Publications by authors named "Lucretia Thomas"

Aims And Method: NHS England recommends the commissioning of intensive support teams (ISTs) to provide effective support to people with intellectual disability (ID) when in crisis. However, there is a paucity of evidence regarding how these services should be organised. This exploratory secondary analysis of data from the IST-ID study aimed to investigate IST characteristics that relate to clinical outcomes.

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Article Synopsis
  • SIMBA (Simulation via Instant Messaging-Birmingham Advance) utilizes platforms like WhatsApp and Zoom to provide essential simulation-based learning for healthcare professionals during the COVID-19 pandemic, focusing on thyroid and pituitary cases.
  • The study involved 116 participants and found significant increases in self-reported confidence and clinical knowledge both immediately after the sessions and maintained during a follow-up period of 6-12 weeks.
  • Results indicate that SIMBA enhances learning retention, but further research is needed to assess the long-term impact on actual clinical practices.
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Simulation-based learning (SBL) is well-established in medical education and has gained popularity, particularly during the COVID-19 pandemic when in-person teaching is infeasible. SBL replicates real-life scenarios and provides a fully immersive yet safe learning environment to develop clinical competency. Simulation via Instant Messaging - Birmingham Advance (SIMBA) is an exemplar of SBL, which we previously showed to be effective in endocrinology and diabetes.

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Background: Simulation via Instant Messaging- Birmingham Advance (SIMBA) delivers simulation-based learning (SBL) through WhatsApp® and Zoom® based on Kolb's experiential learning theory. This study describes how Kolb's theory was implemented in practice during SIMBA adrenal session.

Methods: SIMBA adrenal session was conducted for healthcare professionals and replicated Kolb's 4-stage cycle: (a) concrete experience-online simulation of real-life clinical scenarios, (b) reflective observation-discussion and Q&A following simulation, (c) abstract conceptualisation-post-session MCQs, and (d) active experimentation-intentions to implement the acquired knowledge in future practice.

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Article Synopsis
  • A systematic review and meta-analysis was conducted to determine the prevalence of neuropsychiatric symptoms in COVID-19 survivors, examining 51 studies and over 18,000 patients.
  • The most common symptoms identified were sleep disturbances (27.4%), fatigue (24.4%), cognitive impairment (20.2%), anxiety (19.1%), and post-traumatic stress (15.7%).
  • Despite high study heterogeneity, findings suggest that neuropsychiatric symptoms are prevalent and persistent after COVID-19, with limited differences based on hospitalization or severity of illness.
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Background: People presenting with first-episode psychosis (FEP) have heterogenous outcomes. More than 40% fail to achieve symptomatic remission. Accurate prediction of individual outcome in FEP could facilitate early intervention to change the clinical trajectory and improve prognosis.

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Introduction: We explored the clinical and biochemical differences in demographics, presentation and management of diabetic ketoacidosis (DKA) in adults with type 1 and type 2 diabetes.

Research Design And Methods: This observational study included all episodes of DKA from April 2014 to September 2020 in a UK tertiary care hospital. Data were collected on diabetes type, demographics, biochemical and clinical features at presentation, and DKA management.

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  • The study investigates how bodily self-disturbances relate to experiencing hallucinations and emotional embodiment, focusing on participants' hallucination-proneness.
  • It includes two stages: screening participants for hallucination-proneness and having them complete questionnaires alongside a body mapping task to assess their emotional embodiment.
  • Results suggest that those with high hallucination-proneness experience less bodily activation across emotional states, while their sensed presence is significantly influenced by their level of hallucination-proneness, indicating a need for further research to confirm these findings in a larger sample.
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Background: Simulation via Instant Messaging - Birmingham Advance (SIMBA) aimed to improve clinicians' confidence in managing various clinical scenarios during the COVID-19 pandemic.

Methods: Five SIMBA sessions were conducted between May and August 2020. Each session included simulation of scenarios and interactive discussion.

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There is accumulating evidence of the neurological and neuropsychiatric features of infection with SARS-CoV-2. In this systematic review and meta-analysis, we aimed to describe the characteristics of the early literature and estimate point prevalences for neurological and neuropsychiatric manifestations.We searched MEDLINE, Embase, PsycINFO and CINAHL up to 18 July 2020 for randomised controlled trials, cohort studies, case-control studies, cross-sectional studies and case series.

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Work experience is considered as a vital part of an application to medical school and other healthcare-related educational programmes. Gaining clinical work experience via various previously available opportunities from healthcare centres has currently become more challenging and less accessible due to the COVID-19 pandemic-related limitations and resource shortages. In order to provide experience in the healthcare field, we conducted a case study by inviting two secondary school students to participate in Simulation via Instant Messaging -Birmingham Advance (SIMBA) as moderators.

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Objective: COVID-19 in people with diabetes is associated with a disproportionately worse prognosis. DKA is an acute complication of diabetes with a mortality rate of approximately 0.67%.

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Background: Simulation-based learning (SBL) has been increasingly used in both undergraduate and postgraduate medical training curricula. The aim of Simulation via Instant Messaging-Birmingham Advance (SIMBA) is to create a simple virtual learning environment to improve trainees' self-reported confidence in diabetes and Endocrinology.

Methods: This study was done as part of the continuous professional development for Health Education England West Midlands speciality trainees in diabetes and Endocrinology.

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