A5001669927- Dementia and Cognitive Impairment Research
- Geriatric Care and Nursing Homes
- Intergenerational Family Dynamics and Caregiving
- Tuberculosis Research and Epidemiology
- Aging, Elder Care, and Social Issues
- Health disparities and outcomes
- HIV, Drug Use, Sexual Risk
- Homelessness and Social Issues
- Pneumonia and Respiratory Infections
- Pneumocystis jirovecii pneumonia detection and treatment
- Frailty in Older Adults
- Hepatitis C virus research
- Diagnosis and Treatment of Venous Diseases
- Health, Environment, Cognitive Aging
- Health Systems, Economic Evaluations, Quality of Life
- Migration, Health and Trauma
- Aging and Gerontology Research
- Surgical Sutures and Adhesives
- Menopause: Health Impacts and Treatments
- Chronic Disease Management Strategies
- Pressure Ulcer Prevention and Management
- Digital Mental Health Interventions
- Healthcare Systems and Technology
- Anesthesia and Sedative Agents
- Liver Disease Diagnosis and Treatment
University of Auckland
2018-2024
University of Colorado Anschutz Medical Campus
2021
Colorado School of Public Health
2021
University College London
2012-2018
Royal Free London NHS Foundation Trust
2013-2018
Farr Institute
2017-2018
Middlemore Hospital
2018
The Royal Free Hospital
2012
Middlesex University
2009
North Middlesex Hospital
2009
We conducted a long-term experiment in grassland with the aim of elucidating dynamics relation to variations rainfall amount and spatial temporal variation disturbance. In particular we aimed increase our understanding ecosystem function, species redundancy, invasion biology, other related topics. studied serpentine annual northern California over period 1983–2002 replicated series experimental plots comprising controls, gopher exclosures, aboveground herbivore exclosures. Annual varied...
Objective Ethnicity may affect presentation to clinical services in people with dementia; however, no studies have examined this Māori or Pacific peoples New Zealand (NZ). Our objective was examine the routinely collected data from a memory assessment service South Auckland of dementia major NZ ethnic groups. Methods A total 360 patients presenting new diagnosis were included study. Demographic (age, sex, and ethnicity) sub‐type severity analyzed. Results There 142 European (mean age: 79.2,...
Summary Injecting drugs substantially increases the risk of hepatitis C virus ( HCV ) infection and is common in homeless prisoners. Capturing accurate data on disease prevalence within these groups challenging but essential to inform strategies reduce transmission. The aim this study was estimate populations. We conducted a cross‐sectional between May 2011 June 2013 London and, using convenience sampling, recruited participants from hostels for homeless, drug treatment services prison. A...
Currently, there are estimated to be 70,000 people living with dementia in Aotearoa, New Zealand (NZ). This figure is projected more than double by 2040, but due the rapid growth of older age groups non-European populations, prevalence will at least triple amongst NZ Indian population. The impact community currently unknown. aim this study was explore lived experiences Indians and their caregivers. Ten caregivers (age range: 41–81) five mild 65–77) were recruited from a hospital memory...
For a continuing London outbreak of isoniazid mono-resistant tuberculosis (TB), we aimed to determine transmission rates and risk factors for contacts early cases, in order inform future guidance on contact tracing. Paper-based proformas were completed by TB nurses, then analysed using EpiInfo/SAS statistical software. Forty community (11%) became 45 (13%) recommended chemoprophylaxis 270 (76%) discharged clear infection. The highest rate was among exposed two or more cases (29% cases) close...
As the economic impact of dementia on health and social care increases, governments require disease-specific epidemiological data that will help inform spending policy decisions. The aim this study is to examine predictors mortality in consecutive referrals a New Zealand (NZ) memory service includes Māori, Pacific Islander, NZ European patients.
Little is known about the lived experience of dementia in New Zealand Chinese community. This study aims to explore understanding and experiences living with Zealanders. Participants were recruited from a memory service community day programme. In-depth interviews conducted by bilingual bicultural researchers. The recorded transcribed thematically analysed. Sixteen people family carers participated this study. first theme revealed lack prior diagnosis, commonly used term “brain shrinkage”...
The National Knowledge Service (NKS) is a Health initiative to make patient and public information available patients healthcare professionals. current study was carried out with view determine whether the resources developed by NKS Tuberculosis Pilot have improved knowledge about tuberculosis among target group in short term.Information specifically targeted for homeless sector staff, managers prison officials were used this study. Questionnaires designed assess change level of completing...
<strong>Context:</strong> Compared to Europeans, Māori and Pacific peoples living with dementia in the Counties Manukau District Health Board region are three times less likely use Aged Residential Care (ARC). <strong>Objectives: </strong>The aim of this study was investigate whether reduced ARC utilisation by is equitably compensated an increase Home Based Support Service (HBSS). <strong>Methods:</strong> Routinely collected sociodemographic clinical data for people diagnosed at NZ memory...
<strong>Background:</strong> Aged residential care (ARC) is a significant cost of dementia care. However, little known about the predictors ARC placement in New Zealand (NZ), which important for service planning and funding. The aim this study was to investigate sociodemographic clinical characteristics that predict future among people who received new diagnosis at NZ memory service. <strong>Methods:</strong> Routinely collected baseline data from 14/06/13 14/12/19 were linked with...
Recent estimations have projected a threefold increase in dementia prevalence Aotearoa New Zealand (NZ) by 2050, particularly Maori and Pacific peoples. However, to date, there are no national data on prevalence, overseas used estimate the NZ statistics. The aim of this feasibility study was prepare groundwork for first full-scale that is representative Māori, European, Asian peoples living NZ.
Objective.Perinatal outcomes in the United States are poor among Hispanics, country's fastest-growing population.Hispanics experience higher rates of obesity, diabetes, gestational preterm birth, and pregnancy-related hypertension, as well 20% infant deaths.StartSmart TM , an mHealth app, screens for risk protective factors.This project translated culturally adapted StartSmart Spanish-speaking pregnant women.Methods.Using Beaton process translation cultural adaptation, we completed a...
<h3>Background</h3> There are high rates of active tuberculosis (TB) in London’s hard to reach groups (homeless people, substance misusers and prisoners). However no systematic data available regarding the prevalence latent TB infection (LTBI) blood borne viruses (BBV) - HIV, Hepatitis B C (HBV, HCV). Hard often present late for healthcare. We undertook a TB/BBV screening programme assess LTBI co-infection with BBVs within homeless hostels, drug services prison London. also investigated...
Background Both dementia and delirium are seen frequently in older hospital inpatients. Dementia is present up to one-third of inpatients, also occurs around often alongside dementia. Patients’ health outcomes, such as mortality, length stay, discharge a care home, may be worse patients with and/or delirium. Objective(s) To describe the association outcomes (length home placement) sample from New Zealand setting. Methods Routinely collected data consecutive 2248 assessed memory service 2013...
The 10/66 dementia protocol was developed as a language and culture-fair instrument to estimate the prevalence of in non-English speaking communities. aim this study validate elders Indian ethnicity born Fiji Islands (Fijian-Indian) living New Zealand. To our knowledge, is first time diagnostic tool has been evaluated Fijian-Indian population We translated adapted for use people. Individuals (age ≥ 65) who self-identified had either assessed at local memory service (13 cases, eight controls)...
Introduction Aotearoa/New Zealand (NZ) is officially recognised as a bicultural country composed of Māori and non-Māori. Recent estimations have projected threefold increase in dementia prevalence NZ by 2050, with the greatest non-NZ–Europeans. The government will need to develop policies plan services meet demands rapid rise cases. However, date, there are no national data on overseas used estimate statistics. overall aim Living Dementia Aotearoa study was prepare groundwork for large...