A5066552825- Colorectal Cancer Screening and Detection
- Health Services Management and Policy
- Glycosylation and Glycoproteins Research
- Healthcare Systems and Challenges
- Peptidase Inhibition and Analysis
- Surgical Simulation and Training
- Signaling Pathways in Disease
- Esophageal and GI Pathology
- Healthcare Policy and Management
- Gastric Cancer Management and Outcomes
- Pancreatic and Hepatic Oncology Research
- Cardiac, Anesthesia and Surgical Outcomes
- Global Health Workforce Issues
- Values and Moral Education
- Innovations in Medical Education
- Gastrointestinal Tumor Research and Treatment
- Primary Care and Health Outcomes
- Educator Training and Historical Pedagogy
- Competency Development and Evaluation
- Global Health Care Issues
- Global Healthcare and Medical Tourism
- Medical Malpractice and Liability Issues
- Healthcare Quality and Management
- Child and Adolescent Health
- Gallbladder and Bile Duct Disorders
Royal Glamorgan Hospital
2012-2024
Cwm Taf University Health Board
2014-2024
Health Education England
2022-2023
National Trust
2023
Welsh Government
2014-2022
Rail Delivery Group
2022
British Society for Haematology
2021
Royal College of Physicians
2018-2019
Transnational Press London
2009-2014
Cardiff University
2011
<h3>BACKGROUND AND AIMS</h3> To ascertain the causes of raised aspartate aminotransferase (AST) presumed to be hepatic origin in two hospitals and local community served by a centralised biochemistry laboratory. <h3>METHODS</h3> From June 1996 February 1997 all patients with AST greater than 400 U/l were identified laboratory; patients’ clinical records studied determine diagnosis, outcome, whether its significance had been noted. <h3>RESULTS</h3> A total 137 cause for found. The was...
The Joint Advisory Group on Gastrointestinal Endoscopy (JAG) was initially established in 1994 to standardise endoscopy training across specialties. Over the last two decades, position of JAG has evolved meet its current role quality assuring all aspects UK provide highest quality, patient-centred care. Drivers such as changes healthcare agenda, national audits, advances research and technology advent population-based cancer screening have underpinned this shift priority. period, spearheaded...
Abstract The clinical syndrome of encephalopathy is most often encountered in the context decompensated liver disease and diagnosis usually clear cut. Non-hepatic causes are rarer tend to present a wide range medical specialties with variable episodic symptoms. Delay can result development potentially life threatening complications, such as seizures coma. Early recognition vital. A history similar episodes or risk factors early assessment blood ammonia levels help establish diagnosis. In...
Alcohol consumption is often under-reported in patients admitted to general hospitals with acute illness. For alcohol-dependent individuals hospital admission results an enforced period of abstinence potential alcohol withdrawal symptoms, and possible life threatening complications. Early detection use therefore beneficial health services. The purpose this study was investigate the performance disorders identification test (AUDIT) questionnaire medical setting, effect combining routine...
Abstract Background Direct Observation of Procedural Skills (DOPS) is an established competence assessment tool in endoscopy. In July 2016, the DOPS scoring format changed from a performance-based scale to supervision-based scale. We aimed evaluate impact changes on distribution scores novice trainees and assessment. Methods performed prospective, multicenter (n = 276), observational study formative assessments endoscopy with ≤ 100 lifetime procedures. were submitted 6-months before 2016...
Validated competency assessment tools and the data supporting milestone development during gastroscopy training are lacking. We aimed to assess validity of formative direct observation procedural skills (DOPS) tool in diagnostic study using DOPS.This was a prospective multicentre (N = 275) analysis DOPS assessments. Internal structure tested exploratory factor reliability estimated generalisability theory. Item global scores were stratified by lifetime procedure count define learning curves,...
In the UK, endoscopy certification is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update and develop recommendations colonoscopy training certification.Under oversight of Joint Advisory Group (JAG), a modified Delphi process conducted between 2019 2020 with multisociety expert representation. Following literature Grading Recommendations, Assessment, Development Evaluations appraisal, recommendation...
Abstract Introduction In the UK, endoscopy certification is administered by Joint Advisory Group on Gastrointestinal Endoscopy (JAG). Since 2011, for upper and lower gastrointestinal has been awarded via a national (JETS) e-portfolio to main training specialties of: gastroenterology, surgeons (GS) non-medical endoscopists (NME). Trends in differences between trainee were analyzed. Methods This prospective UK-wide observational study identified trainees gastroscopy, sigmoidoscopy, colonoscopy...
Background Improvements in the structure of endoscopy training programmes resulting certification from Joint Advisory Group Gastrointestinal Endoscopy have been acknowledged to improve experience and contribute enhanced colonoscopy performance. Objectives The 2016 British Society Gastroenterology trainees’ survey explored delivery - access lists; level supervision trainee’s progression through diagnostic, core therapy subspecialty training. In addition, barriers progress utility tools were...
Abstract Background and study aims Despite the high-risk nature of endoscopic retrograde cholangiopancreatography (ERCP), a robust standardized credentialing process to ensure competency before independent practice is lacking worldwide. On behalf Joint Advisory Group (JAG), we aimed develop evidence-based recommendations form framework ERCP training certification in UK. Methods Under oversight JAG, modified Delphi was conducted with stakeholder representation from British Society...
SUMMARY Background : Opioids change gut motility and secretion, causing delayed intestinal transit constipation. Endorphins play a role in the constipation troubling some patients with irritable bowel syndrome; hence naloxone, an opioid antagonist, may have therapeutic role. Aim To assess efficacy safety of oral formulation naloxone syndrome Methods A randomized, double‐blind, placebo‐controlled trial was performed. Patients fulfilling Rome II criteria for (constipation‐predominant...
The World Health Organization has declared the current outbreak of Ebola virus disease in west Africa a public health emergency international concern and called for strong coordinated response. After two day meeting held by teleconference, organisation’s committee unanimously agreed that outbreak—centred Guinea, Liberia, Sierra Leone—was “an extraordinary event risk to other states.” It warned possible consequences further spread were particularly serious view virulence virus, fact it had...
COVID-19 has caused severe disruption to clinical services in Bangladesh but the extent of this, and impact on healthcare professionals is unclear. We aimed assess perceived levels anxiety, depression burnout among doctors nurses during pandemic. undertook an online survey using RedCap, directed at across four institutions (The Sheikh Russel Gastro Liver Institute & Hospital (SRNGIH), Dhaka Medical College (DMCH), Mugda (MMCH) M Abdur Rahim (MARMC) Hospital). collected information...
Objective To determine the incidence and presenting features of coeliac disease dermatitis herpetiformis in population South Glamorgan between 1981 1995. Design Retrospective case-finding study using pathology, dietetic clinical records, data from hospital activity analysis, general practice records a Coeliac Society questionnaire. Incidence rates were calculated Registrar General's mid-year estimates. Setting Regional hospitals, Glamorgan, Wales. Participants All new cases or herpetiformis....
The Liverpool care pathway for patients needing at the end of life, though well intentioned and often admirably carried out, should be scrapped in favour individualised plans, says an independent review immediately accepted by UK government. Too often, found, was applied with a lack expert knowledge care, its advice turned into set rigid instructions staff who had not been properly trained.1 Its very name suggested that it only one possible destination, “a conveyer belt to death,” said....
Pre-clinical simulation-based training (SBT) in endoscopy has been shown to augment trainee performance the short-term, but longer-term data are lacking.To assess impact of a two-day gastroscopy induction course combining theory and SBT (Structured PRogramme INduction Training - SPRINT) on outcomes over 16-mo period.This prospective case-control study compared between novice SPRINT attendees controls matched from United Kingdom database. Study comprised: (1) Unassisted D2 intubation rates;...
Simulation allows the acquisition of complex skills within a safe environment. Endoscopic polypectomy has long learning curve. Our novel simulator may be useful adjunct for training. The aim this study was to assess its content validity.The Welsh Institute Minimal Access Therapy (WIMAT) endoscopy suitcase designed simulate colonic polypectomy. Participants from regional and national courses were recruited into study. Each undertook standardized simulated completed seven-point Likert scale...
Introduction: Constipation is a common side‐effect of opioid therapy; in addition to their analgesic effect, opioids reduce intestinal secretion and motility with an increase whole‐gut transit time. Naloxone, specific antagonist, reverses these effects but may also cause symptoms withdrawal patients on long‐term therapy. Aim: To use enteric‐release formulation, designed produce topical effect the gut, minimum systemic effects. Methods: Naloxone 10 mg b.d. codeine 30 were used identical...