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  1. Article ; Online: "I did not expect the doctor to treat a ghost": a systematic review of published reports regarding chronic postamputation pain in British First World War veterans.

    Dixon Smith, Sarah / Aldington, Dominic / Hay, George / Kumar, Alexander / Le Feuvre, Peter / Moore, Andrew / Soliman, Nadia / Wever, Kimberley E / Rice, Andrew S C

    Pain reports

    2023  Volume 8, Issue 6, Page(s) e1094

    Abstract: Limb trauma remains the most prevalent survivable major combat injury. In the First World War, more than 700,000 British soldiers received limb wounds and more than 41,000 underwent an amputation, creating one of the largest amputee cohorts in history. ... ...

    Abstract Limb trauma remains the most prevalent survivable major combat injury. In the First World War, more than 700,000 British soldiers received limb wounds and more than 41,000 underwent an amputation, creating one of the largest amputee cohorts in history. Postamputation pain affects up to 85% of military amputees, suggesting that up to 33,000 British First World War veterans potentially reported postamputation pain. This qualitative systematic review explores the professional medical conversation around clinical management of chronic postamputation pain in this patient cohort, its development over the 20th century, and how this information was disseminated among medical professionals. We searched
    Language English
    Publishing date 2023-10-17
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2471-2531
    ISSN (online) 2471-2531
    DOI 10.1097/PR9.0000000000001094
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  2. Article ; Online: Sing Your Lungs Out: a qualitative study of a community singing group for people with chronic obstructive pulmonary disease (COPD).

    McNaughton, Amanda / Aldington, Sarah / Williams, Gayle / Levack, William M M

    BMJ open

    2016  Volume 6, Issue 9, Page(s) e012521

    Abstract: Objective: To explore the ways in which participation in a community singing group contributed to the health and well-being of patients with chronic obstructive pulmonary disease (COPD).: Design: Qualitative description, based on transcripts from ... ...

    Abstract Objective: To explore the ways in which participation in a community singing group contributed to the health and well-being of patients with chronic obstructive pulmonary disease (COPD).
    Design: Qualitative description, based on transcripts from individual interviews and a focus group meeting with people with COPD participating in the singing group, regarding their experience.
    Setting: Urban community, Wellington, New Zealand.
    Participants: 23 people (13 women and 10 men), 51-91 years with COPD (21) or interstitial lung disease (2).
    Results: The weekly singing group was a well-attended activity, with self-reported benefits to health and well-being. 4 key themes were identified: being in the 'right space', connection, purpose and growth, and participation in a meaningful physical activity.
    Conclusions: This study helps us to better understand how participation in a community singing group can benefit the health and well-being of patients with COPD.
    Trial registration number: ACTRN12615000736549; Results.
    MeSH term(s) Aged ; Aged, 80 and over ; Female ; Focus Groups ; Humans ; Lung/physiology ; Male ; Middle Aged ; New Zealand ; Pulmonary Disease, Chronic Obstructive/rehabilitation ; Qualitative Research ; Singing/physiology ; Urban Population
    Language English
    Publishing date 2016-09-20
    Publishing country England
    Document type Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2016-012521
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  3. Article ; Online: Coronary Artery Calcium Score Improved Cardiovascular Disease Risk Prediction in Asymptomatic Patients

    I Md Ady Wirawan / Rodney Wu / Malcolm Abernethy / Sarah Aldington / Peter Larsen

    Journal of the Medical Sciences, Vol 50, Iss

    2018  Volume 1

    Abstract: This study examined whether coronary artery calcium score (CACS) has a better accuracy than the cardiovascular risk prediction chart (CRPC), and evaluate the reclassification improvement of CACS if it isused as a screening tool compared with the CRPC. ... ...

    Abstract This study examined whether coronary artery calcium score (CACS) has a better accuracy than the cardiovascular risk prediction chart (CRPC), and evaluate the reclassification improvement of CACS if it isused as a screening tool compared with the CRPC. CACS has a better accuracy than the CRPC and reclassified a considerable proportion (39%) of a symptomatic patient into correct cardiovascular risk categories. CACS should be assessed in asymptomatic people with5-year CVD risk score of 5-10% and 10-15%.
    Keywords : assessment tool ; cacs ; framingham risk score ; asymptomatic people ; risk stratification ; Medicine ; R
    Language English
    Publishing date 2018-03-01T00:00:00Z
    Publisher Universitas Gadjah Mada
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Non-technical skills evaluation in the critical care air ambulance environment: introduction of an adapted rating instrument--an observational study.

    Myers, Julia A / Powell, David M C / Psirides, Alex / Hathaway, Karyn / Aldington, Sarah / Haney, Michael F

    Scandinavian journal of trauma, resuscitation and emergency medicine

    2016  Volume 24, Page(s) 24

    Abstract: Background: In the isolated and dynamic health-care setting of critical care air ambulance transport, the quality of clinical care is strongly influenced by non-technical skills such as anticipating, recognising and understanding, decision making, and ... ...

    Abstract Background: In the isolated and dynamic health-care setting of critical care air ambulance transport, the quality of clinical care is strongly influenced by non-technical skills such as anticipating, recognising and understanding, decision making, and teamwork. However there are no published reports identifying or applying a non-technical skills framework specific to an intensive care air ambulance setting. The objective of this study was to adapt and evaluate a non-technical skills rating framework for the air ambulance clinical environment.
    Methods: In the first phase of the project the anaesthetists' non-technical skills (ANTS) framework was adapted to the air ambulance setting, using data collected directly from clinician groups, published literature, and field observation. In the second phase experienced and inexperienced inter-hospital transport clinicians completed a simulated critical care air transport scenario, and their non-technical skills performance was independently rated by two blinded assessors. Observed and self-rated general clinical performance ratings were also collected. Rank-based statistical tests were used to examine differences in the performance of experienced and inexperienced clinicians, and relationships between different assessment approaches and assessors.
    Results: The framework developed during phase one was referred to as an aeromedical non-technical skills framework, or AeroNOTS. During phase two 16 physicians from speciality training programmes in intensive care, emergency medicine and anaesthesia took part in the clinical simulation study. Clinicians with inter-hospital transport experience performed more highly than those without experience, according to both AeroNOTS non-technical skills ratings (p = 0.001) and general performance ratings (p = 0.003). Self-ratings did not distinguish experienced from inexperienced transport clinicians (p = 0.32) and were not strongly associated with either observed general performance (r(s) = 0.4, p = 0.11) or observed non-technical skills performance (r(s) = 0.4, p = 0.1).
    Discussion: This study describes a framework which characterises the non-technical skills required by critical care air ambulance clinicians, and distinguishes higher and lower levels of performance.
    Conclusion: The AeroNOTS framework could be used to facilitate education and training in non-technical skills for air ambulance clinicians, and further evaluation of this rating system is merited.
    MeSH term(s) Adult ; Air Ambulances ; Checklist/instrumentation ; Critical Care ; Emergency Medical Technicians/standards ; Female ; Humans ; Male ; Professional Competence/standards ; Surveys and Questionnaires
    Language English
    Publishing date 2016-03-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2455990-8
    ISSN 1757-7241 ; 1757-7241
    ISSN (online) 1757-7241
    ISSN 1757-7241
    DOI 10.1186/s13049-016-0216-5
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  5. Article: Asthma exacerbations. 5: assessment and management of severe asthma in adults in hospital.

    Aldington, Sarah / Beasley, Richard

    Thorax

    2007  Volume 62, Issue 5, Page(s) 447–458

    Abstract: It is difficult to understand why there is such a huge discrepancy between the management of severe asthma recommended by evidence-based guidelines and that observed in clinical practice. The recommendations are relatively straightforward and have been ... ...

    Abstract It is difficult to understand why there is such a huge discrepancy between the management of severe asthma recommended by evidence-based guidelines and that observed in clinical practice. The recommendations are relatively straightforward and have been widely promoted both in guidelines and reviews. Specialist physicians need to be more proactive in their implementation of such guidelines through the use of locally derived protocols and assessment sheets, reinforced by audit. The common occurrence of severe asthma and its considerable burden to the community would support such an approach.
    MeSH term(s) Administration, Oral ; Adrenal Cortex Hormones/therapeutic use ; Asthma/diagnosis ; Asthma/therapy ; Bronchodilator Agents/administration & dosage ; Critical Care ; Hospitalization ; Humans ; Medical Records ; Oxygen/blood ; Oxygen/therapeutic use ; Patient Discharge ; Physical Examination ; Practice Guidelines as Topic ; Respiratory Function Tests ; Treatment Outcome
    Chemical Substances Adrenal Cortex Hormones ; Bronchodilator Agents ; Oxygen (S88TT14065)
    Language English
    Publishing date 2007-05-02
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 204353-1
    ISSN 1468-3296 ; 0040-6376
    ISSN (online) 1468-3296
    ISSN 0040-6376
    DOI 10.1136/thx.2005.045203
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  6. Article: Magnesium in the treatment of asthma.

    Beasley, Richard / Aldington, Sarah

    Current opinion in allergy and clinical immunology

    2007  Volume 7, Issue 1, Page(s) 107–110

    Abstract: Purpose of review: To provide an update of recent research on the role of magnesium in the management of asthma.: Recent findings: Further evidence has been published that long-term oral magnesium supplementation does not lead to improved control in ... ...

    Abstract Purpose of review: To provide an update of recent research on the role of magnesium in the management of asthma.
    Recent findings: Further evidence has been published that long-term oral magnesium supplementation does not lead to improved control in adult asthma. In contrast, updated meta-analyses of randomized controlled trials have confirmed the efficacy of both intravenous and inhaled (as an adjuvant to salbutamol nebulizer solution) magnesium therapy in severe asthma. This conclusion is still limited by the paucity of randomized controlled trials, however, with many issues yet to be firmly established, such as the efficacy in different patient subgroups, the dose regimes, and the optimal method of administration. International guidelines currently recommend the use of intravenous magnesium in severe asthma, and there is evidence that this approach is now widely used in emergency departments in North America. This audit also illustrated the emerging unregistered use of nebulized magnesium/salbutamol solution.
    Summary: Further investigation of the efficacy and safety of magnesium in severe asthma is now urgently required to determine its role in this clinical situation. The research community must heed the call for more research that is being made by funding agencies dealing with this area.
    MeSH term(s) Asthma/drug therapy ; Humans ; Magnesium/therapeutic use ; Meta-Analysis as Topic ; Randomized Controlled Trials as Topic
    Chemical Substances Magnesium (I38ZP9992A)
    Language English
    Publishing date 2007-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2088710-3
    ISSN 1528-4050
    ISSN 1528-4050
    DOI 10.1097/ACI.0b013e328012ce4b
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  7. Article ; Online: Sing Your Lungs Out-a community singing group for chronic obstructive pulmonary disease: a 1-year pilot study.

    McNaughton, Amanda / Weatherall, Mark / Williams, Mathew / McNaughton, Harry / Aldington, Sarah / Williams, Gayle / Beasley, Richard

    BMJ open

    2017  Volume 7, Issue 1, Page(s) e014151

    Abstract: Objective: Singing group participation may benefit patients with chronic obstructive pulmonary disease (COPD). Previous studies are limited by small numbers of participants and short duration of generally hospital-based singing group intervention. This ... ...

    Abstract Objective: Singing group participation may benefit patients with chronic obstructive pulmonary disease (COPD). Previous studies are limited by small numbers of participants and short duration of generally hospital-based singing group intervention. This study examines the feasibility of long-term participation in a community singing group for patients with COPD who had completed pulmonary rehabilitation (PR).
    Methods: This was a feasibility cohort study. Patients with COPD who had completed PR and were enrolled in a weekly community exercise group were recruited to a new community-based singing group which met weekly for over 1 year. Measurements at baseline, 4 months and 1 year comprised comprehensive pulmonary function tests including lung volumes, 6 min walk test (6MWT), Clinical COPD Questionnaire (CCQ), Hospital Anxiety and Depression Scale (HADS) and hospital admission days for acute exacerbation of COPD (AECOPD) for 1 year before and after the first singing group session.
    Findings: There were 28 participants with chronic lung disease recruited from 140 people approached. Five withdrew in the first month. 21 participants meeting Global Initiative for Chronic Obstructive Lung Disease criteria for COPD completed 4-month and 18 completed 1-year assessments. The mean attendance was 85%. For the prespecified primary outcome measure, total HADS score, difference between baseline and 12 months was -0.9, 95% CI -3.0 to 1.2, p=0.37. Of the secondary measures, a significant reduction was observed for HADS anxiety score after 1 year of -0.9 (95% CI -1.8 to -0.1) points, p=0.038 and an increase in the 6MWT at 1 year, of 65 (95% CI 35 to 99) m compared with baseline p<0.001.
    Conclusions: Our findings support the feasibility of long-term participation in a community singing group for adults with COPD who have completed PR and are enrolled in a weekly community exercise group and provide evidence of improved exercise capacity and a reduction in anxiety.
    Trial registration number: ACTRN12615000736549; Results.
    MeSH term(s) Aged ; Aged, 80 and over ; Anxiety/psychology ; Cohort Studies ; Depression/psychology ; Feasibility Studies ; Female ; Forced Expiratory Volume ; Functional Residual Capacity ; Humans ; Inspiratory Capacity ; Male ; Middle Aged ; New Zealand ; Pilot Projects ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Disease, Chronic Obstructive/psychology ; Pulmonary Disease, Chronic Obstructive/rehabilitation ; Respiratory Function Tests ; Singing ; Total Lung Capacity ; Vital Capacity ; Walk Test
    Language English
    Publishing date 2017-01-24
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2016-014151
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  8. Article: A study of airline pilot morbidity.

    Sykes, Adrian J / Larsen, Peter D / Griffiths, Robin F / Aldington, Sarah

    Aviation, space, and environmental medicine

    2012  Volume 83, Issue 10, Page(s) 1001–1005

    Abstract: Introduction: It has long been believed that airline pilots are healthier than the general population. There are a number of reasons why this should be the case. However, there is very little evidence to support this belief as fact. This study ... ...

    Abstract Introduction: It has long been believed that airline pilots are healthier than the general population. There are a number of reasons why this should be the case. However, there is very little evidence to support this belief as fact. This study investigates the health of the pilot population of an Oceanic based airline compared to the health of the general population.
    Methods: Pilots who conducted their medical certificate renewal at the airline's medical unit between 1 November 2009 and 31 October 2010 were included. A medical questionnaire was completed by each pilot at the time of their medical certificate renewal. Data from the questionnaire was entered into a database as well as the pilot's BMI, blood pressure, lipid profile, and blood glucose level. The comparison population was the population who completed the New Zealand Health Survey (NZHS) between 2006-2007. Demographic, lifestyle characteristics, and health status data from the pilots was compared to the NZHS using a Chi-squared test.
    Results: Included in the study were 595 pilots. With respect to most medical conditions, pilots had a lower prevalence when compared to the general population. Pilots had a higher prevalence of kidney disease (3.3% vs 0.6%) and melanoma skin cancer (19 per 1000 vs 0.4 per 1000).
    Discussion: This study suggests that pilots in New Zealand are healthier than the general population with respect to most medical conditions. The two medical conditions that were identified as being overrepresented in pilots may be the result of the occupational environment.
    MeSH term(s) Adult ; Aerospace Medicine/statistics & numerical data ; Chi-Square Distribution ; Female ; Health Status ; Humans ; Male ; Middle Aged ; Morbidity ; New Zealand/epidemiology ; Occupations/statistics & numerical data ; Office Visits/statistics & numerical data ; Surveys and Questionnaires
    Language English
    Publishing date 2012-09-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 127397-8
    ISSN 1943-4448 ; 0095-6562
    ISSN (online) 1943-4448
    ISSN 0095-6562
    DOI 10.3357/asem.3380.2012
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    Zs.A 57: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article: Calcium scores in the risk assessment of an asymptomatic population: implications for airline pilots.

    Wirawan, I Made Ady / Wu, Rodney / Abernethy, Malcolm / Aldington, Sarah / Larsen, Peter D

    Aviation, space, and environmental medicine

    2014  Volume 85, Issue 8, Page(s) 812–817

    Abstract: Background: This study evaluated whether coronary artery calcium score (CACS) improved cardiovascular disease risk prediction when compared to the New Zealand Cardiovascular Risk Charts (NZ-CRC), and describes the potential utilization of CACS in ... ...

    Abstract Background: This study evaluated whether coronary artery calcium score (CACS) improved cardiovascular disease risk prediction when compared to the New Zealand Cardiovascular Risk Charts (NZ-CRC), and describes the potential utilization of CACS in cardiovascular disease (CVD) risk assessment of pilots.
    Methods: A cross-sectional study was performed among asymptomatic patients who underwent coronary computed tomography angiography at Pacific Radiology Wellington, New Zealand, between August 2007 and July 2012 and had their CACS and CVD risk score calculated. Receiver-operating characteristics (ROC) analyses were used to measure the accuracy of the NZ-CRC and CACS. Reclassification analyses were performed to examine the net reclassification improvement (NRI) of CACS when compared to NZ-CRC.
    Results: Over a 5-yr study period, 237 male asymptomatic patients with ages ranging from 30 to 69 yr with a mean (SD) of 53.24 (8.18) yr, were included. The area under the ROC curves (AUC) (95% CI) for CACS and NZ-CRC were 0.88 (0.83-0.93) and 0.66 (0.59-0.73), respectively. The NRI (95% CI) of the calcium scores was 0.39 (0.17-0.62). CACS should be assessed in pilots with 5-yr CVD risk scores of 5-10% and 10-15%.
    Conclusion: CACS has a better accuracy than the NZ-CRC and reclassified a considerable proportion of asymptomatic patients into correct cardiovascular risk categories. An approach on how the CACS should be employed in the cardiovascular risk assessment of airline pilots is noted in this paper.
    MeSH term(s) Adult ; Aerospace Medicine ; Aged ; Aviation ; Coronary Angiography ; Coronary Disease/diagnostic imaging ; Cross-Sectional Studies ; Humans ; Male ; Middle Aged ; Risk Assessment ; Tomography, X-Ray Computed ; Vascular Calcification/diagnostic imaging ; Work Capacity Evaluation
    Language English
    Publishing date 2014-08
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 127397-8
    ISSN 1943-4448 ; 0095-6562
    ISSN (online) 1943-4448
    ISSN 0095-6562
    DOI 10.3357/ASEM.3904.2014
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  10. Article: Is it time to change the approach to oxygen therapy in the breathless patient?

    Beasley, Richard / Aldington, Sarah / Robinson, Geoffrey

    Thorax

    2007  Volume 62, Issue 10, Page(s) 840–841

    MeSH term(s) Dyspnea/therapy ; Humans ; Oxygen Inhalation Therapy/methods ; Risk Factors
    Language English
    Publishing date 2007-10-01
    Publishing country England
    Document type Editorial
    ZDB-ID 204353-1
    ISSN 1468-3296 ; 0040-6376
    ISSN (online) 1468-3296
    ISSN 0040-6376
    DOI 10.1136/thx.2006.068866
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