A5042032633- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Dialysis and Renal Disease Management
- Stoma care and complications
- Intestinal and Peritoneal Adhesions
- Childhood Cancer Survivors' Quality of Life
- Palliative Care and End-of-Life Issues
- Pancreatic and Hepatic Oncology Research
- Abdominal Surgery and Complications
- Esophageal and GI Pathology
- COVID-19 and healthcare impacts
- COVID-19 Clinical Research Studies
- Frailty in Older Adults
- Innovations in Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Pharmacological Effects and Toxicity Studies
- Colorectal Cancer Screening and Detection
- Global Healthcare and Medical Tourism
- Intensive Care Unit Cognitive Disorders
- Central Venous Catheters and Hemodialysis
- Intestinal Malrotation and Obstruction Disorders
- Medical Imaging Techniques and Applications
- Nursing Roles and Practices
- Potassium and Related Disorders
- Therapeutic Uses of Natural Elements
Newcastle upon Tyne Hospitals NHS Foundation Trust
2013-2023
Newcastle upon Tyne Hospital
2016-2023
Freeman Hospital
2015-2022
Newcastle Hospitals - Campus for Ageing and Vitality
2022
Newcastle University
2017
University Teaching Hospital
2017
Medical Research Council
2015
Academic Health Science Network North East and North Cumbria
2015
Home parenteral support (HPS) is an essential but potentially burdensome treatment that can affect quality of life (QoL). The aims this longitudinal study were to understand whether any changes in HPS over time associated with QoL. Parenteral Nutrition Impact Questionnaire (PNIQ) was used, and data collected on prescribed at three points. Data analysed using multi-level mixed regression models presented as effect size adjusted for confounders. Study recruited 572 participants from 15 sites....
This study aimed to establish prevalence of malnutrition in older adult care home residents and investigate whether a nutritional screening intervention program could improve clinical outcomes. A community-based cohort was conducted five Newcastle homes. 205 participants entered; 175 were followed up. Residents already taking oral supplements (ONS) excluded from interventions. Those with Malnutrition Universal Screening Tool (MUST) score 1 received dietetic advice ≥2 prescribed ONS (220 ml,...
Home parenteral nutrition (HPN) is necessary for patients with prolonged intestinal failure which can be secondary to a variety of pathophysiological mechanisms or surgical resection. HPN needed supply micronutrients, macronutrients and water reduce morbidity mortality maximise the patient’s quality life. requires close monitoring by dedicated multidisciplinary team vital minimise complications; both catheter related metabolic. A regular comprehensive review required including history,...
Abstract Background Manganese toxicity can occur as a complication of home parenteral nutrition (HPN). Patients present with Parkinson disease–like symptoms. Preparations trace elements (TEs) in (PN) generally provide amounts excess requirements. Our previous review observed 60% adult HPN patients had high whole‐blood manganese levels. Multi‐TE (MTE) solutions were subsequently removed from all formulations January 2015. The aim this evaluation was to determine concentrations receiving...
The direct effect of the coronavirus disease 2019 (COVID-19) pandemic on patients with intestinal failure (IF) has not been described.We conducted a nationwide study UK IF centers to evaluate infection rates, presentations, and outcomes in types 2 3 IF.A total 45 contracted COVID-19 between March August 2020; this included 26 2191 (1.2%) home parenteral nutrition (HPN)-dependent adults 19 298 (6.4%) hospitalized type IF. proportion receiving nursing care for HPN administration was higher...
Background Maintaining central access is imperative for the delivery of home parenteral nutrition (HPN) in those with intestinal failure. Methods to reduce venous catheter infection are well recognised; however, prevention line thrombosis less studied. This paper reviews current evidence and reports a survey practice within UK. Using an electronic survey, respondents were asked detail their use anticoagulation different patient groups type used. Results 41 replies received from 31 centres....
<h3>Introduction</h3> In patients receiving long term total parenteral nutrition (TPN), high manganese (Mn) levels have been associated with nervous system disorders including parkinsonism. T1-weighted magnetic resonance imaging in these demonstrates intensity signals the globus pallidus which regresses on discontinuation of Mn supplementation. NICE guideline (CG32) recommends checking TPN every 3–6 months. The aim study was to assess serum and establish if withdrawing supplementation...
<h3>Introduction</h3> Vitamin D (vit D) deficiency is a common consequence of short bowel syndrome and can detrimentally affect bone muscle health. Oral vit supplements be absorbed variably parenteral supplementation does not always result in improved serum levels.<sup>1</sup> We wished to see if buccal represents useful alternative? <h3>Methods</h3> Patients with who had responded high dose oral were prescribed spray ("Dlux3000" BetterYou<sup>(<b>TM</b>)</sup>) identified through the...
<h3>Introduction</h3> There has been growing awareness of the importance non-technical skills (NTS) in endoscopy however training this area varies and may not be explicit many departments. It is important that recognised efforts are made to improve awareness. In Northern Deanery REST (regional endoscopic training) course developed for gastroenterology surgical trainees consists a series one day events spread over several months supplement departmental colonoscopy uses variety classroom based...
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<h3>Introduction</h3> The prevalence of iron deficiency anaemia (IDA) in adult men and postmenopausal women the developed world is 2–5%.<sup>1</sup>British Society Gastroenterology (BSG) IDA Guidelines recommend tissue transglutaminase (tTG) antibody as a screening test for coeliac disease. Indications duodenal biopsies include patients with diarrhoea, weight loss positive tTG serology. Where serology positive, bulb D2 should be taken.<sup>2 </sup>BSG do not biopsy negative, asymptomatic...
<h3>Introduction</h3> Malnutrition affects more than 3 million people in the United Kingdom. Elderly care home residents are at particular risk. This study aimed to establish prevalence of malnutrition Newcastle elderly and investigate whether a community nutritional screening intervention programme could be successfully delivered improve clinical outcomes who were malnourished or risk malnutrition. <h3>Methods</h3> was multi-centre community-based cohort five homes Newcastle. 205...
An abstract is not available for this content. As you have access to content, full HTML content provided on page. A PDF of also in through the ‘Save PDF’ action button.