The Leicester, Leicestershire and Rutland quality improvement project and integrated chronic kidney disease system: implementation within a primary care network.

Background: The optimisation of patients in primary care is a prime opportunity to manage patient care within the community and reduce the burden of referrals on secondary care. This paper presents a quality improvement clinical programme taking place within an NHS Primary Care Network as part of the wider Leicester Leicestershire Rutland integrated chronic kidney disease programme.

Method: Patients are optimised to guidelines from the National Institute for Health and Care Excellence, by a primary care clinical team who are supported by nephrology consultants and nephrology pharmacists.

Organisational capabilities, outcomes, and benefits of trigger finger release surgery in primary care: a service evaluation study.

Background: Trigger finger is a common hand condition in which a finger is unable to fully extend owing to a thickening of the tendon and its sheath, causing the finger to lock in a bent position.

Aim: To assess the viability of carrying out trigger finger surgeries in NHS primary care in terms of clinician and patient acceptance, experience, and outcomes; and operational requirements of this service for wider application.

Design & Setting: A pilot study for a new service in primary care in Leicestershire, UK.

Grip strength at 4 years in relation to birth weight.

Consistent positive relationships have been found between birth weight and grip strength in adults but evidence in children is limited. In a prospective general population birth cohort (Southampton Women's Survey), grip strength and anthropometry (height and weight) were measured in 968 children at the age of 4 years. Mean (standard deviation (s.

Grip strength at four years in relation to birth weight.

Consistent positive relationships have been found between birth weight and grip strength in adults but evidence in children is limited. In a prospective general population birth cohort (Southampton Women's Survey) grip strength and anthropometry (height and weight) were measured in 968 children at age 4 years. Mean (standard deviation (S.

Associations between grip strength of parents and their 4-year-old children: findings from the Southampton Women's Survey.

Relationships between birthweight and grip strength throughout the life course suggest that early influences on the growth and development of muscle are important for long-term muscle function. However, little is known about parental influences on children's grip strength. We have explored this in the Southampton Women's Survey, a prospective general population cohort study from before conception through childhood.

Uptake of (18) FDG by a Hepatic Adenoma on Positron Emission Tomography.

Fluorodeoxyglucose positron emission tomography ((18)FDG-PET) is currently the best noninvasive test to confirm hepatic metastases when diagnostic uncertainty exists after initial imaging with first-line modalities. However, we report the second case of "false-positive" uptake of (18)FDG on PET scanning from a histopathologically confirmed hepatic adenoma.

A comparison of two methods of measuring gamma camera uniformity.

Two quantitative methods of measuring intrinsic uniformity of gamma cameras have been compared. One is a modified NEMA protocol, and the other a simpler method of data acquisition and processing that can be carried out in departments with restricted data-processing facilities. Both methods show the same trend in uniformity and lead to action being taken to rectify deterioration in performance at the same time.