A5088784640- Foot and Ankle Surgery
- Osteoarthritis Treatment and Mechanisms
- Lower Extremity Biomechanics and Pathologies
- Orthopedic Surgery and Rehabilitation
- Tendon Structure and Treatment
- Rheumatoid Arthritis Research and Therapies
- Diabetic Foot Ulcer Assessment and Management
- Colorectal Cancer Screening and Detection
- Musculoskeletal pain and rehabilitation
- Interprofessional Education and Collaboration
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Musculoskeletal Disorders and Rehabilitation
- Radiation Dose and Imaging
- Innovations in Medical Education
- Diverticular Disease and Complications
- Colorectal Cancer Surgical Treatments
- Food Security and Health in Diverse Populations
- Nursing Roles and Practices
- Dementia and Cognitive Impairment Research
- Obesity, Physical Activity, Diet
- Web and Library Services
- Systemic Sclerosis and Related Diseases
- Clinical practice guidelines implementation
- Medical and Biological Sciences
- Pelvic floor disorders treatments
Keele University
2016-2025
University of Sheffield
2005-2024
Versus Arthritis
2009-2024
St Mark's Hospital
2006-2023
Tarleton State University
2023
Hillel Yaffe Medical Center
2023
Rutgers, The State University of New Jersey
2022
Tygerberg Hospital
2021
National Health Laboratory Service
2021
Royal Hospital for Children
2021
<h3>OBJECTIVE</h3> To determine provincial trends in provision of intrapartum care by general practitioners and family physicians (GP/FPs) for the 11 years from 1984 to 1995. <h3>DESIGN</h3> Analyses Medical Care Fee-for-Service Utilization data births 1984-1985 1994-1995. <h3>SETTING</h3> 10 provinces Canada. <h3>MAIN OUTCOME MEASURES</h3> Proportion vaginal billed GP/FPs (expressed as total number divided births). <h3>RESULTS</h3> In 1994-1995, proportion ranged 77.2% British Columbia...
Consensus abstract Background The management of primary rectal cancer beyond total mesorectal excision planes (PRC-bTME) and recurrent (RRC) is challenging. There global variation in standards no guidelines exist. To achieve cure most patients require extended, multivisceral, exenterative surgery, conventional planes. aim the Beyond TME Group was to consensus on definitions principles management, identify areas research priority. Methods Delphi methodology used consensus. consisted invited...
Food insecurity—defined as not having adequate quantity and quality of food at all times for household members to have an active, healthy life—is a risk factor poor diabetes control, yet few interventions address this important factor. pantries, which receive from banks distribute it clients in need, may be ideal sites self-management support because they can provide free diabetes-appropriate people low-income communities. Between February 2012 March 2014, we enrolled 687 pantry with three...
Background: Undergraduate research exposure leads to increased recruitment into academic medicine, enhanced employability and improved postgraduate productivity. Uptake of undergraduate opportunities is reported be disappointing, little known about how students perceive research.Aim: To investigate for participation in research, recognition such opportunities, associated skills development.Method: A mixed method approach, incorporating student focus study groups, documentary analysis at five...
Consensus abstract Background The management of primary rectal cancer beyond total mesorectal excision planes (PRC-bTME) and recurrent (RRC) is challenging. There global variation in standards no guidelines exist. To achieve cure most patients require extended, multivisceral, exenterative surgery, conventional planes. aim the Beyond TME Group was to consensus on definitions principles management, identify areas research priority. Methods Delphi methodology used consensus. consisted invited...
Objectives To estimate the population prevalence of symptomatic radiographic osteoarthritis (OA) affecting 1st metatarsophalangeal joint (MTPJ), and 2nd cuneometatarsal joints (CMJs), navicular first cuneiform (NCJ) talonavicular (TNJ) in community-dwelling older adults. Methods 9334 adults aged ≥50 years registered with four general practices were mailed a health survey. Responders reporting foot pain within last 12 months invited to undergo weight-bearing dorso-plantar lateral radiographs...
The objective of our study was to assess the utility MR enterography compared with capsule endoscopy for detection small-bowel polyps in patients Peutz-Jeghers syndrome (PJS).Adult PJS scheduled surveillance were prospectively recruited and underwent endoscopy. Polyps > 10 mm regarded as clinically relevant. When appropriate, large (> 15 mm) removed at enteroscopy, enabling correlation findings. Interobserver agreement calculated. Patient comfort, convenience, test preference...
To determine whether food bank provision of self-management support and diabetes-appropriate improves glycemic control among clients with diabetes.
Foot problems are prevalent in older women and thought to be associated with footwear. This study examined women's shoe wearing patterns over time evaluated associations between footwear characteristics foot pain hallux valgus.Women aged 50-89 years (n = 2,627) completed a survey that included drawings of four toe-box shapes heel heights. For each life decade, participants indicated which style they wore most the time. past 12 months valgus were documented by self-report. Logistic regression...
The objective of this study is to develop classification criteria for overall hand osteoarthritis (OA), interphalangeal OA and thumb base based on self-reported data radiographic features.
Self-expanding metal stents are now an established treatment for malignant colonic obstruction. Favorable outcomes have been reported both cancer palliation and of acute obstruction as a "bridge" to surgery. However, little data exists regarding the use benign obstruction.All cases stent insertion occurring between December 1996 October 2002 were reviewed. During study period, 36 patients with 6 obstructive disease underwent placement self-expandable using combined endoscopic fluoroscopic...
Using the "educational alliance" as a conceptual framework, authors explored medical students' beliefs about feedback and how their behaviors reflect perceptions.Five focus groups (four to six students each) at one UK school in 2015 were used capture elucidate learners' perceptions within context of learner-educator relationship. A map key opportunities across program was tool for exploring student engagement with process. Qualitative data analyzed using an approach based on grounded theory...
To compare the population prevalence, inter-relationships, risk factor profiles and clinical characteristics of subsets symptomatic hand osteoarthritis (OA) with a view to understanding their relative frequency distinctiveness.
The objectives of this study were to estimate the population prevalence and distribution plantar heel pain in mid-to-older age groups, examine associations with selected health status lifestyle factors, report frequency healthcare use. Adults aged ≥50 years registered four general practices mailed a survey (n = 5109 responders). Plantar last month was defined by self-reported shading on foot manikin, as disabling if at least one function items Manchester Foot Pain Disability Index also...
Abstract Objective To examine the association between level of food security and diabetes self-management among pantry clients, which is largely not possible using clinic-based sampling methods. Design Cross-sectional descriptive study. Setting Community-based pantries in California, Ohio Texas, USA, from March 2012 through 2014. Subjects Convenience sample adults with queuing at ( n 1237; 83 % response). Sampled were stratified as secure, low secure or very secure. We used point-of-care...
The aim of this study was to investigate: (i) the frequency and patterns radiographic OA (ROA) in thumb joints; (ii) associations between ROA clinical characteristics older adults with hand pain or problems.Participants were 592 community-dwelling problems who attended a research clinic. Hand X-rays taken 32 joints scored for presence ROA. occurrence pattern examined. Univariable multivariable assessments (nodes, deformity, enlargement, thenar muscle wasting, grind test, Kapandji index,...
Background: A core competency during undergraduate medical training is the development of reflective learning. The current literature limited to demonstrating how learning has been implemented or approaches its development. There a lack insight into students’ perceptions reflection and factors that support practice. Bridging this gap may provide within curriculum can be better developed increase engagement from learners.Methods: Eight focus group interviews with second year students four UK...
To explore demographic and clinical factors associated with radiographic severity of first metatarsophalangeal joint osteoarthritis (OA) (First MTPJ OA).Adults aged ≥50 years registered four general practices were mailed a Health Survey. Responders reporting foot pain within the last 12 months invited to undergo assessment weight-bearing dorso-plantar lateral radiographs both feet. Radiographic OA in most severely affected was graded into categories using validated atlas. Differences...