A5067270804- Healthcare Decision-Making and Restraints
- Family and Disability Support Research
- Multiple Sclerosis Research Studies
- Autism Spectrum Disorder Research
- Health disparities and outcomes
- Conflict of Laws and Jurisdiction
- Psychiatric care and mental health services
- Mental Health and Patient Involvement
- Food Security and Health in Diverse Populations
- Nutritional Studies and Diet
- Behavioral and Psychological Studies
- Counseling, Therapy, and Family Dynamics
- Multicultural Socio-Legal Studies
- Clinical practice guidelines implementation
- Ethics and Legal Issues in Pediatric Healthcare
- Alzheimer's disease research and treatments
- Healthcare Quality and Management
- Global Public Health Policies and Epidemiology
- Electronic Health Records Systems
- Down syndrome and intellectual disability research
- Health Policy Implementation Science
- Obesity, Physical Activity, Diet
- Emergency and Acute Care Studies
- Child Development and Digital Technology
- Legal principles and applications
Swansea Bay University Health Board
2010-2024
Cardiff University
2014-2023
Imperial College London
2019-2022
Reynolds American (United States)
2021-2022
National Institute for Health Research
2020-2022
Charing Cross Hospital
2022
Public Health England
2020
King's College London
1999-2020
University of Liverpool
2020
Cardiff and Vale University Health Board
2005-2017
To assess the potential of registered volumetric MRI in measuring rates atrophy MS.Pathologic and imaging studies suggest that development permanent neurologic impairment MS is associated with progressive brain spinal cord atrophy. Atrophy has been suggested as a marker disease progression. Conventional measurements requiring manual outlining are time-consuming subject to reproducibility problems. Registration serial may offer useful alternative cerebral losses be measured directly from...
<b><i><i>Objective:</i></i></b> Serial registered MRI provides a reproducible technique for detecting progressive cerebral atrophy in vivo and was used to determine if there were differences between the rates of AD frontotemporal dementia (FTD). <b><i><i>Methods:</i></i></b> Eighty-four patients with (54 30 FTD) 27 age-matched control subjects each had at least two volumetric MR scans. scans positionally matched (registered), brain volume loss determined by calculation boundary shift...
<b><i>Article abstract</i></b> The aim of this study was to determine whether atrophy could be detected at the earliest clinical stages MS. Patients were selected from a 1-year follow-up MRI clinically isolated syndromes. Nine patients who developed MS compared with eight matched had no further symptoms. Significant ventricular enlargement occurred in group that but not other group. Our findings show atrophy, albeit mild, can early course
Background This report describes a group intervention for men with an intellectual disability who have sexually offended or abused others. The was in response to referrals psychology department. majority of these individuals had not been subject legal proceedings. Methods A number assessments were conducted prior the group, immediately after and at 3‐ 6‐month follow‐up. Results Attitudes consistent offending reduced participation most participants, however, tended revert pre‐group levels...
This article summarises the historical development of positive behavioural support. The main features this approach are described, and evidence for its effectiveness outlined. Despite clear empirical support use, relatively few people with learning disabilities challenging behaviour appear to have access form therapeutic intervention. Reasons discussed, along recommendations future development.
Background The views of both service users with intellectual disability and their support staff on the use physical interventions are largely unknown. research that does exist describes a negative pattern responses. present study aimed to explore personal impact receiving implementing interventions, also how felt such procedures impacted each other. Method Eight user/staff pairs were interviewed about experiences intervention within 1 week mutual involvement in behavioural incident requiring...
Background The aim of this study was to evaluate the state knowledge mental capacity issues among health and social services professionals working in community teams supporting people with learning disabilities. Methods A structured interview constructed around three scenarios, based on actual cases, concerning a financial/legal issue, issue relationships as well set ten 'true/false' statements. aimed elicit respondents' understanding relation, primarily, assessment best-interests decision...
Restrictive interventions, such as physical restraint, should be a last resort for managing imminent risk. There has been growing recognition of the harmful effects them, both staff and service users. Limited research considered impact restraint on therapeutic relationship between The aim this was to address gap in literature explore user perspectives after UK-based that provides low medium secure care adults. Ten semi-structured interviews were conducted with five users members. All...
Patient portals are digital health tools adopted by care organizations. The generally connected to the electronic record of organization and offer patients functionalities such as access medical record, ability order repeat prescriptions, make appointments, or message provider. may be beneficial for both system. can widely differ from one context another due differences in portal capabilities it is anticipated that outcomes associated with also differ. Current systematic reviews report...
Personal measurements of radiofrequency electromagnetic fields (RF-EMF) have been used in several studies to characterise personal exposure daily life, but such data are limitedly available for adolescents, and not yet the United Kingdom (UK). In this study, we aimed RF-EMF adolescents study association between rules applied at school home restrict wireless communication use, likely implemented reduce other effects mobile technology (e.g. distraction). We measured 16 common frequency bands...
Introduction Reductions in local government spending may have impacts on diets and health which increase the risk of hospital admissions for nutritional anaemias. Mechanisms include potential changes to authority (LA) services (eg, housing services) personal resources food access, availability provision. We therefore investigated association between LA anaemia-related admissions. Specifically, we address whether greater cuts were linked increased Design Longitudinal analysis panel data using...
We report findings which suggest perception of ‘higher order’ attributes such as gender and social dominance are perceived from a schematic face. To investigate large population, the first two experiments were carried out in both traditional manner on Internet. Results obtained not significantly different so data sets combined. Lowered eyebrow position was strong indicator male gender. A face with sad mouth resulted face's being viewed less dominant male. Eyegaze direction also investigated...
Summary The purpose of this paper is to present a model practice termed ‘Network Training’ which describes structured approach working with the network support around an individual learning disabilities. Within disability services there are many contexts in system has opportunities come together. For example, care management review meetings; person centred planning meetings and multitude clinical service forums. However, each would have its own agenda ultimately impacting on extent people...
Our inquiry investigated the barriers to, and facilitators for, involvement of Black Minority Ethnic (BME) ‘seldom-heard’ communities, in a study researching impact mobile phone wireless device usage on adolescents’ cognition, behaviour mental health. The aim was to co-produce solutions increase participation, we used focus groups, telephone interviews, community event public patient (PPI) café conduct inquiry. Five themes emerged from data: two enablers – value benefits research; three...
Abstract Background Research suggesting that people with intellectual disabilities ( ID ) have difficulties in recognising emotions provides a rationale for studying alexithymia this population. A number of studies found relationship between and challenging behaviours various populations study aims to discover if is the case . Method Cross‐sectional data were collected from 96 participants 95 their carers. The service user completed an questionnaire children while carers checklist behaviour...
Background The aim of this study was to evaluate the extent which care managers in learning disability services understand role Independent Mental Capacity Advocate (IMCA) service, and difference between newly created statutory IMCA existing general advocacy (GA) services. Method There were 22 participants from three community teams within disabilities services, all but one whom had attended training on Act (2005). Participants completed a questionnaire based set nine scenarios where they...
A multiphase identification search/match algorithm based on a probability scoring procedure has been designed and implemented as the kernel of SANDMAN program. The distributions associated with inexactitudes line intensities d spacings (line positions) are discussed. Methods developed to narrow widths by separating systematic random errors. probability-based is applied diffractograms exhibiting substantial specimen displacement error, small broad peaks large line-intensity variations.
Purpose Challenging behaviour has been a concern across forensic services. Traditionally these have managed reactively using medication, seclusion and restraint; however, there is growing evidence that approaches are ineffective counter-therapeutic. A number of reports recommended the use preventative such as positive behavioural support (PBS). The purpose this paper to identify “how staff within secure mental health setting perceived application PBS?” Design/methodology/approach In total,...
This preliminary study explores the relationships between challenging behaviour and emotional perception in a population of adults with intellectual disabilities, order to establish whether there are grounds for further study. Cross-sectional data were collected from 96 participants disabilities 95 carers. The service user completed Emotional Perception Questionnaire, whilst carers Checklist Challenging Behaviour. Correlational analyses employed analyse variables. A post hoc between-group...