bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medical–legal partnerships: 11 years' experience of providing acute legal advice for critically ill patients and their families
Authors: Eynon C. Andrew , Robinson Lucy J. , Smith Kara M. 
Published: March 2019

Background Medical–legal partnerships integrate lawyers into health care to identify and address legal problems that can create and perpetuate disparities in health for patients and their families. They have previously been utilised for patients who are at high-risk of being disadvantaged such as the elderly, the disabled and those affected by chronic diseases. We have used a partnership to address the legal needs of patients with acute, critical illness including major trauma. Method In 2007, a free, comprehensive legal advice service was established at University Hospital Southampton NHS Foundation Trust. The service is bound by strict guidelines which have been endorsed by NHS England. The legal service is specifically prevented from acting against the NHS. A retrospective analysis of the service over a period of 11 years was undertaken to look at the range of legal advice sought. Where a potential compensation claim against a third party was identified, the percentage of cases where the legal service was instructed was noted and the outcome for those cases was examined in further detail. Results Five hundred and fifty-one patients and or their families have been referred to the legal service. Of these, 343 had sustained major trauma. Over 2300 hours of free legal advice were provided on non-compensation issues, primarily related to welfare benefits, local authority assistance, obtaining power of attorney or seeking Deputyship from the Court of Protection and claims against existing insurance policies. Two hundred and seventy-five of the 551 patients (50%) were found to have a potential compensation claim against a third party. The legal service was instructed to pursue a claim in 82 cases. Interim payments of nearly £13 million were provided and £128 million of compensation has been awarded in 51 cases that have been settled. Discussion Medical–legal partnerships are well-established in the USA. We have demonstrated that in UK, there is a demand for early legal advice for patients who have sustained critical illness including major trauma. More data are required to identify the rehabilitation outcomes for patients who have received legal support. A similar medical–legal partnership should be considered at every acute NHS Trust.
State of the Science: A Scoping Review and Gap Analysis of Diabetes Online Communities
Authors: Litchman Michelle L. , Walker Heather R. , Ng Ashley H. , Wawrzynski Sarah E. , Oser Sean M. , Greenwood Deborah A. , Gee Perry M. , Lackey Mellanye , Oser Tamara K. 
Published: March 2019

Background: Individuals with diabetes are using online resources to engage in diabetes online communities to find diabetes-related support and information. The benefits and consequences of DOC (diabetes online community) use are unclear. This scoping review aims to map existing research focused on organic DOCs in which individuals affected by diabetes are interacting with peers. Method: A scoping review was conducted to comprehensively report and synthesize relevant literature published prior to 2018. Attention was paid to variations in study design, DOC user and platform characteristics, and potential or actual benefits and consequences. Results: Of the 14 486 titles identified, 47 articles met the inclusion criteria and were included in this scoping review. No overt definition of the DOC could be identified. Perceived or actual benefits associated with DOC use can be broadly categorized as clinical, behavioral, psychosocial and community outcomes. Perceived, potential, or actual consequences associated with DOC use were categorized as quality of information, risky behavior exploration, acute concerns, psychosocial, privacy, and inactivity. Conclusions: The results of this review strongly suggest DOC use is highly beneficial with relatively few negative consequences. DOC use is an emerging area of research and research gaps exist. Future research should seek to identify benefits and consequences to DOC use in experimental trials.
The future of penile prosthetic surgery in the UK
Authors: Bates AS , Pearce I , Terry TR 
Published: March 2019

Introduction: The provision of penile prosthetic surgery (PPS) in the United Kingdom needs to be reviewed given the twin popular philosophies of Centres of Excellence, as defined by high case volume yielding best outcomes, and Getting It Right First Time (GIRFT), defined as effective and efficient use of resources. Methods: To recognise centres of high volume of PPS and their location, we interrogated Hospital Episode Statistic (HES) data between 2014 and 2017. From this analysis we advance a model of the 10 British Association of Urological Surgeons (BAUS) regions in England providing PPS, working largely to recommendations made by National Health Service (NHS) England through its Clinical Commissioning Policy for Penile Prosthesis. Results: Between 2014 and 2017, there were 2361 surgical procedures undertaken, and of these, primary implantations numbered 1330 and revisions 1031. University College London Hospitals performed more than 50% of all primary implantations and 52% of all revisions. Across England for the year 2017, there were 301 primary implantations and 442 revisions. Discussion: We suggest that revision surgery for device mechanical failure should be within the remit of these centres but referral of complex revision surgery irrespective of aetiology may warrant referral to defined tertiary centres in London, the Midlands and the North of England. Conclusion: Prospective data on patient outcomes from PPS are urgently needed, and NHS England should regard a national database of PPS as essential. We advance a model of the 10 BAUS regions in England providing PPS as a distributed and geographically equitable network for primary implantation. A regionalised network of revision surgery should be considered. Level of evidence: Not applicable for this multicentre audit.
Mobile Outreach: An Innovative Program for Older Orthopedic Patients in Care Facilities
Authors: Switzer Julie A. , Schroder Lisa K. 
Published: March 2019

Introduction: The worldwide incidence of fragility fractures is increasing and the greatest burden is borne by the oldest population. Mobile Outreach, an innovative orthopedic-based program providing on-site musculoskeletal care for individuals in nursing care facilities, was implemented as part of our Geriatric Orthopaedic Trauma Program. The objectives of this report are to describe characteristics of patients cared for through Mobile Outreach and to report specific services provided. Program Description: Based from a nonprofit, private hospital that serves as the community’s level 1 trauma center and teaching hospital, the Mobile Outreach Program is directed by an orthopedic surgeon with geriatric subspecialization and staffed by a full-time geriatric nurse practitioner. Patients receive care for musculoskeletal concerns and fracture assessments at their nursing care facilities by a Mobile Outreach care provider. Referral for care is from nursing care facilities or as scheduled postoperative follow-up. Results: In 2016, the program treated 458 patients (76% female) in the patients’ care settings for a total of 689 visits. The mean age was 81 years (standard deviation = 14; range 25-107). Care of patients included nonoperative fracture care in 100 (22%), postoperative fracture follow-up in 149 (33%), injections for pain management in 184 (40%), and other orthopedic care in 25 (5%). Visits occurred at 88 facilities, mean 7 visits per site (range 1-57). Conclusions: Mobile Outreach was implemented to improve postoperative fracture care in the elderly patients. The program also provides on-site nonoperative fracture care and care of frail elderly individuals with chronic musculoskeletal conditions. This report aims to establish the feasibility of a program focused on the provision of appropriate, coordinated care for older fracture patients in their care facility. Level of Evidence: Level V.
A Study of Brand Equity Formation in the Fast Moving Consumer Goods Category
Authors: Shariq Mohammad 
Published: March 2019

Purpose: To identify key relationships in building brand equity in the fast-moving consumer good (FMCG) category in the United Arab Emirates. Design/methodology/approach: It is postulated that marketing elements impact brand equity dimensions which in turn impact the brand equity construct. Five marketing mix elements were selected—price, distribution intensity, advertising, price promotions and non-price promotions, and four dimensions of brand awareness, brand loyalty, perceived quality and brand associations, finally to overall brand equity. Data were collected from a broad sample. Structural equation modeling was used to test the relationships among the 10 constructs. Findings: Brand loyalty and perceived quality have a significant impact on brand equity, whereas brand awareness and brand association were weak. Brand awareness has a significant influence on brand loyalty. Distribution intensity and non-price promotions have a positive relationship with all the brand equity dimensions, whereas weak support was determined for pricing and advertising. Conclusion: In the FMCG category building strong brand awareness combined with wide distribution and supported by non-price promotions are critical to building brand loyalty which in turn impacts brand equity. Originality/value: This study contributes to the general body of knowledge on branding and provides a starting point for further research in the region.
A randomized controlled trial of trigger finger release under digital anesthesia with (WALANT) and without adrenaline
Authors: Mohd Rashid Mohd Zaim , Sapuan Jamari , Abdullah Shalimar 
Published: March 2019

Background: Trigger finger release utilizing wide-awake local anesthesia no tourniquet (WALANT) usage in extremity surgery is not widely used in our setting due to the possibility of necrosis. Usage of a tourniquet is generally acceptable for providing surgical field hemostasis. We evaluate hemostasis score, surgical field visibility, onset and duration of anesthesia, pain score, and the duration of surgery and potential side effects of WALANT. Methods: Eighty-six patients scheduled for trigger finger release between July 2016 and December 2017 were randomized into a control group (1% lignocaine and 8.4% sodium bicarbonate with arm tourniquet; given 10 min prior to procedure) and an intervention group (1% lignocaine, 1:100,000 of adrenaline and 8.4% sodium bicarbonate; given 30 min prior to procedure), with a total of 4 ml of solution injected around the A1 pulley. The onset of anesthesia and pain score upon injection of the first 1 ml were recorded. After the procedure, the surgeon rated for the hemostasis score (1–10: 1 as no bleeding and 10 being profuse bleeding). Duration of surgery and return of sensation were recorded. Results: Hemostasis score was grouped into visibility score as 1–3: good, 4–6: moderate, and 7–10: poor. The intervention group (with adrenaline) had a 74% of good surgical field visibility compared to 44% from the controlled group (without adrenaline; p < 0.05). Duration of anesthesia was longer in the intervention group (with adrenaline), with a 2.77-h difference. Conclusion: WALANT provides excellent surgical field visibility and is safe and on par with conventional methods but without the usage of a tourniquet and its associated discomfort.
Simplifying the diagnosis of inherited platelet disorders? The new tools do not make it any easier
Authors: Greinacher Andreas , Eekels Julia J. M. 
Published: March 2019

Abstract
The molecular causes of many inherited platelet disorders are being unraveled. Next-generation sequencing facilitates diagnosis in 30% to 50% of patients. However, interpretation of genetic variants is challenging and requires careful evaluation in the context of a patient’s phenotype. Before detailed testing is initiated, the treating physician and patient should establish an understanding of why testing is being performed and discuss potential consequences, especially before testing for variants in genes associated with an increased risk for hematologic malignancies.
Adjuvant Therapy for Resected Biliary Tract Cancer: ASCO Clinical Practice Guideline
Authors: Shroff Rachna T. , Kennedy Erin B. , Bachini Melinda , Bekaii-Saab Tanios , Crane Christopher , Edeline Julien , El-Khoueiry Anthony , Feng Mary , Katz Matthew H.G. , Primrose John , Soares Heloisa P. , Valle Juan , Maithel Shishir K. 
Published: March 2019

PURPOSE To develop an evidence-based clinical practice guideline to assist in clinical decision making for patients with resected biliary tract cancer. METHODS ASCO convened an Expert Panel to conduct a systematic review of the literature on adjuvant therapy for resected biliary tract cancer and provide recommended care options for this patient population. RESULTS Three phase III randomized controlled trials, one phase II trial, and 16 retrospective studies met the inclusion criteria. RECOMMENDATIONS Based on evidence from a phase III randomized controlled trial, patients with resected biliary tract cancer should be offered adjuvant capecitabine chemotherapy for a duration of 6 months. The dosing used in this trial is described in the qualifying statements, while it should be noted that the dose of capecitabine may also be determined by institutional and regional practices. Patients with extrahepatic cholangiocarcinoma or gallbladder cancer and a microscopically positive surgical resection margin (R1 resection) may be offered chemoradiation therapy. A shared decision-making approach is recommended, considering the risk of harm and potential for benefit associated with radiation therapy for patients with extrahepatic cholangiocarcinoma or gallbladder cancer. Additional information is available at www.asco.org/gastrointestinal-cancer-guidelines .
Provider Involvement in Care During Initial Cancer Treatment and Patient Preferences for Provider Roles After Initial Treatment
Authors: Radhakrishnan Archana , Li Yun , Furgal Allison K.C. , Hamilton Ann S. , Ward Kevin C. , Jagsi Reshma , Katz Steven J. , Hawley Sarah T. , Wallner Lauren P. 
Published: March 2019

PURPOSE:Patients report strong preferences regarding which provider—oncologist or primary care provider (PCP)—handles their primary care after initial cancer treatment (eg, other cancer screenings, preventive care, comorbidity management). Little is known about associations between provider involvement during initial cancer treatment and patient preferences for provider roles after initial treatment.METHODS:Women who received a diagnosis of early-stage breast cancer in 2014 to 2015 were identified from the Georgia and Los Angeles County SEER registries and surveyed (N = 2,502; 68% response rate). Women reported the level of their providers’ involvement in their care during initial cancer treatment. Associations between level of medical oncologist’s participation and PCP’s engagement during initial cancer treatment and patient preferences for oncologist led ( v PCP led) other cancer screenings after initial treatment were examined using multivariable logistic regression models.Results:During their initial cancer treatment, 20% of women reported medical oncologists participated substantially in delivering primary care and 66% reported PCPs were highly engaged in their cancer care. Two-thirds (66%) of women preferred medical oncologists to handle other cancer screenings after initial treatment. Women who reported substantial medical oncologist participation in primary care were more likely (adjusted odds ratio, 1.42; 95% CI, 1.05 to 1.91) and those who reported high PCP engagement in cancer care were less likely (adjusted odds ratio, 0.41; 95% CI, 0.31 to 0.53) to prefer oncologist-led other cancer screenings after initial treatment.Conclusions:Providers’ involvement during initial cancer treatment may affect patient preferences regarding provision of follow-up primary care. Clarifying provider roles as early as during cancer treatment may help to better delineate their roles throughout survivorship.
Gestão sustentável participativa transnacional: o direito de acesso a água potável, saneamento e sua governança global
Authors: Caldas Roberto Correia da Silva Gomes , Mata Diz Jamile Bergamaschine , Andreucci Álvaro Gonçalves Antunes , Rodrigues da Costa Elizabeth Accioly 
Published: March 2019

Atualmente, o debate sobre os usos da água, seu saneamento e gestão sustentável, tanto em âmbito nacional quanto internacional, trouxeram como pauta de relevo para os Estados, as Organizações Internacionais e as entidades privadas a necessidade de procedimentos para uma regulação concertada transnacional deste recurso natural em criação de sua global governance. Nesse sentido, dentro de uma ética discursiva do agir comunicativo, trabalhada por Habermas e Apel, a concepção da água como um direito subjetivo (direito humano fundamental) e, ao mesmo tempo, um bem comum, contribui para a superação da dicotomia clássica entre público e privado, segundo uma racionalidade ambiental em que, inclusive enquanto um dos Objetivos de Desenvolvimento Sustentável (ODSs), o seu tratamento se dá de forma concertada, (re)criando-se, assim, um novo contexto no qual tal recurso possa ser eficientemente disponibilizado e compartilhado com a humanidade.
Phalangeal fracture leading to digital amputation, sustained during manipulation for Dupuytren’s disease as part of clostridial collagenase treatment
Authors: Richards K , Sethu C , Tiernan E 
Published: March 2019

Collagenase injection was approved in Europe for use in the treatment of Dupuytren’s disease in 2011. Reported adverse effects include skin tears, swelling, pain and complex regional pain syndrome. Here, we present a case of a rare complication of phalangeal fracture following treatment with collagenase clostridium and the resultant digital amputation. An 81-year-old man was treated for a 25-year history of progressively disabling Dupuytren’s disease of his left middle and ring fingers. Nine days post-manipulation he presented with persistent pain and swelling and was diagnosed with a displaced fracture of the proximal phalanx of his ring finger. Following discussion of surgical options and potential outcome, he elected to undergo amputation of the digit. He has experienced good treatment results in his middle finger and has no significant functional impairment as a result of this complication. Those offering collagenase injection in the management of Dupuytren’s disease should be aware of this potential complication and it should be included in the consent process.
The Use Of Control Suture In Cleft Lip Surgery
Authors: Sudjatmiko Gentur , Ramadan Mohamad Rachadian 
Published: March 2019

To achieve an optimal result in cleft surgery, executing the proper designs and precise techniques are mandatory.
Several techniques are proposed for the repair of unilateral and bilateral cleft lip. In 1955, Millard !rst described the techniques of advancing a lateral upper lip "ap combined with downward rotation of the medial segment.1 From experience, the above- mentioned technique may be modi!ed to facilitate better lip rotation and symmetry. Technically, it also provides a more ef!cient work"ow and more accurate results. All efforts in lip repairs have one ultimate goal, which is to achieve corrected lips with minimal scar and as much resemblance to that of the normal lips: by anatomy, symmetry, and muscle function.
The Incidence and Characteristic of Acute Kidney Injury as A Complication of Severe Burn Injury in Patients Receiving Fluid Resuscitation
Authors: Biben Johannes Albert 
Published: March 2019

Background: Acute kidney injury is important factor that can increase mortality in patient with severe burn injury. Knowledge about incidence and characteristic of acute kidney injury among severe burned patients will help medical practitioner to establish appropriate medical decision and health care protocol.
Method: PubMed, Cochrane Library, and GoogleTM search yielded 12 articles. The articles were screened by inclusion criteria, exclusion criteria, and full text reading. Five remaining articles appraised in regard of validity, importance, and applicability.
Result: Incidence of acute kidney injury among severely burned patients varies from 24.4% to 53.3%. According to the study with best level of evidence, a systematic review, the incidence of AKI is 28.8% (95% CI 26.8%-30.7%). AKI can occur early or late, and may progress. Progressive AKI has highest mortality rate.
Conclusion: AKI is common complication among patients with severe burn injury. Approximately one- third to half of patients with severe burn injury will develop AKI in the course of the disease. Early clinical assessment and re-evaluation are important in severe burn injury management.
Use of Resorbable Plate and Screws in Pediatric Craniofacial Reconstructive Surgery
Authors: Kreshanti Prasetyanugraheni , Handayani Siti , Bangun Kristaninta , Tiza Melina 
Published: March 2019

Background: To evaluate two pediatric patients with syndromic craniofacial anomaly that underwent craniofacial reconstructive surgery using resorbable plate-screw systems which have been claimed as biodegradable fixation materials and used in craniofacial reconstructive procedures owing to their advantages such as adequate biomechanical resistance, longer dwelling time, elimination through physiological routes without causing any foreign body reaction and/or significant sequale.
Patient and Method: Resorbable plate-screw systems used in 2 patiens for craniofacial reconstructive procedures such as bilateral fronto-orbital advancement and segmental right orbita (four wall box) osteotomy were evaluated as for their efficacy.
Result: Adequate fixation was obtained in both patient, but Infection complication was seen in segmental right orbita osteotomy patient that appear localized abcess formation on subciliary incision and fronto medial insicion. After drainage insicion and antibiotic administration for 1 week, the infection was relieved.
Summary: Owing to resorbable copolymer which contain a polyester derivate of L- lactidc and glycolic acid are ideal fixation materials used favourably in pediatric craniofacial reconstructive surgery and have further advantages such as adequate biomechanical resistance against distraction and compression forces in the early postoperative period, longer dwelling time and elimination from the body through physiological routes without causing any foreign body reaction.