<![CDATA[Newsroom University of Manchester]]> /about/news/ en Sun, 22 Dec 2024 09:56:14 +0100 Wed, 29 Jun 2022 17:03:42 +0200 <![CDATA[Newsroom University of Manchester]]> https://content.presspage.com/clients/150_1369.jpg /about/news/ 144 Music in Mind Remote study /about/news/music-in-mind-remote-study/ /about/news/music-in-mind-remote-study/516038

The  has awarded researchers at The University of Manchester, , and the  an 18-month grant to evaluate the impact of Manchester Camerata’s online 20-week  programme for people with dementia. 

The main focus of this funded project is on ascertaining care home staff and family carer wellbeing. The MiMR programme is based around music and ‘in the moment’ improvisation and builds on a successful collaboration between The University of Manchester and 91ֱ Camerata that stretches back to 2014. This collaboration continues, with academics from The University’s  and  forming key parts of the MiMR team, and at the end of the project,  will disseminate the project’s research findings in a series of hosted workshops. 

Principal investigator, Professor John Keady, said: "This study is a tremendous opportunity to better understand how change occurs in improvised music making for people living with dementia and the well-being effects that this can have on all those taking part in the sessions, especially care home staff and family carers. 

“We are planning to use creative social research methods in this study and to contribute towards an aesthetic of care practice.”

Commenting on the employment of Dr Robyn Dowlen as the lead researcher on the study, Lizzie Hoskin, Head of Community at 91ֱ Camerata, said: “We are really excited to be working with Robyn again in her new role as the lead researcher on this study and to welcome her back to 91ֱ Camerata. 

"The success of her previous ‘in the moment’ PhD research with our in-person Music in Mind programme has meant that we have been able to develop our work in music and dementia even further. It's great that this new NIHR SSCR project will focus again on the benefits that music can bring, not only to those people living with dementia, but for those who care for them as well.”

The MiMR team are: 

·      Professor John Keady (PI): Division of Nursing, Midwifery and Social Work, University of Manchester/Greater 91ֱ Mental Health NHS Foundation Trust. Senior Fellow SSCR.

·      Professor Alys Young (Co-i): Division of Nursing, Midwifery and Social Work, University of Manchester. Senior Fellow SSCR.

·      Professor Caroline Bithell (Co-i): Music Department, University of Manchester.

·      Dr Alexander Gagatsis (Co-i): Music Department, University of Manchester.

·      Lizzie Hoskin (Co-i): Head of Community, 91ֱ Camerata, The Monastery, Gorton, 91ֱ.

·      Cathy Riley (Co-i): Open Doors Service Manager, Greater 91ֱ Mental Health NHS Foundation Trust.

Researchers:

·      Dr Robyn Dowlen: Division of Nursing, Midwifery and Social Work, University of Manchester.

·      Helena Bull: 91ֱ Camerata, The Monastery, Gorton, 91ֱ.

For more information, please contact John Keady.

[Image credit: Rachel Bywater Photography]

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Wed, 29 Jun 2022 15:55:49 +0100 https://content.presspage.com/uploads/1369/500_musicinmind-june2022-creditrachelbywaterphotography47.jpg?10000 https://content.presspage.com/uploads/1369/musicinmind-june2022-creditrachelbywaterphotography47.jpg?10000
Emma beats adversity to win nursing degree first /about/news/emma-beats-adversity-to-win-nursing-degree-first/ /about/news/emma-beats-adversity-to-win-nursing-degree-first/249605A nursing student and single mum of two, has defied the odds to achieve a first as a Bachelor of Nursing (Hons) at the University of Manchester.

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A nursing student and single mum of two, has defied the odds to achieve a first as a Bachelor of Nursing (Hons) at the University of Manchester.

Emma Ridpath, from Warrington, was also part of the nursing team who looked after victims of the 91ֱ Arena bombing at Royal 91ֱ children’s hospital intensive care unit.

She was based at the unit during the final part of her training when the tragedy happened.

Even the loss of her beloved grandfather William, just before she started her final year’s studies, did not stand in the way of her success.

Her success has been a family affair: daughter Courtney, 11, son Nathan, 9 and mum Pam have all been doing their upmost to support her.

She said: “There have been a lot of setbacks along the way, but with the help of my two wonderful children I managed to achieve a first class honours.

“It’s given me a chance to pursue my life-long dream of being a nurse. I’ve always wanted to be able to care for people.

“I’ll never forget the amazing patients and relatives who came into the unit on that terrible day in May. I could hardly believe it was happening – but the bravery and dignity of those people was a very powerful experience.”

As soon as Emma finished her studies she was snapped up by Alder Hey Children’s Hospital, intensive care unit, where she has been working since September.

Her studies, she says were tough but ultimately gave her the skills she needed to find her dream job.

She is also hoping to publish her dissertation on the experience of nurses and their families of bereavement in an intensive care unit.

She added: “The course gave me an in-depth knowledge of anatomy and physiology - which is very helpful for anyone who wants to work in intensive care.

“I made some wonderful friends on the course. And without my wonderful academic advisor I don’t know what I would have done. Diane was always there for me.

“Dianne and the staff went above and beyond their duty in the help they provided for me.

Dianne Burns who is a senior lecturer in nursing said: “As Emma’s academic advisor during her studies, I have seen her work exceedingly hard to develop her academic and clinical skills whilst overcoming much personal adversity.

Even during those hard times her commitment to her learning journey was clearly evident in everything she did, always submitting a high standard of academic work.

As a future Children’s nurse, Emma’s passion and dedication to the patient’s in her care was also clear to see, especially in the wake of the 91ֱ Arena attack when Emma was involved in providing nursing care to some of the unfortunate victims.

“I think I speak for all of us here in the Division of Nursing, Midwifery and Social Work when I say that she is truly an inspirational student of whom we are very proud.”

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University of Manchester to mark the NHS’s 70th Birthday with films and exhibition /about/news/university-of-manchester-to-mark-the-nhss-70th-birthday-with-films-and-exhibition/ /about/news/university-of-manchester-to-mark-the-nhss-70th-birthday-with-films-and-exhibition/231650 

Thanks to a National Lottery grant, the 70 year heritage of the National Health Service is to be preserved for future generations

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The University of Manchester will create the first shared social history of the National Health Service, marking the institution’s 70th anniversary, thanks to £785k National Lottery funding. (CHSTM), part of the University’s , has received initial support* from the Heritage Lottery Fund () for the ‘From Cradle to Grave: The NHS at 70’ project, it was announced today.

The £785,000 grant will allow the multi-partner project to train volunteers from a range of ages and backgrounds to gather stories from the NHS’s patients and workers as well as politicians and the general public, recording its unique place in everyday, post-war British life.

Many of the health service’s first patients and workers, when it was established in 1948, are now in their 80s and 90s, and the 70th anniversary of the NHS presents one of the last opportunities to record their stories.

160 people, young and old, from all walks of life, will be trained to gather stories and artefacts from the NHS’ 70-year history. 70 young people aged 14-25 will act as Community Reporters, filming stories in their local area. These testimonies, from everyday users and workers in the health service, to key policymakers, MPs and trade union officials, will contribute to a multimedia, publicly accessible record of the NHS, filling existing gaps in its history, and recording the personal stories that make the service so unique.

A major component of the project will be the creation of an innovative new website which will allow the public to submit their stories of the NHS by uploading recordings, photos and documents. The website will act as a hub for existing and previous histories of the NHS.

The project will also create a touring exhibition, a programme of events and 40 minute feature film.

First round funding of £199,100 has been awarded to help CHSTM progress its plans to unlock the full grant at a later date. This initial development work will focus on the North West of England and South Wales, working with Age UK, the Mental Health Foundation, Rethink Mental Illness, the Stroke Association, NHS England and the NHS Confederation.

Commenting on the award, Project Director, said: “We are thrilled to have received National Lottery funding. The project has huge potential to transform engagement with the NHS’s history across the UK and beyond through digital tools, and through the contributions of volunteers and communities. The project partnership allows us, for the first time, to work together to create a shared story about the NHS. We urgently need to capture the memories of the first generations who worked and were cared for by this unique institution as they are now in their 80s and 90s. The forthcoming NHS 70th anniversary in 2018 is a perfect opportunity to celebrate its past and reflect on its present and future.”

Ros Kerslake, HLF Chief Executive, said: “This fantastic project will capture the rich heritage of the NHS, as it reaches its 70th birthday. We were particularly impressed by the number and range of people who will be involved in the project, receiving training to capture and present the story of this much loved national treasure for future generations.”

Chris Larkin, Regional Director at the Stroke Association, said: “We’re thrilled to be working with the University of Manchester on such an exciting and important piece of work. We’ll be supporting stroke survivors from our local services to become volunteer reporters and share their experiences of the NHS. It’s wonderful that stroke survivors will have such a vital role in helping to document and celebrate the history of the NHS.”
 

Emma Malcolm, Associate Director for Fundraising at Rethink Mental Illness said,  "We're very pleased to be able to support this great project. We hope the involvement of Rethink Mental Illness' members and supporters will help create a record of the mental health legacy of the NHS, which will serve as a reminder of how far we have come, and how far we have to go."

Heidi Bennett, Chief Executive Officer, Bridgend Association of Voluntary Organisations, said: “BAVO is delighted to be part of this multi-national project celebrating the 70th Anniversary of the NHS as a crucial and unique health service.  We will be working with the University of Manchester to recruit local volunteer interviewers and storytellers via our Volunteer centre in the near future”.

Iris Elliott, Head of Policy and Research at the Mental Health Foundation, said: “Founded in the aftermath of the second world war, Mental Health Foundation will be celebrating our 70th birthday in 2019; and we have recently interviewed two of our founders now in their 80s and 90s. It is vital that the first generation’s visionary contributions to the health of our nation is celebrated. We welcome this opportunity to ensure that mental health is central to this national heritage.”

Niall Dickson, Chief Executive of the NHS Confederation, which represents health organisations in England, Wales and Northern Ireland, said: “The 70th birthday will be a great opportunity both to celebrate past successes of the NHS and plan for a vibrant and exciting future. This project is great news and the funding is a mark of the high regard with which 91ֱ is viewed in healthcare. We look forward to working with colleagues in the University to take forward this important work.” 

Frances O’Grady, General Secretary, TUC, said: “The NHS is the people’s health service. It is a bond between all of us - patients, staff and communities. Everyone has a story about how the NHS changed their lives. Those stories need to be told, need to be captured and celebrated. We’re delighted to be involved with this project and can think of no better way of celebrating the 70th anniversary of the NHS than bearing testimony to the millions of people that have contributed to this wonderful national institution.”

Antony Tiernan, Director of Engagement and Communications NHS70 said: “The NHS is undoubtedly one of Britain’s most loved institutions and we’re looking forward to marking its 70 birthday next year. All of us have stories to tell about how the NHS has touched our lives and we’re delighted to support the University of Manchester to record and share them, in particular the people who worked for, or were cared by, the NHS when it was launched in 1948.”

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Mon, 18 Sep 2017 09:48:40 +0100 https://content.presspage.com/uploads/1369/500_anenurin-bevan-minister-of-health-on-the-first-day-of-the-national-health-service-5-july-1948-at-park-hospital-davyhulme-near-manchester-14465908720.jpg?10000 https://content.presspage.com/uploads/1369/anenurin-bevan-minister-of-health-on-the-first-day-of-the-national-health-service-5-july-1948-at-park-hospital-davyhulme-near-manchester-14465908720.jpg?10000
Cancer is complex, but so are our sexualities: LGB people with cancer share video experiences of care /about/news/cancer-sexualities-lgb-video-care/ /about/news/cancer-sexualities-lgb-video-care/185462The unique experiences of lesbian, gay, bisexual and queer people with cancer have been shared on a new video hub from The University of Manchester, funded by – highlighting differences in their care, and issues around sex, support and bereavement.

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The unique experiences of lesbian, gay, bisexual and queer people with cancer have been shared on a new video hub from The University of Manchester, funded by – highlighting differences in their care, and issues around sex, support and bereavement.

The aim of the videos, which were filmed during 2016 by lecturer in nursing are designed to help people understand the thoughts and feelings of LGB people with cancer and their own experiences of care.

The site is designed for NHS staff as a resource to guide their contact with this group.

Dr Nagington said: “LGB people with cancer often experience services which are heteronormative (designed for straight people). For instance this can include advice on hair loss or makeup which is targeted at making women look particularly feminine when this may not be the way they usually present, whilst not offering any such services to men.

“Some of the people we spoke to told us how advice about the effects of cancer and treatment on sex was designed for heterosexual people and the professionals they spoke with weren’t able to address their concerns or were reluctant to go into much detail.”

The website includes video testimonies from men and women of a variety of ages. One of these, Lesley who has ovarian cancer, said: “It’d be nice if people wouldn’t make assumptions about your husband coming in to visit.”

Another, Greg who had prostate cancer, said: “They said you might experience blood in your wee, but they don’t tell you about how that affects sex.”

There are several sections to the site covering, sex, homophobia and bereavement and also supporting information which health professionals and patients can use.

Despite the issues they’d encountered, most people interviewed didn’t think specific LGB support groups were the answer, although they may be helpful. Instead people felt more recognition of their needs as LGB people would be helpful as they went through treatment.

Dr Nagington added: “Our interviewees often approached misunderstandings about their sexuality with humour and were very brave and honest in telling their stories. I think their overall advice would be that professionals should remember that not all patients are straight and sometimes what fits one group isn’t appropriate for all.

“I hope to expand the site in the future to give more detail on the sexual challenges that lesbian and bisexual women can face, as well as interviewing trans* people about their experiences.”

To view all of the videos, . Follow Dr Nagington on Twitter

Cancer

 is one of The University of Manchester’s - examples of pioneering discoveries, interdisciplinary collaboration and cross-sector partnerships that are tackling some of the biggest questions facing the planet. #ResearchBeacons

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Tue, 18 Apr 2017 10:30:45 +0100 https://content.presspage.com/uploads/1369/500_montage2.jpg?10000 https://content.presspage.com/uploads/1369/montage2.jpg?10000
New study reveals huge contribution of carers of terminally ill /about/news/new-study-reveals-huge-contribution-of-carers-of-terminally-ill/ /about/news/new-study-reveals-huge-contribution-of-carers-of-terminally-ill/183388A landmark new study has revealed that family carers of people with cancer are providing care beyond the safe working hours recommended to preserve their health and well-being.

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A landmark new study has revealed that family carers of people with cancer are providing care beyond the safe working hours recommended to preserve their health and well-being.

The Dimbleby Cancer Care-funded study has revealed that family carers of people with cancer on average provide almost 70 hours of care a week to look after their relatives in the last three months of life.

The study, led by The University of Manchester in partnership with universities in Newcastle and Groningen, has been published in this month’s Palliative Medicine.

The team received responses from 1,504 carers through a national postal survey in the autumn of 2015. The survey was sent via the Office for National Statistics to 5,271 relatives who registered a death in May 2015. Local carers groups helped shape the material. 

The survey revealed:

- The main type of care provided was social/emotional support but carers also undertook considerable practical help, personal care and healthcare tasks

- Carers had an average of £370 out of pocket expenditure during the last three months of the decedent’s life

- A quarter of carers spent £100 of this on additional medical equipment and care supplies

- One in six had ‘one off expenses’ during their whole time care-giving with costs of £2,000

- Most of the care in the study  - around 75% - was carried out at home.

The research team studied the work of carers by tasks including preparing food, shopping, cleaning, attending appointments and general administration.

Working in partnership with the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care, Greater 91ֱ (), , Professor of Palliative Care at The University of Manchester led the study - she believes this research highlights the fact that carers are an invaluable resource who should get much more support.

She said: “This study for the first time quantifies the valuable hours carers give to their relatives and friends nationally in the final three months of life. Our figure of 69.5 hours a week is indicative of the huge contribution they make. This is a lot higher than the hours of care giving reported in the population in general and comes at a great cost to carers’ own psychological and physical health.

“Carers are a huge resource and provide vital support to people at the end of their life. The social and emotional support they provide is a huge commitment, but they also undertake a great deal of practical help, personal care and healthcare tasks. It is carers who are there 24/7. Community health and social care staff are simply unable to deliver care round the clock care, which is why we need to invest in carers too. 

“Carers need both support that gives them the know-how to look after the person who is ill and support to preserve their own health and well-being.  Health and social care staff can here make a big difference in making sure carers’ support needs are assessed and addressed. Additionally, workplace, respite and financial support can all play a meaningful part in supporting carers.”

was set up in 1966 in memory of broadcaster Richard Dimbleby, and is based at Guy’s Cancer Centre in Southwark, London. It provides practical and psychological support to people living with cancer and to their families and carers. The charity is also developing a website resource to help people find care and support services nearest to them.  

The Dimbleby Cancer Care Research Fund awards up to £300,000 per year to research projects looking at all aspects of cancer care. Chair of the charity, broadcaster, Jonathan Dimbleby said: 

The research by Professor Grande and her team illuminates a really grave issue.  I have had personal experience of caring for someone with terminal cancer.  It is draining in every way.  Through the work that Dimbleby Cancer Care does we know how vital informal care is and the huge economic contribution it makes to the NHS and social services. Building on research like this, the work we support at our cancer centre in the Guy's Cancer Centre helps to ease the burden on patients and carers in a wide variety of ways - information, psychological support, complementary therapies and benefits advice.  It is a very important and challenging task.”

This is the first of three sets of findings to be published from the study. Results focusing on the emotional distress and wellbeing of the carers and the economic value to society of their work will be published at a later date.

The paper, '', was published in Palliative Medicine. DOI:10.1177/0269216317690479

Cancer

 is one of The University of Manchester’s - examples of pioneering discoveries, interdisciplinary collaboration and cross-sector partnerships that are tackling some of the biggest questions facing the planet. #ResearchBeacons

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Young carers create first major project at The Horsfall /about/news/young-carers-create-first-major-project-at-the-horsfall/ /about/news/young-carers-create-first-major-project-at-the-horsfall/168002How do we care in the 21st Century? What can be automated and what needs a human touch? Inspired by University of Manchester research, Hidden is a site specific, immersive show over three floors, made with young carers and exploring the future of caring. It is an intimate experience which challenges people to decide what the future should look like.

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How do we care in the 21st Century? What can be automated and what needs a human touch? Inspired by University of Manchester research, Hidden is a site specific, immersive show over three floors, made with young carers and exploring the future of caring. It is an intimate experience which challenges people to decide what the future should look like.

Hidden began as a response to research published by The University of Manchester which found that young carers, whilst wanting and needing help and support, also asked to be recognised and valued for the ways in which they respond to problems, manage the demands of caring and have developed expertise in managing illness and disability.

It has a cast of professionals mixed with young carers and is led by Andrew McCain (Burmese Theater Workshop) and Nicky Hargreaves (Guildhall). The world of Hidden draws influence from the writing of Philip K Dick and Isaac Asmiov, as well as recent TV shows such as Westworld and Humans.

Audiences are cast as employees of a near-future medical company who must choose how best to use groundbreaking technology to transform the lives of people who care for others.

The project has been in development since autumn 2016, with an R&D period supported by The University of Manchester. The creative team has worked with over 50 young carers from across Greater 91ֱ to develop the show’s concept, script, set design and most importantly, to construct a show that puts them at the centre of the debate with the power to challenge decisions being made on their behalf.

The idea for the work stemmed from an NIHR-funded piece of research looking at the clinical and cost effectiveness of interventions for children of parents with mental illness.

Qualitative research with young people at the start of this project determined the outcome framework and priorities that children and young people were interested in. This work has since been published in  and the full study is in the .

“Since this project we have undertaken other work with this population: most recently an NIHR funded trial where we are working in collaboration with NSPCC to develop a child-centred intervention for children living with parents with mental illness,” added Penny.

Hidden is the first major project at The Horsfall; a new creative venue for 91ֱ and part of 42nd Street, a Greater 91ֱ-based mental health charity working with young people aged 13-25. The Horsfall is leading the way in developing creative approaches to improving mental health and wellbeing with young people which includes opportunities to co-create work with professionals to be experienced by the wider public.

Simone Spray, Chief Executive for 42nd Street, said "Hidden is an ambitious production with young carers right at its heart, which is what The Horsfall and our new creative programme is all about; translating the experiences and stories of young people into powerful and engaging creative pieces that challenge and inspire new audiences."

Hidden is on until February 11th at The Horsfall, 87 Great Ancoats Street, 91ֱ. for more information.

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Wed, 01 Feb 2017 16:40:27 +0000 https://content.presspage.com/uploads/1369/500_hidden.jpg?10000 https://content.presspage.com/uploads/1369/hidden.jpg?10000
91ֱ student fulfils nursing dream thanks to University social mobility programme /about/news/manchester-student-fulfils-nursing-dream-thanks-to-university-social-mobility-programme/ /about/news/manchester-student-fulfils-nursing-dream-thanks-to-university-social-mobility-programme/161361A student who helped care for her elderly relatives has just graduated from The University of Manchester, thanks to a scholarship which enabled her to take her dream nursing course.

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A student who helped care for her elderly relatives has just graduated from The University of Manchester, thanks to a scholarship which enabled her to take her dream nursing course.

Lucille Noone has been interested in nursing as a career since she was a child, and recognised that adult nursing was the right field for her when she worked at Ormskirk and Southport hospitals as a domestic assistant and a linen assistant at the age of 16.

She dreamed of attending The University of Manchester, but thought chances of getting there were slim due to the cost of accommodation and travel.

She was able to go to 91ֱ thanks to the 91ֱ Access Programme (MAP), the University’s flagship social mobility programme, which supports talented pupils aged 16+ who would otherwise be unlikely to attend university due to them living in areas with very low participation in higher education, having low household incomes and/or no family tradition of attending university.

Over a period of 18 months, Lucille participated in a programme of workshops and seminars and received support with her UCAS application. Having achieved her grades at A Level, she was guaranteed a place at The University of Manchester and received an Undergraduate Access Scholarship funded by the Himor Property Group.

Lucille’s Undergraduate Access Scholarship eased the financial burden of university, enabling her to continue living at home and helping to look after her relatives throughout her course.

“I am excited to graduate, follow my passions, and explore the variety of places that nursing can take me.”

She has already started to look for employment, and is looking for roles within neurosurgery, cardiothoracic surgery or surgical oncology.

Lesley Dowdall, Deputy Director for Development at The University of Manchester, said: “We are thrilled to see Lucille fulfil her lifelong ambition to become a nurse with the help of her donor. We believe a young person’s background should not be a barrier to them gaining a world-class education, and through the generosity of our donors, we are redressing this imbalance. We wish Lucille and our other scholarship students a long and happy career.”

Find out .

To find out more about the 91ֱ Access Programme, .

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Thu, 15 Dec 2016 12:30:00 +0000 https://content.presspage.com/uploads/1369/500_lucille.jpg?10000 https://content.presspage.com/uploads/1369/lucille.jpg?10000
Pets offer valuable support for owners with mental health problems /about/news/pets-offer-valuable-support-for-owners-with-mental-health-problems/ /about/news/pets-offer-valuable-support-for-owners-with-mental-health-problems/160743Pets can help people manage their long-term mental health conditions, according to University of Manchester research published in the open access journal BMC Psychiatry.

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Pets can help people manage their long-term mental health conditions, according to University of Manchester research published in the open access journal BMC Psychiatry.

The consistent presence and close physical proximity of their pets was described in this NIHR-funded study as providing an immediate source of calm and therapeutic benefit for the pets’ owners. The researchers suggest that pets should be considered a main source of support in the management of long-term mental health problems.

Lead author, from The University of Manchester said: “The people we spoke to through the course of this study felt their pet played a range of positive roles such as helping them to manage stigma associated with their mental health by providing acceptance without judgement.

“Pets were also considered particularly useful during times of crisis. In this way, pets provided a unique form of validation through unconditional support, which they were often not receiving from other family or social relationships. Despite the identified benefits of pet ownership, pets were neither considered nor incorporated into the individual care plans for any of the people in our study.”

Dr Brooks added: “These insights provide the mental health community with possible areas to target intervention and potential ways in which to better involve people in their own mental health service provision through open discussion of what works best for them.”

The researchers interviewed 54 participants, aged 18 and above, who were under the care of community-based mental health services and had been diagnosed with a severe mental illness.

Participants were asked to rate the importance of members of their personal network including friends, family, health professionals, pets, hobbies, places, activities and objects, by placing them in a diagram of three concentric circles. Anything placed in the central circle was considered most important; the middle circle was of secondary importance and the outer circle was for those considered of lesser importance.

Pets played an important role in the social networks of people managing a long-term mental health problem, as 60% placed their pet in the central most important circle and 20% placed their pet in the second circle.

The participants stated that one reason for this was that their pet helped by distracting them from symptoms and upsetting experiences such as hearing voices or suicidal thoughts. Participants from the study were quoted as saying:

“I felt in a sense that my cat was my familiar in that he understood or was an extension of my thoughts.”

“When I’m feeling really low they [pets] are wonderful because they won’t leave my side for two days.”

“You just want to sink into a pit and just sort of retreat from the entire world, they force me, the cats force me to sort of still be involved with the world.”

“I’m not thinking of the voices, I’m just thinking of the birds singing.”

The interviews supported existing evidence that some participants feel distanced from healthcare and uninvolved in discussions about services. Taking more creative approaches to care planning, such as incorporating discussions about pets, may be one way of helping to better involve participants because of the value, meaning and engagement that individuals have with their companion animals.

The paper, ‘’, was published in the journal BMC Psychiatry. DOI 10.1186/s12888-016-1111-3

An accompanying blog has also been pulbished which can be read .

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Fri, 09 Dec 2016 01:00:00 +0000 https://content.presspage.com/uploads/1369/500_cat-1375793-1920.jpg?10000 https://content.presspage.com/uploads/1369/cat-1375793-1920.jpg?10000
‘Super nurses’ re-unite 46 years after becoming England’s first with degrees /about/news/super-nurses-re-unite-46-years-after-becoming-englands-first-with-degrees/ /about/news/super-nurses-re-unite-46-years-after-becoming-englands-first-with-degrees/155707Nurses who campaigned to create England’s first nursing degree programme reunited at The University of Manchester this week (10 and 11 November) to share memories of breaking prejudice, working in Africa, (and living in the same flats as George Best!).

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Nurses who campaigned to create England’s first nursing degree programme reunited at The University of Manchester this week (10 and 11 November) to share memories of breaking prejudice, working in Africa, (and living in the same flats as George Best!).

The eight women, dubbed ‘super nurses’ by the media at the time, played a leading role in turning their course into a full degree in 1970. And they were back on campus together for the first time this week to share their experiences and talk to current staff and students about how they view the profession in the modern era.

All had continued to work in nursing or health visiting, but owing to the training they received had followed a huge variety of careers – serving in hospitals and the community, becoming a professor or working in African and Asian countries.

But they had all come from different backgrounds when arriving at the University for the first time. Kate Kelley (nee Keeling) talked about how different 91ֱ was to her: “I was from the south with an upper-class accent so moving north at that time was a terrifying thought.

“But it was the 60s and a time when women were increasingly getting the freedom to choose what they wanted to do. At that time only 10% of people went to university and we were part of a process of opening out degrees to women.”

Carol Cole (nee Ireland) had a similar experience as the first person in her family to go to university. “The social aspects of the course really attracted me,” she added “We weren’t just learning about health, it was about the whole community. It was revolutionary at the time.”

Carol also had the experience in living in the flat above the one in which the (very young) footballers George Best and Mike Summerbee lived. “George Best was actually very shy in person,” she said. “We shared a garden and he and Mike often invited us to their parties. We considered them friends.”

For Pam Smith, now a professor of nursing at the University of Edinburgh, the way the course was taught was inspiring. “The tutors gave us confidence,” she said. We were able to suggest new techniques like using sheepskins to relieve pressure ulcers and we worked on understanding care holistically – working with local authorities for example.”

Pam’s degree led her first into teaching and then to Tanzania and Mozambique where she carried on teaching student nurses after the countries became independent. She came home after five years and developed an interest in research, and eventually gained her PhD.

Carol ended her career working in Cambodia, helping to train health visitors to spread messages about boiling water and washing hands to reduce infant mortality. Prior to that she worked for many years in central 91ֱ hospitals, only yards from where she did her training.

Kate moved back south, working in London and then moving to LA and Boston, where she continues to work as a nurse practitioner.

All three experienced resistance in their early careers as among the first nurses in the country with degrees, but they and others like them slowly eroded that conservative culture to gain acceptance. It’s a journey that the current head of , feels can inspire today’s students. “These women are all trailblazers and I’m proud that this happened here in 91ֱ,” she says.

“The students we have now share the same determination and a desire to improve the lives of others.

“These women show just how diverse a career in nursing can be, and where it can take you.”

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Fri, 11 Nov 2016 09:32:18 +0000 https://content.presspage.com/uploads/1369/500_colourphoto.jpg?10000 https://content.presspage.com/uploads/1369/colourphoto.jpg?10000
Results of European health survey of pregnant women released /about/news/results-of-european-health-survey-of-pregnant-women-released/ /about/news/results-of-european-health-survey-of-pregnant-women-released/136245Almost 2,500 pregnant women and new mothers have participated in research on their diet and lifestyle behaviours

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Almost 2,500 pregnant women and new mothers have participated in research on their diet and lifestyle behaviours

The first results of '', an EU-funded pilot project involving The University of Manchester, to promote healthy diets and lifestyles to pregnant women and new mothers, show that nearly 40% of pregnant women are neglecting their greens - eating less than one portion of vegetables per day.

This is only one result of a survey carried out among pregnant and breastfeeding women in six European cities: 91ֱ, United Kingdom; Murcia, Spain; Odense and Kolding, Denmark; Prague, Czech Republic; and Varna, Bulgaria. It gathered key insights that the cities will use to decide which activities are most needed to support the women in improving their lifestyles.

Community involvement and the participation of pregnant and breastfeeding women in health-promoting activities on offer are key to the project's success.

The project particularly wants to reach vulnerable women (with low education level, low income, very young mothers, or women with linguistic barriers). Each city made special efforts to reach this target group and to include their answers in the findings.

Highlights from the survey of 2,500 women:

One out of five pregnant women feel stressed during the pregnancy, but 95% have the help and support of their partners who are emotionally supportive and concerned about their health and that of the unborn child. However, only 50% of men take part in prenatal classes.

Three out of four women are willing to do everything they can to safeguard their babies’ health – both during pregnancy and the breastfeeding period. They start eating and drinking more healthily, quit bad habits and 84% of pregnant women start taking vitamin supplements. 50% of women who smoke quit during their pregnancy, and 40% cut back on cigarettes (on average from 10 a day to 5 a day).

Over 80% of pregnant women get into drinking water, having a glass more than three times a day. Many are even willing to have a glass in place of coffee, with 50% of women drinking a lot less or giving it up altogether.

As far as diet and exercise goes, intentions are good - the majority of pregnant women intend to eat more vegetables and fruit, and keep up or increase regular physical activity.

However, only about 60% of pregnant women eat at least one portion of vegetables a day. Fruit is more popular, with 3 out of 4 women eating at least one portion a day. While 50% of women confess to snacking more between meals, it is mainly on fruit.

There is room for improvement when it comes to exercise, and most pregnant women end up lowering or stopping their normal exercise routines.

Eighty-four percent intend to breastfeed their baby and the most common reasons to consider using formula is because women are not confident that breast milk will meet their babies’ needs or that they will have trouble breastfeeding.

Keep up-to-date through the 'Together' website, and check out all the key findings of the zero-measurement .

91ֱ at a glance…

While pregnancy can be a stressful time, 89% of Manchester women say they are able to cope ‘very well’.

A new baby is likely to inspire women in 91ֱ to bring healthier habits to the whole family. 70% believe that the whole family needs to maintain healthy diet and lifestyle habits in order to ensure the health of their babies.

While eating enough vegetables is a problem for many women, it is less so in 91ֱ. 31% eat at least two portions per day.

“These findings from across Europe support academic findings from the USA and UK that pregnancy is a time in which women are more motivated to make lifestyle changes and health professionals should see this as an ideal opportunity to make healthy changes for the whole family,” said Dr Debbie Smith, Clinical Health psychologist, The University of Manchester.

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Fri, 15 Jul 2016 09:07:55 +0100 https://content.presspage.com/uploads/1369/500_shutterstock-410899978.jpg?10000 https://content.presspage.com/uploads/1369/shutterstock-410899978.jpg?10000
91ֱ student nurses receive world first in care-critical frontline digital skills /about/news/manchester-student-nurses-receive-world-first-in-care-critical-frontline-digital-skills/ /about/news/manchester-student-nurses-receive-world-first-in-care-critical-frontline-digital-skills/126024New practical digital skills focus at The University of Manchester sees crucial Patientrack e-observations taught from very first weeks of nursing training, for the first time

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  • 400 students this year have already been taught how to capture patients’ vital signs digitally
  • Technology used by hospitals across central 91ֱ, other parts of the UK and overseas
  • New practical digital skills focus at The University of Manchester sees crucial Patientrack e-observations taught from very first weeks of nursing training, for the first time

    Student nurses in 91ֱ have become the first anywhere in the world to be trained in how to use a vital signs observations technology called , before they set foot onto the ward.

    The pioneering move at The University of Manchester, signals the start of a changing educational focus to equip the UK’s first generation of ‘paperless’ nurses with real skills needed to help save more lives on the modern wards of NHS hospitals, from the earliest stages of their training.

    91ֱ’s , has now become the first school to teach student nurses how to capture important patient vital signs through Patientrack, during the initial weeks of their classroom teaching.

    The Patientrack system is making a big difference to patient safety in hospitals across central 91ֱ, in other parts of the UK, and overseas, where it is helping clinicians to prevent harm and reduce mortality, by ensuring patients at risk of deterioration are identified early and that warning alerts are automatically sent to doctors to ensure prompt interventions. It is also making a significant difference to nursing practice, ensuring accurate observations, reducing burdens placed on nurses and allowing them to dedicate more attention to unwell patients.

    Nurses will still be taught how to record bedside observations on traditional paper charts. But 400 students this year have already been taught how to capture patients’ vital signs digitally through Patientrack, on their iPads, from the very beginning of their training.

    , a former A&E matron, now clinical skills tutor at the School of Nursing, Midwifery and Social Work, said: “Learning how to carry out patient observations and recording accurate vital signs is the bread and butter of nursing practice. As the NHS becomes paperless, we need to give students a real feel for the systems they will use.

    “Introducing Patientrack into the classroom was the only way to do this, something no other nursing school has done.

    “Allowing first year students to learn how to carry out patient observations digitally, through classroom simulation, is an important step in updating nursing teaching in the university environment, so that it reflects the realities of 21st Century NHS nursing.”

    In the real hospital environment, Patientrack works by ensuring that important observations are not missed and allows nurses to capture vital signs digitally at the bedside. The software then accurately calculates a patient’s early warning score and automatically calls doctors to intervene when signs of deterioration are present. The system continues to escalate calls until patients receive an appropriate response. This has meant that nurses using the system in many hospitals no longer need to manually phone for doctors to attend, reducing risks and ensuring patients get the response they need to prevent harm.

    In the classroom, a student training version of Patientrack has been created, to help students understand how to record patients’ observations on iPads and other tablet devices. Students will even use the technology to help them manage a simulated deteriorating patient for a full day, where they will record observations and experience hospital escalation scenarios in action.

    Emily Heggie, one of the first students to use the technology before her initial hospital placement, said: “The early introduction to Patientrack was something I hugely valued once out on placement. I was able to recognise the software and easily find my way to input details when asked. Being able to confidently use the system was a great help.”

    Ruth Bayley, who has also just completed her first hospital placement, added: “Training in clinical skills gave me the confidence to use Patientrack on hospital wards. The system has helped me to understand physiological observations better and allowed me to develop my nursing skills when interpreting patients’ health, noticing any signs of deterioration in a patient’s observations faster.”

    , director of NHS education contracts & external liaison at the School of Nursing, Midwifery and Social Work, said: “Patientrack strengthens our links with practice partners and enhances our students’ understanding of patient safety. Our NHS trust partners use Patientrack, and now our students are able to test out the technology in a safe, simulated clinical setting, in preparation for use in real clinical environments.”

    Used by hospitals across central 91ֱ, other parts of the UK and overseas, Patientrack is the first technology to be chosen by the School of Nursing, Midwifery and Social Work, to be implemented into its teaching programmes. Other technologies, including electronic medicines management, may now also be added in future.

    Donald Kennedy, managing director at Patientrack, said: “We are very fortunate to work with innovative frontline doctors and nurses, who have used our technology to improve patient safety, to reduce mortality and to prevent adverse events like cardiac arrests. It is fantastic to see this innovation spreading into the classroom, to help equip the nurses of tomorrow with the skills they need to deliver the best possible care for patients.”

    Find out more about .

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    Thu, 12 May 2016 10:02:39 +0100 https://content.presspage.com/uploads/1369/500_img-5053copy.jpg?10000 https://content.presspage.com/uploads/1369/img-5053copy.jpg?10000
    Natural births after caesarean more likely if you call the midwife /about/news/natural-births-after-caesarean-more-likely-if-you-call-the-midwife/ /about/news/natural-births-after-caesarean-more-likely-if-you-call-the-midwife/122844Women who had a caesarean section in a previous pregnancy are much more likely to have a vaginal birth if their antenatal care is led by a midwife, according to a new study from The University of Manchester.

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  • Although caesarean sections are safe, research is increasingly showing that vaginal birth and labour protects against long term-risks
  • There is a growing emphasis placed by health authorities on promoting vaginal birth after caesarean
  • Women who had a caesarean section in a previous pregnancy are much more likely to have a vaginal birth if their antenatal care is led by a midwife, according to a new study from a University of Manchester researcher, which was carried out in Southampton.

    Although caesarean sections are safe, research is increasingly showing that vaginal birth and labour protects against long term-risks such as impaired immune response, asthma, obesity and type 2 diabetes in the baby. As a result there is a growing emphasis placed by health authorities on promoting vaginal birth after caesarean (VBAC) where it is safe to do so.

    The new study, published in the journal Birth, is the first to evaluate the influence on VBAC rates of midwife-led antenatal care as opposed to care led by an obstetrician.

    Using patient records, 405 women giving birth at one hospital after a previous caesarean were examined in two groups. The first group was from 2008 when antenatal care was led by obstetricians and, following a change in hospital policy in 2009-2010, the second group was drawn from women who had received midwife-led antenatal care in 2011.

    The number of women who intended to give birth by VBAC in 2011 was 90.3 percent, against 77 percent in 2008. Those who actually achieved VBAC was also higher in the midwife-led group with 61.2 percent instead of 46.9 percent. Both represented significant increases in VBAC when antenatal care was led by a midwife.

    , a midwifery lecturer in the University’s , carried out the research at the University of Southampton. She said: “There were few differences between the two groups of women we studied, so the main variance was the professional responsible for their care.

    “Where it can be achieved safely, vaginal birth is preferable, but there’s a real issue with women who have had a caesarean once, opting for the same again. There aren’t many initiatives out there to break this cycle so this finding is important for providing evidence that midwives are best placed to promote vaginal birth.”

    The authors of the study are not proposing that women should reject caesarean birth when they are advised to do so, but suggest that midwives are important figures in promoting VBAC in suitable women.

    There is a three year gap between the two groups of women but in terms of age, socio-economics, ethnic group and other variables, the groups are similar. The only significant change was the change in policy to midwife led care in the hospital. The results are also unlikely to be due to cultural changes over time as the VBAC rates across England more generally did not change during the study period.

    Dr White added: “The more we understand the role of the microbes living in the vagina, the more we are uncovering the protective effects of labour and natural birth against conditions such as diabetes and obesity.

    “Midwife led care is cost-effective and, if it safely reduces the number of repeat caesarean sections, then it’s even more beneficial for mothers and babies.”

    The paper ‘’, was published in the journal Birth.

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    Wed, 20 Apr 2016 16:41:09 +0100 https://content.presspage.com/uploads/1369/500_shutterstock-346324517.jpg?10000 https://content.presspage.com/uploads/1369/shutterstock-346324517.jpg?10000
    University project to get new and expectant mums moving /about/news/university-project-to-get-new-and-expectant-mums-moving/ /about/news/university-project-to-get-new-and-expectant-mums-moving/122258New mums and pregnant women in Moss Side, Hulme and Rusholme are being given the chance to get healthy with a new range of free activities run by a team of midwives and psychologists from The University of Manchester.

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  • New mums and pregnant women in Moss Side, Hulme and Rusholme are being given the chance to get healthy
  • Includes swimming, Pilates, cooking classes and yoga
  • New mums and pregnant women in Moss Side, Hulme and Rusholme are being given the chance to get healthy with a new range of free activities run by a team of midwives and psychologists from The University of Manchester.

    The programme of activities is being offered in the Moss Side, Hulme and Rusholme areas of the city and includes swimming, Pilates, cooking classes and yoga, alongside small changes to participants’ lifestyles that could make a big difference to their own and their family’s health.

    Claire Lyon, a research midwife at The University of Manchester is leading the project. She said: “We know that being active is good for mum and baby – delivering oxygen and nutrients around the body. It helps to keep mum fit and avoid excessive weight gain during pregnancy while reducing anxiety, and releasing endorphins (the happy hormone).

    We also know that women who do not stay active during their pregnancy are 4.5 times more likely to have a caesarean section, so making even a few small changes can make a big difference.”

    The EU-funded will run for six months with other activities including aqua-natal and cooking and eating demonstrations.

    The first activity will offer free swimming on Wednesdays from 20 April 31 August at to pregnant women and new mums. Women need to register for a free swimming card from .

    There will also be a free four-week Pilates course for new mums (up to one year after the birth of their baby) starting on 22nd April between 1pm – 2pm at Martenscroft Children’s Centre. Women need to need to register at reception.

    The programme as a whole is intended to promote a positive lifestyle change at a time when women are making other big changes to the way they live their lives. , a health psychologist involved in the project claims that the evidence suggests that despite being a period of physical and psychological transition, it is a great time to encourage change.

    Claire added: “New mums are thinking very hard about their health at this time but it’s often hard to find out which activities they prefer or learn about changes they can make. That’s why we’re trying out these pilot activities, so that women can see what they like and make the changes which will work best for them.”

    Any pregnant woman or mother of a baby aged one year or less can take part in the programme.

    More information .

    Twitter:

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    Wed, 13 Apr 2016 09:41:09 +0100 https://content.presspage.com/uploads/1369/500_shutterstock-292132586.jpg?10000 https://content.presspage.com/uploads/1369/shutterstock-292132586.jpg?10000
    Why mainstream pregnancy programmes may be failing care leavers – report identifies risk factors faced by vulnerable teenagers /about/news/why-mainstream-pregnancy-programmes-may-be-failing-care-leavers--report-identifies-risk-factors-faced-by-vulnerable-teenagers/ /about/news/why-mainstream-pregnancy-programmes-may-be-failing-care-leavers--report-identifies-risk-factors-faced-by-vulnerable-teenagers/120787Increased vulnerability due neglect and abuse, the absence of a supportive adult in their lives and a lack of mainstream effective sex and relationship education due to placement moves, are some of the reasons identified by children’s charity as to why standard sexual health education may need re-thinking for care experienced young people, to reduce unplanned pregnancy.

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  • The review found that non-targeted methods to prevent unplanned pregnancy did not help to prevent unplanned pregnancy
  • Increased vulnerability due neglect and abuse, the absence of a supportive adult in their lives and a lack of mainstream effective sex and relationship education due to placement moves, are some of the reasons identified by children’s charity as to why standard sexual health education may need re-thinking for care experienced young people, to reduce unplanned pregnancy.

    The findings have emerged from a review of academic papers and research from 2000 to 2014 undertaken by experts from The University of Manchester and Lancaster University to ascertain how best to improve outcomes of this vulnerable group of young people.

    found that non-targeted methods to prevent unplanned pregnancy did not help to prevent unplanned pregnancy and childbirth for young people with experience of care leaver due to the following reasons:

    • increased vulnerability due to pre-care experiences (such as abuse or neglect) contributing to a higher likelihood of mental health problems;
    • increased chances of missing out on effective mainstream sex and relationship education due to placement moves;
    • the absence of a supportive adult in their lives;
    • being more likely to choose to continue with an unplanned pregnancy due to a desire for a loving attachment in their lives

    , lead author from The University of Manchester’s , said: “For me, one of the key messages of this review is the paucity of publications that focus on interventions that aim to prevent unwanted pregnancy in looked after young people. That is not to say that good work is not taking place - but if it is, we all need to know about it. It is therefore vital that interventions are evaluated and published so the good practice can be shared and costly mistakes avoided."

    Karen Broadhurst, co-author and Professor of Social Work Lancaster University, said: “The findings from the review are helpful in thinking about where we might start in developing and testing pilot projects that aim to help young people avoid an unplanned pregnancy, make positive choices about partners and be better prepared for parenthood. There are some excellent initiatives in the US and we can learn from the evaluation of the initiatives we have described in our report, to develop bespoke programmes in the UK.”

    Professor Broadhurst referred to her related on-going research funded by the Nuffield Foundation, which included interviews with 72 birth mothers. “40-50% of these women had a care background, and 100% were either in care or on the edge of care. Interviews revealed the complexity of factors associated with early unplanned transition to motherhood which included young women finding themselves in highly coercive relationships with older men where domestic violence was a feature of their daily lives."

    Director of Operations at Coram, Renuka Jeyarajah-Dent said: “The context of this review is a situation in which young people who have been in care are falling pregnant, some repeatedly so, (British Journal of Social Work (2015) 45, 2241–2260 while at the same time reduced teenage pregnancy overall suggests that the messages about sex education and healthy choices are showing great success.

    “There are few examples of evidenced programmes to prevent pregnancy for young people who have been in care. The report concluded that the lack of published evidence of effective unplanned pregnancy programmes in the UK means that successes cannot be replicated and mistakes are likely to be repeated. It also found that the results which have been published are not necessarily evaluated in a robust manner.

    “However, our review also identifies models where programmes have been successfully tailored for the needs of care leavers, mainly in the US. Now we have to think about what could be adapted from these, applying our increased understanding of the issues so that vulnerable young people get a better level of support and can make educated choices about what’s right for them.”

    Read the full review on (PDF)

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    Wed, 30 Mar 2016 10:06:42 +0100 https://content.presspage.com/uploads/1369/500_shutterstock-292132586.jpg?10000 https://content.presspage.com/uploads/1369/shutterstock-292132586.jpg?10000
    Stroke therapy to be investigated in new study of 160,000 records /about/news/stroke-therapy-to-be-investigated-in-new-study-of-160000-records/ /about/news/stroke-therapy-to-be-investigated-in-new-study-of-160000-records/112528 

     

     

    Researchers at The University of Manchester are to investigate 160,000 patient records to identify issues affecting the quality of stroke therapy in England.

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  • Around 1.2million people in the UK are classed as stroke survivors
  • Therapy is one of the most important ways of helping these people regain their quality
  • At the end of the two-year study a series of detailed recommendations will be issued
  • Researchers at The University of Manchester are to investigate 160,000 patient records to identify issues affecting the quality of stroke therapy in England.

    Around 1.2million people in the UK are classed as stroke survivors with around 150,000 new incidences of stroke each year. Although three quarters of people survive their stroke, many are left with problems which impact on their quality of life.

    Therapy is one of the most important ways of helping these people regain their quality of life but in England most people do not seem to achieve the recommended 45 minutes a day of therapy.

    The University of Manchester research team working with colleagues from King’s College London, funded by the HS&DR Programme, will use the records from the Sentinel Stroke National Audit Programme (), a database of which tracks patients’ progress from the first ambulance call to six months after their discharge from hospital. The research team will use the most recent available 160,000 records stemming back to 2013.

    Professor of Rehabilitation, , is leading the research. She said: “SSNAP is the first database of its kind anywhere in the world and access to it means we can find underlying reasons for any variations in the quality of stroke care and propose cost-effective ways of doing something about it.”

    Therapy covers a diverse range of activities designed to help people regain their independence after a stroke. Issues that therapy tackles include speech and mobility problems and regaining ‘thinking skills’ which let patients return to work, or resume their previous lives as much as possible. Early intervention is important to the success of this therapy as is ongoing support for the patient once they have been discharged back into the community.

    In the study which is funded with £221,446, various factors such as the type and amount of therapy received, how services are organised and what the outcomes for patients are, will all be analysed and at the end of the two-year study a series of detailed recommendations will be issued.

    Professor Tyson added: “The raw data from SSNAP gives a value description of how stroke services are delivered but it does not explain how factors are inter-linked; why therapy does (or does not) happen; how much therapy services cost, nor which are the most effective ways of organising therapy services in terms of maximising therapy, recovery or value for money. We will work this out.

    “This important information is needed to make sensible, evidence-based decisions about how to improve therapy services so that as many stroke survivors as possible, get as much therapy as possible and make as much recovery as possible.”

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    Thu, 28 Jan 2016 10:11:55 +0000 https://content.presspage.com/uploads/1369/500_istock-000080422165-full.jpg?10000 https://content.presspage.com/uploads/1369/istock-000080422165-full.jpg?10000
    Senior citizens in 91ֱ play computer games to prevent falls /about/news/senior-citizens-in-manchester-play-computer-games-to-prevent-falls/ /about/news/senior-citizens-in-manchester-play-computer-games-to-prevent-falls/111936Neighbours Joy (80) and Bert (90) who live in Sale, 91ֱ, have been keeping active by trialling new computer games designed specifically to prevent older people suffering falls.

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  • New computer games designed specifically to prevent older people suffering falls
  • Research has shown that engaging in certain physical exercises can prevent falls by at least 40 per cent
  • Neighbours Joy (80) and Bert (90) who live in Sale, 91ֱ, have been keeping active by trialling new computer games designed specifically to prevent older people suffering falls.

    Joy a former professional dancer and Bert who worked as an inspector at Dunlop were two of the first to test out the ‘Exergames’, which have been specially developed by with clinical and academic expertise from and The University of Manchester. The games have been developed to help reduce the number of falls elderly people experience in the community.

    The friends were asked to take part in the initial study at their independent living accommodation where an Exergames session was provided three times a week. Both Joy and Bert believe that the Exergames have helped with their balance and boosted their confidence.

    Led by , from the University’s , the next step of the project is to run a new research study, to refine the Exergames and conduct a randomised controlled trial. This is supported by MIRA Rehab Ltd, which is receiving over £600,000 of funding through a pre-procurement contract from the Small Business Research Initiative (SBRI) Healthcare Phase 2 award, .

    The study will compare the effectiveness of MIRA’s computer games, against standard prevention programmes, in reducing falls in the community. At least 30 per cent of people aged 65 and older experience a fall each year. Even more alarmingly, this figure rises to 50 per cent for those aged 80 and over.

    The issue is expected to have an ever increasing impact, as the UK population ages, and represents a significant cost to the NHS at more than £2.3 billon every year.

    Research has shown that engaging in certain physical exercises can prevent falls by at least 40 per cent, but many older people find it difficult to maintain sufficient activity levels. The series of computer games, called Exergames, aim to make staying active more engaging for older people.

    Joy explained: “I’ve always been quite fit and tried to exercise, but as I got older I found that I could quite easily lose my balance when I turn. For me, Exergames provided a structure to encourage me to exercise more regularly. I found that as a result I could get up more easily after kneeling down. I feel healthy and positive that I’m doing something to help prevent problems that might otherwise occur.”

    Bert added: “I use a walking stick to steady myself and have had a couple of falls. The Exergames consists of a number of different games designed to work different parts of your body. The Exergames are helping with my balance, confidence and in keeping me alert.”

    The Exergames were developed by MIRA Rehab as part of its MIRA software platform and are played using a Microsoft Kinect sensor to monitor body movements. They can be programmed by clinicians to be tailored to the individual’s level of ability, taking into account fatigue, pain and fear of falling.

    The MIRA software, which includes activities such as squatting to control movement of objects on a TV or computer screen, logs the duration of gameplay, how frequently it is used, and provides reports to clinicians on patients’ progression.

    Dr Emma Stanmore, Lecturer in Nursing at The University of Manchester explained: “We spoke with a lot of older people and physiotherapists before creating the games, because it was really important that what we produced was easy to use and made keeping fit as fun as possible.

    “We have already worked with older people to test the games in community centres. The results so far have been promising and this new funding will help us to further optimise the games. As part of this work we will be developing a remotely monitored version which will be trialled and, ultimately, used in the comfort of people’s own homes.”

    Dr Jay Chillala, Consultant in Elderly Health at Trafford Hospitals, part of Central 91ֱ University Hospitals NHS Foundation Trust (CMFT), added: “We will be monitoring and comparing the progress of patients attending standard fall prevention programmes and those utilising the exergames using questionnaires, physical examination, interviews and self-reported falls calendars.”

    Cosmin Mihaiu, Co-founder & CEO, MIRA Rehab Ltd said: “The insight that working with clinicians and patients brings is great. We will soon be in a position to test a more refined version of the Exergames. This new multi-centre randomised controlled study will hopefully provide the comprehensive evidence to make the Exergames available to patients across the NHS and further afield.”

    MIRA’s Exergames currently include 12 games with a variety of physiotherapy exercises, such as leg lifts and squats, with more gaming environments already in development. Previous phases of the development and testing were funded by MIRA Rehab Ltd through a prior SBRI Phase 1 award, and The University of Manchester’s . The project was also supported by 91ֱ Improving Medicines with Innovative Technology (MIMIT) and , the North West NHS Innovation Service.

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    Tue, 26 Jan 2016 13:47:08 +0000 https://content.presspage.com/uploads/1369/500_img-2079.jpg?10000 https://content.presspage.com/uploads/1369/img-2079.jpg?10000
    Slow progress in stillbirth prevention highlighted by landmark research series /about/news/slow-progress-in-stillbirth-prevention-highlighted-by-landmark-research-series/ /about/news/slow-progress-in-stillbirth-prevention-highlighted-by-landmark-research-series/111288More than 2.6 million stillbirths continue to occur globally every year with very slow progress made to tackle this ‘silent problem’, according to new research published in The Lancet, and co-authored by from the Stillbirth Research Centre at and The University of Manchester.

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  • More than 2.6 million stillbirths continue to occur globally every year
  • Major new research series highlights scale and potential solutions
  • More than 2.6 million stillbirths continue to occur globally every year with very slow progress made to tackle this ‘silent problem’, according to new research published in The Lancet, and co-authored by from the Stillbirth Research Centre at and The University of Manchester.

    Despite significant reductions in the number of maternal and child deaths, there has been little change in the number of stillbirths (in the third trimester of pregnancy) even though the majority are preventable.

    states the annual rate of reduction for stillbirths is 2.0%, much slower than progress made for maternal (3.0%) and child deaths (4.5%). It also reveals the hidden consequences of stillbirth, with more than 4.2 million women living with symptoms of depression, often for years, in addition to economic loss for families and nations.

    Series co-lead, Professor Joy Lawn from the London School of Hygiene & Tropical Medicine, said: “We must give a voice to the mothers of 7,200 babies stillborn around the world every day. There is a common misperception that many of the deaths are inevitable, but our research shows most stillbirths are preventable.

    “We already know which existing interventions save lives. These babies should not be born in silence, their parents should not be grieving in silence, and the international community must break the silence as they have done for maternal and child deaths. The message is loud and clear – shockingly slow progress on stillbirths is unacceptable.”

    Video courtesy of the Faculty Fellowship Academy

    New estimates of stillbirth rates for 195 countries developed by the London School of Hygiene & Tropical Medicine with the World Health Organization and UNICEF reveal huge inequalities around the world. Ten countries account for two-thirds of stillbirths* with India having the highest number, estimated at 592,100 in 2015. The highest rates are in Pakistan (43.1 per 1,000 total births) and in Nigeria (42.9). The lowest rates are in Iceland (1.3), Denmark (1.7), Finland (1.7) and the Netherlands (1.8). Netherlands is also making the fastest progress, reducing stillbirths by 6.8% per year. The United States is one of the slowest progressing countries with a reduction of 0.4% per year.

    The new research includes the first global analysis of risk factors associated with stillbirth, underlining that many deaths can be prevented by:

    • Treating infections during pregnancy – 8.0% of all stillbirths are attributable to malaria, increasing to 20.0% in sub-Saharan Africa, and 7.7% of all stillbirths are associated with syphilis, increasing to 11.2% in sub-Saharan Africa.
    • Tackling the global epidemics of obesity and non-communicable diseases, notably diabetes and hypertension – at least 10% of all stillbirths are linked to each of these conditions.
    • Strengthening access to and quality of family planning services – especially for older and very young women, who are at higher risk of stillbirth.
    • Addressing inequalities – in high-income countries, women in the most disadvantaged communities face at least double the risk of stillbirth.

    The research also highlights the underappreciated psychological, social and economic impacts of stillbirth on parents, families, caregivers, and countries. New estimates suggest at least 4.2 million women around the world are living with symptoms of depression due to stillbirth, suffering psychological distress, stigma and social isolation, as well as increased risk of family breakdown, and even abuse and violence.

    Christina Sapulaye from Malawi, who experienced a stillbirth last year, said: “It was a very painful situation to me and I never knew what to do… I am being stigmatised by my own people and was divorced due to the stillbirth, and now I am by myself with my little kids.

    Fathers also commonly report suppressing their grief, and almost half of 3,503 parents surveyed in high-income countries felt society wanted them to forget their stillborn baby and try to have another child.

    The economic impact of stillbirth for families ranges from funeral costs for their baby to loss of earnings due to time off work, with data suggesting 10% of bereaved parents remain off work for six months. The direct financial cost of stillbirth care is 10-70% greater than for a live birth, with additional costs to governments due to reduced productivity of grieving parents and increased welfare costs.

    Dr Alexander Heazell, co-author from the Tommy’s Stillbirth Research Centre at St Mary’s Hospital and The University of Manchester, said: “The consequences of stillbirth have been hugely underestimated. Our research suggests that grief and symptoms of depression after stillbirth often endure for many years.

    “It is vital we, as carers, see the loss through the eyes of those parents affected to provide sensitive and respectful bereavement care. We know that something as simple as supporting parents to see and hold their baby and providing bereavement support can reduce the long-term negative impact of stillbirth.

    “Dealing with stillbirth can also have a psychological impact on health workers; consequently, better training and provision of support for those looking after affected families should also be a priority.”

    The Ending Preventable Stillbirth Series was developed by 216 experts from more than 100 organisations in 43 countries and comprises five papers. The research provides compelling evidence of the preventability of most stillbirths, forming the basis for action from parents, health care professionals, and politicians. It follows the research group’s 2011 series on stillbirths also published in The Lancet.

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    Tue, 19 Jan 2016 14:14:19 +0000 https://content.presspage.com/uploads/1369/500_alexander-heazell.jpg?10000 https://content.presspage.com/uploads/1369/alexander-heazell.jpg?10000
    Olive and sunflower oil on baby skin weakens natural defences /about/news/olive-and-sunflower-oil-on-baby-skin-weakens-natural-defences/ /about/news/olive-and-sunflower-oil-on-baby-skin-weakens-natural-defences/100729Using olive or sunflower oil on new born babies’ skin damages the barrier which prevents water loss and blocks allergens and infections, new research led by The University of Manchester has found.

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  • Oils found to delay the development of the skin barrier function
  • 91ֱ authors recommend the use of two oils on new born baby skin should be avoided
  • Using olive or sunflower oil on new born babies’ skin damages the barrier which prevents water loss and blocks allergens and infections, new research led by The University of Manchester has found.

    Despite most midwives recommending olive or sunflower oil for dry skin, as highlighted in a previous University study, there has been little research into the effects of these oils, outside of small studies in the lab.

    This is despite changes to baby skin care being linked to a dramatic increase in eczema over the last few decades: from 5 percent of children aged 2-15 in the 1940s to around 30 percent today.

    To test the effects of the two oils on babies’ skin, 115 new born infants were recruited at to the pilot study, which was supported by the NIHR.  The babies were divided into three groups – olive oil, sunflower oil and no oil.

    At the end of a 28-day trial period where babies in the oil groups were treated with a few drops on their skin twice a day, the lipid lamellae structure in the skin of each baby was investigated and in both oil groups the development of the skin barrier function was delayed compared to the no oil group.

    , the lecturer in midwifery who led the research said: “If the skin barrier function is a wall with bricks made of cells, then the lipid lamellae is the mortar that holds it together.  If it isn’t developed enough then cracks appear which let water out and foreign bodies through.

    “Oil prevents this mortar from developing as quickly and this could be linked to the development of conditions such as eczema.”

    The skin of the babies who were given the oils tended to be better hydrated, however the researchers feel that since the implications of the effect on the lipid layer weren’t fully understood, this was not enough of a benefit to outweigh possible harm.

    There is no UK national guidance on neonatal skincare, although there is evidence from studies carried out in South Asia that sunflower oil has an anti-microbial effect which could benefit premature babies in developing countries.

    However in healthy babies in the UK, the 91ֱ researchers say that they cannot recommend the use of either sunflower or olive oil on babies’ skin.

    Alison added: “We need to do more research on this issue with different oils and also study possible links to eczema, but what is clear is that the current advice given to parents is not based on any evidence and until this is forthcoming the use of these two oils on new born baby skin should be avoided.”

    The paper, ‘Olive Oil, Sunflower Oil or no Oil for Baby Dry Skin or Massage: A Pilot Assessor-blinded, Randomized Controlled Trial (the Oil in Baby SkincaRE [ObSeRvE] 91ֱ)’, was published in the journal Acta Dermato-Venereologica.

    doi: 10.2340/00015555-2279

    Full study available here:

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    Mon, 14 Dec 2015 09:46:03 +0000 https://content.presspage.com/uploads/1369/500_neonataleczema453x306-2.jpg?10000 https://content.presspage.com/uploads/1369/neonataleczema453x306-2.jpg?10000
    Rising risk of obesity among China’s ‘left behind children’ /about/news/rising-risk-of-obesity-among-chinas-left-behind-children/ /about/news/rising-risk-of-obesity-among-chinas-left-behind-children/100462Some 61 million rural children left behind by parents moving to China’s booming urban centres are at risk from increased fat and reduced protein in their diets

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  • The study of 975 children from 140 rural villages in nine provinces carefully analysed nutritional intake
  • 'Left behind’ boys in particular consumed more fat and less protein than those from complete families
  • Some 61 million rural children left behind by parents moving to China’s booming urban centres are at risk from increased fat and reduced protein in their diets, research from The University of Manchester, published in Public Health Nutrition suggests.

    The study of 975 children from 140 rural villages in nine provinces carefully analysed nutritional intake and showed a particular risk to boys who were left behind in the care of grandparents or one parent while a mother or father sought work away from home.

    The research was led by Nan Zhang from the University’s . She said: “There are sound financial reasons why so many people move from rural to urban areas in China, but the benefits that more money brings to a family can often be at the expense of child nutrition.

    “The Chinese government needs to recognise this growing problem among rural communities and this research provides some evidence to target health policies on encouraging a balanced diet.”

    The study found that ‘left behind’ boys in particular consumed more fat and less protein than those from complete families, which leaves them at increased risk of obesity and stunted growth. This finding has important policy implications in a specific cultural context where ‘son preferences’ are powerful.

    Although the findings don’t provide reasons for this change in diet, the researchers speculate that mothers moving away from home generally earn less, and that these lower earnings act in combination with grandparents’ poorer dietary knowledge or willingness to spend more on food.  Another academic paper led by Nan Zhang has explored the intergenerational differences in beliefs about healthy eating for left-behind children among grandparents and parents and was published in Appetite.

    Another factor at work could be that prices of protein-based foods such as eggs and meat have increased faster than many households’ incomes – meaning that even though money is being sent home from one or both parents, nutrition doesn’t always improve.

    Nan Zhang said: “The process of parental migration is complex and the reasons for problems in boys’ nutrition are not straightforward, however we can see that both parents and grandparents in rural areas need to be educated about good diet. 

    “Because raising children can fall on all members of the family, good care-giving practice needs to become more widespread.”

    The paper, ‘ was published in the journal, Public Health Nutrition.

    Funding came from an Economic and Social Research Council (ESRC) Postgraduate Scholarship

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    Wed, 09 Dec 2015 11:09:41 +0000 https://content.presspage.com/uploads/1369/500_1.jpg?10000 https://content.presspage.com/uploads/1369/1.jpg?10000
    WATCH: Europe in union to make falls prevention flash mob video /about/news/watch-europe-in-union-to-make-falls-prevention-flash-mob-video/ /about/news/watch-europe-in-union-to-make-falls-prevention-flash-mob-video/95863

    A video featuring more than 500 people in ten countries taking part in a flash mob is demonstrating exercises that can help reduce the risk of falls in the over-65s.

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  • More than 500 people took part
  • Falls are dangerous but preventable
  • A video featuring more than 500 people in ten countries taking part in a flash mob is demonstrating exercises that can help reduce the risk of falls in the over-65s.

    Co-ordinated by the University of Manchester, members of the public and researchers working on the issue all joined the flash mob event on International Older People’s Day (1 October).

    The idea is to let people know that falls aren’t an inevitable part of ageing and that with a few simple exercises and precautions, the risk of injury can be greatly reduced.

    The countries represented were England, Germany, Greece, Norway, Portugal, Scotland, Spain, Sweden and Wales (and the Australians also got in on the act in their role as advisors to the project).

    For more information on the ProFouND Stay Strong, Stay Steady Campaign and guides to exercises you can take, click .

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    Mon, 09 Nov 2015 14:37:37 +0000 https://content.presspage.com/uploads/1369/500_flashmob.jpg?10000 https://content.presspage.com/uploads/1369/flashmob.jpg?10000
    91ֱ sets CPR World Record! /about/news/manchester-sets-cpr-world-record/ /about/news/manchester-sets-cpr-world-record/92949More than 800 people have set a new Guinness World Record today (16 October) at a University of Manchester-organised CPR relay, in aid of European Restart a Heart Day.

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  • 900 people have set a new Guinness World Record
  • One person suffers a cardiac arrest every six minutes in the UK
  • Nine hundred people have set a new Guinness World Record today (16 October) at a University of Manchester-organised CPR relay, in aid of European Restart a Heart Day.

    One person suffers a cardiac arrest every six minutes in the UK and 12 young people die every week from undiagnosed cardiac conditions, so the attempt, which is in support of , sought to train a minimum of 701 people in this vital technique – breaking a previous record of 700 set by the American Heart Association.

    Training to save a life only takes 15 minutes and each volunteer who took part performed chest compressions for one minute before the next person took over.  Even a five second delay between the transfer between people would have resulted in the record being invalid, so organisation was key to the success of the attempt.

    The record attempt was the brainchild of senior lecturer, Patricia Conaghan and Professor Christopher Cutts, Associate Dean for Social Responsibility, .

    Patricia said: “A huge thanks to our volunteers and the people of Manchester who took part in the attempt today. Mainly though this is about getting the message out that learning this skill only takes a few minutes and thanks to this event we’ve now got over 700 people who can perform CPR in an emergency.”

    The event was supported by The University of Manchester , ; , , , , ,Greater 91ֱ Fire and Rescue Service and . The event was also supported by from University alumni and friends.

    Dr Andy Lockey, Honorary President of Resuscitation Council (UK), was at the event.  He said: “We want as many people to know CPR as possible, so 91ֱ is now a fantastic place to be because if you collapse there are an extra 700 people who know what to do.”

    The University of Manchester has a strong commitment to supporting resuscitation through the deployment of defibrillators across campus and training initiatives including a student volunteering project.

    Student, Rob Turton took part.  He said: “I really wanted to take part in the world record attempt but it’s really important that people know CPR – it’s such a good thing to know.”

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     ]]> Fri, 16 Oct 2015 16:30:00 +0100 https://content.presspage.com/uploads/1369/500_educationandoutreachofficerofuomnursingsocietykatylenney1.jpg?10000 https://content.presspage.com/uploads/1369/educationandoutreachofficerofuomnursingsocietykatylenney1.jpg?10000
    Lecture gets to the heart of nursing for cardiovascular patients /about/news/lecture-gets-to-the-heart-of-nursing-for-cardiovascular-patients/ /about/news/lecture-gets-to-the-heart-of-nursing-for-cardiovascular-patients/87788
    Heart disease, diabetes and self-care for patients and their families was the topic of a lecture given today (4 September) by a distinguished US professor of nursing.

    Professor Sandra Dunbar of Emory University, Atlanta was in 91ֱ to deliver a Florence Nightingale Foundation Nursing Lecture about her research into helping people with type two diabetes and heart disease manage their conditions.

    Just before beginning the lecture, she outlined her work in the audio below:

    is formerly a cardiovascular nurse researcher whose programme of research has focused on improving outcomes for complex cardiovascular patients and their families. She is Charles Howard Candler Professor of Cardiovascular Nursing and Associate Dean at the School of Nursing, Emory University.

    She said: “The essential success of the programme is down to well-prepared nurses who were delivering it to patients in the hospital and in the community.”

    Nursing Lectures are a partnership with The University of Manchester and . Upcoming lectures can be booked onto and past lectures are available to view on .

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    Fri, 04 Sep 2015 16:41:23 +0100 https://content.presspage.com/uploads/1369/500_20150904_115418.jpg?10000 https://content.presspage.com/uploads/1369/20150904_115418.jpg?10000
    Bid to cut childbirth mortality with game for African midwives /about/news/bid-to-cut-childbirth-mortality-with-game-for-african-midwives/ /about/news/bid-to-cut-childbirth-mortality-with-game-for-african-midwives/84797Researchers at The University of Manchester have developed a new board game which will help African midwives to detect prolonged and obstructed labour to prevent women dying in childbirth.

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    The new game, called Progression, has been designed to help midwives learn to use a partograph – a universally used chart which records a wealth of information on factors such as  heart rate, labour progress, blood pressure and temperature, to flag up any issues with mother and baby.

    Midwives generally find the chart difficult to complete. Moreover, they struggle to use it as a decision-making aid. This prevents it being used properly to prevent maternal death and illness due to obstructed and prolonged labour – a major issue in many developing countries.

    The game is designed to provide an additional and low cost resource which midwives can use to refresh their knowledge in groups and to spark discussion with each other – ultimately delivering better knowledge of the partograph.

    A pilot scheme carried out with 165 midwives in east Africa which has just concluded, reported overwhelmingly that participants found the game useful, entertaining and educational.

    , from the University’s , led the project. “The crucial benefit of using this game is that it allows midwives to make mistakes without endangering lives,” she said.  “The game is designed to provide new knowledge, revise what they already know and discuss with other players the best ways to support women. The feedback from midwives working in these countries during the pilot was overwhelmingly positive.”

    Progression involves charting a series of findings from a woman in labour.  As players move around the board they land on spaces which trigger a randomly selected card question which they have to answer to keep moving.

    It was developed from an idea by Dr Gaynor MacLean with funding from and the pilot was carried out in partnership with - a network of midwives involving The University of Manchester and academics and health workers from Kenya, Malawi, Zambia, Uganda, Zimbabwe and Tanzania. 

    The network is dedicated to improving maternal health outcomes in Africa through increasing evidence-based practice in midwifery and the game was one of the outcomes of this collaboration.

    The next step is to develop the game for larger scale production and distribution in the LAMRN partner countries.

    Professor Lavender added: “This game has been shown in our pilot to enhance midwives’ skills and give them greater confidence in the use of the partograph.  Ultimately this effect will have a significant impact on the outcomes of childbirth for the most vulnerable women and their children in low-income settings.”

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    Mon, 17 Aug 2015 15:26:32 +0100 https://content.presspage.com/uploads/1369/500_midwives.jpg?10000 https://content.presspage.com/uploads/1369/midwives.jpg?10000
    Psychologists to help Dr Google /about/news/psychologists-to-help-dr-google/ /about/news/psychologists-to-help-dr-google/81501Psychologists are to improve online health information on lung cancer after research showed that family members are more likely to search online to encourage loved ones to seek help.

    This is one of the outcomes from research by Julia Mueller based in at The University of Manchester (part of ) who will present her study today, Thursday 7 May 2015, at being held in Liverpool.

    Julia Mueller said: “People displaying symptoms of lung cancer often don’t seek medical diagnosis for several months, which can affect their recovery or even their survival. Online health information could be a key factor influencing their decision to seek medical help. This study explored whether those with suspected lung cancer researched symptoms online prior to diagnosis and if this impacted on help-seeking behaviour.”

    Some 120 patients recently diagnosed with lung cancer (within six months) completed questionnaires, with a further 24 taking part in interviews.

    The results showed that only 2 per cent patients had researched their own symptoms online, while 18 per cent reported a relative had done this on their behalf. Relatives used the information to encourage the patients to seek further medical diagnosis and to check doctor’s advice. However, most encountered problems retrieving and assessing online information. 

    Julia Mueller said: “Our findings highlight the importance of relatives in triggering help-seeking for lung cancer symptoms and that online information contributes to this process. Being able to easily access appropriate information online could be crucial in getting people to the doctor earlier – which will improve recovery and survival rates.

    “We plan to develop and evaluate a website that will provide information for those experiencing lung cancer symptoms that have not gone to their doctor for a diagnosis. This will involve tailoring information to the individuals own circumstances, such as age and gender, and whether they are searching for themselves or behalf of someone else.”

    The study was funded by the Medical Research Council.

    Cancer is one of - examples of pioneering discoveries, interdisciplinary collaboration and cross-sector partnerships that are tackling some of the biggest questions facing the planet.

    Notes for editors

    Media enquiries to:
    Jamie Brown
    Media Relations Officer
    The University of Manchester
    Tel: 0161 2758383
    Email: jamie.brown@manchester.ac.uk

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    Thu, 07 May 2015 10:19:00 +0100 https://content.presspage.com/uploads/1369/500_unimanchesterimage.jpg?10000 https://content.presspage.com/uploads/1369/unimanchesterimage.jpg?10000
    BBC 6 O'Clock News interviews nursing students /about/news/bbc-6-oclock-news-interviews-nursing-students/ /about/news/bbc-6-oclock-news-interviews-nursing-students/81527The BBC's 6 O'Clock News filmed student nurses and asked them about Labour's election pledge to fund an extra 1,000 places.

    Watch the video below to see the full recording, or click to find out more about nursing at The University of Manchester.

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    Wed, 22 Apr 2015 14:34:00 +0100 https://content.presspage.com/uploads/1369/500_unimanchesterimage.jpg?10000 https://content.presspage.com/uploads/1369/unimanchesterimage.jpg?10000
    Presentation is key in antenatal information, research suggests /about/news/presentation-is-key-in-antenatal-information-research-suggests/ /about/news/presentation-is-key-in-antenatal-information-research-suggests/81585The font type of written text and how easy it is to read can be influential when it comes to engaging people with important health information and recruiting them for potentially beneficial programmes, new research by The University of Manchester and Leeds Beckett University has found.

    Led by Dr Andrew Manley, a Chartered Sport and Exercise Psychologist and Senior Lecturer in Sport and Exercise Psychology at Leeds Beckett, the study - published in the latest issue of journal - assessed the extent to which the title and font of participant information sheets can influence a person’s perception of written information.

    Thirty-five pregnant women and 36 trainee midwives took part in the research and were randomly presented with one of four participant information sheets describing an antenatal programme.

    Dr Manley collaborated on the project with his wife and fellow academic, () and (), both of whom are based at The University of Manchester.

    “When it comes to people engaging with written information related to their health and wellbeing, it is vital that it is presented in the most accessible format,” said Dr Manley. “In reality, such information is presented in all manner of styles, fonts and formats, and we wanted use this study to explore just how much this impacts on people’s level of understanding and engagement.”

    The information sheets, all detailing the same programme, were presented in four different ways to the trainee midwives and pregnant women participating. The title and font had been manipulated to one of the following:

     • Easy to pronounce title and easy-to-read font;

     • Difficult to pronounce title and difficult-to-read font;

     • Easy to pronounce title and difficult-to-read font;

     • Difficult to pronounce title and easy-to-read font.

    Dr Manley commented: “It’s often assumed that easy to read material is judged as familiar, is more likely to be accepted, and less likely to be scrutinised.

    “Within our study, after reading the antenatal programme information sheet, participants were asked to rate their perceptions of the programme in terms of: whether they would be likely to participate in the programme; how easy it was to understand details of the programme; the level of perceived risk associated with participation; and the level of effort required to fulfil participation requirements.

    “There were no major differences between how the trainee-midwives perceived the various information sheets, although results for pregnant women’s ratings revealed a significant difference in relation to perceptions of the programme’s complexity.

    “Specifically, when the title was easy to pronounce and the information sheet was presented in an easy-to-read font, pregnant women perceived the programme to be less complex and easier to understand compared to when the title and font were presented in a more awkward style.

    “Considering the differences in perceived complexity between the group of midwives and the group of pregnant women, a tentative explanation is that the trainee midwives’ broader knowledge of specific issues may have made them less reliant on the presentation of the text.

    “Just as previous research has shown that perceived complexity can influence injured athletes’ adherence to rehabilitation programmes, our study suggests that similar perceptions may guide pregnant women’s decisions in relation to potentially beneficial programmes. Therefore, practitioners should present participant information sheets in a clear manner if they are to maximise recruitment to a given course or programme.  We are currently developing a follow-up study on a larger scale to test the consistency of these findings in other clinical contexts.”

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    Fri, 13 Mar 2015 10:12:00 +0000 https://content.presspage.com/uploads/1369/500_14103_large-2.jpg?10000 https://content.presspage.com/uploads/1369/14103_large-2.jpg?10000
    Experts’ advice for preventing a fall this winter /about/news/experts-advice-for-preventing-a-fall-this-winter/ /about/news/experts-advice-for-preventing-a-fall-this-winter/81606Falls are the leading cause of fatal injuries among older people but, even though the weather continues to be wet and icy, experts from the University of Manchester are showing that falls can be avoided.

    Around a third of people over-65 and half of those over 80 will fall every year. In addition, the fear of falling can be a major barrier to independence.

    As part of an EC funded project called , researchers at The University of Manchester are working together with partners across Europe to ensure that older people feel confident to remain active in their own home.

    from the University said: “The mental and physical health benefits of being independent in the home are enormous, yet a fear of falling can prevent many people from carrying out activities.

    “Living with a fear of falling can create a lot of worry to family members, friends and to us – resulting in a great deal of distress. A fear of falling can also lead to us dropping out of activities and staying at home more. This can result in a loss of confidence and feelings of boredom, frustration and loneliness.” 

    To counteract this, the researchers are spreading information about simple activities that people can do and have created five films with exercises that people can do easily at home. Watch them .

    They are also taking a technological approach by developing an app for smart phones which automatically sends a text, to a fall alarm service and / or a carer or relative, when someone has fallen.

    This is currently being trialled in Norway in a group of older people.  One of them said: “It would make me feel safe to get a phone call from a person who asks what has happened. One who is not so far away.” Others have said that having this app on their smartphone would give them confidence to go outdoors, when they would have otherwise stayed at home.
    Dr Hawley-Hague is convinced that the high numbers of falls can be reduced by people taking precautions and speaking to their GP more frequently.  “Keeping fit is even more important as you get older.  Simple exercises and getting advice on healthy ageing can stop you falling and remove a lot of worry from your life.”

    Dr Hawley-Hague’s advice to prevent falls:

    1. Stay active and improve your strength and balance by attending a specific class run by your local authorities and health services
    2. Did you know that you can be taught techniques for getting down to the floor and back up again? This will increase your confidence and is included in some strength and balance classes.
    3. If you are concerned about your balance see your GP to get a referral to physiotherapy for a prescribed exercise plan
    4. You can also see you GP or local authority to get a risk assessment done on your home
    5. Keep moving around.  Research suggests that you should do 150 minutes of moderate intensity activity each week, in bouts of 10 minutes. But check with your GP if you have any existing conditions.
    6. Good sturdy shoes will help you keep you balance and tucking in loose clothes prevents them catching on things.
    7. Get your eyes tested regularly.  This will help you keep your balance and spot trip hazards.
    8. Some medications can increase your risk of falling.  Check with your GP or discuss these issues with your pharmacist.
    9. If you have fractured a limb recently and you have not had your bone health assessed, go to your GP to discuss your risk of Osteoporosis (fragile bones).
    10. If you would like to know more about how you can be involved in developing technology which could help you to remain active or prevent falls, then (or your nearest university).

    Notes for editors

    Media enquiries to:
    Jamie Brown
    Media Relations Officer
    The University of Manchester
    Tel: 0161 2758383
    Email: jamie.brown@manchester.ac.uk

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    Mon, 02 Mar 2015 10:25:00 +0000 https://content.presspage.com/uploads/1369/500_unimanchesterimage.jpg?10000 https://content.presspage.com/uploads/1369/unimanchesterimage.jpg?10000
    University part of new family drug and alcohol courts unit /about/news/university-part-of-new-family-drug-and-alcohol-courts-unit/ /about/news/university-part-of-new-family-drug-and-alcohol-courts-unit/81622Researchers from The University of Manchester are part of a new national unit which will establish Family Drug and Alcohol Courts (FDAC) across England.

    and will be part of the new a National FDAC Development Unit funded by the Department for Education which will support the support the roll out of more of these specialist courts across England.

    Comprised of practitioners, policy makers and researchers, the national unit will be dedicated to nurturing new specialist drug and alcohol courts across the country.

    Parental substance misuse is the leading preventable cause of child abuse and neglect and for children at risk within the family, so FDAC offers an evidence-based alternative form of care proceeding which is proven to have better outcomes. More mothers and fathers stop misusing drugs and alcohol; fewer parents relapse; more parents resume the care of their children; there is less abuse and neglect after return home; and reunification lasts longer.

    Dr Broadhurst, from the University’s , has a special interest in cases where the same parents lose successive infants through care proceedings. She said:  “We need to be attentive to the impact of the court process on parents as well as children – timely decisions about permanence for children are absolutely vital, but we must at the same time consider the healing potential of the court for parents who can otherwise be locked in a pattern of repeat care proceedings.

    “The FDAC model is a therapeutic approach that has shown it can deliver very promising results for the whole family (whether children are returned to parents’ care or not) and its wider roll out is a hugely important step forward.”

    The work of the national Unit links closely with Karen’s other research projects which include funded by the Nuffield Foundation to profile the repeat clients of the family court in England. This work was reported in an invited four-part series last year in .

    Her leadership role will ensure that research findings directly inform and shape the ‘subsequent baby’ pathway that will be piloted within the New FDAC Unit. Karen’s work brings a new dimension to the work of the Midwifery and Women’s Health Group within the School, through a focus on pregnancy and parenting in complex social circumstances.

    The National Unit will be based at the , where is currently situated. It is led by the , supported by a group of partner organisations - , Coram, Brunel University London, The University of Manchester and .

    You can read a blog by Dr Broadhurst on this story .

    Notes for editors

    Media enquiries to:

    Jamie Brown
    Media Relations Officer
    The University of Manchester
    Tel: 0161 2758383
    Email:jamie.brown@manchester.ac.uk

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    Wed, 18 Feb 2015 09:22:00 +0000 https://content.presspage.com/uploads/1369/500_13912_large-2.jpg?10000 https://content.presspage.com/uploads/1369/13912_large-2.jpg?10000
    Hand washing focus in hospitals has led to rise in worker dermatitis /about/news/hand-washing-focus-in-hospitals-has-led-to-rise-in-worker-dermatitis/ /about/news/hand-washing-focus-in-hospitals-has-led-to-rise-in-worker-dermatitis/81628

    A new study from The University of Manchester has revealed that the incidence of dermatitis has increased 4.5 times in health care workers following increased hand hygiene as a drive to reduce infections such as MRSA has kicked in.

    Researchers from the University’s studied reports voluntarily submitted by dermatologists to a national database which is run by the University (), between 1996 and 2012.  Sixty percent of eligible UK dermatologists used this database which is designed to report skin problems caused or aggravated by work.

    They found that out of 7,138 cases of irritant contact dermatitis reported 1,796 were in healthcare workers. When the numbers were broken down by year, health workers were 4.5 times more likely to suffer from irritant contact dermatitis in 2012 as in 1996. In other sectors, cases declined or did not change.

    Prevention of healthcare associated infections, such as MRSA and C difficile, became an NHS priority in 1999, and successive campaigns have emphasised the washing of hands with soap or alcohol hand rub by staff, patients and visitors.  This has been a success, with a reduction of infections reported and a greatly increased use of cleaning products.

    , who led the research, said: “Campaigns to reduce these infections have been very successful and many lives have been saved.  However, we need to do all we can to prevent skin irritation among these frontline workers.”

    The implications of increasing levels of irritant dermatitis are potentially counter-productive to the aims of infection reducing campaigns.  Other studies have identified that infections can remain present for longer on damaged and broken skin and having irritated skin can put people off washing their hands.

    Dr Stocks said: “Obviously we don’t want people to stop washing their hands, so more needs to be done to procure less irritating products and to implement practices to prevent and treat irritant contact dermatitis.”

    The paper, ‘’, was published in the British Journal of Dermatology.

    Notes for editors

    Media enquiries to:

    Jamie Brown
    Media Relations Officer
    The University of Manchester
    Tel: 0161 2758383
    Email: jamie.brown@manchester.ac.uk

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    Thu, 12 Feb 2015 09:30:00 +0000 https://content.presspage.com/uploads/1369/500_13861_large-2.jpg?10000 https://content.presspage.com/uploads/1369/13861_large-2.jpg?10000
    Staff turnover and complaints in mental health trusts could be suicide warnings /about/news/staff-turnover-and-complaints-in-mental-health-trusts-could-be-suicide-warnings/ /about/news/staff-turnover-and-complaints-in-mental-health-trusts-could-be-suicide-warnings/81642A national study of every NHS mental health service in the UK has found that high turnover of staff and more patient complaints could be linked to suicide risk among patients.

    Researchers from The University of Manchester’s investigated whether suicides were related to the way mental health services were organised based on staff and patient surveys, national databases and other records. Their report, “Healthy Services and Safer Patients” is based on 13,960 patient suicides from 2004-12.

    They found that mental health services which had higher levels of non-medical staff turnover (e.g. nursing staff) and more complaints by patients were also more likely to have higher patient suicide rates.

    , Director of the Inquiry, also leads the National Suicide Prevention Strategy for England.  He said: “High staff turnover could compromise safety in that frequent changes of staff are likely to disrupt the continuity of care of vulnerable patients. However, the effect may not be causal: staff turnover could be a marker for something else affecting safety, such as poor leadership.”

    “What the data show is that high staff turnover may be a warning sign for patient safety and services should monitor it closely.”

    The Francis report into the Mid Staffordshire NHS Foundation Trust and the Berwick review into patient safety highlighted how patient safety may be affected by features of an organisation providing care, such as staffing and the handling of complaints. This study is thought to be the first to show this effect in mental health.

    The report also linked suicides to the number of safety incidents overall. is Head of Suicide Research at the Inquiry and one of the authors of the report. He said: “There may be a tendency to link the number of complaints and safety incidents to a culture of openness and transparency.  This may be the case but they may also be an indication that there are real safety concerns that need to be addressed.”

    The Inquiry data were commissioned by the Healthcare Quality Improvement Partnership () on behalf of NHS England, the Scottish Government, NHS Wales, the Northern Ireland Department of Health, Social Services and Public Health (DHSSPS) and the State of Jersey.

    The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH) was established at the University of Manchester in 1996. NCISH collects information on events leading to suicide, homicide or sudden unexplained death (SUD) in mental health patients and makes recommendations for prevention.

    The full report is available .

    Notes for editors

    Media enquiries to:

    Jamie Brown
    Media Relations Officer
    The University of Manchester
    Tel: 0161 2758383
    Email: jamie.brown@manchester.ac.uk

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    Wed, 04 Feb 2015 00:01:00 +0000 https://content.presspage.com/uploads/1369/500_13807_large-2.jpg?10000 https://content.presspage.com/uploads/1369/13807_large-2.jpg?10000
    Hitachi, Salford Royal FT, Salford CCG, and NWEH partnership to target diabetes /about/news/hitachi-salford-royal-ft-salford-ccg-and-nweh-partnership-to-target-diabetes/ /about/news/hitachi-salford-royal-ft-salford-ccg-and-nweh-partnership-to-target-diabetes/81705

    Treating type 2 diabetes costs the NHS £8.8bn each year and despite being largely preventable its prevalence continues to increase. In Salford, one in ten men over the age of 60 has diabetes. A major driver for the development of diabetes is obesity, which markedly increases the risk of developing the disease.

    In partnership with , , and (CCG), is set to deliver a game-changing telecare service across the Salford area that will target people at the pre-diabetes stage, when they present with impaired glucose regulation (IGR). 

    NorthWest EHealth is itself a partnership made up of the University of Manchester, Salford Royal FT, and Salford CCG.

    Following on from a proof of concept trial, the study will allow both diabetes specialist nurses and patients to view their progress implementing small lifestyle modifications. Changing people’s attitudes and habits around portion size, exercise and alcohol consumption can add up to make a huge difference to lowering their risk – advises that every kilogram of weight lost can reduce risk by up to 15%.

    Using Salford’s integrated electronic records system, and this new online interface, people at greatest risk of developing type 2 diabetes can be identified and supported to work towards healthy lifestyle goals.

    As well as reducing the risk of developing diabetes, the project has the potential to improve patient health overall, and limit their risk of developing other chronic illness like heart disease and cancer. It could also provide a model which can be used to remotely treat a broad range of different disease across the UK.

    Notes for editors

    For media enquiries:

    Jamie Brown
    Media Relations Officer
    The University of Manchester
    Tel: 0161 2758383
    Email: jamie.brown@manchester.ac.uk

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    Fri, 05 Dec 2014 10:56:00 +0000 https://content.presspage.com/uploads/1369/500_13475_large-2.jpg?10000 https://content.presspage.com/uploads/1369/13475_large-2.jpg?10000
    91ֱ Centre for Global Women’s Health named WHO Collaborating Centre /about/news/manchester-centre-for-global-womens-health-named-who-collaborating-centre/ /about/news/manchester-centre-for-global-womens-health-named-who-collaborating-centre/81713

    The World Health Organization (WHO) has officially partnered with a research centre at The University of Manchester which promotes improvements in women’s health in low and middle income countries.

    will work with WHO for four years, sharing expertise to help develop international guidelines for policy and practice, and training materials for midwives and skilled birth attendants working to improve labour and childbirth outcomes.  

    The Director of the Centre, r said: “This accreditation is great news for us as it cements our relationship. Working with this major organisation can only assist in reducing childbirth associated mortalities and morbidities and improving care of mothers and babies.

    “The work we do with our partners in Africa makes a huge difference to midwives and of course women, so, ultimately, the support of the WHO will allow us to do that more effectively.”

    The designation builds on the Centre’s strong track record of working with the WHO, and allows the team in 91ֱ to maximise the impact of its growing portfolio of research, training and clinical practice activities aimed at reducing maternal mortality and morbidity.

    Researchers from the Centre work very closely with midwives in East Africa, playing a leading role in the Lugina Africa Midwives Network () which offers mentoring and research training for health workers in six African countries. Midwives in the Network have identified research priorities, and have designed and carried out research on clinically important topics such as postnatal infection, neonatal emergencies, fistula care, prolonged labour and HIV.

    Professor Lavender said: “We work with inspirational midwives who are working with limited resources and few developmental opportunities. The Centre for Global Women’s Health is helping to support them in their work.” 

    The 91ֱ Centre joins more than 700 designated Collaborating Centres worldwide, working to support WHO’s international programmes. Professor Lavender said: “It is an honour to be associated with the WHO. Being a formal partner in this global network is a way of sharing good practice, finding solutions to childbirth problems and giving women the care that they deserve.”

    Notes for editors

    For more information about WHO Collaborating Centres see:

    Media enquiries to:

    Jamie Brown
    Media Relations Officer
    The University of Manchester
    Tel: 0161 2758383
    Email: jamie.brown@manchester.ac.uk

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    Wed, 03 Dec 2014 10:00:00 +0000 https://content.presspage.com/uploads/1369/500_13423_large-2.jpg?10000 https://content.presspage.com/uploads/1369/13423_large-2.jpg?10000
    Exercise to prevent falls and fractures /about/news/exercise-to-prevent-falls-and-fractures/ /about/news/exercise-to-prevent-falls-and-fractures/81809Boosting your activity levels and doing strength and balance exercises significantly reduces your risk of breaking a bone as a result of falling if you are over 60, according to experts from an international research group based at The University of Manchester.

    Falls are the leading cause of fatal injuries among older people, but experts from across Europe argue they should not just be written off as an unavoidable consequence of ageing.

    Ahead of International Older People’s Day on 1 October ageing experts at The University of Manchester are advising people 60 plus to increase their exercise to reduce the risk of potentially fatal trips and falls.

    The University of Manchester is part of ProFouND: - a European Commission-funded network aiming to provide the best falls prevention advice to help prevent falls among older people across Europe.

    ProFouND is training exercise coaches across Europe to deliver training in their local regions and extend exercise programmes to reach some 84,000 older people by 2016.

    Older people who have a history of falls, take 4 or more medications, who have problems walking, use a walking aid or have conditions such as a previous stroke, Parkinson’s disease, dementia or arthritis are at increased risk of falls.

    Fear of falling, problems with continence, poor vision or strength and balance problems also heighten the risk.

    , from The University of Manchester, said: “The golden rule to prevent falls and strengthen bones is to work on strength and balance. There are a number of options and perhaps Tai Chi exercises are the best known. But exercise programmes like the “” and “” programmes are also widely available.

    “We’d usually recommend someone with a history of falls or who has not been very active to visit their GP for prescribed exercises, which can start at their particular level of ability and be built up as they get stronger. This might involve squats to strengthen leg muscles and standing on one leg to practice balancing, with weights being added to improve bone density and muscle retention as they progress. These are things that everyone can do usually in their own home and make a world of difference.”

    She continues: “Many people wrongly think that falls are just a part of ageing and something to be expected as you get older but this is not true at all and exercise will make you less likely to fall.”

    Falls cost the NHS £2.3billion a year and around a third of people over-65 and half of those over 80 will fall every year. Exercise can significantly reduce falls risk.

    , overall project leader of the ProFouND network based at The University of Manchester, said: “There is now a strong body of evidence, which shows doing strength and balance exercises can protect against falls. ProFouND is supporting the European Innovation Partnership on Active and Healthy Ageing by making training material available across EU to help reduce the numbers of falls suffered by older people in Europe.

    “In the last year we have trained 35 instructors in Europe who will themselves train many more exercise coaches to help older people exercise safely and dramatically reduce their risk of falling. Our instructors are now carrying out work in more European countries working towards an EU standard. Exercise leaflets have been translated into 14 languages with six more languages to go. Together the partnership hopes to make a real difference improving activity levels in later life and keeping people out of hospital for longer.”

    Researchers from The University of Manchester will be at a celebration event on Wednesday 1 October 11.30am – 2.30pm at St Mary’s Parish Centre Elbow Street Levenshulme M19 3PY for people over 60 to get advice on falls prevention and exercising safely.

    Top tips to increase your exercise levels if you are 60+

    • Minimise the amount of time spent sitting and being sedentary.
    • Aim to be active daily
    • Try to do 150 minutes of moderate intensity activity in bouts of 10 minutes or more each week (so 10 minutes a couple of times each day)
    • Try visiting your local library to find out about exercise classes close to you 
    • Many health authorities have information on sessions that aim to improve strength and balance, or look at the on the internet.” 
     

    Notes for editors

    For further information or to request an interview with Dr Stanmore or Professor Todd, please contact:

    Morwenna Grills | Media Relations Officer | The University of Manchester | Tel. +44 (0)161 275 8383 | Mob: +44 (0)7920 087466 | Email: Morwenna.Grills@manchester.ac.uk

    ProFouND: The Prevention of Falls Network for Dissemination is an EC funded initiative dedicated to bring about the dissemination and implementation of best practice in falls prevention across Europe lead by the University of Manchester. ProFouND comprises 21 partners from 12 countries, and associate members from a further 10 countries. ProFouND aims to influence policy to increase awareness of falls and innovative prevention programmes amongst health and social care authorities, the commercial sector, non governmental organisations (NGOs) and the general public so as to facilitate communities of interest and disseminate the work of the network to target groups across EU. http://www.profound.eu.org
     
    The European Innovation Partnership on Active and Healthy Ageing was launched in April 2012. Europe is in a process of demographic ageing: more people get older, and fewer young people enter the labour market. To tackle this demographic challenge, the European Innovation Partnership on Active and Healthy Ageing (EIP-AHA) aims to increase the healthy lifespan of EU citizens by 2 years on average by 2020. EIP-AHA aims for a triple win: better quality of life, more sustainable systems for health and social care, and innovation, jobs and economic growth.
     
    The EIP-AHA Action on Falls Prevention is made up of more than 70 organisations from all over the EU including universities and research groups, public authorities, health providers, industry, non-governmental organisations representing citizens, older people, patients and others interested in the field. The plan is to identify best practice and support the introduction of evidence based operational programmes for prevention of falls, early identification and minimisation of risk and good clinical management of people who fall.
     
    The EIP-AHA on Falls Prevention is supported by two EC funded networks
     
    ProFouND: The Prevention of Falls Network for Dissemination
    www.profound.eu.com
    E-NO FALLS: European Network for FALL Prevention, Intervention and Security 
    www.e-nofalls.eu
     
    International Day of Older Persons: On December 14, 1990, the UN General Assembly made October 1 the International Day of Older Persons.
    ]]>
    Wed, 01 Oct 2014 01:00:00 +0100 https://content.presspage.com/uploads/1369/500_unimanchesterimage.jpg?10000 https://content.presspage.com/uploads/1369/unimanchesterimage.jpg?10000
    Thousands of mothers have successive children removed by family courts /about/news/thousands-of-mothers-have-successive-children-removed-by-family-courts/ /about/news/thousands-of-mothers-have-successive-children-removed-by-family-courts/81946Research led by experts at The University of Manchester shows thousands of mothers have had successive children removed by family courts in England over the past seven years.

    During 2007-2013, 7,143 birth mothers appeared in 15,645 recurrent care applications concerning 22,790 infants and children. 

    The study also found approximately 1 in every 3 care applications concerns a mother who can be described as a repeat client of the family court. 

    The scale of the pattern of recurrent care proceedings has been captured in the initial findings of a study led by Dr Karen Broadhurst from the School of Nursing, Midwifery and Social Work and funded by the Nuffield Foundation.

    Local authorities issue care proceedings where it is so concerned about children, that compulsory legal intervention is deemed necessary to secure the safety and well being of children. But the continued high volume of care applications made annually by local authorities has led to members of the judiciary raising concerns about birth mothers who they see appearing and re-appearing before them, only to lose successive infants to public care or adoption.

    Dr Broadhurst said: “Mothers appearing in recurrent cases are very young. 19% are aged 14-19 years of age at first care application and in 50% of all cases, mothers are aged 24 or less. Work is ongoing to establish what can be learned about fathers in recurrent cases.”

    The research also found recurrent care proceedings follow in short succession, most commonly prompted by the birth of another infant. 

    Dr Broadhurst added: “From this we can infer that birth mothers are pregnant again, either during the first set of proceedings, or shortly after. In addition, in 42% of cases, the local authority will issue a care application within the first month of an infant’s birth. This pattern raises questions about prevention because mothers will have very little time to effect change between episodes of care proceedings. This observation is confirmed by the profile of final legal outcomes, which suggests that in only a small percentage of cases, infants or children remained at home or were returned to their birth mothers.” 

    The study authors recommend agencies must help mothers to extend the window between their pregnancies as part and parcel of a multi-faceted approach to rehabilitation. In addition, attention needs to be paid to the court process, to ensure that the family court maximises engagement with teenage or very young, vulnerable women and their families, they argue.

    The Child and Family Court Advisory Service (CAFCASS), and the President of the Family Division granted ethical clearance and access to data. 
     

    Notes for editors

    The Research Team is made up of Dr Karen Broadhurst (Principal Investigator, University of Manchester); Professor Judith Harwin (Co-investigator, Brunel University); Dr Mike Shaw (Child and Adolescent Psychiatrist, Co-investigator, Tavistock and Portman NHS Foundation Trust); Dr Bachar Alrouh (Lead Researcher, Brunel University) and Dr Mark Pilling (Statistical Adviser, University of Manchester).The research was published in today.

    For further information, please contact Alison Barbuti, Media Relations Officer, Faculty of Medical and Human Sciences, 0161 275 8383 alison.barbuti@manchester.ac.uk
     
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    Mon, 23 Jun 2014 01:00:00 +0100 https://content.presspage.com/uploads/1369/500_iron_bird_13.jpg?10000 https://content.presspage.com/uploads/1369/iron_bird_13.jpg?10000
    North West’s first Florence Nightingale Foundation Chair appointed /about/news/north-wests-first-florence-nightingale-foundation-chair-appointed/ /about/news/north-wests-first-florence-nightingale-foundation-chair-appointed/82057Patients in 91ֱ are to benefit from a new Florence Nightingale Foundation Chair in Clinical Nursing Practice Research to follow the celebrated social reformer’s role reviewing and developing evidence to deliver the highest quality care to patients.

    The appointment made by the Florence Nightingale Foundation in partnership with The University of Manchester and Central 91ֱ University Hospitals NHS Foundation Trust will see Professor Angela Tod become the first Florence Nightingale Foundation Chair in Clinical Nursing Practice Research in the North West.

    The chair is one of several prestigious appointments across the UK and follows appointments in Cardiff, Cambridge and London.
    Professor Tod, currently Professor in Health Services Research at Sheffield Hallam University, has many years’ experience of clinical nursing practice and practice development. She has specialised in research to capture patient experience and evaluate the accessibility and effectiveness of health services in clinical areas including  cardiology and obesity. Her research has looked at how people experience diagnosis, treatment and recovery from conditions such as  a heart attack and lung cancer, including health inequalities and developing and evaluating health care services.

    Other recent research topics include health inequalities, fuel poverty and how cold weather and cold homes impact on health. Additional evaluations are of a smoke free homes initiative, nutrition for oncology patients and the nurse's role and experience of breaking bad news.

    Professor Karen Luker, Head of the School of Nursing, Midwifery and Social Work at The University of Manchester, said: “The Florence Nightingale Chair appointment recognises the important role nurses continue to play in developing new evidence-based techniques through research to improve the care of patients.  We are delighted to have Professor Tod on board and her wealth of experience will be a huge benefit helping to translate new treatment approaches directly into hospitals. The role will help to support innovation and improve patient care through excellent academic leadership.”

    Gill Heaton, Director of Patient Services/Chief Nurse at Central 91ֱ University Hospitals NHS Foundation Trust, said: “We are delighted to have jointly appointed a Chair in Clinical Nursing Practice Research in partnership with The University of Manchester School of Nursing, Midwifery and Social Work. Supported by the Florence Nightingale Foundation, the Chair will work closely with our nursing teams at Central 91ֱ University Hospitals NHS Foundation Trust to further enhance the quality of nursing care delivered to our patients through the application and advancement of nursing research.”

    Professor Elizabeth Robb, Chief Executive of the Florence Nightingale Foundation, said: “Professor Tod’s appointment reflects our aim to support the creation of chairs in clinical nursing practice research and to work closely with academic bodies and healthcare organisations to develop evidence based practice.  This appointment adds to our network of Chairs around the country ensuring that the standards and values laid down by Florence Nightingale continue to resonate in nursing today.”

    Professor Tod was principal investigator for a National Institute for Health Research (NIHR) Research for Patient Benefit project to explore factors influencing Keeping Warm in Later Life and is currently developing research on other aspects of fuel poverty, cold weather and health, including households with children with asthma. She is part of a large five year NIHR Programme study on the Design, Development, Commissioning and Evaluation of Patient Focused Vascular Services which she will continue to work on in 91ֱ.

    A widely published author and speaker at national and international forums, Professor Tod is also chair of the National Lung Cancer Forum for Nurses Research Interest Group.

    Professor Tod said she was both excited and honoured to take on the role.

    Professor Tod said: “It is a huge honour to be appointed to the Florence Nightingale Chair in Clinical Nursing Practice Research. I am tremendously excited to be working in this innovative post supported by three outstanding organisations, the University of Manchester School of Nursing, Midwifery and Social Work, the Florence Nightingale Foundation and Central 91ֱ University Hospitals NHS Foundation Trust. Throughout my career I have been committed to conducting research of applied use to patient care, nursing and health care organisations. This post offers a unique opportunity to expand on this research programme in a way that reflects the nursing priorities of patients in 91ֱ and the North West.” 

    Ends 

    Notes for editors

    Professor Tod is available for interview today only.

    For further information, please contact: Alison Barbuti | Media Relations Officer

    Faculty of Medical and Human Sciences | The University of Manchester

    91ֱ Academic Health Science Centre (MAHSC)

    Tel: +44(0)161 275 8383 | Email: alison.barbuti@manchester.ac.uk

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    Wed, 09 Apr 2014 01:00:00 +0100 https://content.presspage.com/uploads/1369/500_11906_large-2.jpg?10000 https://content.presspage.com/uploads/1369/11906_large-2.jpg?10000
    Professor helps recreate 1915 field hospital for BBC drama The Crimson Field /about/news/professor-helps-recreate-1915-field-hospital-for-bbc-drama-the-crimson-field/ /about/news/professor-helps-recreate-1915-field-hospital-for-bbc-drama-the-crimson-field/82063

    A University of Manchester academic from the School of Nursing has taken a journey back in time to help television producers recreate a 1915 field hospital for new BBC drama The Crimson Field which begins on Sunday.

    Professor Christine Hallett, 91ֱ's Professor of Nursing History, was contacted by the drama-makers who saw her 2009 book ‘Containing Trauma: Nursing Work in the First World War’, published by 91ֱ University Press.

    After an initial chat, Professor Hallett was signed up as a historical advisor for the drama. This involved spending several months reading and commenting on scripts and a week working with the cast and production crew filming on location in Wiltshire and rubbing shoulders with actors including Oona Chaplin, Hermione Norris (Cold Feet, Spooks) and Suranne Jones (Coronation Street).

    The BBC drama by Sarah Phelps presents one of the Great War’s untold stories. Set in a tented field hospital on the coast of France, a team of doctors, nurses and women volunteers work together to heal the bodies and souls of men wounded in the trenches.

    The hospital is a frontier: between the battlefield and home front, but also between the old rules, hierarchies, class distinctions and a new way of thinking. Hospital workers face a daily battle to patch the men up and keep the war machine churning. Staff numbers are low and the volunteers are desperately needed.

    Professor Hallett spoke to the lead actors about what work would have taken place at a field hospital during the war and demonstrated some nursing techniques including bed bathing, bandaging, bed-making and aseptic and antiseptic wound care, used at the time to prevent infection spreading between soldiers’ wounds.

    She also briefed lead actors including Hermione Norris, Marianne Oldham, Alice St. Clair and Jack Gordon about their character’s likely career histories, and she participated in rehearsals, checking for historical accuracy.

    Professor Hallett said: “The producers wanted to know what would have been going on in a busy field hospital during the first world war and I had to demonstrate wound dressing techniques from the time.

    “I lot of the supporting actors had worked on Casualty and so they were very interested to see how medical practices had changed. One big change they noticed was the lack of any lifting equipment in 1915 to move patients.

    “Most of our knowledge of medics working from that time comes from photographs and written witness accounts and letters – so lots of fragments from which the production team had to try to build up a picture.

    “It was amazing to see how they had recreated two wards and several other tents and it felt very authentic although of course some artistic licence is involved.

    “It’s the first time I’ve ever advised on a television series and it is quite a challenging role. I stayed 10 minutes from the set and could be called on at any time. The days spent rehearsing and advising on filming were long and not all of the production team's questions could be answered – because there is no way of knowing precisely how things would have been in 1915, and there are no eye-witnesses left.

    “Sometimes it could be quite difficult because they might want to do something one way for the drama but I’d have to come in and say ‘no I’m sorry they wouldn’t have done that in 1915’.

    “It was very hard work and something I’ll never forget taking part in. I was impressed with the professionalism of the director, actors and production team. Everyone I met was so committed to what they were doing and I’m looking forward to watching the end product on Sunday.”

    The Crimson Field is a six part series and begins on Sunday 6 April 9pm on BBC One.

    It stars Joan Livesey played by Suranne Jones, Kitty Trevelyan played by Oona Chaplin, Matron Grace Carter played by Hermione Norris, Flora Marshall played by Alice St. Clair, Rosalie Berwick played by Marianne Oldham, Sister Margaret Quayle played by Kerry Fox, Lieutenant-Colonel Roland Brett played by Kevin Doyle, Orderly Corporal Peter Foley played by Jack Gordon, Captain Miles Hesketh-Thorne played by Alex Wyndham, Captain Thomas Gillan played by Richard Rankin, and Quartermaster Sergeant Reggie Soper played by Jeremy Swift.

    ENDS

    Notes for editors

    For further information about the programme please visit the .  

    For information about the University of Manchester or to talk to Professor Hallett, please contact Alison Barbuti, Media Relations Officer, 0161 275 8383 Mob. 07887 561 318 alison.barbuti@manchester.ac.uk

    Picture shows:

    (c/w from back left) Sister Joan Livesey (SURANNE JONES), Sister Margaret Quayle (KERRY FOX), Matron Grace Carter (HERMIONE NORRIS), Lieutenant-Colonel Roland Brett (KEVIN DOYLE), Kitty Trevelyan (OONA CHAPLIN), Captain Thomas Gillan (RICHARD RANKIN), Captain Miles Hesketh-Thorne (ALEX WYNDHAM), Corporal Peter Foley (JACK GORDON), Flora Marshall (ALICE ST CLAIR), Rosalie Berwick (MARIANNE OLDHAM)

    Image Credit:
    BBC/Todd Anthony

    Photographer:
    Todd Anthony

    Image Copyright:
    BBC

    Image Type:
    Iconic

    Programme Maker:
    BBC

    ]]>
    Fri, 04 Apr 2014 01:00:00 +0100 https://content.presspage.com/uploads/1369/500_11893_large-2.jpg?10000 https://content.presspage.com/uploads/1369/11893_large-2.jpg?10000
    Midwifery training includes teaching about women over 40 having a baby /about/news/midwifery-training-includes-teaching-about-women-over-40-having-a-baby/ /about/news/midwifery-training-includes-teaching-about-women-over-40-having-a-baby/82195The Royal College of Midwives State of Maternity Services Report 2013, out this week, shows an increase in the number of older and obese mothers and a baby boom in 2012. Dr Tracey Mills, from The University of Manchester’s School of Nursing, has provided the following reaction to the findings.

    Dr Mills said: “The numbers of women having babies later in life has increased dramatically in the last 10 to 20 years and the number of women over the age of 40 having a baby has almost trebled.

    “The problem is that birth at advanced maternal age is associated with higher rate of still birth and  major pregnancy complications such as hypertension.

    “What we don’t really know for definite is whether this is due to age itself and the aging reproductive system or whether it is also that as women get older they are more likely to have co-existing medical conditions such as diabetes, obesity or other chronic diseases.

    “Older women have more time to develop poor health and are more likely to have co –existing health problems.

    “When a woman is having a baby in her 40s there is often a feeling represented in the media or among women that if she is slim, healthy and exercises then she’ll be fine but the studies which have been done suggest that this might not be the case because body system, blood vessels, heart, joints and so on have all still aged.”

    Midwifery training has changed to reflect these changes, Dr Mills added. “The demographic of women using maternity services has changed and so when we train midwives we are now making them more aware of the impact of age on pregnancy outcomes both in terms of things to look out for and for the women to look out for themselves.

    “Here at The University of Manchester, we’ve increased our emphasis on public health issues such as advanced maternal age and obesity in pregnancy to respond to the changes we are witnessing. When I trained as a midwife 20 years ago you didn’t really have to think about obesity in pregnancy but now it is seen more often. We do sessions about recognising the risk factors and the additional risk factors for women over 35. However when women come to midwives they’ve got over one of the major risks of aging and pregnancy which is infertility just by getting pregnant. I think it is important to make people aware of the risks associated with pregnancy later in life as not managing to get pregnant can result in psychological health issues too.”

    The increase in the number of births in the UK needed to be addressed generally in the health system, she added.

    “The rise in births places additional pressures on the system when midwives are trying to offer improved services and have more technology around to use. There are lots of demands on the system including the increasing diversity of the ethnic and cultural population which services have to respond to on the frontline. We have an aging midwife population with many coming up for retirement and it is about having enough to replace those who leave.”

    Notes for editors

    For further information, please contact: Alison Barbuti | Media Relations Officer | Faculty of Medical and Human Sciences |The University of Manchester | 91ֱ Academic Health Sciences Centre (MAHSC)
    Tel. +44 (0)161 275 8383 | Mobile 07887 561 318 |Email: alison.barbuti@manchester.ac.uk
     

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    Thu, 09 Jan 2014 00:00:00 +0000 https://content.presspage.com/uploads/1369/500_iron_bird_13.jpg?10000 https://content.presspage.com/uploads/1369/iron_bird_13.jpg?10000
    Making dementia friendly neighbourhoods /about/news/making-dementia-friendly-neighbourhoods/ /about/news/making-dementia-friendly-neighbourhoods/82215A European team of experts led by The University of Manchester will explore, investigate and evaluate the role of the neighbourhood in the everyday lives of people with dementia and their families in a new research project announced during the G8 dementia summit today (11 December).

    The ‘Neighbourhoods and Dementia’ study was one of six research projects announced by the Economic and Social Research Council (ESRC) along with the National Institute for Health Research (NIHR), as part of a £20 million funding boost which will significantly add to the understanding of dementia.

    It comes as ministers, researchers, pharmaceutical companies and charities are gathering in London for the summit.  
     
    Professor John Keady, lead researcher from The University of Manchester, said: “In our five-year study we want to celebrate the achievements, growth and contribution that people with dementia and their carers make to society.”
     
    There are currently 44 million people in the world living with dementia, and by 2050 this number is set to treble to 135 million. Following on from last year’s announcement by Prime Minister David Cameron of plans to tackle the 'national crisis' posed by dementia, the G8 Dementia summit aims to agree what can be done to stimulate greater investment and innovation in dementia research. 
     
    The 91ֱ-led project will be the first large-scale research programme to work alongside people with dementia and their families in a variety of roles from advisers to co-researchers. As one of its four work programmes, the research team will develop Neighbourhood Profiles using existing longitudinal databases to provide more accurate estimates of geographical variation in cognitive ageing and service use to inform policy, commissioning and practice.

    The research team involves seven universities (91ֱ, Stirling, Liverpool, UCL, Salford, Lancaster, and Linköping in Sweden) and four user groups: EDUCATE (Stockport) and Open Doors (Salford, Greater 91ֱ, England); The ACE Club (Rhyl, North Wales) and the Scottish Dementia Working Group (Glasgow, Scotland).
     
    Professor Keady, a mental health nurse with a long-standing practice and academic interest in dementia, said: “One of the exciting parts about this 5-year programme is that we are going to work alongside people with dementia and their families to help undertake all aspects of the research, from the planning to the doing. This will lead to the development of new research tools for use by people with dementia and their families and help to create innovative ways of working.”
     
    Mike Howorth, who has dementia, is one of the people who will work as a researcher and is already employed by Greater 91ֱ West Mental Health NHS Foundation Trust where he works with recently diagnosed patients as the Open Doors Facilitator at Woodlands Hospital, Salford. For the last three years, Open Doors has helped to give people with dementia a voice and platform to share experiences and put forward opinions.
     
    Mr Howorth said: “I think the research programme idea is fantastic! I’ve got first-hand knowledge of what it’s like to live with dementia and help those who have it so I know involving people with dementia and their carers will make this project invaluable.”
     
    One exciting part of this work is that for the first time researchers will develop a therapeutic tool for people who live with dementia and are deaf and rely on sign language to communicate.
    Sylvia Simmonds said: "As a Deaf family affected by dementia we were dismayed that there was nothing at all offered for people like us after my father's diagnosis. This work is really exciting and will open the doors to keep communication going for families like ours."
     

    Other projects funded within the Dementia Initiative will look at: promoting independence in dementia; managing agitation and raising quality of life; living well with dementia; developing a publicly available tool to help meet the future needs of dementia patients and visual aids and the impact they have on the quality of life of patients with dementia and their carers.
     
    ESRC Chief Executive Paul Boyle said: "Dementia is a major challenge for our society, and it is imperative to develop an understanding of the needs of those with dementia, their families and the communities they live in.
     
    "These six funded projects will provide much-needed evidence for changes in future health and social care policy, as well as practical guidance for charities and third sector organisations working with sufferers of dementia.”
     
    ENDS

    Notes for editors

    For further information about the ESRC announcements, please contact:

    ESRC Press Office: Sarah Nichols Email: sarah.nichols@esrc.ac.uk Telephone 01793 413122
    Susie Watts Email: susie.watts@esrc.ac.uk Telephone 01793 413119
     
    For more information about the Neighbourhoods and Dementia study led by The University of Manchester and to request an interview with a dementia patient and/or an academic, please contact: Alison Barbuti | Media Relations Officer | Faculty of Medical and Human Sciences |The University of Manchester | 91ֱ Academic Health Sciences Centre (MAHSC)
    Tel. +44 (0)161 275 8383 | Mobile 07887 561 318 |Email: alison.barbuti@manchester.ac.uk
     
    The Economic and Social Research Council (ESRC) is the UK's largest organisation for funding research on economic and social issues. It supports independent, high quality research which has an impact on business, the public sector and the third sector. The ESRC’s total budget for 2012/13 is £205 million. At any one time the ESRC supports over 4,000 researchers and postgraduate students in academic institutions and independent research institutes.
     
    About the NIHR
    The National Institute for Health Research (NIHR) is funded through the Department of Health to improve the health and wealth of the nation through research.  Since its establishment in April 2006, the NIHR has transformed research in the NHS. It has increased the volume of applied health research for the benefit of patients and the public, driven faster translation of basic science discoveries into tangible benefits for patients and the economy and developed and supported the people who conduct and contribute to applied health research.  The NIHR plays a key role in the Government’s strategy for economic growth, attracting investment by the life-sciences industries through its world-class infrastructure for health research. Together, the NIHR people, programmes, centres of excellence, and systems represent the most integrated health research system in the world.  http://www.nihr.ac.uk/
     
    The University of Manchester
    The University of Manchester, a member of the Russell Group, is one of the largest and most popular universities in the UK. It has 20 academic schools and hundreds of specialist research groups undertaking pioneering multi-disciplinary teaching and research of worldwide significance. According to the results of the 2008 Research Assessment Exercise, The University of Manchester is one of the country’s major research institutions, rated third in the UK in terms of ‘research power’. The University has an annual income of £807 million and is ranked 40th in the world and fifth in the UK for the quality of its teaching and impact of its research.
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    Wed, 11 Dec 2013 00:00:00 +0000 https://content.presspage.com/uploads/1369/500_iron_bird_13.jpg?10000 https://content.presspage.com/uploads/1369/iron_bird_13.jpg?10000
    91ֱ reveals pressure ulcer research uncertainties /about/news/study-reveals-pressure-ulcer-research-uncertainties/ /about/news/study-reveals-pressure-ulcer-research-uncertainties/82511A new study involving researchers at the universities of York and 91ֱ has revealed substantial areas of doubt and uncertainty about the prevention and treatment of pressure ulcers.

    The findings by the James Lind Alliance Pressure Ulcer Priority Setting Partnership (JLAPUP), which includes The University of Manchester’s School of Nursing, Midwifery and Social Work, suggest that more research is needed to guide practice on how to prevent and treat pressure ulcers -- pressure sores or bed sores.

    Treatment and prevention of pressure ulcers - hard-to-heal wounds that are painful and distressing for patients, carers and clinicians - pose significant challenges and costs to the NHS.

    The Partnership invited patients, service users, carers and health professionals to choose their top 12 pressure ulcer prevention and treatment research questions from a shortlist of the 30 most highly rated questions submitted and rated by 500 stakeholders. Detailed investigation had shown no reliable or complete evidence to answer these and most other submitted questions.

    JLAPUP is funded by the National Institute for Health Research (NIHR) as part of the Wounds Research for Patient Benefit Programme Grant for Applied Research at Leeds Community Healthcare NHS Trust in collaboration with the University of York’s Department of Health Sciences and The University of Manchester’s School of Nursing, Midwifery and Social Work.

    Research Fellow Dr Mary Madden, of York’s Department of Health Sciences, said: “We planned to produce a top ten but after some tough negotiations between service users, carers and clinicians we settled on a top 12 – 12 is the new 10!”

    JLAPUP workshop participant Carole Bennett, who has multiple sclerosis (MS) and cared for her mother, who also had MS and developed pressure ulcers, stressed the importance of involving patients and carers in research.

    Carole Bennett, a member of PURSUN UK (Pressure Ulcer Research Service User Network UK), added: “Yes, of course everyone wants a cure for their conditions, but people living with the risk or reality of pressure ulcers and their carers also need some research to actually help them live with their condition and to be able to improve their quality of life here and now.  Being involved in your own treatment enables you to actually have some control over your condition.”

    Professor Nicky Cullum, from the University of Manchester’s School of Nursing, Midwifery and Social Work, who leads the Wounds Research for Patient Benefit Programme, said: “Research funds are precious so it is essential that we use them wisely to address the uncertainties that matter most to patients, carers and the clinicians who deliver care. This James Lind partnership has been focused on ensuring we get these priorities right.”

    Nikki Stubbs Clinical Team Leader in Tissue Viability at Leeds Community Healthcare NHS Trust and clinical lead on the Wounds Research for Patient Benefit Programme said: “Nurses strive to do what is best for their patients. Uncertainties around pressure ulcer prevention and treatment can make conversations with patients and carers about managing risk really challenging.  Developing answers through research is vital for everyone. The next stage is to encourage funders and researchers to rise to the challenge of addressing the agreed priorities.”

    Dr. Tom Kenny, Director of External Relations, National Institute for Health Research Evaluation, Trials and Studies Coordinating Centre (NETSCC) said:  "By combining the voices of patients and clinicians this partnership has identified 12 really important areas that I hope will stimulate high quality research in the near future".

    Top 12 Pressure Ulcer Uncertainties
    1. How effective is repositioning in the prevention of pressure ulcers?
    2. How effective at preventing pressure ulcers is involving patients, family and lay carers in patient care?
     
    3. Does the education of health and social care staff on prevention lead to a reduction in the incidence of pressure ulcers and, if so, which are the most effective education programmes (at organisational and health/social care level)?

    4. What is the relative effectiveness of the different types of pressure relieving beds, mattresses, overlays, heel protectors and cushions (including cushions for electric and self-propelling wheelchairs) in preventing pressure ulcers?

    5. What impact do different service models have on the incidence of pressure ulcers including staffing levels, continuity of care [an on-going relationship with same staff members] and the current organisation of nursing care in hospitals? 

    6. What are the best service models (and are they sufficiently accessible) to ensure that patients with pressure ulcers receive the best treatment outcomes (including whether getting people with pressure ulcers and their carers more involved in their own pressure ulcer management improves ulcer healing and if so, the most effective models of engagement)?

    7. For wheelchair users sitting on a pressure ulcer, how effective is bed rest in promoting pressure ulcer healing?

    8. How effective are wound dressings in the promotion of pressure ulcer healing?

    9. Does regular turning of patients in bed promote healing of pressure ulcers?

    =10. Does improving diet (eating) and hydration (drinking) promote pressure ulcer healing?

    =10. How effective are surgical operations to close pressure ulcers?

    12. How effective are topical skin care products and skin care regimes at preventing pressure ulcers?


     

    Notes for editors

    Professor Nicky Cullum, from the University of Manchester’s School of Nursing, Midwifery and Social Work, who leads the Wounds Research for Patient Benefit Programme, is available for interview. For more information contact:

    Alison Barbuti

    Media Relations Officer

    Faculty of Medical and Human Sciences

    The University of Manchester

    0161 275 8383

    alison.barbuti@manchester.ac.uk

    For further information about the study, visit or contact Richard Morley on 01904 321105.
     

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    Thu, 09 May 2013 01:00:00 +0100 https://content.presspage.com/uploads/1369/500_iron_bird_13.jpg?10000 https://content.presspage.com/uploads/1369/iron_bird_13.jpg?10000
    ‘Magic carpet’ could help prevent falls /about/news/magic-carpet-could-help-prevent-falls/ /about/news/magic-carpet-could-help-prevent-falls/82799

    A ‘magic carpet’ which can immediately detect when someone has fallen and can help to predict mobility problems has been demonstrated by University of Manchester scientists.

    Plastic optical fibres, laid on the underlay of a carpet, can bend when anyone treads on it and map, in real-time, their walking patterns.

    Tiny electronics at the edges act as sensors and relay signals to a computer. These signals can then be analysed to show the image of the footprint and identify gradual changes in walking behaviour or a sudden incident such as a fall or trip. They can also show a steady deterioration or change in walking habits, possibly predicting a dramatic episode such as a fall.

    As many as 30%-40% of community dwelling older people fall each year. This is the most serious and frequent accident in the home and accounts for 50% of hospital admissions in the over 65 age group.

    Presenting their research to the conference today, the scientists believe the technology could be used to fit smart carpets in care homes or hospital wards, as well as being fitted in people’s homes if necessary. Physiotherapists could also use the carpet to map changes and improvements in a person’s gait.

    The imaging technology is so versatile it could even be developed to detect the presence of chemical spillages or fire as an early-warning system.

    The interdisciplinary team, from three academic Schools and the at , used a novel tomographic technique similar to hospital scanners.

    It maps 2D images by using light propagating under the surface of the smart carpet.

    The researchers believe the magic carpet could be vital not only for helping people in the immediate aftermath of a fall, but also in identifying subtle changes in people’s walking habits which might not be spotted by a family member or carer.

    One of the team, Dr Patricia Scully from The University of Manchester’s , said: “The carpet can gather a wide range of information about a person’s condition; from biomechanical to chemical sensing of body fluids, enabling holistic sensing to provide an environment that detects and responds to changes in patient condition.

    “The carpet can be retrofitted at low cost, to allow living space to adapt as the occupiers’ needs evolve – particularly relevant with an aging population and for those with long term disabilities – and incorporated non-intrusively into any living space or furniture surface such as a mattress or wall that a patient interacts with.”

    Professor Krikor Ozanyan from the added: “We pioneered this new kind of tomography here at The University of Manchester in 2005. Now we are delighted to show how achievements in maths, science and engineering can bring together this exciting new application in healthcare.”

    Dr Christine Brown Wilson from the said: “This project demonstrates how engineers, scientists and healthcare professionals, can work together to develop new and innovative health care technologies that make a real difference in practice.

    Professor Chris Todd said: "Falls are a really important problem for our ageing society. More than a third of older people fall each year, and in nursing and residential homes it is much more common than that.

    “Older people will benefit from exercises to improve balance and muscle strength in the legs.  So being able to identify changes in people's walking patterns and gait in the natural environment, such as in a corridor in a nursing home, could really help us identity problems earlier on.

    “This is really exciting work at the forefront of research using technologies to prevent falls and represents an unique collaboration between scientists from different backgrounds working together to identity a smart solution to an important problem for our country and indeed all over the world."
     

    Notes for editors

    Photon 12 is the largest optics conference in the UK and will be held at Durham University from September 3-6. Dr Scully will be presenting her research on Tuesday September 4th at 3.45pm.

    Dr Scully is available for interview on request.

    Images and a video of the carpet are available on request from the Press Office.

    Associated academic papers are available from the Press Office.

    For media enquiries please contact:

    Daniel Cochlin
    Media Relations Officer
    The University of Manchester
    0161 275 8387
    daniel.cochlin@manchester.ac.uk
     

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    Tue, 04 Sep 2012 01:00:00 +0100 https://content.presspage.com/uploads/1369/500_8648_large-2.jpg?10000 https://content.presspage.com/uploads/1369/8648_large-2.jpg?10000
    Baby wipes as safe as using water, study finds /about/news/baby-wipes-as-safe-as-using-water-study-finds/ /about/news/baby-wipes-as-safe-as-using-water-study-finds/82882New research has found that a brand of baby wipes is just as safe and hydrating as using water alone on newborn skin, suggesting official guidance may need updating.

    The University of Manchester study, published in BioMed Central’s open-access journal  , compared Johnson’s Baby Extra Sensitive Wipes against cotton wool and water on 280 newborn babies split into two groups over a three-year period.

    Despite advice from the National Institute for Clinical Excellence (NICE) that mums should use water alone on newborns, the study found that the Johnson’s wipes were as effective and as safe as water and hydrated babies’ skin just as well.

    Tina Lavender, Professor of Midwifery at the University’s School of Nursing, Midwifery and Social Work and study lead, said: “Baby wipes can be much more convenient for parents, especially when on the go, but current NICE guidelines recommend using cotton wool and water.

    “Our research, looking at one high street baby wipe, wanted to test whether the product was as safe and effective on newborn babies’ skins as water alone to see if midwives could help give parents more options than current guidelines provide.”

    The study, funded by Johnson & Johnson, the makers of Johnson’s Baby but carried out under strict, independent scientific protocols, including blind testing and peer review, showed the company’s product was as safe and effective as using water. There was a slight, though not statistically significant, reduction in the occurrence of nappy rash using the Johnson’s wipe.

    Professor Lavender added: “Parents can now be confident that using this specific baby wipe, proven in the largest randomised clinical trial conducted in newborn cleansing, is equivalent to water alone. Our trial provides us with the strongest evidence available so far that we shouldn’t base our practice on tradition alone and that NICE needs to look at its current guidelines.

    “For the first time, we now have a robust, adequately-powered study that can be used in practice, the results of which should be adopted by our national guidelines. These results should provide healthcare professionals with much needed evidence-based information, giving them the option to support the skin-care cleansing regime best suited to individual parents and their newborn babies.”

    Commenting on the findings, Sue Macdonald, Education and Research Manager at the Royal College of Midwives, said: “This trial provides interesting research which adds to the body of evidence in this area. The results are likely to be of interest to many healthcare professionals and mothers.”

    Ends

    Notes for editors

    A copy of the paper, ‘Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence trial,’ is available on request. The paper will be published in BioMed Central’s open-access journal BMC Paediatrics on Friday, 1 June 2012, and can be viewed at following publication.

    The findings of the wipes studyshowed that Johnson’s Baby Extra Sensitive Wipes were equivalent to water and cotton wool in terms of skin hydration. No significant differences were found in the secondary outcomes, except for maternal-reported napkin dermatitis (nappy rash), which was higher in the water and cotton wool group.

    The trial was conducted fully independently by a group of health-care professionals and was approved by the ethics committee and monitored by and external Data Monitoring Committee (DMC).

    Newborn skin is different to adult skin. Trans epidermal water loss (TEWL), which indicates the amount of water that escapes from the skin, is higher in newborns than in older baby skin.Consequently, the newborn skin barrier is less mature and likely to be more vulnerable to environmental threats. TEWL does not decrease to ‘mature’ levels until at least the first year of life.

    The randomised, assessor-blinded controlled wipes trial, was conducted with 280 newborn babies at Central 91ֱ NHS Foundation Trust, randomised into two groups: cleansing the nappy area with cotton wool and water, and cleansing the nappy area with Johnson’s Baby Extra Sensitive Wipes. Throughout this trial, mums were advised to bathe their newborns in water alone and not to use any other product on their baby’s skin except in the event of nappy rash, in which case they could use a cream provided.

    The primary endpoint of the trial was the change in hydration between baseline and at four weeks. Hydration is a measure that shows how much water is contained in the skin, one of the characteristics of skin barrier integrity. Secondary endpoints were TEWL, skin pH, erythema, nappy rash, microbial contamination, clinical observations and maternal views (diaries and structured questionnaires).

    Current guidelines vary in their advice and are challenged by the personal beliefs of many health-care professionals. The 2006 National Institute for Health and Clinical Excellence (NICE) guideline, Routine postnatal care for women and their babies,  recommends that the use of baby wipes should be avoided in the first six to eight weeks after birth. However, this guidance is not based on robust evidence, rather it is based on the collective experience of the expert guidelines group.

    For further information contact:

    Aeron Haworth
    Media Relations
    Faculty of Medical and Human Sciences
    The University of Manchester

    Tel: 0161 275 8383
    Mobile: 07717 881563
    Email: aeron.haworth@manchester.ac.uk

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