A5060210684- Obesity, Physical Activity, Diet
- Obesity and Health Practices
- Pelvic floor disorders treatments
- Urinary Bladder and Prostate Research
- Prostate Cancer Diagnosis and Treatment
- Eating Disorders and Behaviors
- Health Systems, Economic Evaluations, Quality of Life
- Health Promotion and Cardiovascular Prevention
- Behavioral Health and Interventions
- Healthcare Policy and Management
- Bariatric Surgery and Outcomes
- Mobile Health and mHealth Applications
- Gestational Diabetes Research and Management
- Urban Transport and Accessibility
- Smoking Behavior and Cessation
- Trauma Management and Diagnosis
- Nutrition and Health in Aging
- Cancer Risks and Factors
- Cardiac, Anesthesia and Surgical Outcomes
- Nuclear Physics and Applications
- Diabetic Foot Ulcer Assessment and Management
- Medical Coding and Health Information
- Dietetics, Nutrition, and Education
- Healthcare cost, quality, practices
- Airway Management and Intubation Techniques
University of Bristol
2016-2025
United States Naval Research Laboratory
2023
At Bristol
2018-2020
Oxford University Hospitals NHS Trust
2018
University of Birmingham
2007-2014
University of Oxford
2013-2014
Primary Health Care
2014
The Edgbaston Hospital
2013
Boston Sports & Shoulder Center
2013
Norton Healthcare
2012
Objective To assess the effectiveness of a range weight management programmes in terms loss. Design Eight arm randomised controlled trial. Setting Primary care trust Birmingham, England. Participants 740 obese or overweight men and women with comorbid disorder identified from general practice records. Interventions Weight loss 12 weeks' duration: Watchers; Slimming World; Rosemary Conley; group based, dietetics led programme; one to counselling; pharmacy choice any six programmes. The...
Attentive eating means devoid of distraction and increasing awareness memory for food being consumed. Encouraging individuals to eat more attentively could help reduce calorie intake, as a strong evidence base suggests that consumed substantially influence energy intake. The development feasibility testing smartphone based attentive intervention is reported. Informed by models behavioral change, application was developed. Feasibility tested in twelve overweight obese volunteers, sampled from...
Abstract Background For the potential benefits of trials to reach all that they should, must be designed ensure those taking part reflect population who will receive intervention. However, adults with impaired capacity consent are frequently excluded from — partly because researchers unfamiliar legal and ethical frameworks lack necessary methodological expertise. Researchers identified a need for guidance on designing more inclusive trials. Building NIHR INCLUDE initiative, we developed...
Lower urinary tract symptoms (LUTS) comprise storage symptoms, voiding and post-voiding symptoms. Prevalence severity of LUTS increase with age the progressive in aged population group has emphasised importance to our society appropriate effective management male LUTS. Identification causal mechanisms is needed optimise treatment uroflowmetry simplest non-invasive test function. Invasive urodynamics can evaluate function function; however, there currently insufficient evidence support...
Lower urinary tract symptoms (LUTS) are a key indication for surgery in older men. The Urodynamics Prostate Surgery Trial; Randomised Evaluation of Assessment Methods (UPSTREAM) study evaluated the diagnostic pathway men considering to treat LUTS and reported outcomes at 18 mo. This long-term follow-up reports rates prostate 5 yr. UPSTREAM participants who had consented received postal questionnaires yr after randomisation (October 2019-December 2021). primary outcome was patient-reported...
Journal Article Varenicline versus Bupropion XL for Smoking Cessation in Older Adolescents: A Randomized, Double-Blind Pilot Trial Get access Kevin M. Gray, M.D., M.D. 1Department of Psychiatry and Behavioral Sciences, Medical University South Carolina, Charleston, SC Search other works by this author on: Oxford Academic PubMed Google Scholar Matthew J. Carpenter, Ph.D., Ph.D. SC2Hollings Cancer Center, A. Lee Lewis, Erin Klintworth, B.A., B.A. Himanshu P. Upadhyaya, M.B.B.S., M.S. Nicotine...
Many overweight people take action to lose weight but most regain this weight.To examine the effectiveness of a maintenance intervention focused on regular self-weighing after receiving 12-week loss programme.Quasi-randomized controlled trial 3768 obese or men and women. The group (n = 3290) received two telephone calls, offer free weighing scales, encouragement weigh themselves weekly record card. main outcome was change in between 3 12 months.Using intention treat analysis both groups...
Developed countries are facing a huge rise in the prevalence of obesity and its associated chronic medical problems. In UK Primary Care Trusts charged with addressing this populations they serve, but evidence about most effective ways delivering services is not available. The aim study to determine effectiveness range weight loss programmes for obese patients primary care characteristics who respond an invitation free management programme. Lighten Up randomised controlled trial comparing...
Objectives. Recent interventions report positive results following a multi‐component campaign to increase stair climbing. This study investigated the effectiveness of volitional and motivational components stair‐climbing intervention in workplace. Design. Interrupted time‐series design. Methods. Ascending stair/lift choices, coded by gender, were observed between 08:00–10:00 14:15–16:15 on weekdays, four university buildings ( n = 14,138; 46% female). Baseline observations (stage 1; 5 days)...
<h3>Background</h3> Three randomised controlled trials have provided strong evidence that Weight Watchers<sup>®</sup> is an effective weight-loss programme but there insufficient to determine whether three other programmes are also effective. <h3>Aim</h3> To examine group-based were not inferior Watchers. <h3>Design and setting</h3> A prospective cohort study using a non-inferiority analysis of 3290 adults referred through primary care. <h3>Method</h3> Participants who met the eligibility...
Background Lower urinary tract symptoms (LUTS) in men may indicate bladder outlet obstruction (BOO) or weakness, known as detrusor underactivity (DU). Severe bothersome LUTS are a common indication for surgery. The diagnostic tests include urodynamics (UDS) to confirm whether BOO DU is the cause, potentially reducing number of people receiving (inappropriate) Objectives primary objective was determine care pathway including UDS no worse symptom outcome than one which it omitted, at 18 months...
Abstract Aim The International Continence Society (ICS) has standardized quality control and interpretation of uroflowmetry urodynamics. We evaluated traces from two large studies male lower urinary tract symptoms (UPSTREAM UNBLOCS) against ICS standards urodynamic equipment practice. Methods Ten percent urodynamics were selected at random hospital sites. A data capture template was designed the Fundamentals Urodynamic Practice checklist. Two pretrained blinded assessors extracted data, with...
BackgroundIdentifying men whose lower urinary tract symptoms (LUTS) may benefit from surgery is challenging.ObjectiveTo identify routine diagnostic and urodynamic measures associated with treatment decision-making, outcome, in exploratory analyses of the UPSTREAM trial.Design, setting, participantsA randomised controlled trial was conducted including 820 men, considering for LUTS, across 26 hospitals England (ISCTRN56164274).InterventionMen were to a care (RC) pathway (n = 393) or that...
Regular weighing in pregnant women is not currently recommended many countries but has been suggested to prevent excessive gestational weight gain. This study aimed establish the feasibility and acceptability of incorporating regular weighing, setting maximum gain targets feedback by community midwives. Low risk cared for eight midwives were randomised usual care or plus intervention at 10–14 weeks pregnancy. The involved plotting on a chart, limit targets, giving brief each antenatal...
Aims To capture in‐depth qualitative evidence regarding attitudes to and experiences of urodynamic testing among men with lower urinary tract symptoms (LUTS) at each end the clinical pathway. Methods Semi‐structured interview study conducted within Urodynamics for Prostate Surgery: Randomized Evaluation Assessment (UPSTREAM) trial, which randomized a care pathway including urodynamics or routine non‐invasive tests from 26 secondary urology sites across England. Men were interviewed after...
No AccessJournal of UrologyAdult Urology1 Nov 2020Grading Severity and Bother Using the International Prostate Symptom Score Consultation on Incontinence Questionnaire Male Lower Urinary Tract Symptoms in Men Seeking TherapyThis article is commented by following:Editorial Comment Hiroki Ito, Grace J. Young, Amanda L. Lewis, Peter S. Blair, Nikki Cotterill, Athene Lane, Kentaro Sakamaki, Marcus Drake, Paul Abrams ItoHiroki Ito Bristol Urological Institute, North NHS Trust, Southmead Hospital,...
Abstract A dietary aetiology for tooth staining associated with the use of chlorhexidine has been postulated. The time related activity would therefore suggest that evening rinsing result in less than morning rinsing. This study measured and tongue plaque accumulation a group 18 volunteers, once at night or blind cross‐over design. Beverage intake during two 10‐day periods was prescribed. Significantly more staining, but not seen Plaque showed trend to rinsing, which significant. findings be...
Point-of-choice prompts consistently increase stair climbing; a greater in overweight than normal weight individuals was reported multi-component worksite campaign.The purpose of this study is to investigate effects campaign, on climbing, public access setting.In an interrupted-time-series-design, baseline observations (2 weeks) preceded 2-week point-of-choice prompt. An additional message, positioned at the top climb for further 6-week period, summarised calorific consequences single...