Publications by authors named "A Carole Gardener"

Objectives: To audit the transparent and open science standards of health and medical sciences journal policies and explore the impact of the COVID-19 pandemic.

Design: Repeat cross-sectional study.

Setting: 19 journals listed in Google Scholar's Top Publications for health and medical sciences.

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Background: Current recommendations for people with irritable bowel syndrome (IBS) to partake in physical activity are based on low-level evidence, do not incorporate evidence from all available randomised controlled trials (RCTs) and provide little information regarding potential adverse effects.

Objectives: To assess the benefits and harms of physical activity interventions in adults diagnosed with irritable bowel syndrome and to explore possible effect moderators including type, setting and nature of physical activity interventions.

Search Methods: We searched nine electronic databases including CENTRAL, MEDLINE and Embase to 5 November 2021.

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Article Synopsis
  • The study investigates the long-term effects of hemoglobin levels on recovery outcomes in sepsis survivors, comparing those who recover rapidly (RAP) to those who experience chronic critical illness (CCI).
  • Patients in the CCI group had significantly lower hemoglobin levels and worse physical functional outcomes despite receiving more blood transfusions than the RAP group.
  • Persistent inflammation in CCI patients contributed to ongoing anemia and impaired recovery, suggesting that managing inflammation could enhance their long-term outcomes.
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Objectives: To identify whether and how the support needs approach for patients enables patients with chronic progressive conditions to identify, express and discuss their unmet support needs.

Methods: Thirteen healthcare professionals trained in the Support Needs Approach for Patients (SNAP), recruited from three pilot sites in the East of England (across primary, community and secondary care) delivered SNAP to 56 patients with the exemplar condition chronic obstructive pulmonary disease over a 4-month period. Healthcare professionals participated in a mid-pilot semi-structured interview (pilot site representatives) and end-of pilot focus group (all healthcare professionals).

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Objectives: To understand how people with Chronic Obstructive Pulmonary Disease (COPD) disavow their support needs and the impact on care.

Methods: Two stage mixed-method design. Stage 1 involved sub-analyses of data from a mixed-method population-based longitudinal study exploring the needs of patients with advanced COPD.

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