- Attention Deficit Hyperactivity Disorder
- Respiratory and Cough-Related Research
- Adolescent and Pediatric Healthcare
- Ear Surgery and Otitis Media
- Child and Adolescent Psychosocial and Emotional Development
- Bipolar Disorder and Treatment
- Digital Mental Health Interventions
- Pharmaceutical studies and practices
- Organ Donation and Transplantation
- Streptococcal Infections and Treatments
- Drug-Induced Adverse Reactions
- Autoimmune Bullous Skin Diseases
- Family Caregiving in Mental Illness
- Electronic Health Records Systems
- COVID-19 and Mental Health
- Asthma and respiratory diseases
- International Student and Expatriate Challenges
- Blood donation and transfusion practices
- Infant Development and Preterm Care
- Mental Health Treatment and Access
- Urticaria and Related Conditions
- Traumatic Brain Injury Research
- Treatment of Major Depression
- Healthcare Systems and Technology
- Infant Health and Development
University of Nottingham
2008-2025
King's College London
2017-2025
Nottinghamshire Healthcare NHS Foundation Trust
2024
Toronto Metropolitan University
2024
NIHR Clinical Research Network
2023
NIHR MindTech MedTech Co-operative
2023
Northamptonshire Healthcare NHS Foundation Trust
2023
Institute of Mental Health
2017-2023
National Institute for Health Research
2019-2023
Kings Health Partners
2020
To investigate whether children and young adults with epilepsy are at a greater risk of fracture, thermal injury, or poisoning than those without.A cohort study was conducted by using the Clinical Practice Research Datalink (1987-2009), longitudinal database containing primary care records. A total 11 934 people 46 598 without, aged between 1 24 years diagnosis, were followed for median (interquartile range) 2.6 (0.8-5.9) years. The fractures (including long bone fractures), injuries,...
Abstract Background Injuries commonly cause morbidity and mortality in children young people (CYP). Attention‐deficit hyperactivity disorder (ADHD) is the commonest neurobehavioural CYP associated with increased injury risk. However, large, population‐based estimates of risk specific injuries are lacking. We aimed to provide fractures, thermal injuries, poisonings without ADHD. Methods In this cohort study, we used primary secondary care medical records from England Clinical Practice...
Abstract Background Early intervention gives young people the best chance to recover from eating disorders (EDs). An important focus of early is shortening time between a person first developing symptoms and starting treatment (duration untreated disorder; DUED). Patient-related factors (e.g. poor mental health literacy help-seeking difficulties) are strongly associated with DUED. The aims our study co-design test feasibility FREED-Mobile (FREED-M), an online tool for early-stage EDs. This...
Aims and Method To describe the information help available on internet for people who self-harm. We searched using a meta-search engine. visited sites followed up links with e-mails letters. also bibliographic databases, seeking published material about Results The support that we found largely took form of suicide, self-injury psychological issues. Less often, offered e-mail online discussions. little self-poisoning, most self-injury. There is research self-harm internet. Clinical...
Background In England, there is a discrepancy between the prevalence of attention-deficit/hyperactivity disorder (ADHD) ascertained from medical records and community surveys. There also lack data on variation in recorded by deprivation geographical region; information that important for service development commissioning. Methods Cohort study using Clinical Practice Research Datalink comprising 5196 children young people aged 3–17 years with ADHD 490 016 without, 2012. Results 2012, was...
To compare use of healthcare services and reasons for attendance by children young people (CYP) with attention-deficit/hyperactivity disorder (ADHD) versus non-ADHD controls.
Blood donors’ motivations and reasons for lapsing never donating were determined from a questionnaire completed by 489 adults (89 regular donors, 105 lapsed 295 donors) in Leeds, UK. The free text responses classified according to themes that arose. Altruistic including reciprocation kinship towards family, friends, unknowns most numerous. Other related the NHS or National Service, obligation, occupation, self‐interest, convenience, peer‐influence, health benefits, rare blood group,...
To describe poison prevention practices for a range of substances and explore the relationship between perceptions toxicity.Cross-sectional study using validated postal questionnaire.Parents with children aged 12-35 months on 23 health visitors' caseloads.Areas various levels deprivation in Nottingham, UK.Possession storage substances, putting away immediately after use, toxicity.Dishwasher tablets (68%), toilet cleaner (71%), bleach (74%), oven (78%), oral contraceptives (80%), essential...
In a survey of attitudes towards remuneration for blood donation in Leeds, the following questions were completed by 489 adults (N), whom 89 regular donors, 105 lapsed donors and 295 had never donated: 'If you needed blood, would be content if donor been paid: yes/no'. I paid enough less/equally/more likely to donate '. The majority (67.7%) potential recipients paid. prospect made 16.4% respondents more 14.5% less donate. As difference is than 2% N, offering may not lead significant increase...
Children and young people with Autism Spectrum Disorder (ASD) have an increased risk of comorbidities, such as epilepsy Attention-Deficit/Hyperactivity (ADHD). However, little is known about the relationship between early childhood (below age 7) later ADHD diagnosis (at 7 or above) in ASD. In this historical cohort study, we examined using innovative data source, which included linked from routinely collected acute hospital paediatric records community inpatient psychiatric records. a large...
BACKGROUND: Bipolar disorder is common, affecting 1% of people. The diagnosis bipolar often delayed, which limits access to effective treatment and increases the burden disease on individuals, families, society. AIM: This paper investigates individual, social, clinical factors that contribute delays in for people with disorder, including occur before after a person presents primary care clinician. DESIGN AND SETTING: Systematic review narrative synthesis. METHOD: Four electronic databases -...
Bullying among children and young people (CYP) is a major public health concern that can lead to physical mental consequences. CYP may disclose bullying, seek help from GP. However, there currently little research on GPs' views perceptions of their role in dealing with disclosures bullying primary care.To explore about CYPs' being bullied, especially factors have an impact roles.In this cross-sectional qualitative study, semi-structured interviews were conducted GPs care England October...
Acute otitis media (AOM) is a common painful infection in children, with around 2.8 million cases presenting to primary care England and Wales annually. Nearly all children who present their general practitioner (GP) AOM or discharge (AOMd) are treated orally administered antibiotics. These can cause side effects; contribute the growing problem of antimicrobial resistance, more rarely, allergic reactions. Alternative treatments, such as an antibiotic eardrops, 'delayed' antibiotics, could be...
Background Children and young people (CYP) with attention-deficit/hyperactivity disorder (ADHD) face delays in diagnosis barriers to accessing appropriate interventions. Evidence is limited on how these are perceived by their parents carers. Methods Focus group South London parents/carers of CYP ADHD. Data were thematically analysed using an inductive/deductive hybrid approach. Results Participants (n=8) described the challenge services within a disjointed, multiagency system for CYP’s ADHD...
Acute otitis media is a painful infection of the middle ear that commonly seen in children. In some children, eardrum spontaneously bursts, discharging visible pus (otorrhoea) into outer ear. To compare clinical effectiveness immediate topical antibiotics or delayed oral with reducing symptom duration children presenting to primary care acute discharge and economic impact alternative strategies. This was pragmatic, three-arm, individually randomised (stratified by age < 2 vs. ≥ years),...
BACKGROUND: Bipolar disorder is common, affecting 1% of people. The diagnosis bipolar often delayed, which limits access to effective treatment and increases the burden disease on individuals, families, society. AIM: This paper investigates individual, social, clinical factors that contribute delays in for people with disorder, including occur before after a person presents primary care clinician. DESIGN AND SETTING: Systematic review narrative synthesis. METHOD: Four electronic databases -...
Abstract Antipsychotic medicines are prescribed to children and young people (CYP) with mental health conditions such as schizophrenia, bipolar disorder, behavioural disorders, autism spectrum disorder tics. The physical side effects of these require monitoring, this responsibility can be transferred primary care. This study will describe the trends in antipsychotic prescribing CYP, identify conditions, symptoms comorbidities associated prescriptions, determine extent monitoring care both...