- Peripheral Artery Disease Management
- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Diagnosis and Treatment of Venous Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Cerebrovascular and Carotid Artery Diseases
- Health Systems, Economic Evaluations, Quality of Life
- Aortic aneurysm repair treatments
- Vascular Procedures and Complications
- Venous Thromboembolism Diagnosis and Management
- Muscle and Compartmental Disorders
- Medical and Biological Ozone Research
- Pain Management and Treatment
- Hip and Femur Fractures
- Dialysis and Renal Disease Management
- Renal and Vascular Pathologies
- Central Venous Catheters and Hemodialysis
- Aortic Disease and Treatment Approaches
- Data Quality and Management
- Hemodynamic Monitoring and Therapy
- Dermatologic Treatments and Research
- Forecasting Techniques and Applications
- Body Contouring and Surgery
- Cardiac Health and Mental Health
- Diabetic Foot Ulcer Assessment and Management
Hull York Medical School
2018-2025
Hull Royal Infirmary
2018-2024
University of Hull
2018-2024
National Health Service
2024
Charing Cross Hospital
2023
Imperial College London
2023
Sheffield Hallam University
2023
University Teaching Hospital
2021
Coventry University
2020
Background In the United Kingdom (UK), exercise intensity is prescribed from a fixed percentage range (% heart rate reserve (%HRR)) in cardiac rehabilitation programmes. We aimed to determine accuracy of this approach by comparing it with an objective, threshold-based incorporating accurate determination ventilatory anaerobic threshold (VAT). also investigate role baseline cardiorespiratory fitness status and testing mode dependency (cycle vs. treadmill ergometer) on these relationships....
Supervised exercise programmes (SEPs) are a vital treatment for people with intermittent claudication, leading improvements in walking distance and quality of life recommended multiple national international guidelines. We aimed to evaluate the use structure SEPs United Kingdom (UK).We conducted an anonymous online survey using Jisc platform comprising 40 questions. The was designed address key areas such as access, provision, uptake delivery Kingdom. Ethical approval obtained from Coventry...
Provision, uptake, adherence, and completion rates for supervised exercise programs (SEP) intermittent claudication (IC) are low. A shorter, more time-efficient, 6-week, high-intensity interval training (HIIT) program may be an effective alternative that is acceptable to patients easier deliver. The aim of this study was determine the feasibility HIIT with IC.A single arm proof-of-concept study, performed in secondary care, recruiting IC referred usual-care SEPs. Supervised three times per...
Abstract Background Standardization of access to treatment and compliance with clinical guidelines are important ensure the delivery high-quality care people varicose veins. In National Health Service (NHS) in England, commissioning for veins is performed by Clinical Commissioning Groups (CCGs) have been developed Institute Care Excellence (NICE CG168). The Evidence-Based Intervention (EBI) programme was introduced NHS aim improving quality supporting implementation NICE CG168. this study...
A preoperative supervised exercise program (SEP) improves cardiorespiratory fitness and perioperative outcomes for patients undergoing elective abdominal aortic aneurysm (AAA) repair. The aim of this study was to assess the effect a SEP on long-term survival these patients. secondary consider changes in quality life.
Background Mechanochemical ablation is an innovative non-thermal method of treating symptomatic axial superficial venous incompetence. This a single-centre cohort study aiming to investigate the technical efficacy and clinical effectiveness at one year. Methods Patients with primary, unilateral, incompetence were offered treatment mechanochemical using ClariVein® 1.5% sodium tetradecyl sulphate. Assessments including examination, duplex ultrasound patient-reported health-related quality life...
Introduction The first-line recommended treatment for patients with intermittent claudication (IC) is a supervised exercise programme (SEP), which includes minimum of 2-hours per week over 12-week period. However, provision, uptake and adherence rates these SEP programmes are poor, time constraints cited as common participant barrier. High-intensity interval training (HIIT) more time-efficient therefore has the potential to overcome this evidence lacking role HIIT in those IC. This...
Guidelines recommend cardiovascular risk reduction and supervised exercise therapy as the first line of treatment in intermittent claudication, but implementation challenges poor patient compliance lead to significant variation management therefore outcomes. The development a precise stratification tool is proposed through machine-learning algorithm that aims provide personalized outcome predictions for different strategies.