- Dysphagia Assessment and Management
- Voice and Speech Disorders
- Tracheal and airway disorders
- Restless Legs Syndrome Research
- Esophageal and GI Pathology
- Gastrointestinal motility and disorders
- Gastroesophageal reflux and treatments
- Nerve Injury and Rehabilitation
- Child Nutrition and Feeding Issues
- Colorectal Cancer Screening and Detection
- Music Therapy and Health
- COVID-19 and healthcare impacts
- Complementary and Alternative Medicine Studies
- Nutrition and Health in Aging
- Intestinal Malrotation and Obstruction Disorders
- Childhood Cancer Survivors' Quality of Life
- Cervical and Thoracic Myelopathy
- Clinical Nutrition and Gastroenterology
- COVID-19 Clinical Research Studies
- Lymphatic Disorders and Treatments
- Intraperitoneal and Appendiceal Malignancies
- Appendicitis Diagnosis and Management
- Frailty in Older Adults
- Patient-Provider Communication in Healthcare
- Potassium and Related Disorders
University of Manchester
2017-2025
Salford Royal Hospital
2017-2025
Manchester Academic Health Science Centre
2017-2025
Salford Royal NHS Foundation Trust
2019-2024
Manchester University NHS Foundation Trust
2022-2023
Pennine Acute Hospitals NHS Trust
2017-2023
Wythenshawe Hospital
2022
Diabetes Australia
2022
University of Salford
2020
Health Sciences Centre
2018
Despite evidence that the human cerebellum has an important role in swallowing neurophysiology, effects of cerebellar stimulation on disrupted brain have not been explored. In this study, for first time, application neurostimulation is characterized a model (using cortical virtual lesion). It demonstrated can reverse suppressed activity system and restore function challenging behavioural task, suggesting findings may therapeutic implications.Repetitive transcranial magnetic (rTMS) alter...
Abstract The cerebellum is recognised to bilaterally modulate sensorimotor function and has recently been shown play a role in swallowing. Unilateral cerebellar repetitive trans-cranial magnetic stimulation (rTMS) excites corticobulbar motor pathways the pharynx but effects of bilateral versus unilateral rTMS on these are unknown. In this three-part cross-over study, healthy participants ( n = 13) were randomly allocated receive or 10 Hz rTMS. Participants intubated with pharyngeal...
Abstract Introduction The cerebellum has been showed by numerous studies to be active during the process of swallowing. Cortically targeted repetitive transcranial magnetic stimulation ( rTMS ) is a technique which shown result in beneficial electrophysiological and behavioral changes healthy participants patients with post stroke dysphagia. Cerebellar relatively unstudied area this emerging field. Here we apply cerebellar patient dysphagia an attempt improve their Methods A 67‐year‐old...
Abstract We sought to compare the effects of 10 Hz cerebellar vermis (vs. unilateral hemispheric and sham) repetitive transcranial magnetic stimulation (rTMS) on cortical neuroelectrical activity thereafter rTMS swallowing behaviour. Healthy participants ( n = 25) were randomly allocated receive vermis, hemisphere or sham rTMS. Recordings made using pharyngeal electromyography manometry catheters, obtaining motor-evoked potentials (MEPs) pressure recordings. The amplitudes MEPs elicited...
Abstract Introduction Despite the widespread use of telemedicine to assess patients with intestinal failure (IF) receiving home parenteral nutrition (HPN), satisfaction remote consultation methods has not been comprehensively assessed. Here, we assessed patient and clinician attitudes telephone video IF consultations. Methods Telemedicine questionnaires were designed distributed in paper form HPN under care a UK national reference center electronically clinicians Europe, North America,...
Despite their high prevalence and burden, disorders of gut-brain interaction (DGBI) are undertaught underrepresented in medical curricula. We evaluated the exposure UK gastroenterology trainees to DGBI comfort managing these conditions.An electronic survey was distributed via training program directors. The included questions on stage training; subspecialty interest; access opportunities, levels with diagnosis management. Responses were compared between junior senior trainees, by interest...
Introduction Elderly people are recognised to be at increased risk of oropharyngeal dysphagia (OPD), the causes which multifactorial. Our aim was identify if sepsis is associated with OPD in elderly during hospitalisation absence known other factors for OPD. Methods A hospital electronic database searched patients (≥65 years) referred assessment suspected between March 2013 and 2014. Exclusion criteria were age <65 years, pre-existing or acute secondary intracranial event, space-occupying...