Kim Hinshaw - Academia.edu (original) (raw)

Papers by Kim Hinshaw

Cambridge University Press eBooks, Jun 9, 2014

To deliver effective national and specialist intelligence services to improve the health and well... more To deliver effective national and specialist intelligence services to improve the health and wellbeing of people in Scotland. Mission: Better Information, Better Decisions, Better Health Vision: To be a valued partner in improving health and wellbeing in Scotland by providing a world class intelligence service. Official Statistics Information Services Division (ISD) is the principal and authoritative source of statistics on health and care services in Scotland. ISD is designated by legislation as a producer of 'Official Statistics'. Our official statistics publications are produced to a high professional standard and comply with the Code of Practice for Official Statistics. The Code of Practice is produced and monitored by the UK Statistics Authority which is independent of Government. Under the Code of Practice, the format, content and timing of statistics publications are the responsibility of professional staff working within ISD.

BMJ, Sep 28, 1996

Secretary of state for health declines to promote free distribution of smoke alarms EDITOR,-A rec... more Secretary of state for health declines to promote free distribution of smoke alarms EDITOR,-A recent paper in the New England Journal ofMedicine' on a topic of direct relevance to the Health of the Nation's targets for reducing accidents2 stimulated a parliamentary question that received a rather disappointing response from the Department of Health. Residential fires are the second commonest cause of accidental death of children in Britain: each year about 70 children die as a result of residential fires in England and Wales.3 Observational epidemiological studies indicate that smoke alarms are effective in preventing deaths due to fires.4 The most compelling evidence for

Wiley-Blackwell eBooks, Mar 28, 2011

Obstetrical & Gynecological Survey, Dec 1, 2008

Oxytocin is widely used to speed up slow labour, especially in nulliparous women, but randomised ... more Oxytocin is widely used to speed up slow labour, especially in nulliparous women, but randomised trials, apart from one reported only in abstract, have been too small to exclude important effects. To test the hypothesis that early use of oxytocin reduces the need for caesarean delivery. A randomised controlled trial. Twelve obstetric units within the Northern and Yorkshire regions in the North East of England. A total of 412 low-risk nulliparous women in spontaneous labour at term, who had been diagnosed with primary dysfunctional labour were recruited from January 1999 to December 2001. Immediate oxytocin administration (active group) or oxytocin withheld for up to 8 hours (conservative group). Caesarean section and operative vaginal delivery rates. The length of labour measured from the time of randomisation to delivery. The rate of maternal Edinburgh Postnatal Depression Scale (EPDS) greater than 12 (major depression) within 48 hours of delivery. The caesarean section rates were 13.5% active versus 13.7% controls (OR 0.98, 95% CI 0.6-1.7). Operative delivery, 24.5% versus 30.9% (OR 0.73, 95% CI 0.5-1.1). The median (interquartile range) randomisation to delivery interval in the active group was 5 hours 52 minutes (3:57-8:28) and in the conservative group 9 hours 8 minutes (5:06-13:16) (P < 0.001). The rate of EPDS >12 was 20% in the active arm versus 15% among controls (OR 1.26, 95% CI 0.7-2.2). There was one perinatal death in each group and no major differences in perinatal outcomes. Among nulliparous women with primary dysfunctional labour, early use of oxytocin does not reduce caesarean section or short-term postnatal depression. However, it shortens labour considerably and may reduce operative vaginal deliveries.

Designations used by companies to distinguish their products are often claimed as trademarks. All... more Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Contents Working Group, vi Contributors, vii Foreword, viii Preface, ix Acknowledgements, xi Contact details and website information, xii Chapter 1 Obstetric services, 1 Chapter 2 Law, ethics and governance related to pregnancy, 7 Chapter 3 Anatomical and physiological changes in pregnancy, 18 Chapter 4 Normal delivery, 28 Chapter 5 Structured approach to the obstetric patient, 38 Chapter 6 Emergencies in early pregnancy and complications following gynaecological surgery, 53 Chapter 7 Emergencies in late pregnancy, 62 Chapter 8 Emergencies after delivery, 111 Chapter 9 Care of the baby at birth, 125 Chapter 10 Management of non-obstetric emergencies, 136 Chapter 11 Cardiac arrest and shock in pregnancy, 166 Abbreviations, 185 Glossary, 187 References, 192 Index, 195 v Note to text: Drugs and their doses are mentioned in this text. Although every effort has been made to ensure accuracy, the writers, editors, publishers and printers cannot accept liability for errors or omissions. The final responsibility for delivery of the correct dose remains with the practitioner administering the drug.

Bjog: An International Journal Of Obstetrics And Gynaecology, Mar 1, 2004

This well-conducted review provided a good overview of the literature relating to training progra... more This well-conducted review provided a good overview of the literature relating to training programmes for the management of acute obstetric emergencies. The review highlighted the lack of evidence-based practice in this important area. It also demonstrated that where programmes have been described and/or evaluated, the quality of the evaluation and reporting is poor. Authors' objectives To describe and evaluate training programmes for the management of acute obstetric emergencies.

International Journal of Integrated Care, Nov 20, 2013

Introduction: Health Services recognise that Telehealth can play a role in the clinician's abilit... more Introduction: Health Services recognise that Telehealth can play a role in the clinician's ability to support patients remotely and promote self-care. This paper describes the progress of an innovative project developing a Multi Matrix Telehealth Model in pregnancy care in NorthEast England, partnering Local Authorities, Primary and Secondary Care.

Emergency Medicine Journal, Jul 1, 2008

In this edition of the EMJ ( see page 457 ) Dobbie and Cooke1 review the most common causes of li... more In this edition of the EMJ ( see page 457 ) Dobbie and Cooke1 review the most common causes of litigation against UK ambulance services. They conclude that the key clinical areas to be addressed are obstetric care, spinal injury assessment and decision-making regarding non-conveyance to hospital. As with hospital practice, prehospital obstetric incidents resulting in litigation made up a significant proportion of the more costly claims. In the period from December 1995 to April 2005 there were 13 obstetric cases out of the total 272 claims (4.8%). However, the average value of the obstetric cases was £815 000. For all claims, regardless of cause, there were 24 between £100 000 and £1 million and 17 valued at more than £1 million. Of the latter, four were obstetric cases, based on either an alleged failure to identify and manage a problem or lack of appropriate equipment for the treatment of a preterm baby. The largest claim from the total was for £3 375 000 and relates to an alleged lack of equipment to care for a baby born at 26 weeks. The development of paramedic practitioners, emergency care practitioners and treat and refer guidelines for paramedics may be beginning to address concerns about the accuracy of decisions related to non-conveyance of patients seen by ambulance services.2 The introduction of guidelines for ruling out cervical spine injury should, conversely, focus the attention of practitioners on …

Obstetrics, Gynaecology & Reproductive Medicine, Dec 1, 2016

Abstract The field of human factors (HF), studies the interaction between system factors (i.e. or... more Abstract The field of human factors (HF), studies the interaction between system factors (i.e. organisational, job and environmental) with human/individual characteristics, and how these can influence patient safety and outcomes. These interactions can be human–system and human–human. The human elements encompass non-technical skills (NTS) made up of individual cognitive skills (situation awareness and decision-making), social or behavioural skills (communication, teamwork, leadership, followership and assertiveness) and personal resource skills (management of stress and fatigue). HF errors contribute to more than 80% of obstetric cases requiring critical incident review, with situational awareness and decision-making errors the most common (62%). The present UK postgraduate curriculum in obstetrics and gynaecology focusses 80% of training on technical skills, with only 20% devoted to teaching HF/NTS . Our principal aim must be to ensure patient safety by minimising avoidable harm. This article will review the relevance of HF to obstetrics and gynaecology and will describe the various components of NTS.

British journal of urology, Jun 1, 1988

Summary— The relative merits of cystoscopy alone and cystoscopy plus urethral dilatation were com... more Summary— The relative merits of cystoscopy alone and cystoscopy plus urethral dilatation were compared in a randomised study of women with recurrent frequency and dysuria.One hundred women were studied before and at least 6 months after operation. A detailed questionnaire was completed, the severity of the symptoms was scored and patients underwent urodynamic investigation. Forty‐eight patients underwent cystoscopy alone and 52 underwent urethral dilatation. The two groups were well matched with regard to age, parity, menopausal status, previous gynaecological surgery and severity of symptoms.A significant improvement in symptoms was observed in both groups after treatment: 30% had no residual symptoms, 50% were improved and 20% were no better. However, no difference in final outcome was observed between those who had undergone cystoscopy alone and those who had undergone urethral dilatation. Furthermore, 7 patients who underwent urethral dilatation experienced transient stress incontinence of urine, a complication not observed in women who underwent cystoscopy alone. No benefit was observed from the addition of urethral dilatation to cystoscopy alone in women with recurrent frequency and dysuria.

Obstetrics & Gynecology, Mar 1, 2014

The obstetrician & gynaecologist, Mar 10, 2020

Stylianos E Myriknas BSc MSc MBBS (Lon) MRCOG,* Konstantinos Papadakis MD, Kim Hinshaw MBBS FRCOG... more Stylianos E Myriknas BSc MSc MBBS (Lon) MRCOG,* Konstantinos Papadakis MD, Kim Hinshaw MBBS FRCOG Clinical Fellow in Obstetrics and Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, 369 Fulham Road, Chelsea, London SW10 9NH, UK Specialist Trainee in Obstetrics and Gynaecology, West of Scotland Deanery, Queen Elizabeth University Hospital, 1345 Govan Rd, Glasgow G51 4TF, UK Consultant Obstetrician and Gynaecologist, Director of Research and Innovation, South Tyneside and Sunderland NHS Foundation Trust, Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK *Correspondence: Stylianos E Myriknas. Email: steliosmyriknas@doctors.net.uk

Applied Cognitive Psychology, Dec 1, 2008

John Wiley & Sons, Ltd eBooks, Sep 14, 2018