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2013

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Articles 130741 - 130745 of 130745

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Sudden Unexpected Death In Epilepsy (Sudep): Development Of A Safety Checklist, Rohit Shankar, David Cox, Virupakshi Jalihal, Scott Brown, Jane Hanna, Brendan Mclean Jan 2013

Sudden Unexpected Death In Epilepsy (Sudep): Development Of A Safety Checklist, Rohit Shankar, David Cox, Virupakshi Jalihal, Scott Brown, Jane Hanna, Brendan Mclean

Peninsula Medical School

Purpose The incidence of sudden death appears to be 20 times higher in patients with epilepsy compared with the general population. Epilepsy-related death, particularly sudden unexpected death in epilepsy (SUDEP), is still underestimated by healthcare professionals and this may reflect the mistaken belief that epilepsy is a benign condition. The risk of death associated with epilepsy appeared rarely to have been discussed with patients or their families. It appears the decision to discuss SUDEP and also to peg SUDEP risk is arbitrary and clinical. Unfortunately there is no structured evidenced mechanism at present to represent person centered risk of SUDEP …

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Simulation And Assessment Of Dental Extraction Proficiency Type Of Project : Self Administered Postal Questionnaire, D. R. Moles, Nigel Honey, Tom Gale Jan 2013

Simulation And Assessment Of Dental Extraction Proficiency Type Of Project : Self Administered Postal Questionnaire, D. R. Moles, Nigel Honey, Tom Gale

Peninsula Medical School

This study aimed to determine the confidence of recently qualified Foundation Dentists (FDs) in elements of the dental extraction process and to compare this with the assessment of their Foundation Trainers. Also the study aimed to investigate the foundation dentists’ views of their undergraduate training relating to exodontia and any aspects of which they found lacking or alternatively any experiences which they found particularly useful. The dental extraction needs of the UK population are changing with the development of an elderly dentate generation (McHarg and Kay 2009). The 2009 Adult Dental Health Survey observed that a very significant proportion of …

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Pain Solutions In The Emergency Setting (Pasties); A Protocol For Two Open-Label Randomised Trials Of Patient-Controlled Analgesia (Pca) Versus Routine Care In The Emergency Department, Je Smith, M Rockett, R Squire, Cj Hayward, Et Al Jan 2013

Pain Solutions In The Emergency Setting (Pasties); A Protocol For Two Open-Label Randomised Trials Of Patient-Controlled Analgesia (Pca) Versus Routine Care In The Emergency Department, Je Smith, M Rockett, R Squire, Cj Hayward, Et Al

Peninsula Medical School

Introduction Pain is the commonest reason that patients present to an emergency department (ED), but it is often not treated effectively. Patient controlled analgesia (PCA) is used in other hospital settings but there is little evidence to support its use in emergency patients. We describe two randomised trials aiming to compare PCA to nurse titrated analgesia (routine care) in adult patients who present to the ED requiring intravenous opioid analgesia for the treatment of moderate to severe pain and are subsequently admitted to hospital. Methods and analysis Two prospective multi-centre open-label randomised trials of PCA versus routine care in emergency …

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An Educational Framework For Managing And Supporting Medication Adherence In Europe, S White, W Clyne, C Mshelia Jan 2013

An Educational Framework For Managing And Supporting Medication Adherence In Europe, S White, W Clyne, C Mshelia

Peninsula Medical School

Introduction: Decisions about taking medicines ultimately lie with patients, so health professionals need to engage with patients to manage and support medication adherence. Health professionals need appropriate education to do this. We aimed to develop an educational framework for health professionals in Europe for managing and supporting medication adherence. Description of the framework: The resulting educational framework comprises a competency framework, a curriculum, a diagnostic tool for competence assessment and a reading list. Quality assurance: Framework development started from a 2007 competency framework for shared decision-making. A literature review and a Europe-wide consultation were conducted and the ABC research team …

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Evaluating The Strategic Impact Of Medical Revalidation. Building An Evaluation Framework., Julian Archer, Samantha Regan De Bere, Nick Lynn, Nicola Brennan Jan 2013

Evaluating The Strategic Impact Of Medical Revalidation. Building An Evaluation Framework., Julian Archer, Samantha Regan De Bere, Nick Lynn, Nicola Brennan

Peninsula Medical School

Executive Summary.1. BackgroundOn 3rd December 2012, the regulation of medical doctors in the UK by the GMC underwent its most radical reform in 150 years with the introduction of revalidation. This initiative presents a unique and exciting opportunity to evaluate the design features of an innovative regulatory system; in order to assure and potentially further develop revalidation as a robust regulatory process.Aims & objectives The aim of this research was to develop a framework for evaluation for consideration by the GMC encompassing suggestions/recommendations which could capture information about the key design features of revalidation over which the GMC has jurisdiction. …

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