Publications by authors named "T Sutcliffe"

Article Synopsis
  • Children represent a small percentage of EMS transports but often experience under-treatment of pain; this study examines factors influencing EMS clinicians' ability to provide effective prehospital pain management for pediatric patients.
  • Key enablers identified include longer transport times, the need to stabilize patients, and clinician familiarity with intranasal fentanyl, while barriers include concerns over patient stability, caregiver discomfort with pain medications, and limited pediatric experience among EMS staff.
  • Focus groups with EMS clinicians highlighted perspectives on pain management decision-making, available resources, and patient and family reactions, reaching thematic saturation in the analysis of both facilitators and obstacles in administering analgesia to children.
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Objectives: To mitigate waiting time forlivertransplant for hepatocellular carcinoma, partial or split liver transplant has been utilized. There was concern that regeneration of these grafts would negatively affect oncologic outcomes.

Materials And Methods: We compared posttransplant graft survival between hepatocellular carcinoma whole livertransplant and partial/splitlivertransplant using Scientific Registry of Transplant Recipients data (2002-2017).

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We present the RespiDisk enabling the fully automated and multiplex point-of-care (POC) detection of (currently) up to 19 respiratory tract infection (RTI) pathogens from a single sample based on reverse transcriptase polymerase chain reaction (RT-PCR). RespiDisk comprises a RTI-specific implementation of the centrifugal microfluidic LabDisk platform and combines new and existing advanced unit operations for liquid control, thereby automating all assay steps only by a spinning frequency and temperature protocol in combination with the use of a permanent magnet for in situ bead handing. The capabilities of the system were demonstrated with 36 tested quality samples mimicking clinical conditions (clinical and/or cultured material suspended in transport medium or synthetic bronchoalveolar lavage (BAL)) from past external quality assessment (EQA) panels covering 13 of the 19 integrated RTI detection assays.

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There are well-established links between mental health and the environment. Mental illness is a global issue, and international policies increasingly focus on promoting mental health well-being through community-based approaches, including non-clinical initiatives such as therapeutic landscapes and the use of heritage assets. However, the empirical evidence-base for the impact of such initiatives is limited.

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Pediatric out-of-hospital cardiac arrest (POHCA) is an infrequently encountered event by emergency medical providers, both across Rhode Island and nationally. The etiologies of these events differ from those in adult cardiac arrests and overall outcomes remain poor. The skills required by emergency medical providers to care for these patients are performed and practiced infrequently.

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