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  1. Article ; Online: Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis.

    Hewson, David W / Kurien, Thomas / Hardman, Jonathan G

    British journal of anaesthesia

    2023  Volume 131, Issue 1, Page(s) 135–149

    Abstract: Background: Postoperative ulnar neuropathy (PUN) is an injury manifesting in the sensory or motor distribution of the ulnar nerve after anaesthesia or surgery. The condition frequently features in cases of alleged clinical negligence by anaesthetists. ... ...

    Abstract Background: Postoperative ulnar neuropathy (PUN) is an injury manifesting in the sensory or motor distribution of the ulnar nerve after anaesthesia or surgery. The condition frequently features in cases of alleged clinical negligence by anaesthetists. We performed a systematic review and applied narrative synthesis with the aim of summarising current understanding of the condition and deriving implications for practice and research.
    Methods: Electronic databases were searched up to October 2022 for primary research, secondary research, or opinion pieces defining PUN and describing its incidence, predisposing factors, mechanism of injury, clinical presentation, diagnosis, management, and prevention.
    Results: We included 83 articles in the thematic analysis. PUN occurs after approximately 1 in 14 733 anaesthetics. Men aged 50-75 yr with pre-existing ulnar neuropathy are at highest risk. Preventative measures, based on consensus and expert opinion, are summarised, and an algorithm of suspected PUN management is proposed, based upon the identified literature.
    Conclusions: Postoperative ulnar neuropathy is rare and the incidence is probably decreasing over time with general improvements in perioperative care. Recommendations to reduce the risk of postoperative ulnar neuropathy are based on low-quality evidence but include anatomically neutral arm positioning and padding intraoperatively. In selected high-risk patients, further documentation of repositioning, intermittent checks, and neurological examination in the recovery room can be helpful.
    MeSH term(s) Male ; Humans ; Ulnar Neuropathies/diagnosis ; Ulnar Neuropathies/epidemiology ; Ulnar Neuropathies/etiology ; Ulnar Nerve ; Anesthesia/adverse effects ; Postoperative Period ; Incidence
    Language English
    Publishing date 2023-05-15
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 80074-0
    ISSN 1471-6771 ; 0007-0912
    ISSN (online) 1471-6771
    ISSN 0007-0912
    DOI 10.1016/j.bja.2023.04.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Using socially distanced and online simulation training to improve the confidence of junior doctors in psychiatry.

    Hewson, Thomas / Foster, Hayley / Sanderson, Ruth

    BJPsych bulletin

    2022  Volume 47, Issue 4, Page(s) 235–241

    Abstract: Aims and method: The authors designed and delivered simulation training to improve the confidence and competence of junior doctors beginning work in psychiatry. Junior doctors completed various simulated psychiatry scenarios while receiving personalised ...

    Abstract Aims and method: The authors designed and delivered simulation training to improve the confidence and competence of junior doctors beginning work in psychiatry. Junior doctors completed various simulated psychiatry scenarios while receiving personalised feedback and teaching from their peers in online or socially distanced settings. Learners rated their confidence in psychiatry skills pre- and post-session, and Wilcoxon signed-rank tests were conducted to detect statistically significant differences. Qualitative feedback was analysed thematically.
    Results: Twenty-one junior doctors attended the training. There were statistically significant (
    Clinical implications: Near-peer simulation teaching, delivered both in person and online, is effective at improving junior doctors' confidence in psychiatry. Delivering this training during placement induction could help to ensure adequate preparation of, and support for, new doctors.
    Language English
    Publishing date 2022-03-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2816886-0
    ISSN 2056-4708 ; 2056-4694
    ISSN (online) 2056-4708
    ISSN 2056-4694
    DOI 10.1192/bjb.2022.18
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  3. Article: Teaching, assessment and best practice in undergraduate psychiatry education in the UK: cross-sectional survey.

    Sharma, Deepika / Hewson, Thomas / Mahalingappa, Sridevi Sira / Fallon, James / Hyland, Declan / Abraham, Seri / Sidwell, Alexa / Dave, Subodh

    BJPsych bulletin

    2024  , Page(s) 1–7

    Abstract: Aims and method: We conducted a cross-sectional survey to examine how undergraduate psychiatry is taught and assessed across medical schools in the UK that have at least one cohort of graduated students.: Results: In total, 27 medical schools ... ...

    Abstract Aims and method: We conducted a cross-sectional survey to examine how undergraduate psychiatry is taught and assessed across medical schools in the UK that have at least one cohort of graduated students.
    Results: In total, 27 medical schools completed the survey. Curriculum coverage of common mental disorders, assessment skills and mental health law was broadly consistent, although exposure to psychiatric subspecialties varied. Significant variation existed regarding the duration of psychiatry placements and availability of enrichment activities. Small-group teaching, lectures and e-learning were the most frequent teaching modalities and various professionals and lived experience educators (patient and/or carers) contributed to teaching. Objective structured clinical examinations and multiple-choice questions dominated assessments.
    Clinical implications: Medical schools should consider increasing students' exposure to different psychiatric subspecialties and integrating physical and mental health training to address comorbidity and promote holistic care. Future research should explore whether specific undergraduate experiences promote greater career interest and skills in psychiatry.
    Language English
    Publishing date 2024-02-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2816886-0
    ISSN 2056-4708 ; 2056-4694
    ISSN (online) 2056-4708
    ISSN 2056-4694
    DOI 10.1192/bjb.2024.2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review.

    Hewson, Thomas / Minchin, Matilda / Lee, Kenn / Liu, Shiyao / Wong, Evelyn / Edge, Chantal / Hard, Jake / Forsyth, Katrina / Senior, Jane / Shaw, Jennifer

    BMC public health

    2024  Volume 24, Issue 1, Page(s) 292

    Abstract: Background: High rates of health inequalities and chronic non-communicable diseases exist amongst the prison population. This places people in and/or released from prison at heightened risk of multimorbidity, premature mortality, and reduced quality of ... ...

    Abstract Background: High rates of health inequalities and chronic non-communicable diseases exist amongst the prison population. This places people in and/or released from prison at heightened risk of multimorbidity, premature mortality, and reduced quality of life. Ensuring appropriate healthcare for people in prison to improve their health outcomes is an important aspect of social justice. This review examines the global literature on healthcare interventions to detect, monitor and manage chronic non-communicable diseases amongst the prison population and people recently released from prison.
    Methods: Systematic searches of EMBASE, MEDLINE, CINAHL, Web of Science, Scopus, and the Cochrane Library were conducted and supplemented by citation searching and review of the grey literature. The literature searches attempted to identify all articles describing any healthcare intervention for adults in prison, or released from prison in the past 1 year, to detect, monitor, or manage any chronic non-communicable illness. 19,061 articles were identified, of which 1058 articles were screened by abstract and 203 articles were reviewed by full text.
    Results: Sixty-five studies were included in the review, involving 18,311 participants from multiple countries. Most studies were quasi-experimental and/or low to moderate in quality. Numerous healthcare interventions were described in the literature including chronic disease screening, telemedicine, health education, integrated care systems, implementing specialist equipment and staff roles to manage chronic diseases in prisons, and providing enhanced primary care contact and/or support from community health workers for people recently released from prison. These interventions were associated with improvement in various measures of clinical and cost effectiveness, although comparison between different care models was not possible due to high levels of clinical heterogeneity.
    Conclusions: It is currently unclear which interventions are most effective at monitoring and managing chronic non-communicable diseases in prison. More research is needed to determine the most effective interventions for improving chronic disease management in prisons and how these should be implemented to ensure optimal success. Future research should examine interventions for addressing multimorbidity within prisons, since most studies tested interventions for a singular non-communicable disease.
    MeSH term(s) Adult ; Humans ; Community Health Workers ; Noncommunicable Diseases/therapy ; Prisons ; Quality of Life
    Language English
    Publishing date 2024-01-24
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-024-17715-7
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  5. Article: A systematic review and mixed-methods synthesis of the experiences, perceptions and attitudes of prison staff regarding adult prisoners who self-harm.

    Hewson, Thomas / Gutridge, Kerry / Bernard, Zara / Kay, Kathryn / Robinson, Louise

    BJPsych open

    2022  Volume 8, Issue 4, Page(s) e102

    Abstract: Background: Self-harm, including suicide, is common among prisoners. Staff attitudes and perceptions regarding self-harm may affect quality of care and patient safety.: Aims: To systematically review the experiences, perceptions and attitudes of ... ...

    Abstract Background: Self-harm, including suicide, is common among prisoners. Staff attitudes and perceptions regarding self-harm may affect quality of care and patient safety.
    Aims: To systematically review the experiences, perceptions and attitudes of staff in adult prisons regarding self-harm.
    Method: Systematic searches of EMBASE, Medline, PsycINFO and CINAHL databases were conducted, and supplemented by hand-searching and grey literature review, to identify relevant English-language articles published since the year 2000. Articles were screened by two authors and evaluated with standardised quality appraisal tools. Qualitative data were analysed thematically, whereas quantitative data were narratively synthesised because of high study heterogeneity.
    Results: Two thousand articles were identified, of which 32 were included, involving 6389 participants from five countries. Most studies were moderate (
    Conclusions: There are mixed attitudes and perceptions toward self-harm among prison staff. Further training, support and resources are required to protect staff's well-being and improve self-harm prevention and management in prisons.
    Language English
    Publishing date 2022-06-06
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2829557-2
    ISSN 2056-4724
    ISSN 2056-4724
    DOI 10.1192/bjo.2022.70
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effects of the COVID-19 pandemic on the mental health of prisoners.

    Hewson, Thomas / Shepherd, Andrew / Hard, Jake / Shaw, Jennifer

    The lancet. Psychiatry

    2020  Volume 7, Issue 7, Page(s) 568–570

    MeSH term(s) Adult ; COVID-19 ; Coronavirus Infections/prevention & control ; Humans ; Mental Disorders/therapy ; Mental Health Services ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Prisoners/psychology ; Social Isolation ; Social Support ; United Kingdom
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    Publishing country England
    Document type Journal Article
    ISSN 2215-0374
    ISSN (online) 2215-0374
    DOI 10.1016/S2215-0366(20)30241-8
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  7. Article: PsychStart: a novel mentoring scheme for supporting and valuing medical students interested in psychiatry.

    Hewson, Thomas / Thomas, Nikki / Lovett, Kate / Bruce, Helen / Tracy, Derek K

    BJPsych bulletin

    2021  Volume 45, Issue 6, Page(s) 343–350

    Abstract: We describe the establishment and evaluation of a career-based mentoring scheme (PsychStart) for medical students interested in psychiatry. Medical students reported multiple benefits of mentoring, including enhanced personal and professional development, ...

    Abstract We describe the establishment and evaluation of a career-based mentoring scheme (PsychStart) for medical students interested in psychiatry. Medical students reported multiple benefits of mentoring, including enhanced personal and professional development, increased career and clinical knowledge, and broadened exposure to psychiatry. The mentoring scheme was also found to promote and sustain interest in the specialty. Further evaluation is required to determine the long-term effects of mentoring and how this may compare with other undergraduate enrichment activities. We conclude that mentoring in psychiatry could offer innovative solutions for improving recruitment and retention, and for supporting and valuing medical students who demonstrate an early interest in the specialty.
    Language English
    Publishing date 2021-11-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2816886-0
    ISSN 2056-4708 ; 2056-4694
    ISSN (online) 2056-4708
    ISSN 2056-4694
    DOI 10.1192/bjb.2020.107
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Remote consultations in prison mental healthcare in England: impacts of COVID-19.

    Hewson, Thomas / Robinson, Louise / Khalifa, Najat / Hard, Jake / Shaw, Jennifer

    BJPsych open

    2021  Volume 7, Issue 2, Page(s) e49

    Abstract: Telemedicine has become increasingly used by prison mental health services throughout the COVID-19 pandemic. In this editorial, we explore the benefits and risks of the remote provision of forensic mental healthcare, with consideration of the clinical, ... ...

    Abstract Telemedicine has become increasingly used by prison mental health services throughout the COVID-19 pandemic. In this editorial, we explore the benefits and risks of the remote provision of forensic mental healthcare, with consideration of the clinical, financial, ethical and legal consequences.
    Language English
    Publishing date 2021-02-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2829557-2
    ISSN 2056-4724
    ISSN 2056-4724
    DOI 10.1192/bjo.2021.13
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: The effects of COVID-19 on self-harm in UK prisons.

    Hewson, Thomas / Green, Russell / Shepherd, Andrew / Hard, Jake / Shaw, Jennifer

    BJPsych bulletin

    2020  Volume 45, Issue 3, Page(s) 131–133

    Abstract: Self-harm is a major international public health concern and is especially prevalent among prisoners. In this editorial, we explore recent trends in prisoner self-harm during the coronavirus lockdown, and consider strategies for improving the prevention ... ...

    Abstract Self-harm is a major international public health concern and is especially prevalent among prisoners. In this editorial, we explore recent trends in prisoner self-harm during the coronavirus lockdown, and consider strategies for improving the prevention and management of self-harm in prisons as we emerge from the pandemic.
    Keywords covid19
    Language English
    Publishing date 2020-07-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2816886-0
    ISSN 2056-4708 ; 2056-4694
    ISSN (online) 2056-4708
    ISSN 2056-4694
    DOI 10.1192/bjb.2020.83
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: The recording of mental health consultations by patients: clinical, ethical and legal considerations.

    Hewson, Thomas / Abraham, Seri / Randles, Nathan / Akinola, Adeola / Cliff, Richard / Byrne, Paul / Ramkisson, Roshelle

    BJPsych bulletin

    2021  Volume 46, Issue 3, Page(s) 133–137

    Abstract: The topic of patients recording healthcare consultations has been previously debated in the literature, but little consideration has been given to the risks and benefits of such recordings in the context of mental health assessments and treatment. This ... ...

    Abstract The topic of patients recording healthcare consultations has been previously debated in the literature, but little consideration has been given to the risks and benefits of such recordings in the context of mental health assessments and treatment. This issue is of growing importance given the increasing use of technology in healthcare and the recent increase in online healthcare services, largely accelerated by the COVID-19 pandemic. We discuss the clinical, ethical and legal considerations relevant to audio or visual recordings of mental health consultations by patients, with reference to existing UK guidance and the inclusion of a patient's perspective.
    Language English
    Publishing date 2021-09-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2816886-0
    ISSN 2056-4708 ; 2056-4694
    ISSN (online) 2056-4708
    ISSN 2056-4694
    DOI 10.1192/bjb.2021.89
    Database MEDical Literature Analysis and Retrieval System OnLINE

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