LIVIVO - Das Suchportal für Lebenswissenschaften

switch to English language
Erweiterte Suche

Ihre letzten Suchen

  1. AU="Morton, Randall"
  2. AU="Afshari, Arash"

Suchergebnis

Treffer 1 - 10 von insgesamt 78

Suchoptionen

  1. Artikel ; Online: Bridging the gap between primary and secondary care: a utilisation evaluation of an otolaryngology GPwSI programme.

    Brundell, William / Thwaites, Nadina / Arrol, Sharon / Arroll, Bruce / Coomarasamy, Christin / Morton, Randall

    Journal of primary health care

    2023  Band 15, Heft 1, Seite(n) 67–70

    Abstract: Introduction Counties Manukau Health Otolaryngology programme for general practitioners with special interest (GPwSI) was developed to provide a group of GPs with tools to manage low complexity, secondary otolaryngology (ORL) problems in their local ... ...

    Abstract Introduction Counties Manukau Health Otolaryngology programme for general practitioners with special interest (GPwSI) was developed to provide a group of GPs with tools to manage low complexity, secondary otolaryngology (ORL) problems in their local communities. After clinical triaging, the medical records were retrieved to assess patient outcomes from community (GPwSI) review. This programme provides an example of how the aims of the Health NZ reforms may work in practice, by bridging primary and secondary services. Aim To assess whether the GPwSI programme provides patients with suitable specialty care in the community, compared to a specialised, hospital outpatient otolaryngology clinic (OPC). Methods This is a retrospective study of patients with an assigned priority of three (non-urgent) referred to Middlemore Hospital for a first specialist assessment (FSA) during 2018-19. Results Of the 6231 patients referred, one-fifth (22%) were directed to the GPwSI service, and the remainder (78%) were arranged to be seen in the OPC. GPwSI patients were more likely to be seen for their FSA earlier than OPC patients (RR 1.55, 95% CI 1.46-1.64, P   Discussion Patients being seen through the GPwSI programme are suitably managed in the community, more efficiently than if they were to be seen in an outpatient specialist clinic.
    Mesh-Begriff(e) Humans ; General Practitioners ; Secondary Care ; Retrospective Studies ; Hospitals ; Otolaryngology ; Referral and Consultation
    Sprache Englisch
    Erscheinungsdatum 2023-03-31
    Erscheinungsland Australia
    Dokumenttyp Journal Article
    ZDB-ID 2572943-3
    ISSN 1172-6156 ; 1172-6156
    ISSN (online) 1172-6156
    ISSN 1172-6156
    DOI 10.1071/HC22113
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  2. Artikel ; Online: Persisting variance in middle ear ventilation tube insertion in Auckland children: why ethnic disparity continues.

    Seo, Julia Y / Morton, Randall P / Gerard, Catherine / Salkeld, Lesley / Purdy, Suzanne C

    The New Zealand medical journal

    2022  Band 135, Heft 1553, Seite(n) 83–90

    Abstract: Aim: Insertion of ventilation tubes (VTs) is a common surgical treatment for recurrent and persistent otitis media, but surgical practice varies internationally. The current study explored variations in practice within New Zealand by examining VT ... ...

    Abstract Aim: Insertion of ventilation tubes (VTs) is a common surgical treatment for recurrent and persistent otitis media, but surgical practice varies internationally. The current study explored variations in practice within New Zealand by examining VT insertion rates. The aim of the study was to determine time trends and current variations in VT insertion rates by ethnicity and district health board (DHB), with a focus on comparison of two DHBs in Auckland (Counties Manukau and Auckland DHB) to national average data.
    Method: Data for surgical procedures were analysed in the Atlas of Healthcare Variation domain, available via the Health Quality & Safety Commission website. Publicly funded events for New Zealand residents over a 10-year period (2009-2018) were examined for 0-4-year-olds. Individuals were assigned to their DHB of residence. VT rates for each DHB are presented per 1,000 population, with upper and lower confidence intervals calculated to the 95% level.
    Results: There was a general decline in the rates of VT insertions for the 0-4-year-olds over the 2009-2018 decade. Analysis of the 2018 year showed variation by ethnicity and DHB. In CMDHB, ADHB and nationally, Asian and Pacific ethnic groups had the lowest rates of VT insertions compared to other ethnic groups. In CMDHB, the VT rates for Māori, Pacific and Asian children were less than half that of their respective groups in ADHB. The NZ European/Other ethnic group had the highest rates of VT insertions in CMDHB and nationally, but in ADHB, the rate for the NZ European/Other group was similar to that for Māori.
    Conclusion: These results are incongruent with evidence that Māori and Pacific children in New Zealand experience a greater burden of middle ear disease than NZ European children. The finding of persisting inequities in VT treatment for middle ear disease in 0-4-year-olds, with greatest impact on Pacific children, suggests that there may be a need for targeted middle ear screening for preschool children to detect pre-schoolers with ear disease, earlier than the 4-year-old B4 School Check.
    Mesh-Begriff(e) Child, Preschool ; Ear, Middle ; Ethnicity ; Humans ; Middle Ear Ventilation ; Native Hawaiian or Other Pacific Islander ; New Zealand/epidemiology
    Sprache Englisch
    Erscheinungsdatum 2022-04-14
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  3. Artikel ; Online: Impact on quality of life in obstructive sialadenitis predicting outcomes after sialendoscopy.

    de Paiva Leite, Sandro / de Oliveira, Marcelo Magaldi Ribeiro / Ahmad, Zahoor / Morton, Randall P

    American journal of otolaryngology

    2022  Band 43, Heft 3, Seite(n) 103431

    Abstract: Purpose: Sialendoscopy is a minimally invasive procedure considered a paradigm shift in the treatment of obstructive sialadenitis. However, it shows an average need for revision procedure in up to 24% of operated cases. This study analyzed whether ... ...

    Abstract Purpose: Sialendoscopy is a minimally invasive procedure considered a paradigm shift in the treatment of obstructive sialadenitis. However, it shows an average need for revision procedure in up to 24% of operated cases. This study analyzed whether patient-related variables could predict the need for a revision during postoperative follow-up.
    Methods: From 2012 to 2020, this prospective comparative study analyzed demographic data as well as preoperative responses to the "Manukau Salivary Symptoms Score" (MSSS) questionnaire as predictors of the need for a revision procedure due to symptoms recurrence.
    Results: 188 sialendoscopies (39.4% for stones/60.6% for stenoses) in 112 parotid (59.6%) and 76 submandibular glands (40.4%) were included in this study. Forty patients (21.3%) required a revision procedure. The variable "Impact on quality of life" in the preoperative period of patients with sialoliths showed that the likelihood of a revision procedure increases by 33.6% with each increase in the 10-point Likert scale presented in the MSSS (p = 0.010, OR = 1336, CI = 1.071 to 1.667). This finding was not influenced by the location of the sialolith in the duct (p = 0.415), size (p = 0.058) or number of stones (P = 0.476). Other demographic variables related to the patient showed no association with the need of a revision procedure.
    Conclusion: Further studies should be performed to exclude the influence of other variables on the results; however, special attention should be given to patients who report a greater pre-operative impact on quality of life due to sialolithiasis.
    Level of evidence: II.
    Mesh-Begriff(e) Endoscopy/methods ; Humans ; Prospective Studies ; Quality of Life ; Retrospective Studies ; Salivary Gland Calculi/surgery ; Sialadenitis/surgery ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2022-04-06
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 604541-8
    ISSN 1532-818X ; 0196-0709
    ISSN (online) 1532-818X
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2022.103431
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  4. Artikel ; Online: Ethnic disparities in thyroid surgery outcomes in New Zealand.

    Kwon, Hyok Jun / Morton, Randall P

    ANZ journal of surgery

    2017  Band 87, Heft 7-8, Seite(n) 610–614

    Abstract: Background: Although thyroid disease is known to have significant ethnic variability, ethnic disparities in outcomes of thyroid surgery have been poorly studied.: Method: Retrospective review of 716 consecutive thyroid operations at Counties Manukau ... ...

    Abstract Background: Although thyroid disease is known to have significant ethnic variability, ethnic disparities in outcomes of thyroid surgery have been poorly studied.
    Method: Retrospective review of 716 consecutive thyroid operations at Counties Manukau Health, a public health provider in New Zealand, from January 2002 to August 2013.
    Results: Compared with Europeans, Māori and Pacific Islanders have longer operation times (P < 0.001) and heavier thyroid glands (P < 0.001). Polynesians also had higher risk of post-operative haemorrhage compared with non-Polynesians (P = 0.016). They also have higher body mass index, American Society of Anesthesiologists scores and rates of smoking. There were no differences in length of inpatient stay and readmission rates.
    Conclusions: There are significant ethnic differences in certain outcomes of thyroid surgery. Part of this may be explained by higher co-morbid characteristics.
    Sprache Englisch
    Erscheinungsdatum 2017-07
    Erscheinungsland Australia
    Dokumenttyp 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.13142
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  5. Artikel ; Online: Toward comprehensive multidisciplinary care for head and neck cancer patients: quality of life versus survival.

    Morton, Randall P

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2012  Band 147, Heft 3, Seite(n) 404–406

    Abstract: This article discusses how quality-of-life assessment in patients with head and neck cancer might be weighed against survival and how such assessment might be applied in clinical practice. While survival is understandably considered to be the outcome of ... ...

    Abstract This article discusses how quality-of-life assessment in patients with head and neck cancer might be weighed against survival and how such assessment might be applied in clinical practice. While survival is understandably considered to be the outcome of primary interest, there are several clinical scenarios in which quality of life can be considered as a primary outcome. Quality-adjusted survival is also an important consideration and needs to be incorporated into the results of treatment. However, quality-of-life assessment has hitherto been virtually only a research tool and not been incorporated into clinical practice. Nowadays, speech pathologists and dietitians are integral to the multidisciplinary team that treats patients with head and neck cancer. The main point of this article is to provide a rationale for the proposition that the health psychologist--who is best able to understand and manage the psychosocial issues--should also be included as one of the team.
    Mesh-Begriff(e) Combined Modality Therapy ; Cooperative Behavior ; Disease-Free Survival ; Humans ; Individuality ; Interdisciplinary Communication ; Neoplasm Staging ; Otorhinolaryngologic Neoplasms/pathology ; Otorhinolaryngologic Neoplasms/psychology ; Otorhinolaryngologic Neoplasms/therapy ; Patient Care Team ; Patient Participation ; Quality of Life/psychology ; Quality-Adjusted Life Years ; Social Values
    Sprache Englisch
    Erscheinungsdatum 2012-09
    Erscheinungsland England
    Dokumenttyp Comparative Study ; Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599812450856
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  6. Artikel ; Online: A systematic review of psychological interventions for patients with head and neck cancer.

    Richardson, Amy E / Broadbent, Elizabeth / Morton, Randall P

    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

    2019  Band 27, Heft 6, Seite(n) 2007–2021

    Abstract: Aim: The purpose of this systematic review is to identify psychological interventions that have been effective at improving quality of life and reducing psychological distress (depression and anxiety) in patients with head and neck cancer.: Methods: ... ...

    Abstract Aim: The purpose of this systematic review is to identify psychological interventions that have been effective at improving quality of life and reducing psychological distress (depression and anxiety) in patients with head and neck cancer.
    Methods: All relevant peer-reviewed articles published between March 1980 and March 2017 were identified through an electronic search of five databases: Medline, Embase, PsycINFO, Scopus, and Academic Search Complete. Risk of bias was independently assessed by two reviewers using the Crowe Critical Appraisal Tool (CCAT). Following this, a narrative synthesis of the findings was completed.
    Results: Twenty-one unique intervention studies were identified. Interventions tested included cognitive behavioural therapy (CBT), psychoeducation, meditation/mindfulness, group therapy, and telehealth initiatives. Ten studies utilised a randomised controlled design. Five of these investigated CBT and three examined psychoeducation, with the greatest empirical support found for these intervention types. However, the majority of studies were underpowered to detect significant effects and did not examine whether improvements in quality of life and psychological well-being were sustained over time.
    Conclusions: Further research is needed to investigate the effects of psychological interventions among patients with head and neck cancer, using randomised controlled designs, adequately powered samples, and long-term follow-up. This would allow evidence-based recommendations to be made regarding the most appropriate interventions to implement in clinical practice.
    Trial registration: CRD42017069851.
    Mesh-Begriff(e) Head and Neck Neoplasms/pathology ; Head and Neck Neoplasms/psychology ; Humans ; Quality of Life/psychology
    Sprache Englisch
    Erscheinungsdatum 2019-04-01
    Erscheinungsland Germany
    Dokumenttyp Journal Article ; Review ; Systematic Review
    ZDB-ID 1134446-5
    ISSN 1433-7339 ; 0941-4355
    ISSN (online) 1433-7339
    ISSN 0941-4355
    DOI 10.1007/s00520-019-04768-3
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  7. Artikel ; Online: Remarks on the Rotterdam experience.

    Verdonck, Jan / Morton, Randall

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2016  Band 274, Heft 9, Seite(n) 3539

    Sprache Englisch
    Erscheinungsdatum 2016-12-09
    Erscheinungsland Germany
    Dokumenttyp Letter
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-016-4409-3
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  8. Artikel ; Online: Demographics of benign parotid tumours: Warthin's tumour versus other benign salivary tumours.

    Patel, Depak K / Morton, Randall P

    Acta oto-laryngologica

    2016  Band 136, Heft 1, Seite(n) 83–86

    Abstract: Conclusion: Some variation from the 'classical' clinical picture for Warthin's tumours is evident in these patients. A predilection for the parotid tail and a propensity for multiplicity has been confirmed.: Objectives: This study sought to analyse ... ...

    Abstract Conclusion: Some variation from the 'classical' clinical picture for Warthin's tumours is evident in these patients. A predilection for the parotid tail and a propensity for multiplicity has been confirmed.
    Objectives: This study sought to analyse demographic and clinical features of a Warthin's patient population.
    Methods: Retrospective review of patients presenting with a benign parotid tumour. The group of Warthin's tumours was compared with the group of patients with other benign parotid tumours.
    Results: Of 170 primary parotid tumours, 41 (24%) were Warthin's tumour. Mean age of Warthins patients was significantly older (60 years vs 48 years, p = 0.001) and male gender more prevalent (61% vs 33%, p = 0.015) than in other benign tumours. Most (86%) Warthin's tumours were found in the parotid tail, compared with 61% of other benign tumours (p = 0.002). There was no significant ethnic predilection for Warthin's tumours. Bilaterality (30%) and multiplicity (27%) were common. Significance of gender differences disappeared with logistic regression analysis.
    Mesh-Begriff(e) Adenolymphoma/epidemiology ; Adenolymphoma/pathology ; Adenoma/epidemiology ; Adenoma/pathology ; Adult ; Aged ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Parotid Neoplasms/epidemiology ; Parotid Neoplasms/pathology ; Retrospective Studies ; Smoking
    Sprache Englisch
    Erscheinungsdatum 2016
    Erscheinungsland England
    Dokumenttyp Comparative Study ; Journal Article
    ISSN 1651-2251
    ISSN (online) 1651-2251
    DOI 10.3109/00016489.2015.1081276
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  9. Artikel ; Online: Immunoglobulin G4-related disease of the orbital cavity, cervical lymph nodes and greater auricular nerve: case report.

    Wong, Wai Keat / Morton, Randall P

    American journal of otolaryngology

    2016  Band 37, Heft 3, Seite(n) 182–185

    Abstract: IgG4-related disease (IgG4-RD) is a novel clinicopathological entity characterised by elevated tissue levels of IgG4-positive plasma cells. It can present in almost every organ systems. We present a case of a 48year-old man with recurrent intra-orbital ... ...

    Abstract IgG4-related disease (IgG4-RD) is a novel clinicopathological entity characterised by elevated tissue levels of IgG4-positive plasma cells. It can present in almost every organ systems. We present a case of a 48year-old man with recurrent intra-orbital and cervical lymph node swelling and found to have greater auricular nerve involvement intraoperatively during open surgical biopsy. Histopathological evaluation of biopsied specimens from these lesions yielded IgG4-positive plasma cell infiltration on immunohistochemistry. Key pathological features such as prominent lymphoplasmacytic population, storiform fibrosis and obliterative phlebitis were also seen. A diagnosis of IgG4-RD was made. Oral prednisone therapy ameliorated the symptoms and patient remained in remission at followup. Literature review indicated that IgG4-RD is a rare condition that seldom occurs concurrently in the orbital cavity, cervical lymph nodes and involving the greater auricular nerve. The condition may often masquerade as malignancy or infection due to formation of tumefactive lesions but tend to respond favourably to glucocorticoid or immunosuppressants. The differential diagnosis of unusual mass lesions in these locations should include IgG4-RD. The otolaryngologist, as well as other health professionals, should be familiar with this novel disease to ensure timely diagnosis and treatment.
    Mesh-Begriff(e) Autoimmune Diseases/diagnosis ; Autoimmune Diseases/etiology ; Autoimmune Diseases/surgery ; Cranial Nerve Diseases/diagnosis ; Cranial Nerve Diseases/etiology ; Cranial Nerve Diseases/surgery ; Humans ; Immunoglobulin G/physiology ; Lymphadenopathy/diagnosis ; Lymphadenopathy/etiology ; Lymphadenopathy/surgery ; Male ; Middle Aged ; Orbital Diseases/diagnosis ; Orbital Diseases/etiology ; Orbital Diseases/surgery
    Chemische Substanzen Immunoglobulin G
    Sprache Englisch
    Erscheinungsdatum 2016-05
    Erscheinungsland United States
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 604541-8
    ISSN 1532-818X ; 0196-0709
    ISSN (online) 1532-818X
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2016.01.010
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  10. Artikel ; Online: The Need for Studies on Oral Corticosteroids After Sialendoscopy for Obstructive Salivary Gland Disease: Systematic Review.

    Donaldson, Gabriella / de Paiva Leite, Sandro / Hardcastle, Tim / Ahmad, Zahoor / Morton, Randall P

    The Annals of otology, rhinology, and laryngology

    2021  Band 131, Heft 7, Seite(n) 805–811

    Abstract: Objectives: This qualitative systematic review evaluates the evidence in support of the use of oral corticosteroids in patients undergoing sialendoscopy for the treatment of obstructive sialadenitis.: Design: Qualitative systematic review.: Methods! ...

    Abstract Objectives: This qualitative systematic review evaluates the evidence in support of the use of oral corticosteroids in patients undergoing sialendoscopy for the treatment of obstructive sialadenitis.
    Design: Qualitative systematic review.
    Methods: A literature search was conducted from January 1985 and September 2020. Inclusion criteria embraced peer-reviewed articles in which adult patients undergoing interventional sialendoscopy for obstructive salivary gland disease received oral corticosteroids. The results were initially screened based on title and abstract, and the remaining articles were reviewed for eligibility.
    Results: About 218 papers were selected by title and abstract, 96 were selected for full-text review, and 9 met the inclusion criteria. Eight published reports were retrospective observational studies and 1 was a prospective comparative study. Overall, the heterogeneity of clinical data stood out in this systematic review. The pooled success rate in the studies was 873/979 (89%). Only 5 studies described a rationale for oral corticosteroid use as part of the post-operative management. In 4 studies, a prednisone total daily dose of 40 to 50 mg was used. One study clearly showed a lower recurrence rate in patients who received oral steroids for more than 7 days in addition to sialendoscopy for management of ductal stenoses.
    Conclusion: This systematic review showed that most centers that prescribe oral corticosteroids after sialendoscopy are unaware of the specific results with this treatment. For ductal stenoses, only 1 paper clearly showed the benefits of oral corticosteroids after sialendoscopy but more high-quality evidence is required in the form of a comparative study or randomized controlled trial, with appropriate long-term follow up.
    Mesh-Begriff(e) Adrenal Cortex Hormones/therapeutic use ; Adult ; Constriction, Pathologic ; Endoscopy/methods ; Humans ; Prospective Studies ; Retrospective Studies ; Salivary Gland Diseases/drug therapy ; Sialadenitis/drug therapy ; Sialadenitis/surgery ; Treatment Outcome
    Chemische Substanzen Adrenal Cortex Hormones
    Sprache Englisch
    Erscheinungsdatum 2021-09-07
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Systematic Review
    ZDB-ID 120642-4
    ISSN 1943-572X ; 0003-4894
    ISSN (online) 1943-572X
    ISSN 0003-4894
    DOI 10.1177/00034894211045262
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

Zum Seitenanfang