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  1. Article ; Online: Tai chi as an adjunctive therapy for individuals who plateau after vestibular rehabilitation.

    Chow, K / Lei-Rivera, L / Cosetti, M K / Kelly, J L

    The Journal of laryngology and otology

    2022  Volume 137, Issue 6, Page(s) 651–660

    Abstract: Objective: This study aimed to evaluate the effectiveness of tai chi on balance in patients with improved but persistent dizziness and imbalance following completion of traditional vestibular rehabilitation therapy.: Method: Patients who completed ... ...

    Abstract Objective: This study aimed to evaluate the effectiveness of tai chi on balance in patients with improved but persistent dizziness and imbalance following completion of traditional vestibular rehabilitation therapy.
    Method: Patients who completed vestibular rehabilitation therapy with persistent imbalance were prospectively enrolled in a tai chi programme comprising eight weekly classes. Balance was assessed before the first and after the eighth session using the Dynamic Gait Index, Activities-Specific Balance Confidence scale and Dizziness Handicap Inventory.
    Results: A total of 37 participants (34 females, 3 males) completed the programme with balance testing. Mean age was 76.8 years (range, 56-91 years). Mean Dynamic Gait Index significantly increased after completion of tai chi (
    Conclusion: Tai chi is a viable adjunct to improve balance in patients who complete a vestibular rehabilitation therapy programme.
    MeSH term(s) Male ; Female ; Humans ; Aged ; Dizziness/etiology ; Dizziness/rehabilitation ; Tai Ji ; Postural Balance ; Exercise Therapy
    Language English
    Publishing date 2022-08-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 218299-3
    ISSN 1748-5460 ; 0022-2151
    ISSN (online) 1748-5460
    ISSN 0022-2151
    DOI 10.1017/S0022215122001785
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The application of human reliability analysis to carpal tunnel decompression.

    Lucey, Á / Kennedy, S / Hussey, A / McInerney, N / Kelly, J L / Joyce, K M

    Annals of the Royal College of Surgeons of England

    2023  Volume 106, Issue 5, Page(s) 432–438

    Abstract: Introduction: Many surgical procedures are prone to human error, particularly in the learning phase of skills acquisition. Task standardisation has been suggested as an approach to reducing errors, but it fails to account for the human factors ... ...

    Abstract Introduction: Many surgical procedures are prone to human error, particularly in the learning phase of skills acquisition. Task standardisation has been suggested as an approach to reducing errors, but it fails to account for the human factors associated with learning. Human reliability analysis (HRA) is a structured approach to assess human error during surgery. This study used HRA methodologies to examine skills acquisition associated with carpal tunnel decompression.
    Methods: The individual steps or subtasks required to complete a carpal tunnel decompression were identified using hierarchical task analysis (HTA). The systematic human error reduction and prediction approach (SHERPA) was carried out by consensus of subject matter experts. This identified the potential human errors at each subgoal, the level of risk associated with each task and how these potential errors could be prevented.
    Results: Carpal tunnel decompression was broken down into 46 subtasks, of which 21 (45%) were medium risk and 25 (55%) were low risk. Of the 46 subtasks, 4 (9%) were assigned high probability and 18 (39%) were assigned medium probability. High probability errors (>1/50 cases) included selecting incorrect tourniquet size, failure to infiltrate local anaesthetic in a proximal-to-distal direction and completion of the World Health Organization (WHO) surgical sign-out. Three (6%) of the subtasks were assigned high criticality, which included failure to aspirate before anaesthetic injection, whereas 21 (45%) were assigned medium criticality. Remedial strategies for each potential error were devised.
    Conclusions: The use of HRA techniques provides surgeons with a platform to identify critical steps that are prone to error. This approach may improve surgical training and enhance patient safety.
    MeSH term(s) Humans ; Carpal Tunnel Syndrome/surgery ; Decompression, Surgical/methods ; Clinical Competence ; Medical Errors/prevention & control ; Reproducibility of Results ; Task Performance and Analysis
    Language English
    Publishing date 2023-06-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2023.0038
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  3. Article ; Online: Camptodactyly and DiGeorge syndrome: A rare hand anomaly.

    Hurley, C M / McHugh, N / Carr, S / Kelly, J L

    JPRAS open

    2021  Volume 28, Page(s) 126–130

    Abstract: The most common deletion syndrome is 22q11.2 and it effects an estimated 1 in 3000 live births. Major features of this multisystem condition include congenital abnormalities, developmental delay, learning difficulties, immunodeficiency, endocrine ... ...

    Abstract The most common deletion syndrome is 22q11.2 and it effects an estimated 1 in 3000 live births. Major features of this multisystem condition include congenital abnormalities, developmental delay, learning difficulties, immunodeficiency, endocrine anomalies and an array of psychiatric disorders. However, variability in phenotype and severity may cause the diagnosis to be overlooked. Early clinical recognition and treatment of DiGeorge syndrome has been shown to increase early life survival, decrease complications and enhance overall quality of life. Skeletal anomalies are infrequently described in 22q11.2 but a subset of patients exhibit upper and lower limb deformities. We present the case of a 5 year-old girl with bilateral fifth digit camptodactyly caused by a fibrous band, and the surgical management of this condition. The current report adds to the body of evidence that camptodactyly is a rare clinical feature of 22q11.2 deletion syndrome, and may serve as a diagnostic aid in these patients.
    Language English
    Publishing date 2021-03-19
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2834721-3
    ISSN 2352-5878 ; 2352-5878
    ISSN (online) 2352-5878
    ISSN 2352-5878
    DOI 10.1016/j.jpra.2021.03.001
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  4. Article ; Online: Central Slip Repair using Trans-articular K-wires: A Comparative Study.

    Carr, S / O'Donoghue, P J / Bowe, A / O'Ceallaigh, B / Siney, E / Kelly, J L

    JPRAS open

    2023  Volume 37, Page(s) 163–170

    Abstract: Central slip disruption may lead to PIP joint dysfunction causing significant morbidity. Existing evidence for any specific surgical management of these injuries is limited but does favor early mobilization of the PIP joint. ...

    Abstract Central slip disruption may lead to PIP joint dysfunction causing significant morbidity. Existing evidence for any specific surgical management of these injuries is limited but does favor early mobilization of the PIP joint.
    Language English
    Publishing date 2023-06-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2834721-3
    ISSN 2352-5878 ; 2352-5878
    ISSN (online) 2352-5878
    ISSN 2352-5878
    DOI 10.1016/j.jpra.2023.05.004
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  5. Article ; Online: Predictors of complications following breast reduction surgery: A national surgical quality improvement program study of 16,812 cases.

    Sugrue, R M / Callaghan, S / Kelly, J L

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2019  Volume 72, Issue 8, Page(s) 1436–1447

    MeSH term(s) Mammaplasty ; Mastectomy ; Quality Improvement
    Language English
    Publishing date 2019-04-20
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2019.02.034
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  6. Article ; Online: The median nerve roll - A simple way to locate the median nerve at the wrist.

    Rahmani, G / Sugrue, R / Bergin, D / Kelly, J L

    Hand surgery & rehabilitation

    2020  Volume 40, Issue 2, Page(s) 207

    MeSH term(s) Carpal Tunnel Syndrome ; Humans ; Median Nerve ; Wrist ; Wrist Joint
    Language English
    Publishing date 2020-12-04
    Publishing country France
    Document type Letter
    ZDB-ID 2848776-X
    ISSN 2468-1210
    ISSN (online) 2468-1210
    DOI 10.1016/j.hansur.2020.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1791: Show issues Location:
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  7. Article ; Online: Head and Neck Merkel Cell Carcinoma: A 12-Year Single Institutional Experience.

    Hurley, C M / ALNafisee, D / Jones, D / Kelly, J L / Regan, P J / Hussey, A J / McInerney, N

    JPRAS open

    2022  Volume 33, Page(s) 161–170

    Abstract: Background: Merkel cell carcinoma (MCC) is an aggressive malignancy of presumed neuroendocrine origin. Most case series of MCC are limited by low case numbers and are not specific to head and neck tumours. The purpose of this study was to provide a ... ...

    Abstract Background: Merkel cell carcinoma (MCC) is an aggressive malignancy of presumed neuroendocrine origin. Most case series of MCC are limited by low case numbers and are not specific to head and neck tumours. The purpose of this study was to provide a focused review of head and neck MCC diagnosis and management in a single Irish institution.
    Methods: Patient's demographics, tumour characteristics, pathological diagnosis, surgical treatment, adjuvant treatment, subsequent management and clinical course were collected. Estimates of progression-free MCC survival rates were calculated by the Kaplan-Meier statistical model. A Pearson product-moment correlation coefficient examined the association between surgical margins and disease-free follow-up.
    Results: In total, 11 patients were treated for head and neck MCC with a mean age of 79.6 years (range = 69-91 years). The mean average follow-up duration of patients was 18.3 months. Of the cohort, 18% (
    Conclusions: Our case series adds to a limited body of evidence of head and neck MCC. Surgery remains the treatment priority in localized disease, with an increasing role of SLNB for accurate prognostication and staging. Early management of stage I disease results in moderate long-term disease-free survivability.
    Language English
    Publishing date 2022-05-14
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2834721-3
    ISSN 2352-5878 ; 2352-5878
    ISSN (online) 2352-5878
    ISSN 2352-5878
    DOI 10.1016/j.jpra.2022.05.005
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  8. Article ; Online: Has the Quality of Aesthetic Surgery Research Improved over the Last 20 Years?

    Sugrue, C M / Sugrue, R M / Kelly, J L

    Aesthetic plastic surgery

    2017  Volume 41, Issue 6, Page(s) 1473–1474

    MeSH term(s) Clinical Competence ; Esthetics ; Female ; Humans ; Male ; Patient Satisfaction ; Quality Improvement ; Reconstructive Surgical Procedures/trends ; Surgery, Plastic/trends ; Time Factors
    Language English
    Publishing date 2017-06-27
    Publishing country United States
    Document type Letter
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-017-0915-y
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    Zs.A 1296: Show issues Location:
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  9. Article: Medical Students' Perception of Plastic Surgery.

    Shaharan, S / Joyce, C W / Lawlor, K / Joyce, K / Kelly, J L

    Irish medical journal

    2020  Volume 113, Issue 3, Page(s) 43

    MeSH term(s) Career Choice ; Decision Making ; Education, Medical, Undergraduate/methods ; Female ; Humans ; Male ; Perception ; Shift Work Schedule/psychology ; Students, Medical/psychology ; Surgery, Plastic/education ; Surgery, Plastic/psychology ; Surveys and Questionnaires
    Language English
    Publishing date 2020-03-13
    Publishing country Ireland
    Document type Letter
    ZDB-ID 193134-9
    ISSN 0332-3102 ; 0021-129X
    ISSN 0332-3102 ; 0021-129X
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  10. Article ; Online: Influence of socioeconomic factors on litigation in surgery: Addressing the gap in malpractice literature.

    Kearney, L / Concannon, E / Rolle, C / Hynes, M / Malesevic, V / Kelly, J L

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2019  Volume 73, Issue 2, Page(s) 376–382

    Abstract: The practice of medicine is occasionally volatile and increasingly litigious. Within the specialities, plastic surgery has a high risk, with negative outcomes seen as dissatisfaction, as compared to actual physical harm. To date, most research has ... ...

    Abstract The practice of medicine is occasionally volatile and increasingly litigious. Within the specialities, plastic surgery has a high risk, with negative outcomes seen as dissatisfaction, as compared to actual physical harm. To date, most research has focused on potential triggers for litigation, such as poor communication and perceived behavioural deficiencies among physicians. Few studies have addressed patient characteristics or socioeconomic factors. The 'Influence of Socio-Economic Factors on Attitudes Towards Surgery' questionnaire was designed to reflect these goals. It was distributed for a 12-month period to patients in an Emergency Department waiting room. Three hundred twelve completed questionnaires were submitted for analysis. Within the study population, we identified certain socioeconomic trends among those with a low threshold to pursue litigation. Patients with a low threshold to sue were more likely to be male, aged 25-55 years, currently unemployed, without dependents and divorced. However, these parameters did not reach statistical significance. Although these characteristics are interesting, they cannot reliably identify or predict those with a low threshold for litigation. For now, the clinical focus should remain on careful adherence to best practice in an effort to reduce the risk of potential litigation.
    MeSH term(s) Adolescent ; Adult ; Attitude ; Female ; Humans ; Male ; Malpractice/legislation & jurisprudence ; Malpractice/statistics & numerical data ; Middle Aged ; Patients/psychology ; Research ; Self Report ; Socioeconomic Factors ; Surgery, Plastic/legislation & jurisprudence ; Young Adult
    Language English
    Publishing date 2019-10-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2019.09.030
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