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1. The impact of the COVID-19 pandemic on UK medical education. A nationwide student survey

Author

Tekkis, Nicholas Pari, Rafi, Damir, Brown, Sam, Courtney, Alona, Kawka, Michal, Howell, Ann-Marie, McLean, Kenneth, Gardiner, Matthew, Mavroveli, Stella, Hutchinson, Peter, Tekkis, Paris, Wilkinson, Paul, Sam, Amir H, Savva, N, Kontovounisios, Christos, Tekkis, N, Rafi, D, Brown, S, Courtney, A, Kawka, M, Howell, A, McLean, K, Gardiner, M, Mavroveli, S, Hutchinson, P, Tekkis, P, Wilkinson, P, Sam, A H, Kontovounisios, C, Mclean, K, Singal, A, Chia, C, Chia, W, Ganesananthan, S, Ooi, S Z Y, Pengelly, S, Wellington, J, Mak, S, Subbiah Ponniah, H, Heyes, A, Aberman, I, Ahmed, T, Al-Shamaa, S, Appleton, L, Arshad, A, Awan, H, Baig, Q, Benedict, K, Berkes, S, Citeroni, N L, Damani, A, de Sancha, A, Fisayo, T, Gupta, S, Haq, M, Heer, B, Jones, A, Khan, H, Kim, H, Meiyalagan, N, Miller, G, Minta, N, Mirza, L, Mohamed, F, Ramjan, F, Read, P, Soni, L, Tailor, V, Tas, R N, Vorona, M, Walker, M, Winkler, T, Bardon, A, Acquaah, J, Ball, T, Bani, W, Elmasry, A, Hussein, F, Kolluri, M, Lusta, H, Newman, J, Nott, M, Perwaiz, M I, Rayner, R, Shah, A, Shaw, I, Yu, K, Cairns, M, Clough, R, Gaier, S, Hirani, D, Jeyapalan, T, Li, Y, Patel, C R, Shabir, H, Wang, Y A, Weatherhead, A, Dhiran, A, Renney, O, Wells, P, Ferguson, S, Joyce, A, Mergo, A, Adebayo, O, Ahmad, J, Akande, O, Ang, G, Aniereobi, E, Awasthi, S, Banjoko, A, Bates, J, Chibada, C, Clarke, N, Craner, I, Desai, D D, Dixon, K, Duffaydar, H I, Kuti, M, Mughal, A Z, Nair, D, Pham, M C, Preest, G G, Reid, R, Sachdeva, G S, Selvaratnam, K, Sheikh, J, Soran, V, Stoney, N, Wheatle, M, Howarth, K, Knapp-Wilson, A, Lee, K S, Mampitiya, N, Masson, C, McAlinden, J J, McGowan, N, Parmar, S C, Robinson, B, Wahid, S, Willis, L, Risquet, R, Adebayo, A, Dhingra, L, Kathiravelupillai, S, Narayanan, R, Soni, J, Ghafourian, P, Hounat, A, Lennon, K A, Abdi Mohamud, M, Chou, W, Chong, L, Graham, C J, Piya, S, Riad, A M, Vennard, S, Wang, J, Kawar, L, Maseland, C, Myatt, R, Tengku Saifudin, T N S, Yong, S Q, Douglas, F, Ogbechie, C, Sharma, K, Zafar, L, Bajomo, M O, Byrne, M H V, Obi, C, Oluyomi, D I, Patsalides, M A, Rajananthanan, A, Richardson, G, Clarke, A, Roxas, A, Adeboye, W, Argus, L, McSweeney, J, Rahman-Chowdhury, M, Hettiarachchi, D S, Masood, M T, Antypas, A, Thomas, M, de Andres Crespo, M, Zimmerman, M, Dhillon, A, Abraha, S, Burton, O, Jalal, A H B, Bailey, B, Casey, A, Kathiravelupillai, A, Missir, E, Boult, H, Campen, D, Collins, J M, Dulai, S, Elhassan, M, Foster, Z, Horton, E, Jones, E, Mahapatra, S, Nancarrow, T, Nyamapfene, T, Rimmer, A, Robberstad, M, Robson-Brown, S, Saeed, A, Sarwar, Y, Taylor, C, Vetere, G, Whelan, M K, Williams, J, Zahid, D, Chand, C, and Matthews, M

Subjects
Crises, Courses (Education), Medical sciences, United Kingdom
Published
2022

2. Does Preoperative Neutrophil-Lymphocyte Ratio Predict Patient-Reported Pain and Functional Outcomes at 12 Months After Lumbar Fusion?

Author

Osunronbi T, Lusta H, Borbas B, Sofela A, and Sharma H

Abstract

Background: Preoperative neutrophil-lymphocyte ratio (NLR) has been described in various fields to predict pain outcomes, but its prognostic utility for pain/functional outcomes after spine surgery is unclear., Objective: To determine the relationship between preoperative NLR and pain/functional outcomes at 12 months after lumbar fusion., Methods: We performed a single-center retrospective study of 53 patients who underwent lumbar fusion and collected demographic data including age, sex, body mass index, smoking status, spinal levels operated, and preoperative NLR. Visual analog scale (VAS) for back and leg pain and Oswestry Disability Index (ODI) at baseline and 12 months after lumbar fusion were also collected. The outcome measures were the occurrence of a clinically important improvement in VAS and ODI scores at 12 months. Binary logistic regression was used to estimate the associations of demographic factors and NLR with improvement in VAS and ODI scores. A P value of <0.05 was considered statistically significant., Results: There were no statistically significant associations between preoperative NLR and improvement in VAS or ODI scores. A unit increase in baseline VAS back pain score was associated with a 56% increase in the odds of improvement in back pain (OR: 1.56, 95% CI: 1.04-2.35, P = 0.03). Compared to male patients, female patients had 12 times greater odds of an improvement in leg pain (OR: 12.0, 95% CI: 1.3-110, P = 0.03)., Conclusion: Preoperative NLR does not predict patient-reported pain/functional outcomes at 12 months after lumbar fusion. Large-scale prospective multicenter studies are warranted to confirm our findings., Competing Interests: Declaration of Conflicting Interests: The authors report no conflicts of interest in this work., (This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2022 ISASS. To see more or order reprints or permissions, see http://ijssurgery.com.)

Published
2022
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3. The impact of the COVID-19 pandemic on UK medical education. A nationwide student survey.

Author

Tekkis NP, Rafi D, Brown S, Courtney A, Kawka M, Howell AM, McLean K, Gardiner M, Mavroveli S, Hutchinson P, Tekkis P, Wilkinson P, Sam AH, Savva N, Kontovounisios C, Tekkis N, Rafi D, Brown S, Courtney A, Kawka M, Howell A, McLean K, Gardiner M, Mavroveli S, Hutchinson P, Tekkis P, Wilkinson P, Sam AH, Savva N, Kontovounisios C, Tekkis N, Rafi D, Brown S, Courtney A, Kawka M, Howell A, McLean K, Gardiner M, Mavroveli S, Hutchinson P, Tekkis P, Wilkinson P, Sam AH, Savva N, Kontovounisios C, Tekkis N, Brown S, Kawka M, Mclean K, Savva N, Wilkinson P, Sam AH, Singal A, Chia C, Chia W, Ganesananthan S, Ooi SZY, Pengelly S, Wellington J, Mak S, Subbiah Ponniah H, Heyes A, Aberman I, Ahmed T, Al-Shamaa S, Appleton L, Arshad A, Awan H, Baig Q, Benedict K, Berkes S, Citeroni NL, Damani A, de Sancha A, Fisayo T, Gupta S, Haq M, Heer B, Jones A, Khan H, Kim H, Meiyalagan N, Miller G, Minta N, Mirza L, Mohamed F, Ramjan F, Read P, Soni L, Tailor V, Tas RN, Vorona M, Walker M, Winkler T, Bardon A, Acquaah J, Ball T, Bani W, Elmasry A, Hussein F, Kolluri M, Lusta H, Newman J, Nott M, Perwaiz MI, Rayner R, Shah A, Shaw I, Yu K, Cairns M, Clough R, Gaier S, Hirani D, Jeyapalan T, Li Y, Patel CR, Shabir H, Wang YA, Weatherhead A, Dhiran A, Renney O, Wells P, Ferguson S, Joyce A, Mergo A, Adebayo O, Ahmad J, Akande O, Ang G, Aniereobi E, Awasthi S, Banjoko A, Bates J, Chibada C, Clarke N, Craner I, Desai DD, Dixon K, Duffaydar HI, Kuti M, Mughal AZ, Nair D, Pham MC, Preest GG, Reid R, Sachdeva GS, Selvaratnam K, Sheikh J, Soran V, Stoney N, Wheatle M, Howarth K, Knapp-Wilson A, Lee KS, Mampitiya N, Masson C, McAlinden JJ, McGowan N, Parmar SC, Robinson B, Wahid S, Willis L, Risquet R, Adebayo A, Dhingra L, Kathiravelupillai S, Narayanan R, Soni J, Ghafourian P, Hounat A, Lennon KA, Abdi Mohamud M, Chou W, Chong L, Graham CJ, Piya S, Riad AM, Vennard S, Wang J, Kawar L, Maseland C, Myatt R, Tengku Saifudin TNS, Yong SQ, Douglas F, Ogbechie C, Sharma K, Zafar L, Bajomo MO, Byrne MHV, Obi C, Oluyomi DI, Patsalides MA, Rajananthanan A, Richardson G, Clarke A, Roxas A, Adeboye W, Argus L, McSweeney J, Rahman-Chowdhury M, Hettiarachchi DS, Masood MT, Antypas A, Thomas M, de Andres Crespo M, Zimmerman M, Dhillon A, Abraha S, Burton O, Jalal AHB, Bailey B, Casey A, Kathiravelupillai A, Missir E, Boult H, Campen D, Collins JM, Dulai S, Elhassan M, Foster Z, Horton E, Jones E, Mahapatra S, Nancarrow T, Nyamapfene T, Rimmer A, Robberstad M, Robson-Brown S, Saeed A, Sarwar Y, Taylor C, Vetere G, Whelan MK, Williams J, Zahid D, Chand C, and Matthews M

Subjects
Humans, Pandemics, Students, United Kingdom epidemiology, COVID-19 epidemiology, Education, Medical, Students, Medical
Published
2022
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4. Preoperative lymphocyte percentage and neutrophil-lymphocyte ratio are useful predictors of 30-day postoperative complications after lumbar fusion.

Author

Osunronbi T, Borbas B, Lusta H, Sofela A, and Sharma H

Abstract

Background: Lymphocyte percentage/count, platelet-lymphocyte ratio (PLR), and neutrophil-lymphocyte ratio (NLR) have shown prognostic significance in patients with cancer, stroke, and following cardiac surgery. However, the utility of these blood parameters for assessing the 30-day postoperative risk for lumbar fusion complications has not been established., Methods: In this single-center-single-surgeon retrospective series, 77 consecutive patients underwent one- or two-level lumbar fusion. Lymphocyte percentage/count, PLR, and NLR were investigated as predictors of 30-day postoperative complications., Results: Ten of 77 patients had postoperative complications. A unit increase in NLR and lymphocyte percentage was significantly associated with a 23% increase and 7% decrease, respectively, in the odds of a complication occurring. Preoperative NLR ≥ 2.32 and lymphocyte percentage ≤ 29.5% significantly discriminated between the "complication" and "no-complication" groups., Conclusion: Patients with a preoperative lymphocyte percentage of ≤29.5% and/or NLR ≥2.32 should be closely monitored as high-risk groups susceptible to 30-day postoperative complications after lumbar fusion., Competing Interests: There are no conflicts of interest., (Copyright: © 2022 Surgical Neurology International.)

Published
2022
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