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UG4 Greener sexual health: increasing awareness and engagement with recycling in an integrated sexual health service UG4更环保的性健康:在综合性健康服务中提高对回收利用的认识和参与
Pub Date : 2023-06-01 DOI: 10.1136/sextrans-bashh-2023.40
Lowenna Riley, Nadia Vryoni-Dickson, Mohamed El-Gazzar, Joanna Rees, Derval Harte

Introduction

Healthcare is one of the largest contributors to the UK’s carbon footprint. The NHS has a target for net zero emissions by 2040, with improved waste recycling. Literature demonstrates need for greater engagement with recycling: one audit found over 40% of all hospital waste is recyclable. Despite this, recycling is not commonplace in healthcare settings.

Methods

We started our project with a GEMBA walk, evaluating the patient journey through the department and identified areas we could make greener. We then surveyed staff, asking what was the most important and sustainable project, identifying recycling. We began our quality improvement project by gathering information about commonly recyclable items, before educating staff during a department-wide teaching session. Following this, we introduced educational posters to reinforce knowledge and prompt staff to recycle. After each intervention, we weighed the recycling and assessed understanding with a quiz.

Results

There was an increase in knowledge of recycling amongst staff; 84% correctly identified recyclable items compared to 47% before the teaching. So far, we have observed no significant increase in weight of the recycling bins with weekly averages of 2kg to 2.1kg.

Discussion

There was an increase in recycling knowledge despite the recycling weight being unchanged. At the beginning of our project we observed non-recyclable items being disposed of in the recycling. Therefore, a static weight may reflect positive change in practice. Findings demonstrated barriers to recycling included lack of bins. Our next intervention will be increasing the recycling bin availability, to make changes more accessible and sustainable. We observed wide variations in recycling information printed on medical packaging, and believe this is something that should be systemically changed. Recommendations from this project are to increase access to recycling bins, increase clarity of recycling information on products and make recycling data more available to clinics to monitor sustainability over time.
医疗保健是英国碳足迹的最大贡献者之一。NHS的目标是到2040年实现净零排放,并改善废物回收。文献表明需要更多地参与回收:一项审计发现,超过40%的医院废物是可回收的。尽管如此,回收利用在医疗机构并不常见。我们以GEMBA步行开始我们的项目,评估患者在科室的旅程,并确定我们可以使其更环保的区域。然后我们对员工进行调查,询问什么是最重要和可持续的项目,确定回收利用。我们开始了我们的质量改进项目,收集了关于一般可回收物品的信息,然后在全部门的教学会议上对员工进行教育。之后,我们推出了教育海报,加强员工的知识,并鼓励员工循环再造。每次干预后,我们都会对回收情况进行权衡,并通过小测验评估理解程度。结果员工的回收知识有所提高;84%的学生正确识别了可回收物品,而教学前这一比例为47%。到目前为止,我们并没有观察到回收箱的重量有明显的增加,平均每周为2公斤至2.1公斤。尽管回收重量不变,但回收知识有所增加。在项目开始时,我们观察到不可回收的物品在回收过程中被处理掉。因此,在实践中,静态权重可能反映出积极的变化。调查结果表明,回收的障碍包括缺乏垃圾箱。我们的下一个干预措施是增加回收箱的可用性,使改变更容易获得和可持续。我们观察到印刷在医疗包装上的回收信息存在很大差异,并认为这是应该系统改变的事情。该项目的建议是增加回收箱的使用,提高产品回收信息的清晰度,并使诊所更容易获得回收数据,以监测长期的可持续性。
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引用次数: 0
UG2 CD8 encephalitis in HIV: a review of this emerging entity 艾滋病毒中的UG2 CD8脑炎:对这一新兴实体的回顾
Pub Date : 2023-06-01 DOI: 10.1136/sextrans-bashh-2023.38
Aniruddh Shenoy, Pavan Kaur Marwaha, Dominic Adam Worku

Introduction

Encephalitis is a life-threatening neurological condition. CD8 Encephalitis (CD8E) is a newly recognised condition in the setting of Human Immunodeficiency Virus (HIV) infection which can present acutely with classical radiological findings and brain parenchymal infiltration of CD8+ T-cells. This review attempted to clarify symptomatology and determinants of this condition.

Methods

A literature review was conducted, utilising PubMed and Google Scholar databases, reviewing papers published between 2006–2022. Eighteen papers, totalling 57 patients, were identified and analysed. Statistical analysis was undertaken using Chi-squared and Wilcoxon rank-sum tests, with p&lt;0.05 deemed significant.

Results

Among the cohort, a female (61%) and Black African (70%) preponderance was identified. Headache was commoner in females (p=0.006) and in those who died (p=0.02). There was no statistically significant association between baseline CD4 count (p=0.079) and viral load (p=0.72) with mortality. Overall, 77% of patients had classical radiological findings of gadolinium-enhancing punctate and perivascular white matter lesions, with many requiring a brain biopsy to confirm the diagnosis. CSF analysis typically showed lymphocytic pleocytosis, demonstrating CD8+ predominance in 90% of where the lymphocyte subset was tested. Corticosteroids were commonly prescribed (64%) and demonstrated mortality benefit, with an overall survival in this group of 71% (p=0.0008). In those who died, the median survival was 5.5 months.

Discussion

Amongst symptoms, headache appeared more common in females and was significantly associated with death. CD8E is likely under-diagnosed, possibly due to overlapping features with other illnesses and lack of physician experience. Corticosteroids demonstrated a mortality benefit, but more studies should determine their optimal dosing, duration, and use of steroid-sparing agents. Further research should better identify risk factors and non-invasive biomarkers to predict poor prognosis and disease recurrence.
脑炎是一种危及生命的神经系统疾病。CD8脑炎(CD8E)是人类免疫缺陷病毒(HIV)感染背景下的一种新认识的疾病,可表现为急性放射学表现和脑实质CD8+ t细胞浸润。这篇综述试图澄清这种情况的症状和决定因素。方法利用PubMed和Google Scholar数据库,对2006-2022年间发表的论文进行文献综述。18篇论文,共57例患者,被识别和分析。采用卡方和Wilcoxon秩和检验进行统计学分析,p<0.05认为显著。结果在队列中,确定了女性(61%)和黑人(70%)的优势。头痛在女性(p=0.006)和死亡患者(p=0.02)中更为常见。基线CD4计数(p=0.079)和病毒载量(p=0.72)与死亡率之间无统计学意义的关联。总体而言,77%的患者有典型的放射学表现,即钆增强点状和血管周围白质病变,许多患者需要进行脑活检以确认诊断。脑脊液分析典型显示淋巴细胞增多症,CD8+在90%的淋巴细胞亚群中占优势。皮质类固醇是常用的处方(64%),并显示出死亡率降低,该组的总生存率为71% (p=0.0008)。在死亡的患者中,中位生存期为5.5个月。在症状中,头痛在女性中更为常见,并与死亡显著相关。CD8E可能未被充分诊断,可能是由于与其他疾病的重叠特征和缺乏医生经验。皮质类固醇显示出降低死亡率的好处,但需要更多的研究来确定它们的最佳剂量、持续时间和类固醇保留剂的使用。进一步的研究应更好地识别危险因素和非侵入性生物标志物,以预测不良预后和疾病复发。
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引用次数: 0
O11 Surveillance of Mpox cases attending sexual health services in England (SOMASS): design, implementation and initial findings from the SOMASS data collection tool, 2022 O11英格兰性健康服务机构对Mpox病例的监测(SOMASS): SOMASS数据收集工具的设计、实施和初步调查结果,2022年
Pub Date : 2023-06-01 DOI: 10.1136/sextrans-bashh-2023.11
Hannah Charles, Mateo Prochazka, Judith Murray, Suneeta Soni, Lewis Haddow, Katie Beets, Victoria Pilkington, Nicola Low, Sophie Candfield, Rachael Jones, Tanya Bleiker, Claire Dewsnap, Matt Phillips, David Phillips

Introduction

To understand the clinical presentation, severity and epidemiology of individuals with Mpox attending sexual health services (SHSs) in England, we developed a tool for Surveillance of Mpox Cases Attending Sexual Health Services (SOMASS).

Methods

Experts from the UK Health Security Agency (UKHSA), British Association of Sexual Health and HIV and the British Association of Dermatologists formed a multi-disciplinary working group in May 2022 and co-developed a web-based data collection tool. The UKHSA hosted the tool, which was accessible from July 2022. SHS clinicians abstracted information from clinical records into SOMASS following consultations with patients suspected to have Mpox.

Results

As of 17th November 2022, 276 SOMASS responses were submitted from 31 SHSs in England, representing 8% of all confirmed Mpox cases in England as of 14th November 2022. Of these, 274 were subsequently laboratory-confirmed Mpox positive; in two cases the laboratory result was unknown but assumed to be positive, and therefore these individuals were retained for analysis. Where recorded, most (245/261; 94%) people identified as gay, bisexual or men who have sex with men (GBMSM). For 46% (127/276), dermatological lesions were the initial symptom. Lesions were mostly asymmetrical and polymorphic, predominately affecting genital area and perianal areas. Among GBMSM, we found an association between receptive anal intercourse and proctitis (27/115; 24% vs. 7/130; 5%; p<0.0001), and perianal lesions as the primary lesion site (46/115; 40% vs. 25/130; 19%; p=0.0003).

Discussion

SOMASS demonstrates multi-disciplinary, responsive, and agile working between front-line sexual health practitioners, clinical professional bodies and the national health protection agency. The data collection tool improved surveillance, strengthened the knowledge base and supported clinical care during the Mpox outbreak. This tool will be ready to capture resurgences of Mpox in England and the development process could be adapted to future outbreaks.
为了了解英格兰接受性健康服务(SHSs)的m痘患者的临床表现、严重程度和流行病学,我们开发了一个接受性健康服务的m痘病例监测工具(SOMASS)。方法来自英国卫生安全局(UKHSA)、英国性健康与艾滋病毒协会和英国皮肤科医生协会的专家于2022年5月组成了一个多学科工作组,共同开发了一个基于网络的数据收集工具。该工具由UKHSA托管,可从2022年7月起访问。SHS临床医生在与疑似m痘患者会诊后将临床记录中的信息提取到SOMASS中。截至2022年11月17日,英国31家SHSs提交了276例SOMASS应答,占截至2022年11月14日英国所有确诊Mpox病例的8%。其中274人后来经实验室确认为Mpox阳性;在两个病例中,实验室结果是未知的,但假定是阳性的,因此这些个体被保留下来进行分析。有记录的最多(245/261;94%)被认定为同性恋、双性恋或男男性行为者(GBMSM)。46%(127/276)患者的初始症状为皮肤病变。病变多为不对称和多形,主要影响生殖器区和肛周区。在GBMSM中,我们发现接受性肛交与直肠炎之间存在关联(27/115;24% vs. 7/130;5%;P<0.0001),肛周病变为原发部位(46/115;40% vs. 25/130;19%;p = 0.0003)。SOMASS展示了一线性健康从业者、临床专业机构和国家健康保护机构之间多学科、反应迅速和敏捷的工作。数据收集工具改善了监测,加强了知识库,并在麻疹暴发期间支持了临床护理。该工具将准备好捕捉英格兰Mpox的复发,并且开发过程可以适应未来的暴发。
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引用次数: 0
O02 Outbreak of acute symptomatic hepatitis B in low prevalence region in Scotland 02苏格兰低流行区急性症状性乙型肝炎暴发
Pub Date : 2023-06-01 DOI: 10.1136/sextrans-bashh-2023.2
Rona MacDonald

We describe an outbreak of 18 cases of acute symptomatic Hepatitis B (HBV) between Dec 2020- September 2022 in a low prevalence region in Scotland. All initially presented as heterosexual, 15 were male, majority were married, aged 40–70 and from a similar area. We discuss the vital input sexual health (SH) had in identifying the outbreak and liaising with partner agencies. We also review the outreach and difficulties supporting people who may not feel able to disclose risk factors (RF) especially to non SH staff 2 cases of HBV/syphilis coinfection were diagnosed in the hospital in December 2020 with no identified source of infection. When the men attended SH both disclosed male sexual contacts. Concern of a cluster was raised by SH. 9/12 passed and SH were advised of 5 further cases. SH linked with Public Health and an Incident Management Team was created which identified weakness in pathways between services to realise an outbreak. Extensive collaborative work was done to improve communication between departments and training on sexual history taking. All cases were then referred to SH, of those that attended, 5 men newly disclosed male sexual contacts, 2 were wives of cases, 7 still had no identifiable infection source Genotyping was possible for 12, 10 were type A2. This is the most common strain and associated with MSM Several collaborative outreach events were arranged, >80 contacts were made but no new cases were seen and none disclosed RF. Communications were made to general public but due to the concern of inadvertently “outing” people or creating stigma in small communities it was decided to not focus them at MSM. This outbreak highlights SH’s vital importance in supporting patients disclose and reduce infection spread. It also shows the difficulties in targeting support for people who may be unaware/unable to disclose RF.
我们描述了2020年12月至2022年9月在苏格兰低患病率地区爆发的18例急性症状乙型肝炎(HBV)。所有人最初都是异性恋者,15名男性,大多数已婚,年龄在40-70岁之间,来自相似的地区。我们讨论性健康(SH)在确定疫情和与伙伴机构联络方面的重要投入。我们还回顾了支持那些可能无法向非SH工作人员披露风险因素(RF)的人的外展和困难,2020年12月在该医院诊断出2例HBV/梅毒合并感染,未确定感染源。当这两名男子参加了性服务时,他们都透露了男性性接触。卫生局对聚集性病例表示关注。9/12例获得通过,卫生局获悉另有5例。建立了与公共卫生和事件管理小组联系的卫生保健,该小组确定了服务部门之间实现疫情的途径的弱点。我们进行了广泛的合作工作,以改善各部门之间的沟通,并提供有关性史的培训。所有病例均转诊至SH,其中5例为新近暴露的男性性接触者,2例为病例的妻子,7例仍未确定传染源,其中12例可分型,10例为A2型。这是最常见的毒株,与男男性接触者有关。我们安排了几次合作外展活动,进行了80次接触,但没有发现新的病例,也没有人披露RF。与公众进行了沟通,但由于担心无意中“暴露”人们或在小社区中造成耻辱,因此决定不将重点放在MSM上。这次疫情突出了卫生保健在支持患者披露和减少感染传播方面的至关重要性。它还显示了为那些可能不知道/无法披露射频的人提供支持的困难。
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引用次数: 0
5PSQ-061 New-onset multiple sclerosis associated with adalimumab treatment: about two case reports 与阿达木单抗治疗相关的新发多发性硬化:约2例报告
Pub Date : 2023-03-01 DOI: 10.1136/ejhpharm-2023-eahp.445
F. Artime Rodríguez-Hermida, M. Perpinyà Gombau, C. Díez Vallejo, M. Olmo Martínez, MD Malla Canet, A. Dordá Benito, E. Nogué Pujadas, À. Castelló Nòria, R. Sacrest Güell
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引用次数: 0
4CPS-260 Persistence, safety and associated lymphopenia of dimethyl fumarate in relapsing remitting multiple sclerosis, real world data 4ps -260富马酸二甲酯治疗复发缓解型多发性硬化症的持久性、安全性和相关淋巴细胞减少,真实世界数据
Pub Date : 2023-03-01 DOI: 10.1136/ejhpharm-2023-eahp.434
S. Herrera Carranza, P. Sanmartín Fenollera, S. Adeva Antona, M. Prada Bou, C. S. Sanz Sánchez, I. Salvador Llana, M. Pérez Encinas
{"title":"4CPS-260 Persistence, safety and associated lymphopenia of dimethyl fumarate in relapsing remitting multiple sclerosis, real world data","authors":"S. Herrera Carranza, P. Sanmartín Fenollera, S. Adeva Antona, M. Prada Bou, C. S. Sanz Sánchez, I. Salvador Llana, M. Pérez Encinas","doi":"10.1136/ejhpharm-2023-eahp.434","DOIUrl":"https://doi.org/10.1136/ejhpharm-2023-eahp.434","url":null,"abstract":"","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75334108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
4CPS-165 Adaptation of marketed parenteral nutrition to the needs of a hospital 市售肠外营养适应医院需要
Pub Date : 2023-03-01 DOI: 10.1136/ejhpharm-2023-eahp.411
C. Fraile Rodriguez, S. González Martínez, N. de Amuriza Chicharro, E. Bartolome García, A. Delgado Latorre, MA García Del Barrio
{"title":"4CPS-165 Adaptation of marketed parenteral nutrition to the needs of a hospital","authors":"C. Fraile Rodriguez, S. González Martínez, N. de Amuriza Chicharro, E. Bartolome García, A. Delgado Latorre, MA García Del Barrio","doi":"10.1136/ejhpharm-2023-eahp.411","DOIUrl":"https://doi.org/10.1136/ejhpharm-2023-eahp.411","url":null,"abstract":"","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78200262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
4CPS-102 Drug related problems secondary to heparin treatment in patients discharged from the emergency department 急诊出院患者肝素治疗后继发的药物相关问题
Pub Date : 2023-03-01 DOI: 10.1136/ejhpharm-2023-eahp.397
M. Pedemonte, J. Ruíz, A. Juanes, C. Socias Cañellas, C. Martinez, L. Lozano, M. Rosado, M. Mangués
{"title":"4CPS-102 Drug related problems secondary to heparin treatment in patients discharged from the emergency department","authors":"M. Pedemonte, J. Ruíz, A. Juanes, C. Socias Cañellas, C. Martinez, L. Lozano, M. Rosado, M. Mangués","doi":"10.1136/ejhpharm-2023-eahp.397","DOIUrl":"https://doi.org/10.1136/ejhpharm-2023-eahp.397","url":null,"abstract":"","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77448991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
6ER-002 What’s another peer? Exploring the use of near peer teaching of medication history taking in pharmacy undergraduates in the UK 另一个同行是什么?探索在英国药学本科生中使用近同伴教学的用药史
Pub Date : 2023-03-01 DOI: 10.1136/ejhpharm-2023-eahp.463
R. O'Hare, R. Powell, S. Haughey, N. O’Boyle, F. Hughes
{"title":"6ER-002 What’s another peer? Exploring the use of near peer teaching of medication history taking in pharmacy undergraduates in the UK","authors":"R. O'Hare, R. Powell, S. Haughey, N. O’Boyle, F. Hughes","doi":"10.1136/ejhpharm-2023-eahp.463","DOIUrl":"https://doi.org/10.1136/ejhpharm-2023-eahp.463","url":null,"abstract":"","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77812978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
4CPS-245 Prevention of refeeding syndrome in patients on parenteral nutrition: a review of appropriateness 预防肠外营养患者再喂养综合征:适宜性综述
Pub Date : 2023-03-01 DOI: 10.1136/ejhpharm-2023-eahp.429
M. Iglesias Rodrigo, C. Sebastián Carrasco, C. Sangrador Pelluz, N. Meca Casasnovas, F. Salazar González, B. Tenas Rius, J. Nicolás Picó
{"title":"4CPS-245 Prevention of refeeding syndrome in patients on parenteral nutrition: a review of appropriateness","authors":"M. Iglesias Rodrigo, C. Sebastián Carrasco, C. Sangrador Pelluz, N. Meca Casasnovas, F. Salazar González, B. Tenas Rius, J. Nicolás Picó","doi":"10.1136/ejhpharm-2023-eahp.429","DOIUrl":"https://doi.org/10.1136/ejhpharm-2023-eahp.429","url":null,"abstract":"","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80261511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Oral Presentations - Late-Breaking Proffered Abstracts
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