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Phew! Talk about busy!!!
21/08/2013
Ok then guys, geronimo. Well I’ve been at the William Harvey for 2 weeks out of my 8 and so far I’ve been so busy with this and that I haven’t really had time to blink, let alone write a blog! I’m working with 2 consultants in HCOOP (That’s HealthCare Of the Older Person to us laymen) who specialize in stroke medicine, Dr. Balogun and Dr. Hargroves. As this is a retrospective study, I don’t have to go through the long, laborious process of actually collecting the data as it’s already on the various records systems or in the patients notes (hopefully).
However, the stroke database, where I am inputting all the data that needs to be accounted for in this study, is backlogged from about June 2012…… Looks like I’ve got work to do! There are many different variables I need to track down from various sources for each patient such as DOB, time of stroke onset and time of administration of drugs. Along with these, I have to find out their status in many different risk factors for stroke e.g If they suffer from Atrial Fibrillation, Diabetes, hypertension, hypercholesterolaemia and whether they smoke or not. There are so many aspects to stroke medicine and so much anatomy to learn that it’s like being thrown in at the deep end, I’m trying to simultaneously get down to business and learn what the business is I’m getting down to!
Not only have I been entering all this information into the database, I’ve also been relearning all the statistics I could possibly imagine would be useful for the project…. Which is basically all statistics ever. I’ve spent many a day poring over stats text books, writing out work plans and linear regression models and trying to select the correct test to analyse the data. I’ve also been to a few meetings where Dr. Balogun and Dr. Hargroves were talking with the stroke care team and a radiologist consultant about current patients, diagnosing the areas of the brain affected and what kind of stroke the patient had suffered – very interesting stuff, although I’m sure I just sat there with a stupid grin on my face, amazed at how lucky I was to be a part of it.
Right kids, that’s about all I’ve got time for, I’ve got a MDM at Kent & Canterbury Hospital tomorrow and I need to learn as much as I can so I don’t feel so out of my depth. I’m sure I’ll find time to blog again soon, I think once you start it’s very easy to keep it going. Watch this space!
Posted in Aaron Brown, placements 2013
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CLAHRC bid update
The note below comes from Tom Quinn, AHSN Transition Board Member, who was instrumental in getting the CLAHRC bid off the ground and also deserves our thanks and congratulates for mobilising the research interests in the patch so effectively.
“We learnt recently that the region’s bid for a CLAHRC was unsuccessful. Feedback from the Panel highlighted strengths in some research areas, and the large number of organisations which have signed up to participate,and agreed that the aspirations of the proposed CLAHRC were laudable – all of which we can celebrate. The Panel also reflected on the challenges we face across KSS, highlighting the relatively nascent partnerships and little evidence of collaborative working between the participating organisations, and that links between the proposed CLAHRC and the AHSN could have been better articulated.
While dissapointing to the many people who helped develop the bid – all of whom deserve thanks and congratulations, particularly Sube Banerjee – the experience of applying has been a real positive for KSS, forging new research partnerships across the region, and there is a real opportunity now to build on these to ‘strengthen the KSS research story’. Detailed discussions on how we can work together through the AHSN to support this will begin after the holiday season.”
I also wanted to highlight NHS England’s newly announced consultation on the future of general practice. The main purpose is to stimulate debate in local communities, among GP practices, CCGs, area teams, health and wellbeing boards and other community partners, on the best way to develop general practice services and address:
- an ageing population, growing co-morbidities and increasing patient expectations, resulting in large increase in consultations, especially for older patients, e.g. 95% growth in consultation rate for people aged 85-89 in ten years up to 2008/09. The number of people with multiple long term conditions set to grow from 1.9 to 2.9 million from 2008 to 2018
- increasing pressure on NHS financial resources, which will intensify further from 2015/16
- growing dissatisfaction with access to services. The most recent GP Patient Survey shows further reductions in satisfaction with access, both for in-hours and out-of-hours services. 76% of patients rate overall experience of making an appointment as good
- persistent inequalities in access and quality of primary care, including twofold variation in GPs and nurses per head of population between more and less deprived areas
- growing reports of workforce pressures including recruitment and retention problems.
Kind regards

Guy Boersma
Managing
News
NHS England invites local communities to help shape the future of general practice
NHS England is engaging with local communities, clinicians and stakeholders, about the best possible way to develop general practice for the future. NHS England wants general practice to play an even stronger role at the heart of more integrated out of hospital services that deliver better health outcomes, more personalised care, excellent patient experience and the most efficient possible use of NHS resources.
General practice and wider primary care services are facing increasing pressures, linked to an ageing population, increasing numbers of people with multiple long term conditions, declining patient satisfaction with access to services, and problems with recruitment and retention in some areas. General practice and clinical commissioning groups (CCGs) are increasingly looking at how they can transform the way they provide services so that they can better meet these challenges.
Ageing, longevity and demographic change: a factpack of statistics from the International Longevity Centre-UK
This factpack provides statistics on a range of topics from life expectancy to housing supply, from pensions to the popularity of smart-phones amongst today’s older generations. The information has been collated from a range of official sources including the Office for National Statistics, the European Commission and from other research organisations.
Network Experts successfully trained!
To help the Life-Sciences Industry make the most of the free, bespoke services on offer the Clinical Research Network (CRN) is training company representatives as ‘Network Experts’. The community of Network Experts enables the CRN to directly provide dedicated communications regarding the latest service and process updates which can be shared within the Network Expert’s company. The group also provides a forum to access continuing support both from the CRN and other Life-Science Industry members, enabling the Network Expert to establish themselves as the ‘go-to’ person for their colleagues.
Feedback from the latest training session resulted in attendees feeling more confident about the service offerings available, utilising CRN specific processes (e.g. CSP) and tools (e.g. costing template, model agreement), issue resolution and who to contact for support.
If you would like to become a ‘Network Expert’ please register your interest for the next training event with the CRN Industry Team.
Events
Innovate for the Future
Tuesday 3rd September, 2013
Grimond Building, University of Kent, Canterbury Campus
University of Kent would love for you to join them for an afternoon of Innovation, Creativity and Enterprise, with inspiring speakers including IBM and KPMG, networking and an Innovation Zone showcasing cutting-edge ideas from a range of academic schools which could help your business grow.
Click here to find out more.
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What did the results show?
At the end of our long period of data collection, we finally had enough results to go forward. We had data on a total of 23 subject eyes; equal amounts of left and right eyes and 16 males to 7 females. We also had a couple controls, where there was no macula edema seen in the retina, no laser therapy was given to the eye, and the oxygen saturation did not change.
Our results showed that for all 23 eyes, the oxygen saturation of the affected vessels greatly increased after laser therapy. The arteries had a dramatic increase in oxygen saturation post laser but the veins either remained the same or had a decreased oxygen saturation post laser.
The arterial oxygen saturation increased from 87.1 +/- 1,56% to 93.1 +/- 1.22% (p<0.001) and the venoous oxygen saturation decreased from 66.60+/-2.36% to 60.44+/-3.10% post laser therapy.
Posted in Anushka Sieunarine, placements 2013
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Obtaining Results
This is a long process of data gathering. It had to be done in the ophthalmology clinical room.. since only that room contains the oymap machine and the other computer in the room contained the software to obtain the other types of images: optical coherence and fluuresceine angiogram images.
The procedure was simple: look at each of the images and determine where on the back of the eye was the macular oedema (using the optical coherence image) and which vessel was being affected by it (using the fluoresceine angiogram image), then look at that vessel on the oymap and use the software which gave information on the vessel saturation and compare this with the images taken after laser therapy. Then we could look for any changes in the oxygen saturation of the arteries and veins in the macula.
The actual data collection was time consuming… taking a couple weeks, lots of evenings and nights spent in front of those machines.
Posted in Anushka Sieunarine, placements 2013
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Ophthalmolgy Research: The beginning of an exciting experience
This research started out as a clinical observational study done within the Kent and Canterbury ophthalmology department. We intended to look changes in the retina of the eye pre and post laser therapy in diabetic macular oedema. To do this we used a variety of equipment: 1) Optical coherence tomography scan which gives a color coded cross sectional image of the retina and was used to look for edema in the retina, 2) a fundoscopic image of the back of the eye to pinpoint where the edema was and 3) a fluoresceine angiography which showed the vessels at the back of the eye and helped us see which vessels were leaking to create the oedema. The exciting part of the research was that we also used very novel technology called oxymap to look at oxygen saturation of the retinal vessels in these patients pre and post laser. The oxymap is basically a camera and analysis machine that takes pictures of the retinal vessels and shows them in different colours from red to purple depending on the oxygen saturation; it also gives the percentage saturation of any vessel or vessel branch that is highlighted.
We have to obtain results for 14 patients, or 23 eyes with diabetic macular oedema.
Posted in Anushka Sieunarine, placements 2013
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This is the End
Hello everybody, hello for the last time!
So this week was the final week of my 8-week research placement here at the University of Kent. I was told to write a ‘2 DIN A4 pages long blog’ for the final week to sum up my experience and what we found, so I will try my best to fulfil this.
Looking back to the beginning seems longer than 8 weeks to me now. Looking back I remember thinking: ‘what the hell is a zygion?’ and also ‘oh yeah, let’s do a questionnaire on our own’… Well, don’t mess around with questionnaires. I’m not joking, don’t even try to use them. They are evil. And I really mean it. So what did we find?
Descriptive Statistics
Our sample consisted of 55 men and women (men=21, women=34). The mean age was 61.84 years altogether, although men were slightly younger (58.19 years) than women (64.09 years). We had 7 female smokers and 5 male smokers. 5.9% of the females were underweight, 32.4% normal and the remaining 61.7% were overweight or obese class I,II,III according to BMI categories. No single man was underweight, however 33.3% were normal, and 66.7% fell into the overweight and obese categories. BMI categories do not take age into account, but weight correlates with age so it is somewhat unsurprising that quite a few people are indeed overweight as our sample consisted of an older population.
Significant differences between men and women
Unsurprisingly, men were significantly** (two ** means significant value p<0.01, one *means p<0.05) stronger in their best hand grip strength than women were (similar finding for each hand).
They are also significantly** taller, heavier, have bigger zygions (face width), bigger nasale lenght (length of nose) and wider jaws.
Finally, men also show significantly** higher values for their best peak expiratory flow, which indicates lung capacity and represents to some extent a measure of upper body strength.
All our other measurements were insignificant: D2:D4 both hands (D2= index finger in relation to D4= ring finger), Body Mass Index, all three face ratios (Width:Height, Jaw:Height, Width:Jaw), Systolic and Diastolic blood pressure and pulse.
Significant Correlations
First of all, I need to say that we didn’t find what we thought we would. There were no significant relationships between any of our facial ratios (Width:Height, Jaw:Height, Width:Jaw). Boooo. However, we found some other interesting things (I won’t bore you with the obvious significant correlations such as weight and height).
Best Peak Expiratory Flow (PEF) is positively correlated (when PEF increases then the following increases as well) with height**, weight*, hand grip strength** (right, left and best out of 6 attempts), zygion**, nasale*, and jaw width**. PEF was negatively correlated (when PEF increases the following increases, or vice versa) with age**, sex**. So the older the person the less PEF.
Best Hand Grip Strength (best out of three on each hand, =HGS) is positively correlated with height**, weight **, zygion**, nasale*, jaw**, and diastolic* blood pressure. HGS was negatively correlated with age** and sex**(means men were better).
Other correlations: Age was positively correlated with systolic blood pressure**. Means the older the higher the blood pressure. Normal. Unfortunately, different to previous literature, we did NOT find a correlation between facial width-to-height ratio and BMI. However, we found a positive correlation* between BMI and jaw-to-height ratio, and a negative correlation* between BMI and cheekbone dominance (width-to-jaw ratio).
Also, for some reason systolic and diastolic blood pressure are correlated with finger length and D2:D4 ratios. I have not figured out yet why, so I will update this as soon as I know a bit more.
A new regression model
A regression is a statistical model for predicting a certain measure/variable by the use of one or more different variables. We found in previous literature that PEF was used to get a rough overview over a person’s current and future health. However, there has not yet been a model for predicting PEF that included hand grip strength. We found a model that predicts PEF to 72.9% (adjusted R^2=69.7%). This means it can explain 72.9% of the variance of the predicted values for PEF.
PEF is predicted by sex, age, height, weight, and new in the model left hand grip strength.
What we didn’t test
Unfortunately, we did not record a few variables that seemed to be important in previous literature: level of education, marital status, body fat (important for accurate BMI), more health backgrounds (e.g. childhood health such as birth weight, operations, illnesses, arthritis in fingers, etc.), income, dominant hand, gait speed (time to walk a 98.5 inch span), insulin levels and amount of time spent standing on one leg (seems to be a good predictor of core muscle strength).
Well, we can’t test for everything…
Overall implications and summary
We haven’t finished analysing the data so a summary will follow here soon.
My own experience
Overall, I really enjoyed being responsible for my own research project. It definitely made me realise that I need to either get a bigger screen to stare at all day, or try to go for a lunch walk/gym session. However, I can imagine doing research as a career and that’s good, otherwise I wouldn’t have a clue what to do as I assumed that I would like doing research.
Things I disliked was the lack of exercise, the slow process, the annoying search for participants and sharp comments about my lack of ‘proper’ English and talking to people who always take the mick.
Things I liked were the gain of knowledge, the feeling of responsibility for my own project, data analysis, feeling nerdy while learning how to use MatLab, the family-like atmosphere at our Psychology department, scoring football goals at the inter-department evening football, and playing bat n trap.
I hereby thank everybody involved making my time enjoyable at Kent this summer, and supporting my daily request for scratch parking tickets (sorry Esmé!).
So long,
Anna B.
(update with the findings will follow)
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The quality question – 26 July 2013
Publication of the Keogh report last week put a spotlight back on the quality of NHS services and deficiencies in the inspection regime. It wasn’t long before a new process was announced, with the Chief Inspector of Hospitals identifying pilot sites including a couple of trusts in KSS.
Improving the quality of care and achieving better outcomes for every patient is a fundamental objective for us. Our approach uses an established, proven and independently evaluated method for quality improvement: Enhancing Quality and Recovery (EQR). Integrating EQR into the new AHSN offers a significant opportunity to increase the pace and scale of its impact through new collaborations with researchers and industry innovators.
EQR has already made significant sustainable improvements in clinical quality and outcomes for patients in Kent, Surrey and Sussex. Its approach focuses on:
- Saving lives
- Reducing admissions and re-admissions
- Reducing complications
- Decreasing the length of stay, and
- Improving the patient experience.
Des Holden is Medical Director for KSS AHSN and for Surrey and Sussex Healthcare NHS Trust. He believes EQR is a powerful tool to assist clinicians with service improvement on a daily basis:
“EQR alerts clinicians to the significance of variation in care, provides a mechanism of steps to follow which lead to better outcomes and offers a framework for best practice to treat every patient, every time.”
You can see Professor Keogh discussing EQR here.
Kind regards
Guy Boersma
Managing Director
University of Greenwich Research Collaboration Event – Saturday 7 September 2013
Research into practise – an opportunity to share research and practice experiences and to develop ideas for collaboration
Pilkington Suite, Medway Universities Campus, Chatham Kent ME4 4TB – 9.30AM -4.30PM
The University of Greenwich, School of Health & Social Care is hosting a free research interest conference in the Pilkington Suite, Medway Universities Campus.
An exciting opportunity to share your research ideas and hear about the research going on in your area. A chance to collaborate and develop research ideas. There is space available for poster presentations
The day will consist of presentations highlighting on-going research, followed by an opportunity to network and share experiences/ ideas on topics including Compassionate Care, Positive Ageing, Sexual Health and Paramedic Research
If you are interested in attending please contact Professor Pat Schofield.
Six disruptive technologies the will transform India’s healthcare
and they might do a bit of good for ours, too!
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British Academy Fellowship for Kent psychologist
Dominic Abrams, Professor of Social Psychology at the University of Kent, has been elected as a Fellow of the British Academy.
He is one of only 42 new Fellows from 18 different UK universities, each of them a highly distinguished academic, recognised for their outstanding research and work across the humanities and social sciences.
Speaking about the new Fellows, Lord Stern, the new President of the British Academy, said: ‘The humanities and social sciences celebrate the study of what it means to be human and how we relate to the world around us. They can also help us tackle many of the challenges faced in this country and the world as a whole. Our new Fellows, from across the UK and world, are world-class experts in the humanities and social sciences and can play a vital role in sustaining the Academy’s activities – helping select researchers and research projects for funding support, contributing to policy reports and speaking at the Academy’s public events.’
Professor Dame Julia Goodfellow, Vice-Chancellor of the University of Kent, commented: ‘I warmly congratulate Professor Abrams on his election to such a prestigious position within one of the most respected and important academic institutions in the world. His Fellowship is both a tribute to his research and work within the field of psychology, and his contribution to the social sciences in general.’
Professor Abrams joined the University of Kent in 1989 and was Head of Psychology between 1993 and 1996. He is currently Director of the University’s Centre for the Study of Group Processes. He is also Co-Director of the European Research on Attitudes to Ageing (EURAGE) research group, which designed the 2008 European Social Survey module on attitudes to age, and reports regularly for the government, the Equality and Human Rights Commission and Age UK, the UK’s largest charity for older people. He serves on the Council of the Academy of Social Sciences and is Co-Editor of the journal Group Processes and Intergroup Relations. In 2012, he was elected President of the Society for the Psychological Study of Social Issues (SPSSI) for 2013-14 – the first President in SPSSI’s 76 year history to be based outside North America.
The British Academy (www.britac.ac.uk) is the UK’s national body which champions and supports the humanities and social sciences. It is an independent, self-governing fellowship of scholars, elected for their distinction in research and publication. Its purpose is to inspire, recognise and support excellence in the humanities and social sciences, throughout the UK and internationally, and to champion their role and value.
For further information contact Gary Hughes in the University of Kent Press Office
Tel: 01227 823100/823581, email: g.m.hughes@kent.ac.uk
News releases can also be found at http://www.kent.ac.uk/news
University of Kent on Twitter: http://twitter.com/UniKent
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Medway announces new BSc Degree
Medway School of Pharmacy is proud to announce the launch of a new Bachelor of Science Degree (BSc) in Pharmacology and Physiology. This new BSc programme will be taught as a classic full-time three-year programme or a four year programme incorporating an industrial placement ‘sandwich year’.
The BSc (Hons) Pharmacology and Physiology Programme offers
- A comprehensive understanding of the fundamental principles of pharmacology and an understanding of drug actions in the body
- A comprehensive understanding of the drug discovery and development process, from both an industrial and academic perspective
- A detailed understanding of the variety of state-of-the-art laboratory techniques and research strategies which underpin pharmacology and drug discovery
- A progression route to MSc or PhD study, or employment in the bioscience/pharmaceutical industry
- Teaching by research active experts in pharmacology, physiology and related scientific disciplines
- A substantial research project in an academic or industrial laboratory.
This programme will involve a combination of formal lecture-based learning and laboratory practicals as well as seminar-based question and answer sessions to facilitate in-depth understanding of key concepts.
Throughout the programme there will be a strong emphasis on laboratory techniques, research and future employability.
For enquires please contact the Programme Leader, Dr Stephen Kelley (e-mail s.p.kelley@kent.ac.uk; tel +44 (0)1634 202 957)
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Medway is a finalist at UK Life Science Skills Awards
Medway School of Pharmacy was recognised at the inaugural UK Life Science Skills Awards launched by David Willetts, Minister for Universities and Science. Dr Scott Wildman, Programme Leader for the School’s Fd Sc in Applied Bioscience Technology, accepted a finalist award on behalf of the School for Provider of the Year, and Miss Natalie Webster, a student of the Fd Sc employed by Takeda Cambridge Ltd, received a finalist award for Higher Apprentice of the Year. Both awards were presented by Professor Lord Robert Winston.
Medway School of Pharmacy’s 3-year, part-time, e-learning Fd Sc in Applied Bioscience Technology contributes to a Higher Level Apprenticeship in Life Sciences, offering employers work-based solutions for workforce development and training.

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