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  1. Article ; Online: Experiences and perceptions of working with Anaesthesia Associates: a survey of UK anaesthetists in training.

    Evans, Ben / Turkoglu, Leyla M / Brooks, James / Subramaniam, Jeevakan / Edwardson, Stuart / Freeman, Naomi / McCrossan, Roopa / Wong, Danny J N

    British journal of anaesthesia

    2024  Volume 132, Issue 5, Page(s) 964–966

    MeSH term(s) Humans ; Anesthesia ; Anesthesiology/education ; Surveys and Questionnaires ; Anesthetists ; United Kingdom
    Language English
    Publishing date 2024-02-28
    Publishing country England
    Document type Letter
    ZDB-ID 80074-0
    ISSN 1471-6771 ; 0007-0912
    ISSN (online) 1471-6771
    ISSN 0007-0912
    DOI 10.1016/j.bja.2024.01.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A simulation study investigating the spread of water droplets during oxygen therapy: where is it safe to stand?

    Subramaniam, Jeevakan / Meeks, Daveena / Forbes, Anna / Wong, Danny J N / Ward, Christopher / McKechnie, Andrew

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2021  Volume 68, Issue 9, Page(s) 1448–1449

    MeSH term(s) Computer Simulation ; Humans ; Oxygen ; Oxygen Inhalation Therapy ; Water
    Chemical Substances Water (059QF0KO0R) ; Oxygen (S88TT14065)
    Language English
    Publishing date 2021-04-27
    Publishing country United States
    Document type Letter
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-021-02003-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pilot randomised controlled trial of a brief mindfulness-based intervention for those with persistent pain.

    Howarth, Ana / Riaz, Muhammad / Perkins-Porras, Linda / Smith, Jared G / Subramaniam, Jeevakan / Copland, Claire / Hurley, Mike / Beith, Iain / Ussher, Michael

    Journal of behavioral medicine

    2019  Volume 42, Issue 6, Page(s) 999–1014

    Abstract: A pilot-randomised controlled trial (RCT) examined the effects of a brief mindfulness-based intervention (MBI) on persistent pain patients and assessed the feasibility of conducting a definitive RCT. A brief (15 min) mindfulness body-scan audio was ... ...

    Abstract A pilot-randomised controlled trial (RCT) examined the effects of a brief mindfulness-based intervention (MBI) on persistent pain patients and assessed the feasibility of conducting a definitive RCT. A brief (15 min) mindfulness body-scan audio was compared with an active control administered in a clinic and then used independently over 1 month. Immediate effects of the intervention were assessed with brief measures of pain severity, distraction and distress. Assessments at baseline, 1 week and 1 month included pain severity and interference, mood, pain-catastrophizing, mindfulness, self-efficacy, quality of life and intervention acceptability. Of 220 referred patients, 147 were randomised and 71 completed all assessments. There were no significant immediate intervention effects. There were significant positive effects for ratings of intervention 'usefulness' at 1 week (p = 0.044), and pain self-efficacy at 1 month (p = 0.039) for the MBI group compared with control. Evidently, it is feasible to recruit persistent pain patients to a brief MBI study. Strategies are needed to maximise retention of participants.Trial registration Current controlled trials ISRCTN61538090. Registered 20 April 2015.
    MeSH term(s) Adult ; Aged ; Catastrophization/psychology ; Catastrophization/therapy ; Chronic Pain/psychology ; Chronic Pain/therapy ; Female ; Humans ; Male ; Middle Aged ; Mindfulness ; Pilot Projects ; Quality of Life/psychology ; Self Efficacy ; Treatment Outcome
    Language English
    Publishing date 2019-04-22
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 441827-x
    ISSN 1573-3521 ; 0160-7715
    ISSN (online) 1573-3521
    ISSN 0160-7715
    DOI 10.1007/s10865-019-00040-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Anaesthetic Higher Specialty Training Recruitment in the United Kingdom During the COVID-19 Pandemic: A National Survey

    Durrant, Fionnuala / Edwardson, Stuart / El-Ghazali, Sally / Holt, Christopher / McCrossan, Roopa / Pramanik, Ileena / Subramaniam, Jeevakan / Wong, Danny Jon Nian

    medRxiv

    Abstract: The most recent ST3 Anaesthetic recruitment for posts commencing in August 2021 saw larger numbers of applicants (n = 1,056) compared to previous years, with approximately 700 applicants failing to secure an ST3 post. We surveyed 536 anaesthetic junior ... ...

    Abstract The most recent ST3 Anaesthetic recruitment for posts commencing in August 2021 saw larger numbers of applicants (n = 1,056) compared to previous years, with approximately 700 applicants failing to secure an ST3 post. We surveyed 536 anaesthetic junior doctors who applied for ST3 posts during this application round with the aim of investigating their experience of the recruitment process this year (response rate 536/1,056 = 51%). Approximately 61% were not offered ST3 posts (n = 326), a similar proportion to that previously reported. We asked all respondents what their potential career plans were for the next 12 to 24 months. The majority expressed intentions to take up either CT3 top-up posts or non-training fellow posts from August 2021 (79%). Other options considered by respondents included: pursuing work abroad (17%), embarking on a career break (16%), taking up an ST3 post in intensive care medicine instead of anaesthetics (15%) and permanently leaving the medical profession (9%). A number of respondents expressed a desire to pursue training in a different medical specialty (9%). Some respondents expressed an intention to pursue further education or research (10%). A large proportion of respondents (42%) expressed a lack of confidence in being able to achieve the necessary training requirements to later apply for ST4 in August 2023. The majority of respondents reported not feeling confident in achieving GMC Specialty Registration in Anaesthesia in the future without a training number (75%), and that their wider life plans have been disrupted due to the impending time out of training (78%). We received a total of 384 free-text responses to a question asking about general concerns regarding the ST3 applications process. Sentiment analysis of these free-text responses indicated that respondents felt generally negatively about the ST3 recruitment process. Some themes that were elicited from the responses included: respondents feeling the recruitment process lacked fairness, respondents suffering burnout and negative impacts on their wellbeing, difficulties in making plans for their personal lives, and feeling undervalued and abandoned despite having made personal sacrifices to support the health service during the COVID-19 pandemic. These results suggest that junior anaesthetic doctors in the UK currently have a negative perception towards postgraduate training structures, which has been exacerbated by the COVID-19 pandemic, changes to the postgraduate training curriculum and difficulties in securing higher training posts.
    Keywords covid19
    Language English
    Publishing date 2021-07-07
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.07.03.21259616
    Database COVID19

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  5. Article ; Online: Pilot study evaluating a brief mindfulness intervention for those with chronic pain: study protocol for a randomized controlled trial.

    Howarth, Ana / Perkins-Porras, Linda / Smith, Jared G / Subramaniam, Jeevakan / Copland, Claire / Hurley, Mike / Beith, Iain / Riaz, Muhammad / Ussher, Michael

    Trials

    2016  Volume 17, Issue 1, Page(s) 273

    Abstract: Background: The burden of chronic pain is a major challenge, impacting the quality of life of patients. Intensive programmes of mindfulness-based therapy can help patients to cope with chronic pain but can be time consuming and require a trained ... ...

    Abstract Background: The burden of chronic pain is a major challenge, impacting the quality of life of patients. Intensive programmes of mindfulness-based therapy can help patients to cope with chronic pain but can be time consuming and require a trained specialist to implement. The self-management model of care is now integral to the care of patients with chronic pain; home-based interventions can be very acceptable, making a compelling argument for investigating brief, self-management interventions. The aim of this study is two-fold: to assess the immediate effects of a brief self-help mindfulness intervention for coping with chronic pain and to assess the feasibility of conducting a definitive randomized controlled trial to determine the effectiveness of such an intervention.
    Methods/design: A randomized controlled pilot study will be conducted to evaluate a brief mindfulness intervention for those with chronic pain. Ninety chronic pain patients who attend hospital outpatient clinics will be recruited and allocated randomly to either the control or treatment group on a 1:1 basis using the computer-generated list of random numbers. The treatment group receives mindfulness audios and the control group receives audios of readings from a non-fiction book, all of which are 15 minutes in length. Immediate effects of the intervention are assessed with brief psychological measures immediately before and after audio use. Mindfulness, mood, health-related quality of life, pain catastrophizing and experience of the intervention are assessed with standardized measures, brief ratings and brief telephone follow-ups, at baseline and after one week and one month. Feasibility is assessed by estimation of effect sizes for outcomes, patient adherence and experience, and appraisal of resource allocation in provision of the intervention.
    Discussion: This trial will assess whether a brief mindfulness-based intervention is effective for immediately reducing perceived distress and pain with the side effect of increasing relaxation in chronic pain patients and will determine the feasibility of conducting a definitive randomized controlled trial. Patient recruitment began in January 2015 and is due to be completed in June 2016.
    Trial registration: ISRCTN61538090 Registered 20 April 2015.
    MeSH term(s) Adaptation, Psychological ; Catastrophization/psychology ; Chronic Pain/diagnosis ; Chronic Pain/psychology ; Chronic Pain/therapy ; Clinical Protocols ; Humans ; London ; Mental Health ; Mindfulness ; Pain Measurement ; Patient Compliance ; Pilot Projects ; Psychotherapy, Brief/methods ; Quality of Life ; Research Design ; Self Care/methods ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2016-06-02
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1468-6708
    ISSN (online) 1745-6215 ; 1468-6694
    ISSN 1468-6708
    DOI 10.1186/s13063-016-1405-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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