Newmarket Hospital

At least half of all young people who die by suicide have previously self-harmed and most of those who self-harm will not seek help from health services for self-harming behaviours. By default, schools, colleges and universities necessarily play a key role in identifying those who self-harm and supporting them to access help. We conducted a systematic review (PROSPERO ID: CRD42021243692) of five databases (Medline, PsycINFO, ASSIA, ERIC and BEI) for quantitative studies evaluating interventions to reduce self-harm among students in schools, colleges and universities. We identified six eligible studies that reported interventions. Two interventions used mindfulness-based approaches and the remaining four interventions focused on in-classroom education. Three interventions reported a significant reduction in self-harm, all three used in-classroom education. Of the six studies, one study was rated methodologically moderate, while the remaining five were weak. In summary, the evidence base is limited in size and quality. Most current interventions to address self-harm in schools focus on training staff in awareness, with a significant gap in direct support for students.

A six-year-old, female, neutered crossbreed was presented to the University of Liverpool Small Animal Teaching Hospital for evaluation of pericardial effusion. Diagnostic imaging confirmed pericardial effusion and cardiac tamponade in addition to a mass located at the heart base. Thoracic CT revealed a strongly contrast-enhancing soft-tissue mass right lateral to the ascending aorta and ventral to the cranial vena cava with no evidence of metastatic disease. Subsequently, a subtotal pericardectomy was performed, and the mass was incompletely excised. Histopathology and immunohistochemistry revealed the mass to be an ectopic thyroid carcinoma of medullary (C cell) origin. The patient was treated with adjunctive chemotherapy (toceranib phosphate). Repeat staging two months later revealed no evidence of macroscopic tumour recurrence or metastatic disease. The patient was subsequently euthanased two months later due to complications of concurrent but unrelated hepatic disease.

I am pleased that nurses at Broomfield Hospital in Chelmsford, Essex are to return to wearing hats (news May 13). Welcoming the white bonnets that are being piloted, the hospital's deputy director of nursing, Catherine Morgan, says: 'We value the professionalism that a smart uniform portrays.'

Willkommen in Hannover! Mit diesen Worten begruste Frau Prof. Dr. Martina de Zwaan (Prasidentin der DGESS) die Teinehmer auf dem diesjahrigen DGESSKongress. Mit viel Engagement und Leidenschaft ist es der Kongressorganisation auch in diesem Jahr wieder gelungen sowohl fur Klinikerinnen als auch fur Wissen schaftler innen ein hoch aktuelles Programm zusammen zu stellen. Donnerstag 23. Februar Der erste Kongresstag war von insgesamt zwolf Workshops bestimmt, die einen vielfaltigen und aktuellen Uberblick uber manchmal unterschiedliche Thera pie an satze gaben. Freitag 24. Februar Der zweite Kongresstag war gekennzeichnet durch Symposien und freie Vortrage. Samstag 25. Februar Unter dem Thema »Der BFE: Das Therapiespektrum im Blick auf den Patienten« fand der Vortragsblock des BFEs unter grosem Pub likumsinteresse statt. Andreas Schnebel begruste die Kongressteilnehmer im Namen des Fachverbandes.

The important part of resuscitation in late pregnancy is the relief of aortocaval compression. A manoeuvre to relieve aortocaval compression (the human wedge) is described and evaluated. Eighteen qualified midwives performed basic life support in the supine and wedged position employing the human wedge. Performance was assessed using the Laerdal Resusci Anne Skillmeter. There was no difference (p = 0.4761) in performance of mouth-to-mouth expired air ventilation between the two positions. External cardiac compressions were performed significantly better (p = 0.0005) in the wedged position than in the supine position. The human wedge may provide an alternative to other methods of relieving aortocaval compression.

We examined the menisci in 47 patients at the time of anterior cruciate ligament reconstruction. Twenty-one patients had abnormal menisci at a mean of 34 months after injury, but there was no difference between the Lysholm scores of patients with intact or damaged menisci. Eleven patients had a new meniscal injury between reconstruction and review at a mean of six years later; only 15 patients had both menisci intact nine years after injury. If pivot shift had been cured, the incidence of meniscal injury was reduced, but remained higher than normal. If pivot shift returned after reconstruction there was a significantly higher incidence of meniscal injury. Meniscal lesions appear to be the result of instability and not the cause.

Forty-seven patients with disabling instability due to isolated anterior cruciate deficiency are described. None had responded to conservative measures or to attempted correction of internal derangements. Eighteen patients were treated by extra-articular MacIntosh lateral substitution alone, the other 29 were treated by the same procedure combined with carbon-fibre replacement of the anterior cruciate ligament. No statistically significant difference was found between the two groups at six years. A satisfactory outcome was found in 44% of the extra-articular group and 55% of the carbon-fibre group at last review; however, the latter group had more complications. There was a marked deterioration in the quality of results between three and six years in both groups.