Publications by authors named "R P Pugh"

Background: While several studies have summarised the clinical effectiveness evidence for extracorporeal membrane oxygenation (ECMO), there are no evidence syntheses of the impact of centres' ECMO patient volume on patient outcomes or the impact of bedside ECMO care being delivered by either a perfusionist or a nurse. There is also limited information on the cost-effectiveness of ECMO.

Purpose: This review was carried out to evaluate the clinical effectiveness and cost of different service delivery models of pulmonary ECMO to inform NHS Wales commissioning policy.

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Article Synopsis
  • The study aimed to analyze cognitive and psychological issues in patients at a First Seizure Clinic, hypothesizing that those with epilepsy would show more impairments.
  • 201 patients underwent cognitive and psychological screening before their diagnostic assessment, and the results were compared to 35 matched controls.
  • Individuals diagnosed with epilepsy experienced the most significant cognitive impairments, especially in learning and memory, while mood issues like depressive symptoms were common across all patient groups, highlighting the importance of early detection.
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Introduction: The importance of research and development in all aspects of healthcare is well acknowledged. Within critical care, national guidelines provide a limited number of standards and series of recommendations on Research and Development (R&D) activity. The aim of this study was to create a broader set of standards in support of R&D activity in critical care departments.

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Objective: Memory is one of the most sensitive markers of cognitive compromise in people with new-onset epilepsy. Nonetheless, around half of these cases score within the normal range on standard memory testing. Here we explore whether memory retention at a 1-week delay reveals otherwise undetected memory compromise in such individuals, and how it relates to subjective memory complaints and mood.

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Background: An ED admission and hospitalization are scary experiences for anyone, and potentially more so for nurses. Yet there is scant information about nurses as patients in the nursing research literature. This likely reflects a general tendency among researchers to study the needs of patients but not those of nurses.

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