Publications by authors named "Myatt R"

Background: Uncertainty remains regarding the role and long-term outcomes following uncemented reverse shoulder replacements (RSRs) in managing displaced proximal humeral fractures (PHFs). Although RSRs for trauma have traditionally undergone cemented fixation of the humeral component, there is increasing interest in uncemented RSRs. Our primary aim was to evaluate 2-year outcomes following uncemented RSR fixation for 3- and 4-part PHFs in the elderly.

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Mucositis involves an inflammation of the oral or gastrointestinal mucosa and is a common complication of cancer treatment. Mucositis is usually associated with high-dose chemotherapy, radiotherapy and, more recently, molecular targeted therapy. Oral mucositis refers specifically to inflammation and ulceration that occurs in the mouth.

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Being able to accurately assess and record a patient's temperature is an essential nursing skill, and should be undertaken as part of a wider systematic assessment of the patient. Any concerns regarding individual recordings or trends should be escalated to other members of the healthcare team as appropriate. REFLECTIVE ACTIVITY: 'How to' articles can support you to update your practice and ensure it remains evidence-based.

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Aims: Functional rehabilitation has become an increasingly popular treatment for Achilles tendon rupture (ATR), providing comparably low re-rupture rates to surgery, while avoiding risks of surgical complications. Limited evidence exists on whether gap size should affect patient selection for this treatment option. The aim of this study was to assess if size of gap between ruptured tendon ends affects patient-reported outcome following ATR treated with functional rehabilitation.

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Rationale and key points X-ray imaging is a form of electromagnetic radiation that is able to pass through the human body producing an image of the internal structures. X-rays are one of the main investigations for confirming a suspected diagnosis. Developing an understanding of the underlying mechanism and the rationale for requesting an X-ray will increase nurses' understanding of the process and enable improved patient preparation through explanation and reassurance.

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Aim: To describe the mechanisms, burden of injury, inpatient management and rehabilitation requirements of wounded military personnel at the UK Role 4 (R4) facility within the first 12 months following cessation of combat operations in Afghanistan.

Methods: All aeromedical evacuations were recorded prospectively between October 2014 and October 2015. Demographic, logistical and clinical data were derived manually from referring medical unit and patient movement requests in addition to host nation and R4 medical records.

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Rationale and key points Measurement of peripheral oxygen saturation (SpO) is used to identify early hypoxia in patients and evaluate the effectiveness of oxygen therapy. Nurses should be aware of the procedure for using a pulse oximeter to measure SpO levels and the normal range for SpO readings. » A pulse oximeter is used to measure SpO levels, and involves placing a probe on the patient's finger, toe or ear lobe.

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Rationale and key points Sputum is the term used to describe mucus that has been expectorated. It consists of secretions and other matter that has been coughed up from the lungs and large airways. This article informs nurses about how and why sputum collection and analysis are undertaken.

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Rationale and key points This article provides information on monitoring a patient's peak expiratory flow rate. It explains the rationale for measuring the peak expiratory flow rate, provides guidance for nurses to undertake this investigation and offers advice on how to instruct patients in the use of this technique. » Measuring the peak expiratory flow rate is an inexpensive, straightforward and useful clinical investigation that enables fluctuations in the patient's respiratory effort to be monitored over time.

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All UK nurses and midwives will be required to perform revalidation as part of their registration process, from April 2016. This entails a pre-determined number of practice hours and study time, reflection on practice, obtaining feedback on individual performance and confirmation of these achievements by a third party source. This article describes the actions nurses and midwives can take to fulfil their revalidation requirements.

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This is a retrospective study of survivors of recent conflicts with an open fracture of the femur. We analysed the records of 48 patients (48 fractures) and assessed the outcome. The median follow up for 47 patients (98%) was 37 months (interquartile range 19 to 53); 31 (66%) achieved union; 16 (34%) had a revision procedure, two of which were transfemoral amputation (4%).

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Safety considerations are important when caring for a patient with a temporary tracheostomy. Early detection and resolution of problems in tracheostomy management are important to prevent serious incidents arising. Nurses working outside critical care areas need to be competent and confident in the management or detection of potential problems with tracheostomies.

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Extremity injuries define the surgical burden of recent conflicts. Current literature is inconclusive when assessing the merits of limb salvage over amputation. The aim of this study was to determine medium term functional outcomes in military casualties undergoing limb salvage for severe open tibia fractures, and compare them to equivalent outcomes for unilateral trans-tibial amputees.

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Pleural effusions occur when fluid accumulates between the visceral and parietal pleura in the chest cavity, preventing the lung from expanding fully during inspiration. The reduction in lung volume, depression of the diaphragm and reduced chest wall compliance cause dyspnoea, and occasionally pain or cough. Pleural effusion is a complex problem caused by a variety of conditions requiring different treatment depending on the underlying diagnosis.

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Empyema is the term used to describe an accumulation of pus in a body cavity such as the pleural space as a result of bacterial infection. The condition is serious because it is difficult for the immune system to resolve infection in this area. Empyema can be avoided by the use of appropriate antibiotic therapy and good aseptic technique when dealing with any situation that breaches the chest wall.

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This study evaluated Children's Friendship Training (CFT), a manualized parent-assisted intervention to improve social skills among second to fifth grade children with autism spectrum disorders. Comparison was made with a delayed treatment control group (DTC). Targeted skills included conversational skills, peer entry skills, developing friendship networks, good sportsmanship, good host behavior during play dates, and handling teasing.

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Twenty-five 6 to 13-year-old children with autism spectrum disorders, who were high functioning, were given 12 weeks of parent-assisted children's friendship training. Thirteen were prescribed various psychotropic medications by physicians in the community prior to treatment (medicated) while 12 were not (unmedicated). Two parent-rated and three teacher-rated social measures served as outcome variables.

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Thoracic surgery is an exciting and dynamic specialty. Many of the conditions treated can be regarded as life-limiting so practitioners require expert skills in communication as well as knowledge of the specific illnesses and complications that can arise. This article explains the types of surgery performed and discusses the factors that need to be taken into consideration before operating on malignant lung disease.

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An increase in the incidence of methicillin-resistant Staphylococcus aureus (MRSA) led to a review of infection control practice within the cardiothoracic directorate in a South London teaching hospital. Several changes in aspects of care were implemented including educational initiative, extension of the admission screening policy, a specific isolation nursing team and the development of a care pathway. This led to a considerable reduction in cross-infection rates.

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The self-esteem of children with Attention Deficit Hyperactivity Disorder (ADHD) has been shown to be low. The effects of stimulant medication upon their self-esteem have not been systematically studied. The present study employed a reliable self-report instrument to measure the self-esteem of children with ADHD medicated with stimulants vs.

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In this paper we describe the process through which a Paediatric Quality of Life Questionnaire was developed to assess the pain experienced by children following tonsillectomy. The impetus behind the questionnaire development was the clinical observation that the pain experienced by children undergoing tonsillectomy was not being detected and analgesia was not being prescribed in adequate amounts. The eight-item questionnaire provides the independent observer with an objective measure of the physical and emotional distress a child experiences post-tonsillectomy to which analgesic requirements can be titrated.

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