UNISON welcomes HSE report on needlesticks
UNISON has welcomed a report from the Health and Safety Executive on its inspection campaign on the prevention and management of injuries from sharps (needlesticks) in NHS organisations. UNISON and the Safer Needles Network has been pushing for this as a way of re-enforcing the sharps regulations that UNISON had successfully campaigned for. The chief findings of the report were that: health and safety breaches were identified in 90% of organisations visited; 83% failed to fully comply with the sharps regulations; improvement notices were issued to 45% of the organisations that were visited. UNISON assistant national officer Robert Baughan said that the union welcomed the report, together with the work of the Health and Safety Executive in enforcing the sharps regulations. “UNISON and the Safer Needles Network had long campaigned for this legislation to protect NHS staff from these unnecessary injuries and the risk of potentially fatal infections,” he noted. “The report highlights the work that still remains to be done by NHS trusts in enforcing this legislation and protecting staff from these injuries”. The article UNISON welcomes HSE report on needlesticks first appeared on the UNISON site.
We present the case of a girl who underwent VPH for hemimegalencephaly in early infancy. Postoperatively, she developed unexpected seizures of mesio-temporal origin. Stereo-EEG provided arguments for an amygdalar origin. High-resolution MRI with tractography confirmed the presence of the amygdalo-fugal pathway to be responsible of epileptic discharges propagation. She became seizure-free after temporal resection.
ConclusionWe successfully utilized biportal endoscopy to decompress the combined lumbar lateral recess, foraminal, and extraforaminal lesions using a contralateral sublaminar approach.
We describe a patient with a long history of seizures and a remote status epilepticus event. On magnetic resonance imaging, a presumed left temporal lobe tumor was observed. On neurosurgical consultation, the lesion was identified as a chronic mesial temporal lobe herniation. The patient lacked history that would suggest risk of cerebral herniation. Accurately identifying the patient ’s chronic temporal lobe herniation radiographically likely saved this patient from unnecessary surgery or biopsy and allowed the patient to receive appropriate conservative care.
ConclusionsThe study represents the much-needed, large-volume, epidemiological profile of HI from an LMIC, highlighting the suboptimal utilization of peripheral healthcare systems. Strengthening and integrating these facilities with the tertiary centers in a hub and enhanced spoke model, task sharing design, and efficient back-referrals promise effective neurotrauma care while avoiding overburden in the tertiary centers. Better implementation of road safety laws also has the potential to reduce the burden of HI.