A5072685237- Neonatal Respiratory Health Research
- Intestinal Malrotation and Obstruction Disorders
- Neonatal and Maternal Infections
- Sepsis Diagnosis and Treatment
- Neonatal and fetal brain pathology
- Infant Development and Preterm Care
- Congenital Heart Disease Studies
- Pediatric Hepatobiliary Diseases and Treatments
- Chemotherapy-related skin toxicity
- Nonmelanoma Skin Cancer Studies
- Streptococcal Infections and Treatments
- Hernia repair and management
- Respiratory Support and Mechanisms
- Global Maternal and Child Health
- Vascular Tumors and Angiosarcomas
- Pediatric Urology and Nephrology Studies
- Congenital Anomalies and Fetal Surgery
- Congenital gastrointestinal and neural anomalies
- Cardiac Arrest and Resuscitation
- Abdominal Surgery and Complications
- Female Genital Mutilation/Cutting Issues
- Minimally Invasive Surgical Techniques
- Thermal Regulation in Medicine
- Autopsy Techniques and Outcomes
- Ureteral procedures and complications
University Hospital of Wales
2012-2021
Artemis Hospitals
2019
Singleton Hospital
2010-2019
Public Health Wales
2019
Barts Health NHS Trust
2016-2017
Royal London Hospital
2016
Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals
2009-2010
Abstract The aim of the study is to determine prevalence, outcomes, and survival (among live births [LB]), in pregnancies diagnosed with trisomy 13 (T13) 18 (T18), by congenital anomaly register region. Twenty‐four population‐ hospital‐based birth defects surveillance registers from countries, contributed data on T13 T18 between 1974 2014 using a common data‐reporting protocol. mean total prevalence (i.e., LB, stillbirths, elective termination pregnancy for fetal anomalies [ETOPFA]) ETOPFA (...
Objective To compare management recommendations of the National Institute for Health and Care Excellence (NICE) guidelines with Kaiser Permanente sepsis risk calculator (SRC) early onset neonatal (EONS). Design Multicentre prospective observational projection study. Setting Eight maternity hospitals in Wales, UK. Patients All live births ≥34 weeks gestation over a 3-month period (February–April 2018). Methods Demographics, maternal infant factors, infant’s clinical status, antibiotic usage...
Neonatal infection has been recognised as the third most common cause of neonatal death globally.1 In UK, a retrospective analysis that spanned over 30 units from 2005 to 2014 found incidence was 6.1 per 1000 live births and 48.8 admissions.2 The early-onset sepsis (EONS) in UK 0.7 births.2 National Institute for Health Care Excellence (NICE) published first guideline (CG149) intended management 2012; this updated (NG195) 2021.3 refers use Kaiser Permanente Sepsis Risk Calculator (KPSRC),...
Objective The recent availability of servo-controlled cooling equipment on transport makes it possible to commence active at the referral unit for infants with hypoxic-ischemic encephalopathy. This study aimed compare temperature and transfer variables in passively actively cooled babies. Study Design is a retrospective cohort comparing two groups-passively (July 2011 August 2012) versus group (September 2012 June 2013), following introduction hypothermia using mattress by London Neonatal...
Abstract Contemporary outcome data of preterm infants are essential to commission, evaluate and improve healthcare resources outcomes while also assisting professionals families in counselling decision making. We analysed trends clinical practice, morbidity, mortality extremely over 10 years South Wales, UK. This population-based study included live born < 28 weeks gestation tertiary neonatal units between 01/01/2007 31/12/2016. Patient characteristics, practices, mortality, morbidity...
Objective Assess the impact of introducing a consensus guideline incorporating an adapted Sepsis Risk Calculator (SRC) algorithm, in management early onset neonatal sepsis (EONS), on antibiotic usage and patient safety. Design Multicentre prospective study Setting Ten perinatal hospitals Wales, UK. Patients All live births ≥34 weeks’ gestation over 12-month period (April 2019–March 2020) compared with infants preceding 15-month (January 2018–March 2019) as baseline. Methods The was...
Para duodenal hernia is among the uncommon and rare causes of intestinal obstruction, but it most common type internal in abdomen accounts for more than half cases that do occur. Here, we are reporting a case right hernia, reduced repaired laparoscopically. This thirteen year old girl presented to us with features small bowel obstruction two days duration. Plain abdominal X-ray showed multiple fluid levels confined side abdomen. A diagnostic laparoscopy was done under General Anaesthesia....
Introduction Diagnosing neonatal sepsis is heavily dependent on clinical phenotyping as culture-positive body fluid has poor sensitivity, and existing blood biomarkers have specificity. A combination of machine learning, statistical deep pathway biology analyses led to the identification a tripartite panel biologically connected immune metabolic markers that showed greater than 99% accuracy for detecting bacterial infection with 100% sensitivity. The cohort study described here designed...
Purpose:There has been a slow but sure shift in the way health care delivery is being perceived, by both providers and patients. Patients aredemanding better quality of for in-patient services, outpatient services or evenpreventive care.Health rapidly growing sector which gained much attention from researchers andpractitioners worldwide. Due to tremendously increasing cost, many hospitals attempt adopt qualityinitiatives such as lean and/or Six Sigma improve their service operations....
Postanesthesia shivering (PAS) is a common, distressing experience. Ondansetron, the classical 5HT3 antagonist has been in use for its prevention since long. Palonosetron, newly introduced potent antiemetic drug with better pharmacodynamics currently by clinicians. Hence, study was conducted to compare efficacy of ondansetron and palonosetron preventing PAS patients undergoing elective lower segment caesarean section (LSCS) under spinal anaesthesia.A total 84 scheduled LSCS anesthesia were...
<h3>Aims</h3> Therapeutic hypothermia (TH) has become the standard of care for term newborns with hypoxic ischaemic encephalopathy (HIE). The major cooling trials had specific criteria to select infants moderate-severe encephalopathyand BAPM guidance recommends approaches compatible those trials. Our objectives were: 1. To assess completeness neurological assessment documentation used referring infant TH. 2. compare examination findings published encephalopathy, as by two <h3>Methods</h3>...
The aim of this study is to evaluate the service quality in higher education institutions using dimensions SERVQUAL model. stands at soul for all. A modified instrument along with focus group interviews undertaken research. main objectives are explore services offered by Institutions education, finding perception and expectation students thereby find gap between them. Exploratory research has been applied; an action approach was adopted line investigation. researchers have used primary data...