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  1. Article ; Online: The changing nature of COVID-19-associated AKI: where are we now?

    Noble, Rebecca A / Selby, Nicholas M

    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

    2021  Volume 37, Issue 2, Page(s) 201–202

    MeSH term(s) Acute Kidney Injury/chemically induced ; COVID-19 ; Hospital Mortality ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2021-12-16
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 90594-x
    ISSN 1460-2385 ; 0931-0509
    ISSN (online) 1460-2385
    ISSN 0931-0509
    DOI 10.1093/ndt/gfab326
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2198: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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    Zs.MO 329: Show issues

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  2. Article ; Online: Planning Patient Care after Acute Kidney Injury: Not as Easy as It May Seem.

    Selby, Nicholas M / Noble, Rebecca A

    Clinical journal of the American Society of Nephrology : CJASN

    2021  Volume 16, Issue 7, Page(s) 999–1001

    MeSH term(s) Acute Kidney Injury/diagnosis ; Acute Kidney Injury/therapy ; Hospitalization ; Humans
    Language English
    Publishing date 2021-07-12
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2226665-3
    ISSN 1555-905X ; 1555-9041
    ISSN (online) 1555-905X
    ISSN 1555-9041
    DOI 10.2215/CJN.06380521
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6584: Show issues Location:
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  3. Article ; Online: The 'Nifty Fifty': medical student ward work guide.

    Noble, Rebecca A / Peal, Charlotte A

    The clinical teacher

    2019  Volume 17, Issue 3, Page(s) 305–309

    Abstract: Background: Final-year medical students have many timetabled clinical and academic commitments. Independent ward time is an opportunity for students to experience situated learning; however, there are a number of barriers to participation. We aimed to ... ...

    Abstract Background: Final-year medical students have many timetabled clinical and academic commitments. Independent ward time is an opportunity for students to experience situated learning; however, there are a number of barriers to participation. We aimed to identify barriers to independent ward work and provide a tool to maximise learning opportunities and encourage multidisciplinary learning. We created the booklet: Nifty Fifty: Ways to Avoid Being a Trip Hazard on the Wards using anecdotal and personal experience to guide curriculum-orientated learning.
    Methods: Students undertaking attachments on medical wards at Queen's Medical Centre in Nottingham, UK, were provided with a small printed handbook of 50 suggested activities to participate in when on a ward. Feedback was collected at the beginning, middle and end of the attachment, with the handbook distributed following a mid-attachment questionnaire. This feedback was compared with that of a control group. Quantitative data were subsequently analysed. We created the booklet: Nifty Fifty … using anecdotal and personal experience to guide curriculum-orientated learning RESULTS: Post-intervention feedback showed an improvement in the frequency of ward attendance, a reduction in the perceived barriers to independent ward work and an increase in the perceived usefulness of ward attendance. Students who received the handbook reported an improvement in confidence in self-directed ward work compared with the control group.
    Discussion: We have demonstrated that a simple handbook may assist in the facilitation of independent ward work for final-year medical students, with widespread improvements in measured outcomes. Our project was limited by size, but we believe that its positive results could be scaled up.
    MeSH term(s) Curriculum ; Education, Medical, Undergraduate ; Humans ; Learning ; Students, Medical ; Surveys and Questionnaires
    Language English
    Publishing date 2019-09-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2151518-9
    ISSN 1743-498X ; 1743-4971
    ISSN (online) 1743-498X
    ISSN 1743-4971
    DOI 10.1111/tct.13088
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Long-Term Outcomes in Patients with Acute Kidney Injury.

    Noble, Rebecca A / Lucas, Bethany J / Selby, Nicholas M

    Clinical journal of the American Society of Nephrology : CJASN

    2020  Volume 15, Issue 3, Page(s) 423–429

    Abstract: The long-term sequelae of AKI have received increasing attention so that its associations with a number of adverse outcomes, including higher mortality and development of CKD, are now widely appreciated. These associations take on particular importance ... ...

    Abstract The long-term sequelae of AKI have received increasing attention so that its associations with a number of adverse outcomes, including higher mortality and development of CKD, are now widely appreciated. These associations take on particular importance when considering the high incidence of AKI, with a lack of proven interventions and uncertainties around optimal care provision meaning that the long-term sequelae of AKI present a major unmet clinical need. In this review, we examine the published data that inform our current understanding of long-term outcomes following AKI and discuss potential knowledge gaps, covering long-term mortality, CKD, progression to ESKD, proteinuria, cardiovascular events, recurrent AKI, and hospital readmission.
    MeSH term(s) Acute Kidney Injury/diagnosis ; Acute Kidney Injury/mortality ; Acute Kidney Injury/therapy ; Disease Progression ; Humans ; Patient Readmission ; Recurrence ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2020-02-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2226665-3
    ISSN 1555-905X ; 1555-9041
    ISSN (online) 1555-905X
    ISSN 1555-9041
    DOI 10.2215/CJN.10410919
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6584: Show issues Location:
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  5. Article: Multiparametric Renal Magnetic Resonance Imaging for Prediction and Annual Monitoring of the Progression of Chronic Kidney Disease over Two Years.

    Buchanan, Charlotte E / Mahmoud, Huda / Cox, Eleanor F / Prestwich, Benjamin L / Noble, Rebecca A / Selby, Nicholas M / Taal, Maarten W / Francis, Susan T

    Journal of clinical medicine

    2023  Volume 12, Issue 23

    Abstract: Background: Multiparametric renal Magnetic Resonance Imaging (MRI) provides a non-invasive method to assess kidney structure and function, but longitudinal studies are limited.: Methods: A total of 22 patients with CKD category G3-4 (estimated ... ...

    Abstract Background: Multiparametric renal Magnetic Resonance Imaging (MRI) provides a non-invasive method to assess kidney structure and function, but longitudinal studies are limited.
    Methods: A total of 22 patients with CKD category G3-4 (estimated glomerular filtration rate (eGFR) 15-59 mL/min/1.73 m
    Results: At baseline, T
    Conclusion: Lower renal cortex perfusion and higher T
    Language English
    Publishing date 2023-11-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12237282
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Evaluating a process of academic detailing in primary care: an educational programme for acute kidney injury.

    Noble, Rebecca A / McKinnell, Joanna C / Shaw, Sue / Bassett, Sally / Woods, Lynn / Asrar, Mufaza / Kolhe, Nitin V / Selby, Nicholas M

    BMC medical education

    2019  Volume 19, Issue 1, Page(s) 253

    Abstract: Background: Primary care has a significant role in AKI management: two-thirds of AKI originates in the community. Through academic detailing (an evidence-based educational approach) we aimed to implement and measure the effect of a primary care-based ... ...

    Abstract Background: Primary care has a significant role in AKI management: two-thirds of AKI originates in the community. Through academic detailing (an evidence-based educational approach) we aimed to implement and measure the effect of a primary care-based education programme based around academic detailing and peer-reviewed audit.
    Methods: The education programme took place across a large clinical commissioning group (CCG) consisting of 55 primary care practices. All 55 practices participated in large group teaching sessions, 25 practices participated in academic detailing and 28 of the remaining 30 practices performed internal AKI audit. Over a 12 month period, an educational programme was delivered consisting of large group teaching sessions followed by either academic detailing sessions or self-directed AKI audit activity. Academic detailing sessions consisted of a short presentation by a consultant nephrologist followed by discussion of cases. Qualitative feedback was collected from all participants at peer review sessions. Web-based, CCG-wide questionnaires assessed baseline and post-intervention knowledge levels.
    Results: Nine hundred ninety-six individuals completed the questionnaires (556 at baseline, 440 at 1 yr., 288 participated in both). Exposure to AKI teaching, self-reported awareness and confidence levels were higher in the second questionnaire. There was a significant increase in the percentage of correct answers before and after the intervention (55.6 ± 21% versus 87.5 ± 20%, p < 0.001). Improvements were also seen in practices that did not participate in academic detailing. 92.9% of participants in the academic detailing sessions ranked their usefulness as high, but half of participants expressed some anxiety about discussion of cases in front of peers.
    Conclusion: Primary care education can improve knowledge and awareness of AKI. Small group teaching with involvement of a nephrologist was popular, although there were mixed responses to group discussion of real cases. Academic detailing did not appear more effective than other educational formats.
    MeSH term(s) Acute Kidney Injury/therapy ; Clinical Competence ; Disease Management ; Education, Medical, Continuing ; Humans ; Practice Patterns, Physicians' ; Primary Health Care ; Program Evaluation ; Quality Improvement
    Language English
    Publishing date 2019-07-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-019-1659-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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