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5 results on '"Thomas Hedley Newman"'

1. Trends in Gender, Ethnicity and Less-Than-Full-Time Training among Reconstructive Plastic Surgery Registrars and Consultants between 2009 and 2020

Author

Fawz Kazzazi, Danny Kazzazi, Dilip Gosall, Diana Kazzazi, Thomas Hedley Newman, James Stephen Arthur Green, Nicola Bystrzonowski, and Gurjinderpal Pahal

Subjects
Training, Diversity, Gender, Ethnicity, Less Than Full Time, Surgery, RD1-811
Abstract

Objective: This study aimed to examine the trends in gender, ethnicity and less-than-full-time (LTFT) training in reconstructive plastic surgery from 2009 to 2020 in the UK by comparing them to overall surgical specialties. Methods: We analysed NHS Digital workforce data from 2009 to 2020 by examining trends in gender, ethnicity and LTFT working among reconstructive plastic surgery consultants and registrars and comparing them to overall surgical specialties. Data were analysed using linear regression models. Results: The percentage of female reconstructive plastic surgery consultants and registrars increased significantly over the period, with reconstructive plastic surgery groups having higher percentages of females than overall surgical specialties. LTFT working trends varied, with declining trends among consultants and increasing trends among registrars. Ethnicity trends were complex, varying between different ethnic categories and between consultants and registrars, but showing an increase in diversity within the workforce. Conclusion: The demographics of reconstructive plastic surgeons in the UK became more diverse from 2009 to 2020 with trends indicating that this will continue in the future. However, there were significant variations among the different groups and levels of seniority, suggesting the need for targeted interventions to promote diversity and inclusivity in surgical specialties.

Published
2024
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2. Gender diversity in UK surgical specialties: a national observational study

Author

Roxanna Zakeri, Stella Vig, Farah Bhatti, Thomas Hedley Newman, Matthew G Parry, Victoria Pegna, Amy Nagle, and James Stephen Arthur Green

Subjects
Medicine
Abstract

Objectives To compare gender diversity between UK surgical specialties, assess trends over time, and estimate when gender parity might be achieved.Design Observational study.Setting National Health Service, UK.Participants NHS Hospital & Community Health Service workforce statistics for 2011 to 2020Main outcome measures Logistic regression was used to compare female representation in 2020 between surgical specialties, and to examine for any significant trends between 2011 and 2020. The method of least squares was used to estimate when female representation of specialty registrars would reach 50% (‘gender parity’) for specialties with 45%) and Vascular Surgery (representation consistently

Published
2022
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3. Gender diversity in UK surgical specialties: a national observational study

Author

Thomas Hedley Newman, Matthew G Parry, Roxanna Zakeri, Victoria Pegna, Amy Nagle, Farah Bhatti, Stella Vig, and James Stephen Arthur Green

Subjects
Male, Otolaryngology, Orthopedics, Humans, Internship and Residency, Female, General Medicine, Child, State Medicine, United Kingdom, Specialties, Surgical
Abstract

ObjectivesTo compare gender diversity between UK surgical specialties, assess trends over time, and estimate when gender parity might be achieved.DesignObservational study.SettingNational Health Service, UK.ParticipantsNHS Hospital & Community Health Service workforce statistics for 2011 to 2020Main outcome measuresLogistic regression was used to compare female representation in 2020 between surgical specialties, and to examine for any significant trends between 2011 and 2020. The method of least squares was used to estimate when female representation of specialty registrars would reach 50% (‘gender parity’) for specialties with ResultsIn 2020, female consultant and specialty registrar representation was significantly different between surgical specialties (both p45%) and Vascular Surgery (representation consistently ConclusionsDespite improvements over the last decade, gender disparity persists in the UK surgical workforce and there are significant differences between surgical specialties. Further work is necessary to establish the reasons for these observed differences with a specific focus on Vascular Surgery, Cardiothoracic Surgery, Neurosurgery, and Trauma and Orthopaedics.

Published
2022

4. EXIT from TRansrectal prostate biopsies (TREXIT): sepsis rates of transrectal biopsy with rectal swab culture guided antimicrobials versus freehand transperineal biopsy

Author

Rick Popert, Luke Stroman, Thomas Hedley Newman, Arman Haque, Antonina Di Benedetto, Marios Hadjipavlou, Mohamed Y Hammadeh, Kimberley Chan, Tibor Pinczes, Jonah Rusere, and Demetris Ioannides

Subjects
Image-Guided Biopsy, Male, Cancer Research, medicine.medical_specialty, Prostate biopsy, Surviving Sepsis Campaign, Urology, Biopsy, Sepsis, Prostate cancer, Anti-Infective Agents, Prostate, medicine, Humans, Longitudinal Studies, medicine.diagnostic_test, business.industry, Transperineal biopsy, Rectum, Prostatic Neoplasms, Antibiotic Prophylaxis, medicine.disease, medicine.anatomical_structure, Oncology, Transrectal biopsy, business
Abstract

Background Transrectal prostate biopsy (TRUSBx) holds a risk of prostate biopsy related sepsis. We discuss our step-wise strategies aiming to reduce this risk, including targeted antimicrobials and switching to a freehand transperineal approach (FHTPBx). Subjects and methods This longitudinal cohort study included three groups. Group A underwent TRUSBx with empirical augmented antimicrobial prophylaxis; Group B underwent TRUSBx with targeted antimicrobial prophylaxis, based on rectal-swab cultures/sensitivity; Group C underwent FHTPBx with empirical antimicrobial prophylaxis. Post biopsy sepsis, defined according to the surviving sepsis campaign and confirmed with blood or urinary cultures, were determined and rates between groups were analysed using fisher's exact test. Results Of all 1501 patients, 23 developed post biopsy sepsis; Group A (12/609, 2.0%), B (9/403, 2.2%), C (2/489, 0.4%). Targeted antimicrobials did not reduce the risk of post biopsy sepsis following TRUSBx (A vs B, 2.0% vs 2.2%; p = 0.82). Patients with antimicrobial-resistant rectal flora had an increased post biopsy sepsis rate following TRUSBx despite targeted antimicrobials (9.1% vs 1.1%, p = 0.003). Switching to FHTPBx reduced the risk of developing post biopsy sepsis (A vs C, 2% vs 0.4%, p = 0.03; B vs C, 2.2% vs 0.4%, p = 0.03). Conclusions Targeted antimicrobials based on rectal swab culture failed to reduce the overall risk of post biopsy sepsis, while FHTPBx nearly eliminated this risk. We recommend the use of transperineal prostate biopsies for all patients as the most effective method to reduce the risk of sepsis.

Published
2021

5. MP81-18 A SWITCH FROM TRANSRECTAL BIOPSY TO COGNITIVE FREEHAND TRANSPERINEAL PROSTATE BIOPSY CAN REDUCE SEPSIS WHERE TARGETED ANTIBIOTICS FOR RESISTANT RECTAL FLORA HAVE FAILED

Author

Ella Di Benedetto, Mohamed Y Hammadeh, Jonah Rusere, Rick Popert, Tibor Pinczes, Marios Hadjipavlou, Nick Mehan, Luke Stroman, Demetris Ioannides, Caitlin Milliken, Dharmesh Patel, and Thomas Hedley Newman

Subjects
medicine.medical_specialty, Flora, medicine.diagnostic_test, business.industry, medicine.drug_class, Urology, Antibiotics, food and beverages, medicine.disease, Sepsis, Transrectal biopsy, medicine, Transperineal Prostate Biopsy, Significant risk, business, Transrectal Prostate Biopsy
Abstract

INTRODUCTION AND OBJECTIVE:Transrectal prostate biopsy (TRUSBx) holds a significant risk of sepsis and resistant rectal flora can increase risk further. We aimed to target antibiotics at patients w...

Published
2020

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