A5041774836- Climate Change and Health Impacts
- Healthcare cost, quality, practices
- Global Healthcare and Medical Tourism
- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Pancreatic and Hepatic Oncology Research
- Medical Device Sterilization and Disinfection
- Interprofessional Education and Collaboration
- Innovations in Medical Education
- Stoma care and complications
- Cardiac, Anesthesia and Surgical Outcomes
- Reflective Practices in Education
- Healthcare and Environmental Waste Management
- Anorectal Disease Treatments and Outcomes
- Palliative Care and End-of-Life Issues
- Gastric Cancer Management and Outcomes
- Nursing Roles and Practices
- Esophageal Cancer Research and Treatment
- Dental Education, Practice, Research
- Conflict Management and Negotiation
- Ethics in medical practice
- Cancer Genomics and Diagnostics
- NF-κB Signaling Pathways
- Colorectal and Anal Carcinomas
- Healthcare innovation and challenges
Northumbria Healthcare NHS Foundation Trust
2018-2025
Marymount University
2023-2025
British Society for Haematology
2025
Australian and New Zealand Intensive Care Society
2024
Rigshospitalet
2018
University of Michigan
2017
Monklands Hospital
2005-2010
Methodist Healthcare
2005
Abstract Climate change and the destruction of ecosystems by human activities are among greatest challenges 21st century require urgent action. Health care significantly contribute to emission greenhouse gases waste production, with gastrointestinal (GI) endoscopy being one largest contributors. This Position Statement aims raise awareness ecological footprint GI provides guidance reduce its environmental impact. The European Society Gastrointestinal Endoscopy (ESGE) Gastroenterology Nurses...
Abstract Background Stoma‐related complication rates vary between 10% and 70%, possibly because of varying lengths follow‐up. It is thought that most the complications improve with time. Furthermore, little known about commonly neglected but potentially quite distressing such as leakage, soiling night‐time emptying. The aim this audit was to examine prospectively whether there any difference in at different time‐points during postoperative follow up period. Method A prospective study on 408...
GI endoscopy is highly resource-intensive with a significant contribution to greenhouse gas (GHG) emissions and waste generation. Sustainable in the context of climate change now focus mainstream discussions between providers, units professional societies. In addition broader global challenges, there are some specific measures relevant their practices, which could significantly reduce environmental impact. Awareness these issues guidance on practical interventions mitigate carbon footprint...
Abstract Background Gastrointestinal (GI) endoscopy is one of healthcare’s main contributors to climate change. We aimed assess healthcare professionals’ attitudes and the perceived barriers implementation sustainable GI endoscopy. Methods The LEAFGREEN web-based survey was a cross-sectional study conducted by European Society Endoscopy (ESGE) Green Working Group. questionnaire comprised 39 questions divided into five sections (respondent demographics; change sustainability beliefs; waste...
Leigh Donnelly outlines some of the upcoming initiatives and events being hosted by British Society Gastroenterology.
Abstract A growing number of studies aim to evaluate gastrointestinal (GI) endoscopy services from the perspective their environmental impact. However, there are currently no guidelines or frameworks which provide specifically for reporting sustainability studies, and a variety metrics assessment tools have been employed in literature. To improve clarity, transparency, quality reporting, European Society Gastrointestinal Endoscopy (ESGE) has developed framework community researchers...
There is a necessity for endoscopy services as speciality to lead the way in creating more sustainable departments. It important we seek explore and implement practical measures ensure are working meet our sustainability goals. The following article explores implementation of which can be taken make greener.
Defunctioning loop ileostomies are used commonly to protect low colorectal anastomoses and thereby reducing the serious complications of leakage. However, they associated with specific such as retraction. Traditionally, a supporting rod is placed bridge support both limbs stoma in hope incidence stomal There little evidence published literature this practice. The aim study was determine whether using an ileostomy would reduce retraction.A prospective, randomised controlled trial performed 60...
A prospective audit of the complications associated with reversal a loop ileostomy was carried out between March 2000 and 2005. The complication rate, length inpatient hospitalisation re-admission rate were assessed in 100 patients, single clinical practice. median (interquartile range) time primary procedure closure 133 days (120 – 270) days. Median stay two (one - three) overall 18 %. One patient had post-operative leak leading to local abscess formation. This drained surgically after...
A recently published model for predicting 30-day mortality has been devised using data from 73 hospitals in the UK. Deprivation category was not one of sets used and included formulating this model. We wished to assess if applicable a population with high deprivation scores.Data on all colorectal cancer operations (age, ASA, resected, Dukes stage urgency) had collected prospectively since January 1999. This applied model.Two hundred thirty patients were analysis. Overall predicted 8.2%...
The current climate crisis is the biggest risk to health in recent years. As a result National Health Service (NHS) has commitment reduce carbon emissions net zero by 2040. healthcare professionals Gastroenterology, we have responsibility ensure that our services are sustainable. By making changes practice and re-examine way deliver patient care, can safeguard greener NHS for future generations.
Over the past 2 years, working with cancer patients amid COVID-19 pandemic has created necessity to review ways of deliver patient-centred care for people on their colorectal journey. One area development was improving type and quality information given at each stage With collaboration from patients, a group nurse specialists embarked process improve by proving pathway that offered multimedia approach.
<h3>Introduction</h3> World Health Organisation (WHO) checklisting is a recommended step prior to every endoscopic procedure with the potential positively impact on patient morbidity and mortality if used effectively. Research in other settings demonstrates reduced error improved safety where checklists are widely used, however there evidence suggest that significant investment required terms of multi-professional team-based training order improve behaviour. This study aimed identify...
Endoscopy services are under considerable pressure to meet the increasing demand expected by 2020. A large hospital foundation trust was offered opportunity develop its endoscopy workforce two of nurses obtaining a place on Health Education England's accelerated non-medical training programme. The took over period 7 months and combined comprehensive supported robust academic component. thematic analysis carried out trainees' reflective journals kept during course, this highlighted frequently...
After being diagnosed with bowel cancer in 2016, Deborah James devoted her life to raising public awareness of the condition, resulting a positive impact on referrals, especially among young people
A clinical nurse endoscopist team share their experience of becoming non-medical prescribers and explore the benefits it has brought to service