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  1. Article ; Online: 17 years' experience of surgical management of thoracic outlet syndrome at a district general hospital.

    Farquharson, BJMc / Collis, J / Jaskani, S / Bergman, H / Andrews, B

    Annals of the Royal College of Surgeons of England

    2023  Volume 106, Issue 1, Page(s) 51–56

    Abstract: Introduction: Thoracic outlet syndrome (TOS) is caused by compression of the neurovascular structures passing through the thoracic inlet. It is categorised into three subtypes: neurogenic TOS (NTOS), venous TOS (VTOS) and arterial TOS (ATOS). This study ...

    Abstract Introduction: Thoracic outlet syndrome (TOS) is caused by compression of the neurovascular structures passing through the thoracic inlet. It is categorised into three subtypes: neurogenic TOS (NTOS), venous TOS (VTOS) and arterial TOS (ATOS). This study evaluates the outcomes of patients who underwent first rib resection (FRR) for TOS during a period of 17 years at a single district general hospital.
    Methods: Retrospective review of patient notes of individuals treated with FRR from August 2004 to August 2021.
    Results: A total of 62 FRRs were performed on 51 individual patients. Indications for FRR included 42 NTOS (68%), 6 VTOS (10%) and 14 ATOS (23%). Thirty-four patients (64%) were female and the mean age at time of surgery was 39 years (range 27 to 64 years). Eleven patients (21%) underwent bilateral FRR and seven cases of cervical ribs were observed. The mean time from initial symptoms to diagnosis was 18 months (range 2 to 60 months). Overall, outcomes after surgery were positive across all subtypes of TOS. Based on Derkash's classification, 52 patients (84%) reported excellent/good, 8 (13%) reported fair and 2 (3%) reported poor resolution of symptoms at 6 month follow-up. Complications included four (9%) pneumothorax, two (4%) wound infections, two (4%) haematoma, one (2%) haemothorax, three (5%) phrenic nerve complications and one (2%) brachial neuropraxia.
    Conclusions: FRR for TOS can be performed safely and effectively in a district general hospital environment with excellent patient clinical outcomes.
    MeSH term(s) Humans ; Female ; Adult ; Middle Aged ; Male ; Hospitals, General ; Treatment Outcome ; Thoracic Outlet Syndrome/surgery ; Ribs/surgery ; Decompression, Surgical/adverse effects ; Retrospective Studies
    Language English
    Publishing date 2023-02-13
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2023.0002
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    In stock of ZB MED Cologne/Königswinter

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  2. Article: Therapeutic hypothermia in acute traumatic spinal cord injury.

    Collis, James

    Journal of the Royal Army Medical Corps

    2017  Volume 164, Issue 3, Page(s) 214–220

    Abstract: Therapeutic hypothermia is already widely acknowledged as an effective neuroprotective intervention, especially within the acute care setting in relation to conditions such as cardiac arrest and neonatal encephalopathy. Its multifactorial mechanisms of ... ...

    Abstract Therapeutic hypothermia is already widely acknowledged as an effective neuroprotective intervention, especially within the acute care setting in relation to conditions such as cardiac arrest and neonatal encephalopathy. Its multifactorial mechanisms of action, including lowering metabolic rate and reducing acute inflammatory cellular processes, ultimately provide protection for central nervous tissue from continuing injury following ischaemic or traumatic insult. Its clinical application within acute traumatic spinal cord injury would therefore seem very plausible, it having the potential to combat the pathophysiological secondary injury processes that can develop in the proceeding hours to days following the initial injury. As such it could offer invaluable assistance to lessen subsequent sensory, motor and autonomic dysfunction for an individual affected by this devastating condition. Yet research surrounding this intervention's applicability in this field is somewhat lacking, the majority being experimental. Despite a recent resurgence of interest, which in turn has produced encouraging results, there is a real possibility that this potentially transformational intervention for treating traumatic spinal cord injury could remain an experimental therapy and never reach clinical implementation.
    MeSH term(s) Clinical Trials as Topic ; Humans ; Hypothermia, Induced ; Spinal Cord Injuries/therapy ; Treatment Outcome
    Language English
    Publishing date 2017-10-12
    Publishing country England
    Document type Editorial
    ZDB-ID 840678-9
    ISSN 2052-0468 ; 0035-8665
    ISSN (online) 2052-0468
    ISSN 0035-8665
    DOI 10.1136/jramc-2017-000792
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    In stock of ZB MED Cologne/Königswinter

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  3. Article: The Implementation of a Rib Fracture Pathway at a Small District General Hospital to Improve Patient Care.

    Collis, Justin / Farquharson, Barnaby / Chan, Shirley / Dickson-Lowe, Richard

    Cureus

    2023  Volume 15, Issue 5, Page(s) e38863

    Abstract: Background and objective Rib fractures are common presentations to the emergency department following blunt thoracic trauma. Despite this injury causing significant morbidity and mortality, no national guidelines exist to guide the acute management of ... ...

    Abstract Background and objective Rib fractures are common presentations to the emergency department following blunt thoracic trauma. Despite this injury causing significant morbidity and mortality, no national guidelines exist to guide the acute management of this condition. In light of this, this quality improvement project was conducted at a district general hospital (DGH) with the aim of assessing the impact of using a simple rib fracture management pathway. Methods A retrospective review of paper notes and electronic databases of patients with a recorded diagnosis of "rib fractures" were reviewed. Following this, a management pathway was designed and then implemented, which incorporated BMJ Best Practices and local hospital needs. The study then assessed the impact of the pathway. Results Prior to implementing the pathway, a total of 47 individual patients were included in the statistical analysis. Of the patients analysed, 44% were older than 65 years. Of note, 89% received regular paracetamol for analgesia, 41% received regular nonsteroidal anti-inflammatory drugs (NSAIDs), and 69% received regular opioids. Advanced analgesics such as patient-controlled analgesia (PCA) and nerve blocks were poorly used; for instance, a PCA was used in only 13% of cases. Only 6% of patients received daily pain team reviews and only 44% of patients were seen by physiotherapists within the first 24 hours. Additionally, 93% of patients who were admitted under general surgery had a STUMBL (STUdy of the Management of BLunt chest wall trauma) prognostic score >10. Post-pathway implementation, a total of 22 individual patients were included in the statistical analysis. Of them, 52% were older than 65 years. The use of simple analgesia was unchanged. However advanced analgesia was better escalated, and PCAs were used 43% of the time. The involvement of other healthcare professionals improved; 59% were reviewed by the pain team in the first 24 hours, 45% received daily pain team reviews, and 54% received advanced analgesia. Conclusion Based on our findings, implementing a simple rib fracture pathway is effective at improving the management of rib fracture patients admitted to our DGH.
    Language English
    Publishing date 2023-05-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.38863
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  4. Article: Patients Lacking the Capacity to Consent to Hip Fracture Surgery May Be Undergoing Major Operations Without Their Next of Kin Being Involved in Best-Interests Decisions: A Quality Improvement Report.

    Zalmay, Pardis / Collis, Justin / Wilson, Helen

    Cureus

    2021  Volume 13, Issue 12, Page(s) e20322

    Abstract: Background Cognitively impaired patients with a hip fracture may be undergoing major operations without attempts being made to involve their next of kin (NoK) in best-interest decisions. Methods We used the Plan-Do-Study-Act (PDSA) methodology to guide ... ...

    Abstract Background Cognitively impaired patients with a hip fracture may be undergoing major operations without attempts being made to involve their next of kin (NoK) in best-interest decisions. Methods We used the Plan-Do-Study-Act (PDSA) methodology to guide our quality improvement (QI) project. Cognitively impaired hip fracture patients were identified retrospectively by searching the hip fracture database of a medium-sized district general hospital (DGH). Their medical notes were reviewed for documented attempts at contacting their NoK prior to surgery as well as on completion of the NoK section of the Consent Form Four. Intervention A simple feedback intervention was delivered in the form of a mixed verbal and visual presentation to the orthopaedic registrars responsible for obtaining consent from these patients. Results Post-intervention, there were documented attempts at contacting the NoK before surgery for all patients, a significant improvement from only 80%. There was also a significant increase in completion of the NoK section of the consent form, from 30% to 64.3%. Conclusions Simple audit and feedback interventions can produce significant positive changes in communication between clinicians and the NoK of cognitively impaired patients with hip fractures. Further interventions have been implemented to sustain these improvements.
    Language English
    Publishing date 2021-12-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.20322
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cardiac functional adaptation to resistance and endurance exercise training: a randomized crossover study.

    Green, Daniel J / Marsh, Channa E / Thomas, Hannah J / Maslen, Barbara A / Collis, Julie / Lester, Leanne / Naylor, Louise H

    American journal of physiology. Heart and circulatory physiology

    2024  Volume 326, Issue 4, Page(s) H929–H937

    Abstract: Few training studies have assessed the impact of different modes of exercise on changes in cardiac function. This study investigated changes in left ventricular (LV) systolic and diastolic function following endurance (END) and resistance (RES) training ... ...

    Abstract Few training studies have assessed the impact of different modes of exercise on changes in cardiac function. This study investigated changes in left ventricular (LV) systolic and diastolic function following endurance (END) and resistance (RES) training in healthy participants. Sixty-four individuals participated in a randomized crossover design trial, involving 12 wk of END and RES training, separated by a 12-wk washout. Echocardiograms assessed systolic function [ejection fraction (EF) and global longitudinal strain (GLS)], diastolic function [mitral valve early velocity (E), tissue Doppler velocity (e'), their ratio (E/e')], and left atrial volume indexed to body surface area (LA ESVi). LV mass (LVM) increased with both RES (Δ5.3 ± 11.9,
    MeSH term(s) Humans ; Cross-Over Studies ; Ventricular Function, Left/physiology ; Echocardiography ; Exercise ; Exercise Therapy
    Language English
    Publishing date 2024-02-09
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 603838-4
    ISSN 1522-1539 ; 0363-6135
    ISSN (online) 1522-1539
    ISSN 0363-6135
    DOI 10.1152/ajpheart.00579.2023
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    In stock of ZB MED Cologne/Königswinter

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  6. Article: Adverse effects of overcrowding on patient experience and care.

    Collis, John

    Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association

    2010  Volume 18, Issue 8, Page(s) 34–39

    Abstract: There has been much investigation into the causes and management of overcrowding, but little about how it affects care delivery. The author therefore undertook a systematic literature review of the subject. This revealed that diverse areas of care are ... ...

    Abstract There has been much investigation into the causes and management of overcrowding, but little about how it affects care delivery. The author therefore undertook a systematic literature review of the subject. This revealed that diverse areas of care are affected by overcrowding, and confirmed its adverse effects on patient experience and care.
    MeSH term(s) Bed Occupancy ; Crowding ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/utilization ; Health Services Accessibility ; Humans ; Medical Errors ; Outcome and Process Assessment (Health Care) ; Patients/psychology ; Risk Factors ; Workload
    Language English
    Publishing date 2010-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2186280-1
    ISSN 2047-8984 ; 1354-5752
    ISSN (online) 2047-8984
    ISSN 1354-5752
    DOI 10.7748/en2010.12.18.8.34.c8152
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    In stock of ZB MED Cologne/Königswinter

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  7. Article: Degradation of Phenol via an Advanced Oxidation Process (AOP) with Immobilized Commercial Titanium Dioxide (TiO

    Schwarze, Michael / Borchardt, Steffen / Frisch, Marvin L / Collis, Jason / Walter, Carsten / Menezes, Prashanth W / Strasser, Peter / Driess, Matthias / Tasbihi, Minoo

    Nanomaterials (Basel, Switzerland)

    2023  Volume 13, Issue 7

    Abstract: Four commercial titanium dioxide ( ... ...

    Abstract Four commercial titanium dioxide (TiO
    Language English
    Publishing date 2023-03-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662255-5
    ISSN 2079-4991
    ISSN 2079-4991
    DOI 10.3390/nano13071249
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  8. Article: On selecting treatment for the patient with pulmonary tuberculosis.

    COLLIS, J L

    The British journal of tuberculosis and diseases of the chest

    2010  Volume 41, Issue 1, Page(s) 20–26

    MeSH term(s) Humans ; Patient Selection ; Tuberculosis ; Tuberculosis, Pulmonary/therapy
    Language English
    Publishing date 2010-02-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 390837-9
    ISSN 0366-0869
    ISSN 0366-0869
    DOI 10.1016/s0366-0869(47)80006-1
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  9. Article: Effective equations governing an active poroelastic medium.

    Collis, J / Brown, D L / Hubbard, M E / O'Dea, R D

    Proceedings. Mathematical, physical, and engineering sciences

    2017  Volume 473, Issue 2198, Page(s) 20160755

    Abstract: In this work, we consider the spatial homogenization of a coupled transport and fluid-structure interaction model, to the end of deriving a system of effective equations describing the flow, elastic deformation and transport in an active poroelastic ... ...

    Abstract In this work, we consider the spatial homogenization of a coupled transport and fluid-structure interaction model, to the end of deriving a system of effective equations describing the flow, elastic deformation and transport in an active poroelastic medium. The 'active' nature of the material results from a morphoelastic response to a chemical stimulant, in which the growth time scale is strongly separated from other elastic time scales. The resulting effective model is broadly relevant to the study of biological tissue growth, geophysical flows (e.g. swelling in coals and clays) and a wide range of industrial applications (e.g. absorbant hygiene products). The key contribution of this work is the derivation of a system of homogenized partial differential equations describing macroscale growth, coupled to transport of solute, that explicitly incorporates details of the structure and dynamics of the microscopic system, and, moreover, admits finite growth and deformation at the pore scale. The resulting macroscale model comprises a Biot-type system, augmented with additional terms pertaining to growth, coupled to an advection-reaction-diffusion equation. The resultant system of effective equations is then compared with other recent models under a selection of appropriate simplifying asymptotic limits.
    Language English
    Publishing date 2017-02-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 209241-4
    ISSN 1471-2946 ; 1364-5021 ; 0962-8444 ; 0080-4630 ; 0950-1207
    ISSN (online) 1471-2946
    ISSN 1364-5021 ; 0962-8444 ; 0080-4630 ; 0950-1207
    DOI 10.1098/rspa.2016.0755
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    In stock of ZB MED Bonn / Germany

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  10. Article: Audit exemption and the demand for voluntary audit: a comparative study of the UK and Denmark

    Collis, Jill

    International journal of auditing : IJA Vol. 14, No. 2 , p. 211-231

    2010  Volume 14, Issue 2, Page(s) 211–231

    Author's details Jill Collis
    Keywords KMU ; Jahresabschlussprüfung ; Vergleich ; Dänemark ; Großbritannien
    Language English
    Size graph. Darst.
    Publisher Blackwell
    Publishing place Oxford
    Document type Article
    ZDB-ID 1449360-3 ; 1479395-7
    ISSN 1099-1123 ; 1090-6738
    ISSN (online) 1099-1123
    ISSN 1090-6738
    Database ECONomics Information System

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