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T he ability to probe the base of a wound to periosteum or bone (the " probe-to-bone " test) is increasingly used to indicate the likelihood of underlying osteomyelitis. The original study (1) reported sensitivity, specificity, and positive (PPV) and negative (NPV) predictive values of 66, 85, 89, and 56%, respectively. However, this work has been… (More)
OBJECTIVE The purpose of this study was to compare different outcome measures in the audit of management of diabetic foot ulcers RESEARCH DESIGN AND METHODS Data collected prospectively in a consecutive cohort of patients referred to a specialist multidisciplinary foot care clinic between 1 January 2000 and 31 December 2003 were analyzed. A single index… (More)
BACKGROUND The aim of this study was to seek a temporal association between the start of renal replacement therapy (RRT) and the first recorded foot ulcer in diabetes. METHODS Details of all patients with diabetes who had received RRT were extracted from the renal database and were cross-checked with the database held in the specialist foot clinic. The… (More)
Emotional influences on memory can lead to trade-offs in memory for gist or detail and trade-offs in memory for central or peripheral aspects of an event. Attentional narrowing has often been proposed as a theoretical explanation for this pattern of findings with negative emotion. These trade-offs have been less extensively investigated with positive… (More)
BACKGROUND Benzodiazepines are often prescribed long-term inappropriately. We aimed to systematically review and meta-synthesise qualitative studies exploring clinicians' experiences and perceptions of benzodiazepine prescribing to build an explanatory model of processes underlying current prescribing practices. METHODS We searched seven electronic… (More)
(2015). Toward a psychology of surrogate decision making.
Aims To develop a measure of dentists' anxiety in clinical situations; to establish if dentists' anxiety in clinical situations affected their self-reported clinical decision-making; to establish if occupational stress, as demonstrated by burnout, is associated with anxiety in clinical situations and clinical decision-making; and to explore the relationship… (More)