Correction: Attitudes and perceptions of GPs and community pharmacists towards their role in the prevention of bisphosphonate-related osteonecrosis of the jaw: a qualitative study in the North East of England

BackgroundBisphosphonate-related osteonecrosis of the jaw (BRONJ) is a rare, yet significant, adverse effect of bisphosphonate therapy. A multidisciplinary approach to the prevention of BRONJ is recommended due to the significant morbidity and difficulty treating the condition. Current evidence suggests that both general practitioners (GPs) and community pharmacists have limited knowledge relating to BRONJ and that preventative strategies are rarely implemented.ObjectiveTo explore the attitudes and perceptions of GPs and community pharmacists on the risks and preventative strategies for the development of BRONJ.DesignInterpretivist methodological approach using qualitative semistructured interviews.Participants9 community pharmacists and 8 GPs.SettingPrimary Care in North East England and Cumbria, UK.MethodsUsing a Grounded Theory methodology and integrating a process of constant comparison in the iterative enrichment of data sets, semistructured interviews were undertaken, transcribed and analysed using framework analysis. Salient themes were identified and related back to extant literature in the field.ResultsFour salient and inter-related themes emerged: (1) uncertain knowledge, indicating limited exposure of respondents to BRONJ, and limited awareness of the implications of its diagnosis, risk factors and preventative strategies; (2) patient specific, referring to the complexity of patients, patient education and prioritising aspects of care; (3) wider context, indicating a lack of interdisciplinary communication and referral processes between professions, workload pressures, access and patient receptivity to dental services; and (4) professional, reflecting professional roles and responsibilities, authority and educational initiativesConclusionsEffective communication or collaborative care between GPs and community pharmacists for the prevention of BRONJ is not apparent. Interventions to mitigate against the risk of developing BRONJ and clarity of GP and community pharmacy roles are required.

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Community-based service provision for the prevention and management of maternal obesity in the North East of England: A qualitative study

Public Health ◽

10.1016/j.puhe.2011.05.004 ◽

2011 ◽

Vol 125 (8) ◽

pp. 518-524 ◽

Cited By ~ 14

Author(s):

S.A. Smith ◽

N. Heslehurst ◽

L.J. Ells ◽

J.R. Wilkinson

Keyword(s):

Qualitative Study ◽

Service Provision ◽

Maternal Obesity ◽

Community Based ◽

North East ◽

The North

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Patients using antifungals following laryngectomy: a qualitative study of community pharmacists in the North of England

International Journal of Pharmacy Practice ◽

10.1111/ijpp.12071 ◽

2013 ◽

Vol 22 (3) ◽

pp. 193-199 ◽

Cited By ~ 2

Author(s):

Adam Todd ◽

Andrew K. Husband ◽

Anne Hurren ◽

Simran Kler ◽

Jonathan Ling

Keyword(s):

Qualitative Study ◽

Community Pharmacists ◽

The North

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Young offenders’ perceptions and expectations of dental health services in the north east of England: A qualitative study

International Journal of Prisoner Health ◽

10.1080/17449200601069726 ◽

2006 ◽

Vol 2 (4) ◽

pp. 281-289 ◽

Cited By ~ 2

Author(s):

Andrew Russell ◽

Valerie White ◽

David Landes

Keyword(s):

Qualitative Study ◽

Health Services ◽

Dental Health ◽

Young Offenders ◽

Dental Health Services ◽

North East ◽

The North ◽

Perceptions And Expectations

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Pupils’ views about their learning in writing: a qualitative study of a primary school in the North East of England

Education 3-13 ◽

10.1080/03004279.2020.1849342 ◽

2021 ◽

pp. 1-15

Author(s):

Dimitra Kokotsaki

Keyword(s):

Qualitative Study ◽

Primary School ◽

North East ◽

The North

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General dental practitioners’ perceptions of, and attitudes towards, improving patient safety through a multidisciplinary approach to the prevention of medication-related osteonecrosis of the jaw (MRONJ): a qualitative study in the North East of England

BMJ Open ◽

10.1136/bmjopen-2019-029951 ◽

2019 ◽

Vol 9 (6) ◽

pp. e029951 ◽

Cited By ~ 6

Author(s):

Andrew Sturrock ◽

Philip M Preshaw ◽

Catherine Hayes ◽

Scott Wilkes

Keyword(s):

Patient Safety ◽

Oral Health ◽

Medical Records ◽

Multidisciplinary Approach ◽

Osteonecrosis Of The Jaw ◽

Theory Approach ◽

Professional Groups ◽

North East ◽

The North ◽

Dental Practitioners

ObjectiveTo explore general dental practitioners’ (GDPs’) perceptions of, and attitudes towards, the risks of medication-related osteonecrosis of the jaw (MRONJ) and the current/potential multidisciplinary approach(es) to prevention of the condition.DesignInterpretivist methodology using a grounded theory approach and constant comparative analysis to undertake an iterative series of semistructured interviews. Ritchie and Spencer’s framework analysis facilitated the identification and prioritisation of salient themes.SettingPrimary care general dental practices in the North East of England.Participants15 GDPs.ResultsGDPs are aware of the risk of MRONJ with commonly implicated medicines; however, they report limited collaboration between professional groups in person-centred avoidance of complications, which is a key requirement of the preventive advice recommended in extant literature. Four salient and inter-related themes emerged: (1) perception of knowledge; indicating the awareness of the risk, limited knowledge of implicated medications and experience of managing the condition; (2) risk; indicating the importance of accurate medication histories, the treatment of low risk patients in primary dental care, counselling of poorly informed patients, the fear of litigation and perceived low priority of oral health in the context of general health and well-being; (3) access and isolation; referring to access to general medical records, professional isolation and somewhat limited and challenging professional collaborative relationships; (4) interprofessional working; indicating oral health education of other professional groups, collaboration and communication, and a focus on preventive care.ConclusionsPatients continue to be at risk of developing MRONJ due to limited preventive interventions and relatively disparate contexts of multidisciplinary team healthcare. Effective collaboration, education and access to shared medical records could potentially improve patient safety and reduce the potential risk of developing MRONJ.

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Ras al Khaimah: further archaeological discoveries

Antiquity ◽

10.1017/s0003598x00150070 ◽

1976 ◽

Vol 50 (200) ◽

pp. 216-222

Author(s):

Beatrice De Cardi

Keyword(s):

United Arab Emirates ◽

The State ◽

Focused Attention ◽

North East ◽

The North ◽

History Of ◽

The City

Ras a1 Khaimah is the most northerly of the seven states comprising the United Arab Emirates and its Ruler, H. H. Sheikh Saqr bin Mohammad al-Qasimi, is keenly interested in the history of the state and its people. Survey carried out there jointly with Dr D. B. Doe in 1968 had focused attention on the site of JuIfar which lies just north of the present town of Ras a1 Khaimah (de Cardi, 1971, 230-2). Julfar was in existence in Abbasid times and its importance as an entrep6t during the sixteenth and seventeenth centuries-the Portuguese Period-is reflected by the quantity and variety of imported wares to be found among the ruins of the city. Most of the sites discovered during the survey dated from that period but a group of cairns near Ghalilah and some long gabled graves in the Shimal area to the north-east of the date-groves behind Ras a1 Khaimah (map, FIG. I) clearly represented a more distant past.

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