A5082519163- Otolaryngology and Infectious Diseases
- Infectious Diseases and Tuberculosis
- Sinusitis and nasal conditions
- Anesthesia and Pain Management
- Head and Neck Cancer Studies
- Intensive Care Unit Cognitive Disorders
- Tracheal and airway disorders
- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Ear Surgery and Otitis Media
- Head and Neck Anomalies
- Restraint-Related Deaths
- Healthcare professionals’ stress and burnout
- Migraine and Headache Studies
- Primary Care and Health Outcomes
- Ocular Disorders and Treatments
- Traumatic Ocular and Foreign Body Injuries
- Voice and Speech Disorders
- Esophageal and GI Pathology
- Moyamoya disease diagnosis and treatment
- COVID-19 and healthcare impacts
- Ultrasound in Clinical Applications
- Retinal and Optic Conditions
- Pain Management and Opioid Use
- Travel-related health issues
Rothman Orthopaedics
2023-2025
University Hospitals of Derby and Burton NHS Foundation Trust
2025
Thomas Jefferson University
2023-2024
Nottingham University Hospitals NHS Trust
2021-2024
Thomas Jefferson University Hospital
2023
Queen's Medical Centre
2021-2023
Rothman Institute
2023
University Hospitals of Leicester NHS Trust
2019-2021
Bradford Royal Infirmary
2021
John Hunter Hospital
2021
Study Design. Retrospective cohort. Objective. To assess the relationship between long-term gabapentinoid use and outcomes after lumbar fusion. Summary of Background Data. Gabapentinoids, which include gabapentin pregabalin, are commonly prescribed for radiculopathic pain. Basic science research has indicated that gabapentinoids may be detrimental to bone health/healing clinical works shown initiating at time spine surgery decrease postoperative opioid requirements increase risks adverse...
Introduction As ambulatory spine surgery increases, efficient recovery and discharge become essential. Multimodal analgesia is superior to opioids alone. Acetaminophen a central component of multimodal protocols both intravenous oral forms are used. While some advantages for acetaminophen have been touted, prospective studies with patient-centered outcomes lacking in surgery. A substantial cost difference exists. We hypothesized that would be associated fewer better recovery. Methods...
Abstract Background The two-week-wait head and neck cancer referral pathway was introduced by the Department of Health, refined through National Institute for Health Care Excellence guidelines which were updated in 2015. Methods A retrospective study conducted referrals to out-patient ENT from January June 2018. analysis included demographics, symptoms according 2015 guidelines, pick-up rates positive predictive values. Results total 1107 patients referred suspected over six months, with 6...
Necrotising otitis externa (NOE) is an infection originating in the soft tissues of external auditory canal (EAC) spreading to surrounding bone and rarely causing intracranial complications. It usually caused by Pseudomonas aeruginosa has historically occurred elderly patients with diabetes or immunodeficiency. EAC foreign body a risk factor for but not been described NOE. A healthy 31-year-old man presented new-onset seizures worsening left-sided otalgia otorrhoea. Brain imaging revealed...
Background: Delirium is common in intensive care and leads to increases morbidity, mortality, Intensive Care Unit (ICU) length of stay, hospital stay. Certain risk factors predict the appearance delirium. Study Objectives: To determine rates delirium, rate factors, their relationship occurrence delirium an adult ICU. Methods: Single-centre, prospective, observational study. Demographic treatment data were collected. The Confusion Assessment Method for ICU (CAM-ICU) was performed twice daily...
Living with type 1 diabetes and using continuous subcutaneous insulin infusion (CSII), the authors travelled together for four months through 11 countries. Travelling presents various added challenges. Personal experience of challenges faced by in relation to their are discussed along ways they were able overcome these A review general aspects one may encounter when travelling CSII follows. This provides an insightful overview individuals living intending travel as well healthcare...
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Study Design Retrospective Cohort Study. Objectives The objective of this study was to assess the impact diet liberalization on short-term outcomes in patients undergoing anterior interbody lumbar fusion (ALIF). Methods A retrospective review performed for ALIF at our tertiary care center institution from 2010 2022. Electronic medical records were reviewed demographics, surgical characteristics, and 90-day postoperative outcomes. Results We included 515 with 102 receiving a full same day as...
Study Design: Survey study. Objective: The objective of this study was to determine the impact unexpected in-network billing on patient experience after spinal surgery. Summary Background Data: average American household faces difficulty paying medical bills. Although legislative efforts have targeted price transparency and rising costs, elective surgical costs continue rise significantly. Patients are therefore sometimes still responsible for which is unknown in spine Methods: who underwent...
We report a rare complication following routine elective tonsillectomy. A 32-year-old woman woke up from general anaesthesia with left sided hemiparesis. She underwent extensive investigations, which were normal. At follow-up neurology clinic she was given new diagnosis of hemiplegic migraine and commenced on treatment. This case draws attention to cause postoperative Hemiplegic is differential for motor deficit after exclusion an acute neurological or metabolic event.
Abstract Background This study aimed to evaluate whether changes in practice and patient behaviour due the covid-19 pandemic impacted presentation, management, outcomes of patients with deep neck space infections (DNSI). Design Retrospective cohort including all adults presenting otolaryngology department at a tertiary UK centre DNSI during first 12 months (n = 27), those from previous month period 26). Patients peritonsillar abscess which did not involve spaces radiologically were excluded....
Abstract Aim This study aimed to evaluate whether changes in practice and patient behaviour due the covid-19 pandemic impacted presentation, management, outcomes of patients with deep neck space infections (DNSI). Method Retrospective cohort including all adults presenting otolaryngology department at a tertiary UK centre DNSI during first 12 months (n = 27), those from previous 12-month period 26). Patients peritonsillar abscess which did not involve spaces radiologically were excluded....