A5026118044- Surgical site infection prevention
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Peripheral Artery Disease Management
- Diabetic Foot Ulcer Assessment and Management
- Climate Change and Health Impacts
- Aortic aneurysm repair treatments
- Telemedicine and Telehealth Implementation
- Colorectal Cancer Surgical Treatments
- Surgical Sutures and Adhesives
- Appendicitis Diagnosis and Management
- Reconstructive Surgery and Microvascular Techniques
- Clinical practice guidelines implementation
- Diverticular Disease and Complications
- Cerebrovascular and Carotid Artery Diseases
- Diversity and Career in Medicine
- Delphi Technique in Research
- Diagnosis and Treatment of Venous Diseases
- Venous Thromboembolism Diagnosis and Management
- Renal and Vascular Pathologies
- Central Venous Catheters and Hemodialysis
- Acute Ischemic Stroke Management
- Vascular Procedures and Complications
- Patient Satisfaction in Healthcare
- Pressure Ulcer Prevention and Management
Hull York Medical School
2021-2025
University of Hull
2021-2025
Hull Royal Infirmary
2020-2024
University Teaching Hospital
2023-2024
University of York
2023-2024
University of Birmingham
2024
Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie
2021
University of Leeds
2018
Abstract Background There is an urgent need for effective interventions to aid diabetes related foot ulcer (DFU) healing. This study aimed test the deliverability of a proposed definitive trial exploring clinical efficacy Extracorporeal Shockwave Therapy (ESWT) in DFU Methods A pilot double-blinded three-arm randomised controlled trial. Patients with present ≥4 weeks were high dose (500shocks/cm2), low (100shocks/cm2) or sham (0shocks/cm2) ESWT, addition standard care. Follow-up was at 6-,...
Introduction Surgical site infections (SSI) are the most common healthcare-associated infections; however, access to healthcare services, lack of patient awareness signs, and inadequate wound surveillance can limit timely diagnosis. Telemedicine as a method for remote postoperative follow-up has been shown improve efficiency without compromising clinical outcomes. Furthermore, telemedicine would reduce carbon footprint National Health Service (NHS) through minimising travel, significant...
Abstract Background The Vascular Research Collaborative was established to develop a national research strategy for patients with vascular disease in the UK. This project aimed establish priorities this patient group. Methods A modified Delphi approach, an method reaching consensus opinion among group of experts particular field, used survey multidisciplinary clinical specialists. Two rounds online surveys were conducted involving membership Society, Society Nurses, Technology, and Rouleaux...
Background Climate change is an era-defining health concern, with healthcare related emissions paradoxically compounding negative impacts. The NHS produces 5% of the UK's carbon footprint, operating theatres a recognised hotspot. England aims to become Net Zero by 2045. Consequently, UK Royal Colleges Surgery have published guidance foster evidence-based sustainable transformation in surgical practice. Methods A single-centre quality improvement project was undertaken, aiming provide...
Introduction: Current surgical site infection (SSI) prevention guidance indicates low-quality evidence supporting many of their recommendations. Subsequently, there is substantial variation in practice and often implementation unsubstantiated interventions. There therefore a need to rapidly evaluate best practices prevent SSI. This survey aimed current the SSI equipoise regarding potential interventions reduce rates major lower limb amputation (MLLA) groin incisions. Methods: A...
Anecdotal evidence suggests that community infection control measures during the COVID-19 outbreak have modified number and natural history of acute surgical inflammatory processes (ASIP-appendicitis, cholecystitis, diverticulitis perianal abscesses) admissions. This study aims to evaluate impact pandemic on presentation treatment ASIP quantify effect outcomes patients. was a multicentre, comparative study, whereby cases from 2019, 2020 2021 (March 14th May 2nd) were analyzed. Data regarding...
Background: Frailty is an important clinical syndrome that associated with adverse postoperative outcomes. The assessment of frailty provides opportunity to enhance patient care. National Vascular Registry (NVR) introduced categories on all vascular procedure proformas in 2019. aim this survey was capture the current practice centres UK. Methods: A nationwide carried out UK who enter procedural data onto NVR database. Qualtrics online tool used distribute through mailing lists and social...
Background: The management of vascular wounds is often a complex and prolonged process that impacts individuals’ quality life, challenging for clinicians results in significant financial burden to the NHS. UK wound care practices vary considerably perhaps because guidelines treatment options are frequently based on low levels clinical cost effectiveness evidence. Therefore, further research required but capacity limited funding highly competitive. To address this issue, Vascular Society Great...
Abstract Introduction The NHS must provide a net zero service by 2045. Innovative strategies are required to quantify, evaluate and implement environmentally friendly interventions into practice. study evaluates the feasibility sustainability of remote post-operative follow-up using novel methodology. Methods Patients were reviewed remotely face-to-face at 30 days post-operatively. A prospective life-cycle assessment(LCA) approach carbon footprint analysis was used calculate emissions...
Abstract Introduction Current remote methods of surgical site infection diagnosis have high specificity but lack sensitivity in diagnosis. This study evaluates the acceptability, reliability and validity a novel hybrid clinician-patient outcome measure (ASSIST) for detecting SSI. Methods Patients completed Bluebelle wound healing questionnaire (WHQ) at 30 days post-surgery additionally submitted image(s). Images were reviewed two independent clinicians. Internal consistency unidimensional...
Abstract Introduction Guidelines recommend cardiovascular risk reduction and supervised exercise therapy as the initial treatment for patients with intermittent claudication(IC). However, implementation challenges poor patient compliance lead to significant variation in management therefore outcomes. We propose a precise machine learning derived decision support system that aims provide personalised outcome predictions across different strategies. Methods Feature selection was performed...
Abstract Aims This survey aimed to establish current global practice across surgical subspecialties in the prevention of site infection (SSI) using prophylactic measures. Methodology A cross-sectional was formulated following a published protocol, aligning with established guidelines for SSI prevention. panel experts provided guidance during iterative rounds internal validation, incorporating consensus-based modifications. Prior online dissemination via QualtricsXM link and QR code through...
Abstract Aims This survey aimed to establish current global practice across surgical subspecialties in the prevention of site infection (SSI). Methodology A cross-sectional was formulated following a published protocol, aligning with established guidelines for SSI prevention. panel experts provided guidance during iterative rounds internal validation, incorporating consensus-based modifications. Prior online dissemination via QualtricsXM link and QR code through international societies,...