- Stoma care and complications
- Diet and metabolism studies
- Muscle metabolism and nutrition
- Exercise and Physiological Responses
- Colorectal Cancer Screening and Detection
- Respiratory and Cough-Related Research
- Thermoregulation and physiological responses
- Diverticular Disease and Complications
- Health and Wellbeing Research
- Hernia repair and management
- Gastrointestinal disorders and treatments
- Cardiovascular Effects of Exercise
- Metabolism and Genetic Disorders
- Amoebic Infections and Treatments
- Celiac Disease Research and Management
- Pharmacological Effects and Toxicity Studies
- Intraperitoneal and Appendiceal Malignancies
- Nutrition and Health in Aging
- Biliary and Gastrointestinal Fistulas
- Digital Imaging in Medicine
- Gallbladder and Bile Duct Disorders
- Clinical Nutrition and Gastroenterology
- Climate Change and Health Impacts
- Abdominal Surgery and Complications
- Colorectal Cancer Surgical Treatments
University of California, Irvine
2020-2023
Homerton University Hospital NHS Foundation Trust
2017-2019
Homerton University Hospital
2018-2019
Lloyd's
2013
To evaluate the effects of probiotic supplementation on gastrointestinal (GI) symptoms, circulatory markers GI permeability, damage, and immune response during a marathon race. Twenty-four recreational runners were randomly assigned to either supplement with (PRO) capsule [25 billion CFU Lactobacillus acidophilus (CUL60 CUL21), Bifidobacterium bifidum (CUL20), animalis subs p. Lactis (CUL34)] or placebo (PLC) for 28 days prior symptoms recorded period Serum lactulose:rhamnose ratio, plasma...
The purpose of the present study was to investigate prevalence gastrointestinal symptoms (GIS) amongst recreational runners during a marathon race, and potential nutritional factors that may contribute. Recreational 2017 Liverpool (n = 66) Dublin 30) marathons were recruited. GIS reported post-marathon we considered in 7 days prior using Gastrointestinal Symptom Rating Scale (GSRS). Nutritional intake recorded food diaries for day before morning race; 43% participants moderate (≥4) 27%...
Objectives: Although gastrointestinal (GI) symptoms are prevalent in endurance athletes, scant research has examined GI team-sport their impacts, and explanatory factors. This study aimed to assess the prevalence severity of athletes identify potential risk Design: An observational anonymous survey. Setting: Online. Participants: Hundred forty-three (79 men 64 women) from team-based sports, with soccer, rugby, American football comprising approximately 75% sample. Assessments Risk Factors:...
Fearn, Robert I. M.D., M.R.C.P.; Gorgun, Emre M.D.; Sapci, Ipek Mehta, Saahil N. Dinh, Binh B.S.; Yowell, Quinn V. M.S.; Eisenstein, Samuel M.D.Author Information
We report a case of previously healthy female patient who initially presented with fever, jaundice and right upper quadrant pain three days after dilatation stenting stricture the common bile duct (CBD). During an earlier admission, had undergone endoscopic retrograde cholangiopancreatography (ERCP) having fevers biliary on ultrasound. The ERCP features were more consistent Mirizzi's Syndrome. subsequently underwent subtotal cholecystectomy later developed CBD stricture, requiring repeat...
Over 55% of stoma patients suffer complications such as dehydration. Outcomes may be improved through communicating output data to the patient and their clinical teams. Past artificial neural networks improve accuracy in fluid level sensing were designed account for ‘slosh’ caused by variable acceleration one or two axes movement. This paper describes development a novel sensor platform non-invasive monitoring real time incorporating volumetric array consisting...
A multi-sport event poses a different variety of problems for medical team, when compared to tournaments specific sports, due the diverse range injuries that occur. There is lot data about injury rates in but on epidemiology at multi-sports events limited. Our aim was research occur during tournaments, by performing prospective cross-sectional collection study, as team covering Team GB European Maccabi Games 2011. We collected profile statistics relation sport played, age patient, ‘type’...
A 21-year-old woman presented with a 2-week history of vomiting, diarrhoea and epigastric pain, 9 kg weight loss over the last two months. Laboratory tests were normal negative coeliac serology. Duodenal biopsies revealed total villous atrophy, crypt hypertrophy intraepithelial lymphocytosis. diagnosis seronegative disease was made, she started gluten-free diet. However, did not respond her fell to 30.6 (body mass index 11), becoming dependent on parenteral nutrition. Her reconsidered...
AimsAn improvement in the efficiency of endoscopy lists could help meet increasing demand.We aimed to reduce 'turnaround time' between procedures.
Background The risk of heat-related illness in sport is significant. It can range from minor symptoms, through heat exhaustion to stroke, coma and possible death. Early recognition cooling reduce morbidity mortality associated with exertional (EHI). Objective aim our study was establish a protocol for the prevention, prompt management EHI, athletes, who are participating potentially dangerous weather conditions/environments. Design We performed prospective, cohort incidence EHI occurring...
Introduction: Parastomal hernia formation after ileostomy is common, affecting 2%-28% of end ileostomies. However, most affected patients are asymptomatic. Here we describe the case a patient with Crohn's disease colectomy and creation complicated by an incarcerated parastomal in setting acute viral diarrheal illness. Case Description/Methods: Patient 62-year-old man history Crohn’s colitis status post total due to multifocal low grade colonic dysplasia. Interval ileoscopy 1 year...
<h3>Introduction</h3> An improvement in the efficiency of endoscopy lists could help meet increasing demand. We aimed to reduce 'turnaround time' between procedures. <h3>Methods</h3> Endoscopy Quality Improvement Fellow coordinated projects. Information was collected from electronic patient record, entries made by staff (time entry into room, procedure start, finish, and time out room) were entered a spreadsheet. For in-depth assessment activities during turnaround, fellow observed whole...
<h3>Introduction</h3> Demand for endoscopy in the UK has doubled last 5 years. In 2017, 64% of units failed to meet suspected cancer targets despite 66% having weekend lists and 27% outsourcing external providers<sup>1</sup>. UCL Cancer Collaborative (UCLCC) data showed demand can be met by improving efficiency. This is important a resource-limited setting. Our Quality Improvement (QI) Project aimed improve efficiency turnaround time, non-attendance on-the-day cancellations. <h3>Methods</h3>...