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Introduction: Difficulties in pronouncing many drug names can lead to medication errors in pharmacy practice. A pilot study called DrugSpeak was devised to provide educational scaffolding to enable students to pronounce drug names correctly. Method: Student participants (n = 26) accessed online videos on phonetics and audio files of drug names, and then undertook a workshop that provided them with basic phonetics training to assist them in pronouncing drug names correctly. Surveys and audio recordings of student pronunciations of drug names were conducted before and after intervention with DrugSpeak. Results: Significant increases (p

BACKGROUND The premise of the Vascular Services Quality Improvement Programme (VSQIP) in management of patients with asymptomatic large abdominal aortic aneurysms (AAA) is reducing mortality from ruptured AAA in a sustainable way without introducing excessive procedure related mortality. Inevitably a proportion of patients are deemed unfit for elective repair. The aim of this study was to report outcomes of patients who were referred with large asymptomatic AAAs including those turned down for elective repair and identify independent risk factors for being turned down for elective open or endovascular repair of AAA. METHODS Consecutive patients referred to a regional vascular center with a large AAA (greater than 55 mm) between 1st January 2008 and 31st March 2018 were included. All patients underwent the nationally agreed VSQIP pathway which included preoperative cardio-pulmonary exercise testing and contrast enhanced CT scan of aorta. The decision to repair and the modality of repair were made through a Multi-Disciplinary Team MDT process on each patient. Patients were classified into two groups; those managed non-operatively and those offered elective repair. Survival was assessed using Kaplan-Meier analysis. Factors associated with non-operative management were examined using multivariate analysis. RESULTS A total of 876 patients of whom 768 were men and 108 were women with a mean age of 74 years (SD: 7.2) and a diagnosis of a large asymptomatic AAA were assessed. One hundred and seventy-four patients (19.9%) were turned down for elective repair and 702 (80.1%) underwent repair [Open: 244(34.8%), EVAR: 458 (65.2%] with perioperative and 30 day mortality of 1.13% (8 patients). Median duration of follow-up was 1530 days (51 months), (inter quartile range: 1714 days). Patients who underwent repair had significantly higher survival rates compared with those who were turned down (P 80 yrs. [OR (95% CI): 1.32 (1.012-1.52], (P=0.0203), complex aneurysm morphology [OR (95% CI): 3.70 (2.82-4.87], (P

Viva voce (VIVA) exams are resource intensive, can be prone to inter-rater reliability issues, and induce anxiety in many students. Costs, reliability, validity, and student welfare have been targeted for VIVA re-design. The objective of this study is to design and assess if a less labour-intensive approach to VIVA exams is acceptable to students, reducing student anxiety, whilst maintaining authenticity of the assessment.The School of Pharmacy and Medical Sciences (Griffith University) delivers undergraduate and postgraduate pharmacy degrees, which contain multiple VIVAs. We have designed and implemented a modified VIVA called the technology-assisted VIVA exam (TaVIVA) utilising remote recording, retrospective marking, and pre-recorded multimedia delivered questions to test student acceptability, impact on student anxiety, and inform potential delivery as a summative assessment.Student responses were overwhelmingly positive, reporting satisfaction with the TaVIVA. There was strong agreement that the school should continue to develop the TaVIVA. Students perceived that it was fairer than traditional VIVAs and less anxiety inducing. However, students indicated that the traditional VIVA was more authentic and that they eventually need to conduct a VIVA in the presence of an assessor.The TaVIVA is an innovative assessment approach with potential benefits over the traditional VIVA, including facilitation of assessment consistency and reductions in student anxiety. We postulate that the TaVIVA is a useful and valid means of scaffolding student performance in VIVA assessment.

BACKGROUND Vascular Services Quality Improvement Program (VSQIP) was introduced to reduce mortality from elective repair of AAA in the UK. This study examines the differences in perioperative mortality and postoperative survival between men and women following elective repair of AAAs in the 10 years after implementation of the (VSQIP). METHODS Consecutive patients who underwent elective repair of AAA between 1st January 2008 and 31st March 2018 were included. All patients were assessed using the nationally agreed VSQIP pathway which involved cardiopulmonary exercise testing as well as contrast enhanced CT scan of aorta and multidisciplinary assessment to plan each treatment. CT scans were examined to assess the morphology of AAA. Patients were stratified by age, gender, AAA morphology and preoperative anaerobic threshold. Postoperative survival was assessed using Kaplan-Meier analysis. Cox regression analysis was used to determine predictors of postoperative mortality. RESULTS A total of 702 patients underwent elective repair of AAA of whom 632 were men and 70 were women. The mean age of study cohort was 73.5±7.3 years and mean AAA diameter was 62±9.9 mm. Two hundred and forty-four patients underwent open repair, 402 underwent infrarenal endovascular aneurysm repair (EVAR) and 56 underwent complex EVAR with perioperative and 30-day mortality of 1.13%. No significant difference was observed in perioperative/30-day mortality between men and women (χ2=0.06, P=0.81). Anaerobic threshold

BACKGROUND The aim of this study was to examine the value preoperative AT as predictor of postoperative survival in patients who underwent elective EVAR for repair of asymptomatic AAA. METHODS Consecutive patients who underwent elective EVAR between 2008 and 2018 were analyzed. Cardiopulmonary exercise testing was performed. Perioperative 30-day mortality was compared between patients who had AT ≥8 mL/kg/min and those with AT

The perioperative management of ruptured abdominal aortic aneurysms (RAAA) remains a core anaesthetic competency. Changes such as service centralization, aneurysm screening and the developing role of emergency endovascular aneurysm repair (EVAR) are altering the demands upon anaesthetists. Whereas previously on-site general anaesthesia for resuscitative open aneurysm repair (OAR) was standard, now transfer, choice of surgical technique and options for anaesthetic management may need to be considered. We present the key components of emergency anaesthesia for both OAR and EVAR and describe clinical dilemmas arising at preoperative and intraoperative stages.

Background Patients with abdominal aortic aneurysms (AAA) represent a high-risk surgical group. Despite medical optimization and radiological stenting interventions, mortality remains high and it is difficult to improve fitness. The aim of this pilot study was to evaluate the effect of a 6 week, supervised exercise programme (30 min continuous moderate intensity cycle ergometry, twice weekly) on anaerobic threshold (AT) in subjects with AAA. Methods Thirty participants with an AAA under surveillance were randomized to either the supervised exercise intervention (n=20) or a usual care control group (n=10). AT was measured using cardiopulmonary exercise testing, at baseline (AT1), week 5 (AT2), and week 7 (AT3). The change in AT (AT3–AT1) between the groups was compared using a mixed model ancova , providing the mean effect together with the standard deviation ( sd ) for individual patient responses to the intervention. The minimum clinically important difference (MCID) was defined as an improvement in AT of 2 ml O2 kg−1 min−1. Results Of the 30 participants recruited, 17 of 20 (exercise) and eight of 10 (control) completed the study. The AT in the intervention group increased by 10% (equivalent to 1.1 ml O2 kg−1 min−1) compared with the control (90% confidence interval 4–16%; P=0.007). The sd for the individual patient responses to the intervention was 8%. The estimated number needed to treat (NNT) for benefit was 5 patients. Conclusions The small mean benefit was lower than the MCID. However, the marked variability in the individual patient responses revealed that a proportion of patients did benefit clinically, with an estimated NNT of 5.