A5079150613- Sepsis Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Hernia repair and management
- Emergency and Acute Care Studies
- Appendicitis Diagnosis and Management
- Intestinal and Peritoneal Adhesions
- Marine and coastal ecosystems
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Arctic and Antarctic ice dynamics
- Hip and Femur Fractures
- Disaster Response and Management
- COVID-19 and healthcare impacts
- Inhalation and Respiratory Drug Delivery
- Pancreatic and Hepatic Oncology Research
- Enhanced Recovery After Surgery
- Respiratory Support and Mechanisms
- Oceanographic and Atmospheric Processes
- Trauma and Emergency Care Studies
- Mercury impact and mitigation studies
- Aeolian processes and effects
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Geological formations and processes
- Minimally Invasive Surgical Techniques
- Impact of Light on Environment and Health
University of Strathclyde
2020-2024
University of Portsmouth
2020-2023
Portsmouth Hospitals NHS Trust
2023
Aristotle University of Thessaloniki
2021
National and Kapodistrian University of Athens
2019
Abstract For organisms that remain active in one of the last undisturbed and pristine dark environments on planet—the Arctic Polar Night—the moon, stars aurora borealis may provide important cues to guide distribution behaviours, including predator-prey interactions. With a changing climate increased human activities Arctic, such natural light sources will many places be masked by much stronger illumination from artificial light. Here we show normal working-light ship disrupt fish...
Increasing contributions of prymnesiophytes such as Phaeocystis pouchetii and Emiliania huxleyi to Barents Sea (BS) phytoplankton production have been suggested based on in situ observations community composition, but the scattered discontinuous nature these records confounds simple inference change or its relationship salient environmental variables. However, provided that meaningful assessments composition can be inferred their optical characteristics, ocean-colour offer a potential means...
Abstract Accurate measurements of absorption data are required for the development and validation inversion algorithms upcoming hyperspectral ocean color imaging sensors, such as NASA Phytoplankton, Aerosol, Cloud, Ecosystem mission. This study aims to provide uncertainty estimates associated with leading approaches measure coefficients in complex coastal waters. Absorption spectra were collected at 12 different stations, all located Indian River Lagoon, Florida, USA, between 09 January 2017...
The National Early Warning Score (NEWS) is used in hospitals across the UK to detect deterioration of patients within care pathways. It for most patients, but there are relatively few studies validating its performance groups with specific conditions.
Laparoscopic adhesiolysis is increasingly being used to treat adhesional small bowel obstruction (ASBO) as it has been associated with reduced postoperative length of stay (LOS) and faster recovery. However, concerns regarding limited working space, iatrogenic injury failure relieve the have its uptake. This study reports our centre's experience adopting laparoscopy standard operative approach.A single-centre prospective cohort was performed incorporating local data from National Emergency...
Pre-operative risk stratification is a key part of the care pathway for emergency bowel surgery, as it facilitates identification high-risk patients. Several novel scores have recently been published that are designed to identify patients who frail or significantly unwell. They can also be calculated pre-operatively from routinely collected clinical data. This study aimed investigate ability these predict 30-day mortality after surgery. A single centre cohort was performed using our local...
A bio-optical model for the Barents Sea is determined from a set of in situ observations inherent optical properties (IOPs) and associated biogeochemical analyses. The provides pathway to convert commonly measured parameters glider-borne sensors (CTD, triplet sensor—chlorophyll CDOM fluorescence, backscattering coefficients) bulk spectral IOPs (absorption, attenuation backscattering). derived glider are subsequently used estimate remote sensing reflectance spectra that compare well with...
Offshore wind farms are becoming an increasingly common feature in the marine environment as a renewable energy source. There is growing body of evidence on effects seabed and its organisms. However, important understudied aspect site development interaction turbine foundations surrounding environment. Structures exert significant disturbance tides, waves currents; these visible optically-distinct, elongate wakes at sea surface with elevated suspended particulate matter. Despite this, there...
<b>Objectives:</b> It is widely acknowledged that 70% of people with asthma do not adhere to their treatment. Previous research has identified barriers from the perspective expert panels, healthcare professionals and asthma, but there are limited resources available in a busy health care setting ensure complete understanding psychological/behavioural barriers. The current study will investigate psychological behavioural using capability, opportunity, motivation leads behaviour (COM-B) model...
Background The frequency at which patients should have their vital signs (e.g. blood pressure, pulse, oxygen saturation) measured on hospital wards is currently unknown. Current National Health Service monitoring protocols are based expert opinion but supported by little empirical evidence. challenge finding the balance between insufficient (risking missing early of deterioration and delays in treatment) over-observation stable (wasting resources needed other aspects care). Objective Provide...
Assessing and optimising adherence remains a significant challenge in asthma management with suboptimal leading to poor disease control inappropriate treatment escalation. <b>Methods</b> 100 patients within the Portsmouth Manchester adult severe services, whose remained uncontrolled despite at least GINA step 4 optimal comorbidity management, were invited use digital self-management support tool combining inhaler sensors, patient App portal (the Propeller health system). <b>Results</b> Of 95...
Patients with an intestinal emergency who do not have surgery are poorly characterised. This study used electronic healthcare records to provide a rapid insight into the number of patients admitted and compare short-term outcomes for non-operative operative management.
Abstract Aims Pre-operative risk stratification is a key part of the care pathway for emergency bowel surgery, as it facilitates identification high-risk patients. A limitation current models that they utilise operative data in their calculation and are not designed to provide pre-operative risk-predictions. This study aimed investigate ability variables routinely available pre-operatively predict 30-day mortality after surgery. Methods single centre cohort was performed using local National...
<h3>Introduction</h3> The National Early Warning Score (NEWS) and its update, NEWS2, are validated scoring systems for identifying patient deterioration in a range of clinical conditions, including infection sepsis. Coronavirus disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome 2 (SARS-CoV-2), has variable presentation from asymptomatic to life-threatening multi-organ failure. There is little research demonstrating NEWS/NEWS2 performance COVID-19. Therefore, we sought...
Abstract Aims To compare risk-adjusted outcomes after emergency intestinal surgery by operative approach. Methods Data from December 2013-November 2018 was retrieved the NELA national database. Complete data on 102,154 patients with P-POSSUM available, and 47,667 had score. AUROC curves were calculated to assess model discrimination (c-statistic), calibration plots visualise agreement between predicted observed mortality. Standardised Mortality Ratio's (SMR) for total cohort Operative...
Abstract Aims Laparoscopic adhesiolysis is being increasingly used to treat adhesional small bowel obstruction (ASBO). However, concerns regarding iatrogenic injury and failure relieve the have limited its uptake. This study reports our centre’s experience of adopting laparoscopy as standard operative approach for ASBO. Methods A single centre prospective cohort was performed incorporating local data from National Emergency Laparotomy Audit Database; 01/01/2015-31/12/2019. All patients...