A5032646356- Palliative Care and End-of-Life Issues
- Renal Transplantation Outcomes and Treatments
- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Organ Transplantation Techniques and Outcomes
- Organ Donation and Transplantation
- Ethics in medical practice
- Dialysis and Renal Disease Management
- Renal and Vascular Pathologies
- Spinal Fractures and Fixation Techniques
- Spinal Cord Injury Research
- Ethics and Legal Issues in Pediatric Healthcare
- Orthopedic Surgery and Rehabilitation
- Cardiac Arrest and Resuscitation
- Vascular anomalies and interventions
- Transplantation: Methods and Outcomes
- Patient Dignity and Privacy
- Venous Thromboembolism Diagnosis and Management
- Acute Kidney Injury Research
- Pain Management and Opioid Use
- Grief, Bereavement, and Mental Health
- Cervical and Thoracic Myelopathy
- Mechanical Circulatory Support Devices
- Hematopoietic Stem Cell Transplantation
- Anesthesia and Pain Management
Imperial College London
2024
Hammersmith Hospital
2024
The Foscote Hospital
2024
Royal Sussex County Hospital
2024
University Hospitals Sussex NHS Foundation Trust
2024
Churchill Hospital
2012-2021
Oxford University Hospitals NHS Trust
2012-2021
University of Exeter
1993-2021
University of Oxford
2014-2021
Gloucestershire Royal Hospital
2021
The gap between supply and demand in kidney transplantation has led to increased use of marginal kidneys; however, kidneys with acute injury are often declined/discarded. To determine whether this policy is justified, we analyzed outcomes donor (AKI) a large UK cohort. A retrospective analysis the Transplant Registry evaluated deceased donors 2003 2013. Donors were classified as no AKI, or AKI stage 1-3 according Acute Kidney Injury Network (AKIN) criteria. Relationship delayed graft...
### What you need to know Thyroid disease, comprising thyroid dysfunction and enlargement, is common often identified in primary care. Conditions causing can be broadly divided into those that result gland underactivity (overt subclinical hypothyroidism) or overactivity (thyrotoxicosis). Hypothyroidism usually managed by general practitioners. This article summarises some of the most recent recommendations from NICE guideline “Thyroid disease: assessment management.”1 NICE are based on...
Percutaneous devices for creation of native arteriovenous fistulae offer an alternative to traditional open surgical techniques. The 4F WavelinQ EndoAVF System was developed as a lower profile facilitate access through smaller vessels and minimize site complications; current report is the original first experience this device, assessing outcome in 120 patients followed 6 months.The use system three studies, EASE (32 patients), EASE-2 (24 EU postmarket clinical follow-up study (64 patients)...
AimTo explore the experiences of people with advanced cancer and/or their caregivers accessing out-of-hours care.BackgroundThe organisation and delivery in United Kingdom has undergone major reforms over past three decades culminating new General Medical Service contract 2004. There are concerns around continuity care for patients complex needs under arrangements.DesignA qualitative interview study was undertaken recruiting from two primary trusts Southwest England. Semi-structured...
In order to determine symptoms, drug prescribing and physical problems of patients referred an inpatient hospice, case notes from 130 consecutive first admissions (95 general practitioner (GP) referrals, 35 consultant referrals) were analysed. GP referrals more likely be constipated, require care discharged home. Consultant gravely ill, dependent die in the hospice. On admission 76 (58%) receiving opiates with co-prescription opiate laxative occurring 41 % (31/76) cases. The prescription...
There is widespread concern that the quality of out-of-hours primary care for patients with complex needs may be at risk now new general medical services contract (GMS) has been implemented.To explore changes in use around time implementation needs, using cancer as an example.Longitudinal observational study.Out-of-hours provider covering Devon (adult population 900,000), UK.Two, 1-year periods corresponding to pre- (April 2003 March 2004) and post-contract (October 2004 September 2005) were...
This prospective, observational first in human study evaluated the safety and effectiveness of WRAPSODYTM Cell-impermeable Endoprosthesis (Merit Medical Systems, Inc.) treatment arteriovenous fistula graft access circuit stenosis.Investigators conducted a prospective analysis 46 patients with stenosis from three centres. Treatment sites included peripheral outflow veins (e.g. cephalic arch, basilic vein swing point; 16 10 patients); graft-vein anastomosis (9 central (up to, but not including...
Trial and observational research indicates a high one-year mortality with significant potential for specialist palliative care patients heart failure. A community study was undertaken in two general practices, total population of 21,000. There were three objectives: to determine the prevalence symptomatic failure, document cohort over six 12 months, establish which approach adopted. search computerized medical records yielded 548 failure (2.6% population). Over six-month period, 31 (6%...
Objectives: To describe the UK and Ireland experience of Haemodialysis Reliable Outflow graft in complex vascular access. Design: Observational, multi-centre case series. Methods: Data from any patient undergoing were collected eight one Irish centre. Any procedure between July 2013 May 2016 was included. Demographics, primary secondary patency rates, complications analysed. Results: A total 52 patients underwent insertion. Median age 55 (20–86) years, 24 (46%) male 66% Caucasian. follow-up...
Abstract Graft survival after pancreas transplantation alone ( PTA ) is significantly poorer than graft simultaneous kidney SPK and particularly affected by difficulty in monitoring rejection. Exocrine bladder drainage allows assessment of function as urinary amylase UA ). However, standards for collection interpretation are not well defined. In this study, 21 bladder‐drained recipients were monitored with daily values urine creatinine (Creat) concentration from post‐transplant 10‐mL samples...
Background Brain death (BD) induces a profound inflammatory response affecting the quality and function of donor organs. Longer BD duration increases injury in organs, but up-regulation defence mechanisms also occurs, initiating regeneration repair. This poses question what is better for graft-to-be: retrieval organs as-soon-as-possible or wait optimise in-situ repair? Methods A retrospective analysis UK transplant registry evaluated donors after brain DBD during 2008-2012. In 1881...