Newark Hospital is a health facility in Newark-on-Trent, Nottinghamshire, England. It is managed by the Sherwood Forest Hospitals NHS Foundation Trust.
Salisbury writes about an integrated multidisciplinary respiratory team in Oxford jointly funded by a drug company and the local clinical commissioning group (CCG).1 We had a similar initiative locally. In short, …
The paper presents a specimen of the rare silver coinage of King Ballaios, with a goal of enlarging the numismatic database for the study of this still enigmatic ruler who remains unrecorded by the extant literary sources, yet nonetheless issued large amounts of bronze coins that spread over a considerable area of the eastern Adriatic coast and beyond, and also his silver coins with a royal title.
Purpose Peer support (PS) workers are being employed despite uncertain evidence for clinical and cost-effectiveness. Psychological theories have been proposed to explain the mechanisms of PS but these lack empirical validation and specificity to professional PS. The purpose of this paper is to develop a substantive interpretive grounded theory of service-users’ experience of professional PS work. Design/methodology/approach Constructivist grounded theory was used throughout. Semi-structured interviews were conducted with ten service-users who had engaged with a professional PS worker. Findings Three overarching themes were constructed. “The process of disclosure” describes how disclosure of mental health difficulties, experiences as a service-user and wider disclosure about life experiences, interests and values facilitate the development of a shared identity with the PS worker. “The product of disclosure” highlights the sense of being understood as a result of the disclosure and marks a deepening of the relationship. “Dual roles” describes the tenuous position of holding both a professional relationship and friendship. Research limitations/implications Future research should seek to refine the theory developed and compare the effects of therapist self-disclosure with that found within PS. There were limitations within the study, including limited diversity within the sample as well as difficulties with recruitment. Originality/value This study connects service-users’ accounts of receiving PS with existing psychological theory to move towards an understanding of the relationship between receivers and providers of professional PS.
A schwannoma is a benign, encapsulated and non-invasive tumour whose origin is derived from Schwann cells. Its incidence in the foot and ankle is rare. The etiology, incidence, clinical presentation, histology, differential diagnoses and surgical treatment are discussed. The authors present a case of a schwannoma of the tibial nerve sheath causing tarsal tunnel syndrome of the foot. The diagnosis in this case was delayed for eight years, which unfortunately is not uncommon with pedal schwannomas.
Carotid intervention in severe carotid stenosis after an anterior circulation ischemic event reduces the risk of further infarcts if the surgery is performed soon after the incident event. At present, there is no recommendation to differentiate among subtypes of anterior circulation infarcts or transient ischemic events. However, evidence is mounting that demonstrates a difference in pathophysiology of lacunar and nonlacunar (large artery) infarcts. The natural history of lacunar strokes is different from large artery infarcts for recurrence and mortality. Stroke is a heterogenous disease and consideration needs to be directed to manage different stroke subtypes differently. Lacunar infarcts mostly do not arise from large artery atheromatous disease or by cardioembolic phenomena, and there is a negative predictive value for severe carotid stenosis in lacunar strokes. Thus, current evidence suggests that lacunar strokes may not warrant investigation for carotid stenosis.
