Cost-efficiency in prescription reviews: pilot study of stoma patients in one health board in Wales

2013 ◽  
Vol 11 (7) ◽  
pp. 36-44 ◽  
Author(s):  
Iris Williams
Keyword(s):  
Pilot Study ◽  
Cost Efficiency ◽  
One Health ◽  
Health Board

Implementing a One Health village volunteer programme in West Sulawesi, Indonesia: A pilot study

2020 ◽  
pp. 1-16
Author(s):  
Merrilyn Walton ◽  
Dian Sidik Arsyad ◽  
Sarina Alimuddin ◽  
Andi Imam Arundhana ◽  
David Guest ◽  
...  
Keyword(s):  
Pilot Study ◽  
One Health

scholarly journals 966 Comparison of Lord and Jaboulay Procedure for Hydrocele Repair

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
L Henderson ◽  
S Simpkins ◽  
S Nalagatla
Keyword(s):  
Complication Rate ◽  
Statistical Difference ◽  
One Health ◽  
Late Complications ◽  
Current Evidence ◽  
Health Board ◽  
Operative Techniques ◽  
Nice Guidelines ◽  
Ultrasound Assessment ◽  
Operative Ultrasound

Abstract Aim Hydrocele is a common surgical pathology with a variety of operative techniques described, including Lord plication and Jaboulay procedure. Whilst current evidence suggests no difference in the recurrence rate between different techniques, the Lord’s procedure is described as having the lowest complication rate. NICE guidelines state all men aged 20 - 40 should receive a pre-operative ultrasound scan. We aimed to audit the complication rate between the two procedures as well as the rate of pre-operative ultrasound assessment. Method A retrospective review of all elective hydrocele repairs was performed within one health board over a 17-month period. All elective patients over the age of twelve and three-quarters were included, with emergency repairs excluded. Patient records were accessed, and data collected including hydrocele side and size, procedure performed, co-morbidities, medication, pre-operative ultrasound, and incidence of immediate and late complications. Results 83 cases were identified. All men aged 20 - 40 received pre-operative ultrasound assessment. 27 (33%) repairs utilised Lord’s technique, whilst 56 (67%) used Jaboulay’s technique. There was no statistical difference in complication rate for all complications (10% vs. 16% p = 0.48), haematoma (3.4% vs. 12% p = 0.16), infection (1.7% vs. 12% p = 0.08) or reoccurrence (1.7% vs 0% p = 1.0) between Jaboulay’s and Lord’s respectfully. Conclusions Analysis in this series showed the complication rate is higher for Lord’s procedure versus Jaboulay’s, however this was not found to be statistically significant. All patients aged 20-40 within our analysis received pre-operative ultrasound assessment.

The benefits of raising awareness of lymphoedema among care home staff

2020 ◽  
Vol 29 (4) ◽  
pp. 190-198
Author(s):  
Melanie Thomas ◽  
Karen Morgan ◽  
Ioan Humphreys ◽  
Karl Hocking ◽  
Diane Jehu
Keyword(s):  
One Health ◽  
Care Home ◽  
Pilot Project ◽  
Care Staff ◽  
Care Homes ◽  
Health Board ◽  
Care Home Staff ◽  
Raising Awareness ◽  
History Of ◽  
Education Tool

Background: Patients with lymphoedema referred to a lymphoedema service from care homes in one health board area in Wales were often complex cases, with repeated cellulitis, a history of falls and other complications. A pilot project was initiated to develop education and raise awareness of lymphoedema among care home staff. Aims: To enable care staff to identify residents with lymphoedema, promote prompt referrals, raise the importance of skin care and exercise in the management of lymphoedema and estimate the likely costs from complications associated with lymphoedema. Methods: An education tool was developed and 47 care homes were asked to participate. A lymphoedema therapist carried out a scoping review of the residents. Results: Forty-four care homes agreed to participate in the project with 1216 education packs being issued to care home staff. Initial findings suggest that of the 960 residents reviewed, 262 had lymphoedema (27%); 4% suffered with frequent falls, 1% had wounds and 3% had recurrent cellulitis. Only 13% (35/262) of residents with lymphoedema were known to the local lymphoedema service. Of the 31 residents reporting cellulitis, 81% had lymphoedema; of the 11 residents identified with a wound, 100% had lymphoedema and of the 40 residents reporting falls, 70% had lymphoedema. Conclusion: This educational project has identified the value of raising awareness of lymphoedema within care homes.

Tu1036 Early Outcomes of Bowel Screening Wales in One Health Board

2014 ◽  
Vol 146 (5) ◽  
pp. S-734
Author(s):  
Anwen Williams ◽  
Rebecca Cox ◽  
Alan Woodward
Keyword(s):  
One Health ◽  
Health Board

scholarly journals A Participatory System for Preventing Pandemics of Animal Origins: Pilot Study of the Participatory One Health Disease Detection (PODD) System

2018 ◽  
Vol 4 (1) ◽  
pp. e25
Author(s):  
Terdsak Yano ◽  
Somphorn Phornwisetsirikun ◽  
Patipat Susumpow ◽  
Surasing Visrutaratna ◽  
Karoon Chanachai ◽  
...  
Keyword(s):  
Pilot Study ◽  
One Health ◽  
Disease Detection

scholarly journals A two-arm parallel-group individually randomised prison pilot study of a male remand alcohol intervention for self-efficacy enhancement: the APPRAISE study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e040636
Author(s):  
Aisha Holloway ◽  
Victoria Guthrie ◽  
Gillian Waller ◽  
Jamie Smith ◽  
Joanne Boyd ◽  
...  
Keyword(s):  
Criminal Justice ◽  
Pilot Study ◽  
Criminal Justice System ◽  
Self Efficacy ◽  
Justice System ◽  
Ethics Committee ◽  
Service Research ◽  
Health Board ◽  
Alcohol Intervention ◽  
Parallel Group

IntroductionThe prevalence of at-risk drinking is far higher among those in contact with the criminal justice system (73%) than the general population (35%). However, there is little evidence on the effectiveness of alcohol brief interventions (ABIs) in reducing risky drinking among those in the criminal justice system, including the prison system and, in particular, those on remand. Building on earlier work, A two-arm parallel group individually randomised Prison Pilot study of a male Remand Alcohol Intervention for Self-efficacy Enhancement (APPRAISE) is a pilot study designed to assess the feasibility and acceptability of an ABI, delivered to male prisoners on remand. The findings of APPRAISE should provide the information required to design a future definitive randomised controlled trial (RCT).Methods and analysisAPPRAISE will use mixed methods, with two linked phases, across two prisons in the UK, recruiting 180 adult men on remand: 90 from Scotland and 90 from England. Phase I will involve a two-arm, parallel-group, individually randomised pilot study. The pilot evaluation will provide data on the likely impact of A two-arm parallel group individually randomised Prison Pilot study of a male Remand Alcohol Intervention for Self-efficacy Enhancement (APPRAISE), which will be used to inform a future definitive multicentre RCT. Phase II will be a process evaluation assessing how the ABI has been implemented to explore the change mechanisms underpinning the ABI (figure 1) and to assess the context within which the ABI is delivered.Ethics and disseminationThe APPRAISE protocol has been approved by the East of Scotland Research Ethics Committee (19/ES/0068), National Offender Management System (2019-240), Health Board Research and Development (2019/0268), Scottish Prison Service research and ethics committee, and by the University of Edinburgh’s internal ethics department. The findings will be disseminated via peer-reviewed journal publications, presentations at local, national and international conferences, infographics and shared with relevant stakeholders through meetings and events.Trial registration numberISRCTN27417180.

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