- Peripheral Artery Disease Management
- Surgical site infection prevention
- Aortic aneurysm repair treatments
- Thyroid and Parathyroid Surgery
- Central Venous Catheters and Hemodialysis
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular Procedures and Complications
- Climate Change and Health Impacts
- Acute Ischemic Stroke Management
- Thyroid Cancer Diagnosis and Treatment
- Aortic Disease and Treatment Approaches
- Pain Management and Opioid Use
- Diabetic Foot Ulcer Assessment and Management
- Wound Healing and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Cancer, Stress, Anesthesia, and Immune Response
- Anesthesia and Pain Management
- Pressure Ulcer Prevention and Management
- Cerebrovascular and Carotid Artery Diseases
- Diversity and Career in Medicine
- Gastrointestinal Tumor Research and Treatment
- Renal and Vascular Pathologies
- Conferences and Exhibitions Management
- Salivary Gland Tumors Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
Hull York Medical School
2022-2025
University of Hull
2023-2025
Hull Royal Infirmary
2023-2025
University Teaching Hospital
2025
Guy's and St Thomas' NHS Foundation Trust
2022-2023
University of York
2023
St.John's Medical College Hospital
2017-2021
Bharath Hospital & Institute of Oncology
2020-2021
Introduction Surgical site infections (SSI) are the most common healthcare-associated infections; however, access to healthcare services, lack of patient awareness signs, and inadequate wound surveillance can limit timely diagnosis. Telemedicine as a method for remote postoperative follow-up has been shown improve efficiency without compromising clinical outcomes. Furthermore, telemedicine would reduce carbon footprint National Health Service (NHS) through minimising travel, significant...
Abstract Background Diagnosis of acute aortic syndrome is challenging and associated with high perihospital mortality rates. The study aim was to evaluate current pathways understand the chronology patient care. Method Consecutive patients imaging diagnosis between 1 January 2018 June 2021 were identified using a predetermined search strategy followed up for 6 months through retrospective case note review. UK National Interventional Radiology Trainee Research Vascular Endovascular Network...
Abstract Background There is an urgent need for effective interventions to aid diabetes related foot ulcer (DFU) healing. This study aimed test the deliverability of a proposed definitive trial exploring clinical efficacy Extracorporeal Shockwave Therapy (ESWT) in DFU Methods A pilot double-blinded three-arm randomised controlled trial. Patients with present ≥4 weeks were high dose (500shocks/cm2), low (100shocks/cm2) or sham (0shocks/cm2) ESWT, addition standard care. Follow-up was at 6-,...
ABSTRACT Remote assessment of surgical site infection(SSI) lacks sensitivity for the diagnosis SSI, but current evidence has not evaluated whether a combination photographs and questionnaires improves diagnostic accuracy. This study aims to develop remote measure identify SSI. A two‐phase mixed methods was conducted. In phase I, five clinicians reviewed Bluebelle wound healing questionnaire(WHQ) on five‐point Likert scale agreement inclusion in measure. Discussion generated hypothesis as...
Abstract Background There is sparse evidence of the relationship between environmental and financial costs surgical-site infection. Identifying areas high-cost burden would enable key targets for clinical interventions to aid in achieving UK national net zero healthcare system strategies. The aim this study was evaluate infection, subclassified by severity Methods This prospective observational evaluated patients with without infection after a variety lower limb vascular surgery using...
This study aims to quantify the financial and environmental savings associated with remote follow up in patients undergoing lower limb arterial surgery. A prospective observational evaluating cost(fC) cost(eC) of postoperative follow-up models. Remote-first screening(RFS), where all were reviewed remotely, complications triaged for face-to-face assessment treatment. The second model was remote-first treatment(RFT): but only high-risk trigger review. Both compared conventional All...
A preoperative supervised exercise program (SEP) improves cardiorespiratory fitness and perioperative outcomes for patients undergoing elective abdominal aortic aneurysm (AAA) repair. The aim of this study was to assess the effect a SEP on long-term survival these patients. secondary consider changes in quality life.
Guidelines recommend cardiovascular risk reduction and supervised exercise therapy as the first line of treatment in intermittent claudication, but implementation challenges poor patient compliance lead to significant variation management therefore outcomes. The development a precise stratification tool is proposed through machine-learning algorithm that aims provide personalized outcome predictions for different strategies.
Phyllodes tumor (PT) is a rare entity accounting for 1% of breast neoplasms with high propensity recurrence. This study aimed to identify factors that are predictive early recurrence in patients PT.This reviewed clinical data PT (n=57) treated at our tertiary care referral center South India between February 2010 and December 2019. The Pearson χ2 test was used investigate the relationship patient's features histotypes. Survival curves were obtained using Kaplan-Meier method based on log-rank...
Background: Surgical site infections (SSI) have a significant impact on morbidity and mortality within vascular surgery. Despite the publication of several guidelines, there is lack consensus regarding most effective perioperative practice to minimise incidence SSI. This study aimed assess current SSI prevention among UK surgeons. Methods: An online survey developed using National Institute for Health Care Excellence (NICE), Centers Disease Control Prevention (CDC) World Organisation (WHO)...