- Pelvic floor disorders treatments
- Inflammatory Bowel Disease
- Microscopic Colitis
- Anorectal Disease Treatments and Outcomes
- Gastrointestinal motility and disorders
- Diverticular Disease and Complications
- Stoma care and complications
- Congenital gastrointestinal and neural anomalies
- Adolescent and Pediatric Healthcare
- Geriatric Care and Nursing Homes
- Pressure Ulcer Prevention and Management
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Eosinophilic Esophagitis
- Nursing Roles and Practices
- Urinary Bladder and Prostate Research
- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Health, psychology, and well-being
- Colorectal Cancer Surgical Treatments
- Gastroesophageal reflux and treatments
- Complementary and Alternative Medicine Studies
- Interprofessional Education and Collaboration
- Frailty in Older Adults
- Intestinal and Peritoneal Adhesions
- Pediatric Pain Management Techniques
King's College London
2016-2025
Community Hospital
2025
University of Michigan
2001-2024
Florence Nightingale Foundation
2010-2023
Rush University Medical Center
2022
Nightingale Hospital
2009-2021
King's College - North Carolina
2013-2021
St Christopher's Hospice
2021
Lee Memorial Health System
2019
Imperial College Healthcare NHS Trust
2010-2018
Most people who begin statins abandon them, most commonly because of side effects.The purpose this study was to assess daily symptom scores on statin, placebo, and no treatment in participants had abandoned statins.Participants received 12 1-month medication bottles, 4 containing atorvastatin 20 mg, empty. We measured intensity for each using an app (scale 1-100). also the "nocebo" ratio: ratio symptoms induced by taking statin that placebo.A total 60 were randomized 49 completed 12-month...
Restorative anterior resection is considered the optimal procedure for most patients with rectal cancer and frequently preceded by radiotherapy. Both surgery preoperative radiotherapy impair bowel function, which adversely affects quality of life.This study aimed to report symptoms associated key predictors bowel-related quality-of-life impairment.The included a cross-sectional cohort.This was multicenter from 12 United Kingdom centers.A total 578 underwent curative restorative between 2001...
BACKGROUND: A psychometrically robust patient-completed questionnaire for anal incontinence, which reflects issues of importance to both clinicians and patients, was lacking assessment purposes. OBJECTIVE: This study aimed determine the psychometric properties a new developed address this need, International Consultation on Incontinence Questionnaire-Bowels module. DESIGN: Qualitative studies were used refine developmental version questionnaire. Quantitative conducted evaluate its...
The terminology for anorectal dysfunction in women has long been need of a specific clinically-based Consensus Report.This Report combines the input members Standardization and Terminology Committees two International Organizations, Urogynecological Association (IUGA) Continence Society (ICS), assisted on Committee by experts their fields to form Joint IUGA/ICS Working Group Female Anorectal Terminology. Appropriate core clinical categories sub classifications were developed give an...
Background and aims: No previous study has reported on faecal incontinence (FI) amongst people with IBD. We aimed to determine the frequency severity of FI in IBD, its association known risk factors, effect quality life. Method: randomly sampled 10,000 members a national Crohn's Colitis organisation over 18 years old. Demographic information, medical history, (ICIQ-B), urinary continence (ICIQ-UI), life (IBD-Q) free text responses about were collected. Current disease activity was using...
Background and aims: Fatigue is one of the main symptoms inflammatory bowel disease (IBD) frequently reported by people in both active quiescent disease. Many different fatigue assessment scales have been used to measure fatigue, but none has developed or tested IBD. This study aimed develop a scale specific needs experiences with
Biofeedback has been reported to improve or eliminate symptoms in approximately 70 per cent of patients with faecal incontinence. However, it is unknown which respond relation the different symptomatic types incontinence and structural sphincter aetiologies.One hundred consecutive (84 women; median age 49 years) who completed biofeedback treatment were prospectively characterized by integrity internal external anal sphincters as assessed endosonographically (87 patients). Patients underwent...
Summary. The clinical and urodynamic effects of anterior colporrhaphy vaginal hysterectomy were studied in 73 patients, whom 29 had incontinence due to urethral sphincter incompetence. Pre‐ post‐operative assessment was made follow‐up continued for 2 years. Symptoms urge incontinence, stress prolapse significantly reduced following surgery. Urodynamic data showed no significant change. incidence detrusor instability voiding difficulties not increased.