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1.
Br J Nurs ; 33(5): 236-241, 2024 Mar 07.
Article in English | MEDLINE | ID: mdl-38446518

ABSTRACT

BACKGROUND: The COVID-19 pandemic and its social restrictions accelerated the expansion of virtual clinical care, and this has been reported to be safe, low cost and flexible. AIM: This study aimed to examine nursing practices and patient satisfaction with unscheduled nurse-led virtual care for people with diabetes. METHODS: A cross-sectional descriptive survey of clinical nurse specialists and patients was carried out, using an activities log for nursing practices and a satisfaction and enablement survey for callers. FINDINGS: Patients reported high satisfaction levels and greater self-confidence in keeping themselves healthy after receiving virtual care. Most calls (74.8%) from patients were for advice and education. Each call led to an average of 2.5 actions for the clinical nurse specialist. CONCLUSION: The service is highly valued and is effective, but adds to the nurse workload burden.


Subject(s)
Diabetes Mellitus , Patient Satisfaction , Humans , Cross-Sectional Studies , Nurse's Role , Pandemics
2.
Ther Deliv ; 14(2): 87-92, 2023 02.
Article in English | MEDLINE | ID: mdl-37040144
3.
Ther Deliv ; 12(2): 111-117, 2021 02.
Article in English | MEDLINE | ID: mdl-33455454
4.
Urology ; 150: 16-24, 2021 04.
Article in English | MEDLINE | ID: mdl-32961220

ABSTRACT

There is a persistent male gender predominance in urology, especially with respect to female representation in leadership. We review the current status of women in urology leadership, discuss challenges women face in leadership positions, present the case for adopting inclusive practices that increase diversity and gender equity in urology leadership, and review the potential benefits of such an expansion. We discuss practical strategies to grow the role of women in urologic leadership, including increasing mentorship, modifying academic promotion criteria, and addressing implicit bias, while presenting a roadmap toward achieving equity and diversity at the highest ranks of urologic leadership.


Subject(s)
Leadership , Physicians, Women , Urology , Cultural Diversity , Female , Gender Equity , Humans , Male , United States
5.
Ther Deliv ; 11(7): 405-410, 2020 07.
Article in English | MEDLINE | ID: mdl-32397838
6.
Ther Deliv ; 11(2): 75-82, 2020 02.
Article in English | MEDLINE | ID: mdl-31910737
7.
Int J Ophthalmol ; 11(1): 83-88, 2018.
Article in English | MEDLINE | ID: mdl-29375996

ABSTRACT

AIM: To report anatomic and visual outcomes following silicone oil removal in a cohort of patients with complex retinal detachment, to determine association between duration of tamponade and outcomes and to compare patients with oil removed and those with oil in situ in terms of demographic, surgical and visual factors. METHODS: We reported a four years retrospective case series of 143 patients with complex retinal detachments who underwent intraocular silicone oil tamponade. Analysis between anatomic and visual outcomes, baseline demographics, duration of tamponade and number of surgical procedures were carried out using Fisher's exact test and unpaired two-tailed t-test. RESULTS: One hundred and six patients (76.2%) had undergone silicone oil removal at the time of review with 96 patients (90.6%) showing retinal reattachment following oil removal. Duration of tamponade was not associated with final reattachment rate or with a deterioration in best corrected visual acuity (BCVA). Patients with oil removed had a significantly better baseline and final BCVA compared to those under oil tamponade (P=0.0001, <0.0001 respectively). CONCLUSION: Anatomic and visual outcomes in this cohort are in keeping with those reported in the literature. Favorable outcomes were seen with oil removal but duration of oil tamponade does not affect final attachment rate with modern surgical techniques and should be managed on a case by case basis.

8.
Pharm Pat Anal ; 7(1): 47-57, 2018 Jan.
Article in English | MEDLINE | ID: mdl-29227196

ABSTRACT

The area of immunotherapeutics for the treatment of metastatic castrate-resistant prostate cancer has made significant progress since the autologous cell-based vaccine sipuleucel T became the first and to date only immunotherapy for its treatment. This review focuses on a broad patent landscaping exercise of this therapeutic area and considers if basing this landscaping on key mechanisms of action is appropriate to elicit the main patenting trends.


Subject(s)
Cancer Vaccines/administration & dosage , Immunotherapy/methods , Prostatic Neoplasms, Castration-Resistant/therapy , Cancer Vaccines/immunology , Humans , Male , Neoplasm Metastasis , Patents as Topic , Prostatic Neoplasms, Castration-Resistant/immunology , Tissue Extracts/therapeutic use
9.
Ther Deliv ; 8(11): 939-946, 2017 11.
Article in English | MEDLINE | ID: mdl-29061099

ABSTRACT

The present industry update covers the period 1-31 July 2017. Information was sourced primarily from company press releases, regulatory and patent agencies, scientific literature and various news websites. There was positive approval news this month for GlaxoSmithKline for its new self-injecting treatment for systemic lupus erythematosus but less positive news for Ocular Therapeutix, a new drug application for its treatment for postoperative ocular pain, DEXTENZA™ was rejected for a second time. Endo Pharmaceuticals agreed to withdraw its opioid formulation Opana®Er due to abuse concerns. Collaborations for novel therapeutic delivery research were announced this month by Takeda and BioSurfaces, Catelent and Rutgers University, Lilly and Purdue University and Titan Pharmaceuticals with Walter Reed and the Southwest Research Institute. A number of companies announced significant financing deals to allow for the clinical development of products with enhanced delivery options including Sebacia and Diasome.


Subject(s)
Drug Industry/economics , Clinical Trials as Topic , Drug Compounding , Drug Delivery Systems , Gastrointestinal Tract/metabolism , Pharmaceutical Preparations/chemistry , Pharmaceutical Preparations/metabolism , Polymers/chemistry
10.
Am J Pharm Educ ; 81(5): 84, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28720912

ABSTRACT

Objective. To assess and compare interprofessional education (IPE) naive pharmacy and nursing student stereotypes prior to completion of an IPE activity. Methods. Three hundred and twenty-three pharmacy students and 275 nursing students at Mercer University completed the Student Stereotypes Rating Questionnaire. Responses from pharmacy and nursing students were compared, and responses from different level learners within the same profession also were compared. Results. Three hundred and fifty-six (59.5%) students completed the survey. Pharmacy students viewed pharmacists more favorably than nursing students viewed pharmacists for all attributes except the ability to work independently. Additionally, nursing students viewed nurses less favorably than pharmacy students viewed nurses for academic ability and practical skills. There was some variability in stereotypes between professional years. Conclusion. This study confirms the existence of professional stereotypes, although overall student perceptions of their own profession and the other were generally positive.


Subject(s)
Achievement , Clinical Competence , Stereotyping , Students, Nursing/psychology , Students, Pharmacy/psychology , Surveys and Questionnaires , Adult , Attitude of Health Personnel , Education, Pharmacy , Female , Humans , Interprofessional Relations , Male
11.
Ther Deliv ; 8(6): 367-372, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28530148

ABSTRACT

The present industry update covers the period 1-28 February 2017. Information was sourced primarily from company press releases, regulatory and patent agencies, scientific literature and various news websites. A report issued this month indicated that the recent American election has influenced the rate and volume of pharma acquisitions and mergers (A&M) in the final quarter of 2016 and it remains to be seen what (if any) is the effect on the therapeutic drug delivery sector in the longer term. There was positive approval news this month for Valeant, Intellipharmaceutics and Pfizer for products that offered novel therapeutic delivery. Several companies including Trutag and Novasep announced significant investment in new manufacturing facilities and strategic alliances this month.

13.
Ther Deliv ; 8(3): 113-119, 2017 Jan.
Article in English | MEDLINE | ID: mdl-28145828

ABSTRACT

The present industry update covers the period of 1-30 November 2016, with information sourced primarily from company press releases, regulatory and patent agencies, scientific literature and various news websites. There was positive news on the clinical trials front for both EyeNovia and Glaxo SmithKline, but this month also saw Innocol release disappointing Phase IIb results for its Cogenzia product. In regulatory news, it was announced that the US FDA indicated that EyeGate may use the 510(k) De Novo Path for their device, the Ocular Bandage Gel. Also this month, Glaxo SmithKline announced that it filed a regulatory submission with the FDA for its novel triple-combination therapy product, utilizing its Ellipta® inhaler.

14.
Nurs Child Young People ; 26(10): 30-7, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25487402

ABSTRACT

Breastfeeding is the healthiest way for a woman to feed her infant. The World Health Organization/United Nations International Children's Emergency Fund ( 1989 ) launched the Baby-Friendly Hospital Initiative to protect, promote and support breastfeeding in maternity services. However, this initiative focuses on healthy and full-term infants. While it remains the role of the nurse in children's hospitals and neonatal/children's units to promote, protect and support mothers to breastfeed sick and premature infants, this is performed in an environment that incorporates the unexpected nature of these infants' sickness/prematurity. In children's hospitals and neonatal/children's units, breastfeeding is challenged by infant's illness, prematurity, fasting or maternal/infant separation, resulting in mothers expressing their milk for their infants to consume either through alternative routes immediately or freezing it for a later date. Furthermore, once clinically stable, these mothers and infants should be afforded the opportunity to safely and effectively transition from expressed breast milk to direct breastfeeding. For the purpose of this article, the infant population of children's hospitals and neonatal/children's units is comprised of either an infant transferred from a maternity unit at birth due to illness/prematurity or an infant admitted up to the age of one year.


Subject(s)
Breast Feeding , Lactation , Mothers , Nurse's Role , Female , Humans , Infant , Infant, Newborn , Infant, Premature , Maternal-Child Nursing , Neonatal Nursing , Pediatric Nursing , Practice Guidelines as Topic
15.
J Urol ; 190(6): 2183-8, 2013 Dec.
Article in English | MEDLINE | ID: mdl-23831315

ABSTRACT

PURPOSE: Little data exist on the outcome of combined inflatable penile prosthesis and artificial urinary sphincter insertion for erectile dysfunction and stress urinary incontinence. We assessed patient outcomes for combined vs single device implantation at a single institution. MATERIALS AND METHODS: We retrospectively reviewed the records of all patients who underwent inflatable penile prosthesis and artificial urinary sphincter insertion at our hospital from January 2000 to December 2011. A total of 55 combined procedures were performed compared to the single insertion of 336 inflatable penile prostheses and 279 artificial urinary sphincters. RESULTS: The surgical approach consisted of penoscrotal incisions for inflatable penile prostheses and transperineal incisions for artificial urinary sphincter cuff placement with a secondary lower abdominal incision for reservoir placement. Men treated with combined implantation had greater mean age and were at greater risk for prostate cancer diagnosis and treatment, and at lesser risk for Peyronie disease than men who received an inflatable penile prosthesis alone (each p<0.05). Although operative time was significantly longer for the combined procedure than for the inflatable penile prosthesis alone and the AUS alone (mean 218.1 vs 145.9 and 114.7 minutes, respectively, p<0.0001), the rate of device infection, erosion or malfunction was not increased irrespective of combined or staged procedures (p>0.05). CONCLUSIONS: Combined inflatable penile prosthesis-artificial urinary sphincter implantation and staged prosthesis implantation are feasible without an increased risk of adverse outcomes compared to implantation of a single prosthesis. Patients with concomitant erectile dysfunction and stress urinary incontinence should be counseled about the possible advantages of this surgical option, which include a single anesthesia event and faster resumption of sexual activity and urinary control.


Subject(s)
Erectile Dysfunction/surgery , Penile Prosthesis , Prosthesis Implantation/methods , Urinary Incontinence, Stress/surgery , Urinary Sphincter, Artificial , Aged , Erectile Dysfunction/complications , Humans , Male , Middle Aged , Penile Implantation/methods , Penile Prosthesis/adverse effects , Prosthesis Design , Retrospective Studies , Risk Assessment , Urinary Incontinence, Stress/complications , Urinary Sphincter, Artificial/adverse effects
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