochrane risk of bias tool for randomized controlled trials and Joanna Briggs Institute quality appraisal checklists. A second reviewer screened 10% of full text articles and all articles in critical appraisal. Studies were excluded from the review if they were of poor methodological quality or the description of the effect of the nurse-led service was inadequately reported. RESULTS Fourteen studies were included in the review (n=4,090 participants). All studies incorporated recognized continuity of care interventions. The nurse-led services were associated with fewer hospitalizations, reduced by 2-8.9% and re-admissions reduced by 14.8-51% (n=886). Reporting of positive patient experiences and improvement in symptoms and lifestyle was also evident. An association of nurse-led services with improved continuity of care between primary and secondary health services as an outcome per se could not be concluded. CONCLUSION Nurse-led services for adults provide coordinated interventions that support continuity of care for people with chronic disease in both the primary and secondary healthcare settings that are associated with reduced hospitalizations or readmissions and patient satisfaction. However, the limited use of validated continuity of care outcome measurement tools precluded establishing correlations between interventions, patient outcomes and continuity of care as a specific outcome.
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Affiliation(s)
- K M Davis
- Rosemary Bryant AO Research Centre, UniSA, Clinical and Health Sciences, University of South Australia.
| | - M C Eckert
- Rosemary Bryant AO Research Centre, UniSA, Clinical and Health Sciences, University of South Australia. https://twitter.com/@DrJoanneHarmon
| | - A Hutchinson
- UniSA, Clinical and Health Sciences, University of South Australia
| | - J Harmon
- UniSA, Clinical and Health Sciences, University of South Australia. https://twitter.com/marioneckert5
| | - G Sharplin
- Rosemary Bryant AO Research Centre, UniSA, Clinical and Health Sciences, University of South Australia
| | - S Shakib
- Clinical Pharmacology, Royal Adelaide Hospital, North Terrace, Adelaide, Australia; Discipline of Pharmacology, Adelaide Medical School, University of Adelaide, Royal Adelaide Hospital, North Terrace, Adelaide, Australia
| | - G E Caughey
- Clinical Pharmacology, Royal Adelaide Hospital, North Terrace, Adelaide, Australia; Discipline of Pharmacology, Adelaide Medical School, University of Adelaide, Royal Adelaide Hospital, North Terrace, Adelaide, Australia; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, Australia
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3
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Bloom JE, Andrew E, Nehme Z, Dinh DT, Fernando H, Shi WY, Vriesendorp P, Nanayakarra S, Dawson LP, Brennan A, Noaman S, Layland J, William J, Al-Fiadh A, Brooks M, Freeman M, Hutchinson A, McGaw D, Van Gaal W, Willson W, White A, Prakash R, Reid C, Lefkovits J, Duffy SJ, Chan W, Kaye DM, Stephenson M, Bernard S, Smith K, Stub D. Pre-hospital heparin use for ST-elevation myocardial infarction is safe and improves angiographic outcomes. Eur Heart J Acute Cardiovasc Care 2021; 10:1140-1147. [PMID: 34189566 DOI: 10.1093/ehjacc/zuab032] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 04/12/2021] [Accepted: 04/30/2021] [Indexed: 11/12/2022]
Abstract
AIMS This study aims to evaluate if pre-hospital heparin administration by paramedics is safe and improves clinical outcomes. METHODS AND RESULTS Using the multicentre Victorian Cardiac Outcomes Registry, linked with state-wide ambulance records, we identified consecutive patients undergoing primary percutaneous coronary intervention for STEMI between January 2014 and December 2018. Information on thrombolysis in myocardial infarction (TIMI) flow at angiography was available in a subset of cases. Patients receiving pre-hospital heparin were compared to those who did not receive heparin. Findings at coronary angiography and 30-day clinical outcomes were compared between groups. Propensity-score matching was performed for risk adjustment. We identified a total of 4720 patients. Of these, 1967 patients had TIMI flow data available. Propensity-score matching in the entire cohort yielded 1373 matched pairs. In the matched cohort, there was no observed difference in 30-day mortality (no-heparin 3.5% vs. heparin 3.0%, P = 0.25), MACCE (no-heparin 7% vs. heparin 6.2%, P = 0.44), and major bleeding (no-heparin 1.9% vs. heparin 1.4%, P = 0.64) between groups. Propensity-score analysis amongst those with TIMI data produced 552 matched pairs. The proportion of cases with TIMI 0 or 1 flow in the infarct-related artery (IRA) was lower among those receiving pre-hospital heparin (66% vs. 76%, P < 0.001) compared to those who did not. CONCLUSION In this multicentre, propensity-score matched study, the use of pre-hospital heparin by paramedics was safe and is associated with fewer occluded IRAs in patients presenting with STEMI.
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Affiliation(s)
- Jason E Bloom
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia
| | - Emily Andrew
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.,Ambulance Victoria, 31 Joseph Street, Blackburn, VIC 3130, Australia
| | - Ziad Nehme
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.,Ambulance Victoria, 31 Joseph Street, Blackburn, VIC 3130, Australia
| | - Diem T Dinh
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia
| | - Himawan Fernando
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia
| | - William Y Shi
- Melbourne Medical School, Ground Floor, Medical Building, Grattan Street, University of Melbourne, VIC 3010, Australia.,Division of Cardiac Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
| | - Pieter Vriesendorp
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia
| | - Shane Nanayakarra
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia
| | - Luke P Dawson
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia
| | - Angela Brennan
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia
| | - Samer Noaman
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Melbourne Medical School, Ground Floor, Medical Building, Grattan Street, University of Melbourne, VIC 3010, Australia.,Department of Cardiology, Western Health, Furlong Road, St Albans, VIC 3021, Australia
| | - Jamie Layland
- Department of Cardiology, Peninsula Health, 2 Hastings Road, Frankston, VIC 3199, Australia
| | - Jeremy William
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia
| | - Ali Al-Fiadh
- Department of Cardiology, Austin Health, 145 Studley Road, Heidelberg, VIC 3084, Australia
| | - Matthew Brooks
- Department of Cardiology, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3050, Australia
| | - Melanie Freeman
- Department of Cardiology, Eastern Health, 5 Arnold Street, Box Hill, VIC 3128, Australia
| | - Adam Hutchinson
- Department of Cardiology, Geelong University Hospital, Bellerine Street, Geelong, VIC 3220, Australia
| | - David McGaw
- Department of Cardiology, Monash Health, 246 Clayton Road, Clayton, VIC 3168, Australia
| | - William Van Gaal
- Department of Cardiology, Northern Health, 185 Cooper Street, Epping, VIC 3076, Australia
| | - William Willson
- Department of Cardiology, Eastern Health, 5 Arnold Street, Box Hill, VIC 3128, Australia
| | - Anthony White
- Curtain University, Kent Street, Bentley, WA 6102, Australia
| | - Roshan Prakash
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia
| | - Christopher Reid
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.,Curtain University, Kent Street, Bentley, WA 6102, Australia
| | - Jeffrey Lefkovits
- Melbourne Medical School, Ground Floor, Medical Building, Grattan Street, University of Melbourne, VIC 3010, Australia.,Department of Cardiology, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3050, Australia
| | - Stephen J Duffy
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia.,School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia
| | - William Chan
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia.,Melbourne Medical School, Ground Floor, Medical Building, Grattan Street, University of Melbourne, VIC 3010, Australia.,Department of Cardiology, Western Health, Furlong Road, St Albans, VIC 3021, Australia
| | - David M Kaye
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia
| | - Michael Stephenson
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.,Ambulance Victoria, 31 Joseph Street, Blackburn, VIC 3130, Australia
| | - Stephen Bernard
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.,Ambulance Victoria, 31 Joseph Street, Blackburn, VIC 3130, Australia
| | - Karen Smith
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.,Ambulance Victoria, 31 Joseph Street, Blackburn, VIC 3130, Australia
| | - Dion Stub
- Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.,Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia.,School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.,Ambulance Victoria, 31 Joseph Street, Blackburn, VIC 3130, Australia.,Department of Cardiology, Western Health, Furlong Road, St Albans, VIC 3021, Australia
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Bloom J, Andrew E, Nehme Z, Dinh D, Shi W, Vriesendorp P, Nanayakarra S, Fernando H, Dawson L, Brennan A, Noaman S, Layland J, William J, Al-Fiadh A, Brookes M, Freeman M, Hutchinson A, McGaw D, Van GW, Wilson W, White A, Prakash R, Reid C, Lefkovits J, Duffy S, Chan W, Kaye D, Stephenson M, Bernard S, Smith K, Stub D. Pre-Hospital Heparin Use for ST-Elevation Myocardial Infarction is Safe and Improves Angiographic Outcomes. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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5
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Medina R, Pham C, Plumlee MH, Hutchinson A, Becker MW, O'Connell PJ. Distributed Temperature Sensing to Measure Infiltration Rates Across a Groundwater Recharge Basin. Ground Water 2020; 58:913-923. [PMID: 32291743 DOI: 10.1111/gwat.13007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 04/08/2020] [Indexed: 06/11/2023]
Abstract
Managed aquifer recharge is used to augment groundwater resources and provide resiliency to water supplies threatened by prolonged droughts. It is important that recharge facilities operate at their maximum efficiency to increase the volume of water stored for future use. In this study, we evaluate the use of distributed temperature sensing (DTS) technology as a tool to measure high-resolution infiltration rates at a large-scale recharge facility. Fiber optic cable was laid out inside a spreading basin in a spiral pattern, at two different depths. The cables measured the propagation of diurnal surface water temperature oscillations into the basin depth. The rate of heat propagation is proportional to the velocity of the water, making it possible to estimate the infiltration rate from the temperature measurements. Our results showed that the infiltration rate calculated from DTS, averaged over the entire basin, was within 5% of the infiltration rate calculated using a conventional metering method. The high-resolution data obtained from DTS, both spatially and temporally, revealed heterogeneous infiltration rates throughout the basin; furthermore, tracking the evolution of infiltration rates over time revealed regions with consistently high infiltration rates, regions with consistently low infiltration rates, and regions that evolved from high to low rates, which suggested clogging within that region. Water utilities can take advantage of the high-resolution information obtained from DTS to better manage recharge basins and make decisions about cleaning schedule, frequency, and extent, leading to improved basin management strategies, reduced O&M costs, and increased groundwater recharge.
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Affiliation(s)
| | - Christine Pham
- Research & Development, Orange County Water District, Anaheim, USA
| | - Megan H Plumlee
- Research & Development, Orange County Water District, Fountain Valley, CA, USA
| | | | - Matthew W Becker
- Department of Geological Sciences, California State University, Long Beach, Long Beach, CA, USA
| | - Patrick J O'Connell
- Department of Geological Sciences, California State University, Long Beach, Long Beach, CA, USA
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Friedman J, Hutchinson A, Milad MP. 1181 Laparoscopic Management of Hernia Uterus Inguinale with Associated Unicornuate Uterus: A Case Report. J Minim Invasive Gynecol 2019. [DOI: 10.1016/j.jmig.2019.09.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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7
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Warren J, Nanayakkara S, Andrianopoulos N, Brennan A, Dinh D, Yudi M, Clark D, Ajani AE, Reid CM, Selkrig L, Shaw J, Hiew C, Freeman M, Kaye D, Kingwell BA, Dart AM, Duffy SJ, Reid C, Andrianopoulos N, Brennan A, Dinh D, Reid C, Ajani A, Duffy S, Clark D, Freeman M, Hiew C, Andrianopoulos N, Oqueli E, Brennan A, Duffy S, Shaw J, Walton A, Dart A, Broughton A, Federman J, Keighley C, Hengel C, Peter K, Stub D, Chan W, Warren J, O’Brien J, Selkrig L, Huntington R, Clark D, Farouque O, Horrigan M, Johns J, Oliver L, Brennan J, Chan R, Proimos G, Dortimer T, Chan B, Nadurata V, Huq R, Fernando D, Al-Fiadh A, Yudi M, Sugumar H, Ramchand J, Han H, Picardo S, Brown L, Oqueli E, Hengel C, Sharma A, Zhu B, Ryan N, Harrison T, New G, Roberts L, Freeman M, Rowe M, Proimos G, Cheong Y, Goods C, Fernando D, Teh A, Parfrey S, Ramzy J, Koshy A, Venkataraman P, Flannery D, Hiew C, Sebastian M, Yip T, Mok M, Jaworski C, Hutchinson A, Cimenkaya C, Ngu P, Khialani B, Salehi H, Turner M, Dyson J, McDonald B, Van Den Nouwelant D, Halliburton K, Reid C, Andrianopoulos N, Brennan A, Dinh D, Yan B, Ajani A, Warren R, Eccleston D, Lefkovits J, Iyer R, Gurvitch R, Wilson W, Brooks M, Biswas S, Yeoh J. Impact of Pre-Procedural Blood Pressure on Long-Term Outcomes Following Percutaneous Coronary Intervention. J Am Coll Cardiol 2019; 73:2846-2855. [DOI: 10.1016/j.jacc.2019.03.493] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 03/06/2019] [Accepted: 03/07/2019] [Indexed: 11/28/2022]
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8
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Omair M, Dinh D, Brennan A, Farouque O, Duffy S, Ajani A, Reid C, Oqueli E, Hutchinson A, Andrianopoulos N, Koshy A, Yudi M, Clark D. Impact of Single-Vessel vs Multi-vessel CAD on Long-Term Mortality in Patients with Diabetes Mellitus Undergoing PCI. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Bloomer M, Botti M, Hutchinson A. ISQUA18-1667An Investigation of the Quality of End-Of-Life Care Provision for Older People in a Subacute Care. Int J Qual Health Care 2018. [DOI: 10.1093/intqhc/mzy167.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Bloomer
- School of Nursing and Midwifery
- Centre for Quality and Patient Safety Research, Deakin University, Geelong
- Epworth Deakin Centre for Clinical Nursing Research, Epworth Healthcare, Richmond
- Centre for Nursing Research, Deakin University and Monash Health, Monash Health, Clayton, Australia
| | - M Botti
- School of Nursing and Midwifery
- Centre for Quality and Patient Safety Research, Deakin University, Geelong
- Epworth Deakin Centre for Clinical Nursing Research, Epworth Healthcare, Richmond
| | - A Hutchinson
- School of Nursing and Midwifery
- Centre for Quality and Patient Safety Research, Deakin University, Geelong
- Centre for Nursing Research, Deakin University and Monash Health, Monash Health, Clayton, Australia
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Hutchinson A, Rees S, Young A, Maraveyas A, Date K, Johnson M. Patient and carer experience of oral and injected anticoagulation for cancer-associated thrombosis: select-d trial qualitative sub-study. Thromb Res 2018. [DOI: 10.1016/j.thromres.2018.02.059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
In a paper communicated to this Society in March, 1903, it was shown that antimonite is fairly transparent to radiations of long wave-length and that its behaviour between crossed nicols is consistent with orthorhombic symmetry. At the same time it was pointed out that it would be of interest to determine the wave-lengths of the radiations transmitted and the principal indices of refraction of antimonlte for these radiations. On undertaking this investigation it was soon found that antimonite was quite sufficiently transparent to the rays at the extreme red end of the visible spectrum to enable visual observations to, be made, and in a verbal communication to the Society on March 22, 1904, it was stated that the indices of refraction for red light were 4.129 for rays vibrating parallel to the axis Z and 3.873 for rays vibrating parallel to the axis X.
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Jedwab R, Redley B, Hutchinson A. Magnesium sulphate replacement therapy in cardiac surgery patients: A systematic review. Aust Crit Care 2018. [DOI: 10.1016/j.aucc.2017.12.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Ciampoli N, Bouchoucha S, Currey J, Hutchinson A. Evaluation of current practice for the prevention of ventilator associated pneumonia in four Australian intensive care units. Aust Crit Care 2018. [DOI: 10.1016/j.aucc.2017.12.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Hutchinson A, Tiplady S, Tullo E. THE VALUE OF INTERPROFESSIONAL FEEDBACK AS PART OF A PRE-REGISTRATION MODULE IN GERIATRIC NURSING. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.5059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - S. Tiplady
- Northumbria University, Newcastle, United Kingdom,
| | - E. Tullo
- University of Newcastle, Newcastle, United Kingdom
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15
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Cooper E, Sheikh Z, Townend W, Johnson M, Hutchinson A. PALLIATIVE CARE IN THE EMERGENCY DEPARTMENT: A SYSTEMATIC REVIEW. Arch Emerg Med 2016. [DOI: 10.1136/emermed-2016-206402.38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Hutchinson A. XXIX. Die chemische Zusammensetzung des Lengenbachits. Z KRIST-CRYST MATER 2015. [DOI: 10.1524/zkri.1907.43.1.465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hutchinson A. XXVIII. Die optischen Eigenschaften des Antiinonits. Z KRIST-CRYST MATER 2015. [DOI: 10.1524/zkri.1907.43.1.461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hutchinson A, Tutton ΑΕH. XV. Über die Temperatur der optischen Einaxigkeit von Gyps. Z KRIST-CRYST MATER 2015. [DOI: 10.1524/zkri.1913.52.1.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hutchinson A. XX. Ueber Stokesit. ein neues Zinnmineral von Cornwall. Z KRIST-CRYST MATER 2015. [DOI: 10.1524/zkri.1901.34.1.345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Rolley J, Kuhn L, Berry D, Hutchinson A, Botti M, Considine J. Pre-procedural fasting for patients undergoing percutaneous coronary interventions: A survey of interventional cardiologists’ practice preferences. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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22
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Rolley J, Kuhn L, Berry D, Hutchinson A, Botti M, Considine J. Pre-procedural fasting for patients undergoing percutaneous coronary interventions: Preliminary results from a multi-centre retrospective audit. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Carr AS, Hoeritzauer AI, Kee R, Kinney M, Campbell J, Hutchinson A, McDonnell GV. Acute neuromuscular respiratory failure: a population-based study of aetiology and outcome in Northern Ireland. Postgrad Med J 2014; 90:201-4. [DOI: 10.1136/postgradmedj-2013-132105] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Abstract
Contemporary models of involvement within statutory services pay little regard to the identity of individuals beyond the 'service user' label and in doing so unwittingly perpetuate and sustain the negative impact of mental illness. The aim of this paper is to discuss the process of a 3-year participatory action research study facilitated by a mental health nurse. It highlights the perspective of those involved as co-researchers, all having experience of accessing statutory mental health services. It identifies both the process and the impact of this type of involvement on them illustrating their move beyond an illness identity. The study involved them undertaking a series of interviews with other service users in relation to their life stories. They subsequently mapped and analysed the transcripts. In order that the people were enabled to undertake these roles the study included a process of interviewing and appointing service user researchers followed by a programme of training workshops, supervision and discussion group/peer support. The accounts provided reflect the six researchers' attempts to make sense of their experience and reveal the path of transformation through collaboration.
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Affiliation(s)
- A Hutchinson
- Adult Mental Health Services, North Powys. Betsi Cadwaladr University Health Board, Community Mental Health, Newtown, UK.
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Abstract
Heat was used as a tracer to measure infiltration rates from a recharge basin. The propagation of diurnal oscillation of surface water temperature into the basin bed was monitored along a transect using Fiber Optic Distributed Temperature Sensing (FODTS). The propagation rate was related to downward specific discharge using standard theory of heat advection and dispersion in saturated porous media. An estimate of the temporal variation of heat propagation was achieved using a wavelet transform to find the phase lag between the surface temperature diurnal oscillation and the correlated oscillation at 0.33 and 0.98 m below the bed surface. The wavelet results compared well to a constant velocity model of thermal advection and dispersion during periods of relatively constant discharge rates. The apparent dispersion of heat was found to be due primarily to hydrodynamic mechanisms rather than thermal diffusion. Specific discharge estimates using the FODTS technique also compared well to water balance estimates over a four month period, although there were occasional deviations that have yet to be adequately explained. The FODTS technique is superior to water balance in that it produces estimates of infiltration rate every meter along the cable transect, every half hour. These high resolution measurements highlighted areas of low infiltration and demonstrated the degradation of basin efficiency due to source waters of high suspended solids. FODTS monitoring promises to be a useful tool for diagnosing basin performance in an era of increasing groundwater demand.
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Affiliation(s)
- Matthew W Becker
- Department of Geological Sciences, California State University Long Beach, Long Beach, CA 90815. Orange County Water District, 18700 Ward Street, Fountain Valley, CA 92708
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Lung M, Yeung Y, Maddison C, Hutchinson A, White S. Are there Factors that Predict Acute Care Admission in Cancer Patients Age ≥65 Years Receiving Chemotherapy? A Retrospective Analysis. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)34191-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Winter PM, Morel-Kopp MC, Peters L, Hutchinson A, Morris J, Ashton A, Warning J. Platelets and innate inflammation in pregnancy. J Reprod Immunol 2012. [DOI: 10.1016/j.jri.2012.03.405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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García-Closas M, Rothman N, Figueroa JD, Prokunina-Olsson L, Han S, Baris D, Jacobs E, Malats N, Vivo ID, Albanes D, Purdue MP, Sharma S, Fu YP, Kogevinas M, Wang Z, Tang W, Tardón A, Serra C, Carrato A, García-Closas R, Lloreta J, Johnson A, Schwenn M, Karagas MR, Schned A, Andriole G, Grubb R, Black A, Gapstur SM, Thun M, Diver WR, Weinstein SJ, Virtamo J, Hunter DJ, Caporaso N, Landi MT, Hutchinson A, Burdett L, Jacobs KB, Yeager M, Fraumeni JF, Chanock SJ, Silverman DT, Chatterjee N. Abstract LB-337: Synergistic effects of twelve common genetic polymorphisms and smoking habits on absolute risk of bladder cancer. Cancer Res 2012. [DOI: 10.1158/1538-7445.am2012-lb-337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Smoking is the strongest established risk factor for bladder cancer and recent studies have identified multiple common susceptibility loci for this disease. Evaluation of gene-smoking interactions on absolute risk of bladder cancer could be important for understanding both the public health and biological significance of the combined effect of these factors. However, previous studies of gene-environment interactions focused on relative rather than absolute risk measures and thus did not address this important question. The aim of our analyses was to estimate absolute risk of bladder cancer in relation to smoking habits and 12 known susceptibility variants for this disease, and to evaluate if smoking risk differences (RD) vary by levels of a polygenic risk score derived from these variants, using additive tests for interaction. Analyses were based on data from 4,098 cases and 5,995 controls of European background in eight studies participating in the NCI bladder cancer genome-wide association study (GWAS). Absolute risks were estimated based on US incidence and mortality data. The main outcome measures were 30-year cumulative absolute risk of bladder cancer and RDs for males aged 50 years in relation to smoking habits and the polygenic risk score. RDs for ever compared to never smokers were significantly larger (P-additive interaction < 0.05) for subjects carrying risk alleles for seven out of 12 known susceptibility variants. Polymorphisms in two detoxification enzymes, NAT2 and UGT1A6, provided the strongest evidence of additive interactions (P-additive interaction of 0.0002 and 0.0003, respectively), supporting the presence of biological interactions between smoking and these variants. The 30-year risk of bladder cancer in never, former and current smokers was 0.7%, 1.6% and 3.7%, respectively, for subjects in the bottom quartile of the polygenic risk score, compared to 2.0%, 5.1% and 8.0% for subjects in the top quartile. This translates into a significantly larger number of projected cases, which could be avoided by smoking prevention in subjects at higher compared to lower genetic risk (P-additive (2df)=4.6x10-9 for top to bottom quartile of the polygenic risk score). In conclusion, our analyses provide strong evidence for synergistic effects of smoking and known susceptibility loci for bladder cancer on the absolute risk of the disease. This indicates that targeting intense smoking prevention efforts to individuals at elevated genetic risk for bladder cancer could improve the public health impact of such efforts. However, genetic susceptibility for other smoking-related diseases, as well as practical and ethical considerations, would need to be taken into account before any recommendations could be made. (MGC, NR are Co-first authors; N.C. and DTS are Co-last authors)
Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr LB-337. doi:1538-7445.AM2012-LB-337
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Affiliation(s)
| | - N. Rothman
- 2National Cancer Institute, Bethesda, MD
| | | | | | - S. Han
- 2National Cancer Institute, Bethesda, MD
| | - D. Baris
- 2National Cancer Institute, Bethesda, MD
| | - E. Jacobs
- 4American Cancer Society, Atlanta, GA
| | - N. Malats
- 5Spanish National Cancer Research Centre, Madrid, Spain
| | - I. De Vivo
- 6Brigham and Women's Hospital, Boston, MA
| | - D. Albanes
- 2National Cancer Institute, Bethesda, MD
| | | | - S. Sharma
- 7Institute of Cancer Research, Belmont Sutton, United Kingdom
| | - Y. P. Fu
- 2National Cancer Institute, Bethesda, MD
| | | | - Z. Wang
- 9National Cancer Institute-Frederick, Frederick, MD
| | - W. Tang
- 2National Cancer Institute, Bethesda, MD
| | | | - C. Serra
- 11Universitat Pompeu Fabra, Barcelona, Spain
| | - A. Carrato
- 12Ramón y Cajal University Hospital, Madrid, Spain
| | | | - J. Lloreta
- 11Universitat Pompeu Fabra, Barcelona, Spain
| | - A. Johnson
- 14Vermont Cancer Registry, Burlington, VT
| | | | | | - A. Schned
- 16Dartmouth Medical School, Hanover, NH
| | - G. Andriole
- 17Washington University School of Medicine, St Louis, MO
| | - R. Grubb
- 17Washington University School of Medicine, St Louis, MO
| | - A. Black
- 2National Cancer Institute, Bethesda, MD
| | | | - M. Thun
- 19Amercian Cancer Society, Atlanta, GA
| | | | | | - J. Virtamo
- 20National Institute for Health and Welfare, Helsinki, Finland
| | | | | | | | | | - L. Burdett
- 9National Cancer Institute-Frederick, Frederick, MD
| | - K. B. Jacobs
- 9National Cancer Institute-Frederick, Frederick, MD
| | - M. Yeager
- 9National Cancer Institute-Frederick, Frederick, MD
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Mirabello L, Yeager M, Chowdhury S, Qi L, Deng X, Wang Z, Hutchinson A, Savage SA. Worldwide genetic structure in 37 genes important in telomere biology. Heredity (Edinb) 2011; 108:124-33. [PMID: 21731055 DOI: 10.1038/hdy.2011.55] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Telomeres form the ends of eukaryotic chromosomes and are vital in maintaining genetic integrity. Telomere dysfunction is associated with cancer and several chronic diseases. Patterns of genetic variation across individuals can provide keys to further understanding the evolutionary history of genes. We investigated patterns of differentiation and population structure of 37 telomere maintenance genes among 53 worldwide populations. Data from 898 unrelated individuals were obtained from the genome-wide scan of the Human Genome Diversity Panel (HGDP) and from 270 unrelated individuals from the International HapMap Project at 716 single-nucleotide polymorphism (SNP) loci. We additionally compared this gene set to HGDP data at 1396 SNPs in 174 innate immunity genes. The majority of the telomere biology genes had low to moderate haplotype diversity (45-85%), high ancestral allele frequencies (>60%) and low differentiation (FST<0.10). Heterozygosity and differentiation were significantly lower in telomere biology genes compared with the innate immunity genes. There was evidence of evolutionary selection in ACD, TERF2IP, NOLA2, POT1 and TNKS in this data set, which was consistent in HapMap 3. TERT had higher than expected levels of haplotype diversity, likely attributable to a lack of linkage disequilibrium, and a potential cancer-associated SNP in this gene, rs2736100, varied substantially in genotype frequency across major continental regions. It is possible that the genes under selection could influence telomere biology diseases. As a group, there appears to be less diversity and differentiation in telomere biology genes than in genes with different functions, possibly due to their critical role in telomere maintenance and chromosomal stability.
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Affiliation(s)
- L Mirabello
- Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA
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Hutchinson A, Coster JE, Cooper KL, McIntosh A, Walters SJ, Bath PA, Pearson M, Rantell K, Campbell MJ, Nicholl J, Irwin P. Assessing quality of care from hospital case notes: comparison of reliability of two methods. Qual Saf Health Care 2010; 19:e2. [PMID: 20511598 DOI: 10.1136/qshc.2007.023911] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To determine which of the two methods of case note review provide the most useful and reliable information for reviewing quality of care. DESIGN Retrospective, multiple reviews of 692 case notes were undertaken using both holistic (implicit) and criterion-based (explicit) review methods. Quality measures were evidence-based review criteria and a quality of care rating scale. SETTING Nine randomly selected acute hospitals in England. PARTICIPANTS Sixteen doctors, 11 specialist nurses and three clinically trained audit staff, and eight non-clinical audit staff. ANALYSIS METHODS: Intrarater consistency, inter-rater reliability between pairs of staff using intraclass correlation coefficients (ICCs), completeness of criterion data capture and between-staff group comparison. RESULTS A total of 1473 holistic reviews and 1389 criterion-based reviews were undertaken. When the three same staff types reviewed the same record, holistic scale score inter-rater reliability was moderate within each group (ICC 0.46 to 0.52). Inter-rater reliability for criterion-based scores was moderate to good (ICC 0.61 to 0.88). Comparison of holistic review score and criterion-based score of case notes reviewed by doctors and by non-clinical audit staff showed a reasonable level of agreement between the two methods. CONCLUSIONS Using a holistic approach to review case notes, same staff groups can achieve reasonable repeatability within their professional groups. When the same clinical record was reviewed twice by the doctors, and by the non-clinical audit staff, using both holistic and criterion-based methods, there are close similarities between the quality of care scores generated by the two methods. When using retrospective review of case notes to examine quality of care, a clear view is required of the purpose and the expected outputs of the project.
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Affiliation(s)
- A Hutchinson
- Section of Public Health, ScHARR, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
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Hutchinson A, Brand C, Irving L, Roberts C, Thompson P, Campbell D. Acute care costs of patients admitted for management of chronic obstructive pulmonary disease exacerbations: contribution of disease severity, infection and chronic heart failure. Intern Med J 2010; 40:364-71. [DOI: 10.1111/j.1445-5994.2010.02195.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Hutchinson A, Coster JE, Cooper KL, McIntosh A, Walters SJ, Bath PA, Pearson M, Young TA, Rantell K, Campbell MJ, Ratcliffe J. Comparison of case note review methods for evaluating quality and safety in health care. Health Technol Assess 2010; 14:iii-iv, ix-x, 1-144. [DOI: 10.3310/hta14100] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- A Hutchinson
- Section of Public Health, ScHARR, University of Sheffield, UK
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Gibbs L, Waters E, Robinson J, Young S, Hutchinson A. Assessing the feasibility of distributing child poison safety messages through three existing parent information pathways. Inj Prev 2009; 15:418-20. [PMID: 19959736 DOI: 10.1136/ip.2008.021154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The objective of this exploratory study was to assess the feasibility of increasing parents' poison safety awareness and behaviours using existing pathways. The aim was to compare the release of true stories of child unintentional poisoning via three modes: (a) parent "networker"; (b) maternal and child health nurse; (c) the media. The stories spread by the parent networker were readily recalled by the parents, with examples of changed behaviour and spreading of the stories. Parents who were part of the maternal and child health nurse strategy were not able to recall the stories without prompts. The media strategy could not be implemented because of difficulties finding parents ready to publicise their story. Given that it is an exploratory study, it is not possible to draw conclusions about the effectiveness of each of the intervention strategies. However, it appears that a low-resource intervention using stories shared via parent networkers may have exciting potential as a health promotion tool. A stronger study design to examine its effectiveness is proposed.
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Affiliation(s)
- L Gibbs
- Community Partnerships & Health Equity Research, The McCaughey Centre, VicHealth Centre for the Promotion of Mental Health and Community Wellbeing, School of Population Health, Dentistry and Health Sciences, University of Melbourne, Level 5, 207 Bouverie Street, Carlton, Victoria 3053, Australia.
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Hutchinson A, Young TA, Cooper KL, McIntosh A, Karnon JD, Scobie S, Thomson RG. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. Qual Saf Health Care 2009; 18:5-10. [PMID: 19204125 DOI: 10.1136/qshc.2007.022400] [Citation(s) in RCA: 124] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- A Hutchinson
- Section of Public Health, ScHARR, University of Sheffield, Regent Court, Sheffield, UK.
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Fahmy P, Leung M, Hutchinson A, Cameron J, Malaiapan Y, Meredith I. STEMI–TIMI risk score predicts 30-day mortality in patients treated with primary PCI. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
We reviewed systematically the published evidence on the effectiveness of antibiotic prophylaxis for the reduction of wound infection in patients undergoing total hip and total knee replacement. Publications were identified using the Cochrane Library, MEDLINE, EMBASE and CINAHL databases. We also contacted authors to identify unpublished trials. We included randomised controlled trials which compared any prophylaxis with none, the administration of systemic antibiotics with that of those in cement, cephalosporins with glycopeptides, cephalosporins with penicillin-derivatives, and second-generation with first-generation cephalosporins. A total of 26 studies (11 343 participants) met the inclusion criteria. Methodological quality was variable. In a meta-analysis of seven studies (3065 participants) antibiotic prophylaxis reduced the absolute risk of wound infection by 8% and the relative risk by 81% compared with no prophylaxis (p < 0.00001). No other comparison showed a significant difference in clinical effect. Antibiotic prophylaxis should be routine in joint replacement but the choice of agent should be made on the basis of cost and local availability.
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Affiliation(s)
- B. AlBuhairan
- Clinical Trials Research Unit School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
| | - D. Hind
- Clinical Trials Research Unit School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
| | - A. Hutchinson
- Clinical Trials Research Unit School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
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Guillaume L, Cooper R, Avery A, Mitchell S, Ward P, Anderson C, Bissell P, Hutchinson A, James V, Lymn J, McIntosh A, Murphy E, Ratcliffe J. Supplementary prescribing by community and primary care pharmacists: an analysis of PACT data, 2004-2006. J Clin Pharm Ther 2008; 33:11-6. [DOI: 10.1111/j.1365-2710.2008.00869.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hutchinson A, McAllister C, Mirakhur R. Northern Ireland Critical Care Incident Monitoring Study. Crit Care 2008. [PMCID: PMC4088801 DOI: 10.1186/cc6651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Breunis WB, Biezeveld MH, Geissler J, Kuipers IM, Lam J, Ottenkamp J, Hutchinson A, Welch R, Chanock SJ, Kuijpers TW. Polymorphisms in chemokine receptor genes and susceptibility to Kawasaki disease. Clin Exp Immunol 2007; 150:83-90. [PMID: 17672867 PMCID: PMC2219275 DOI: 10.1111/j.1365-2249.2007.03457.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Kawasaki disease (KD) is an acute vasculitis occurring in young children. Its aetiology is unknown, but an infectious agent is assumed. Increased levels of proinflammatory cytokines and chemokines have been reported in KD. Genetic variation in these genes and the receptors for these genes could influence the regulation of cytokines and chemokines. In a case-control study of 170 Dutch Caucasian KD patients and 300 healthy Dutch Caucasian controls, common genetic variants in chemokine receptor genes CCR3, CCR2, CCR5, CX3CR1, CXCR1 and CXCR2 were analysed. Of the eight studied single nucleotide polymorphisms (SNPs) in the CCR3-CCR2-CCR5 gene cluster, four showed a significant association with susceptibility to KD. Moreover the CCR5-Delta32 was observed with an allele frequency of 10.7% in the control population compared to 6.5% in the KD patients (P = 0.04). Two haplotypes of the CCR3-CCR2-CCR5 gene-cluster appear to be at risk haplotypes for KD and one a protective haplotype. No association was observed with the studied SNPs in CX3CR1, CXCR1 and CXCR2. In conclusion, in a Dutch cohort of KD patients an association of KD occurrence with common genetic variants in the chemokine receptor gene-cluster CCR3-CCR2-CCR5 was observed.
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Affiliation(s)
- W B Breunis
- Emma Children's Hospital, Academic Medical Center (AMC), Amsterdam, The Netherlands.
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Hutchinson A, Cooper KL, Dean JE, McIntosh A, Patterson M, Stride CB, Laurence BE, Smith CM. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care 2007; 15:347-53. [PMID: 17074872 PMCID: PMC2565820 DOI: 10.1136/qshc.2005.016584] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
AIM To explore the factor structure, reliability, and potential usefulness of a patient safety climate questionnaire in UK health care. SETTING Four acute hospital trusts and nine primary care trusts in England. METHODS The questionnaire used was the 27 item Teamwork and Safety Climate Survey. Thirty three healthcare staff commented on the wording and relevance. The questionnaire was then sent to 3650 staff within the 13 NHS trusts, seeking to achieve at least 600 responses as the basis for the factor analysis. 1307 questionnaires were returned (36% response). Factor analyses and reliability analyses were carried out on 897 responses from staff involved in direct patient care, to explore how consistently the questions measured the underlying constructs of safety climate and teamwork. RESULTS Some questionnaire items related to multiple factors or did not relate strongly to any factor. Five items were discarded. Two teamwork factors were derived from the remaining 11 teamwork items and three safety climate factors were derived from the remaining 11 safety items. Internal consistency reliabilities were satisfactory to good (Cronbach's alpha > or =0.69 for all five factors). CONCLUSIONS This is one of the few studies to undertake a detailed evaluation of a patient safety climate questionnaire in UK health care and possibly the first to do so in primary as well as secondary care. The results indicate that a 22 item version of this safety climate questionnaire is useable as a research instrument in both settings, but also demonstrates a more general need for thorough validation of safety climate questionnaires before widespread usage.
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Affiliation(s)
- A Hutchinson
- Section of Public Health, ScHARR, Sheffield S1 4DA, UK.
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Hancock G, Hutchinson A, Peverall R, Richmond G, Ritchie GAD, Taylor S. 266 nm photolysis of CF3I and C2F5I studied by diode laser gain FM spectroscopy. Phys Chem Chem Phys 2007; 9:2234-9. [PMID: 17487320 DOI: 10.1039/b617414k] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Frequency modulated diode laser based absorption at 1.315 microm has been used to measure the Doppler lineshapes of the I((2)P(1/2)-(2)P(3/2)) transition in atomic iodine produced from the 266 nm photolysis of both CF(3)I and C(2)F(5)I. Wavelength resolved laser gain is seen following photolysis as excited iodine atoms ((2)P(1/2)) are produced with a quantum yield close to unity from photolysis of both parent molecules. Time resolved measurements were made and the nascent speed distribution and translational anisotropy parameter, beta were determined. Mean atomic speeds of 800 and 850 ms(-1), which correspond to 83 and 68% of the maximum possible kinetic energy release into the iodine photofragment, were determined for photolysis of CF(3)I and C(2)F(5)I, respectively. The nascent translational anisotropy parameter was found to be beta = 1.77 +/- 0.05 for CF(3)I and beta = 1.69 +/- 0.05 for C(2)F(5)I. These values are explicable in terms of parent rotational motion and non-adiabatic processes in the exit channel.
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Affiliation(s)
- G Hancock
- Physical and Theoretical Chemistry Laboratory, Oxford University, South Parks Road, Oxford, UK OX1 3QZ
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Mansell JL, Beadle-Brown J, Skidmore C, Whelton B, Hutchinson A. People with learning disabilities in 'out-of-area' residential placements: 1. Policy context. J Intellect Disabil Res 2006; 50:837-44. [PMID: 16999783 DOI: 10.1111/j.1365-2788.2006.00849.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
BACKGROUND A growing shortage of residential care for people with learning disabilities leads to placement funded by one authority in another authority's area. Such out-of-area placements are governed by guidance from different government departments in respect of different funding streams. METHOD This paper presents an analysis of this guidance and shows that it is inconsistent and incomplete. RESULTS AND CONCLUSION The guidance creates a framework of incentives for health and social services authorities that could lead to people being placed out-of-area against their own best interests, with negative consequences for them and for the 'receiving' authorities. A companion paper uses interview data to examine the reasons for and effects of out-of-area placement.
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Affiliation(s)
- J L Mansell
- Tizard Centre, University of Kent, Beverley Farm, Canterbury, Kent, UK.
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Beadle-Brown J, Mansell JL, Whelton B, Hutchinson A, Skidmore C. People with learning disabilities in 'out-of-area' residential placements: 2. Reasons for and effects of placement. J Intellect Disabil Res 2006; 50:845-56. [PMID: 16999784 DOI: 10.1111/j.1365-2788.2006.00848.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
BACKGROUND Official guidance on out-of-area placements creates incentives that could lead to people being placed against their own best interests, with negative consequences for them and for the 'receiving' authorities. METHOD Information was collected for 30 people through interviews with them, their families, home managers and care managers. Interviews concerned resident needs, reasons for placement, the homes, care management arrangements, resident quality of life and social inclusion. Information on care standards was abstracted from official records. RESULTS The main reasons for out-of-area placement were insufficient local services of acceptable quality, financial incentives and loss of family contact through prior institutionalization. The effects varied, with the most disabled people experiencing worst outcomes. Some aspects were worse than comparison studies (choice, community involvement, number of homes meeting all the national minimum standards), some were the same (participation, family visiting and other contact), and one was better (visits to families). Variation was also evident in the involvement of social services staff from the placing authority and in ease of access to local healthcare resources. CONCLUSIONS Social services and health authorities should develop services locally that can support people with the full range of individual needs. Perverse incentives should be removed, perhaps by increasing the application of direct payments and personalized budgets.
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Affiliation(s)
- J Beadle-Brown
- Tizard Centre, University of Kent, Beverley Farm, Canterbury, Kent, UK
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Breunis WB, Biezeveld MH, Geissler J, Ottenkamp J, Kuipers IM, Lam J, Hutchinson A, Welch R, Chanock SJ, Kuijpers TW. Vascular endothelial growth factor gene haplotypes in Kawasaki disease. ACTA ACUST UNITED AC 2006; 54:1588-94. [PMID: 16645995 DOI: 10.1002/art.21811] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
OBJECTIVE To investigate whether common genetic variants in the vascular endothelial growth factor (VEGF) gene are associated with Kawasaki disease (KD) and the subsequent development of coronary artery lesions. METHODS Common genetic variants in the VEGF gene were analyzed in an association study in a Dutch cohort of 170 KD patients and 300 healthy Dutch Caucasian controls. Genotyping was done with 5'-nuclease TaqMan assays and 3'-hybridization-triggered fluorescence minor groove binder Eclipse assays. RESULTS An association with susceptibility to KD was observed with 2 of the 6 single-nucleotide polymorphisms analyzed in VEGF: -2594 A>C (rs699947) and the 236 bp 3' of STP C>T (rs3025039). Also for an 18-bp deletion in the promoter of VEGF a significant difference in the genotype and allele frequencies was observed between the KD patients and the controls. The haplotype CGCC (based on rs699947, rs2010963, rs25648, and rs3025039) was significantly associated with the development of KD (hap score 3.8; P = 0.0002). VEGF plasma levels were significantly higher in patients with the early phase of KD than in the healthy controls, and there was a trend toward higher VEGF plasma levels in KD patients with the -2594 CC and 236 bp 3' of STP CC genotypes. CONCLUSION Our results suggest that polymorphisms of the VEGF gene may play a role in the pathogenesis of KD.
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Affiliation(s)
- W B Breunis
- Emma Children's Hospital, Academic Medical Center, and Sanquin Research Institute at the Central Laboratory of the Blood Transfusion Service, University of Amsterdam, Amsterdam, The Netherlands.
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Gibbs L, Waters E, Sherrard J, Ozanne-Smith J, Robinson J, Young S, Hutchinson A. Understanding parental motivators and barriers to uptake of child poison safety strategies: a qualitative study. Inj Prev 2006; 11:373-7. [PMID: 16326774 PMCID: PMC1730291 DOI: 10.1136/ip.2004.007211] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To develop an understanding of factors acting as barriers and motivators to parental uptake of child poison safety strategies. DESIGN A qualitative study involving semistructured interviews and focus groups. A grounded theory approach was used for the collection and analysis of data. PARTICIPANTS Sixty five parents of children under 5 years of age, some of whom had experienced an unintentional child poisoning incident. RESULTS A range of knowledge based, environmental, and behavioral barriers to comprehensive parental uptake of poison safety practices were identified. As a result there tended to be only partial implementation of safety initiatives in the home. Selection of safety practices was often guided by the interests and behaviors of the child. This made the child vulnerable to changes in the home environment, inadequate supervision, and/or shifts in their own behavior and developmental ability. Personal or vicarious exposure of a parent to a child poisoning incident was a significant motivator for parental review of safety practices. CONCLUSION Environmental measures targeting child resistant containers, warning labels, and lockable poisons cupboards will support parents' efforts to maintain poison safety. Additional education campaigns using stories of actual poisoning incidents may help to increase awareness of risk and encourage increased uptake.
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Affiliation(s)
- L Gibbs
- School of Health and Social Development, Deakin University, Victoria, Australia.
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Becker A, Stockfisch N, van Tulder M, Bekkering T, Breen A, del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A. Evidenzbasierte Physiotherapie zur Behandlung akuter unspezifischer Kreuzschmerzen - auf der Europäischen Leitlinie basierender Bericht. physioscience 2006. [DOI: 10.1055/s-2005-858963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Brand C, Landgren F, Hutchinson A, Jones C, Macgregor L, Campbell D. Clinical practice guidelines: barriers to durability after effective early implementation. Intern Med J 2005; 35:162-9. [PMID: 15737136 DOI: 10.1111/j.1445-5994.2004.00763.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Clinical practice guidelines in general (General-CPG) may reduce variation in clinician performance and improve patient outcomes. Short-term evaluation is now routine, but demonstration of early successful implementation does not necessarily ensure longer-term effectiveness. AIM To assess adherence to chronic obstructive pulmonary disease (COPD)-CPG recommendations at the Royal Melbourne Hospital (RMH), 2 years after successful implementation. To identify barriers to sustained success of General-CPG. METHODS A multi-faceted evaluation was performed to document: (i) current adherence to COPD management recommendations (medical record audit); (ii) awareness of attitudes towards and barriers for the use of COPD-CPG and General-CPG (staff survey, focus groups and key informant interviews) and (iii) access to and quality of available General-CPG (internet review and random sample General-CPG evaluation. RESULTS Adherence to COPD-CPG recommendations was highly variable. Adherence was higher in the Emergency Department than the general wards and for specific therapeutic recommendations. It was lower for non-pharmacological therapy and for recommendations relating to processes of care. Most health professionals were in favour of General-CPG. Barriers to use of General-CPG were in keeping with previous literature reports. Organizational issues including high levels of staff turnover and lack of integration of General-CPG into hospital quality frameworks were highlighted as major barriers. Hospital intranet access and presentation of General-CPG identified lack of consistency in terminology and presentation. CONCLUSION Short-term effectiveness of COPD-CPG implementation did not ensure sustained success. Departmental organizational behaviours and organizational system barriers are major factors influencing durability.
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Affiliation(s)
- C Brand
- Clinical Epidemiology & Health Service Evaluation Unit, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
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Brand C, Sundararajan V, Jones C, Hutchinson A, Campbell D. Readmission patterns in patients with chronic obstructive pulmonary disease, chronic heart failure and diabetes mellitus: an administrative dataset analysis. Intern Med J 2005; 35:296-9. [PMID: 15845113 DOI: 10.1111/j.1445-5994.2005.00816.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Comprehensive disease management programmes for chronic disease aim to improve patient outcomes and reduce health-care utilization. Readmission rates are often used as an outcome measure of effectiveness. This study aimed to document readmission rates, and risk for early and late readmission, for patients discharged from the Royal Melbourne Hospital with a disease diagnosis of chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD) or diabetes mellitus compared to those with other general medical conditions. Eighty five (8.6%) of patients were readmitted within 28 days and 183 (20.8%) were readmitted between 29 and 180 days. No risk factors for early readmission were identified. Patients with a primary disease diagnosis of CHF and COPD are at increased risk of late readmissions (29-180 days).
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Affiliation(s)
- C Brand
- Clinical Epidemiology and Health Services Evaluation Unit, Royal Melbourne Hospital, Victoria, Australia.
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Clark H, Corner L, Denzer W, Hancock G, Hutchinson A, Islam M, Peverall R, Ritchie G. Difference frequency generation in periodically poled lithium niobate and its use in the detection of atmospheric methane. Chem Phys Lett 2004. [DOI: 10.1016/j.cplett.2004.09.146] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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