- Breast Cancer Treatment Studies
- Breast Implant and Reconstruction
- Musculoskeletal pain and rehabilitation
- Reconstructive Surgery and Microvascular Techniques
- Opioid Use Disorder Treatment
- Lung Cancer Diagnosis and Treatment
- Medical Imaging and Pathology Studies
- Lymphatic System and Diseases
- Radiomics and Machine Learning in Medical Imaging
- Pain Management and Opioid Use
- Pediatric Pain Management Techniques
- Global Cancer Incidence and Screening
- Systemic Sclerosis and Related Diseases
- Clinical practice guidelines implementation
- Nasal Surgery and Airway Studies
- Cancer Diagnosis and Treatment
- Medical Imaging Techniques and Applications
- Diagnosis and treatment of tuberculosis
- Family and Patient Care in Intensive Care Units
- Music Therapy and Health
- Body Image and Dysmorphia Studies
- Tumors and Oncological Cases
- Pain Management and Placebo Effect
- Sarcoma Diagnosis and Treatment
- Digital Imaging in Medicine
James Cook University Hospital
2019-2023
Hemel Hempstead Hospital
2023
Stellenbosch University
2015
HES-SO University of Applied Sciences and Arts Western Switzerland
2012
Princess Margaret Hospital for Children
2012
Royal Hallamshire Hospital
1988-1995
Northern General Hospital
1995
Aims. To evaluate the effect of a structured preoperative preparation on child and parent state anxiety, behavioural change satisfaction. Background. It is estimated that around 50–70% hospitalised children experience severe anxiety distress prior to surgery. Children who are highly anxious distressed preoperatively likely be awakening have negative postoperative behaviour. Although education before surgery has been found useful mostly in North America, effectiveness programme adapted...
Demand for nipple- and skin- sparing mastectomy (NSM/SSM) with immediate breast reconstruction (BR) has increased at the same time as indications post-mastectomy radiation therapy (PMRT) have broadened. The aim of Oncoplastic Breast Consortium initiative was to address relevant questions arising this clinically challenging scenario.A large global panel oncologic, oncoplastic reconstructive surgeons, patient advocates oncologists developed recommendations clinical practice in an iterative...
Opioid use for chronic nonmalignant pain can be harmful.To test whether a multicomponent, group-based, self-management intervention reduced opioid and improved pain-related disability compared with usual care.Multicentered, randomized clinical trial of 608 adults taking strong opioids (buprenorphine, dipipanone, morphine, diamorphine, fentanyl, hydromorphone, methadone, oxycodone, papaveretum, pentazocine, pethidine, tapentadol, tramadol) to treat pain. The study was conducted in 191 primary...
Introduction Up to one-fifth of breast cancer survivors will develop chronic cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard treatment. However, it mainly symptomatic and often ineffective in preventing BCRL progression. Lymphovenous anastomosis (LVA) vascularised lymph node transfer (VLNT) are microsurgical techniques that aim restore lymphatic drainage. This international randomised trial aims evaluate advantages interventions...
The emphasis on aesthetic outcomes and quality of life (QoL) has motivated surgeons to develop skin-sparing or nipple-sparing mastectomy (SSM/ NSM) for breast cancer treatment prevention. During the same operation, a so-called immediate reconstruction is performed. can be reconstructed by positioning implant above (prepectoral) below (subpectoral) pectoralis major muscle using patients' own tissue (autologous reconstruction). optimal prepectoral subpectoral currently not clear. Subpectoral...
Chronic non-malignant pain has a major impact on the well-being, mood and productivity of those affected. Opioids are increasingly prescribed to manage this type pain, but with risk other disabling symptoms, when their effectiveness been questioned. This trial is designed implement evaluate patient-centred intervention targeting withdrawal strong opioids in people chronic pain.
To describe the design, development and pilot of a multicomponent intervention aimed at supporting withdrawal opioids for people with chronic non-malignant pain future evaluation in Improving Wellbeing Opioid Treated CHronic (I-WOTCH) randomised controlled trial. The I-WOTCH draws on previous literature collaboration stakeholders (patient public involvement). Intervention mapping activities Behaviour Change Taxonomy are described. was conducted by multidisciplinary team clinical, academic...
ABSTRACT Introduction Up to one fifth of breast cancer survivors will develop chronic cancer-related lymphedema (BCRL). To date complex physical decongestion therapy (CDT) is the gold standard treatment. However, it mainly symptomatic and often ineffective in preventing BCRL progression. Lymphovenous anastomosis (LVA) vascularized lymph node transfer (VLNT) are microsurgical techniques that aim restore lymphatic drainage. This international randomized trial aims evaluate advantages...
Abstract A case of embryonal (botryoid) rhabdomyosarcoma the nasopharynx originally occurring in a two year old male, with late recurrence neck 20 years after treatment by combined surgery and radiotherapy is presented. The histological diagnosis rhabdomyosarcoma, significance are discussed.