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  1. Article ; Online: The Cleft Clinic Passport-Improving the Patient Experience.

    Vithlani, Gauri / Stephenson, Katy / Beale, Victoria

    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    2020  Volume 58, Issue 7, Page(s) 928–930

    Abstract: Challenges in patient and public understanding of the cleft multidisciplinary team (MDT) clinic were highlighted in the Cleft Care UK report in 2012. An innovative personalized visual guide was designed to improve understanding of cleft MDT clinic and ... ...

    Abstract Challenges in patient and public understanding of the cleft multidisciplinary team (MDT) clinic were highlighted in the Cleft Care UK report in 2012. An innovative personalized visual guide was designed to improve understanding of cleft MDT clinic and encourage child engagement at the Royal Manchester Children's Hospital. We demonstrate the use of Public and Patient Involvement to produce this novel visual educational tool in the Cleft MDT setting, which can form part of a personal health record.
    MeSH term(s) Child ; Humans ; Patient Care Team ; Patient Outcome Assessment
    Language English
    Publishing date 2020-11-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1069409-2
    ISSN 1545-1569 ; 0009-8701 ; 1055-6656
    ISSN (online) 1545-1569
    ISSN 0009-8701 ; 1055-6656
    DOI 10.1177/1055665620970420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 451: 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)

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  2. Article ; Online: Length of biliopancreatic limb in Roux-en-Y gastric bypass and its impact on post-operative outcomes in metabolic and obesity surgery-systematic review and meta-analysis.

    Kamocka, Anna / Chidambaram, Swathikan / Erridge, Simon / Vithlani, Gauri / Miras, Alexander Dimitri / Purkayastha, Sanjay

    International journal of obesity (2005)

    2022  Volume 46, Issue 11, Page(s) 1983–1991

    Abstract: Background: Roux-en-Y gastric bypass (RYGB) is a gold-standard procedure for treatment of obesity and associated comorbidities. No consensus on the optimal design of this operation has been achieved, with various lengths of bypassed small bowel limb ... ...

    Abstract Background: Roux-en-Y gastric bypass (RYGB) is a gold-standard procedure for treatment of obesity and associated comorbidities. No consensus on the optimal design of this operation has been achieved, with various lengths of bypassed small bowel limb lengths being used by bariatric surgeons. This aim of this systematic review and meta-analysis was to determine whether biliopancreatic limb (BPL) length in RYGB affects postoperative outcomes including superior reduction in weight, body mass index (BMI), and resolution of metabolic comorbidities associated with obesity.
    Methods: A systematic search of the literature was conducted up until 1st June 2021. Meta-analysis of primary outcomes was performed utilising a random-effects model. Statistical significance was determined by p value < 0.05.
    Results: Ten randomised controlled trials were included in the final quantitative analysis. No difference in outcomes following short versus long BLP in RYGB was identified at 12-72 months post-operatively, namely in BMI reduction, remission or improvement of type 2 diabetes mellitus, hypertension, dyslipidaemia, and complications (p > 0.05). Even though results of four studies showed superior total body weight loss in the long BPL cohorts at 24 months post-operatively (pooled mean difference -6.92, 95% CI -12.37, -1.48, p = 0.01), this outcome was not observed at any other timepoint.
    Conclusion: Based on the outcomes of the present study, there is no definitive evidence to suggest that alteration of the BPL affects the quantity of weight loss or resolution of co-existent metabolic comorbidities associated with obesity.
    MeSH term(s) Humans ; Gastric Bypass/methods ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/surgery ; Diabetes Mellitus, Type 2/complications ; Weight Loss ; Obesity/epidemiology ; Obesity/surgery ; Obesity/complications ; Body Mass Index ; Obesity, Morbid/complications ; Obesity, Morbid/epidemiology ; Obesity, Morbid/surgery ; Treatment Outcome ; Retrospective Studies
    Language English
    Publishing date 2022-08-04
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 752409-2
    ISSN 1476-5497 ; 0307-0565
    ISSN (online) 1476-5497
    ISSN 0307-0565
    DOI 10.1038/s41366-022-01186-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1325: 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)

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  3. Article ; Online: Symptomatic, biochemical and radiographic recovery in patients with COVID-19.

    Mallia, Patrick / Meghji, Jamilah / Wong, Brandon / Kumar, Kartik / Pilkington, Victoria / Chhabra, Shaan / Russell, Ben / Chen, Jian / Srikanthan, Karthikan / Park, Mirae / Owles, Harriet / Liew, Felicity / Alcada, Joana / Martin, Laura / Coleman, Meg / Elkin, Sarah / Ross, Clare / Agrawal, Shweta / Gardiner, Thomas /
    Bell, Aaron / White, Alice / Hampson, Dominic / Vithlani, Gauri / Manalan, Kavina / Bramer, Solange / Martin Segura, Alejandra / Kucheria, Anushree / Ratnakumar, Prashanthi / Sheeka, Alexander / Anandan, Lavanya / Copley, Susan / Russell, Georgina / Bloom, Chloe I / Kon, Onn Min

    BMJ open respiratory research

    2021  Volume 8, Issue 1

    Abstract: Background: The symptoms, radiography, biochemistry and healthcare utilisation of patients with COVID-19 following discharge from hospital have not been well described.: Methods: Retrospective analysis of 401 adult patients attending a clinic ... ...

    Abstract Background: The symptoms, radiography, biochemistry and healthcare utilisation of patients with COVID-19 following discharge from hospital have not been well described.
    Methods: Retrospective analysis of 401 adult patients attending a clinic following an index hospital admission or emergency department attendance with COVID-19. Regression models were used to assess the association between characteristics and persistent abnormal chest radiographs or breathlessness.
    Results: 75.1% of patients were symptomatic at a median of 53 days post discharge and 72 days after symptom onset and chest radiographs were abnormal in 47.4%. Symptoms and radiographic abnormalities were similar in PCR-positive and PCR-negative patients. Severity of COVID-19 was significantly associated with persistent radiographic abnormalities and breathlessness. 18.5% of patients had unscheduled healthcare visits in the 30 days post discharge.
    Conclusions: Patients with COVID-19 experience persistent symptoms and abnormal blood biomarkers with a gradual resolution of radiological abnormalities over time. These findings can inform patients and clinicians about expected recovery times and plan services for follow-up of patients with COVID-19.
    MeSH term(s) Aftercare/methods ; Aftercare/organization & administration ; Biomarkers/analysis ; COVID-19/blood ; COVID-19/diagnostic imaging ; COVID-19/epidemiology ; COVID-19/physiopathology ; Female ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care/statistics & numerical data ; Patient Discharge/standards ; Radiography, Thoracic/methods ; Radiography, Thoracic/statistics & numerical data ; Recovery of Function ; Retrospective Studies ; SARS-CoV-2 ; Severity of Illness Index ; Symptom Assessment/methods ; Symptom Assessment/statistics & numerical data ; Time Factors ; United Kingdom/epidemiology
    Chemical Substances Biomarkers
    Language English
    Publishing date 2021-04-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2736454-9
    ISSN 2052-4439 ; 2052-4439
    ISSN (online) 2052-4439
    ISSN 2052-4439
    DOI 10.1136/bmjresp-2021-000908
    Database MEDical Literature Analysis and Retrieval System OnLINE

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