scholarly journals The Role of Virtual Consultations in Plastic Surgery During COVID-19

2020 ◽  
Author(s):  
Vikram Sinha ◽  
Mohsan Malik ◽  
Nora Nugent ◽  
Paul Drake ◽  
Naveen Cavale
Keyword(s):  
Plastic Surgery ◽  
Security Measures ◽  
Healthcare Use ◽  
Face To Face ◽  
Patient Interaction ◽  
Aesthetic Plastic Surgery ◽  
The Future ◽  
Future Utility ◽  
The Uk

Abstract Background: COVID-19 has led to government enforced ‘lockdown’ in the UK severely limiting face-to-face patient interaction. Virtual consultations present a means for continued patient access to healthcare. Our aim was to evaluate the use of virtual consultations (VCons) during lockdown and their possible role in the future. Methods: An anonymous survey was disseminated to UK and European plastic surgeons via social media, email sharing and, via the EASAPS (European Association of Societies of Aesthetic Plastic Surgery) newsletter. Uptake of VCons, modality, effectiveness, safety and future utility were assessed. Results: 43 senior plastic surgeons responded to the survey. The majority of the respondents (97.7%) reported using VCons during COVID-19 lockdown, of which, 74.4% had no prior experience. Two thirds of surgeons utilised commercial platforms such as zoom, facetime and skype. 38.1% of respondents did not know about or were unsure about adequate encryption for healthcare use, and just under a half (47.6%) reported they were unaware of or lacking GDPR compliance. 97.6% say they are likely to use virtual consultations after lockdown.Conclusion: Virtual consultation have had a crucial role in patient care during UK lockdown. It is clear that they will serve as an adjunct to face-to-face consultation in the future. Further regulation is required to ensure platforms offer adequate safety and security measures and are compliant with relevant data protection laws.

scholarly journals 1081 'Making the Leap’ To ST3 Plastic Surgery: An Interactive Online Course, In Response To COVID-19

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S H Teoh ◽  
S Majumder
Keyword(s):  
Small Group ◽  
Plastic Surgery ◽  
Video Conferencing ◽  
Online Course ◽  
Face To Face ◽  
The Uk ◽  
Small Group Tutorial ◽  
Learning Points ◽  
Difficult Transition

Abstract Aim The ‘Making the Leap’ interactive online course (MTL) was specifically designed to be delivered during the COVID-19 restrictions. This course aimed to facilitate the difficult transition from CT to ST3 in Plastic Surgery. Method The courses consisted of interactive small-group tutorials, each conducted over 2 days, via Zoom, covering 12 plastic surgery core topics in 8 tutorials. The course was attended by 43 delegates from across the UK and abroad. The tutorials were delivered by 27 plastic surgery consultants. Anonymous feedback was collected from both delegates and faculty. Results The overall feedback from delegates were unanimously positive; 100% of the delegates stated that ‘they would recommend the course to a colleague’. All faculty and delegates agreed the use of video conferencing and small group tutorial to be either ‘very’ or ‘extremely’ suitable for an interactive virtual course like MTL. 98% of delegates thought the course has made them feel more prepared to be a registrar, and 69% of delegates preferred an online interactive course instead of the traditional face-to-face method, for non-practical based courses. Conclusions COVID-19 necessitated delivering ‘Making the Leap” as a Zoom course. However, the feedback clearly demonstrated the need for such a course, and the suitability of the format. We discuss the challenges and learning points from our experience delivering successful interactive courses via Zoom.

scholarly journals Shifting Gears: The Future of Polymyxin Antibiotics

Antibiotics ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 42 ◽  
Author(s):  
Lenhard ◽  
Bulman ◽  
Tsuji ◽  
Kaye
Keyword(s):  
Treatment Options ◽  
Multidrug Resistant ◽  
Drug Resistant ◽  
Carbapenem Resistant ◽  
The Future ◽  
Important Addition ◽  
Future Strategy ◽  
Future Utility ◽  
A Current

The manuscripts contained in this special edition of Antibiotics represent a current review of the polymyxins as well as highlights from the 3rd International Polymyxin Conference, which was held in Madrid, Spain, April 25 to 26, 2018. The role of the polymyxin antibiotics has evolved over time based on the availability of alternative agents. After high rates of nephrotoxicity caused the drug class to fall out of favor, polymyxins were once against utilized in the 21st century to combat drug-resistant pathogens. However, the introduction of safer agents with activity against drug-resistant organisms has brought the future utility of polymyxins into question. The present review investigates the future niche of polymyxins by evaluating currently available and future treatment options for difficult-to-treat pathogens. The introduction of ceftazidime-avibactam, meropenem-vaborbactam and plazomicin are likely to decrease polymyxin utilization for infections caused by Enterobacteriaceae. Similarly, the availability of ceftolozane-tazobactam will reduce the use of polymyxins to counter multidrug-resistant Pseudomonas aeruginosa. In contrast, polymyxins will likely continue be an important option for combatting carbapenem-resistant Acinetobacter baumannii until better options become commercially available. Measuring polymyxin concentrations in patients and individualizing therapy may be a future strategy to optimize clinical outcomes while minimizing nephrotoxicity. Inhaled polymyxins will continue to be an adjunctive option for pulmonary infections but further clinical trials are needed to clarify the efficacy of inhaled polymyxins. Lastly, safer polymyxin analogs will potentially be an important addition to the antimicrobial armamentarium.

Searching for the Best Way to Assess the Risk of Thrombosis in Aesthetic Plastic Surgery; The Role of the Caprini/Pannucci Score

2019 ◽  
Vol 43 (5) ◽  
pp. 1387-1395 ◽  
Author(s):  
Jesús Cuenca-Pardo ◽  
Guillermo Ramos-Gallardo ◽  
Lázaro Cárdenas-Camarena ◽  
Livia Contreras-Bulnes ◽  
Gerardo Lelevier De Alvear
Keyword(s):  
Plastic Surgery ◽  
Aesthetic Plastic Surgery

scholarly journals Reflections on English Law Schemes of Arrangement in Distress and Proposals for Reform

2018 ◽  
Vol 15 (3) ◽  
pp. 472-502 ◽  
Author(s):  
Sarah Paterson
Keyword(s):  
Financial Crisis ◽  
European Commission ◽  
Debt Restructuring ◽  
Reform Agenda ◽  
Crucial Question ◽  
The Future ◽  
Corporate Insolvency ◽  
The Government ◽  
The Uk

The English scheme of arrangement process has, in many ways, proved a reliable friend to distressed companies and their majority finance creditors in the decade following the financial crisis. However, experience of using the scheme process to achieve a debt restructuring has highlighted a number of areas where it could be improved for the present, or to make it more adaptable in the future. This article was written at a time when the Insolvency Service had launched a review of the corporate insolvency framework in the UK (and published many of the responses which it has received to the consultation), and the European Commission had published a proposal for a new Directive setting minimum harmonisation standards for restructuring law. Both the consultation and the proposal have significant implications for the reform agenda, and the Government has published its response to the UK consultation just as this article is going to press. This paper focuses on the introduction of a preliminary moratorium as a gateway to restructuring efforts, the crucial question of how to value the enterprise if a cram down mechanism is introduced and the role of the insolvency practitioner in the scheme context.

Student paramedics' views on placements in general practice as part of a degree

2019 ◽  
Vol 11 (12) ◽  
pp. 519-525
Author(s):  
Alyesha Proctor
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Pathway ◽  
Structured Interviews ◽  
Learning And Development ◽  
Alternative Care ◽  
Face To Face ◽  
The Uk ◽  
University Degree

Background: Frontline paramedics are increasingly attending to non-emergency problems and calls that could be managed by a primary care provider. Alongside this, there is a growing pressure to manage patients at home or use an alternative care pathway and reduce hospital conveyance. Student paramedic training, including both placement and taught elements at university, should therefore reflect this. However, placement opportunities for student paramedics in primary care settings is variable across the UK. Aim: To explore student paramedics' views on incorporating a placement within general practice as part of their degree and its effects on their learning and development as an autonomous paramedic. Method: A small pedagogic study as part of a postgraduate certificate in academic practice for higher education, involving a case study, qualitative approach using face-to-face, semi-structured interviews and thematic analysis, was carried out. Findings: Student paramedics feel that incorporating a placement in general practice as part of their degree will significantly help in their learning and development as autonomous paramedics. Specifically, they feel it: will help them understand the role of the GP and what the GP expects of them; will help them to focus their assessments and improve confidence in decisions not to convey patients; may lead to better knowledge of alternative care pathways; and, finally, may provide an insight into the role of the paramedic in general practice as a future career opportunity. There are a few reservations about whether students would be able to use the skills and knowledge gained in this setting, as they feel they do not have access to the tools or the authority in a frontline ambulance service. Students would prefer to have a placement in a GP surgery in the final year of their university degree. Conclusion: Placement within a GP surgery for student paramedics should be included as part of a paramedic science degree as a priority. This is necessary, particularly given the changing role of the contemporary paramedic who attends to non-emergency problems.

Correct site surgery — are we up to standard?

Open Medicine ◽  
2010 ◽  
Vol 5 (4) ◽  
pp. 407-410 ◽  
Author(s):  
Corinne Owers ◽  
Emily Lees ◽  
Julian Roberts
Keyword(s):  
Plastic Surgery ◽  
Outcome Measures ◽  
Surgical Procedure ◽  
Surgical Practice ◽  
Valuable Data ◽  
Retrospective Audit ◽  
The Future ◽  
Future Utility ◽  
The Impact ◽  
Surgical Unit

AbstractTo examine the impact made on safe surgical practice by the introduction of correct site surgery documentation in a children’s hospital containing a surgical unit in South Yorkshire. A retrospective audit of randomly selected case notes of children attending the hospital for an ENT/Plastic surgery/Orthopaedic/General surgical procedure during a period in 2006 or 2008. Outcome measures included the total, correct and legible completion of correct site surgery documentation pre-operatively. Significant improvement was noted between the 2006 and 2008 audits in the amount of patients being correctly marked (33% vs. 91%), however there were no forms in either study that were fully and correctly completed. Legibility of the forms also improved markedly between the studies (33% vs. 98%). The completion of correct site surgery forms improved with greater publicisation of the forms, however the practicality of the numbers of people required to complete the forms needs to be reviewed. The international introduction of such forms will generate valuable data as to the future utility of these checklists.

Valuing Interdisciplinary Collaborative Research

2017 ◽  
Keyword(s):  
Interdisciplinary Research ◽  
Collaborative Research ◽  
Research Council ◽  
Future Directions ◽  
Research Paradigms ◽  
Arts And Humanities ◽  
The Future ◽  
Community Evaluation ◽  
The Uk

This book articulates what it is to do collaborative interdisciplinary research drawing on projects from the UK based Arts and Humanities Research Council funded Connected Communities programme. This book tells stories of the value of collaborative research between universities and communities. It offers a set of resources for people who are interested in doing interdisciplinary research across universities and communities. It provides a lexicon of key ideas that researchers might find useful when approaching this kind of work. The book aims to enhance ways of doing collaborative research in order to improve the ways in which that kind of research is practiced and understood. Nine chapters, based on particular projects, articulate this value in different ways drawing on different research paradigms. Chapters include discussions of tangible and intangible value, an articulation of performing and animation as forms of knowing, explorations of such initiatives as community evaluation, a project on the role of artists in collaborative projects and ways in which tools such as community evaluation, mapping and co-inquiry can aid communities and universities to work together. Chapters also focus on the translation of such research across borders and the legacy of such research within universities and communities. The book ends by mapping the future directions of such research.

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