- Cardiovascular Effects of Exercise
- Gestational Diabetes Research and Management
- Cardiac Arrest and Resuscitation
- Obesity, Physical Activity, Diet
- Sports injuries and prevention
- Restraint-Related Deaths
- Mobile Health and mHealth Applications
- Migration, Aging, and Tourism Studies
- Bariatric Surgery and Outcomes
- Climate Change and Health Impacts
- Spinal Fractures and Fixation Techniques
- Diabetes Management and Research
- Physical Activity and Health
- Thermoregulation and physiological responses
- Takotsubo Cardiomyopathy and Associated Phenomena
- Sports Performance and Training
- Lower Extremity Biomechanics and Pathologies
- Injury Epidemiology and Prevention
- Traumatic Brain Injury Research
- Financial Markets and Investment Strategies
- Financial Literacy, Pension, Retirement Analysis
- Cardiovascular and Diving-Related Complications
- Cardiovascular Issues in Pregnancy
- Exercise and Physiological Responses
- Medical Imaging and Pathology Studies
Nuffield Orthopaedic Centre
1992-2024
Oxford University Hospitals NHS Trust
2015-2024
University of Oxford
2017-2024
East Sussex County Council
2015
King's Fund
1992
Anglo-Norman Text Society
1992
Boston Children's Hospital
1992
A computerized pressure plate system was used to analyze the sitting distribution and balance of 100 subjects with both normal abnormal spines. Normal had a balanced posture weight taken evenly on each ischial tuberosity. Patients idiopathic scoliosis showed significant imbalance especially in presence lumbar curves. Bracing improved stability most patients. Abnormal patterns were seen spinal deformities myelodysplasia or cerebral palsy. Some patients severe very asymmetric patterns, which...
Physical activity (PA) interventions are an important but underutilised component in the management of gestational diabetes mellitus (GDM). The challenge remains how to deliver cost effective PA that have impact on individual behaviour. Digital technologies can support and promote remotely at scale. We describe development a behaviourally informed smartphone application (Stay-Active) for women attending NHS GDM clinic. Stay-Active will existing motivational interviewing intervention increase...
Abstract Background Physical activity (PA) interventions have an encouraging role in gestational diabetes mellitus (GDM) management. Digital technologies can potentially be used at scale to support PA. The aim of this study was assess the feasibility and acceptability + Stay-Active: a complex intervention which combines motivational interviewing with smartphone application promote PA levels women GDM. Methods This non-randomised mixed methods approach. Participants were recruited from GDM...
This report discusses a rare case of 55‐year‐old female triathlete who developed recurrent episodes swimming‐induced pulmonary edema ( SIPE ). She had two hospital admissions with after developing breathlessness while swimming, including near‐drowning experience in an open water swim. With increasing popularity triathlon and sports, this highlights the importance greater awareness among health professionals, event organizers, athletes. explores previous reported cases triathletes those have...
Regular physical activity improves glycaemic control in pregnant women with gestational diabetes. Motivational interviewing is an effective technique for increasing levels. This report evaluates a clinical pathway developed to integrate motivational into routine diabetes care. Women attending single-centre NHS clinic were invited engage activity-focused interview. The aerobic levels of 62 evaluated at baseline and 2-week telephone follow up, coded three categories by minutes moderate...
Background Swimming Induced Pulmonary Edema (SIPE) is life-threatening condition that can affect healthy triathletes. There have been several reported cases amongst triathletes, however the current estimation of incidence derived from a survey triathletes with self-reported symptoms suggestive SIPE. Objective To investigate SIPE and associated risk factors in mass participation Triathlon Competitions (TC). Design A retrospective analysis Competitors' Medical Records (CMR). Setting 11...
Background Exertional heat stroke (EHS) is a potentially life-threatening condition to the endurance athlete. Early recognition and rapid on-site treatment with aggressive cooling measures significantly reduces mortality, improves outcome avoids hospital transfers. Objective Determine incidence of EHS in triathlon competition. Design A retrospective analysis competitor medical records. Setting Data was collected across two UK-based triathlons over six years (11 consecutive triathlons)....
To evaluate the incidence of undiagnosed celiac disease (CD) in patients presenting with bone stress injuries (BSI) to a NHS Sport and Exercise Medicine (SEM) clinic.Retrospective cohort study.Single tertiary-level SEM clinic.One hundred consecutive radiologically proven BSIs.Laboratory blood tests (LBT) can unmask underlying metabolic disorders. Anti-tissue transglutaminase antibody (TTG) testing has high sensitivity specificity for CD. In this clinic, clinicians were encouraged perform LBT...
Introduction Physical activity (PA) interventions have a promising role in the management of gestational diabetes mellitus (GDM). Digital technologies can support PA at scale and remotely. The protocol describes study designed to determine feasibility acceptability complex intervention; known as +Stay Active. Active combines motivational interviewing with bespoke behaviour change informed smartphone application (Stay-Active) augment levels women GDM. Methods analysis This is non-randomised...
Objectives. To report three cases of triathletes who presented with swimming-induced pulmonary edema (SIPE) following water immersion. They were subsequently diagnosed Takotsubo cardiomyopathy (TCM). Design. Retrospective case series. Method. All recreational athletes competing in mass participation triathlons between June 2018 and 2019. initially managed by the event medical team at local tertiary level hospital. Written consent was gained from all subjects. Results. The aged 50 60 years,...
Click to increase image sizeClick decrease size Additional informationNotes on contributorsRalph M. SmithRalph Smith is the principal and Paul Mauceri assistant of James Mastricola Middle School in Merrimack, New Hampshire. The parents boy mentioned article support this effort deal with serious problem.Paul K. MauceriRalph problem.
Background Triathlon is an increasingly popular mass-participation endurance sport which incorporates swimming, cycling and running stages over a variety of distances. Overuse injuries during triathlon training are common (Zwingenberger et al . 2014; Korkia 1994) however the incidence illness injury races less well described. A clear understanding this data valuable in planning medical care for races. Objective To describe epidemiology UK. Design Retrospective analysis competitors' records...
<h3></h3> This report discusses a unique case of monozygotic twins that collapsed with Exertional Heat Stroke (EHS) during the same marathon in cool conditions. The were official race pacers city held UK early spring. Both recovered without complications due to prompt recognition EHS and use aggressive cooling measures. illustrates is complex illness genetic predisposition. twins' role as was significant. They unable curtail their work rate subsequently overrode protective central governor...
<h3></h3> Rugby Union (RU) has a high incidence of injuries. The predominant focus the epidemiological data been on elite RU players. There is limited specific for semi-professional Effective injury prevention strategies have focused primary including warm up, safe playing techniques and rule changes. This prospective audit aimed to: i) establish (per 1000 player match hours) severity injuries (time lost) at rugby union club (SPRUC) ii) assess introduction an strategy. Over season 2013/14,...
Pregnancy provides an exciting opportunity to make positive changes lifestyle. For many, it may be considered a ‘teachable moment’ where women are advised consider smoking cessation, adjusting dietary habits and abstinence from alcohol. Regular contact with healthcare professionals (HCP) at this time in woman’s life offers unique facilitate consolidate desired behaviour change. The promotion of behavioural change such as cessation is widespread everyday practice amongst midwives. However,...