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Article ; Online: Are we gaining valid consent for dental extractions? A retrospective audit on restorability assessment at one dental institution.

Shirazi, Melody / Batra, Jasleen / Devine, Maria

2024

Abstract: Introduction This paper explores the widely relevant topic of obtaining valid consent in dental practice, focusing on assessing restorability of teeth planned for extraction. The General Dental Council stresses discussing treatment options, benefits and ... ...

Abstract	Introduction This paper explores the widely relevant topic of obtaining valid consent in dental practice, focusing on assessing restorability of teeth planned for extraction. The General Dental Council stresses discussing treatment options, benefits and risks for informed decision-making. The study evaluates if pertinent factors, including tooth structure, endodontic status, periodontal health and patient considerations, are considered before consent.Aim To ensure restorability has been assessed and all options communicated with patients for completeness of the consent process before tooth extraction.Objective To assist clinicians in their systematic assessment of a tooth's restorability and provide a framework for contemporaneous documentation.Materials and methods A two-week retrospective audit of oral surgery outpatients at a dental hospital in London was conducted, analysing the frequency of restorability discussions and patient involvement in decision-making. A simplified restorability guide and educational interventions were introduced to target the set standard of 100% of consenting clinicians to discuss restorability with patients.Results Results from two audit cycles show a significant increase in documented restorability discussions and consideration of patient factors.Discussion The study recognised restorability assessment subjectivity, thus creating a simplified tool for clinicians. Patients may lack awareness of restorability options, consequences of edentulism, future costs and tooth replacement considerations, emphasising the importance of documented discussions.Conclusion Educational interventions and a simplified restorability guide proved beneficial and showed significant improvement in communication with patients regarding restorability and gaining valid consent. Further consideration should be given to barriers patients face when opting for tooth extraction of their restorable teeth, including discussions regarding long-term consequences.
Language	English
Publishing date	2024-03-15
Publishing country	England
Document type	Journal Article
ZDB-ID	218090-x
ISSN	1476-5373 ; 0007-0610
ISSN (online)	1476-5373
ISSN	0007-0610
DOI	10.1038/s41415-024-7175-4
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Article: Transferability of Technical Skills Across Robotic Surgery Platforms: A Scoping Review.

Devine, Michael / Morris, Marie / Kavanagh, Dara

Cureus

2024 Volume 16, Issue 3, Page(s) e56429

Abstract: As the application of robotic approaches to surgery continues to broaden, new consoles have been introduced to the market. Due to the global utilization of a single platform, previously validated curricula have not been assessed on new robotic systems. ... ...

Abstract	As the application of robotic approaches to surgery continues to broaden, new consoles have been introduced to the market. Due to the global utilization of a single platform, previously validated curricula have not been assessed on new robotic systems. Surgery by its nature occurs in a high-stakes environment, potentially exacerbated by non-standardized robotic systems. The aim of this review is to critique the evidence available regarding the transferability of technical skills across robotic platforms. A scoping review utilizing the Medline (Pubmed) and Cochrane Databases was conducted. Full texts were reviewed and appraised. Selected articles were eligible for inclusion if they investigated the ability or implications of the transfer of skill across robotic platforms. Data was extracted, coded inductively, and themes synthesized. NVIVO software was used as an adjunct for this qualitative analysis. Following the removal of duplicates a total of 278 papers were screened according to the eligibility criteria. Fifty full-text articles were reviewed and four met the criterion for inclusion. Novices' performance across platforms was comparable. Increasing levels of prior robotic experience revealed an improvement in technical performance on a novel robotic platform. Safety metrics appear comparable across systems. Quantifying learning curves across robotic platforms and their implications for the robotic surgeon in training remains to be determined. Future research needs to address the gaps in the literature by clearly defining the extent of technical skills transfer between robotic platforms. These factors will guide the next iteration of surgical training curriculums and regulations for robotic surgery.
Language	English
Publishing date	2024-03-19
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.56429
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Article ; Online: Patient centred diagnosis of dementia: we must listen to patients' wishes.

Devine, Mike

BMJ (Clinical research ed.)

2017 Volume 359, Page(s) j5524

MeSH term(s)	Dementia ; Humans ; Patient-Centered Care
Language	English
Publishing date	2017--07
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.j5524
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Article ; Online: NovoSorb® biodegradable temporising matrix (BTM) in the reconstruction of cutaneous malignancies in a major cancer centre: a case series.

Devine, Maxim / Edmondson, Mark / Gearing, Peter / Concannon, Elizabeth / Findlay, Michael / Zinn, Richard / Webb, Angela

ANZ journal of surgery

2024

Abstract: Background: Non-graftable or composite defect reconstruction represents a major challenge to the reconstructive surgeon, with many wounds requiring local flap or free microvascular tissue transfer approaches. The recent advent of synthetic skin ... ...

Abstract	Background: Non-graftable or composite defect reconstruction represents a major challenge to the reconstructive surgeon, with many wounds requiring local flap or free microvascular tissue transfer approaches. The recent advent of synthetic skin substitutes such as Biodegradable Temporizing Matrix (BTM) have revolutionized the management of complex defects including those caused by burns, trauma and infection, with low-morbidity and low-complexity surgery. However, limited data exist supporting their use in cancer reconstruction in Australia. Methods: We performed a prospective cohort study of patients undergoing cancer resection and reconstruction with BTM between February 2021 and February 2023 in our institution. Reported outcomes included matrix integration, infection, and return to theatre. Results: Twelve patients underwent reconstruction of primary or secondary defects following cancer resection during this period. Eight patients were male, four female, mean age at surgery was 70 years. Pathology resected included squamous cell carcinoma (SCC) and melanoma of the head and neck, sarcoma resection of the lower limb, and osteoradionecrosis (ORN) of the scalp. T-stage of primary tumours ranged from T2 to T4 and one in-transit metastasis of melanoma. Four patients were treated with radiotherapy, two of whom received postoperative radiotherapy (PORT) and two who received neoadjuvant radiotherapy, three additional patients had an intervention to a previously irradiated wound bed for recurrence or ORN. Overall matrix integration was 83% (10/12), with a 50% integration rate (2/4) observed in the post-radiotherapy group, requiring return to theatre for alternative reconstructive approaches. Conclusion: We report our experience with a synthetic dermal matrix (BTM) in cancer reconstruction, the largest cohort of this type in the Australian literature. BTM represents an exciting reconstructive tool for the cancer reconstructive surgeon, with a high rate of success and low morbidity.
Language	English
Publishing date	2024-03-07
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.18914
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Article ; Online: Survival of immediate implants replacing traumatised teeth in the anterior maxilla.

Hirani, Murtaza / Moshtofar, Zahra / Devine, Maria / Paolinelis, George / Djemal, Serpil

British dental journal

2023

Abstract: Aim The provision of implants following traumatic dental injuries can hold many challenges, primarily in higher aesthetic regions. The purpose of this retrospective study was to assess the clinical outcomes of immediate implants placed in fresh ... ...

Abstract	Aim The provision of implants following traumatic dental injuries can hold many challenges, primarily in higher aesthetic regions. The purpose of this retrospective study was to assess the clinical outcomes of immediate implants placed in fresh extraction sites in the anterior maxilla following dental trauma.Materials and methods In total, 60 patients requiring teeth replacement with dental implants in the anterior maxilla were included in the study. Following a delayed loading protocol, the implants were restored with definitive single crowns or bridges. Implant and prosthetic survival, complications and periodontal health were recorded during follow-up.Results A total of 70 implants were placed in the anterior maxilla with three failures reported, resulting in an implant survival rate of 95.7% over a follow-up period of three years. No additional bone augmentation was undertaken and prosthetic survival recorded was 100%, with favourable periodontal outcomes achieved overall.Conclusion This study showed that implants immediately inserted into fresh extraction sites following dental trauma can constitute a predictable treatment strategy, presenting high implant survival rates over the follow-up period observed. Further well-designed controlled clinical trials are required to evaluate longer-term outcomes for this technique.
Language	English
Publishing date	2023-02-03
Publishing country	England
Document type	Journal Article
ZDB-ID	218090-x
ISSN	1476-5373 ; 0007-0610
ISSN (online)	1476-5373
ISSN	0007-0610
DOI	10.1038/s41415-023-5504-7
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Article: A protocol for Removing Environmental Barriers to Independent Living (REBIL): An adapted evidence-based occupational therapy intervention to increase community participation for individuals aging with long-term physical disabilities.

Chen, Szu-Wei / Somerville, Emily / Devine, Megen / Stark, Susan

The British journal of occupational therapy

2023 Volume 86, Issue 5

Abstract: Background: People aging with long-term physical disabilities (PAwLTPD) are living longer and experiencing the challenges of aging, including the onset of secondary and age-related health conditions. PAwLTPD are at high risk of falls, fall injuries, ... ...

Abstract	Background: People aging with long-term physical disabilities (PAwLTPD) are living longer and experiencing the challenges of aging, including the onset of secondary and age-related health conditions. PAwLTPD are at high risk of falls, fall injuries, diminished functional abilities, and compromised participation. However, no available programs support PAwLTPD to participate safely at home and in the community. The proposed study is to examine the feasibility and efficacy of an adapted intervention: Removing Environmental Barriers to Independent Living (REBIL). Method/design: A single-blinded randomized controlled trial (RCT) will be conducted. Participants who are 45-65 years old; self-report difficulty with ≥2 daily activities; have had a physical disability for ≥5 years; and live within 60 miles of the research lab are eligible. All participants will receive an initial in-home evaluation before randomization. The treatment group will receive REBIL (total five visits), which is tailored. The waitlist control group will be offered the same intervention after 6-month follow-up. Expected outcomes are high acceptability, fidelity, and adherence; low safety risk; improved community participation and daily activities performance; and fewer environmental barriers and fall hazards. Discussion: Findings will serve as preliminary evidence for occupational therapy community practice. Outcomes will also inform future large, pragmatic trials. Trial registration: ClinicalTrials.gov identifier NCT04589988.
Language	English
Publishing date	2023-01-10
Publishing country	England
Document type	Journal Article
ZDB-ID	390834-3
ISSN	0308-0226 ; 0029-800X
ISSN	0308-0226 ; 0029-800X
DOI	10.1177/03080226221126901
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Book ; Online: The Photofit Manager

Devine, Marion

Building a Picture of Management in The 1990s

(Routledge Library Editions: Management Ser)

2018

Abstract: Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- Notes on contributors -- Foreword -- Introduction: setting the scene -- Section 1 The broad brushstroke: identifying effective performance -- Chapter 1: What makes a manager? -- Chapter 2: ...

Series title	Routledge Library Editions: Management Ser
Abstract	Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- Notes on contributors -- Foreword -- Introduction: setting the scene -- Section 1 The broad brushstroke: identifying effective performance -- Chapter 1: What makes a manager? -- Chapter 2: Doubts about competency -- Chapter 3: No simple answers -- Chapter 4: Unravelling managerial performance -- Chapter 5: Individual and collective competency -- Section 2 Filling in the detail: developing leaders and teams -- Chapter 6: Developing future leaders at British Airways -- Chapter 7: Releasing of power in ICI -- Chapter 8: BP's move from assessment to development -- Chapter 9: Management succession and organizational change -- Chapter 10: Towards organizational teamworking -- Chapter 11: Action profiling at Kodak -- Chapter 12: From vision to action -- Section 3 Framing the picture: managing in turbulent times -- Chapter 13: The adaptive manager -- Chapter 14: In search of fulfilment -- Index
Language	English
Size	1 Online-Ressource (207 pages)
Document type	Book ; Online
ISBN	9780815355519 ; 9781351129541 ; 9780815355519 ; 0815355513 ; 1351129546 ; 0815355513
Database	ECONomics Information System

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Article ; Online: The use of three implants to support a fixed prosthesis in the management of the edentulous mandible: a systematic review.

Hirani, Murtaza / Devine, Maria / Obisesan, Olamide / Bryant, Cathy

International journal of implant dentistry

2022 Volume 8, Issue 1, Page(s) 28

Abstract: Background: Dental implants have been widely utilised as a treatment modality for prosthetic rehabilitation. The aim of this study was to evaluate the implant and prosthetic survival rate, changes in marginal bone level, and patient satisfaction ... ...

Abstract	Background: Dental implants have been widely utilised as a treatment modality for prosthetic rehabilitation. The aim of this study was to evaluate the implant and prosthetic survival rate, changes in marginal bone level, and patient satisfaction outcomes with the use of three implants to support a fixed prosthesis in the edentulous mandible. Methods: A comprehensive electronic search was performed in the MEDLINE, Embase and Cochrane databases to retrieve studies that met the selection criteria. Sixteen articles were selected which consisted of two randomised controlled trials, eight prospective cohort studies, five retrospective studies and one case series. Results: A total of 2055 implants were placed in 685 patients with a mean age of 62.2 years. The mean cumulative implant survival rate was 96.2% over a mean follow-up period of 3.35 years. Mean marginal bone loss recorded was 1.25 mm and high patient satisfaction rates were reported across the studies. Conclusion: The use of three implants to support a fixed prosthesis appears to be a successful approach to restoring the edentulous mandible in the short-to-medium term. Further longitudinal comparative studies are required to support longer-term success, and to guide minimum implant dimension requirements for the technique.
MeSH term(s)	Dental Implantation, Endosseous/methods ; Dental Implants ; Dental Prosthesis, Implant-Supported ; Humans ; Mandible/surgery ; Middle Aged ; Prospective Studies ; Retrospective Studies
Chemical Substances	Dental Implants
Language	English
Publishing date	2022-06-17
Publishing country	Germany
Document type	Journal Article ; Review ; Systematic Review
ISSN	2198-4034
ISSN (online)	2198-4034
DOI	10.1186/s40729-022-00423-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: How to create local safety standards for invasive procedures (LocSSIPs) by engaging the team in patient safety.

Tagar, H / Devine, M / Obisesan, O

British dental journal

2019

Abstract: National safety standards for invasive procedures (NatSSIPs), published by NHS England in 2015, recommend the creation and implementation of local safety standards for all invasive procedures. This includes procedures undertaken outside a hospital ... ...

Abstract	National safety standards for invasive procedures (NatSSIPs), published by NHS England in 2015, recommend the creation and implementation of local safety standards for all invasive procedures. This includes procedures undertaken outside a hospital environment, such as surgical procedures undertaken by dentists. In order to implement a local safety standard for invasive procedures (LocSSIP) for oral surgery procedures at a large London teaching hospital, a clean sheet redesign of our service was carried out based on a bottom up model of transformation, using a 'diagnose, design and implement' strategy. Frontline staff were involved in developing and implementing the policy from the outset. The oral surgery LocSSIP is presented, in addition to the challenges and positive experiences gained from creating and implementing a new policy in a large organisation. An observational audit of compliance with the new safety standards was carried out showing good initial compliance, with a reduction in compliance around six months after implementation. Further training, reminders to staff and further rounds of observational audit were undertaken to address this. Involvement of staff in service improvement is key to successful implementation of change.
Language	English
Publishing date	2019-01-18
Publishing country	England
Document type	Journal Article
ZDB-ID	218090-x
ISSN	1476-5373 ; 0007-0610
ISSN (online)	1476-5373
ISSN	0007-0610
DOI	10.1038/sj.bdj.2019.51
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Article ; Online: The psychosocial impact of orofacial pain in trigeminal neuralgia patients: a systematic review.

Melek, L N / Devine, M / Renton, T

International journal of oral and maxillofacial surgery

2018 Volume 47, Issue 7, Page(s) 869–878

Abstract: Trigeminal neuralgia (TN) is characterized by sharp, electric shock-like pain, which can be triggered by trivial stimuli. Although medical and surgical treatments are available for TN, some patients experience refractory pain, which has a significant ... ...

Abstract	Trigeminal neuralgia (TN) is characterized by sharp, electric shock-like pain, which can be triggered by trivial stimuli. Although medical and surgical treatments are available for TN, some patients experience refractory pain, which has a significant impact on their quality of life. The aim of this systematic review was to determine the psychosocial impact of orofacial pain in patients with diagnosed TN. A search was initiated in three electronic databases (Embase, MEDLINE, PubMed) to identify potential studies for inclusion in the review. All types of study published in English that reported psychosocial measures using validated psychometric questionnaires were included. A total of 585 articles were retrieved from the search. These were screened thoroughly, leading to the selection of 13 articles for data extraction and final analysis. The results show the chronic overwhelming nature of TN, with pain levels varying from mild to severe. Psychometric scores indicated mild to moderate depression, moderate to severe anxiety, and moderate to severe functional limitation of daily life activities in TN patients. Therefore, psychological support within a multidisciplinary team is recommended for TN patients to help them cope better with their chronic disorder and to improve the efficacy of treatment.
MeSH term(s)	Facial Pain/psychology ; Humans ; Pain Measurement ; Quality of Life ; Trigeminal Neuralgia/psychology
Language	English
Publishing date	2018-03-08
Publishing country	Denmark
Document type	Journal Article ; Systematic Review
ZDB-ID	353721-3
ISSN	1399-0020 ; 0901-5027
ISSN (online)	1399-0020
ISSN	0901-5027
DOI	10.1016/j.ijom.2018.02.006
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