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Although grade is a well-recognised prognostic factor for endometrioid endometrial cancer (EEC), in more studies grade 1 (G1) and grade 2 (G2) EEC are combined and compared together with grade 3 (G3) tumours. The aim of our study is to separately investigate the outcomes, prognostic factors and recurrence patterns of G2 EEC and whether the differentiation between G1 and G2 EEC is clinically useful. we retrospectively reviewed 523 patients with EEC treated with primary surgery over a decade (March 2010-January 2020) at Oxford University Hospitals NHS Trust, focusing on those with G2 disease.
View Article and Find Full Text PDFCaring for children and young people with inherited cardiac conditions: the evolving role of specialist nurses.
Nurs Child Young People
December 2024
Great Ormond Street Hospital for Children NHS Foundation Trust, London, England.
Inherited cardiac conditions (ICCs) encompass a range of rare genetic heart diseases and require the expert care of a skilled multidisciplinary team. Increased awareness of these conditions and advances in genetic testing have led to a rise in demand for specialist ICC services. The Centre for Inherited Cardiovascular Diseases at Great Ormond Street Hospital in London, England, is a tertiary centre for the diagnosis and management of ICCs in children and young people.
View Article and Find Full Text PDFNurses' and Midwives' Experiences of Clinical Supervision in Practice: A Scoping Review.
J Clin Nurs
November 2024
Galway Roscommon Mental Health Services, Health Service Executive, Galway, Ireland.
Article Synopsis
- The aim of the study was to explore nurses' and midwives' experiences with clinical supervision and to define how clinical supervision is characterized in existing literature.
- The scoping review analyzed 43 peer-reviewed articles from various databases, focusing on different types of supervision experiences across 15 countries and noting variations in definitions.
- The findings suggest that while there is some evidence on these experiences, significant gaps and inconsistencies in the definitions and practices of clinical supervision remain, highlighting the need for more research in this area.
The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study.
Pilot Feasibility Stud
November 2024
School of Nursing & Midwifery, University of Galway, Áras Moyola, Galway, Ireland.
Background: A dementia diagnosis can lead to a decline in cognitive, social, and physical health, but people with dementia can live meaningful lives and participate actively in society with psychosocial support. This single-arm, non-randomised feasibility study explored the feasibility and acceptability of a Comprehensive REsilience-building psychoSocial intervenTion (CREST) for people with dementia, their caregivers, General Practitioners (GPs), and the public.
Methods: Nine people with dementia and their primary caregivers living in the community (n = 9 dyads) completed the CREST intervention which had three components (cognitive stimulation therapy [CST], physical exercise, and dementia education).
Critical care unit bed availability and postoperative outcomes: a multinational cohort study.
Anaesthesia
November 2024
National Insitute for Health Research University College London Hospitals Biomedical Research Centre, University College, London, UK.
Background: Critical care beds are a limited resource, yet research indicates that recommendations for postoperative critical care admission based on patient-level risk stratification are not followed. It is unclear how prioritisation decisions are made in real-world settings and the effect of this prioritisation on outcomes.
Methods: This was a prespecified analysis of an observational cohort study of adult patients undergoing inpatient surgery, conducted in 274 hospitals across the UK and Australasia during 2017.
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