71 research outputs found
Addiction recovery stories: Dylan Suttie in conversation with Lisa Ogilvie
No full textPurpose The purpose of this paper is to examine recovery through lived experience. It is part of a series that explores candid accounts of addiction and recovery to identify important components in the recovery process. Design/methodology/approach The G-CHIME model comprises six elements important to addiction recovery (growth, connectedness, hope, identity, meaning in life and empowerment). It provides a standard against which to consider addiction recovery. It has been used in this series, as well as in the design of interventions that improve well-being and strengthen recovery. In this paper, a first-hand account is presented, followed by a semi-structured e-interview with the author of the account. Narrative analysis is used to explore the account and interview through the G-CHIME model. Findings This paper shows that addiction recovery is a remarkable process that can be effectively explained using the G-CHIME model. The significance of each component in the model is apparent from the account and e-interview presented. Originality/value Each account of recovery in this series is unique, and as yet, untold
Suttie’s Influence on Fairbairn’s Object Relations Theory
No full text It is suggested here that Ian Suttie influenced W. R. D. Fairbairn directly through a 1939 reprint of his The Origins of Love and Hate, a heavily underlined copy of which was found by the author in Fairbairn’s library in the University of Edinburgh Library Special Collections in October 2009. Underlined sections of the book are compared with significant aspects of Fairbairn’s post-1940 theorizing, and the similarities are argued to be due to Fairbairn’s adopting many of the underlying attitudes and ideas that Suttie developed. This leaves Fairbairn’s structural theory, which he began to develop as a rational reconstruction of Freud’s structural theory as early as 1927, dependent in part on such theory but independent of direct influence by Suttie. It is argued that Suttie’s importance vis-à-vis British object relations thinking needs to be reassessed. </jats:p
The prediction of response to chemotherapy in patients with oesophago-gastric cencer using positron emission tomography
No full textConventional anatomical imaging relies on changes in tumour volume, which do not become appreciable until late. Positron Emission Tomography (PET, using metabolically active tracers) offers an alternative, as metabolic changes occur prior to volume reduction. 18FDG PET, monitoring glucose uptake in cells, has been used with some success. 11C-Choline PET, monitoring cellular proliferation, may be more accurate. 18 patients with tumours at or around the gastro-oesophageal junction, underwent PET imaging with both 18FDG and 11C-Choline prior to and at day seven and fourteen into the first cycle of the chemotherapy (neo-adjuvant and palliative). Tumour uptake of each tracer was determined using SUV and Patlak analysis. The initial tumour tracer uptake and the change in uptake over time were correlated with tumour regression grade, pathological response, survival and cellular ki-67 expression. All 18 primary tumours were visualised with 18FDG PET in contrast to 16/18 with 11C-Choline. Four out of nine (44%) patients had a pathological response following neo-adjuvant chemotherapy. Pathological responders had a median survival of 16.1 months in comparison to non responders of 19.0 months (p=0.978). At day 14, tumours with less than median reduction in 11C-Choline uptake (Patlak) had a median survival of 15.4 months compared to 10.9 months for those with a greater than median reduction (p=0.069). Initial and change in 11C-Choline or 18FDG uptake did not correlate with ki-67 tumour count. Tumours with less than the median reduction in ki-67 count following chemotherapy had a median survival of 12.8 months compared to those with a greater than median reduction 14.7 months (p=0.319). Although limited by small numbers, the change in 11C-Choline uptake at day fourteen into the first chemotherapy cycle, best predicts survival for tumours at or around the gastro-oesophageal junction. 11C-Choline uptake did not directly correlate with ki-67 expression.EThOS - Electronic Theses Online ServiceGBUnited Kingdo
The Evidence for Management of Abdominal Aortic Aneurysms: Lessons Learned from Randomised Controlled Trials
No full textNon
Improved arterial exposure and ergonomics with use of elasticated retractors in vascular surgery
No full textTraditional self-retaining retraction devices do not always provide adequate exposure and, on occasion, hamper economy of movement during vascular surgical procedures. We report the novel use of elasticated retractors to improve surgical exposure for vascular access procedures that may be transferable to other vascular surgical procedures.</p
A rare cause of massive haematuria:internal iliac artery-ureteric fistula
No full textUreteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascular exclusion of the aneurysm and its management. Nephrostogram identified the fistula not seen on computerised tomography. This case highlights the awareness of such pathology allowing for prompt recognition of the condition and importance of appropriate imaging
Enhancing junior doctors’ working lives
No full textJunior doctor wellbeing has been a topic of increasing interest in
recent years. There is increasing evidence of poor workplace satisfaction, rising levels of burnout and increasing diaspora of UK-trained junior doctors. There is therefore a pressing need to address the
wellbeing of our trainees and recent concerted efforts at local, national
and international levels are working towards this, with the ultimate goal
of also improving patient care. The tension between the personal and
the professional may never be so keenly felt as during the unique challenges we are facing this year, in 2020, as we tackle the biggest global
health emergency of our lives brought about by COVID-19. There are
many positive examples of new initiatives aimed at supporting the
medical community at this time; however, we must all work together
to sustain these endeavors in post-pandemic times. We here summarize a number of pertinent issues affecting trainee wellbeing, outline
current attempts at addressing these and make further suggestions
as how to enhance the working lives of our junior doctors. However
there is much still to be done
Enhancing junior doctors' working lives
No full textJunior doctor wellbeing has been a topic of increasing interest in recent years. There is increasing evidence of poor workplace satisfaction, rising levels of burnout and increasing diaspora of UK-trained junior doctors. There is therefore a pressing need to address the wellbeing of our trainees and recent concerted efforts at local, national and international levels are working towards this, with the ultimate goal of also improving patient care. The tension between the personal and the professional may never be so keenly felt as during the unique challenges we are facing this year, in 2020, as we tackle the biggest global health emergency of our lives brought about by COVID-19. There are many positive examples of new initiatives aimed at supporting the medical community at this time; however, we must all work together to sustain these endeavors in post-pandemic times. We here summarize a number of pertinent issues affecting trainee wellbeing, outline current attempts at addressing these and make further suggestions as how to enhance the working lives of our junior doctors. However there is much still to be done.</p
“It Has Always Known And We Have Always Been ‘Other’: Knowing Capitalism And The ‘Coming Crisis’ Of Sociology Confront The Concentration System and Mass-Observation,”
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