Keele University

About: Keele University is a education organization based out in Newcastle-under-Lyme, United Kingdom. It is known for research contribution in the topics: Population & Stars. The organization has 11318 authors who have published 26323 publications receiving 894671 citations. The organization is also known as: Keele University.

Autologous platelet rich plasma for arthroscopic rotator cuff repair. A pilot study.

Abstract: Background and purpose. Arthroscopic repair of rotator cuff tears can produce excellent results. The application of platelet rich plasma during arthroscopic rotator cuff repair is safe, and produce...

The 'elected' and the 'excluded': Sociological perspectives on the experience of place and community in old age

Abstract: This article explores various issues concerned with belonging and identity in the context of community change and residential location. It examines the changing nature of community attachments in later life, and their impacts on the quality of old age lives. It also notes the increased importance of environmental perspectives within gerontology, not least because environments are being transformed through the diverse social, cultural and economic changes associated with globalisation. The argument is developed that globalisation offers a new approach to thinking about community and environmental relationships in later life, and that the impact of global change at a local level has become an important dimension of sociological aspects of community change. It is argued that it is especially important to apply these perspectives to older people, given that many have resided in the same locality for long periods. At the same time, globalisation also gives rise to new types of movement in old age, and is constructing an expanding mix of spaces, communities and lifestyle settings. A key argument of the article, however, is that global processes are generating new social divisions, as between those able to choose residential locations consistent with their biographies and life histories, and those who experience rejection or marginalisation from their locality.

Randomized clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care.

Abstract: Background: Postoperative oral nutritional supplementation has been shown to be of clinical benefit. This study examined the clinical effects and cost of administration of oral supplements both before and after surgery. Methods: This was a randomized clinical trial conducted in three centres. Patients undergoing lower gastrointestinal tract surgery were randomized to one of four groups: group CC received no nutritional supplements, group SS took supplements both before and after surgery, group CS received postoperative supplements only, and group SC were given supplements only before surgery. Preoperative supplements were given from the time it was decided to operate to 1 day before surgery. Postoperative supplements were started when the patient was able to take free fluids and continued for 4 weeks after discharge from hospital. Data collected included weight change, complications, length of stay, nutritional intake, anthropometrics, quality of life and detailed costings covering all aspects of care. Results: Some 179 patients were randomized, of whom 27 were withdrawn and 152 analysed (CC 44, SS 32, CS 35, SC 41). Dietary intake was similar in all four groups throughout the study. Mean energy intake from preoperative supplements was 536 and 542 kcal/day in the SS and SC groups respectively; that 2 weeks after discharge from hospital was 274 and 361 kcal/day in the SS and CS groups respectively. There was significantly less postoperative weight loss in the SS group than in the CC and CS groups (P < 0·050), and significantly fewer minor complications in the SS and CS groups than the CC group (P < 0·050). There were no differences in the rate of major complications, anthropometrics and quality of life. Mean overall costs were greatest in the CC group, although differences between groups were not significant. Conclusion: Perioperative oral nutritional supplementation started before hospital admission for lower gastrointestinal tract surgery significantly diminished the degree of weight loss and incidence of minor complications, and was cost-effective. Copyright © 2004 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.