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[VIRTUAL] Improving haematology clinics: Chesterfield Royal Hospital experience () - Jan 5, 2021 - Abstract #BSHI2020BSH-I_299;
Following a number of trials using the Plan Do Study Act approach, a Medway ODBT booking system was devised and fully implemented by the end of March 2019...The recent local results from the cancer patient survey (April to June 2019) confirmed this with 76% of patients saying the overall waiting time in clinic was ‘very short’ or ‘about right’. Our reflections on this SI work are:‐There is a need for Trust level engagement where capacity is a major contributor to poor clinic experience for patients and staff‐Detailed process mapping enables identification of key targets for change‐SI must be driven by the staff involved, as they are familiar with the issues and already have many of the solutions
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Journal: Effect of artificial barriers on the distribution of the invasive signal crayfish and Chinese mitten crab. (Pubmed Central) - Oct 16, 2020
Upstream barriers in the Medway positively influenced detection success of mitten crab lower in the catchment while detection success of signal crayfish was higher in the highly fragmented catchment (River Medway). This information on the role of river barriers on AIS distribution and eDNA detection is important for management strategies and for predicting both future dispersal and likelihood of new colonisations in previously uninvaded fragmented catchments.
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Journal: Metaldehyde prediction by integrating existing water industry datasets with the soil and water assessment tool. (Pubmed Central) - Sep 18, 2020
To achieve the study aim, a SWAT model was developed and calibrated for the River Medway catchment (UK)...The implications of this, are significant, because they suggest that SWAT could be applied universally to catchments using existing water industry datasets. This would allow more efficient use of historical datasets and would be applicable in situations where resources are not available for additional targeted monitoring programmes.
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Improving haematology clinics: Chesterfield Royal Hospital experience () - May 14, 2020 - Abstract #BSH2020BSH_35;
Following a number of trials using the Plan Do Study Act approach, a Medway ODBT booking system was devised and fully implemented by the end of March 2019...The recent local results from the cancer patient survey (April to June 2019) confirmed this with 76% of patients saying the overall waiting time in clinic was ‘very short’ or ‘about right’. Our reflections on this SI work are:‐There is a need for Trust level engagement where capacity is a major contributor to poor clinic experience for patients and staff‐Detailed process mapping enables identification of key targets for change‐SI must be driven by the staff involved, as they are familiar with the issues and already have many of the solutions
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Clinical, Journal: Pubic stress fracture presenting as a strain of adductor longus in a 16-year-old elite soccer player with Crohn's disease: a case report. (Pubmed Central) - Jan 29, 2020
Following activity restriction, a period of rest, conservative care, and progressive rehabilitation, this athlete was able to achieve a pain-free state with near equal iso-kinetic strength bilaterally as measured by Cybex 6000 (Cybex International Inc., Medway, MA, USA) muscle testing...This case report presents a rare diagnosis of a unilateral pubic stress fracture presenting as a strain of adductor longus. Although quite rare, differential diagnoses such as a potential underlying stress fracture should be considered when presented with chronic or recurrent groin pain.
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Journal: Reuben J. Silver (1924-2018). (Pubmed Central) - Jul 16, 2019
...He was born to Hyman Jonah Silver and Shaynah Volk Silver in Medway, Massachusetts, on September 12, 1924...Reuben was nationally recognized for his contributions to the professional practice of psychology. Many of his contributions were made when legal recognition for psychology was still in its infancy.
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Clinical: I ask every patient where they're from - often a revealing/fun discussion, and also helps me know what's available in their area. But Massachusetts makes this hard; I struggle with suburbs Medfield, Medway, Medford, Milford, Milton, Malden, Melrose, Middleton, Methuen, & Millis. (Twitter) - Mar 30, 2019
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