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For episode 43 of the National Health Executive podcast, we were joined by Dr Penny Kechagioglou, who is a Consultant Clinical Oncologist at University Hospitals Coventry and Warwickshire NHS Trust. Penny spoke about the main challenges and opportunities in cancer care at the moment, as well as how should prevention factor in to policy decisions and the needs of the oncology workforce.Penny said: “How do we strive for excellence? Not just good. There are three points here, so looking upstream – there is a lot of work happening that needs to be consistent across primary and secondary care, when it comes to prevention.”Listen to the full episode to hear Penny's thoughts and get a sneak peek of National Health Executive's upcoming digital magazine, where Penny will detail the Charter for Oncology.
In this episode, Jane Dacre talks with Dr Abi Patel. Abi is a Consultant Colorectal Surgeon at University Hospitals of Coventry and Warwickshire NHS Trust. She graduated from University of Cambridge in 2004 and completed higher surgical training in the West Midlands, UK. Abi is a NIHR CRN Research Scholar and believes in patient centred research. She is the vice chair of Early Years Consultant Network, helping deliver mentorship schemes and supporting trainees as well as early years consultants.Transcription link: https://www.ucl.ac.uk/medical-sciences/medical-women-talking-podcast Date of episode recording: 2024-03-14T00:00:00Z Duration: 00:29:19 Language of episode: English Presenter: Professor Dame Jane Dacre Guests: Dr Abi Patel Producer: Matt Aucott
Rumination in humans is a disorder of the gut-brain interaction affecting three percent of people worldwide. It's characterised by recurrent regurgitation without associated retching or significant nausea. Behavioural therapies are proved to be effective, with the potential to be successful at the primary care level. Dr Aditi Kumar, trainee associate editor of Frontline Gastroenterology and specialist gastroenterology registrar in the West Midlands, UK, interviews Dr Ben Disney, a Consultant Gastroenterologist at University Hospitals Coventry and Warwickshire NHS Trust, with a specialist interest on disorders of the gut-brain interaction. Also present is Dr Dipesh Vasant, a Consultant Gastroenterology and Honorary Senior Lecturer at the University of Manchester, with a specialist interest in neurogastroenterology and motility disorders. This Frontline Gastroenterology podcast discusses the recently published paper in January 2022: “Rumination Syndrome: pathophysiology, diagnosis and practical assessment” - https://fg.bmj.com/content/early/2022/01/10/flgastro-2021-101856. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229
Intermittent fasting is becoming a trendy topic for health optimisation. Listen to this show to be the first to know about potential health recommendations coming up for weight loss and diabetes management in future. In the interview is Alice Coffey and Petra Hanson. Alice is a PhD student at the University of Warwick, UK in Global Sustainable Development. Petra Hanson is a clinical research fellow at the University Hospital Coventry and Warwickshire NHS Trust in the UK. Together they wrote a literature review on the effects of intermittent fasting on weight loss, metabolic health and insulin resistance. They wanted to know, how effective intermittent fasting really is according to existing evidence. Reviews like Alics's and Petra's are very important as they build the foundation for new health recommendations and guidelines in the future. ✨✨FREE material✨✨ For key take-aways of this episode and more biohacks visit my blogcast https://thehappytypeone.com/podcast/ There you can find FREE downloads, guided meditations and many other free resources including blood glucose friendly recipes! Want more support on your health journey? Want to improve your energy levels, mental clarity, weight management or as a diabetic run flatter blood glucose lines, reduce your HbA1c, have less hypos and more time in target range? Then book a free call via my website: https://thehappytypeone.com/lets-connect/ insta: https://www.instagram.com/thehappytypeone/ More episodes on fasting: S5E47 called “Self-experimentation: 100 hours fasting as a diabetic” https://tinyurl.com/ywce6edz S4E40 “This biohack increases insulin sensitivity” https://tinyurl.com/592vb4vb If you want to know more about Petra Hanson and her work on “The 7 principles of mindfulness eating”, go to S5E41: https://tinyurl.com/jv4shhw5 If you are listening to this interview with Alice and Petra and you are a diabetic on tablets or insulin, then please chat with your doctor before starting intermittent fasting to make sure it is done in a safe way. ⭐⭐⭐⭐⭐ If you enjoy the show, please subscribe & leave a loving review on Apple Podcast: https://podcasts.apple.com/gb/podcast/the-happy-type-one/id1516681389 This helps massively to run this free podcast for you!
The Cochrane Musculoskeletal Group has produced more than 200 reviews of a very wide range of interventions for patients with musculoskeletal problems. In this podcast, senior author Peter Wall, talks with Imran Ahmed, Trainee Orthopaedic Surgeon and NIHR Doctoral Researcher at Warwick Clinical Trials Unit and University Hospitals Coventry and Warwickshire NHS Trust in the UK about their December 2020 review of the effects of using a tourniquet in knee replacement surgery.
The Cochrane Musculoskeletal Group has produced more than 200 reviews of a very wide range of interventions for patients with musculoskeletal problems. In this podcast, senior author Peter Wall, talks with Imran Ahmed, Trainee Orthopaedic Surgeon and NIHR Doctoral Researcher at Warwick Clinical Trials Unit and University Hospitals Coventry and Warwickshire NHS Trust in the UK about their December 2020 review of the effects of using a tourniquet in knee replacement surgery.
Professor Chris Imray is a consultant vascular, renal transplant and trauma surgery at the University Hospitals Coventry & Warwickshire NHS Trust in Coventry, UK. He is also an Honorary Professor at Warwick Medical School, Coventry and Exeter Universities and immediate Past President of the Vascular Society of Great Britain and Ireland. Professor Imray has combined his love of mountaineering with clinical vascular surgery - he is involved in a number of polar medicine societies and is a world expert on the management of frostbite and non-freezing cold injuries. He has conducted research into hypoxia and ischemia at altitude and has published extensively. His personal accomplishments include a wide range of expeditions across the globe, from the sea cliffs of the Outer Hebrides in Scotland to the volcanoes of Chile and, most notably, to the summit of Everest. Useful links: Selected papers about altitude / extreme medicine: Femoral stabs at 8400m with the lowest recorded ABGs: Grocott et al. Arterial blood gases and oxygen content in climbers on Mount Everest. N Engl J Med. 2009 Jan 8;360(2):140-9. Transcranial Doppler at 8000m, with novel insights: Wilson et al Cerebral artery dilatation maintains cerebral oxygenation at extreme altitude and in acute hypoxia--an ultrasound and MRI study. J Cereb Blood Flow Metab. 2011 Oct;31(10):2019-29. Novel insights from Everest (8000m) confirmed: Sagoo et al. The use of MR to investigate the potential mechanisms involved in the development of high altitude cerebral oedema. J Cereb Blood Flow Metab. 2016 Jan 8. pii Wilson et al. The cerebral venous system and anatomical predisposition to high altitude headache. Annals of Neurology 2013 Wilson and Imray. The Cerebral Venous System and Hypoxia. J Appl Physiol. 2015 Aug 20:jap.00327.2015. The effect of altitude on the brain: Wilson et al. The cerebral effects of ascent to high altitudes. Lancet Neurol. 2009 Feb;8(2):175-91. Women are at least as strong as men on hyper-endurance events: Hattersley et al. A comparison of the metabolic effects of sustained strenuous activity in polar environments on men and women. Sci Rep. 2020 Aug 17;10(1):13912. Evidence-based guidelines on the management of frostbite: McIntosh et al. Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Frostbite: 2019 Update. Wilderness Environ Med. 2019 Jul 17. pii: S1080-6032(19)30097-3. Handford et al. Frostbite: a practical approach to hospital management. Extrem Physiol Med. 2014 Apr 22;3:7. Collaborative teamwork gives the best results: Fisher et al. Pedicled Abdominal Flaps for Enhanced Digital Salvage After Severe Frostbite Injury. Wilderness Environ Med. 2019 Mar;30(1):59-62. Other useful resources Information on the management of frostbite: https://www.thebmc.co.uk/how-to-get-expert-frostbite-advice Oxford Handbook of Wilderness and Expedition Medicine: https://oxfordmedicine.com/view/10.1093/med/9780199688418.001.0001/med-9780199688418 Media appearances by Prof Imray: Radio: http://news.bbc.co.uk/today/hi/today/newsid_9722000/9722707.stm Television: BBC Panorama: Horizon Doctors in the death zone: http://www.bbc.co.uk/sn/tvradio/programmes/horizon/broadband/tx/everest/ Polar medicine / extreme environment and research organisations: https://worldextrememedicine.com/products/courses/polar-medicine/polar-medicine-norway/ https://www.rgs.org/in-the-field/advice-training/expedition-medicine-(1)/committee-members/ https://www.rgs.org/in-the-field/advice-training/resources-for-expeditions/global-polar-altitudemetabolic-research-registr/ https://bmrescouk.wordpress.com https://www.xtreme-everest.co.uk/Scientific-Strategy-Group The Vascular and Endovascular Research Network (VERN) COVER Study (COVID-19 Vascular sERvice Study): https://vascular-research.net/projects/cover-study-covid-19-vascular-service-study/ To learn more about The Rouleaux Club, visit http://rouleauxclub.com
The coronavirus crisis has placed unprecedented pressure on public services, which have had to cope with increased costs, large workforce absences and the difficulties of providing services while maintaining social distancing. In response to the pandemic, the government has pledged £68.7bn since March in support, and suspended governance and regulatory requirements. At the same time services have made greater use of technology, and organisations developed new ways of working. How successful have these changes been in maintaining the availability of public services? Which changes should continue beyond the crisis? What does the government need to do to make that possible? This event launched the fifth edition of Performance Tracker, an analysis of the performance of five key public services during the pandemic: hospitals, general practice, adult social care, schools and criminal courts. Graham Atkins, Senior Researcher at the Institute for Government, presented the key findings. To discuss, our panel included: Sarah Neville, Global Pharmaceuticals Editor at the Financial Times Professor Andrew Hardy, CEO of University Hospitals Coventry and Warwickshire NHS Trust and President of CIPFA This event was chaired by Nick Davies, Programme Director at the Institute for Government. Performance Tracker is produced in partnership with Chartered Institute of Public Finance and Accountancy (CIPFA).
The coronavirus crisis has placed unprecedented pressure on public services, which have had to cope with increased costs, large workforce absences and the difficulties of providing services while maintaining social distancing. In response to the pandemic, the government has pledged £68.7bn since March in support, and suspended governance and regulatory requirements. At the same time services have made greater use of technology, and organisations developed new ways of working.How successful have these changes been in maintaining the availability of public services? Which changes should continue beyond the crisis? What does the government need to do to make that possible?This event launched the fifth edition of Performance Tracker, an analysis of the performance of five key public services during the pandemic: hospitals, general practice, adult social care, schools and criminal courts.Graham Atkins, Senior Researcher at the Institute for Government, presented the key findings.To discuss, our panel included:Sarah Neville, Global Pharmaceuticals Editor at the Financial TimesProfessor Andrew Hardy, CEO of University Hospitals Coventry and Warwickshire NHS Trust and President of CIPFAThis event was chaired by Nick Davies, Programme Director at the Institute for Government.Performance Tracker is produced in partnership with Chartered Institute of Public Finance and Accountancy (CIPFA).#PerformanceTracker See acast.com/privacy for privacy and opt-out information.
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Chris Imray, describes the physiological changes within the brain when exposed to the hypoxic conditions of high altitude and how our understanding of this may change the management of patients. Presented by Joff Lacey with his guest Chris Imray, a Consultant Vascular Surgeon at University Hospitals Coventry and Warwickshire NHS Trust and a Professor at Warwick Medical School. Chris is a passionate climber and has long been involved in altitude research. He was the deputy climbing leader for the 2007 Xtreme Everest expedition and was part of the summit team.
This episode’s focus is on the West Midlands, one of the areas most affected by Covid-19 outside of London. We hear two perspectives of the local impact on services and finance teams, one from Ros Preen, director of strategy and finance at Shropshire Community Health NHS Trust, and the other from Susan Rollason, chief finance officer at University Hospitals Coventry and Warwickshire NHS Trust.
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Chris Imray, describes the physiological changes within the brain when exposed to the hypoxic conditions of high altitude and how our understanding of this may change the management of patients. Presented by Joff Lacey with his guest Chris Imray, a Consultant Vascular Surgeon at University Hospitals Coventry and Warwickshire NHS Trust and a Professor at Warwick Medical School. Chris is a passionate climber and has long been involved in altitude research. He was the deputy climbing leader for the 2007 Xtreme Everest expedition and was part of the summit team.
I chat to Natasha Chowdory @InfoPro_Tasha who has worked in workplace and charity information settings and will shortly be staring a new role as a Clinical Evidence Based Information Specialist at CEBIS, based at the University Hospitals Coventry and Warwickshire NHS Trust. We discuss Sweet Valley High, books, films, diversity and much much more...
Professor Damian Griffin talks about the Warwick Agreement, an international consensus on the management of femoroacetabular impingement syndrome. This podcast brings you right up to date on the most current thinking about hip impingement or FAI. 0.38 Aim of the consensus 1.36 Consensus methodology 2.26 What is FAI syndrome? Symptoms, clinical signs, and imaging findings. 3.40 How should FAI syndrome be diagnosed? 6.26 What is the appropriate treatment for FAI syndrome? 8.26 What is the prognosis of FAI syndrome? 10.23 How should someone with an asymptomatic hip, with cam or pincer morphology, be managed? 11.53 What research is now needed? 14.15 How is this new definition of FAI syndrome going to influence clinical care? @DamianGriffin #WarwickAgreement Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Damian’s passion is the diagnosis and treatment of hip and groin pain in young adults. His clinical practice and research focus on joint-preserving surgery for early arthritis, hip arthroscopy, the management of femoroacetabular impingement and sport injuries of the hip. He runs the largest national referral service for young and active people with hip pain in the UK, based at the University Hospital of Coventry and Warwickshire NHS Trust, and for private patients and elite athletes in London and Coventry (www.hiparthroscopyclinic.co.uk). Damian leads a research team based at the University of Warwick, with a portfolio of hip research. In particular he is the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation:www.nets.nihr.ac.uk/projects/hta/1310302 You can follow Damian on Twitter @DamianGriffin and @WarwickOrtho or reach him on damian.griffin@warwick.ac.uk
Every three minutes somebody in the UK develops dementia, so when it's claimed that tailored computer brain training can reduce cases of dementia and cognitive decline by a third over a decade, people sit up and take notice. The research claiming the 33% reduction for the group of people whose "processing function" was targeted for brain training, hasn't yet been published - so isn't peer-reviewed - but the preliminary data by a US team was presented to the Alzheimer's Association International Conference in Toronto this week. Dr Doug Brown, Director of R&D at the UK's Alzheimer's Society speaks from the Canadian conference to Dr Mark Porter and says there's widespread excitement about the potential of brain training to protect against dementia. Dr Margaret McCartney urges caution, warning it's too early to make claims before the full data is available. James is a young man with a high pressure sales job, but every year in the summer months he is crippled by agonising headaches. He's one of the 100,000 people in the UK who suffers from cluster headaches, so called because they come in disabling bouts, lasting for 4-6 weeks at a time. Inside Health visits a new one-stop multidisciplinary rapid-access headache clinic at St Thomas's Hospital in London, where James is getting treatment. Dr Giorgio Lambru, who heads the new service, tells Mark why it's so vital that patients with cluster headaches have to be seen, diagnosed and treated quickly. Years after cardiac rehabilitation became a standard part of therapy for heart attacks, the same post-treatment care still isn't routinely available for people who've had cancer, despite decade-old guidance from NICE suggesting that it should be. The UK's first clinical trial to measure holistic cancer care is hoping to provide the evidence that will demonstrate the type of support and rehabilitation that really works. Professor of Nursing Annie Young from Warwick Medical School and University Hospitals Coventry and Warwickshire NHS Trust tells Mark that after treatment, patients can feel abandoned and vulnerable. #hellomynameis is a hugely successful social media campaign which highlights the importance of healthcare staff introducing themselves to patients. It was launched by Dr Kate Granger after her experience of being in hospital. Kate died at the weekend from cancer, aged just 34. Dr Margaret McCartney describes the enormous impact of Kate's campaign throughout the NHS.
Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Damian’s passion is the diagnosis and treatment of hip and groin pain in young adults. His clinical practice and research are all around joint-preserving surgery for early arthritis, hip arthroscopy, the management of femoroacetabular impingement and sport injuries of the hip. He runs the largest national referral service for young and active people with hip pain in the UK, based at the University Hospital of Coventry and Warwickshire NHS Trust, and for private patients and elite athletes at the BMI Meriden Hospital. Damian leads a research team based at the University of Warwick, with a portfolio of hip research. In particular he is the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation: http://www.nets.nihr.ac.uk/projects/hta/1310302 You can follow him on Twitter @DamianGriffin and @warwickOrtho or reach him on damian.griffin@warwick.ac.uk, at www.hiparthroscopyclinic.co.uk or +44 1926 403529. BJSM is grateful for his contribution as a Senior Associate Editor. In this podcast, Damian speaks about Sports Hip 2016, a two day international conference held at St George’s park, the home of English football. The link to conference details: http://www2.warwick.ac.uk/fac/med/research/csri/orthopaedics/sportsurgery/hip/ Podcast timeline: 0.30 - St George’s Park and the England Football Association Perform Rehabilitation Centre 1.02 - Introduction to Sports Hip 2016: First time for a multidisciplinary meeting on sports hip injuries 1.58 - Instability of the hip 2.47 - Treatment of acute subluxation or dislocation, returning to 3.23 - Deep gluteal space, piriformis syndrome and sciatic nerve entrapment 4.54 - Cartilage repair 6.04 – Workshops in hip arthroscopy, hip replacement techniques suitable for athletes 6.00 - Workshop in hip arthroscopy 6.57 - New techniques in hip replacement suitable for young active people and athletes. 7.24 - World class rehabilitation after hip surgery 7.50 - Round table on challenges in managing elite athletes 8.15 - Femoroacetabular impingement (FAI) syndrome, and the movement towards reaching a consensus statement. 11.00 - Consensus meeting on FAI syndrome