Buckinghamshire New University is a public university located in High Wycombe, Buckinghamshire, England, and in Uxbridge. The Vice-Chancellor of the university is Ruth Farwell. The institution dates from 1893 when it was founded as the School of Science and Art, and has since that date been re-invented variously as the Wycombe Technical Institute, the High Wycombe College of Art and Technology, and the Buckinghamshire College of Higher Education. It was a university college from 1999 until 2007 when it announced that its application for university status had been accepted.The university is a member of the GuildHE. Wikipedia.
Bliss D.Z.,University of Minnesota |
Norton C.,Bucks New University |
Vodusek D.B.,University of Ljubljana
Neurourology and Urodynamics | Year: 2010
There is a lack of awareness about fecal incontinence despite its prevalence and adverse impact on quality of life. Inadequate knowledge about fecal incontinence deters help-seeking, therapeutic consultation, and clinical research about effective prevention and management strategies. A systematic, evidenced-based approach to raise awareness of fecal incontinence is essential to forward progress and overcome multiple barriers. In thismanuscript, strategies of this approach are prioritized and focus on increasing continence literacy and communication, emphasizing prevention and screening, disseminating evidenced-based management interventions, and promoting larger scale impact through effective partnerships. Neurourol. Urodynam. 29:612-615, 2010. © 2010 Wiley-Liss, Inc.
Cotterill N.,Southmead Hospital |
Norton C.,Bucks New University |
Avery K.N.L.,University of Bristol |
Abrams P.,Southmead Hospital |
Donovan J.L.,University of Bristol
Diseases of the Colon and Rectum | Year: 2011
BACKGROUND: A psychometrically robust patient-completed questionnaire for anal incontinence, which reflects issues of importance to both clinicians and patients, was lacking for assessment purposes. OBJECTIVE: This study aimed to determine the psychometric properties of a new questionnaire developed to address this need, the International Consultation on Incontinence Questionnaire-Bowels module. DESIGN: Qualitative studies were used to refine the developmental version of the questionnaire. Quantitative studies were conducted to evaluate its psychometric properties. SETTINGS: Patients were invited to complete the questionnaire via postal administration. PATIENTS: Two hundred sixty-one patients with known bowel symptoms participated in the study (244 females, 17 males; mean age, 59.7 years (range, 24-92)). MAIN OUTCOME MEASURES: The aspects of validity were evaluated in comparison with available evidence, responses to existing instruments, and physiological findings. Reliability was assessed through repeat administration of the questionnaire and evaluation of internal consistency by the Cronbach α coefficient. Responsiveness following treatment was evaluated by the use of the Wilcoxon signed rank test. Exploratory factor analysis was used to derive the final version of the questionnaire with evidence from the above studies. RESULTS: The final questionnaire contains 17 questions arranged in 3 scored domains: bowel pattern, bowel control, and quality of life, with 4 unscored items included to evaluate important issues from a clinical or patient perspective. The questionnaire demonstrated acceptable validity, "good" to "very good" reliability, and reasonable response to changes in symptom and quality-of-life status following intervention. LIMITATIONS: Response rates varied according to location. CONCLUSIONS: The International Consultation on Incontinence Questionnaire Bowel module is a psychometrically robust, self-report instrument for the evaluation of anal incontinence and its impact on quality of life. It is suitable for use in individuals with anal incontinence of varying causes. It includes a scoring system for use in clinical practice and research. © The ASCRS 2011.
Maeda Y.,St Marks Hospital |
Hoyer M.,Aarhus University Hospital |
Lundby L.,Aarhus University Hospital |
Norton C.,St Marks Hospital |
Norton C.,Bucks New University
Radiotherapy and Oncology | Year: 2011
Background: Faecal incontinence (FI) after radiotherapy is a known phenomenon, but has received little attention to date. This article aimed to review current knowledge on faecal incontinence related to radiotherapy for prostate cancer. Methods: PubMed was searched for English-language articles published from January 1966 to December 2009 using the primary keywords 'faecal incontinence', 'prostate cancer' and 'radiotherapy'. Prospective, retrospective and controlled trials reporting FI as a complication of radiotherapy for prostate cancer were included. The retrieved titles and abstracts were screened permissively and evaluated as to whether they satisfied the predefined inclusion and exclusion criteria. Results: Nine hundred and ninety four articles were identified from the search. After step-wise review, 213 papers were selected for full article review of which 40 were selected for this review. The incidence of faecal incontinence following radiotherapy for prostate cancer varied from 1.6% to 58%. The mechanism of faecal incontinence was not entirely clear but it is most likely due to injury to the nerve plexus of the rectal muscular layer. Correlation between rectal dose-volume parameters and incidence is equivocal, although some studies suggest parameters confined to the lower rectum and/or anal canal may be of value to predict the extent of the injury and could be used as constraints in the dose planning process. Conclusions: Interpretation of data is limited due to lack of large cohort studies with data on pre-treatment continence status and because variable instruments have been used to assess the severity of the condition. Well-designed prospective studies are needed to investigate dosimetric parameters focusing on the anal canal and sphincter apparatus. Considering the spatial distribution of radiation to the rectum may identify a more direct linkage between radiation damage and faecal incontinence. © 2010 Elsevier Ireland Ltd. All rights reserved.
Moss G.A.,Bucks New University
Perspectives in Public Health | Year: 2010
There are frequent and doom-laden messages concerning impending water shortages but the consequential negative effects on the availability of waters for healing and the factors underlying the decline in the use of water therapies in some parts of the world are ignored. This article reviews the evidence for the medicinal uses of water, past and present, showing how ancient Egyptian, Greek, Roman, Celtic and Hebrew societies all used water for medicinal purposes, sometimes in conjunction with herbal medicine. Water treatments consisted of hydrotherapy (techniques of therapeutic bathing and use of water), balneotherapy (therapeutic bathing in medicinal and thermal springs) and thalassotherapy (the therapeutic use of ocean bathing and marine products) and these treatments continue to be used to the present day although their use in the Anglo-Saxon world is diminised. Factors in this decline are the lack of research funding and the availability of allopathic medicine. In ancient society, the factors underlying the efficacious healing properties of water may have been ignored and its benefits instead attributed to divine sources. Latterday science, however, from the 19th century to the present, has isolated those factors in water that have health-giving properties. Copyright © Royal Society for Public Health 2010 SAGE Publications.
Dibley L.,Bucks New University
Nurse researcher | Year: 2011
In health and social care research, pure naturalistic enquiry often seeks to understand personal experiences, and adopts data collection methods that can generate vast amounts of rich, thick text. This article demonstrates the way in which the author used a particular approach to analyse the complex narrative data arising from her MPhil research into experiences of lesbian parents in the healthcare system. Narrative data is often cumbersome, prolific and chaotic, and it can be difficult to manage such data effectively while remaining sympathetic to the original meaning of the storyteller. Guidance exists on what narrative analysis should achieve, but finding ways of interpreting and demonstrating meaning in different types of stories can be challenging. The data discussed here arose from six unstructured interviews with ten lesbian parents from across the UK, collected in 2003-04 during the author's MPhil studies. The use of McCormack's Lenses to analyse narrative data supported the philosophical underpinnings of Heideggerian phenomenology which provided the framework for the research endeavour. Locating the analysis method that best suits the methodology, purpose and data is not always easy. Naturalistic or qualitative researchers may need to make extra effort to explain the philosophical and practical aspects of their work, and while it can be tempting to select an adequate analysis approach, seeking out the framework which best fits the data will enhance the credibility of the findings McCormack's Lenses provides a flexible framework for the analysis of complex narrative data. It enables the researcher to take core themes and stories of experience in the original story and reveal these to the reader with openness. As well as remaining true to the original story, the framework enables the researcher to demonstrate that the reported findings are situated in the original data.
Norton C.,Bucks New University
Cochrane database of systematic reviews (Online) | Year: 2012
Faecal incontinence is a particularly embarrassing and distressing condition with significant medical, social and economic implications. Anal sphincter exercises (pelvic floor muscle training) and biofeedback therapy have been used to treat the symptoms of people with faecal incontinence. However, standards of treatment are still lacking and the magnitude of alleged benefits has yet to be established. To determine the effects of biofeedback and/or anal sphincter exercises/pelvic floor muscle training for the treatment of faecal incontinence in adults. We searched the Cochrane Incontinence Group Specialised Trials Register (searched 24 January 2012) which contains trials from searching CENTRAL, MEDLINE and handsearching of conference proceedings; and the reference lists of relevant articles. All randomised or quasi-randomised trials evaluating biofeedback and/or anal sphincter exercises in adults with faecal incontinence. Two review authors assessed the risk of bias of eligible trials and two review authors independently extracted data from the included trials. A wide range of outcome measures were considered. Twenty one eligible studies were identified with a total of 1525 participants. About half of the trials had low risk of bias for randomisation and allocation concealment.One small trial showed that biofeedback plus exercises was better than exercises alone (RR for failing to achieve full continence 0.70, 95% CI 0.52 to 0.94).One small trial showed that adding biofeedback to electrical stimulation was better than electrical stimulation alone (RR for failing to achieve full continence 0.47, 95% CI 0.33 to 0.65).The combined data of two trials showed that the number of people failing to achieve full continence was significantly lower when electrical stimulation was added to biofeedback compared against biofeedback alone (RR 0.60, 95% CI 0.46 to 0.78).Sacral nerve stimulation was better than conservative management which included biofeedback and PFMT (at 12 months the incontinence episodes were significantly fewer with sacral nerve stimulation (MD 6.30, 95% CI 2.26 to 10.34).There was not enough evidence as to whether there was a difference in outcome between any method of biofeedback or exercises. There are suggestions that rectal volume discrimination training improves continence more than sham training. Further conclusions are not warranted from the available data. The limited number of identified trials together with methodological weaknesses of many do not allow a definitive assessment of the role of anal sphincter exercises and biofeedback therapy in the management of people with faecal incontinence. We found some evidence that biofeedback and electrical stimulation may enhance the outcome of treatment compared to electrical stimulation alone or exercises alone. Exercises appear to be less effective than an implanted sacral nerve stimulator. While there is a suggestion that some elements of biofeedback therapy and sphincter exercises may have a therapeutic effect, this is not certain. Larger well-designed trials are needed to enable safe conclusions.
Wager N.,Bucks New University
Child Abuse Review | Year: 2011
This paper has been inspired by the processes of preparing for ethical scrutiny and seeking ethical approval for a series of studies examining causal mechanisms that might facilitate sexual revictimisation. The focus here is on just four of the issues that arose in the context of the first study: a web-based survey. One of the aims of the survey is to test whether victims of child sexual abuse who experienced a period of psychogenic or dissociative amnesia demonstrate an exaggerated risk for adolescent/adult sexual assault during this amnesic phase. That is, cases where survivors report 'suddenly remembering' in adulthood that they were abused as children, but state that prior to this 'remembering' they had no prior knowledge of their abuse. The study design is considered to be the first ethical issue. To enhance the methodological robustness a strategy has been employed to reduce the erroneous inclusion of currently amnesic participants in the non-abused comparison group. Secondly, consideration is given to the likely harms and benefits that might be incurred or bestowed upon the participants. Thirdly, problems of both re-traumatisation and vicarious traumatisation in relation to the researcher are contemplated and juxtaposed against the possibility of the facilitation of post-traumatic growth and a personal shift towards wisdom and generativity. Finally, the survey title was originally criticised as negating 'fully' informed consent and a defence is therefore offered that ultimately gained ethical approval. It is hoped that these deliberations and insights may prove useful to others in planning their own research and ethics proposals. © 2011 John Wiley & Sons, Ltd.
White K.H.,Bucks New University |
King E.,Bucks New University
Nursing children and young people | Year: 2015
The quality of clinical placements is an important factor in nurse education and depends, partly, on the quality of the mentoring. In a hub and spoke model of practice learning, pre-qualifying nursing students are allocated to their placement (hub) in the traditional way and, in addition, are formally supported by their mentor to work in other settings and with different clinicians (spoke experiences) for one week in eight. In a first pilot in three children's wards, participants reported the wide-ranging benefits of this model, which included: a richer learning experience; a heightened sense of belonging; enhanced understanding of the patient journey; greater insight into the roles and responsibilities of the multiprofessional team; and increased awareness of possible career choices. The project's students were able to work more confidently with different clinicians and teams, which should help them become nurses who deliver high quality, modern health care.
Collins B.,St Marks Hospital |
Norton C.,St Marks Hospital |
Norton C.,Bucks New University |
Maeda Y.,St Marks Hospital
Colorectal Disease | Year: 2012
Aim Chronic constipation is a problem with debilitating effects on patients' quality of life. This study aimed to evaluate the effectiveness of percutaneous tibial nerve stimulation in patients with slow transit constipation. Method Eighteen patients (17 women, median age 47years, range 21-74) with slow transit constipation previously failing maximal biofeedback therapy participated in the study. Patients had 12 sessions of 30minutes of percutaneous tibial nerve stimulation. Wexner constipation score (0-30, 30 being the worst) was the primary outcome, colonic transit time, bowel diary and Patient Assessment of Constipation Quality of Life (PAC-QOL) were evaluated pre- and post-treatment. Results Wexner constipation score improved significantly with treatment (median 18 pre-treatment, range 10-24, to median 14 post-treatment, range 7-22; P=0.003). The PAC-QOL also showed significant improvement (median 2.31, range 1.36-3.61, to median 1.43, range 0.39-3.78; P=0.008). Stool frequency increased (P= 0.048) and the use of laxatives decreased (P=0.025). There was no change in colonic transit time (P=0.45). Conclusion Percutaneous tibial nerve stimulation has potential as an affordable and minimally invasive treatment for slow transit constipation. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.
Humberstone B.,Bucks New University
Motriz. Revista de Educacao Fisica | Year: 2013
This paper examines research on adventurous physical activities in nature from the perspective of the sentient body. Drawing upon ethnographic and autoethnographic research, I examine what has been termed "peak" happenings or "flow" which many who practise adventurous activities claim to experience through their whole body when in the "zone". I consider the concept of "edgework", voluntary risk-taking, and insightful mobile and social understanding of the relationships between body, emotions and the elements, where the adventurous activity is experienced and interpreted as oneness with nature or expressed as "spiritual" not only in high but also low risk nature-based sport. I then consider if and in what ways these knowledges may bring about greater understanding and action in relation to social and environmental justice. I argue that adventurous activities/nature-based sport may provide processes and practices that are alternative or complementary to traditional sporting "body techniques" or "body pedagogics". I suggest that modern embodied adventurous practices in nature challenge dominant narratives of body/mind separation and potentially provide a pedagogic process fostering kinetic empathy. Finally I draw attention to the paradox of (re)-presenting sensorial experiences of sport in nature and ask for consideration on how we interconnect with the environment when we participate in adventureous nature-based sports.