A5040217405- Mental Health Treatment and Access
- Psychosomatic Disorders and Their Treatments
- Mental Health and Psychiatry
- Health, psychology, and well-being
- Healthcare professionals’ stress and burnout
- Glaucoma and retinal disorders
- Long-Term Effects of COVID-19
- Child and Adolescent Psychosocial and Emotional Development
- COVID-19 and Mental Health
- Empathy and Medical Education
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Chronic Disease Management Strategies
- Corneal surgery and disorders
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Mental Health Research Topics
- Mental Health and Patient Involvement
- Health Systems, Economic Evaluations, Quality of Life
- Retinal Diseases and Treatments
- Workplace Health and Well-being
- Innovations in Medical Education
- Child and Adolescent Health
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Medical Education and Admissions
- Clinical Reasoning and Diagnostic Skills
University College London
2016-2025
London Borough of Camden
2025
Great Ormond Street Hospital
2023-2024
The Royal Free Hospital
2006-2023
Primary Health Care
2017-2022
University College Lahore
2017
Roland Hill (United Kingdom)
2006-2016
Centre for Mental Health
2008
Camden and Islington NHS Foundation Trust
2008
Barnet Enfield and Haringey Mental Health Trust
2008
Primary open angle glaucoma and ocular hypertension are habitually treated with eye drops that lower intraocular pressure. Selective laser trabeculoplasty is a safe alternative but rarely used as first-line treatment. We compared the two.In this observer-masked, randomised controlled trial treatment-naive patients or no comorbidities were recruited between 2012 2014 at six UK hospitals. They randomly allocated (web-based randomisation) to initial selective drops. An objective target pressure...
BackgroundWe describe post-COVID symptomatology in a non-hospitalised, national sample of adolescents aged 11–17 years with PCR-confirmed SARS-CoV-2 infection compared matched negative PCR status.MethodsIn this cohort study, from the Public Health England database who tested positive for between January and March, 2021, were by month test, age, sex, geographical region to negative. 3 months after testing, subsample contacted complete detailed questionnaire, which collected data on...
To determine the feasibility of conducting a randomised controlled trial specialist physiotherapy intervention for functional motor symptoms (FMS).A study was conducted recruiting patients with clinically established diagnosis FMS from tertiary neurology clinic in London, UK. Participants were to or treatment as usual control. Measures and clinical outcome collected assessed at 6 months.60 individuals recruited over 9-month period. Three withdrew, leaving 29 28 controls participants final...
<h3>Abstract</h3> <b>Objective</b> To evaluate clinical effectiveness of a self management programme for arthritis in patients primary care with osteoarthritis. <b>Design</b> Randomised controlled trial. <b>Setting</b> 74 general practices the United Kingdom. <b>Participants</b> 812 aged 50 and over osteoarthritis hips or knees (or both) pain disability both). <b>Intervention</b> Participants were randomised to six sessions an education booklet (intervention group) alone (control group)....
<h3>Context</h3> In older people, depressive symptoms are common, psychological adjustment to aging is complex, and associated chronic physical illness limits the use of antidepressants. Despite this, people rarely offered interventions, only 3 randomized controlled trials individual cognitive behavioral therapy (CBT) in a primary care setting have been published. <h3>Objective</h3> To determine clinical effectiveness CBT delivered for with depression. <h3>Design</h3> A single-blind,...
Background There is a paucity of data describing how general practitioners (GPs) label or record depression. Aims To determine incidence and sociodemographic variation in GP-recorded depression diagnoses depressive symptoms. Method Annual rates calculated using from 298 UK practices between 1996 2006, adjusted for year diagnosis, gender, age deprivation. Results Incidence diagnosed fell 22.5 to 14.0 per 1000 person-years at risk (PYAR) 2006. The symptoms rose threefold 5.1 15.5 PYAR....
Objectives To explore junior doctors’ knowledge about and experiences of managing patients with medically unexplained symptoms (MUS) to seek their recommendations for improved future training on this important topic which they currently receive little education. Design Qualitative study using in-depth interviews analysed the framework method. Setting Participants were recruited from three North Thames London hospitals within UK. Twenty-two doctors undertaking UK foundation two-year programme...
PurposeTo report clinical efficacy, predictors of success, and safety primary selective laser trabeculoplasty (SLT) used in treatment-naive patients with open-angle glaucoma (OAG) or ocular hypertension (OHT).DesignPost hoc analysis a multicenter, prospective, randomized, controlled trial.ParticipantsTreatment-naive OAG OHT.MethodsPatients randomized to SLT topical medication treated predefined target intraocular pressures (IOPs) requiring ≥20% IOP reduction from baseline for all disease...
Purpose The Laser in Glaucoma and Ocular Hypertension (LiGHT) Trial aims to establish whether initial treatment with selective laser trabeculoplasty (SLT) is superior topical medication for primary open-angle glaucoma (POAG) or ocular hypertension (OHT). Design LiGHT a prospective, unmasked, multicentre, pragmatic, randomised controlled trial. 718 previously untreated patients POAG OHT were recruited at six collaborating centres the UK between 2012 2014. trial comprises two arms: SLT...
Objectives This paper reports the sources of stress and distress experienced by general practitioners (GP) as part a wider study exploring barriers facilitators to help-seeking for mental illness burnout among this medical population. Design Qualitative using in-depth interviews with 47 GP participants. The were audio-recorded, transcribed, anonymised imported into NVivo V.11 facilitate data management. Data analysed thematic analysis employing constant comparative method. Setting England....
People with intellectual disabilities (ID) have many comorbidities but experience inequities in access to health care. National Health Service England uses an opt-in incentive scheme encourage annual checks of patients ID primary We investigated whether the first 3 years programme had improved care people ID.We did a longitudinal cohort study that used data from The Improvement Network database. multivariate logistic regression assess associations between various characteristics and or not...
Background GPs are under increasing pressure due to a lack of resources, diminishing workforce, and rising patient demand. As result, they may feel stressed, burnt out, anxious, or depressed. Aim To establish what might help hinder experiencing mental distress as consider seeking for their symptoms, explore potential survival strategies. Design setting The authors recruited 47 GP participants via e-mails doctors attending specialist service, adverts local medical committees (LMCs) nationally...
Newly diagnosed open-angle glaucoma (OAG) and ocular hypertension (OHT) are habitually treated with intraocular pressure (IOP)-lowering eyedrops. Selective laser trabeculoplasty (SLT) is a safe alternative to drops rarely used as first-line treatment.To compare health-related quality of life (HRQoL) in newly diagnosed, treatment-naive patients OAG or OHT, two treatment pathways: topical IOP-lowering medication from the outset (Medicine-1st) primary SLT followed by medications required...
To describe the prevalence of long COVID in children infected for first time (n = 332) or reinfected 243) with Omicron compared test-negative 311). Overall, 12%-16% those met research definition at 3 and 6 months after infection, no evidence difference between cases positive (Pχ2 0.17).
Abstract Our previous study in children and young people (CYP) at 3- 6-months post-infection showed that 12–16% of those infected with the Omicron (B.1.1.529) variant SARS-CoV-2 met research definition Long Covid, no differences between first-positive reinfected CYP. The primary objective current is to explore impact infection on 12 months post infection. 345 CYP aged 11–17 years a first laboratory-confirmed 360 completed an online questionnaire assessing demographics, symptoms, their...
Background: High levels of depression in junior doctors prompted this research into the prevalence medical students, compared with other non-medical university students. We also explored potential vulnerability factors that may be associated student depression. Methods: A comparative cross-sectional internet-based questionnaire design was used. This self-administered questionnaire, consisting demographic details and questions about factors, disseminated to both life-sciences students via...
Sleep disturbance is common in major depressive disorder (MDD), and often characterized by early-morning waking. Melatonin a hypnotic synchronizes circadian rhythms. It may also be an antidepressant. The melatonin agonists, ramelteon agomelatine, have antidepressant properties, but there dearth of trials investigating the use MDD. This randomized, controlled trial aimed to determine whether exogenous sleep promoter Thirty-three participants with Diagnostic Statistical Manual Mental Disorders...
Background Anxiety is common, with significant morbidity, but little known about presentations and recording of anxiety diagnoses symptoms in primary care. This study aimed to determine trends incidence socio-demographic variation General Practitioner (GP) recorded anxiety, mixed anxiety/depression, panic symptoms. Methodology/Principal Findings Annual rates were calculated from 361 UK general practices contributing The Health Improvement Network (THIN) database between 1998 2008, adjusted...