Cromer Hospital

Eighteen graded non-metric characters and 30 measurements of the mandible and lower dentition were used to investigate the grouping of African species of the genera Crocidura, Suncus and Sylvisorex. Seventy-seven taxa (species, subspecies and synonyms), including four European species, were represented by one to nine mandibles (147 mandibles in all), and the means of four Pleistocene African species were also included. The metric data were subjected to principal component and canonical variate analyses, and the non-metric data to principal component analysis. Grouping was detected by comparing the results of the three analyses. Six groups are recognized within the genus Crocidura, typified by C. fumosa, C. turba, C. russula, C. fuscomurina, C. hirta and C. flavescens. Sylvisorex is divisible into two groups, typified by S. lunaris and S. granti. The African species of Suncus (but not the introduced species, S. murinus) form a single group, which is linked to the Sylvisorex granti group. Suncus is closely related to, or convergent with, the Crocidura fuscomurina group. The first non-metric principal component, the second metric principal component and the second canonical variate are significantly correlated. It is considered that these together represent a general trend of evolutionary advance. Phylogenetic relations are discussed in the light of this; Crocidura may be diphylefic.

O bjectives : To evaluate staff nasal colonisation with meticillin‐resistant Staphylococcus aureus in a veterinary orthopaedic referral hospital, and its effect on the occurrence of meticillin‐resistant Staphylococcus aureus ‐associated postoperative wound complications in orthopaedic and spinal surgical patients. M ethods : Nasal bacterial swabs were collected from veterinary staff and environmental surfaces swabbed at six monthly intervals for meticillin‐resistant Staphylococcus aureus monitoring over an 18 month period. The incidence of meticillin‐resistant Staphylococcus aureus ‐associated postoperative wound complications of two veterinary orthopaedic surgeons was reviewed for a period when one was positive for nasal meticillin‐resistant Staphylococcus aureus . R esults : Meticillin‐resistant Staphylococcus aureus was isolated from a maximum of two out of 10 staff on each occasion. The persistently infected clinician was primary surgeon in 180 cases, of which four developed meticillin‐resistant Staphylococcus aureus ‐associated wound complications. None of 141 operations led by the other surgeon developed meticillin‐resistant Staphylococcus aureus ‐associated complications. This difference is not statistically significant (P=0·0974). The 95 per cent confidence interval for this odds ratio was 0·83 to 44·0. Meticillin‐resistant Staphylococcus aureus resistance patterns of the human nasal isolates and three of four wound‐associated isolates were similar. C linical S ignificance : Veterinary workers are at increased risk for meticillin‐resistant Staphylococcus aureus colonisation, so it is likely that many veterinary patients are treated by meticillin‐resistant Staphylococcus aureus ‐positive staff. Nasal colonisation of veterinary surgeons with meticillin‐resistant Staphylococcus aureus appears to present only a small risk to their patients when appropriate infection control procedures are followed.

KURLAND, ALBERT A. M.D.; DESTOUNIS, NICHOLAS M.D.; SHAFFER, JOHN W. PH.D.; PINTO, ALCODES PH.D. Author Information

The purpose of this study was to compare the holding powers of 2.7 mm pre-tapped and self-tapped screws placed closely together and tightened in small bones. Pairs of metatarsals were collected from healthy, skeletally mature Greyhounds and part of a 2.7 mm dynamic compression plate was fixed to the dorsal surface of each bone using three 2.7 mm screws. Identical screws were used throughout but only one of each pair of bones had threads pre-cut using a tap prior to insertion. All of the screws were tightened before the constructs were mounted in a materials testing machine and the centrally placed screw was loaded incrementally until failure. Load-deformation curves were plotted and yield point, ultimate load to failure, stiffness and energy prior to yield point were measured. Mean values were recorded for each parameter and Student's T-test was used to test the null hypothesis that there is no difference in holding power between pre-tapped and self-tapped screws. Significant mechanical differences were not found between pre-tapped and self-tapped screws placed closely together and tightened into small bones. Self-tapped screws can be considered for use in small animal surgery even when multiple screws are to be placed closely together in relatively small pieces of bone.

BACKGROUND: To evaluate indications for colectomy in T1 polyps and possible risk factors for lymph node metastasis. METHODS: Between 2004 and 2017, 40 patients underwent colectomy after endoscopic removal of malignant polyps with T1 carcinoma. Resection was done based on at least one of the unfavourable histopathological criteria. We collected and prospectively studied histopathologic features, short-term results and the benefit-risk balance. Complications were assessed by Clavien-Dindo classification. RESULTS: Twenty-five patients (62.5%) underwent laparoscopic bowel resection. Twenty-nine patients (63.0%) had more than two unfavourable criteria in the polyp that justified colorectal resection. Thirty-five patients (76%) had G2 (moderately differentiated) cancer, 11 (24%) had G1 (well-differentiated). Five patients (12.5%) had lymph node metastases and one (2.5%) had residual adenocarcinoma. All five patients with lymph node metastasis had G2 cancer. Nine patients (22.5%) had residual adenoma. Overall complications were identified in six (15.0%) patients. Oncologic benefit (or risk factors for lymph node metastasis) was significantly associated with polyp size ≥18 mm (P = 0.006), lymphovascular invasion (P = 0.05) and budding (P = 0.02). CONCLUSIONS: Female gender, lymphovascular invasion, desmoplastic reaction, criteria for surgery ≥2 and polyp size ≥18 mm were all in complex significant risk factors for lymph node metastasis in T1 colorectal cancer. Acting as a single factor, these variables had no effect to increased risk of metastasis.

"The Minute Books of the Suffolk Humane Society: A pioneer lifesaving organisation and the world's first sailing lifeboat, 1806–1892." The Mariner's Mirror, 100(2), pp. 235–236

Abstract Background and aims Opioids are now the most cited class in fatal overdoses. However, the antidote for opioid overdose—naloxone—is not always readily available. Our aim was to evaluate the feasibility of naloxone transit via drone to provide rapid access at the point of care. Methods and findings Real‐world data pertaining to opioid overdoses, which occurred in the Teesside area of the UK 2015–2019, were extracted from the National Programme on Substance Abuse Deaths (NPSAD). The original locations of these opioid overdoses were used to compare the projected response times of ambulances with that of drones when considering the impacts of actual traffic and weather conditions, respectively; 58 cases were identified where a bystander—who could have called for and administered emergency naloxone—was likely present. Results In 78% of cases ( n = 45/58) a class C1 commercial‐off‐the‐shelf drone carrying naloxone could have reached the overdose location in 7 min—the benchmark time for the arrival of emergency services for Category 1 calls in England. With the implementation of recent advances in drone engineering, such as increased speeds and temperature‐controlled cargo cradles, it is estimated that 98% of overdoses could have been reached in this timeframe ( n = 57/58). Ambulances were able to reach a significantly lower number of cases in 7 min, even when considering best‐case scenario traffic conditions (14%, n = 8/58, χ 2 P < 0.001). Conclusions This study provides proof‐of‐concept that, in the Teesside area of the UK, drones are more likely than ambulance to get naloxone to the site of an opioid overdose in 7 min.

This paper outlines a study undertaken by Helen Lloyd to assess the impact of multi-skilled theatre practitioners on reducing cancellations in stand alone day surgery units in England and Wales. The author provides the background to the study together with an overview of the results. The literature review undertaken before the study is published in full. It identifies what factors influence the efficiency of day surgery and operating theatre facilities, traditional staffing of operating theatres and day surgery facilities, together with other influencing factors for theatre utilisation. The author recieved partial funding from ERFF to complete her MBA in Health Service Management at Greenwich School of Management (accredited to University of Hull) in 2007.

Introduction: Kidney disease is comprised of changes in kidney function that is maintained for a varying period, defined in two ways: acute kidney failure (AKF) and chronic kidney disease (CKD), both depending on the development of the disease. The objective of this study is to identify whether there is a difference in the nutritional status between AKF and CKD between the genders and age groups of hospitalized patients and the prevalence of other diseases associated with kidney disease. Methods: Prospective observational study. We selected 33 patients admitted to a hospital in Guarapuava, Paraná. The collected information was anthropometric assessment, 24-hour food recall, clinical and nutritional diagnosis. The results were evaluated by descriptive and inferential analysis. Results: The mean age was 61.0 ± 17.4 years, with the majority being female (54.5%; n = 18) and elderly (66.6%; n = 21), regarding the classification of nutritional status, most were eutrophic (57.6%) and 42.4% and 51.5% were malnourished by the circumference of the arm and the tricipital skin fold, respectively. As for the personal history investigated, no statistically significant differences were found, with a statistical tendency for patients with a clinical diagnosis of CKD to have arterial hypertension. Conclusion: Even though the majority of the studied population had an adequate nutritional status, there was also a tendency towards malnutrition due to other parameters of anthropometric assessment.

Journal Article Sandlins and Sandecls Get access M. G. M. G. 1Cromer Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s2-IV, Issue 96, 31 October 1857, Page 358, https://doi.org/10.1093/nq/s2-IV.96.358a Published: 31 October 1857

Journal Article “The Wreck of the Titanic”: ccx. 30 Get access Leslie Shepard Leslie Shepard 12 Moatlands House, Cromer Street, London, W.C.1. Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume 12, Issue 3, 4 March 1965, Page 109, https://doi.org/10.1093/notesj/12.3.109-b Published: 04 March 1965

Journal Article Early belfast book-plates Get access Arthur Shephard Arthur Shephard 1Cromer, Norfolk Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s9-II, Issue 50, 10 December 1898, Page 464, https://doi.org/10.1093/nq/s9-II.50.464b Published: 10 December 1898

Nelson and Freemasonry Get access Arthur Shephard Arthur Shephard 1Cromer, Norfolk Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s9-III, Issue 66, 1 April 1899, Page 247, https://doi.org/10.1093/nq/s9-III.66.247d Published: 01 April 1899

Townshends of Raynham, Recusants Get access James Durham James Durham 1Cromer Grange Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s11-XII, Issue 309, 27 November 1915, Page 420, https://doi.org/10.1093/nq/s11-XII.309.420b Published: 27 November 1915