- Cancer Risks and Factors
- Posttraumatic Stress Disorder Research
- Health disparities and outcomes
- Substance Abuse Treatment and Outcomes
- Suicide and Self-Harm Studies
- Global Cancer Incidence and Screening
- Air Quality and Health Impacts
- Obesity and Health Practices
- Disaster Response and Management
- Migration, Health and Trauma
- Smoking Behavior and Cessation
- Eating Disorders and Behaviors
- Innovations in Medical Education
- Management and Organizational Studies
- International Development and Aid
- Homelessness and Social Issues
- Evaluation and Performance Assessment
- Health and Conflict Studies
- Climate Change and Health Impacts
- Obesity, Physical Activity, Diet
- Advanced MRI Techniques and Applications
- Public Health Policies and Education
- Phytoestrogen effects and research
- Public Relations and Crisis Communication
- Patient Satisfaction in Healthcare
Imperial College London
2013-2024
NIHR Imperial Biomedical Research Centre
2011-2023
University of Hull
2022
University of Southern California
2002-2020
London Borough of Southwark
2017-2020
Primary Health Care
2019
King's College London
2006-2016
Guy's Hospital
2006-2016
St Thomas' Hospital
2008-2013
St. Thomas Hospital
2013
Dietary phytochemical compounds, including isoflavones and isothiocyanates, may inhibit cancer development but have not yet been examined in prospective epidemiologic studies of ovarian cancer. The authors investigated the association between consumption these other nutrients risk a cohort study. Among 97,275 eligible women California Teachers Study who completed baseline dietary assessment 1995-1996, 280 developed invasive or borderline by December 31, 2003. Multivariable Cox proportional...
Objectives This study sought to explore the differential patient satisfaction reported by patients with cancer who are from ethnic minority backgrounds, examining patient-reported experience of interacting medical and nursing staff. Setting As a secondary analysis, we collated data collected over two consecutive annual rounds National Cancer Patient Experience Survey (NCPES) September 2012 November 2013. Participants There were 138 878 responses 155 hospital trusts across Health Service in...
Background: Observed regional differences in breast cancer incidence could provide valuable clues to the etiology of this disease. The pattern historically higher rates among residents California's San Francisco Bay and Southern Coastal areas is evident disease experience members California Teachers Study. This large cohort study has followed female professional school employees for since 1995 collected extensive information on risk factors. Methods: Between 1996 1999, invasive was diagnosed...
<b>Objectives</b> To identify public perceptions of the risk to health after poisoning Alexander Litvinenko with polonium-210 (<sup>210</sup>Po) in London and assess impact communications. <b>Design</b> Cross sectional telephone survey qualitative interviews. <b>Setting</b> London, United Kingdom. <b>Participants</b> 1000 people completed cross 86 potentially exposed <b>Main outcome measures</b> Perception personal <sup>210</sup>Po incident. Qualitative interviews were analysed an emphasis...
Aims: Little has been reported on self-harm among the UK Armed Forces, partly due to difficulties in recording self-harm, within an often-difficult-to-reach population. This study assesses lifetime prevalence of attempted suicide and currently serving ex-service personnel Forces. Methods: Telephone interviews were conducted with 821 who had previously participated King’s Centre for Military Health Research military health study. Within telephone interview, participants asked about episodes...
Background: Pain at split skin graft donor sites is common. Fibrin sealant has been demonstrated to reduce time hemostasis wound sites, and patients receiving this treatment were incidentally noted report less pain. This study aimed evaluate pain incapacity in treated with without fibrin sealant. Methods: Fifty requiring thigh donor-site grafts prospectively randomized receive either a self-adhesive fabric dressing alone or plus the as primary dressings. External secondary dressings same....
A popular technique to reduce respiratory motion for cardiovascular magnetic resonance is perform a multi-slice acquisition in which patient holds their breath multiple times during the scan. The feasibility of rigid slice-to-volume registration correct misalignments slice stacks such images due differing breath-hold positions explored. Experimental results indicate that can compensate typical expected. Correction misalignment anatomically more images, as well improved left ventricular...
There is some evidence to suggest that higher job satisfaction among healthcare staff in specific settings may be linked improved patient outcomes. This study aimed assess the potential of used as an indicator institutional performance across all acute National Health Service (NHS) hospitals England.Using responses from NHS Staff Survey 2009, and correlating these with hospital standardised mortality ratios (HSMR), correlation analyses were conducted at level further subgroups.Over 60 000...
The risk of iatrogenic harm from the use and misuse prescription drugs such as gabapentin, pregabalin, oxycodone is substantial. In recent years, deaths associated with these in England have increased.To characterise general practice prescribing trends for - termed dependence forming medicines (DFM) describe potential drivers unwarranted variation (that is, very high prescribing).This study a retrospective secondary analysis open source, publicly available government data various sources...
Oxygen support remains essential for treatment of acute and severe manifestations COVID-19. In Nepal, like many other low-resource settings, medical oxygen availability was inadequate before the pandemic. The mid-2021 wave COVID-19 transmission starkly exposed supply-demand imbalance across country. Pre-pandemic, more complex cases were typically referred to hospitals with better resources; however, during pandemic, these overrun. Therefore, resource-poor health facilities have been...
Abstract : In the United Kingdom and States, these two independent cohort studies have been instituted to prospectively study health of service personnel veterans. From comparisons with baseline information, are designed better inform military public on how best protect their armed forces understand long-term risks some occupational exposures that extend beyond communities. order do this, consider: 1) The underlying physical mental populations before, during, after service; 2) specific...
Smoke-free legislation banning tobacco smoking in public places was implemented across Nepal 2014 with the ambition to reduce impact of second-hand smoking. As part a comprehensive policy package on control, implementation has seen marked reduction consumption. Yet there remains uncertainty about level compliance smoke-free places.This study assesses laws and factors associated active Biratnagar Metropolitan City, Nepal.A cross-sectional conducted metropolitan city Province 1 from July...
Maternity service providers have struggled to provide high-quality services women and newborns during the ongoing COVID-19 pandemic which has substantially impacted health systems disrupted maternity globally. Nepal is a resources-limited country that reported significant impact of on maternal services. It therefore important understand better perspective care professionals in this context. This study intends explore experiences nurses providing public sector Nepal. A qualitative using...
Retrospective review of prospectively collected spinal surgery and transfusion databases.To evaluate the efficacy a care pathway developed at our institution since 2003 with focus on reducing need for blood transfusions in children undergoing scoliosis correction surgery. The includes nurse-led clinics facilitating preoperative hemoglobin optimization, intraoperative cell salvage, use tranexamic acid, criteria awareness program.Retrospective institution's recorded databases including all...
Objectives: These analyses were designed to describe characteristics associated with active and passive smoking in a large cohort of women order identify possible confounders the relationship between exposures breast cancer risk. Methods: Analyses based on 1995 data collected from California Teachers Study (CTS) restricted those complete usable tobacco (n = 5 128,174). Ageadjusted race-adjusted odds ratios (OR) generated by unconditional logistic regression. Results: Compared never smokers,...
Cumulative impact zones (CIZs) are a discretionary policy lever available to local government, used restrict the availability of alcohol in areas deemed already saturated. Despite little evidence their effect, over 200 such have been introduced. This study explores three CIZs on licensing venues London Borough Southwark. Using 10 years data, we examined changes issuing licences introduction within Southwark, relative control areas. The number licence applications made (N = 1110), issued, and...
One of the main challenges with magnetic resonance (MR) cardiac image acquisition is to account for motion due respiration. A popular technique reduce respiratory perform a multi-slice in which patient holds their breath multiple times during scan. This paper explores feasibility using rigid slice-to-volume registration correct misalignments slice stacks such images differing breath-hold positions. The experimental results indicate that sufficiently accurate and robust compensate typical...