Publications by authors named "M Twiddy"
Background: Through-knee amputation (TKA) has potential advantages over above-knee amputation (AKA) but is rarely performed in the United Kingdom (UK). This mixed methods study aimed to explore clinicians' perceptions of TKA compared to AKA.
Method: An online survey of vascular surgeons, prosthetists, and physiotherapists between May 2019 and April 2020.
Article Synopsis
- The study aimed to determine the effectiveness of micro-ultrasound in detecting significant prostate issues compared to traditional biopsy histology.
- Patients suspected of prostate cancer underwent both MRI and micro-ultrasound before biopsy, with findings assessed against histology results.
- While MRI demonstrated higher sensitivity (87%) compared to micro-ultrasound (73.3%), the study suggests that micro-ultrasound may still offer benefits in specific cases, indicating a need for further research into its role in prostate cancer surveillance.
Exploring the contextual assumptions, interventions and outcomes of digital advance care planning systems: A theory of change approach to understand implementation and evaluation.
Palliat Med
December 2024
Background: Digital advance care planning systems are used internationally to document and share patients' wishes and preferences to inform care delivery. However, their use is impeded by a limited understanding of factors influencing implementation and evaluation.
Aim: To develop mid-range programme theory to account for technological, infrastructure and human factor influences on digital advance care planning systems.
Background: Palliative care aims to improve the quality of life for people with life-limiting illnesses. Advance care planning conversations that establish a patient's wishes and preferences for care are part of a person-centered approach. Internationally, electronic health record systems are digital interventions used to record and share patients' advance care plans across health care services and settings.
View Article and Find Full Text PDFIn England, the Environment Agency (EA) estimates that over 3 million properties in England are at risk of surface water flooding. Heavy and prolonged rainfall that drives surface water flooding is projected to increase in the future due to climate change. This paper presents a quantitative secondary analysis of a cross-sectional household flood survey in a disadvantaged city in England heavily impacted by surface water flooding in 2007 and at severe risk of flooding in the future.
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