- Healthcare Policy and Management
- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Breast Cancer Treatment Studies
- Primary Care and Health Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Lung Cancer Diagnosis and Treatment
- Global Cancer Incidence and Screening
- Global Health Workforce Issues
- Lung Cancer Treatments and Mutations
- Innovations in Medical Education
- Ethics in medical practice
- Breast Lesions and Carcinomas
- Health Systems, Economic Evaluations, Quality of Life
- Cutaneous Melanoma Detection and Management
- Heart Rate Variability and Autonomic Control
- Tracheal and airway disorders
- Surgical site infection prevention
- Actinomycetales infections and treatment
- Restraint-Related Deaths
- Patient Dignity and Privacy
- Parkinson's Disease and Spinal Disorders
- Body Image and Dysmorphia Studies
- Nonmelanoma Skin Cancer Studies
- Vascular Malformations Diagnosis and Treatment
University Hospital Llandough
2020-2021
Cardiff and Vale University Health Board
2020-2021
Royal Gwent Hospital
2019-2020
Great Western Hospital
2017
Nevill Hall Hospital
2017
Royal Glamorgan Hospital
2017
Weston General Hospital
2016
St. Catherine University
2016
Gloucestershire Royal Hospital
2013-2014
Wycombe General Hospital
2013
Myocardial infarction (MI) is associated with oxidative stress, which may cause cardiac autonomic impairment. We tested the hypothesis that acute MI disrupts cholinergic signaling by impairing nitric oxide (NO)-cGMP modulation of acetylcholine (ACh) release and whether restoration this pathway following neuronal NO synthase (nNOS) gene transfer had any bearing on neural phenotype. Guinea pigs underwent four ligature coronary artery surgery (n = 50) under general anesthesia to induce or sham...
Approximately 45,000 women are diagnosed with breast cancer in the UK each year. The success of screening and introduction adjuvant therapies have meant that prognosis is improving an increasing number patients seeking reconstruction following mastectomy. purpose this study was to evaluate deep inferior epigastric perforator (DIEP) flap reconstructions performed Stoke Mandeville Hospital and, through analysis complications, detail evolution current care pathway.A retrospective all DIEP by...
Abstract Background Designing RCTs in surgery requires consideration of existing evidence, stakeholders' views and emerging interventions, to ensure that research questions are relevant patients, surgeons the health service. When there is uncertainty about RCT design, feasibility work recommended. This study aimed assess how could inform design a future pilot (Bluebelle, HTA - 12/200/04). Methods was prospective survey dressings used cover abdominal wounds. Surgical trainees from 25...
Doctors must avoid making assumptions about what is important to a patient, say Ashok Handaand colleagues
Abstract Purpose Up to 40% of the 56,000 women diagnosed with breast cancer each year in UK undergo mastectomy. Seroma formation following surgery is common, may delay wound healing, and be uncomfortable or start adjuvant treatment. Multiple strategies reduce seroma include surgical drains, flap fixation external compression exist but evidence support best practice lacking. We aimed survey surgeons determine current inform feasibility undertaking a future trial. Methods An online was...
Background: Day-case surgery, theatre direct admissions and elective surgery have revolutionised the surgical patient’s pathway, minimised length of their hospital stay. However, with large numbers medical students placed mostly at teaching hospitals, this has also significantly reduced students’ exposure to clinical signs in surgery. This study aimed assess whether preoperative assessment clinic would be an appropriate arena offer signs. Methods: Junior doctors assigned were asked fill out...
Taking time out of training gives doctors the chance to experience something new but needs careful planning, say Zoe Barber, Charlotte Jones, and Thomas Dobbs
A 57-year-old woman attended the accident and emergency department in acute respiratory distress with a background of longstanding retrosternal 'ache'.She had previously presented to similar history, which responded nebulised salbutamol, therefore been given diagnosis asthma.On this occasion, she did not respond asthma treatment required ventilatory support intensive care unit.A chest radiograph on admission showed an abnormal mediastinal contour that, retrospect, present previous...
A fit and well 63 year old woman presented to a breast clinic with lump in her left breast. Assessment by clinical examination, …