An innovative approach to research and collaborative working Dr Stephen Fôn

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1 An innovative approach to research and collaborative working Dr Stephen Fôn

2 Items for discussion Ø North Wales & North West Urological Research Centre (NW2URC) Ø Clinical studies Ø Collabora3on Ø Researchers Ø NW2URC laboratory Ø Short term aims & objec3ves (1-3 years)

3 Ø North Wales & North West Urological Research Centre - established January 2014 Ø Mr Iqbal Shergill (BCUHB, Consultant Urological Surgeon; Hon. Senior Lecturer UoChester; Director NW 2 URC) Ø Dr Stephen Fôn Hughes (Senior Lecturer & Course Director BSc Biomedical Science, University of Chester; Director NW 2 URC) Ø Clinical research, 3 main areas within urology: Kidney Bladder Prostate

4 Ra2onale Ø number of pa3ents in the UK having surgical interven3ons for the treatment of benign and malignant disorders of the kidneys, prostate and bladder Ø As such, number of pa3ents developing disease recurrence and progression, as well as post-opera3ve complica3ons (e.g. infec3on, bleeding and blood clots) Ø Post-opera3ve complica3ons result in Ø pa3ents requiring longer hospital stays Ø poor pa3ent experience and outcomes Ø addi3onal financial constraints for the NHS Ø Minor improvements in the monitoring of these pa3ents could have financial benefits for the NHS and health benefits for the na2on

5 Jus2fica2on Ø Limited literature (i.e. inves3ga3ng basic science/novel biomarkers and clinical outcome measures) Ø Mostly, published work done using animal models Ø Our proposed inves3ga3ons was recognised and supported Ø European Associa3on of Urology (EAU) - Stockholm (April 2014) Ø Welsh Urological Society (WUS) Bridgend (November 2015) Ø Bri3sh Associa3on of Urological Surgeons (BAUS) - London (December 2015), Liverpool (June 2016)

6 Ø Clinical Areas: Ø Renal Ø Prostate Ø Bladder Ø Penile Ø Scien8fic Inves8ga8ons: Ø Biological Pathways Ø Basic Science Ø Novel biomarkers Ø Clinical Outcome Measures Research Areas

7 Ø Collabora3on Ø BCUHB (Urology & Pathology Wrexham & YGC) Ø Department of Biological Sciences, UoChester Ø University College London Hospitals (Mr Manit Arya) Ø Bangor & Glyndwr Universi3es Ø North Wales Organisa3on for Randomised Trials in Health (NWORTH) Ø Life Sciences HUB Wales Ø Bri3sh Urology Researchers in Surgical Training (BURST) Ø Recently, our research has been adopted on to the Health & Care Research Wales (previously NISCHR) clinical research porgolio Ø 3 FT PhD, 1 star3ng in September 2016 Ø 2 Urology Specialist Registrars (SpRs)

8 Researchers Ø (PhD) Alyson Moyes (Renal) December 2013 Ø (PhD) Peter Ella-Tongwiis (Bladder) January 2015 Ø (PhD) Rebecca Lamb (Bladder) September 2015 Ø (SpR) Dr Anish Pushkaran (Stones) March 2016 Ø (SpR) Dr Issam Hussien (Prostate) March 2016

9 Research Outputs (examples) Ø S.F. Hughes, S.J. Thomas-Wright, J. Banwell, S. Mushtaq, R. Williams, M. Abdulmajed, I. Shergill (2014). Are urological pa2ents at increased risks of developing haemosta2c complica2ons following shock wave lithotripsy (SWL) for solitary unilateral kidney stones? European Associa3on of Urology Congress. Stockholm, Sweden, April 2014 [Abstract] Ø Alyson Moyes, Iqbal Shergill, Samantha J. T-Wright, Joseph Banwell, Sohail Mushtaq, Mohamed Abdulmajed & Stephen F. Hughes (2015). Shock wave lithotripsy (SWL), for the treatment of solitary unilateral kidney stones, results in changes to inflammatory and phagocy2c leucocyte biomarkers. Bri3sh Associa3on of Urological Surgeons (BAUS) Conference. London, UK December 2015 [Abstract] Ø S.F. Hughes, S.J. Thomas-Wright, J. Banwell, S. Mushtaq, R. Williams, M. Abdulmajed, & I. Shergill (2015). A pilot study to evaluate haemosta2c func2on, following shock wave lithotripsy (SWL) for the treatment of solitary kidney stones. PLOS ONE [Doi: / journal.pone ] [Ar3cle] Ø A. J.Moyes, S. Mushtaq, R. Lamb, P.Ella-Tongwiis, I. Shergill, & S.F. Hughes (2016). Flexible UreteroRenoscopy (furs), for the treatment of kidney stones, results in changes to rou2ne haematological and biochemistry markers. E. J. of Urology [Submi&ed]

10 NW 2 URC Laboratory Based at BCUHB, Wrexham Maelor Hospital (opposite Pathology Department)

11 Laboratory

12 NW 2 URC laboratory houses state of the art equipment Accuri C6 flow cytometer Biomerieux Mini-vidas ELISA plate readers and washers Konelab 20 clinical chemistry analyser Bio-Rad Luminex 100 analyser -85oC freezers Microtome Coulter Act Diff haematology analyser Dade Behring PFA100 platelet analyser Bio-Rad molecular equipment (e.g. western bloong and PCR) Olympus fluorescence microscope (FITC and DAPI)

13

14 Short-term aims and objec2ves Ø Con3nue applying for research grants (e.g. IBMS, Kidney Research UK, Urology Founda3on, Rosetrees, Pelican Cancer Founda3on, HCRW, etc.) - > 250k secured thus far. Ø Apend various mee3ngs (e.g. WUS, BAUS and EAU) for networking purposes: this will be ongoing. Ø Publish clinical pilot-studies (these are the papers that will help us secure larger grants in the future) our academic building blocks!!

15 Our GOAL, our MISSION. Ø To develop NW 2 URC as a centre of excellence for urological research (locally, na3onally and interna3onally) Ø Promote clinical research at BCUHB (enhance research profile in North Wales)

16 Acknowledgements

17 Pob lwc Cymru!!

18 Thank you for listening! Any Ques3ons? Telephone:

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