- Cardiac, Anesthesia and Surgical Outcomes
- Hip and Femur Fractures
- Enhanced Recovery After Surgery
- Clinical practice guidelines implementation
- Art History and Market Analysis
- Respiratory Support and Mechanisms
- Aortic aneurysm repair treatments
- Speech and Audio Processing
- Nutrition and Health in Aging
- Vehicle Noise and Vibration Control
- Cardiovascular and exercise physiology
- Cardiac Arrest and Resuscitation
- Advanced Adaptive Filtering Techniques
- Hemodynamic Monitoring and Therapy
- Bariatric Surgery and Outcomes
- Tryptophan and brain disorders
- Alcoholism and Thiamine Deficiency
- Airway Management and Intubation Techniques
- Delphi Technique in Research
- Primary Care and Health Outcomes
- Treatment of Major Depression
- Health Policy Implementation Science
University College London
2017-2022
Royal College of Anaesthetists
2017-2022
Royal London Hospital
2022
University College London Hospitals NHS Foundation Trust
2022
Royal Devon & Exeter NHS Foundation Trust
2022
University of Exeter
2022
University College Hospital
2017-2020
Health Economics and Outcomes Research (United Kingdom)
2017
University of California, Davis
2002
Objective: Early evidence suggests that ketamine may be an effective treatment to sustain abstinence from alcohol. The authors investigated the safety and efficacy of compared with placebo in increasing patients alcohol use disorder. An additional aim was pilot combined mindfulness-based relapse prevention therapy education as a control. Methods: In double-blind placebo-controlled phase 2 clinical trial, 96 severe disorder were randomly assigned one four conditions: 1) three weekly infusions...
Enhanced recovery pathways are associated with improved postoperative outcomes. However, as enhanced have become more complex and varied, compliance has reduced. The 'DrEaMing' bundle re-prioritises early delivery of drinking, eating, mobilising. We investigated relationships between DrEaMing compliance, hospital length stay (LOS), complications in a prospective multicentre major surgical cohort.
Major surgery accounts for a substantial proportion of health service activity, due not only to the primary procedure, but longer-term implications poor short-term outcome. Data from small studies or outside UK indicate that rates complications and failure rescue vary between hospitals, as does compliance with best practice processes. Within UK, there is currently no system monitoring postoperative (other than mortality) in major non-cardiac surgery. Further, variation national audit...
As the prevalence of obesity is increasing, number patients requiring surgical intervention for obesity-related illness also rising. The aim this pilot study was to explore predictors short-term morbidity and longer-term poor weight loss after bariatric surgery.This a single-centre prospective observational cohort in undergoing surgery. We assessed accuracy (discrimination calibration) two previously validated risk prediction models (the Physiological Operative Severity Score enumeration...
Abstract Background A systematic review of the peer-reviewed and grey literature previously identified over 1200 perioperative structure process quality indicators. We undertook a Delphi consensus with aim creating concise list indicators that experts deemed most important for assessing in care Methods basic was completed using an online survey which distributed to surgeons, anaesthetists, nurses, physicians lay representatives. Participants were asked prioritise order importance (high,...
Objective voice quality assessment in digital cellular mobile phone systems can be achieved using a new methodology based on weighted calculation of signal to noise ratio (WSNR). Using the method, WSNR is calculated by taking into account, each frequency sub-band, intensity (loudness level), sensitivity and finally age listener. This method calculating SNR "equal loudness contours" Robinson Dadson [1956]. Weights are assigned setting perceived level any tone equal 1 kHz tone. Contrary...