- Cardiac Health and Mental Health
- Nutrition and Health in Aging
- Chronic Disease Management Strategies
- Blood Pressure and Hypertension Studies
- Healthcare Systems and Public Health
- Global Health Care Issues
- Dysphagia Assessment and Management
- Health Promotion and Cardiovascular Prevention
- Heart Failure Treatment and Management
- Esophageal and GI Pathology
- Venous Thromboembolism Diagnosis and Management
- Cardiovascular Issues in Pregnancy
- Obesity, Physical Activity, Diet
- Nursing Roles and Practices
- Health, Environment, Cognitive Aging
- Cardiovascular Health and Risk Factors
- Obesity and Health Practices
- Hypothalamic control of reproductive hormones
- Physical Activity and Health
- Child Nutrition and Feeding Issues
- Endometriosis Research and Treatment
- Health disparities and outcomes
- Frailty in Older Adults
- Sex and Gender in Healthcare
- Pharmaceutical Economics and Policy
Newcastle University
2024
University of Oxford
2008-2023
Nuffield Health
2023
University of Exeter
2023
Oxford BioMedica (United Kingdom)
2019
University of Otago
2017
West Suffolk College
2017
General Department of Preventive Medicine
2017
North Yorkshire County Council
2017
Mario Negri Institute for Pharmacological Research
2014
Abstract Aims The 2019 report from the European Society of Cardiology (ESC) Atlas provides a contemporary analysis cardiovascular disease (CVD) statistics across 56 member countries, with particular emphasis on international inequalities in burden and healthcare delivery together estimates progress towards meeting 2025 World Health Organization (WHO) non-communicable targets. Methods results In this report, CVD are presented for countries ESC. drawn ESC which is repository data variety...
The European Society of Cardiology (ESC) Atlas has been compiled by the Heart Agency to document cardiovascular disease (CVD) statistics 56 ESC member countries. A major aim this 2017 data presentation compare high-income and middle-income countries identify inequalities in burden, outcomes, service provision. utilizes a variety sources, including World Health Organization, Institute for Metrics Evaluation, Bank risk factors, prevalence, mortality national economic indicators. It also...
Background— Early menarche has been associated with increased risk of coronary heart disease (CHD), but most studies were relatively small and could not assess across a wide range menarcheal ages; few have examined associations other vascular diseases. We CHD, cerebrovascular disease, hypertensive risks by age at in large prospective study UK women. Methods Results— In 1.2 million women (mean±SD age, 56±5 years) without previous stroke, or cancer, was reported to be 13 years 25%, ≤10 4%, ≥17...
There are very few studies looking at the energy and protein requirements of patients requiring texture modified diets. Dysphagia is main indication for people to be recommended texture-modified Older post-stroke key group in hospital setting who consume this type diet. The diets can several consistencies ranging from pureed soft textures.To compare 24-hour dietary intake older consuming a diet clinical normal diet.Weighed food intakes record charts were used quantify patients' intakes,...
Abstract Objectives To study trends in stroke mortality rates, event and case fatality, to explain the extent which reduction rates was influenced by changes or fatality. Design Population based study. Setting Person linked routine hospital data, England. Participants 795 869 adults aged 20 older who were admitted with acute died from stroke. Main outcome measures Stroke (stroke admission death without admission), fatality within 30 days after Results Between 2001 2010 decreased 55%, 20%,...
Abstract Hip fracture risk is known to increase with physical inactivity and decrease obesity, but there little information on their combined effects. We report the separate effects of body mass index (BMI) activity hospital admissions for hip among postmenopausal women in a large prospective UK study. Baseline size, activity, other relevant factors was collected 1996–2001, participants were followed incident fractures by record linkage National Health Service (NHS) admission data. Cox...
Being married has been associated with a lower mortality from ischemic heart disease (IHD) in men, but there is less evidence of an association for women, and it unclear whether the associations being are similar incident fatal IHD. We examined relation between marital status IHD incidence Million Women Study.
Abstract Aim To investigate the effect of eating in a supervised dining room, on nutritional intake and weight, for elderly patients an acute medicine ward. Method Patients intervention ward were encouraged to attend room every lunchtime by trained nursing assistant as part rehabilitation process. The control ate only their bedside. Food weight data collected over study period each patient. Results Forty‐eight participated study. At meal studied group had higher intakes energy compared with...
Abstract Background Dysphagic older patients are prescribed texture modified food or fluids as treatment. The present study aimed to determine whether targeted feeding assistance using trained volunteers increased oral intake in elderly dysphagic patients. Method Individualized was given who were diagnosed with dysphagia by a speech and language therapist. Data collected between 08.00 h 16.00 compared previously data from received no assistance. Results group ( n = 16) had higher intakes of...
Some investigators have reported an excess risk of venous thromboembolism (VTE) associated with depression and use antidepressant drugs. We explored these associations in a large prospective study UK women.
The short form 36 (SF-36) health questionnaire may not be appropriate for population surveys assessing gain because of the low responsiveness (sensitivity to change) domains on measure. An hypothesised respondents in social class V that those I indicated only marginal improvement self reported health. Subgroup analysis, however, showed SF-36 would indicate dramatic changes if could improved I.Postal survey using a booklet containing and number other items concerned with lifestyles illness. A...
Excess weight is associated with poor health and increased health-care costs. However, a detailed understanding of the effects excess on total hospital costs for different conditions needed.
Objectives: This study reports the cost-effectiveness of interventions with nonsignificant differences in effect, and considers reporting situations where arise some but not all end points.Methods: Data on costs effects associated three points (adequate assessment, risk factors, life-years) were derived from a trial methods to promote secondary prevention coronary heart disease. Incremental cost per life-year gained figures calculated, uncertainty around these was displayed planes form...
<h3>Background</h3> B-type natriuretic peptide (BNP) is a blood test which detects ventricular wall stretch and being increasingly used in primary care on limited evidence. <h3>Aim</h3> To assess the practical implications potential clinical benefit of measuring BNP to identify guide treatment undiagnosed or under-treated dysfunction at-risk patients. <h3>Design study</h3> Screening study with single-arm intervention. <h3>Setting</h3> A total 1918 patients diabetes mellitus ischaemic heart...
Cardiovascular multimorbidity (CVM) is the co-occurrence of multiple cardiovascular disease subtypes (CVDs) in one person. Because common patterns and incidence CVM are not well-described, particularly women, we conducted a descriptive study Million Women Study, large population-based cohort women.
Abstract Introduction Reported delirium prevalence in inpatients with Parkinson’s disease (PD) varies widely across the literature and is often underreported. Delirium associated an increased risk of institutionalisation, dementia, mortality, but to date there are no comprehensive prospective studies PD. We aimed determine PD compared older adults its adverse outcomes. Method Participants from ‘Defining Impact Disease’ (DELIRIUM-PD) ‘Delirium Cognitive Dementia’ (DECIDE) were included....
David Foster and colleagues describe the development of a trust wide screening tool to help improve patient nutrition
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