University of Salford

About: University of Salford is a education organization based out in Salford, Manchester, United Kingdom. It is known for research contribution in the topics: Population & Context (language use). The organization has 13049 authors who have published 22957 publications receiving 537330 citations. The organization is also known as: University of Salford Manchester & The University of Salford Manchester.

Myasthenia gravis: Association of British Neurologists' management guidelines.

Abstract: Myasthenia gravis is an autoimmune disease of the neuromuscular junction for which many therapies were developed before the era of evidence based medicine. The basic principles of treatment are well known, however, patients continue to receive suboptimal treatment as a result of which a myasthenia gravis guidelines group was established under the aegis of The Association of British Neurologists. These guidelines attempt to steer a path between evidence-based practice where available, and established best practice where evidence is unavailable. Where there is insufficient evidence or a choice of options, the guidelines invite the clinician to seek the opinion of a myasthenia expert. The guidelines support clinicians not just in using the right treatments in the right order, but in optimising the use of well-known therapeutic agents. Clinical practice can be audited against these guidelines.

Developments in Arylnitrene Chemistry: Syntheses and Mechanisms [New synthetic methods (31)]

Abstract: Aryl- and heteroaryl-nitrenes can take part in intra-and intermolecular reactions in both of their possible electronic states (triplet and singlet). In this review we have endeavored to high-light recent synthetic uses of these reactive intermediates as well as draw attention to avenues open to further exploration in this field. Singlet arylnitrenes will interact with suitable ortho-positioned substituents to give a variety of fused azoles, some in excellent yield. In suitable solvents and in presence of amines and alcohols, phenylnitrenes undergo ring expansion to azepines which can also occur in nitrenes of certain fused bicyclic aromatics (naphthalene, quinoline, isoquinoline, benzo[b]thiophene). The latter nitrenes may also give rise to o-diamines which are useful starters for further heterocyclic synthesis. Triplet arylnitrenes (usually regarded as having only a nuisance effect in synthetic work) may also be utilized in practicable heterocyclic syntheses within a suitable molecular framework. Decomposition of aryl azides in a mixture of an organic and polyphosphoric acid leads to fused oxazoles. The mechanism is discussed for all the reactions considered.

Paediatric regional anaesthesia, a survey of practice in the United Kingdom

Abstract: Background A variety of techniques and drugs, many unlicensed, is used in paediatric regional anaesthesia. This study is the first to survey paediatric anaesthetists about the techniques and drugs used in paediatric regional anaesthesia. The aim is to provide a record and benchmark of UK practice. Methods A postal questionnaire was sent to all members of the Association of Paediatric Anaesthetists residing in the UK. Information was requested on the type of hospital worked in, years of practice, paediatric anaesthesia workload, regional anaesthesia techniques used, and drugs used in regional anaesthesia. Results A total of 220 responses from 264 questionnaires (83.3%) were received. Of these respondents, 155 (70%) practised paediatric anaesthesia as more than 50% of their workload, and 10 had retired or returned blank forms. Two hundred and two of 210 (96%) use caudal anaesthesia and 151 (72%) use caudal, epidural and peripheral block. One hundred and ninety-two of 210 (91%) have no lower age limit for using caudal anaesthesia. One hundred and twenty-three of 210 anaesthetists (58%) used adjuvants with local anaesthetics in caudal block, the most common being fentanyl [44/210 (21%)], clonidine [55/210 (26%)], diamorphine [27/210 (13%)] and ketamine [67/210 (32%)]. Those working in specialist centres or teaching hospitals or who had a greater paediatric anaesthesia workload were more likely to use a greater variety of regional anaesthesia techniques. Conclusions Caudal anaesthesia is widely used for patients of all ages by almost all practitioners. Most anaesthetists at all hospital types and experience levels use adjuvants with local anaesthetics when performing caudal anaesthesia. Those with more experience in paediatric anaesthesia and those in specialist centres commonly use other neuraxial and peripheral block techniques.