- Animal Behavior and Welfare Studies
- Veterinary Practice and Education Studies
- Genetic and phenotypic traits in livestock
- Animal Disease Management and Epidemiology
- Reproductive Physiology in Livestock
- Human-Animal Interaction Studies
- Child and Adolescent Health
- Antibiotic Use and Resistance
- Vaccine Coverage and Hesitancy
- Breast Cancer Treatment Studies
- Animal and Plant Science Education
- Plant and fungal interactions
- Wildlife Ecology and Conservation
- Statistical Methods in Clinical Trials
- Milk Quality and Mastitis in Dairy Cows
- Health, psychology, and well-being
- Community Health and Development
- Adolescent and Pediatric Healthcare
- Reproductive Biology and Fertility
- Effects of Environmental Stressors on Livestock
- Nursing Roles and Practices
- Meta-analysis and systematic reviews
- Family and Patient Care in Intensive Care Units
- Collaborative Teaching and Inclusion
- Cancer Risks and Factors
University of Warwick
2025
University of Liverpool
2016-2024
Hunter New England Local Health District
2012-2022
Mount Vernon Cancer Centre
2019
National Institute for Health Research
2019
Cambridge University Hospitals NHS Foundation Trust
2019
University College London
2019
University of Surrey
2014
University of Nottingham
2011-2013
The University of Queensland
2007
The frequency of mammographic surveillance for women after diagnosis breast cancer varies globally. aim this study was to evaluate whether less than annual mammography non-inferior in terms cancer-specific survival aged 50 years or older. Mammo-50 a multicentre, randomised, phase 3 trial versus frequent (2-yearly conservation surgery; 3-yearly mastectomy) older at initial invasive non-invasive and who were recurrence free post curative surgery. conducted 114 National Health Service hospitals...
Although much research has investigated the drivers of inappropriate antimicrobial prescribing in human medicine, equivalent veterinary medicine is its infancy. This qualitative study used a critical incident approach to explore farm veterinarians' (vets) and farmers' beliefs about use stewardship. Semi-structured interviews were conducted with 13 vets 12 farmers UK, who worked mostly beef cattle, dairy cattle sheep, but minority also pigs or poultry. An inductive thematic analysis was how...
Lameness in the beef industry has received little attention UK, despite fact that it is a well-recognised problem dairy industry. The aims of this study were to (i) compare UK farmers' estimates lameness prevalence researchers, (ii) explore attitudes towards lameness, and (iii) help identify farmer reported barriers control treatment. Beef farmers (11 finishing units 10 suckler farms) recruited from England Wales. Farmers asked estimate their prevalence, before researcher conducted...
Evaluation of health promotion interventions is essential in order to collect evidence about the efficacy a program, identify ways improve practice, justify use resources, and unexpected outcomes. This paper clarifies role evaluation as crucial component interventions. Moreover, it summarises key elements most widely used planning/evaluation frameworks necessary for constructive evaluations incorporates them into single approach. It provides methodical framework provision guidance...
In the face of a steady decline in dairy cow fertility over several decades, using hormones to assist reproduction has become common. European Union, are prescription-only medicines, giving veterinary practitioners central role their deployment. This study explored clinical and ethical beliefs practitioners, provides data on current prescribing practices. During 2011, 93 working England completed questionnaire (95% response rate). Of 714 non-organic farms they attended, only 4 (0.6%) never...
The objective of this study was to investigate the association between (sub)clinical mastitis (CM) in first 30 days milk (DIM) and presence sole ulcers (SU) later lactation.Holstein cows heifers were examined for haemorrhage SU before calving, 14 postcalving early lactation (after DIM). CM episodes somatic cell counts (SCC) measurements obtained from farm records. Multivariable logistic regression used data analysis.Odds 2.44 times greater (95% confidence interval [CI] 0.97-5.54) that had...
Characteristics of 94 veterinary surgeons associated with delivering preventive herd‐level strategies to control mastitis, lameness and Johne's disease were investigated using two multinomial models. The response variables ‘Gold Standard Monitoring’ (including on‐going data analysis, risk assessments laboratory testing), a lower level involvement called ‘Regular Control Advice’. Although the sample was biased towards those who spend majority their time dairy cows, 69 per cent currently had...
Footrot is a widespread, infectious cause of lameness in sheep, with major economic and welfare costs. The aims this research were: (i) to quantify how veterinary surgeons' beliefs regarding the efficacy two treatments for footrot changed following review evidence (ii) obtain consensus opinion group discussions (iii) capture complementary qualitative data place their within broader clinical context. Grounded Bayesian statistical framework, probabilistic elicitation (roulette method) was used...
The two key aims of this research were: (i) to conduct a probabilistic elicitation quantify the variation in veterinarians' beliefs regarding efficacy systemic antibiotics when used as an adjunct intra-mammary dry cow therapy and (ii) investigate (in Bayesian statistical framework) strength future evidence required theory) change practising veterinary surgeons antibiotics, given their current clinical beliefs. 24 veterinarians 5 practices England were quantified probability density...
The clinical beliefs (expectations and demands) of veterinarians regarding herd-level strategies to control mastitis, lameness, Johne's disease were quantified in a numerical format; 94 working England (UK) randomly selected and, during interviews, statistical technique called probabilistic elicitation was used capture their expectations as probability distributions. results revealed that markedly different existed for all 3 diseases, many pairs had with nonoverlapping 95% Bayesian credible...
AbstractThere has been a noted growth in the number of teaching assistants (TAs) mainstream schools. Research is inconclusive about their efficacy at changing outcomes for children and proposed more training TAs. Generic models have suggested that enhancing self-efficacy turn improves performance. This exploratory study investigated factors may influence TAs' sense its susceptibility to training. Following two modes school-based by educational psychologists (EPs) data were collected from 14...
The aim of this study was to estimate the prevalence macroscopic reproductive tract abnormalities in a sample female cattle UK. To our knowledge, type post-mortem survey has not been conducted UK since 1970s. Over last 40 years significant changes have occurred with respect management and genetics. Moreover there growth rates beef animals, elevated milk yields decline fertility dairy cattle. It hypothesized that differences may exist extent lesions occurring compared previous studies....
Antimicrobial resistance (AMR) is a pressing threat to public and animal health. There evidence that antimicrobial prescribing stewardship behaviors by veterinarians (vets) are influenced non-clinical factors, such as psychological, social, environmental factors. This study explored the role of context, beliefs, values on vets' decisions. UK-based practicing farm vets (n = 97) were recruited an online study. Using experimental vignette methodology, randomly assigned across four conditions,...
Antimicrobial resistance (AMR) is a profound threat to human and animal health. prescribing behaviours are influenced by psychological factors such as knowledge, beliefs, emotions. As future antimicrobial prescribers, it important understand beliefs about AMR stewardship among veterinary (vet) students. This cross-sectional online survey assessed vet students’ self-reported behavior, in specific relation antibiotic (ABR) usage. Participants were early years (first- second-year; n = 460)...
Cattle lameness is a concern to the United Kingdom (UK) cattle industry, negatively impacting upon welfare and production. Previous work involving one small study ( n = 21) has identified that some UK beef farmers underestimate prevalence, but also vary in their perception of impact lameness. Knowledge skills were as potential concern, farmer-reported barriers identified. However, extent which these views can be extrapolated unknown. Therefore, aim this was produce descriptive results farmer...
Foot characteristics have been linked to the development of sole lesions (sole hemorrhage and ulcers) white line lesions, also known as claw horn disruption (CHDL). The objective this study was examine association anatomy temperature with CHDL. A cohort 2,352 cows prospectively enrolled from 4 UK farms assessed at 3 time points: before calving (T1-precalving), immediately after (T2-calving), in early lactation. At each point body condition score recorded, a thermography image foot taken for...
Background Locomotion (lameness) scoring has been used and studied in the dairy industry; however, to authors’ knowledge, there are no studies assessing reliability of locomotion systems when with beef cattle. Methods A four‐point system was developed cattle filmed walking on a firm surface. Eight veterinary researchers, eight clinicians students were shown written descriptors four video clips for training purposes, before being asked score 40 random order. Participants repeated this task 4...
Exploration of the factors that influence hospital doctors' antibiotic prescribing decisions when treating children with respiratory symptoms in UK emergency departments.A qualitative study using semistructured interviews based on a critical incident technique 21 physicians different grades and specialties treat UK. Interviews were audio-recorded then transcribed verbatim analysed thematic analysis.Four themes identified. These illustrate which clinician prescribing. The three principal...
The World Health Organization's Tailoring Immunization Programmes approach was used to develop a new strategy increase child vaccination coverage in disadvantaged community New South Wales, Australia, including reminders, outreach and home visiting. After 18 months, the hasn't been fully implemented. A process evaluation conducted identify barriers facilitators for research translation. Participants included health nurses, Population staff, managers general practitioners....