Publications by authors named "J Hempenstall"
We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall.
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- Microscopic unilateral laminotomy for bilateral decompression (ULBD) is a minimally invasive surgery for lumbar spinal stenosis that may offer advantages like reduced instability and improved outcomes compared to traditional laminectomy (CL).
- A scoping review covering studies from 1990 to 2022 found 17 relevant articles, with different research designs, including randomized trials and retrospective analyses, examining the effects of ULBD.
- The findings suggest ULBD might result in shorter surgery times and less blood loss while maintaining similar clinical outcomes compared to CL, but the limited and varying quality of the studies makes it hard to draw definitive conclusions.
Objectives: To assess the cost-effectiveness of the WISDOM self-management intervention for type 2 diabetes compared with care as usual.
Design: We performed a difference-in-differences analysis to estimate differences in risk factors for diabetes complications between people in the WISDOM group (n = 25, 276) and a control group (n = 15, 272) using GP records. A decision analytic model was then used to extrapolate differences in risk factors into costs and outcomes in the long term.
Article Synopsis
- - The study analyzed the prevalence and consequences of lichen sclerosus (LS) in men who underwent circumcision across multiple hospitals in Australia from 2004 to 2018.
- - Out of 611 circumcised patients, 63.6% were confirmed to have LS, with a median diagnosis age of 65 years, highlighting a significant prevalence of this condition.
- - Among those with LS, 22.1% developed urethral strictures, while there were rare instances of penile squamous cell carcinoma and intraepithelial neoplasia.
The use of intraoperative ultrasound in emergency cranial neurosurgical procedures is not well described. It may improve surgical outcomes and is useful when other neuro-navigation systems are not readily available. We provide a practical guide for neurosurgical trainees to utilize ultrasound for various emergency cranial neurosurgical procedures, including lesion localization, insertion of an external ventricular drain, and shunt revision surgery.
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