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  1. Article ; Online: Traumatic hand amputation while wakeboarding.

    Woodacre, Timothy / Marshall, Morwena

    BMJ case reports

    2011  Volume 2011

    Abstract: Wakeboarding is a sport increasing in popularity in the UK and the rest of the world. It is known to be associated with a high incidence of relatively minor injuries to the participating sportsperson. The authors present the case of a traumatic hand ... ...

    Abstract Wakeboarding is a sport increasing in popularity in the UK and the rest of the world. It is known to be associated with a high incidence of relatively minor injuries to the participating sportsperson. The authors present the case of a traumatic hand amputation to an associated third party and highlight the potential for serious injuries to all those directly involved with the sport. The authors demonstrate the successful application of military principles to a traumatic amputation in a civilian setting.
    MeSH term(s) Amputation, Traumatic ; Athletic Injuries/complications ; Hand Injuries/etiology ; Humans ; Male ; Middle Aged
    Language English
    Publishing date 2011-06-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr.03.2011.4044
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Unusual presentation of more common disease/injury: traumatic hand amputation while wakeboarding.

    Woodacre, Timothy / Marshall, Morwena

    Emergency medicine journal : EMJ

    2011  Volume 28, Issue 10, Page(s) 896–897

    Abstract: Wakeboarding is a sport increasing in popularity in the UK and the rest of the world. It is known to be associated with a high incidence of relatively minor injuries to the participating sportsperson. The authors present the case of a traumatic hand ... ...

    Abstract Wakeboarding is a sport increasing in popularity in the UK and the rest of the world. It is known to be associated with a high incidence of relatively minor injuries to the participating sportsperson. The authors present the case of a traumatic hand amputation to an associated third party and highlight the potential for serious injuries to all those directly involved with the sport. The authors demonstrate the successful application of military principles to a traumatic amputation in a civilian setting.
    Language English
    Publishing date 2011-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emj.03.2011.4044rep
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evidence for the C-seal device remains inconclusive.

    Warwick, Andrea / Marshall, Morwena / Daniels, Ian / Smart, Neil

    International journal of colorectal disease

    2014  Volume 29, Issue 10, Page(s) 1309

    MeSH term(s) Biocompatible Materials/pharmacology ; Colon/surgery ; Female ; Humans ; Male ; Rectum/surgery ; Surgical Stapling
    Chemical Substances Biocompatible Materials
    Language English
    Publishing date 2014-05-23
    Publishing country Germany
    Document type Letter ; Comment
    ZDB-ID 84975-3
    ISSN 1432-1262 ; 0179-1958
    ISSN (online) 1432-1262
    ISSN 0179-1958
    DOI 10.1007/s00384-014-1896-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Chronic asymptomatic dislocation of the bearing in an Oxford unicompartmental knee replacement.

    Woodacre, Timothy / Marshall, Morwena / Awad, Ashraf / Isaac, David

    BMJ case reports

    2012  Volume 2012

    Abstract: Unicompartmental knee replacement is a common procedure for the treatment of osteoarthritis confined to one compartment of the knee. Dislocation of the mobile bearing is a recognised complication. We present a patient with a 6-year asymptomatic bearing ... ...

    Abstract Unicompartmental knee replacement is a common procedure for the treatment of osteoarthritis confined to one compartment of the knee. Dislocation of the mobile bearing is a recognised complication. We present a patient with a 6-year asymptomatic bearing dislocation, missed on original presentation.
    MeSH term(s) Aged, 80 and over ; Arthroplasty, Replacement, Knee ; Humans ; Knee/surgery ; Knee Joint/surgery ; Knee Prosthesis ; Male ; Osteoarthritis, Knee/surgery ; Postoperative Complications ; Prosthesis Failure
    Language English
    Publishing date 2012-11-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-01-2012-5542
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Biological meshes: a review of their use in abdominal wall hernia repairs.

    Smart, Neil J / Marshall, Morwena / Daniels, Ian R

    The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

    2012  Volume 10, Issue 3, Page(s) 159–171

    Abstract: Purpose: Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate material to be used in a given situation.: Methods: A literature review of published ... ...

    Abstract Purpose: Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate material to be used in a given situation.
    Methods: A literature review of published articles reporting the utilization of biological meshes in ventral/incisional hernia repair was conducted. Data were analyzed to compare the recurrence rates obtained with biological meshes.
    Main findings: Only a few prospective comparative studies were identified. Most publications relate to AlloDerm®, Permacol™ and Surgisis™ with data from other meshes insufficient to draw conclusions. AlloDerm has a 0-100% recurrence rate among studies. It compares poorly with Surgisis and results in an unfavorable outcome when used as a 'bridge prosthesis'. Permacol has consistent recurrence rates of 0-15%, whatever the patients' profiles or the context of infected fields, when considering the most relevant studies. The Surgisis results are more conflicting: the mesh exhibits low recurrence rates in clean fields, but in infected fields the recurrence rate is up to 39%.
    Conclusion: Taken together, these studies suggest that the cross-linked mesh, Permacol has the lowest failure rate and the longest time to failure, particularly in contaminated or infected fields. However, this data should be confirmed by large prospective randomized studies.
    MeSH term(s) Abdominal Wall/surgery ; Biocompatible Materials/therapeutic use ; Cohort Studies ; Collagen ; Female ; Follow-Up Studies ; Hernia, Ventral/diagnosis ; Hernia, Ventral/surgery ; Herniorrhaphy/methods ; Humans ; Male ; Prospective Studies ; Risk Assessment ; Secondary Prevention ; Surgical Mesh ; Tensile Strength ; Treatment Outcome ; Wound Healing/physiology
    Chemical Substances Alloderm ; Biocompatible Materials ; Permacol ; Collagen (9007-34-5)
    Keywords covid19
    Language English
    Publishing date 2012-06
    Publishing country Scotland
    Document type Comparative Study ; Journal Article ; Review
    ZDB-ID 2102927-1
    ISSN 1479-666X
    ISSN 1479-666X
    DOI 10.1016/j.surge.2012.02.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Did the 'Be Clear on Bowel Cancer' public awareness campaign pilot result in a higher rate of cancer detection?

    Bethune, Rob / Marshall, Morwena J / Mitchell, Stephen J / Oppong, Chris / Cartmel, Mark T / Arumugam, Ponnandai J / Gee, Andrew S / Daniels, Ian R

    Postgraduate medical journal

    2013  Volume 89, Issue 1053, Page(s) 390–393

    Abstract: Objectives: To assess the impact of a 7-week public bowel cancer awareness campaign pilot by reviewing the number of 2-week referrals from general practitioners (GPs) to hospital, endoscopic procedures and new cancers diagnosed throughout the five acute ...

    Abstract Objectives: To assess the impact of a 7-week public bowel cancer awareness campaign pilot by reviewing the number of 2-week referrals from general practitioners (GPs) to hospital, endoscopic procedures and new cancers diagnosed throughout the five acute hospitals in The Peninsular Cancer Network, UK.
    Design: A retrospective before and after study.
    Setting: The Peninsula Cancer Network in the South West of England, UK.
    Main outcome measures: For the period July 2010-July 2011, data were collected on the number of 2-week referrals, number of endoscopic procedures performed and number of new cancers diagnosed. The average for the 6 months before the campaign was compared with the immediate 3 months and then the fourth to sixth months following the campaign. Student's t test was used to compare the means of the three groups.
    Results: There was a statistically significant increase in the number of 2-week referrals from GPs to hospital in the 3 months following the campaign but this effect disappeared after that. There was no statistical increase in the number of endoscopic procedures or new cancers diagnosed following the awareness campaign.
    Conclusions: The pilot 'Be Clear on Cancer' awareness campaign had a significant effect on the number of patients being referred from GPs to hospital; however, the effect was short lived and had returned to baseline by 3 months. The campaign had no effect on the number of new cancers diagnosed, which was the stated underlying aim of the pilot.
    MeSH term(s) Awareness ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/epidemiology ; Early Detection of Cancer/methods ; Early Detection of Cancer/statistics & numerical data ; England/epidemiology ; Female ; General Practice/organization & administration ; General Practice/statistics & numerical data ; Health Behavior ; Health Education ; Health Knowledge, Attitudes, Practice ; Health Promotion/organization & administration ; Humans ; Male ; Mass Media ; Pilot Projects ; Program Evaluation ; Public Health ; Referral and Consultation/statistics & numerical data ; Retrospective Studies ; Time Factors
    Language English
    Publishing date 2013-07
    Publishing country England
    Document type Comparative Study ; Journal Article ; Multicenter Study
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/postgradmedj-2012-131014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Three wound-dressing strategies to reduce surgical site infection after abdominal surgery: the Bluebelle feasibility study and pilot RCT.

    Reeves, Barnaby C / Rooshenas, Leila / Macefield, Rhiannon C / Woodward, Mark / Welton, Nicky J / Waterhouse, Benjamin R / Torrance, Andrew D / Strong, Sean / Siassakos, Dimitrios / Seligman, William / Rogers, Chris A / Rickard, Lloyd / Pullyblank, Anne / Pope, Caroline / Pinkney, Thomas D / Pathak, Samir / Owais, Anwar / O'Callaghan, Jamie / O'Brien, Stephen /
    Nepogodiev, Dmitri / Nadi, Khaldoun / Murkin, Charlotte E / Munder, Tonia / Milne, Tom / Messenger, David / McMullan, Christel M / Mathers, Jonathan M / Mason, Matthew / Marshall, Morwena / Lovegrove, Richard / Longman, Robert J / Lloyd, Jessica / Lim, Jeffrey / Lee, Kathryn / Korwar, Vijay / Hughes, Daniel / Hill, George / Harris, Rosie / Hamdan, Mohammed / Brown, Hannah Gould / Gooberman-Hill, Rachael / Glasbey, James / Fryer, Caroline / Ellis, Lucy / Elliott, Daisy / Dumville, Jo C / Draycott, Tim / Donovan, Jenny L / Cotton, David / Coast, Joanna / Clout, Madeleine / Calvert, Melanie J / Byrne, Benjamin E / Brown, Oliver D / Blencowe, Natalie S / Bera, Katarzyna D / Bennett, Joanne / Bamford, Richard / Bakhbakhi, Danya / Atif, Muhammad / Ashton, Kate / Armstrong, Elizabeth / Andronis, Lazaros / Ananthavarathan, Piriyankan / Blazeby, Jane M

    Health technology assessment (Winchester, England)

    2019  Volume 23, Issue 39, Page(s) 1–166

    Abstract: Background: Surgical site infection (SSI) affects up to 20% of people with a primary closed wound after surgery. Wound dressings may reduce SSI.: Objective: To assess the feasibility of a multicentre randomised controlled trial (RCT) to evaluate the ... ...

    Abstract Background: Surgical site infection (SSI) affects up to 20% of people with a primary closed wound after surgery. Wound dressings may reduce SSI.
    Objective: To assess the feasibility of a multicentre randomised controlled trial (RCT) to evaluate the effectiveness and cost-effectiveness of dressing types or no dressing to reduce SSI in primary surgical wounds.
    Design: Phase A - semistructured interviews, outcome measure development, practice survey, literature reviews and value-of-information analysis. Phase B - pilot RCT with qualitative research and questionnaire validation. Patients and the public were involved.
    Setting: Usual NHS care.
    Participants: Patients undergoing elective/non-elective abdominal surgery, including caesarean section.
    Interventions: Phase A - none. Phase B - simple dressing, glue-as-a-dressing (tissue adhesive) or 'no dressing'.
    Main outcome measures: Phase A - pilot RCT design; SSI, patient experience and wound management questionnaires; dressing practices; and value-of-information of a RCT. Phase B - participants screened, proportions consented/randomised; acceptability of interventions; adherence; retention; validity and reliability of SSI measure; and cost drivers.
    Data sources: Phase A - interviews with patients and health-care professionals (HCPs), narrative data from published RCTs and data about dressing practices. Phase B - participants and HCPs in five hospitals.
    Results: Phase A - we interviewed 102 participants. HCPs interpreted 'dressing' variably and reported using available products. HCPs suggested practical/clinical reasons for dressing use, acknowledged the weak evidence base and felt that a RCT including a 'no dressing' group was acceptable. A survey showed that 68% of 1769 wounds (727 participants) had simple dressings and 27% had glue-as-a-dressing. Dressings were used similarly in elective and non-elective surgery. The SSI questionnaire was developed from a content analysis of existing SSI tools and interviews, yielding 19 domains and 16 items. A main RCT would be valuable to the NHS at a willingness to pay of £20,000 per quality-adjusted life-year. Phase B - from 4 March 2016 to 30 November 2016, we approached 862 patients for the pilot RCT; 81.1% were eligible, 59.4% consented and 394 were randomised (simple,
    Limitations: Multiple activities, often in parallel, were challenging to co-ordinate. An amendment took 4 months, restricting recruitment to the pilot RCT. Only 67% of participants completed the SSI questionnaire. We could not implement photography in theatres.
    Conclusions: A main RCT of dressing strategies is feasible and would be valuable to the NHS. The SSI questionnaire is sufficiently accurate to be used as the primary outcome. A main trial with three groups (as in the pilot) would be valuable to the NHS, using a primary outcome of SSI at discharge and patient-reported SSI symptoms at 4-8 weeks.
    Trial registration: Phase A - Current Controlled Trials ISRCTN06792113; Phase B - Current Controlled Trials ISRCTN49328913.
    Funding: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in
    MeSH term(s) Abdomen/surgery ; Adult ; Aged ; Bandages/classification ; Bandages/microbiology ; Cesarean Section/adverse effects ; Cost-Benefit Analysis ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Pilot Projects ; Quality-Adjusted Life Years ; Reproducibility of Results ; Surgical Procedures, Operative/adverse effects ; Surgical Wound Infection/microbiology ; Surgical Wound Infection/prevention & control ; Surveys and Questionnaires
    Language English
    Publishing date 2019-09-04
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2006765-3
    ISSN 2046-4924 ; 1366-5278
    ISSN (online) 2046-4924
    ISSN 1366-5278
    DOI 10.3310/hta23390
    Database MEDical Literature Analysis and Retrieval System OnLINE

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