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Research paper thumbnail of Modelling Chronic Pain: An Initial Survey

This paper is an initial survey of the problem of modelling chronic pain. Physiological and mathe... more This paper is an initial survey of the problem of
modelling chronic pain. Physiological and
mathematical models of pain in general are
examined but found to be unable to model chronic
pain. The discussion then looks at the possibility of
using chaotic neural networks as a more likely
candidate, particularly with the inclusion of gas
nets which model the way in which Nitric Oxide is
used in neural transmission.

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Research paper thumbnail of Clinically relevant research

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Research paper thumbnail of I've read the podiatry research articles - now what?

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Research paper thumbnail of Designing a podiatry service to meet the needs of the population: a service simulation

Australian Health Review a Publication of the Australian Hospital Association, Feb 1, 2007

A model of a podiatry service has been developed which takes into consideration the effect of cha... more A model of a podiatry service has been developed which takes into consideration the effect of changing access criteria, skill mix and staffing levels (among others) given fixed local staffing budgets and the foot-health characteristics of the local community. A spreadsheet-based deterministic model was chosen to allow maximum transparency of programming. This work models a podiatry service in England, but could be adapted for other settings and, with some modification, for other community-based services. This model enables individual services to see the effect on outcome parameters such as number of patients treated, number discharged and size of waiting lists of various service configurations, given their individual local data profile. The process of designing the model has also had spin-off benefits for the participants in making explicit many of the implicit rules used in managing their services.

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Research paper thumbnail of Young people's self-esteem in Northamptonshire

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Research paper thumbnail of Research and evidence-based practice: the way forward for podiatry

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Research paper thumbnail of The UK Research Forum for Allied Health Professions

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Research paper thumbnail of Simulating a podiatry service

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Research paper thumbnail of A comparison of types and thicknesses of adhesive felt padding in the reduction of peak plantar pressure of the foot: a case report

Journal of Medical Case Reports, 2015

This case report will have implications for any area of medicine that aims to redistribute planta... more This case report will have implications for any area of medicine that aims to redistribute plantar pressure away from a particular area of the foot. This could be for example in the short-term care of people with diabetes, people who have insensate feet and people with poor blood supply to the foot coupled with plantar ulceration. The aim of the study was to investigate which type and thickness of Hapla felt padding is the most effective at redistributing plantar pressure of the foot. This case report is the first of its kind. The participant was a healthy 50-year-old white man with a high peak plantar pressure over the second metatarsal head of both feet; he required removal of a plantar callus on a periodic basis. The reader should note that different types of Hapla felt padding provide different forms of redistribution of plantar pressure on the foot. In the clinic it may be useful to measure peak plantar pressure using F-Scan before deciding on the most appropriate type of felt padding.

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Research paper thumbnail of Computer simulation as an aid to the interpretation of somatosensory evoked potentials

Electroencephalography and Clinical Neurophysiology

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Research paper thumbnail of Researching the researchers: Using a snowballing technique

Nurse Researcher, 2004

In this paper, Rosemarie Streeton, Mary Cooke and Jackie Campbell focus on an aspect of the needs... more In this paper, Rosemarie Streeton, Mary Cooke and Jackie Campbell focus on an aspect of the needs and obligations of the UK Research Governance Framework (DoH 2001). In particular, they discuss the snowballing recruitment technique and how this relates to the demands of research governance. The discussion is supported by examples from the literature and from the authors' own experiences in identifying research activity and skills across health and social care within a single health authority in the UK.

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Research paper thumbnail of The need for clinical evidence

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Research paper thumbnail of Quantitative assessment of somatosensory function

British Journal of Therapy and Rehabilitation, 1996

ABSTRACT Conventional clinical tests for neurological deficits can only detect gross changes in s... more ABSTRACT Conventional clinical tests for neurological deficits can only detect gross changes in sensation. This article describes more sensitive methods that can be used to quantitatively assess eight sensory thresholds. Normative data for each threshold are provided which may be used to indicate neurological abnormality. These methods can also provide insights into the mechanisms of some neurological disorders and may suggest improved methods of therapy.

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Research paper thumbnail of Assessment of cancer pain by the McGill Pain Questionnaire: results of two scoring methods in a sample of British patients and comparison with previous studies

The British journal of medical psychology, 1986

Pain experienced by 29 British cancer patients was evaluated by the McGill Pain Questionnaire. Th... more Pain experienced by 29 British cancer patients was evaluated by the McGill Pain Questionnaire. The questionnaires were analysed according to the traditional and a newly proposed scoring method. The results were compared with previously published studies. Scores relating to the sensory and affective components of pain were found to be similar for all groups of cancer pain patients. On the contrary, differences between groups were found for evaluative scores of the overall experience of pain. A previously observed pattern of pain intensity-complexity correlation in cancer pain patients was reproduced. Interpretations of the similarities and discrepancies among groups of patients are discussed.

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Research paper thumbnail of The need for clinical evidence

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Research paper thumbnail of Getting podiatry research off the ground

British Journal of Therapy and Rehabilitation, 1999

ABSTRACT

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Research paper thumbnail of Characteristics of the foot health of ‘low risk’ older people: A principal components analysis of foot health measures

The Foot, 2006

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Research paper thumbnail of Modelling deterioration of foot health in older people following discharge from NHS podiatry services

The Foot, 2007

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Research paper thumbnail of Clinical and instrumental evaluation of sensory function before and after percutaneous anterolateral cordotomy at cervical level in man

Pain, 1990

Sensory perception thresholds were assessed by clinical testing and by quantitative instrumental ... more Sensory perception thresholds were assessed by clinical testing and by quantitative instrumental testing before and after operation in 16 subjects for whom unilateral percutaneous cervical cordotomy was performed for the relief of pain due to malignant disease, and compared with clinical assessments of sensory function. We were able to confirm the association between deficit in pin-prick sensation and pain relief in the majority of instances, though the completeness or otherwise of pain relief does not correspond to absence of pin-prick sensation. There is no objective interference with low threshold mechanical sensation as measured instrumentally, although cordotomised subjects do not experience startle, tickle, or cutaneous erotic sensation when subjected to appropriate low intensity tactile sensation. Quantitative instrumental testing shows that the greatest deficits produced by cordotomy are in the sensations of skinfold pinch (? = tissue-damage pain) and skin cooling. The latter is transduced in the periphery by A delta fibres; sensations of warmth and hot pain, transduced by primary afferent C fibres, are much less significantly affected. Our findings thus fail to resolve the question as to whether chronic clinical pain is mainly an A delta- or a C fibre-mediated phenomenon.

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Research paper thumbnail of Absconding of patients from an independent UK psychiatric hospital: a 3-year retrospective analysis of events and characteristics of absconders

Journal of Psychiatric and Mental Health Nursing, 2001

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Research paper thumbnail of Modelling Chronic Pain: An Initial Survey

This paper is an initial survey of the problem of modelling chronic pain. Physiological and mathe... more This paper is an initial survey of the problem of
modelling chronic pain. Physiological and
mathematical models of pain in general are
examined but found to be unable to model chronic
pain. The discussion then looks at the possibility of
using chaotic neural networks as a more likely
candidate, particularly with the inclusion of gas
nets which model the way in which Nitric Oxide is
used in neural transmission.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Clinically relevant research

Bookmarks Related papers MentionsView impact

Research paper thumbnail of I've read the podiatry research articles - now what?

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Designing a podiatry service to meet the needs of the population: a service simulation

Australian Health Review a Publication of the Australian Hospital Association, Feb 1, 2007

A model of a podiatry service has been developed which takes into consideration the effect of cha... more A model of a podiatry service has been developed which takes into consideration the effect of changing access criteria, skill mix and staffing levels (among others) given fixed local staffing budgets and the foot-health characteristics of the local community. A spreadsheet-based deterministic model was chosen to allow maximum transparency of programming. This work models a podiatry service in England, but could be adapted for other settings and, with some modification, for other community-based services. This model enables individual services to see the effect on outcome parameters such as number of patients treated, number discharged and size of waiting lists of various service configurations, given their individual local data profile. The process of designing the model has also had spin-off benefits for the participants in making explicit many of the implicit rules used in managing their services.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Young people's self-esteem in Northamptonshire

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Research and evidence-based practice: the way forward for podiatry

Bookmarks Related papers MentionsView impact

Research paper thumbnail of The UK Research Forum for Allied Health Professions

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Simulating a podiatry service

Bookmarks Related papers MentionsView impact

Research paper thumbnail of A comparison of types and thicknesses of adhesive felt padding in the reduction of peak plantar pressure of the foot: a case report

Journal of Medical Case Reports, 2015

This case report will have implications for any area of medicine that aims to redistribute planta... more This case report will have implications for any area of medicine that aims to redistribute plantar pressure away from a particular area of the foot. This could be for example in the short-term care of people with diabetes, people who have insensate feet and people with poor blood supply to the foot coupled with plantar ulceration. The aim of the study was to investigate which type and thickness of Hapla felt padding is the most effective at redistributing plantar pressure of the foot. This case report is the first of its kind. The participant was a healthy 50-year-old white man with a high peak plantar pressure over the second metatarsal head of both feet; he required removal of a plantar callus on a periodic basis. The reader should note that different types of Hapla felt padding provide different forms of redistribution of plantar pressure on the foot. In the clinic it may be useful to measure peak plantar pressure using F-Scan before deciding on the most appropriate type of felt padding.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Computer simulation as an aid to the interpretation of somatosensory evoked potentials

Electroencephalography and Clinical Neurophysiology

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Researching the researchers: Using a snowballing technique

Nurse Researcher, 2004

In this paper, Rosemarie Streeton, Mary Cooke and Jackie Campbell focus on an aspect of the needs... more In this paper, Rosemarie Streeton, Mary Cooke and Jackie Campbell focus on an aspect of the needs and obligations of the UK Research Governance Framework (DoH 2001). In particular, they discuss the snowballing recruitment technique and how this relates to the demands of research governance. The discussion is supported by examples from the literature and from the authors' own experiences in identifying research activity and skills across health and social care within a single health authority in the UK.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of The need for clinical evidence

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Quantitative assessment of somatosensory function

British Journal of Therapy and Rehabilitation, 1996

ABSTRACT Conventional clinical tests for neurological deficits can only detect gross changes in s... more ABSTRACT Conventional clinical tests for neurological deficits can only detect gross changes in sensation. This article describes more sensitive methods that can be used to quantitatively assess eight sensory thresholds. Normative data for each threshold are provided which may be used to indicate neurological abnormality. These methods can also provide insights into the mechanisms of some neurological disorders and may suggest improved methods of therapy.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Assessment of cancer pain by the McGill Pain Questionnaire: results of two scoring methods in a sample of British patients and comparison with previous studies

The British journal of medical psychology, 1986

Pain experienced by 29 British cancer patients was evaluated by the McGill Pain Questionnaire. Th... more Pain experienced by 29 British cancer patients was evaluated by the McGill Pain Questionnaire. The questionnaires were analysed according to the traditional and a newly proposed scoring method. The results were compared with previously published studies. Scores relating to the sensory and affective components of pain were found to be similar for all groups of cancer pain patients. On the contrary, differences between groups were found for evaluative scores of the overall experience of pain. A previously observed pattern of pain intensity-complexity correlation in cancer pain patients was reproduced. Interpretations of the similarities and discrepancies among groups of patients are discussed.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of The need for clinical evidence

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Getting podiatry research off the ground

British Journal of Therapy and Rehabilitation, 1999

ABSTRACT

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Characteristics of the foot health of ‘low risk’ older people: A principal components analysis of foot health measures

The Foot, 2006

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Modelling deterioration of foot health in older people following discharge from NHS podiatry services

The Foot, 2007

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Clinical and instrumental evaluation of sensory function before and after percutaneous anterolateral cordotomy at cervical level in man

Pain, 1990

Sensory perception thresholds were assessed by clinical testing and by quantitative instrumental ... more Sensory perception thresholds were assessed by clinical testing and by quantitative instrumental testing before and after operation in 16 subjects for whom unilateral percutaneous cervical cordotomy was performed for the relief of pain due to malignant disease, and compared with clinical assessments of sensory function. We were able to confirm the association between deficit in pin-prick sensation and pain relief in the majority of instances, though the completeness or otherwise of pain relief does not correspond to absence of pin-prick sensation. There is no objective interference with low threshold mechanical sensation as measured instrumentally, although cordotomised subjects do not experience startle, tickle, or cutaneous erotic sensation when subjected to appropriate low intensity tactile sensation. Quantitative instrumental testing shows that the greatest deficits produced by cordotomy are in the sensations of skinfold pinch (? = tissue-damage pain) and skin cooling. The latter is transduced in the periphery by A delta fibres; sensations of warmth and hot pain, transduced by primary afferent C fibres, are much less significantly affected. Our findings thus fail to resolve the question as to whether chronic clinical pain is mainly an A delta- or a C fibre-mediated phenomenon.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Absconding of patients from an independent UK psychiatric hospital: a 3-year retrospective analysis of events and characteristics of absconders

Journal of Psychiatric and Mental Health Nursing, 2001

Bookmarks Related papers MentionsView impact