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The last resort: reducing avoidable employee harm by improving the application of the disciplinary policy and process.
Front Psychol
July 2024
Aneurin Bevan University Health Board, Newport, United Kingdom.
Introduction: There is growing evidence within the healthcare sector that employee investigations can harm individuals involved in the process, an organization's culture and the delivery of its services.
Methods: This paper details an intervention developed by an NHS Wales organization to reduce the number of its employee investigations through an organization-wide focus that promoted a 'last resort' approach and introduced the concept of 'avoidable employee harm'. A range of associated improvement initiatives were developed to support behavior change among those responsible for determining whether an employee investigation should be initiated.
Pharmacogenomic studies of fertility outcomes in pediatric cancer survivors - A systematic review.
Clin Transl Sci
June 2024
Cancer Therapies, Stem Cell Medicine, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
For the same age, sex, and dosage, there can be significant variation in fertility outcomes in childhood cancer survivors. Genetics may explain this variation. This study aims to: (i) review the genetic contributions to infertility, (ii) search for pharmacogenomic studies looking at interactions of cancer treatment, genetic predisposition and fertility-related outcomes.
View Article and Find Full Text PDFThe effect of piezoelectric shockwave lithotripsy with 2- and 8-mm focus sizes on stone disintegration and renal injury.
BJU Int
October 2023
Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt.
Objectives: To compare the efficacy and safety of shockwave lithotripsy (SWL) using a narrow focus or wide focus for renal stones.
Patients And Methods: A double-blind randomised trial included adult patients with a solitary radio-opaque renal pelvic stone of 1-2 cm. Patients were randomised into two groups: narrow-focus (2 mm) SWL and wide-focus (8 mm) SWL.
Background: Inner context organizational factors proximally shape therapist experiences with evidence-based practice (EBP) implementation and may influence therapist self-efficacy, which has been linked to sustained use of EBPs in community mental health settings. Research has primarily focused on constructs such as implementation leadership and climate. However, the effects of such factors may depend upon other inner context dimensions, such as psychological safety.
View Article and Find Full Text PDFComparison of Two Electromagnetic Shockwave Generators: Low-Pressure Wide Focus High-Pressure Small Focus- Impact on Initial Stone Fragmentation and Final Stone Comminution.
J Endourol
February 2022
Department of Urology and Urosurgery, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Article Synopsis
- Recent advancements in extracorporeal shockwave lithotripsy have led to low-pressure wide focus systems, which improve stone fragmentation compared to traditional methods.
- A study compared two shockwave sources (Xinin Lithotripter - XL and Siemens Lithoskop - SL) using sound field measurements and observing stone fragmentation results.
- While XL showed a more homogeneous disintegration with reduced trauma, it required more shockwaves and time for complete fragmentation, whereas SL was quicker but provided less uniform results.
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