- Urinary Tract Infections Management
- Pelvic floor disorders treatments
- COVID-19 Clinical Research Studies
- Urinary Bladder and Prostate Research
- Thermoregulation and physiological responses
- SARS-CoV-2 and COVID-19 Research
- Long-Term Effects of COVID-19
- Infrared Thermography in Medicine
- Geriatric Care and Nursing Homes
- Intensive Care Unit Cognitive Disorders
- SARS-CoV-2 detection and testing
- Patient Satisfaction in Healthcare
- Climate Change and Health Impacts
- Mental Health and Psychiatry
- Personality Disorders and Psychopathology
- Aging, Elder Care, and Social Issues
- Central Venous Catheters and Hemodialysis
- Respiratory Support and Mechanisms
- Kidney Stones and Urolithiasis Treatments
- Pressure Ulcer Prevention and Management
- Adipose Tissue and Metabolism
- Thermal Regulation in Medicine
- Clinical practice guidelines implementation
- Regulation of Appetite and Obesity
- Health Sciences Research and Education
University of Southampton
2009-2025
Royal Manchester Children's Hospital
2015-2025
Faculty of Public Health
2025
London School of Hygiene & Tropical Medicine
2025
SKiN Health
2024
Manchester University NHS Foundation Trust
2019-2024
Southampton General Hospital
2021
University Hospital Southampton NHS Foundation Trust
2021
University of Birmingham
2015
University of Auckland
1975
BackgroundEmerging studies indicate that some coronavirus disease 2019 (COVID-19) patients suffer from persistent symptoms, including breathlessness and chronic fatigue; however, the long-term immune response in these presently remains ill-defined.MethodsHere, we describe phenotypic functional characteristics of B T cells hospitalized COVID-19 during acute at 3–6 months convalescence.FindingsWe report alterations cell subsets observed were largely recovered convalescent patients. In...
This study aimed to understand the routes by which nurses, midwives and allied health professionals (NMAHPs) pursue sustain a research career enablers barriers progression.Robust evidence is central practice professional decision making of NMAHPs, with generation translation arguably best led those clinically active. Whilst countries like UK USA have fellowship schemes support development, anecdotal reports suggest exist in translating these opportunities into sustainable clinical academic...
Objectives To calculate the prevalence of long term catheter use in community two areas south and west England. Subjects/patients (or materials) methods People England register with general practices to access health care through a National Health Service. Catheters are provided by prescription free charge. In 2008, patients using urinary catheters for over 3 months were identified, demographic information collected, from databases practices, prescribing records. The age sex distributions...
The purpose of this study was to explore the experiences intermittent catheter users after using both reusable and single-use catheters, with a particular focus on factors that affected acceptability. Qualitative descriptive following clinical trial. Thirty-six participants who had used catheters in trial were interviewed between June 2022 March 2024. All living at home England or Wales, UK. Participants invited interview one-year's use as part combination their usual catheter....
Abstract Background and Objectives Much intermittent catheterisation (IC) is carried out using single‐use catheters. Waste costs could be reduced by cleaning reusing catheters, but it safe to do so? To answer these questions of safety sustainability, clinical trials are needed. In this study, we developed a user‐tested catheter method training materials for use in trial. Methods Focus groups selected candidate methods draft instructions. Users then home tested on uncoated, plastic‐based...
Abstract Background/Aims The Paediatric Psychosocial Service pain team provides mental health support for children and young people (CYP) under chronic services at Royal Manchester Children’s Hospital (RMCH). Many CYP with feel isolated different from their peers, as frequently interferes ability to attend education participate in the same activities friends. Parents of experiencing also report significant challenges, including feeling isolated. Peer has been shown improve global outcomes...
To explore the views of intermittent catheter (IC) users regarding advantages and disadvantages single-use or reuse catheters.Qualitative study with semi-structured interviews. The interviews were recorded, transcribed analysed thematically.Participant's own homes in Hampshire Dorset, UK.A convenience sample 39 IC users, aged 23-86 years, using for at least 3 months.The analysis revealed four main themes: concerns risk urinary tract infection (UTI); cleaning, preparation storage; social...
To investigate the relative impacts of age and cigarette smoking on cutaneous blood flow motion.Skin flux was measured before during hyperaemic response to thermal warming skin 43 degrees C using laser Doppler fluximetry (LDF) in 28 habitual smokers (5.4 [11.4] (median [IQR]) pack years; years = packs/day x duration habit), aged between 18 63 their age, sex body mass index. Flow motion assessed Fourier analysis LDF signal.Mean total (area under curve, AUC(10)) were reduced compared with...
Objectives To elucidate the views of intermittent catheter (IC) users regarding urinary tract infection (UTI) symptom presentation, terminology for describing signs and symptoms, cause UTI management strategies. Design Qualitative study with semi-structured interviews. The transcribed text was analysed thematically. Setting 12 general practitioner (GP) surgeries in Hampshire Dorset, UK. Participants A convenience sample 30 IC users, aged over 18, using at least 3 months who had one...
Abstract Background: Long-term urinary catheters are problematic and burdensome for patients, carers health services. Nursing practice to improve the management of long-term has been held back by a lack evidence support policy practice. Little is known about who uses catheter long term resources costs needed their management. Understanding these will help target innovations care. There have no substantial or recently publications characterise users costs. Aim: To describe explore...
Introduction Evaluating the safety and acceptability of reusing catheters for intermittent catheterisation (IC) is one top 10 continence research priorities identified by UK James Lind Alliance Priority Setting Partnership in 2008. There are an estimated 50 000 IC users England this number rising. Globally, both single-use (thrown away after use) multi-use/reusable ones (cleaned between uses) used. Using multi-use as well (mixed-use) could bring benefits (eg, reducing plastic waste patients...
Long-term indwelling catheterisation may affect health related quality of life, but clinical assessment and monitoring people with catheters is poorly recorded because there are no validated measures to capture these criteria. In this paper, we describe the development ICIQ-Long Term Catheter life (ICIQ-LTCqol), one modules ICIQ series, an international project standardise lower pelvic dysfunction: www.iciq.net.In-depth interviews were conducted 27 catheter-users 4 informal carers cognitive...
Background Conservative therapies are recommended as initial treatment for male lower urinary tract symptoms. However, there is a lack of evidence on effectiveness and uncertainty regarding approaches to delivery. Objective The objective was determine whether or not standardised manualised care intervention delivered in primary achieves superior symptomatic outcome symptoms usual care. Design This two-arm cluster randomised controlled trial. Setting trial set 30 NHS general practice sites...
Despite evidence supporting the use of dialectical behavioural therapy, doubts remain about its efficacy. Miriam Avery and Timothy Bradshaw argue that further research is urgently needed
Abstract Background To describe the oral treatments people living with interstitial cystitis/bladder pain syndrome (IC/BPS) are using to treat their urologic condition in UK. Method A questionnaire hyperlink encompassing current and previous medications taken for IC/BPS other sociodemographic diagnostic indices was available Bladder Health UK website. Interested fully consented individuals accessed completed survey. Results total of 601 whom 173 participants responded (response rate: 28.7%)...
To evaluate disease perception in a cohort of patients with interstitial cystitis/painful bladder syndrome (IC/PBS) using the Brief Illness Perception-Questionnaire (BIP-Q) and to how this might relate severity.The study is cross-sectional survey amongst members Bladder Health UK who had previously received clinical diagnosis IC/PBS. A hyperlink containing questionnaire was sent patient group's website interested accessed completed survey. Participants' inclusion based on prior IC/PBS,...
most people living with dementia (PLWD) will develop incontinence problems associated harmful consequences. Well-contained is often the main treatment goal. It would therefore be expected that poorly contained have a negative impact.