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Article ; Online: 4D STEM Simulation of Defects in Palladium Nanoparticles.

Robinson, David B / Sugar, Joshua D / Zhou, Xiaowang

Microscopy and microanalysis : the official journal of Microscopy Society of America, Microbeam Analysis Society, Microscopical Society of Canada

2023 Volume 29, Issue Supplement_1, Page(s) 334–335

Language	English
Publishing date	2023-08-23
Publishing country	England
Document type	Journal Article
ZDB-ID	1385710-1
ISSN	1435-8115 ; 1431-9276
ISSN (online)	1435-8115
ISSN	1431-9276
DOI	10.1093/micmic/ozad067.156
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Article ; Online: Economic cost-utility analysis of stage-directed oesophageal cancer treatment.

Herbert, Geraint L / Robinson, David B T / Powell, Arfon G / Abdelrahman, Tarig / Khalid, Usman / Lewis, Wyn G

BJS open

2024 Volume 8, Issue 2

MeSH term(s)	Humans ; Cost-Benefit Analysis ; Esophageal Neoplasms/therapy ; Adenocarcinoma/therapy
Language	English
Publishing date	2024-04-01
Publishing country	England
Document type	Journal Article
ISSN	2474-9842
ISSN (online)	2474-9842
DOI	10.1093/bjsopen/zrad159
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Article: Knee Osteoarthritis: An Investigation into the Clinical Practice of Physiotherapists in Canada.

Tittlemier, Brenda J / Wittmeier, Kristy D / Robinson, David B / Webber, Sandra C

Physiotherapy Canada. Physiotherapie Canada

2021 Volume 73, Issue 1, Page(s) 37–46

Abstract: Purpose: ...

Abstract	Purpose:
Language	English
Publishing date	2021-01-12
Publishing country	Canada
Document type	Journal Article
ZDB-ID	639189-8
ISSN	1708-8313 ; 0300-0508
ISSN (online)	1708-8313
ISSN	0300-0508
DOI	10.3138/ptc-2019-0068
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Zs.B 3116: Show issues

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Article ; Online: Disparities in rheumatoid arthritis outcomes for North American Indigenous populations.

Hitchon, Carol A / ONeil, Liam / Peschken, Christine A / Robinson, David B / Fowler-Woods, Amanda / El-Gabalawy, Hani S

International journal of circumpolar health

2023 Volume 82, Issue 1, Page(s) 2166447

Abstract: Advances in rheumatoid arthritis (RA) management have significantly improved clinical outcomes of this disease; however, some Indigenous North Americans (INA) with RA have not achieved the high rates of treatment success observed in other populations. We ...

Abstract	Advances in rheumatoid arthritis (RA) management have significantly improved clinical outcomes of this disease; however, some Indigenous North Americans (INA) with RA have not achieved the high rates of treatment success observed in other populations. We review factors contributing to poor long-term outcomes for INA with RA. We conducted a narrative review of studies evaluating RA in INA supplemented with regional administrative health and clinical cohort data on clinical outcomes and health care utilisation. We discuss factors related to conducting research in INA populations including studies of RA prevention. NA with RA have a high burden of genetic and environmental predisposing risk factors that may impact disease phenotype, delayed or limited access to rheumatology care and advanced therapy. These factors may contribute to the observed increased rates of persistent synovitis, premature end-stage joint damage and mortality. Novel models of care delivery that are culturally sensitive and address challenges associated with providing speciality care to patients residing in remote communities with limited accessibility are needed. Progress in establishing respectful research partnerships with INA communities has created a foundation for ongoing initiatives to address care gaps including those aimed at RA prevention. This review highlights some of the challenges of diagnosing, treating, and ultimately perhaps preventing, RA in INA populations.
MeSH term(s)	Humans ; Arthritis, Rheumatoid/diagnosis ; Arthritis, Rheumatoid/drug therapy ; Longitudinal Studies ; Population Groups ; Indigenous Peoples ; North America
Language	English
Publishing date	2023-01-16
Publishing country	United States
Document type	Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1386707-6
ISSN	2242-3982 ; 1239-9736
ISSN (online)	2242-3982
ISSN	1239-9736
DOI	10.1080/22423982.2023.2166447
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Zs.A 2467: Show issues

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Article ; Online: A retrospective cohort study of differential attainment, COVID and chaos: taking the difference out of a terrible trinity.

James, Osian P / Mellor, Katie / Luton, Oliver / Robinson, David B T / Walsh, Leona / Hemington-Gorse, Sarah / Egan, Richard J / Lewis, Wyn G

International journal of surgery (London, England)

2023 Volume 109, Issue 8, Page(s) 2359–2364

Abstract: Background: This study aimed to evaluate core surgical training (CST) differential attainment related to coronavirus disease 2019 (COVID-19), gender and ethnicity. The hypothesis was that COVID-19 adversely influenced CST outcomes.: Methods: A ... ...

Abstract	Background: This study aimed to evaluate core surgical training (CST) differential attainment related to coronavirus disease 2019 (COVID-19), gender and ethnicity. The hypothesis was that COVID-19 adversely influenced CST outcomes. Methods: A retrospective cohort study of 271 anonymised CST records was undertaken at a UK Statutory Education Body. Primary effect measures were Annual Review of Competency Progression Outcome (ARCPO), Membership of the Royal College of Surgeons (MRCS) examination pass and Higher Surgical Training National Training Number (NTN) appointment. Data were collected prospectively at ARCP and analysed with non-parametric statistical methods in SPSS. Results: CSTs numbering 138 completed training pre-COVID and 133 peri-COVID. ARCPO 1, 2 and 6 were 71.9% pre-COVID versus 74.4% peri-COVID ( P =0.844). MRCS pass rates were 69.6% pre-COVID versus 71.1% peri-COVID ( P =0.968), but NTN appointment rates diminished (pre-COVID 47.4% vs. peri-COVID 36.9%, P =0.324); none of the above varied by gender or ethnicity. Multivariable analyses by three models revealed: ARCPO was associated with gender [m:f 1:0.87, odds ratio (OR) 0.53, P =0.043] and CST theme (Plastics vs. General OR 16.82, P =0.007); MRCS pass with theme (Plastics vs. General OR 8.97, P =0.004); NTN with the Improving Surgical Training run-through programme (OR 5.00, P <0.001). Programme retention improved peri-COVID (OR 0.20, P =0.014) with pan University Hospital rotations performing better than Mixed or District General-only rotations (OR 6.63, P =0.018). Conclusion: Differential attainment profiles varied 17-fold, yet COVID-19 did not influence ARCPO or MRCS pass rates. NTN appointment fell by one-fifth peri-COVID, but overall training outcome metrics remained robust despite the existential threat.
MeSH term(s)	Humans ; Retrospective Studies ; Clinical Competence ; COVID-19/epidemiology ; Surgeons/education ; Educational Measurement ; United Kingdom/epidemiology
Language	English
Publishing date	2023-08-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1097/JS9.0000000000000488
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Zs.A 6502: Show issues

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Article ; Online: Perceived Access to Health Care of Indigenous Peoples in Canada with Rheumatoid Arthritis and their First-Degree Relatives.

Wiens, Dana / Smolik, Irene A / MacKay, Dylan / Fowler-Woods, Amanda / Robinson, David B / Barnabe, Cheryl / El-Gabalawy, Hani S / O'Neil, Liam J

The Journal of rheumatology

2024

Abstract: Objective: There are complex and interrelated factors that lead to inequitable healthcare delivery in Canada. Many of the factors that underlie these inequities for Canada's geographically dispersed Indigenous Peoples remain underexamined.: Methods: ... ...

Abstract	Objective: There are complex and interrelated factors that lead to inequitable healthcare delivery in Canada. Many of the factors that underlie these inequities for Canada's geographically dispersed Indigenous Peoples remain underexamined. Methods: A cohort of 831 First Nations (FN) individuals from urban and remote communities were recruited into a longitudinal study of rheumatoid arthritis (RA) risk from 2005-2017. Data from each participant's initial enrollment visit was assessed using a survey that captured concerns with health care access. Results: We found that remote participants with RA reported poor access compared to remote First-Degree Relatives (FDR, p<0.001), this difference was not observed for urban RA participants. We observed substantial differences based on sex; Females perceived access to care to be more difficult than males in both urban and remote cohorts (p<0.001). We also observed that male participants with RA reported poor access to care compared to male FDR. Importantly, access to care in remote communities appeared to improve over the duration of the study (p=0.01). In a logistic regression analysis, female sex, remote location, and older age were independent predictors of poor access to care. Predictors of poor access in participants with RA were also female sex, remote location and older age. Conclusion: FN peoples living in remote communities, particularly those with an established RA diagnosis, report more problems accessing healthcare. Sex-based inequities exist, with FN females reporting greater difficulties in accessing appropriate healthcare, irrespective of RA diagnosis. Addressing these sex-based inequities should be a high priority for improving healthcare delivery.
Language	English
Publishing date	2024-03-01
Publishing country	Canada
Document type	Journal Article
ZDB-ID	194928-7
ISSN	1499-2752 ; 0315-162X
ISSN (online)	1499-2752
ISSN	0315-162X
DOI	10.3899/jrheum.2023-1080
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Zs.A 1168: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 135: Show issues

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Article: Face validity of a virtual reality simulation platform to improve competency in endoscopy: a prospective observational cohort study.

Eley, Catherine / Hawkes, Neil D / Egan, Richard J / Robinson, David B / Brown, Chris / Murray, Sam / Siau, Keith / Lewis, Wyn

Endoscopy international open

2022 Volume 10, Issue 9, Page(s) E1218–E1224

Abstract: Background and study ... ...

Abstract	Background and study aims
Language	English
Publishing date	2022-09-14
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2761052-4
ISSN	2196-9736 ; 2364-3722
ISSN (online)	2196-9736
ISSN	2364-3722
DOI	10.1055/a-1882-4246
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Article ; Online: Prognostic significance of competition ratios in surgical specialty training selection.

Mellor, Katie / Robinson, David B / Luton, Oliver / James, Osian P / Powell, Arfon G M T / Hopkins, Luke / Hemington-Gorse, Sarah / Egan, Richard J / Lewis, Wyn G

Postgraduate medical journal

2023 Volume 98, Issue 1163, Page(s) 700–704

Abstract: Background: A competition ratio (CR) indicates the ratio of total applications for a training post when compared with numbers of specialty posts available. This study aimed to evaluate CRs' influence on National Training Number (NTN) selection in a ... ...

Abstract	Background: A competition ratio (CR) indicates the ratio of total applications for a training post when compared with numbers of specialty posts available. This study aimed to evaluate CRs' influence on National Training Number (NTN) selection in a single UK Statutory Education Body. Methods: Consecutive core surgical trainees numbering 154 (105 men, 49 women; median years since graduation: four) were studied over a 6-year period. Annual specialty specific CRs were obtained from Health Education England's website, and primary outcome measure was UK NTN appointment. Results: Overall NTN appointment was 45.5%. Median CR was 2.36; range Oral & Maxillofacial Surgery 0.70 (2020) to Neurosurgery 22.0 (2020). Multivariable analysis revealed that NTN success was associated with: CR (OR 0.46, p=0.003), a single scientific publication (OR 6.25, p=0.001), cohort year (2019, OR 12.65, p=0.003) and Universal Annual Review of Competence Progression Outcome 1 (OR 45.24, p<0.001). CRs predicted NTN appointment with a Youden index defined critical ratio of 4.42; 28.6% (n=8) versus 49.2% (n=62), p=0.018. Conclusion: CRs displayed 30-fold variation, with CRs below 4.42 associated with twofold better NTN promotion, but strong clinical competence and academic reach again emerged as the principal drivers of career advancement.
MeSH term(s)	Male ; Humans ; Female ; Prognosis ; Specialties, Surgical/education ; Education, Medical, Graduate ; Educational Status ; Neurosurgery ; United Kingdom
Language	English
Publishing date	2023-04-17
Publishing country	England
Document type	Journal Article
ZDB-ID	80325-x
ISSN	1469-0756 ; 0032-5473
ISSN (online)	1469-0756
ISSN	0032-5473
DOI	10.1136/postgradmedj-2020-139491
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Article ; Online: Enhanced Stress Resilience Training for UK Surgical Trainees; Effect and Evolution Evaluated.

Luton, Oliver W / James, Osian P / Mellor, Katie / Eley, Catherine / Hopkins, Luke / Robinson, David B T / Barlow, Emma / Lebares, Carter C / Lewis, Wyn G / Egan, Richard J

Journal of surgical education

2023 Volume 80, Issue 10, Page(s) 1395–1402

Abstract: Introduction: Core Surgical Training (CST) programs are associated with high burnout. This study aimed to assess the influence of Enhanced Stress Resilience Training (ESRT) over a 2-year period in a single UK Statutory Education Body.: Method: CSTs ... ...

Abstract	Introduction: Core Surgical Training (CST) programs are associated with high burnout. This study aimed to assess the influence of Enhanced Stress Resilience Training (ESRT) over a 2-year period in a single UK Statutory Education Body. Method: CSTs participated in 5-weeks of formal ESRT to address work stressors. The primary outcome measure was career progression related to curriculum metrics and National Training Number (NTN) appointment. Secondary measures related to burnout using validated psychological inventories. Results: Of 42 CSTs, 13 engaged fully with ESRT (31.0%; male 8, female 5, median age 28 year.), 11 engaged partially, and 18 did not. ESRT engagement was associated with better NTN appointment (ESRT 8/13 (61.5%) vs. not 1/18 (5.6%), p = 0.025), less burnout [aMBI; mean 5.14 (SD ± 2.35) vs. 3.14 (±2.25), F 6.637, p = 0.002, η Discussion: ESRT was associated with less stress and burnout, better mindfulness, and most importantly 13-fold better career progression.
Language	English
Publishing date	2023-08-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2277538-9
ISSN	1878-7452 ; 1931-7204
ISSN (online)	1878-7452
ISSN	1931-7204
DOI	10.1016/j.jsurg.2023.07.017
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Article ; Online: Gongs galore: phaleristic study of the relative risk of a healing art related New Year Honour.

Mellor, Katie / Powell, Arfon Gmt / James, Osian P / Robinson, David B / Hopkins, Luke / Egan, Richard John / Lewis, Wyn G

Postgraduate medical journal

2021 Volume 98, Issue 1158, Page(s) 252–257

Abstract: Objectives: To compare proportional representation of healthcare specialty workers, in receipt of New Year Honours (NYHs) and examine system bias.: Design: Observational study of UK honours system including comparative analysis of proportional ... ...

Abstract	Objectives: To compare proportional representation of healthcare specialty workers, in receipt of New Year Honours (NYHs) and examine system bias. Design: Observational study of UK honours system including comparative analysis of proportional representation of the UK medical workforce. Participants: Recipients of NYHs from 2010 to 2019. Main outcome measures: Absolute risk of receiving an NYH, related to medical specialty, gender and geographical region. Relative risk (RR) of receiving an NYH for services to healthcare related to specialty. Results: 11 207 NYHs were bestowed, with 368 (3.3%) awarded to healthcare professionals: 212 (57.6%) women, 156 (42.4%) men. The RR of a healthcare professional receiving an NYH was 0.76 (95% CI 0.68 to 0.84, p<0.001) when compared with the remaining UK workforce. Doctors received most NYHs (n=181), with public health, clinical oncology and general medicine specialties most likely to be rewarded (RR 20.35 (95% CI 9.61 to 43.08, p<0.001), 8.43 (95% CI 2.70 to 26.30, p<0.001) and 8.22 (95% CI 6.22 to 10.86, p<0.001)), respectively; anaesthetists received fewest NYHs (RR 0.52 (95% CI 0.13 to 2.10), p=0.305). Men were more likely to receive NYHs than women (OR 0.44, 95% CI 0.36 to 0.54; p<0.001). Two hundred and fifty-four NYHs (69.0%) were bestowed on residents of England (60, 16.3% London), 49 (13.3%) Scotland (p=0.003), 39 (10.6%) Wales (p<0.001) and 26 (7.1%) Northern-Ireland (p<0.001). Conclusions: Relative risk of receiving an NYH varied over 150-fold by specialty, twofold by gender and threefold by geographical location. Public health physicians are perceived to be the pick of the parade.
MeSH term(s)	Awards and Prizes ; Female ; General Practice ; Humans ; Male ; Physicians ; Risk ; Workforce
Language	English
Publishing date	2021-02-09
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	80325-x
ISSN	1469-0756 ; 0032-5473
ISSN (online)	1469-0756
ISSN	0032-5473
DOI	10.1136/postgradmedj-2020-139368
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