A5013914389- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Medication Adherence and Compliance
- Cystic Fibrosis Research Advances
- Neonatal Respiratory Health Research
- Mobile Health and mHealth Applications
- Bipolar Disorder and Treatment
- Statistical Methods in Clinical Trials
- Delphi Technique in Research
- Homelessness and Social Issues
- Communication in Education and Healthcare
- Conflict Management and Negotiation
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Safety Systems Engineering in Autonomy
- Obstructive Sleep Apnea Research
- Educational Strategies and Epistemologies
- Schizophrenia research and treatment
- Trauma Management and Diagnosis
- Obsessive-Compulsive Spectrum Disorders
- Abdominal Trauma and Injuries
- Disaster Response and Management
University of Sheffield
2018-2024
University of Warwick
2020
East Midlands Ambulance Service NHS Trust
2020
Queen Mary University of London
2020
Swansea University
2004
University of Wales
2004
Slippery Rock University
1979
Background. Demonstrating differences between euthymic bipolar subjects and healthy controls in response to positive (happy) mood induction may help elucidate how mania evolves. This pilot study evaluates the Go task a reward paradigm as method for inducing happy state compares of controls. Method. The Sense Hyperpositive Self Scale, Tellegen negative adjectives, Global-Local visual analogue scale measuring affect were administered 15 19 age-and-sex-matched control before after they had...
Many studies have used negative mood induction techniques to investigate the effect of emotional state on cognitive performance but positive paradigms been less frequently. The objective this study was processing in euthymic individuals with bipolar disorder (BD) and controls.Previously, we reported that using a novel technique based feedback produced longer-lasting BD than controls (Farmer et al. 2006). Here report two tests processing, Affective Go/No-go test (AGNG) Cambridge Gamble task...
Preventative medication reduces hospitalisations in people with cystic fibrosis (PWCF) but adherence is poor. We assessed the feasibility of a randomised controlled trial complex intervention, which combines display real time data and behaviour change techniques.
Two studies examined the possibility of retrieval‐induced forgetting by 7‐year‐olds. Children heard a story while viewing pictures events mentioned in story, each highlighting objects drawn from two distinct semantic categories (e.g. animals and food). Over next several days, children were asked same yes/no questions about half examples one category and, finally, tested for their memory complete set both categories. Both category‐cued recall test (Study 1) written recognition‐memory 2)...
Adherence to nebulizer treatments in adults with cystic fibrosis (CF) is often low. A new complex intervention help CF increase their adherence was tested a pilot randomized controlled trial (RCT) 2 UK centers. Patients used electronic monitoring capabilities that transferred data automatically digital platform (CFHealthHub) monitor over time and tailored website display graphs of educational problem-solving information about adherence. trained interventionist helped patients identify ways...
Two studies sought to examine the relationship between facilitative communication, self‐disclosure, and agreement/disagreement of one person in a marital other's feeling being confirmed. Differences communication behaviors associated with male feelings confirmed female were discovered. Further, agreement disagreement not found contribute Findings are discussed relation theoretical structure confirming/disconfirming communication.
Acute respiratory failure (ARF) is a common and life-threatening medical emergency. Standard prehospital management involves controlled oxygen therapy disease-specific ancillary treatments. Continuous positive airway pressure (CPAP) potentially beneficial alternative treatment that could be delivered by emergency services. However, it uncertain whether this work effectively in United Kingdom National Health Service (NHS) ambulance services if represents value for money. An individual patient...
Objectives To determine the feasibility of a large-scale definitive multicentre trial prehospital continuous positive airway pressure (CPAP) in acute respiratory failure. Design A single-centre, open-label, individual patient randomised, controlled, external pilot trial. Setting single UK Ambulance Service, between August 2017 and July 2018. Participants Adults with distress peripheral oxygen saturations below British Thoracic Society target levels despite controlled treatment. Interventions...
To undertake a process evaluation of an adherence support intervention for people with cystic fibrosis (PWCF), to assess its feasibility and acceptability.Two UK (CF) units.Fourteen adult PWCF; three professionals delivering ('interventionists'); five multi-disciplinary CF team members.Nebuliser data recording transfer capability, linked software platform, strategies nebulised treatments facilitated by interventionists over 5 months (± 1 month).Feasibility acceptability the intervention,...
Abstract Background Care for injured patients in England is provided by inclusive regional trauma networks. Ambulance services use triage tools to identify with major who would benefit from expedited Major Trauma Centre (MTC) care. However, there has been no investigation of performance, despite its role ensuring effective and efficient MTC This study aimed investigate the accuracy prehospital representative English Methods A diagnostic case-cohort was performed between November 2019...
Introduction: Major trauma centre (MTC) care has been associated with improved outcomes for injured patients. English ambulance services and networks currently use a range of triage tools to select patients bypass MTCs. A standardised national tool may improve accuracy, cost-effectiveness the reproducibility decision-making. Methods: We conducted an expert consensus process derive develop major in networks. web-based Delphi survey was identify confirm candidate predictors trauma. Facilitated...
Background Acute respiratory failure is a life-threatening emergency. Standard prehospital management involves controlled oxygen therapy. Continuous positive airway pressure potentially beneficial alternative treatment; however, it uncertain whether or not this treatment could improve outcomes in NHS ambulance services. Objectives To assess the feasibility of large-scale pragmatic trial and to update an existing economic model determine cost-effectiveness value further research. Design (1)...
Acute respiratory failure (ARF) is a common medical emergency. Pre-hospital management includes controlled oxygen therapy, supplemented by specific options directed at the underlying disease. The aim of current study was to characterise accuracy paramedic diagnostic assessment in acute failure.A nested and agreement comparing pre-hospital clinical impression final hospital discharge diagnosis conducted as part ACUTE (Ambulance CPAP: Use, Treatment effect Economics) trial. Adults with...
Introduction: Triage tools are used within trauma networks to identify which injured patients should be bypassed and pre-alerted major centres. Despite the importance of treating ‘right patient in right place at time’, there has been no consensus on triage tool structure or content. This study aimed identify, collate, review, summarise recognise patterns across established tools. Methods: UK international between 2012 2021 were identified through literature review correspondence with...
Despite the importance of treating 'right patient in right place at time', there is no gold standard for defining which patients should receive expedited major trauma centre (MTC) care. This study aimed to define a reference applicable United Kingdom (UK) National Health Service networks.A one-day facilitated roundtable expert consensus meeting was conducted University Sheffield, UK, September 2019. An panel 17 clinicians purposively sampled, representing all specialities relevant...
Abstract Background Standard prehospital management for Acute respiratory failure (ARF) involves controlled oxygen therapy. Continuous positive airway pressure (CPAP) is a potentially beneficial alternative treatment, however, it uncertain whether this could improve outcomes and provide value money. This study aimed to evaluate the cost-effectiveness of CPAP in ARF. Methods A cost-utility economic evaluation was performed using probabilistic decision tree model synthesising available...
Background Continuous positive airway pressure (CPAP) is not in widespread use UK ambulance services, but could benefit patients with acute respiratory failure (ARF). As a new treatment this context, clinician acceptability an important factor the feasibility of conducting definitive research prehospital arena. Methods part pilot randomised controlled trial (the ACUTE study), recruiting clinicians were emailed after enrolling to either CPAP or standard-care arm, and asked complete optional,...
Background Continuous positive airway pressure (CPAP) is not in widespread use UK ambulance services, but could benefit patients with acute respiratory failure (ARF). As a new treatment this context, clinician acceptability an important factor the feasibility of conducting definitive research prehospital arena. Methods part pilot randomised controlled trial (the ACUTE study), nine trial-trained paramedics took three semi-structured focus groups. 204 trained staff had been given opportunity...
Background Allocation concealment is essential to avoid selection bias in randomised trials. The ACUTE pilot trial compared the effectiveness of pre-hospital CPAP vs standard oxygen therapy for acute respiratory failure (ARF). randomisation schedule was implemented, and treatment allocation concealed, with a novel method using identical boxes. Methods Investigation proceeded 4 stages. Firstly, characteristics recruited patients were across arms. Secondly, findings weekly box audit log...
Acute respiratory failure (ARF) is a common and life-threatening medical emergency. Continuous positive airway pressure (CPAP) potentially beneficial alternative treatment; however, it uncertain whether this could improve important outcomes in NHS ambulance services. The ACUTE study aimed to assess the feasibility of large-scale pragmatic trial pre-hospital CPAP.The was pilot randomised controlled O-Two system CPAP mask versus standard oxygen therapy, with concealed allocation identical...
Background Acute respiratory failure (ARF) is a common and life-threatening medical emergency. Continuous positive airway pressure (CPAP) potentially beneficial prehospital treatment, but it uncertain whether this could improve important outcomes in NHS ambulance services. Methods An individually randomised, external pilot study was conducted to test the feasibility of definitive pragmatic trial. Adults with distress peripheral oxygen saturations below British Thoracic Society target levels...