Europe's newest hospital, and the UK's largest ever PPP-funded and operated healthcare facility--the 650 pounds sterling million Royal London in Whitechapel--opened its doors on 1 March--following years of hard work and planning which has seen doctors and nurses involved throughout, working under the guidance of a 30-strong Barts and the London NHS Trust New Hospitals Programme team to create an optimal healing environment. HEJ editor, Jonathan Baillie, discussed with New Hospitals Programme director, Matthew Tulley, the challenges of overseeing the design, planning, and construction, of the 'new' Royal London as part of a wider 1 billion pounds sterling PFI project to transform and modernise facilities at both the Barts and the Royal London sites, and of smoothly moving over 3,000 staff and patients from old to new accommodation.
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JAMA
January 2025
Worcestershire Royal Hospital, Worcester, United Kingdom.
Importance: Patients undergoing unplanned abdominal surgical procedures are at increased risk of surgical site infection (SSI). It is not known if incisional negative pressure wound therapy (iNPWT) can reduce SSI rates in this setting.
Objective: To evaluate the effectiveness of iNPWT in reducing the rate of SSI in adults undergoing emergency laparotomy with primary skin closure.
Epilepsia
January 2025
Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Mental health (MH) comorbidities are prevalent among people with epilepsy (PWE), but many experience challenges accessing care. To address this, suggestions have been made to integrate MH care into epilepsy care settings, yet the current approaches, benefits, and implementation determinants to MH care integration are unclear. This review aims to synthesize existing integrated MH care models for PWE to inform the development and planning of future initiatives.
View Article and Find Full Text PDFASAIO J
January 2025
From the Intensive Cardiac Care Unit, Cardiology Department, Rangueil University Hospital, Toulouse, France.
ASAIO J
January 2025
From the Department of Cardiology, Université Paul Sabatier - Toulouse III, Toulouse, France.
Ann Bot
January 2025
Seed Biology and Technology Group, Department of Biological Sciences, Royal Holloway University of London, TW20 0EX, Egham, United Kingdom.
The biomechanical, morphological and ecophysiological properties of plant seed/fruit structures are adaptations that support survival in unpredictable environments. High phenotypic variability of noxious and invasive weed species such as Raphanus raphanistrum (wild radish) allow diversification into new environmental niches. Dry indehiscent fruits (thick and lignified pericarp [fruit coat] enclosing seeds) have evolved many times independently.
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