A5048824766- COVID-19 and Mental Health
- Health and Medical Research Impacts
- Diversity and Career in Medicine
- Innovations in Medical Education
- Renal and related cancers
- Renal cell carcinoma treatment
- Liver Diseases and Immunity
- LGBTQ Health, Identity, and Policy
- Ethics in Clinical Research
- Schizophrenia research and treatment
- Liver Disease Diagnosis and Treatment
- Healthcare Decision-Making and Restraints
- Social and Intergroup Psychology
- Child Abuse and Trauma
- Child and Adolescent Psychosocial and Emotional Development
- COVID-19 epidemiological studies
- Child Welfare and Adoption
- Family Caregiving in Mental Illness
- Gender Roles and Identity Studies
- Meta-analysis and systematic reviews
- Genetic and Kidney Cyst Diseases
- Ethics and Legal Issues in Pediatric Healthcare
- Sex and Gender in Healthcare
- Child and Adolescent Health
- COVID-19 Pandemic Impacts
University College London
2016-2025
The Tavistock and Portman NHS Foundation Trust
2018-2023
ORCID
2018
Creative Commons
2018
Trinity College Dublin
2015-2017
Royal College of Surgeons in Ireland
2013
Central Mental Hospital
2013
St. Vincent's University Hospital
2013
There is a paucity of high-level evidence on small renal mass (SRM) management, as previous classical randomised controlled trials (RCTs) failed to meet accrual targets. Our objective was assess the feasibility recruitment cohort-embedded RCT comparing cryoablation (CRA) robotic partial nephrectomy (RPN). A total 200 participants were recruited cohort, whom 50 enrolled in RCT. In RCA intervention arm, 84% consented (95% confidence interval [CI] 64–95%) and 76% CI 55–91%) received CRA; 100%...
Abstract Direct and prolonged exposure to stress uncertainty among healthcare workers (HCWs) during the COVID-19 pandemic likely had a significant negative impact on their mental health general wellbeing. Although contributors such distress remain be fully understood, construct of perceived coercion appears relevant. Among HCWs, is conceptualised as appraisals about lack control/‘freedom choose’ pressure perform patient-care duties in context unprecedented threat contagion from patients. To...
To examine clinical doctoral students' demographic and training characteristics, career intentions, preparedness what influences them as they plan their future careers.Online cross-sectional census surveys at two research-intensive medical schools in England 2015-2016.All medically qualified PhD students (N=523) enrolled the University of Oxford College London were invited to participate. We report on data from 320 participants (54% male 44% female), who representative by gender...
Introduction Small renal masses (SRMs; ≤4 cm) account for two-thirds of new diagnoses kidney cancer, the majority which are incidental findings. The natural history SRM seems largely indolent. There is an increasing concern regarding surgical overtreatment and associated health burden in terms morbidity economy. Observational data support safety efficacy percutaneous cryoablation but there unmet need high-quality evidence on non-surgical management options a head-to-head comparison with...
Introduction The COVID-19 pandemic has resulted in many countries applying restrictive measures, such as lockdown, to contain and prevent further spread. psychological impact of lockdown working a healthcare worker on the frontline been chronicled studies pertaining previous infectious disease pandemics that have reported presence depressive symptoms, anxiety, insomnia, post-traumatic stress symptoms. Potentially linked well-being not yet studied is possibility are associated with...
OBJECTIVE Service users may express positive, ambivalent, or negative views of their hospital admission. The objective this study was to determine whether the background interviewer-service user-researcher clinician-influences information elicited. primary outcome level perceived coercion on admission, and secondary outcomes were pressures procedural justice, necessity for satisfaction with services, willingness consent participate in study. METHODS Participants voluntarily involuntarily...
Introduction The impact of living with Primary Sclerosing Cholangitis (PSC) on psychological wellbeing is not well-known. A recent scoping review by the authors found that both depression and anxiety frequently featured in accounts those illness. However, less clear were factors led to such distress, illness had families how best support or supporting someone In light this, aim this study was explore impacted lives diagnosed them. Method results This adopted a phenomenological approach...
Purpose To describe the influences on clinical academic physicians’ postdoctoral career decision making. Method Thirty-five doctoral trainee physicians from University College London took part in semistructured interviews 2015 and 2016. Participants were asked open-ended questions about their to date, experiences undertaking a PhD, plans post PhD. The audio-recorded transcribed. Thematic analysis was used generate, review, define themes transcripts. Emerging differences similarities...
Aims and method Caring for someone with a mental illness is increasingly occurring within the community. As result, family members who fulfil caregiving role may experience substantial levels of burden psychological distress. This study investigates level distress reported by caregivers after patient's admission. Results found that overall experienced did not differ according to legal status. However, those were voluntarily admitted supervised person significantly greater extent than...
Background Approximately 30% of patients with pancreas cancer have unresectable locally advanced disease, which is currently treated systemic chemotherapy. A new treatment option irreversible electroporation (IRE) has been investigated for these since 2005. Cohort studies suggest that IRE confers a survival advantage, but associated, procedure-related complications. Selection bias may account improved and there no prospective randomised trials evaluating the harms benefits therapy. The aim...
Introduction Gender identity development services (GIDS) worldwide have seen a significant increase in referrals recent years. Many of these consist children and young people (CYP) who experience gender-related distress. This study aims to improve understanding outcomes CYP referred the UK GIDS, specifically regarding gender identity, mental health, physical health quality life. The impact factors such as co-occurring autism early social transition on over time will be explored. Methods...
Abstract Background This study examined perceptions of coercion, pressures and procedural injustice how such influenced psychological well-being in those who experienced a UK COVID-19 lockdown, with view to preparing for the possibility future lockdowns. Methods 40 individuals categorised as perceiving lockdown(s) either highly or lowly coercive took part one six asynchronous virtual focus groups (AVFGs). Results Using thematic analysis, following key themes were identified participants’...
Abstract Background Penile cancer is a rare male genital malignancy. Surgical excision of the primary tumour followed by radical inguinal lymphadenectomy if there metastatic disease detected biopsy, fine needle aspiration cytology (FNAC) or following sentinel lymph node biopsy in patients with impalpable disease. However, associated high morbidity rate, and increasing usage videoendoscopic approach as an alternative. Methods A pragmatic, UK-wide multicentre feasibility randomised controlled...
Objectives To understand the facilitators and barriers to implementation of renal tumour biopsy (RTB) in diagnostic pathway for tumours England. Patients Methods Participants consisted patients who had a diagnosed and/or treated at one five tertiary centres England, healthcare professionals involved direct care with tumours, clinical service managers commissioners. The study employed mixed‐methods research methodology consisting individual interviews an on‐line survey that explored types...
Research is essential to advancing clinical treatment, improving treatment outcomes, and evolving healthcare services (NHS England, 2014; NHS England Innovation & Unit, 2018). This recognized by the UK Department of Health, most notably means continued multibillion investment in National Institute for Health (NIHR), ensure proliferation applied research (Department Development Directorate, 2006; Research, 2017). The focal aim such support researchers succeed completing world-class that...
The unethical practice of gift authorship and hostage was portrayed in detail previous issues Research Ethics. aim this short article is to explore the impact penalising junior researchers for partaking authorship, occurrence implications missing publication. It concludes with reflections on current guidelines suggestions put forth by Bulow Helgesson, Tang, potential strategies counteracting frequency which both occur.