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	An Audit of the Quality of Urological Intra-operative Notes Dukic I, Hussain M, Al-Buhessi S, Maraj BH Whittington Hospital, London Accepted for paper presentation at the British Association of Urological Surgeons (BAUS) Annual Meeting, Glasgow SECC 18-22 June 2007 Introduction: Operative notes provide critical information directing post operative care for patients and planning appropriate future management. Method: 100 randomly selected operation notes from our department were retrospectively reviewed from 2006. The contents of the notes were compared against the Royal College of Surgeon (RCS) Guidelines for Good Surgical Practice relating to operation notes. Results: Registrars wrote 79% of the operation notes. 25% of notes were missing the patient’s name. 94% of entries were dated with none having start and end times of operations. All entries had names of the operating surgeon and assistant if present. 19% of case notes did not have a description of operative procedure and 88% did not have an indication of operation. 8% of operative notes had no post-operative instructions. None were typed. 48% had a schematic diagram drawn by the writer. Conclusion: The introduction of a typed operation note onto a central database as recommended by the RCS could improve post operative care for patients. This would also allow accurate coding of operations, providing information valuable to the planning of future service provision for urological units nationwide. Based on our findings we are developing such a database.

	An evaluation of the performance of a CAD system with Variable Marker sizes, 19/06/04 Dukic I, Astley S, Boggis CM, Proceedings of the 7th International Workshop on Digital Mammography, Durham, North Carolina, USA, 18 – 21 June 2004 (in press). Abstract: Purpose: To evaluate the performance of the R2 ImageChecker as a prompting system using mammograms from the National Health Service Breast Screening Programme (NHSBSP) in the United Kingdom. Methods: We retrospectively reviewed two-view mammograms from the NHSBSP. A group of 72 randomized unequivocally normal standard breast mammograms, 51 screen detected cancer (SDC) mammograms and 21 minimal change cancer (MCC) mammograms were used to assess the performance of the prompting system. System performance was assessed separately for mass and microcalcification prompts at various marker sizes.Results: Sensitivity of the system per case for SDC was 86.3% at a specificity level of 41.7% per case or 0.27 prompts per image. Mass prompt sensitivity per case for SDC was 78.3%. Microcalcification prompt sensitivity per case for SDC was 93.8%. When these results are applied to 10000 cases the system would generate 94 false positive prompts for every true positive cancer prompt. Sensitivity for MCC was 33.3%. Mass prompt and microcalcification prompt sensitivities did not decrease in a linear or exponential pattern at decreasing prompt sizes for SDC. Conclusion: The new version of R2 software provides similar system sensitivity for mass prompts and microcalcification prompts for SDC as published in previous studies. The specificity of the system has been improved, which would add further support to the use of the R2 ImageChecker system in the NHSBSP. Full paper: *.pdf



	An audit of diabetic patients suffering from ischaemic heart disease in a primary care setting, 16/12/02 Abstract: A retrospective clinical audit looking at a specific group of patients affected by ichaemic heart disease and diabetes in primary care. The audit was done in central Manchester, United Kingdom and looks at the population affected, some common risk factors and current practice and treatment. Background: Special Study Module in General Practice, Kingsway Group Practice, Manchester, United Kingdom. 3 week project to assess the effectiveness of current treatment and to suggest improvements to current practice. *Versions available:.doc .pdf*

	Case review of Axillary / Subclavian vein thrombosis, 12/07/02 Abstract: A clinical case of axillary / subclavian vein thrombosis that presented to the Accident and Emergency Department. An overview of thrombosis concentrating on axillary / subclavian vein thrombosis. Background: Special Study Module in Accident and Emergency Medicine, Wythenshawe Hospital, Manchester, United Kingdom. 4 week placement in Accident and Emergency Medicine. Versions available: .doc .pdf

	Review of dementia care in a memory clinic setting, 21/02/02 Abstract: An overview of dementia, specifically looking at Alzheimer's disease, Vascular dementia and Lewy body dementia as well as other common differential diagnosis. Brief focus on the work of the multidisciplinary team in dementia care in the Memory Clinic and public health measures for prevention of dementia and the future of dementia treatment. Background: Special Study Module in the Early Diagnosis of Dementia at Wythenshawe Hospital, Manchester, United Kingdom. 4 week project working at the Memory Clinic at Laureate House, Wythenshawe Hospital looking at dementia and dementia care. *Versions available:.doc .pdf*

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	An Audit of the Quality of Urological Intra-operative Notes Dukic I, Hussain M, Al-Buhessi S, Maraj BH Whittington Hospital, London Accepted for paper presentation at the British Association of Urological Surgeons (BAUS) Annual Meeting, Glasgow SECC 18-22 June 2007 Introduction: Operative notes provide critical information directing post operative care for patients and planning appropriate future management. Method: 100 randomly selected operation notes from our department were retrospectively reviewed from 2006. The contents of the notes were compared against the Royal College of Surgeon (RCS) Guidelines for Good Surgical Practice relating to operation notes. Results: Registrars wrote 79% of the operation notes. 25% of notes were missing the patient’s name. 94% of entries were dated with none having start and end times of operations. All entries had names of the operating surgeon and assistant if present. 19% of case notes did not have a description of operative procedure and 88% did not have an indication of operation. 8% of operative notes had no post-operative instructions. None were typed. 48% had a schematic diagram drawn by the writer. Conclusion: The introduction of a typed operation note onto a central database as recommended by the RCS could improve post operative care for patients. This would also allow accurate coding of operations, providing information valuable to the planning of future service provision for urological units nationwide. Based on our findings we are developing such a database.

	An evaluation of the performance of a CAD system with Variable Marker sizes, 19/06/04 Dukic I, Astley S, Boggis CM, Proceedings of the 7th International Workshop on Digital Mammography, Durham, North Carolina, USA, 18 – 21 June 2004 (in press). Abstract: Purpose: To evaluate the performance of the R2 ImageChecker as a prompting system using mammograms from the National Health Service Breast Screening Programme (NHSBSP) in the United Kingdom. Methods: We retrospectively reviewed two-view mammograms from the NHSBSP. A group of 72 randomized unequivocally normal standard breast mammograms, 51 screen detected cancer (SDC) mammograms and 21 minimal change cancer (MCC) mammograms were used to assess the performance of the prompting system. System performance was assessed separately for mass and microcalcification prompts at various marker sizes.Results: Sensitivity of the system per case for SDC was 86.3% at a specificity level of 41.7% per case or 0.27 prompts per image. Mass prompt sensitivity per case for SDC was 78.3%. Microcalcification prompt sensitivity per case for SDC was 93.8%. When these results are applied to 10000 cases the system would generate 94 false positive prompts for every true positive cancer prompt. Sensitivity for MCC was 33.3%. Mass prompt and microcalcification prompt sensitivities did not decrease in a linear or exponential pattern at decreasing prompt sizes for SDC. Conclusion: The new version of R2 software provides similar system sensitivity for mass prompts and microcalcification prompts for SDC as published in previous studies. The specificity of the system has been improved, which would add further support to the use of the R2 ImageChecker system in the NHSBSP. Full paper: *.pdf



	An audit of diabetic patients suffering from ischaemic heart disease in a primary care setting, 16/12/02 Abstract: A retrospective clinical audit looking at a specific group of patients affected by ichaemic heart disease and diabetes in primary care. The audit was done in central Manchester, United Kingdom and looks at the population affected, some common risk factors and current practice and treatment. Background: Special Study Module in General Practice, Kingsway Group Practice, Manchester, United Kingdom. 3 week project to assess the effectiveness of current treatment and to suggest improvements to current practice. *Versions available:.doc .pdf*

	Case review of Axillary / Subclavian vein thrombosis, 12/07/02 Abstract: A clinical case of axillary / subclavian vein thrombosis that presented to the Accident and Emergency Department. An overview of thrombosis concentrating on axillary / subclavian vein thrombosis. Background: Special Study Module in Accident and Emergency Medicine, Wythenshawe Hospital, Manchester, United Kingdom. 4 week placement in Accident and Emergency Medicine. Versions available: .doc .pdf

	Review of dementia care in a memory clinic setting, 21/02/02 Abstract: An overview of dementia, specifically looking at Alzheimer's disease, Vascular dementia and Lewy body dementia as well as other common differential diagnosis. Brief focus on the work of the multidisciplinary team in dementia care in the Memory Clinic and public health measures for prevention of dementia and the future of dementia treatment. Background: Special Study Module in the Early Diagnosis of Dementia at Wythenshawe Hospital, Manchester, United Kingdom. 4 week project working at the Memory Clinic at Laureate House, Wythenshawe Hospital looking at dementia and dementia care. *Versions available:.doc .pdf*