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2. Stopping ineffective (and possibly harmful) resource-intensive psychological debriefing for trauma patients.

Summary of the impact

UK and international government and healthcare institutes have incorporated Cardiff University research findings relating to the management of intervention for individuals post-trauma into public healthcare policy, strategy and services. Results from a randomized controlled clinical trial of psychological debriefing (PD) following traumatic events delivered strong evidence against the (then) standard approach of advocating these one-off interventions post-trauma. The Cardiff findings led to the global understanding that by not providing PD post-trauma many tens of thousands would benefit, resulting in better patient care and reduced healthcare costs.

Submitting Institution

Cardiff University

Unit of Assessment

Psychology, Psychiatry and Neuroscience

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services
Psychology and Cognitive Sciences: Psychology

5. Research drives development and use of biocompatible dialysis solutions, and better patient outcomes in peritoneal dialysis.

Summary of the impact

More than 240,000 people with kidney failure are treated with peritoneal dialysis (PD) worldwide. Cardiff University pioneered novel test methods that identified deleterious dialysis solution components, leading directly to manufacturers introducing more biocompatible dialysis fluids that improve patient outcomes. Cardiff investigators designed and ran the early clinical studies on these new fluids, which now lead the PD solutions market worldwide, and are recommended in European clinical guidelines. Recent evidence suggests that their use reduces peritonitis severity, decreases peritonitis incidence by 40% and mortality by 30%, resulting in reduced hospitilsation and significant healthcare savings.

Submitting Institution

Cardiff University

Unit of Assessment

Allied Health Professions, Dentistry, Nursing and Pharmacy

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Cardiorespiratory Medicine and Haematology, Clinical Sciences, Neurosciences

Improving Asset Management of High Voltage Equipment

Summary of the impact

Condition monitoring instrumentation for high voltage plant has been developed at GCU under contract research for Doble Engineering (Headquarters in MA, USA), a global service provider for the electric power industry. The instruments are an important new line of products for Doble providing increased sales revenue and service provision. The instruments have been widely adopted by Doble's global client base to provide improved asset management. Other beneficiaries of the work include global contract electronic manufacturing companies. In 2012 Doble invested £1.2 million in an Innovation Centre at GCU to support their product development road map.

Submitting Institution

Glasgow Caledonian University

Unit of Assessment

General Engineering

Summary Impact Type

Technological

Research Subject Area(s)

Technology: Communications Technologies

Condition monitoring of power cables and motors to prevent power plant failures

Summary of the impact

Research conducted by Glasgow Caledonian University (GCU) has changed the way power cables and motors are monitored in EDF Energy's nuclear power stations in the UK and Wuhan Electrical Power Company, China, providing the companies with innovative techniques enabling them to identify insulation defects and improve their maintenance programme. Application of the research output has helped the companies to enhance practice in PD testing, reduce maintenance and repair costs by millions of pounds whilst reliably supplying over 20% of the UK's power generation, and an area with over 10 million people in China.

Submitting Institution

Glasgow Caledonian University

Unit of Assessment

General Engineering

Summary Impact Type

Economic

Research Subject Area(s)

Engineering: Electrical and Electronic Engineering
Medical and Health Sciences: Neurosciences

UOA05-23: A new form of deep brain stimulation alleviates severe ‘freezing’ and loss of balance in advanced Parkinson’s disease

Summary of the impact

Research by Professors John Stein and Tipu Aziz at the University of Oxford has had a significant impact on advanced Parkinson's disease patients affected by freezing of gait and loss of balance. Since 2008 deep brain stimulation of the pedunculopontine nucleus has resulted in major improvements in both gait and posture in Parkinson's disease patients who have been treated with dopaminergic drugs for several years, but who had suffered the return of severely disabling movement problems. Around two hundred patients have been successfully treated worldwide through this pioneering surgery, with associated improvements in quality of life.

Submitting Institution

University of Oxford

Unit of Assessment

Biological Sciences

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Neurosciences

Improvement of Biocompatibility of Peritoneal Dialysis Fluids

Summary of the impact

Research led by Professor Paul J Thornalley since 1993, (University of Warwick, 2007-present), revealed the formation of harmful reactive dicarbonyl compounds (also known as glucose degradation products, GDPs) within the glucose osmolyte of first-generation peritoneal dialysis (PD) fluids. Clinical studies confirmed the increased damage to proteins in patients on PD therapy. In response to these findings, major manufacturers of PD fluids changed their manufacturing processes to minimise GDP content by separating glucose and buffer components within two-compartment bags for heat sterilisation, and by using osmolyte that is resistant to thermal degradation. PD fluids with low GDP content have been associated with improved clinical outcomes for patients receiving dialysis, including maintained residual renal function, decreased peritonitis, and decreased fluid infusion pain. They have been widely implemented in clinical use since 2010. Globally, approximately 240,000 patients receive PD therapy.

Submitting Institution

University of Warwick

Unit of Assessment

Clinical Medicine

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Cardiorespiratory Medicine and Haematology, Clinical Sciences

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