Publications by authors named "Harriet Gordon"

Objective: The aim of this survey was to understand the impact of the COVID-19 pandemic and recovery phase on workload, well-being and workforce attrition in UK gastroenterology and hepatology.

Design/method: A cross-sectional survey of British Society of Gastroenterology physician and trainee members was conducted between August and October 2021. Multivariable binary logistic regression and qualitative analyses were performed.

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Article Synopsis
  • * It recommends appointing dedicated hepatologists or gastroenterologists as lead clinicians in acute hospitals to manage liver disease care around the clock and increase access to intensive care units in light of ongoing healthcare challenges from the COVID-19 pandemic.
  • * The Review advocates for implementing alcohol care teams, enhancing early diagnosis strategies (like using stool colour charts for biliary atresia), and leveraging digital technology for better screening and management of liver diseases, especially considering the impact of comorbidities such as obesity and diabetes on patient outcomes.
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We have a medical workforce crisis where we have insufficient trainees, demonstrated by rota gaps, and in turn nearly half of advertised consultant physician posts cannot be appointed to. Most physicians retire around age 62, and already 5% of the total consultant workforce is those who have retired and returned. If those reaching retirement age chose not to retire but continue working less than full time this would, at least in part, benefit the workforce and utilise valuable skills and experience to the benefit of the individual, the wider medical community and therefore our patients.

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Providing adequate food in hospitals remains a concern for those involved in healthcare as well as patients and relatives. We conducted a small-scale survey to explore relatives' and patients' perceptions about the risk of developing malnutrition in hospital and to gauge whether further more in-depth audit was required.

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Smooth pursuit eye movements (SPEM) are the conjugate movements used to track the smooth trajectory of small dots. Jerky or 'saccadic' ocular pursuit has been reported in patients with cirrhosis, but no formal assessment of SPEM has ever been undertaken. The aim of this study was to evaluate SPEM in patients with cirrhosis and varying degrees of hepatic encephalopathy.

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