In-patient Tolvaptan use in SIADH: care audit, therapy observation and outcome analysis.

Background: Indications for use of tolvaptan in SIADH-associated hyponatraemia remain controversial. We audited our local guidelines for Tolvaptan use in this situation to review treatment implications including drug safety, hospital admission episode analysis (episodes of liver toxicity, CNS myelinolysis, sodium-related re-admission rates), morbidity; mortality and underlying aetiologies.

Methods: We report a retrospective case series analysis of on-going treatment outcomes (case-note review) for 31 patients (age 73.

Timing of neck dissection in association with transoral surgery: A systematic review.

Background: The purpose of this study was to present our evaluation of the importance of timing (early vs synchronous vs delayed) in conjunction with transoral laser surgery for head and neck squamous cell carcinoma (HNSCC).

Methods: Articles addressing surgical management via transoral laser surgery for HNSCC were included for review.

Results: Twenty-six articles fulfilled our criteria.

Appraising current methods for preclinical calculation of burn size - A pre-hospital perspective.

Background: Calculation of the percentage of total body surface area burnt is a vital tool in the assessment and management of patients sustaining burns. Guiding both treatment and management protocols. Currently there is debate as to which method of estimation is the most appropriate for pre-hospital use.

Predictive factors for extraction site hernia after laparoscopic right colectomy.

Purpose: Incisional hernia at the extraction site (ESIH) is a common complication after laparoscopic colorectal resections. The aim of this study was to evaluate the prevalence and potential risk factors for ESIH in a large cohort study having standardized technique.

Methods: A cross-sectional study was performed including all patients who underwent elective laparoscopic right or extended right colectomy for cancer from November 2006 to October 2013 using a standard technique.

A review of the evaluation and management of syncope in the acute medical unit.

Syncope is a common acute presentation and frequently results in hospitalisation. Cardiac syncope is potentially life threatening. The diagnosis and management of syncope demands a careful history, witness account wherever possible, and a comprehensive assessment.

Discrepancies between patient and professionals recall and perception of an outpatient consultation.

Aims: To explore the degree of agreement between patient and health care professional's perceptions of consultations.

Methods: Immediately after 141 dietitian/nurse specialist consultations, patients and professional's completed the Health Care Climate questionnaire (HCC), Medical Interview Satisfaction Scale (MISS) and the Treatment Self-Regulation Questionnaire (TSRQ) In addition, both parties were asked about any key points or issues discussed in the consultation; any decisions that were made about their diabetes treatment today; any goals that were set as a result of today's consultation.

Results: Patient and professional's scores on the HCC and MISS were not correlated (r=0.