Adenoidectomy techniques: UK survey

2009 ◽  
Vol 124 (2) ◽  
pp. 199-203 ◽  
Author(s):  
G Dhanasekar ◽  
A Liapi ◽  
N Turner
Keyword(s):  
Otitis Media ◽  
Outcome Measures ◽  
Questionnaire Survey ◽  
Response Rate ◽  
Standard Technique ◽  
Postal Questionnaire ◽  
Direct Vision ◽  
Digital Palpation ◽  
The Uk ◽  
Serous Otitis Media

AbstractObjectives:To determine (1) the preferred adenoidectomy technique among UK ENT consultants, and (2) the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation.Method:Postal questionnaire.Participants:We included 539 consultant members of the ENT–UK.Main outcome measures:Commonly used adenoidectomy techniques, and whether revision adenoidectomy was considered a problem.Results:The response rate was 66.6 per cent (359 respondents). Twenty-seven respondents did not perform adenoidectomy, while 332 did. A total of 312/332 respondents (94 per cent) believed that adenoidectomy had a role in the treatment of chronic serous otitis media. The majority of respondents (232/332; 69.9 per cent) reported examining the postnasal space digitally at adenoidectomy. The preferred routine adenoidectomy technique was blind curettage for 263 respondents (79.2 per cent), suction diathermy ablation for 27 (8.1 per cent) and curettage under direct vision (using a mirror) for 13 (3.9 per cent). In response to the question ‘Do you recognise the need for revision adenoidectomy as a problem?’, 205 (61.7 per cent) respondents replied ‘never’, 39 (11.7 per cent) ‘rarely’, 54 (16.3 per cent) ‘< 2 per cent’ and 36 (10.8 per cent) ‘>2 per cent’.Conclusions:The most commonly used adenoidectomy technique in the UK is digital palpation followed by blind curettage, according to this postal questionnaire survey. Few respondents reported performing adenoidectomy under direct vision: only 10 per cent used a mirror during the procedure and only 8 per cent used an endoscope.

scholarly journals Cross-sectional survey of orthotic service provision in the UK: does where you live affect the service you receive?

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e028186
Author(s):  
Nachiappan Chockalingam ◽  
Nicola Eddison ◽  
Aoife Healy
Keyword(s):  
Outcome Measures ◽  
Service Provision ◽  
Response Rate ◽  
Waiting Times ◽  
Lead Times ◽  
Limited Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Uk

ObjectiveTo investigate the quantity and quality of orthotic service provision within the UK.DesignCross-sectional survey obtained through freedom of information request in 2017.SettingNational Health Service (NHS) Trusts/Health Boards (HBs) across the UK.Main outcome measuresDescriptive statistics of survey results, including information related to finance, volume of appointments, patients and orthotic products, waiting times, staffing, complaints, outcome measures and key performance indicators.ResultsResponses were received from 61% (119/196) of contacted Trusts/HBs; 86% response rate from Scotland (12/14) and Wales (6/7), 60% (3/5) from Northern Ireland and 58% (98/170) from England. An inhouse service was provided by 32% (35/110) of responses and 68% (74/110) were funded by a block contract. Long waiting times for appointments and lead times for footwear/orthoses, and large variations in patient entitlements for orthotic products across Trusts/HBs were evident. Variations in the length of appointment times were also evident between regions of the UK and between contracted and inhouse services, with all appointment times relatively short. There was evidence of improvements in service provision; ability for direct general practitioner referral and orthotic services included within multidisciplinary clinics. However, this was not found in all Trusts/HBs.ConclusionsThe aim to provide a complete UK picture of orthotic service provision was hindered by the low response rate and limited information provided in some responses, with greater ability of Trusts/HBs to answer questions related to quantity of service than those that reflect quality. However, results highlight the large discrepancies in service provision between Trusts/HBs, the gaps in data capture and the need for the UK NHS to establish appropriate processes to record the quantity and quality of orthotic service provision. In addition to standardising appointment times across the NHS, guidelines on product entitlements for patients and their lead times should be prescribed to promote equity.

How we do it: Evaluation of nurse-led ENT services in the UK: a preliminary descriptive postal questionnaire survey

2006 ◽  
Vol 31 (6) ◽  
pp. 552-555 ◽  
Author(s):  
S Duvvi ◽  
R Gollapalli ◽  
V Sankar ◽  
T Walker ◽  
B.N Kumar ◽  
...  
Keyword(s):  
Questionnaire Survey ◽  
Postal Questionnaire ◽  
The Uk

scholarly journals Assistance For Dentists In Lithuania

2017 ◽  
Vol 26 (6) ◽  
pp. 155-160
Author(s):  
Vilija Berlin ◽  
Alina Pūrienė ◽  
Greta Dulkė
Keyword(s):  
Questionnaire Survey ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Dental Practitioners ◽  
Dental Assistant ◽  
Final Response ◽  
Dental Assistants ◽  
Final Response Rate

The study objectives were to investigate the preference of Lithuanian dentists to work with or without an assistant and to identify the most significant predictors for the preference. As well, we aimed to explore the education of practicing dental assistants in Lithuania. The information was collected by a postal questionnaire survey which was carried out among all practicing general dental practitioners and dental specialists in Lithuania (n=2971). The final response rate was 67.6% corresponding to 2,008 respondents. The results show that most dentists in Lithuania always or sometimes work without an assistant. Each third dentist of those who work with an assistant employ non-certified dental assistant. This may be done on purpose due to financial reasons. Dentists should be educated how efficient, ergonomic practice with a qualified dental assistant can be; inclusion of contemporary four-handed practice subject in applicants resume could improve employment of certified dental assistants in the long term.

Homeopathy and general practice: an urban perspective

2000 ◽  
Vol 89 (01) ◽  
pp. 13-16 ◽  
Author(s):  
R Perry ◽  
C Dowrick
Keyword(s):  
General Practice ◽  
Adverse Effects ◽  
Questionnaire Survey ◽  
Theoretical Basis ◽  
Complementary Therapies ◽  
Adverse Reactions ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Training Needs ◽  
Economically Deprived

AbstractComplementary medicine appears to be an increasingly popular option amongst both doctors and patients. General practitioners (GPs) in more affluent parts of Britain have showed considerable interest in its use. Our objectives were to ascertain the use of and attitudes towards homeopathy amongst GPs working in a socio-economically deprived urban area such as Liverpool.A postal questionnaire survey was carried out of all general practice principals in Liverpool, using freepost envelopes and one reminder after three weeks. With respect to eight common complementary therapies in general and homeopathy in particular, respondents were asked whether they treat with, refer to or endorse each therapy; and their views were questioned on NHS funding, effectiveness, adverse reactions, training needs and theoretical validity, for each therapy.The response rate was 131/252 (52%), and was higher amongst women and doctors aged under 40 y. During the previous week 37 (28%) GPs had been involved in homeopathy with their patients: 6.5% had treated directly, 18.5% had referred to, and 7% had endorsed homeopathy. 31% of GPs reported successful outcomes by homeopathic treatment compared with 14% reporting adverse effects. Respondents were generally uncertain about the validity of the theoretical basis of homeopathy; only 23% considered it to have a valid basis.

scholarly journals Usage of clozapine and new neuroleptics

1999 ◽  
Vol 23 (12) ◽  
pp. 749-749
Author(s):  
Camilla Haw ◽  
Jean Stubbs
Keyword(s):  
Atypical Antipsychotics ◽  
Response Rate ◽  
Pharmaceutical Journal ◽  
Postal Questionnaire ◽  
First Line ◽  
Health Authorities ◽  
Number Of Patients ◽  
Containment Measures ◽  
The Uk ◽  
First Line Treatment

Sir: Bristow (Psychiatric Bulletin, August 1999, 23, 478–480) found 9.5% of psychiatrists said their trust restricted clozapine funding. By contrast, the Maudsley National Schizophrenia Fellowship (1998) survey of health authority pharmaceutical advisors reported in the Pharmaceutical Journal found clozapine funding restricted by 45% of health authorities. We have recently carried out a postal questionnaire of members of the UK Psychiatric Pharmacists Group on the use and evaluation of atypical antipsychotics. We received 82 replies giving a response rate of 45%. Eleven per cent of pharmacists reported their trust capped the number of patients prescribed clozapine. However, there was widespread use of measures by trusts to try and limit expenditure on atypicals, restricting the prescribing of atypicals to consultants only and the use of guidelines in which atypicals are not first line treatment for schizophrenia. Only 12% of trusts, our hospital among them, used no cost-containment measures.

Role of revision adenoidectomy in paediatric otolaryngological practice

2006 ◽  
Vol 120 (3) ◽  
pp. 219-221 ◽  
Author(s):  
A Liapi ◽  
G Dhanasekar ◽  
N O Turner
Keyword(s):  
Outcome Measure ◽  
Standard Technique ◽  
District General Hospital ◽  
Main Outcome Measure ◽  
Number Of Children ◽  
Nasal Symptoms ◽  
Digital Palpation ◽  
Glue Ear ◽  
The Uk

Objectives: We aimed to determine the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation.Methods: Within a district general hospital, we undertook a retrospective study of 3231 children who underwent adenoidectomy between 1996 and 2003, 53 of whom required revision adenoidectomy. The main outcome measure was the number of children needing revision adenoidectomy.Results: A total of 53 children required a repeated operation for recurrence of symptoms (1.6 per cent); of these, 42 were for treatment of glue ear, five were for nasal symptoms and six were for adenoidal infection.Conclusion: Adenoidectomy performed without vision may be one of the reasons for recurrence of symptoms. Residual adenoids are acknowledged in the literature as one of the complications of the traditional technique. We highlight the fact that the need for revision adenoidectomy is not uncommon and suggest that we should improve our surgical technique in the UK by visualization of the postnasal space either by a mirror or an endoscope.

The Use of Acupuncture and Attitudes to Regulation among Doctors in the Uk – a Survey

2004 ◽  
Vol 22 (2) ◽  
pp. 72-74 ◽  
Author(s):  
Julian Price ◽  
Adrian White
Keyword(s):  
National Health Service ◽  
Health Service ◽  
General Practitioners ◽  
National Health ◽  
Questionnaire Survey ◽  
Response Rate ◽  
Regulatory Process ◽  
Daily Work ◽  
Medical Acupuncture ◽  
The Uk

Objective To assess the usage of acupuncture by members of British Medical Acupuncture Society (BMAS) in their daily work, in the course of a survey of attitudes to regulation of the acupuncture profession. Methods A brief questionnaire survey of all members was conducted in December 2002. Results After a single mailing, 1112 members responded (a response rate of 48%). Seventy-five percent of these were general practitioners. The majority were in support of a regulatory process. Ninety percent of respondents indicated that they use acupuncture in their practice, giving an average of about eight treatments per week. Sixty-one percent of these treatments are given within the National Health Service (NHS) at no cost to the patient. Conclusion It is estimated that BMAS members provide a total of about one million acupuncture treatments each year, of which well over half a million are given within the NHS.

Job Stress, Job Satisfaction, and Work-Related Illness in Offices

1988 ◽  
Vol 32 (13) ◽  
pp. 777-779 ◽  
Author(s):  
Alan Hedge
Keyword(s):  
Job Satisfaction ◽  
Job Stress ◽  
Sex Difference ◽  
Questionnaire Survey ◽  
Response Rate ◽  
Office Environment ◽  
Work Related ◽  
Negative Perceptions ◽  
Symptom Prevalence ◽  
The Uk

A questionnaire survey of demographic, environmental, psychological, and occupational influences on health was conducted in 6 office buildings in the UK. A total of 486 completed questionnaires were analyzed (85% response rate). The results showed that the prevalence of symptoms was not associated with job satisfaction, and the previously reported sex difference in symptom prevalence was not confirmed although this approached significance. The results suggest that work-related illness is strongly associated with self-reported job stress and negative perceptions of the office environment i.e. dissatisfaction with temperature, ventilation, lighting, and noise.

Consultant Orthodontic Services for Cleft Patients in England and Wales

1996 ◽  
Vol 23 (2) ◽  
pp. 165-171 ◽  
Author(s):  
A. C. Williams ◽  
J. R. Sandy ◽  
W. C. Shaw ◽  
H. B. Devlin
Keyword(s):  
Questionnaire Survey ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Response Rate ◽  
Postal Questionnaire ◽  
National Audit ◽  
Regional Data ◽  
Data Bases ◽  
England And Wales ◽  
Record Keeping

A postal questionnaire survey of consultant orthodontists in England and Wales was undertaken as part of a national audit of the care of children horn with cleft lip/and or cleft palate. A 100% response rate was achieved. The majority of respondents stated that they provide orthodontic treatment for cleft patients hut only 78% of these attend multi-disciplinary cleft clinics. Consultant orthodontists provide treatment not only in the form of appliances for patients born with clefts hut are also involved in the counseling of parents and coordination of regional data bases. Only 24% of hospital orthodontists are involved in the provision of presurgical appliances for cleft babies on a regular basis. The lack of rationalisation of orthodontic services and a low uptake of standardised record keeping protocols for cleft patients by consultant orthodontists gives cause for concern.

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