Publications by authors named "Grace Turner"

Background: Patients, their family members and caregivers have firsthand experiences of living with or supporting someone living with a disease or medical condition. This knowledge by experience cannot be replaced by the knowledge acquired by clinicians, researchers, or other professionals through study and/or work. The Therapies for Long COVID in non-hospitalised individuals (TLC) research project was funded in the UK by the National Institute for Health and Care Research (NIHR) and UK Research and Innovation to investigate the impact of long COVID on affected individuals.

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  • NPIs significantly reduced asthma exacerbations and viral infections in pediatric patients during their enforcement from March 2020 to December 2022.
  • A total of 5,758 asthma exacerbations were recorded, with a 50% decline during NPIs, while 87% of the 70,682 respiratory tests returned positive for pathogens but showed decreased rates for some viruses.
  • After the NPIs ended, asthma exacerbations returned to pre-pandemic levels, and an unexpected spike in respiratory syncytial virus infections highlighted the importance of ongoing monitoring.
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Risks to older adults (OA) (aged 65+ years) associated with hot and cold weather in the UK are well-documented. The study aim is to explore OA perception of health risks from high and low temperatures, health-protective measures undertaken, and implications for public health messaging. In 2019/20, Ipsos MORI conducted face-to-face surveys with OA in England (n = 461 cold weather survey, n = 452 hot weather survey).

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Purpose: To identify characteristics of SARS-CoV-2 infection that are associated with hospitalization in children initially evaluated in a Pediatric Emergency Department (ED).

Methods: We identified cases of SARS-CoV-2 positive patients seen in the Arkansas Children's Hospital (ACH) ED or hospitalized between May 27, 2020, and April 28, 2022, using ICD-10 codes within the Pediatric Hospital Information System (PHIS) Database. We compared infection waves for differences in patient characteristics and used logistic regressions to examine which features led to a higher chance of hospitalization.

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Post COVID-19 condition or long COVID is highly prevalent and often debilitating, with key symptoms including fatigue, breathlessness, and brain fog. There is currently a lack of evidence-based treatments for this highly complex syndrome. There is a need for clinical trial platforms to rapidly evaluate nonpharmacological treatments to support affected individuals with symptom management.

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Context: Shifting from current dietary patterns to diets rich in plant-based (PB) foods and lower in animal-based foods (ABFs) is generally regarded as a suitable strategy to improve nutritional health and reduce environmental impacts. Despite the recent growth in supply of and demand for novel plant-based foods (NPBFs), a comprehensive overview is lacking.

Objectives: This review provides a synthesis of available evidence, highlights challenges, and informs public health and environmental strategies for purposeful political decision-making by systematically searching, analyzing, and summarizing the available literature.

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Background: Patient-reported outcomes (PROs) have potential to support integrated health and social care research and practice; however, evidence of their utilisation has not been synthesised.

Objective: To identify PRO measures utilised in integrated care and adult social care research and practice and to chart the evidence of implementation factors influencing their uptake.

Design: Scoping review of peer-reviewed literature.

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  • Whole Genome Sequencing (WGS) of SARS-CoV-2 is essential for tracking COVID-19, with various primer schemes like Midnight and ARTIC V4.1 used for amplification, although they face challenges like amplicon dropouts due to mutations.
  • This study employs seven long-range PCR primer pairs to sequence SARS-CoV-2, producing larger amplicons (about 4500 bp) that cover the entire genome, including the important S-gene, and compares their effectiveness to traditional primers.
  • Results indicate that using long-range primers significantly minimizes coverage bias and amplicon dropout, thereby improving the accuracy of identifying SARS-CoV-2 variants, crucial for monitoring emerging strains.
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Background: Adaptation, to reduce the health impacts of climate change, is driven by political action, public support and events (extreme weather). National adaptation policies or strategies are limited in addressing human health risks and implementation of adaptation in the public health community is not well understood.

Aim: To identify key issues in climate change adaptation implementation for public health in Europe.

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Objectives: We describe an automated transcription system that addresses many documentation problems and fits within scheduled clinical hours.

Materials And Methods: During visits, the provider listens to the patient while maintaining eye contact and making brief notes on paper. Immediately after the visit conclusion and before the next, the provider makes a short voice recording on a smartphone which is transmitted to the system.

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Background: PROs are valuable tools in clinical care to capture patients' perspectives of their health, symptoms and quality of life. However the COVID-19 pandemic has had profound impacts on all aspects of life, in particular healthcare and research. This study explores the views of UK and Irish health professionals, third sector and pharmaceutical industry representatives and academic researchers on the impact of COVID-19 on PRO collection, use and development in clinical practice.

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Whole Genome Sequencing (WGS) of the SARS-CoV-2 virus is crucial in the surveillance of the COVID-19 pandemic. Several primer schemes have been developed to sequence the ~30,000 nucleotide SARS-CoV-2 genome that use a multiplex PCR approach to amplify cDNA copies of the viral genomic RNA. Midnight primers and ARTIC V4.

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Patient and public involvement and engagement (PPIE) can provide valuable insights into the experiences of those living with and affected by a disease or health condition. Inclusive collaboration between patients, the public and researchers can lead to productive relationships, ensuring that health research addresses patient needs. Guidelines are available to support effective PPIE; however, evaluation of the impact of PPIE strategies in health research is limited.

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Introduction: The focus on medical management and secondary prevention following Transient Ischemic Attack (TIA) and minor stroke is well-established. Evidence is emerging that people with TIA and minor stroke can experience lasting impairments as fatigue, depression, anxiety, cognitive impairment, and communication difficulties. These impairments are often underrecognized and inconsistently treated.

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  • Lung cancer is the leading cause of cancer-related deaths in the USA, and this study investigates how electronic health records (EHRs) can help identify symptoms that may indicate lung cancer before diagnosis.
  • Researchers conducted a case-control study with 698 lung cancer patients and 6,841 control patients, analyzing EHR data from two years prior to diagnosis to find common symptoms linked to lung cancer.
  • The study found eleven symptoms that were significantly associated with lung cancer, with seven of those being notably present six months before diagnosis, highlighting the potential for earlier detection and improved diagnostic practices.
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Purpose: To identify characteristics of SARS-CoV-2 infection that are associated with hospitalization in children initially evaluated in a Pediatric Emergency Department (ED).

Methods: We identified cases of SARS-CoV-2 positive patients seen in the Arkansas Children's Hospital (ACH) ED or hospitalized between May 27, 2020, and April 28, 2022 using ICD-10 codes within the Pediatric Hospital Information System (PHIS) Database. We compared infection waves for differences in patient characteristics, and used logistic regressions to examine which characteristics led to a higher chance of hospitalization.

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  • The global rise of COVID-19 resulted in a significant number of Long COVID cases, but there is a lack of evidence-based treatments, necessitating the evaluation of current therapeutic options.
  • A consensus workshop with patients and stakeholders was held to prioritize research, leading to the design of a feasibility study that includes input from patient partners on interventions and study processes.
  • The study focused on testing various pacing resources (like a video, app, and book) and demonstrated the effectiveness of co-production in shaping research relevant to patient needs.
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Perception of sensory stimuli can be modulated by changes in internal state to drive contextually appropriate behavior. For example, dehydration is a threat to terrestrial animals, especially to due to their large surface area to volume ratio, particularly under the energy demands of flight. While hydrated avoid water cues, while walking, dehydration leads to water-seeking behavior.

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Background: Post-viral syndromes (PVS), including Long COVID, are symptoms sustained from weeks to years following an acute viral infection. Non-pharmacological treatments for these symptoms are poorly understood. This review summarises the evidence for the effectiveness of non-pharmacological treatments for PVS.

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  • The UK is committed to achieving net zero greenhouse gas emissions by 2050, and this study examines the health impacts of two different approaches to meet this target through six policy actions across various sectors.
  • Both the Balanced Pathway and the Widespread Engagement Pathway are expected to significantly reduce mortality rates by 2050, with the Widespread Engagement Pathway showing slightly greater improvements in air quality, indoor conditions, and active travel habits.
  • Increased dietary shifts towards lower red meat consumption in the Widespread Engagement Pathway are projected to enhance fruit, vegetable, and legume intake, while the Balanced Pathway predicts over 2 million life-years gained from its combined actions between 2021 and 2050.
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The diagnosis of lung cancer in ambulatory settings is often challenging due to non-specific clinical presentation, but there are currently no clinical quality measures (CQMs) in the United States used to identify areas for practice improvement in diagnosis. We describe the pre-diagnostic time intervals among a retrospective cohort of 711 patients identified with primary lung cancer from 2012-2019 from ambulatory care clinics in Seattle, Washington USA. Electronic health record data were extracted for two years prior to diagnosis, and Natural Language Processing (NLP) applied to identify symptoms/signs from free text clinical fields.

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Background: People who have experienced a stroke or transient ischaemic attack (TIA) have greater risks of complications from COVID-19. Therefore, vaccine uptake in this vulnerable population is important. To prevent vaccine hesitancy and maximise compliance, we need to better understand individuals' views on the vaccine.

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Climate change has dramatic impacts on ecological systems, affecting a range of ecological factors including phenology, species abundance, diversity, and distribution. The breadth of climate change impacts on ecological systems leads to the occurrence of fingerprints of climate change. However, climate fingerprints are usually identified across broad geographical scales and are potentially influenced by publication biases.

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Recent studies have unveiled an association between an L61R substitution within the human histone H3.3 protein and the presentation of neurodevelopmental disorders in two patients. In both cases, the mutation responsible for this substitution is encoded by one allele of the gene and, if this mutation is indeed responsible for the disease phenotypes, it must act in a dominant fashion since the genomes of these patients also harbour three other alleles encoding wild-type histone H3.

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