Publications by authors named "M A Southam"

Article Synopsis
  • A study over 18 months introduced a hyperacute neurology team at a district hospital, featuring a senior nurse coordinator, consultant-led service, and support from acute epilepsy nurses and neurophysiology.
  • The model resulted in a significant increase in patient volume and faster treatment times, with many patients being treated in the acute medical unit rather than general wards.
  • Notably, there was a decrease in length of stay and readmission rates for epilepsy patients, who made up 30% of referrals, and the service's operating costs were found to be modest.
View Article and Find Full Text PDF

Study Design: Retrospective cohort study.

Introduction: The QuickDASH outcome measure is a valid and reliable measurement tool for assessing disabilities of the arm, shoulder and hand.

Purpose Of Study: There is limited literature providing typical QuickDASH scores for upper limb conditions.

View Article and Find Full Text PDF

Most stillbirths used to be categorized as 'unexplained' and were considered, by implication, unavoidable. Recent evidence indicates that they represent a combined challenge for public health and for clinical services. Independent case reviews have found that many deaths are associated with a failure to recognize risk factors and to afford them the appropriate standard of care.

View Article and Find Full Text PDF

Introduction: The fentanyl HCl patient-controlled transdermal system (PCTS) is a self-contained, preprogrammed, needle-free system currently in development for acute pain management in a medically supervised setting. The objectives of these studies were to evaluate skin application sites for the fentanyl HCl PCTS and to evaluate the effect of patient demographics on its pharmacokinetics.

Methods: The first study was a randomised, open-label, single-centre, 3-treatment, crossover study in which the fentanyl HCl PCTS was applied to the upper outer arm, lower inner arm or chest of healthy volunteers.

View Article and Find Full Text PDF