scholarly journals Use of radiography in small animal practice in the UK and Republic of Ireland in 2013

2018 ◽  
Vol 182 (8) ◽  
pp. 225-225 ◽  
Author(s):  
Naomi J Booth ◽  
Samuel J Morley ◽  
Richard S Ewers
Keyword(s):  
Diagnostic Imaging ◽  
Radiation Safety ◽  
Imaging Techniques ◽  
Small Animal ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Republic Of Ireland ◽  
Training Requirements ◽  
Diagnostic Imaging Techniques ◽  
The Uk

Radiography is an essential diagnostic tool in small animal practice. A major transition is currently underway from film screen to digital systems. However, there is limited published research detailing the use of radiography in practices in the UK and Republic of Ireland (ROI). The study aimed to describe the uptake of digital radiographic systems, wider aspects of radiographic practice and use of other diagnostic imaging techniques in the UK and ROI. This is a cross-sectional study using paper and online questionnaires. Veterinary surgeons, veterinary nurses and veterinary radiographers working in small animal practice in the UK and ROI were eligible to participate in the survey. Seventy-five per cent of respondents worked in practices using digital radiography systems. Cost appeared to be the largest barrier to digital conversion. Chemical restraint was used on 86 per cent of cases; however, 3 per cent of cases were reported to be restrained by hand. Thirty-one per cent of respondents had not received specific training in radiation safety. Ultrasonography is reportedly now widely utilised on a regular basis. These results provide useful information on the use of radiography and additional diagnostic imaging techniques in the UK. These results should be used to indicate future training requirements, particularly to improve radiation safety.

scholarly journals Assessing the current state of quality improvement training in urology in the UK: Findings from the General Medical Council 2018 trainee survey

2020 ◽  
pp. 205141582092052 ◽  
Author(s):  
Elena Pallari ◽  
Archie Hughes-Hallett ◽  
Silia Vitoratou ◽  
Zarnie Khadjesari ◽  
Phil Cornford ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Significant Variation ◽  
General Medical Council ◽  
Cross Sectional Study ◽  
Medical Council ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Training Requirements ◽  
Current State ◽  
The Uk

Objective: The General Medical Council (GMC) of the UK has identified the need to support doctors through education in safety and quality improvement (QI) methods. This study reports findings from the GMC annual survey of 2018 from urology trainees regarding the state of QI training and their training needs. Material and methods: We designed a set of four questions to assess how QI methods are being taught nationally, and inserted them in the 2018 annual GMC trainee survey for urology. This is a cross-sectional study assessing the current state of QI training and mentoring received by trainees, and their self-assessed ability and confidence in completing a QI project as part of training requirements. Data were statistically analysed in Stata 15 stratified by Local Education Training Boards (LETBs)/Deanery and by specialty trainee level (ST3–7). Results: In total, 270 responses were received from urology trainees. Data showed significant variation across the country. Responses from ST3–7 trainees ranged from 5–20% on completing more than three QI projects, while 7–58% replied that they had done none. Across all ST grades, 40% of trainees stated they had not undertaken QI, whereas 0–27% reported they had not received any mentoring on QI to date. There was significant variation across training regions too: 11–74% of trainees answered that they have received training in QI methods, and 58–100% responded that they were confident in undertaking QI projects. Across all LETBs, 1–3% responded that they uploaded projects on national websites for dissemination; finally, a range of 0–18% stated they had completed more than three projects. Conclusion: This is the first national snapshot of QI training for the entire urology specialty in the UK. The study demonstrates wide variation in QI training and activity undertaken by trainees, and shows a lack of systematic implementation of QI education across training regions. Level of evidence: 2c

scholarly journals Survey-Based Analysis of Current Trends for Prescribing Gastrointestinal Protectants among Small-Animal General Practitioners in Portugal

2021 ◽  
Vol 8 (5) ◽  
pp. 70
Author(s):  
Rita Baptista ◽  
Ryane Englar ◽  
Berta São Braz ◽  
Rodolfo Oliveira Leal
Keyword(s):  
General Practitioners ◽  
Healthcare Providers ◽  
Small Animal ◽  
Cross Sectional Study ◽  
Online Forums ◽  
Educational Strategies ◽  
Cross Sectional ◽  
Current Trends ◽  
Therapeutic Value

In both human and veterinary healthcare, gastrointestinal protectants (GIPs) are considered a staple of clinical practice in that they are prescribed by general practitioners (GPs) and specialists alike. Concerning GIP use, overprescription of proton pump inhibitors (PPIs) has become a growing concern among human healthcare providers. This trend has also been documented within veterinary practice, prompting the American College of Veterinary Internal Medicine (ACVIM) to publish a consensus statement in 2018 concerning evidence-based indications for GIP use. This observational cross-sectional study evaluated self-reported prescribing protocols among Portuguese GPs to determine whether there is adherence to the consensus guidelines. Respondents were Portuguese GPs recruited by social media posts in veterinarian online forums. Data were collected from 124 respondents concerning their GIPs of choice and their rationales for prescribing them. Data were mined for prescription patterns and protocols. Among GIPs, PPIs were prescribed more often. Rationales for use included gastrointestinal ulceration and erosion (GUE), prophylactic management of nonerosive gastritis, pancreatitis, reflux esophagitis, and steroid-induced ulceration. Once-daily administration of PPIs was the most frequent dosing regime among respondents. Ninety-six percent of PPI prescribers advocated that the drug be administered either shortly before or at mealtime. Forty-nine percent of respondents supported long-term use of PPIs. Fifty-nine percent of respondents acknowledged discontinuing PPIs abruptly. This study supports that Portuguese GPs commonly prescribe GIPs in accordance with ACVIM recommendations to medically manage GUE. However, misuse of GIPs does occur, and they have been prescribed where their therapeutic value is debatable. Educational strategies should target GPs in an effort to reduce GIP misuse.

scholarly journals Quiescent-Interval Single-Shot Magnetic Resonance Angiography

Diagnostics ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. 84
Author(s):  
Aman Saini ◽  
Alex Wallace ◽  
Hassan Albadawi ◽  
Sailendra Naidu ◽  
Sadeer Alzubaidi ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Image Quality ◽  
Magnetic Resonance Angiography ◽  
Diagnostic Imaging ◽  
Imaging Techniques ◽  
Feasibility Studies ◽  
Subsequent Treatment ◽  
Single Shot ◽  
Contrast Enhanced ◽  
Diagnostic Imaging Techniques

Lower extremity peripheral arterial disease (PAD) is a chronic, debilitating disease with a significant global burden. A number of diagnostic imaging techniques exist, including computed tomography angiography (CTA) and contrast-enhanced magnetic resonance angiography (CEMRA), to aid in PAD diagnosis and subsequent treatment planning. Due to concerns of renal toxicity or nephrogenic systemic fibrosis (NSF) for iodinated and gadolinium-based contrasts, respectively, a number of non-enhanced MRA (NEMRA) protocols are being increasingly used in PAD diagnosis. These techniques, including time of flight and phase contrast MRA, have previously demonstrated poor image quality, long acquisition times, and/or susceptibility to artifacts when compared to existing contrast-enhanced techniques. In recent years, Quiescent-Interval Single-Shot (QISS) MRA has been developed to overcome these limitations in NEMRA methods, with promising results. Here, we review the various screening and diagnostic tests currently used for PAD. The various NEMRA protocols are discussed, followed by a comprehensive review of the literature on QISS MRA to date. A particular emphasis is placed on QISS MRA feasibility studies and studies comparing the diagnostic accuracy and image quality of QISS MRA versus other diagnostic imaging techniques in PAD.

scholarly journals A Cross-Sectional Study of Experiences and Attitudes towards Clinical Audit of Farm Animal Veterinary Surgeons in the United Kingdom

2018 ◽  
Vol 5 (4) ◽  
pp. 84
Author(s):  
Katie Waine ◽  
Rachel S. Dean ◽  
Chris Hudson ◽  
Jonathan Huxley ◽  
Marnie L. Brennan
Keyword(s):  
Clinical Audit ◽  
Nationwide Survey ◽  
Clinical Work ◽  
Cross Sectional Study ◽  
Farm Animal ◽  
Sectional Study ◽  
Cross Sectional ◽  
Protected Time ◽  
Veterinary Surgeons ◽  
The Uk

Clinical audit is a quality improvement tool used to assess and improve the clinical services provided to patients. This is the first study to investigate the extent to which clinical audit is understood and utilised in farm animal veterinary practice. A cross-sectional study to collect experiences and attitudes of farm animal veterinary surgeons in the UK towards clinical audit was conducted using an online nationwide survey. The survey revealed that whilst just under three-quarters (n = 237/325; 73%) of responding veterinary surgeons had heard of clinical audit, nearly 50% (n = 148/301) had never been involved in a clinical audit of any species. The participants’ knowledge of what a clinical audit was varied substantially, with many respondents reporting not receiving training on clinical audit at the undergraduate or postgraduate level. Respondents that had participated in a clinical audit suggested that protected time away from clinical work was required for the process to be completed successfully. This novel study suggests that clinical audit is undertaken to some extent in farm animal practice and that practitioner perception is that it can bring benefits, but was felt that more resources and support were needed for it to be implemented successfully on a wider scale.

scholarly journals Varied Ophthalmic Presentations in Sphenoid Sinus Lesions

2011 ◽  
Vol 4 (1) ◽  
pp. 15-20
Author(s):  
RG Aiyer ◽  
Rahul Gupta ◽  
Prarthna S Dhameja ◽  
Virag Damania ◽  
Abhishek Sharma ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Fungal Infection ◽  
Sphenoid Sinus ◽  
Imaging Techniques ◽  
Accurate Diagnosis ◽  
Team Approach ◽  
Diagnosis And Management ◽  
Ocular Manifestations ◽  
Diagnostic Imaging Techniques

ABSTRACT Sphenoid sinus lesions can present with a multitude of symptoms/signs including ophthalmic disturbances. We describe a total of five patients, of which two had mucoceles and rest three had fungal infection. Ophthalmic symptoms/signs were the ones we were really interested in. We also present one case which had isolated sphenoid fungal sinus. We also give details of their presentation, investigations and treatment. Possible ocular manifestations of mucoceles and the diagnostic imaging techniques used are discussed. The treatment of mucoceles is reviewed. It is stressed that a team approach involving the ophthalmologist, otolaryngologist and radiologist is essential for accurate diagnosis and management.

scholarly journals Association between home birth and breast feeding outcomes: a cross-sectional study in 28 125 mother–infant pairs from Ireland and the UK

BMJ Open ◽  
2016 ◽  
Vol 6 (8) ◽  
pp. e010551 ◽  
Author(s):  
Clare Quigley ◽  
Cristina Taut ◽  
Tamara Zigman ◽  
Louise Gallagher ◽  
Harry Campbell ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Home Birth ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Uk
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