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The top 1% electrophysiologists for followers accounted for 20% of all followers, 17% of status updates, had a mean h-index of 6 (versus 15 for others,

=0.3), and accounted for 1% of procedural and evaluation and management volumes. They had a mean K-index of 21 (versus 0.77 for others,

<0.0001) and clinical obs/exp follower ratio of 17.9 and 18.1 for procedures and evaluation and management (

<0.001 each, versus others [0.81 for each]).

Electrophysiologists are active on Twitter, with modest influence often representative of scholarly and clinical activity. However, the most influential physicians appear to have relatively modest scholarly and clinical activity.

Electrophysiologists are active on Twitter, with modest influence often representative of scholarly and clinical activity. However, the most influential physicians appear to have relatively modest scholarly and clinical activity.The COVID-19 pandemic of 2020 has led to considerable changes in how healthcare is delivered, as it has pushed people to think outside the box technologically. Mobile working is becoming more widespread, useful and valuable in this innovative period in the NHS. Point-of-care (POC) technology encompasses mobile devices and systems that support health professionals in their daily activities of patient care. It allows the user to safely assess and diagnose individuals at the point of care, providing actionable information to allow rapid clinical decision-making. POC technology also has the ability to support and educate patients with health needs, encouraging patients and their carers to assume greater more control of and responsibility over their health. Providing patients individual care plans to maintain their health will help realise the future of self-care. This article describe the development of a mobile app-Juzo Care-designed to enhance the management of chronic oedema and lymphoedema in mobile working settings.Antibiotic misuse is a rampant problem the world over and it in turn leads to other issues, the main one being the rise of antibiotic-resistant microorganisms. Often, bilateral red legs are mistaken for acute cellulitis, an infection of the skin, and are inappropriately treated with antibiotics. The British Lymphology Society's Red Legs Pathway aims to support differential diagnosis in patients with bilateral red legs to enable prompt and effective management and improve patient experience. The pathway also aims to reduce inappropriate use of antibiotics and potential negative consequences. This article provides a brief outline of the pathway and its development.Compression hosiery is commonly used for the management of lymphoedema as well as lipoedema, but it is more commonly indicated for the lower limbs than for the upper limbs. The effects of compression hosiery on upper-limb lipoedema are poorly understood and researched. It is known that compression hosiery works in conjunction with activity or movement when standing or walking, which produces anti-inflammatory and oxygenating effects in the tissues. This effect is naturally difficult to realise in the upper limbs. Lymphoedema practitioners who treat those with lipoedema should bear in mind that compression treatment might not produce the same effects in upper-limb lipoedema as it does in lower-limb lipoedema. In these times of an overstretched health service, pragmatic resource use is essential.Over recent years, compression wraps, also known as adjustable compression wrapping devices (ACWDs), have become an increasingly important part of lymphoedema management. Widely used in lymphoedema clinics, they are also now a popular treatment choice within tissue viability, as well as in practice and community nursing, where their cost- and resource-saving advantages are greatly appreciated. Easywrap from Haddenham Healthcare is a popular choice among both health professionals and patients, due to its low profile, making it a comfortable option for wearing beneath normal clothes, and its uncomplicated design, making it easy for patients to put on and take off themselves. This article will evaluate the advantages of using Easywrap for self-management and explore why the Fusion liner, which is now available on drug tariff, can further improve self-care in lymphoedema management.Movement is one of the four cornerstones of care (alongside hygiene and skin care, compression therapy and lymphatic massage), but patients often find it difficult to incorporate activity/exercise in their care regimen. Finding activity that the patient is comfortable building into their routine is vital and can have a positive effect on their physical and mental health. If the movement links into a patient's hobby, it does not feel like exercise and the benefits increase further. This article describes a case in which the author, a community lymphoedema therapist, encouraged and helped a man with lymphoedema find ways in which to incorporate exercise in his care regimen. selleck chemicals llc This case was quite complex, and the patient had many comorbidites that limited his mobility. Using clear explanations and small, achievable and fun goals improved compliance and, therefore, patient outcomes.Reflexology lymph drainage (RLD) for breast cancer-related lymphoedema (BCRL) may have a positive impact on arm swelling and pain. Thermal imaging is a means of tracking temperature change by visual images. This study aimed to explore the use of thermal imaging in treatment for BCRL. The swollen arms of two participants with BCRL were photographed using a thermal imaging camera during a single RLD treatment. Limb Volume Circumferential Measurement (LVCM) of both arms was taken before, after and the next day. The images were examined for visual changes, and temperature data were extracted. Images showed differences in temperature within the affected hand and arm over 45 minutes. LVCM data indicated a loss of limb volume in the affected arm in both cases, which continued to decrease over 24 hours. Thus, thermal imaging may be useful in tracking temperature change during treatment for BCRL.People with chronic pain faced potential treatment disruption during the COVID-19 pandemic in Singapore, as the focus of healthcare shifted. A model of rapid integration of a pain centre with community healthcare teams was implemented to care for vulnerable older patients with chronic pain and multiple comorbidities. Telemedicine and home visits by community nurses were used, with risk-mitigation measures, ensuring comprehensive assessment and treatment compliance. Medications from pain physicians were delivered at home through a hospital pharmacy. A secure national electronic health records system used by all teams ensured seamless access and documentation. Potential emergency department visits, admissions and delayed discharges were thus avoided. Integration of community teams with chronic pain management services can be recommended to ensure pandemic preparedness.