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Non-tuberculous mycobacterial pulmonary disease (NTM-PD): Epidemiology, diagnosis and multidisciplinary management
Get PDFNon-tuberculous mycobacteria (NTM) are ubiquitous environmental organisms that can cause significant disease in both immunocompromised and immunocompetent individuals. The incidence of NTM pulmonary disease (NTM-PD) is rising globally. Diagnostic challenges persist and treatment efficacy is variable. This article provides an overview of NTM-PD for clinicians. We discuss how common it is, who is at risk, how it is diagnosed and the multidisciplinary approach to its clinical management. [Abstract copyright: Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.
IWD: Reflecting on the next 100 years
No full textIn December, the Law Society’s Women Solicitors Network Committee hosted the newly named Carrie Morrison Lecture at the University of Chester Law School, bringing this annual lecture event focusing on gender equality within the legal sector to the regions for the first time. Building on our 100 Years of Women Solicitors celebrations in 2022, this was an opportunity to reflect on past achievements but more importantly to look forward to the next hundred years. A thought-provoking keynote was provided by Victoria Evans (Level Law) ably supported by a panel of sector representatives; Deyontae James (rradar Law) and Carla Bennett (UNISON)
Profile of Patients with Maxillofacial Space Infections and Associated Risk Factors
Get PDFObjective: To evaluate the profile of patients operated for maxillofacial space infections and associated risk factors for the length of hospital stay.
Materials and Methods: We conducted a retrospective study among patients operated for maxillofacial infections at our center from 2010 to 2020. Information collected from the records were age, sex, type and number of spaces involved, clinical signs and symptoms (pain, swelling, toothache, sore throat, otalgia, hoarseness, headache, cough, neck swelling, rancid breath, sialorrhea, gingival swelling, muffled voice, trismus, fever, dysphagia, odynophagia, malaise, lymphadenopathy, dyspnoea, pus discharge), treatment modality, total leukocyte count, evidence of bacterial growth, comorbidities, complications if any and length of hospital stay. Results: A total of 128 medical records were examined, out of which 59 were female. The mean age was 38.59 ± 19.7 and the length of hospital stay was 7.56 ± 3.8 days. The most commonly involved space was submandibular space (46.1%) and the common symptoms reported were swelling (99.2%), pain (86.7%), and trismus (68%). Four patients had complications like necrotizing fasciitis (1.6%), pneumonia (0.8%), and death in one patient (0.8%). Logistic regression showed that patients more than 36 years of age, male sex, evidence of bacterial growth, and diabetics had higher odds of increased hospital stay (>6 days). Multiple logistic regression analysis showed that age (P=0.015; OR: 2.98) and evidence of bacterial culture (P=0.001; OR:6.64) were potential predictors associated with increased hospital stay. Conclusion: Our study showed that the age of the patient and evidence of bacterial culture were potential predictors of prolonged hospital stay among patients operated for maxillofacial space infections
Rhyl Seafront
No full textIt is composed of 15 black&white photographs taken in the 1980s and 1990s. It is included in a box set of 100 Café Royal Books titled Archive Two and is in the collection of major institutions. The Café Royal Book Rhyl Seafront and images from it featured in Clarke’s touring exhibition End of the Season 2015 – 2017. Rhyl Seafront was exhibited at the Martin Parr Foundation in the exhibition Café Royal Books: Documentary, Zines and Subversion 14 April-12 June 2022; and at Stills: Centre for Photography, Edinburgh as part of the exhibition titled Café Royal Books 10 November 2023 – 10 February 2024. One of the books’ images, Clwyd Cream Ices, was included in the group exhibition Made in Wales II: A Fine Beginning that toured in 2015/16; the image Mint was included in the exhibition Seeing through the Century as part of Carlisle Photo Festival, 2014.Rhyl Seafront was published by Café Royal Books in an edition of 150 in 2015, and was reprinted in 2020 in an edition of 250. It was edited by Craig Atkinson, founder of Café Royal Books. Rhyl Seafront is one of four Café Royal Books dedicated to the topic of the seaside town of Rhyl, North Wales and is part of Clarke's larger project that documented family holidays in Rhyl. The publication of this photobook coincided with the opening of Clarke’s exhibition, End of the Season, at the Grosvenor Museum, Chester. The black&white photographs record the architecture and features of this popular promenade prior to its total redevelopment
Café Royal Books
No full textStephen Clarke's contribution to this exhibition.
Twelve books: Blackpool 1980s-1990s (2023); Rhyl (2020); South Wales Housing Estate 1986 (2020); San Diego Topographics 2 (2019); San Diego Topographics 1 (2019); San Diego Typography (2019); Mailboxes San Diego 1986-1987 (2019); Newport Snow 1985 (2018); St Helens (2016); Rhyl Caravan Parks (2015) Rhyl Seafront (2015); Ocean Beach, Rhyl (2014).
Two prints: taken from Rhyl Caravan Parks (2015)An exhibition of the first 600 photobooks published by the independent publisher Café Royal Books. Café Royal Books is "dedicated to post-war photography from Britain and Ireland with a particular interest in unseen or overlooked work" (Stills). This exhibition at Stills: Centre for Photography in Edinburgh is an expanded version of the show Café Royal Books: Documentary, Zines and Subversion, held at the Martin Parr Foundation, Bristol in 2022. The 600 books exhibited will be added to the Stills Reference Library for public access. Clarke's contribution in the exhibition: twelve books and two prints
Determining current approaches to the evaluation of the quality of healthcare simulation-based education provision: a scoping review
Get PDFBackground: With an increase in simulation being used in healthcare education, there is a need to ensure the quality of simulation-based education is high. This scoping review was conducted to answer the question: What are the current approaches to the evaluation of the quality of health-care simulation-based education provision? Methods: Databases PubMed, Cochrane, ERIC, CINAHL and Medline were searched in March 2023 to retrieve peer-reviewed healthcare research and review articles written in the English language within the last 20 years. All data were extracted from six studies, themed and presented in the main text and in tabular form. Results: Two scoping reviews, one systematic review and three research articles were included. Three main themes were found: adherence to existing design frameworks, lack of validation of these frameworks and lack of evaluation frameworks, and a proposed evaluation framework. Many of the excluded articles focussed on gaining participant feedback to evaluate simulation activities, rather than evaluating the quality of the design and implementation of the simulation. Conclusions: Benchmarking of current United Kingdom (UK) healthcare simulation against UK and international simulation standards is required to increase its quality, therefore, an agreed UK template framework to evaluate simulation packages is recommended
The Story of Gran & Mr Fox
No full textThis book is not available on ChesterRepAn illustrated short story for children.Unfunde
Foreword to Elements: Poems from the Cheshire Prize for Literature 2007
No full textIntroduction to anthology.N/
The Meaning of 'Scotch Fiddle' in Rochester's 'Tunbridge Wells'
No full textCopyright 2002 © Arizona Board of RegentsThe meaning of 'Scotch Fiddle' in Rochester's poem 'Tunbridge Wells (anon; 1675).N/
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