A5057588373- Hemodynamic Monitoring and Therapy
- Non-Invasive Vital Sign Monitoring
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Asthma and respiratory diseases
- Mobile Health and mHealth Applications
- Healthcare Technology and Patient Monitoring
- Behavioral Health and Interventions
- COVID-19 Clinical Research Studies
- Respiratory Support and Mechanisms
- Heart Rate Variability and Autonomic Control
- Inhalation and Respiratory Drug Delivery
- Long-Term Effects of COVID-19
- Healthcare professionals’ stress and burnout
- Phonocardiography and Auscultation Techniques
- Health Literacy and Information Accessibility
- Healthcare Systems and Technology
- Child and Adolescent Health
- Mindfulness and Compassion Interventions
- COVID-19 and Mental Health
- Advanced Chemical Sensor Technologies
- Nursing Diagnosis and Documentation
- Health, psychology, and well-being
- Pneumonia and Respiratory Infections
- COVID-19 Impact on Reproduction
- Child and Adolescent Psychosocial and Emotional Development
Portsmouth Hospitals NHS Trust
2019-2024
National Health Service
2022-2023
Queen Alexandra Hospital
2019-2022
The detection of early changes in vital signs (VSs) enables timely intervention; however, the measurement VSs requires hands-on technical expertise and is often time-consuming. contactless beneficial to prevent infection, such as during COVID-19 pandemic. Lifelight a novel software being developed measure by remote photoplethysmography based on video captures face via integral camera mobile phones tablets. We report two studies development Lifelight.The objective Vital Sign Comparison...
Measuring vital signs (VS) is an important aspect of clinical care but time-consuming and requires multiple pieces equipment trained staff. Interest in the contactless measurement VS has grown since COVID-19 pandemic, including nonclinical situations. Lifelight app being developed as a medical device for using remote photoplethysmography (rPPG) via camera on smart devices. The VISION-D (Measurement Vital Signs by Software Comparison to Standard Care-Development) VISION-V (Validation) studies...
Although currently most widely used in mechanical ventilation and cardiopulmonary resuscitation, features of the carbon dioxide (CO2) waveform produced through capnometry have been shown to correlate with V/Q mismatch, dead space volume, type breathing pattern, small airway obstruction. This study applied feature engineering machine learning techniques capnography data collected by N-Tidal™ device across four clinical studies build a classifier that could distinguish CO2 recordings...
Background Respiratory rate (RR) is the most sensitive physiological observation to predict clinical deterioration on hospital wards, and poor monitoring has been highlighted as a primary contributor avoidable mortality. Patients in intensive care have their RR monitored continuously, but this equipment rarely available general wards. Objective The objective assess accuracy of RespiraSense device comparison with other methods currently used practice. secondary participants different...
<h3>Background and Objectives</h3> Poor asthma control leads to high symptom burden, impaired quality of life, frequent exacerbations. Effective self-management requires patient understanding empowerment, yet there is limited provision patient-centred education in the UK. ESMENA, a multidisciplinary team intervention, was developed provide comprehensive for patients with poorly controlled asthma, aiming improve skills. <h3>Methods</h3> Adults referred clinic persistent poor despite...
The Modern Innovative Solutions to Improve Outcomes in Asthma, Breathlessness and Chronic Obstructive Pulmonary Disease (COPD) (MABC) service aimed enhance disease management for chronic respiratory conditions through specialist multidisciplinary clinics, predominantly the community. This study assesses outcomes of these clinics. used a prospective, longitudinal, participatory action research approach. was conducted primary care practices across Hampshire, UK. Adults aged 16 years above with...
<sec> <title>BACKGROUND</title> Detection of early changes in vital signs (VS) enables timely intervention; however, measurement VS requires hands-on technical expertise and is often time-consuming. Contactless beneficial to prevent infection, such as during the COVID-19 pandemic. Lifelight® a novel software being developed measure by remote photoplethysmography, based on video capture face via integral camera mobile phones tablets. We report observational VISION-D data collection study for...
<b>Background:</b> Inflammacheck™ is a new point-of-care (POC) device measuring exhaled breath temperature, humidity, and hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>); the latter marker of oxidative stress in airways. <b>Method:</b> Using Inflammacheck™, we assessed levels H<sub>2</sub>O<sub>2</sub> condensate (EBC) obtained during 60 seconds tidal breathing participants with stable asthma or COPD, healthy controls. We also explored effect patient factors on (e.g. time last meal)...
Asthma is commonly misdiagnosed because there no agreed gold standard. The National Institute of Clinical Excellence UK (NICE) recommends including the measurement fractional exhaled nitric oxide (FeNO) in diagnostic algorithm for asthma adults. Diagnosing occurs predominantly primary care where investment and training FeNO limited usually diagnosed based on history, spirometry, treatment trial. <b>Objective:</b> To systematically evaluate patients with a diagnosis to confirm/exclude...
<sec> <title>BACKGROUND</title> Measuring vital signs (VS) is an important aspect of clinical care but time consuming and requires multiple pieces equipment trained staff. Interest in the contactless measurement VS has grown since COVID-19 pandemic, including for non-clinical situations. Lifelight® app being developed as a medical device using remote photoplethysmography via camera on smart devices such phones tablets. The VISION-D (Measurement Vital Signs by Software Comparison to Standard...
Asthma is a common lung condition that cannot be cured, but it can usually effectively managed using available treatments. Despite this, widely acknowledged 70% of patients do not adhere to their asthma treatment. Personalizing treatment by providing the most appropriate interventions based on patient's psychological or behavioral needs produces successful behavior change. However, health care providers have limited resources deliver patient-centered approach for needs, resulting in current...
Assessing and optimising adherence remains a significant challenge in asthma management with suboptimal leading to poor disease control inappropriate treatment escalation. <b>Methods</b> 100 patients within the Portsmouth Manchester adult severe services, whose remained uncontrolled despite at least GINA step 4 optimal comorbidity management, were invited use digital self-management support tool combining inhaler sensors, patient App portal (the Propeller health system). <b>Results</b> Of 95...
<b>Background:</b> Ambiguities in diagnosis may delay definitive diagnoses of respiratory disease primary care, delaying initiation treatment. The VICTORY study evaluated a novel device; 'Inflammacheck<sup>TM</sup>', measuring H<sub>2</sub>O<sub>2</sub> concentrations from exhaled breath condensate (EBC), which, combination with spirometry and demographics created deep-neural net (DNN) model, generating an artificial intelligence (AI) based diagnostic platform....
<sec> <title>BACKGROUND</title> Respiratory rate (RR) is the most sensitive physiological observation to predict clinical deterioration on hospital wards, and poor monitoring has been highlighted as a primary contributor avoidable mortality. Patients in intensive care have their RR monitored continuously, but this equipment rarely available general wards. </sec> <title>OBJECTIVE</title> The objective assess accuracy of RespiraSense device comparison with other methods currently used...
Patients with frequent exacerbations of airways disease have increased use unscheduled healthcare visits. Telephone messaging is a novel way using technology to enable remote consultation between patient and clinician. uncontrolled asthma/COPD at risk were recruited an automated telephone service assess its impact on utilisation acceptability. reviewed by multi-specialist respiratory team in primary care. Patient's recorded symptoms responding series 4 questions twice weekly, for 3 months,...
<sec> <title>BACKGROUND</title> Asthma is a common lung condition that cannot be cured, but it can usually effectively managed using available treatments. Despite this, widely acknowledged 70% of patients do not adhere to their asthma treatment. Personalizing treatment by providing the most appropriate interventions based on patient’s psychological or behavioral needs produces successful behavior change. However, health care providers have limited resources deliver patient-centered approach...
<h3>Introduction</h3> Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) has resulted in a global pandemic of unprecedented magnitude causing disease that varies widely nature and severity ranging from asymptomatic carriers to life-threatening illness requiring ICU support. Excessive immune activation is believed underpin the pathophysiology, however, despite identification treatments which target this (Dexamethasone, Tocilizumab) there remains significant morbidity mortality...