A5031153632- Thyroid and Parathyroid Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Esophageal Cancer Research and Treatment
- Thyroid Cancer Diagnosis and Treatment
- Dental Radiography and Imaging
- Adrenal and Paraganglionic Tumors
- Pain Management and Opioid Use
- Dental Anxiety and Anesthesia Techniques
- Gastric Cancer Management and Outcomes
- Trauma Management and Diagnosis
- Head and Neck Anomalies
- Hormonal Regulation and Hypertension
- Parathyroid Disorders and Treatments
- Radiomics and Machine Learning in Medical Imaging
- Pituitary Gland Disorders and Treatments
- Cancer Immunotherapy and Biomarkers
- Medical Imaging Techniques and Applications
- Inflammatory mediators and NSAID effects
- Dental Health and Care Utilization
- Health and Medical Research Impacts
- Pelvic and Acetabular Injuries
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Virus-based gene therapy research
University Hospital of Wales
2016-2025
Cardiff and Vale University Health Board
2017-2023
Royal Hospital for Children
2020-2023
University of Manchester
2012-2023
MCPHS University
2021-2023
Churchill Hospital
2021-2022
University of Oxford
2021-2022
Hillingdon Hospital
2021
East Carolina University
2021
Rutgers, The State University of New Jersey
1994-2021
To seek the views of adolescents with malocclusion about how appearance and arrangement their teeth affects everyday life to incorporate these into a new Malocclusion Impact Questionnaire (MIQ).Semi-structured interviews were undertaken purposive sample 30 young people (10-16 years) referred for orthodontic treatment two dental teaching hospitals. The recorded, transcribed analysed using framework analysis. Several themes sub identified used identify items include in measure.Three emerged...
Certification of completion training in general surgery the UK requires demonstration competence index operations by means three level 4 consultant-validated procedure-based assessments (PBAs). The aim this study was to evaluate trajectory operative learning curves related PBA performance levels for curriculum-defined indicative with respect numbers performed and time.Logbook data from consecutive higher surgical trainees were compared evaluations determine relationship between level,...
ABSTRACT Background Traditional teaching dictated that patients with recurrent thyroid cysts undergo excision owing to a 12% risk malignancy. Ultrasound evaluation now determines management of these augmented by fine needle biopsy. In UK, non‐diagnostic category for (Thy1c) exists, whereas the Bethesda system combines ‘non‐diagnostic—cyst fluid only’ into Category I along paucicellular and acellular results. The aim was assess ability Thy1c cytology exclude Methods We undertook retrospective...
Surgery for radical treatment of esophageal cancer (EC) carries significant inherent risk. The objective identification patients who are at high risk complications is importance. In this study the prognostic value cardiopulmonary fitness variables (CPF) derived from exercise testing (CPET) was assessed in undergoing potentially curative surgery EC within an enhanced recovery program. OC underwent preoperative CPET using automated breath-by-breath respiratory gas analysis, with measurements...
Incisional hernias cause morbidity and may require further surgery. HART (Hughes Abdominal Repair Trial) assessed the effect of an alternative suture method on incidence incisional hernia following colorectal cancer
The aim of this study was to assess the relative prognostic value biomarkers measure systemic inflammatory response (SIR) and improve modeling in a cohort patients undergoing potentially curative surgery for gastric adenocarcinoma. hypothesis that single SIR biomarker would be associated with most value. Consecutive 331 cancer between 2004 2016 within regional UK network were identified. Serum measurements hemoglobin, C-reactive protein, albumin, modified Glasgow Prognostic Score,...
Abstract Background In 2007, the American Heart Association modified infective endocarditis prophylaxis guidelines by limiting use of antibiotics in patients with cardiac conditions associated highest risk adverse outcomes after endocarditis. Our objective was to evaluate current practice for among paediatric cardiologists. Methods A web-based survey focussing on practice, describing various congenital and acquired heart diseases, distributed via e-mail The kept anonymous twice. Results Data...
Abstract Background There is a surgeon volume–outcome effect in adrenal surgery but the threshold for high-volume remains controversial. This study aimed to determine predictors of high-risk operations and explore whether these should be restricted surgeons. Methods Patients undergoing registered United Kingdom Registry Endocrine Thyroid Surgery between 2004 2021 were analysed. Outcomes included postoperative complications, duration hospital stay, mortality. Factors multivariable analysis...
Abstract Objective Trigeminal nerve injury is one of the most problematic complications dental/oral surgical procedures with significant consequences for patients, including neuropathy and facial pain. This presentation demonstrates results a cross‐sectional survey studying impact on patients’ quality life. Method Thirty patients attending specialist clinic at Manchester Dental Hospital were asked to complete an Oral Impact Daily Performance ( ODIP ) questionnaire. Five further took part in...
Survival and relapse after gastric cancer surgery are largely attributed to tumor biology surgical radicality; yet, other prognostic factors have been reported, including respiratory sepsis anastomotic leakage, but not global morbidity severity score (MSS). The hypothesis tested was that MSS would be associated with both disease-free (DFS) overall survival (OS).
In 2018, AJCC TNM staging changed for differentiated (DTC) and anaplastic (ATC) thyroid carcinoma. The impact of this change on mortality rates was investigated compared with the MACIS prognostic score. Analysis a prospective database DTC/ATC undertaken. Patients were staged according to TNM7 TNM8 criteria, scores calculated. Five-year disease-specific determined. Proportions Fisher's exact χ2 goodness-of-fit tests. Between August 2002 December 2016, 310 patients had primary surgery cancer....
The purpose of this cross-sectional study was to ascertain whether undergraduate dental students in the United Kingdom and Ireland are receiving formal teaching on recognizing managing domestic violence (DV) as part their curricula. A questionnaire sent all schools UK 2007 again 2012, requesting information subject taught, by which specialty it felt important include curriculum. In 2007, twelve fifteen completed returned questionnaire, for a response rate 80 percent; eleven sixteen...
PET/CT is now integral to the staging pathway for potentially curable esophageal cancer (EC), primarily identify distant metastases undetected by computed tomography. The aim of this study was analyze effect introduction on survival and assess patterns recurrence after esophagectomy. A longitudinal cohort EC patients staged between 1998 2016 were considered inclusion. After co-variate adjustment using propensity scoring, a 496 (273 pre-PET/CT 223 post-PET/CT) who underwent esophagectomy...
This study investigated the indications, procedures and outcomes for adrenal surgery from UK Registry of Endocrine Thyroid Surgery database 2005 to 2017, compared between benign malignant disease.Data on adrenalectomies were extracted a national surgeon-reported registry. Preoperative diagnosis, surgical technique, length hospital stay, morbidity in-hospital mortality examined.Some 3994 registered among patients with median age 54 (i.q.r. 43-65) years (55·9 per cent female). was performed...
Parathyroid localisation is now routine before first-time surgery for patients with primary hyperparathyroidism (PHPT). The aim of this study was to investigate the contribution intraoperative parathyroid hormone (PTH) (ioPTH) in whom either not undertaken or negative a tumour.
Abstract Aim To describe the measurement of pain after oral surgery. Materials and methods A review literature describing scales used to rate intensity, assessment by questionnaire, in children older adults, third molar model factors affecting experience context managing Results The most frequently single‐rating are Numerical Rating Scale ( NRS ), V erbal R ating S cale VRS Visual Analogue VAS ) F aces P ain cale. surgical removal a lower with bone is associated severe post‐operative...
Abstract Aim Oral health changes, such as tooth loss can have a profound effect on patient's quality of life. The partial and fully edentulous condition has negative impacts ability to chew, speech appearance. Dental implants support either fixed or removable prosthesis provide significant benefit partially patients. This study evaluates changes in oral life patients receiving dental implant treatment. Materials methods One hundred fifty attending primary care practice specialising treatment...