Publications by authors named "Lamb S"

Background: Publishing protocols promotes transparency and reproducibility. The scope and methods of protocols for nutrition- and diet-related randomized controlled trials (RCTs) have not been investigated yet.

Objective: Map the landscape of nutrition- and diet-related interventions research.

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Purpose: Revision knee replacement (RevKR) for infection is rare but increasing. It is hypothesised that higher hospital volume reduces adverse outcomes. The aim was to estimate the association of surgical unit volume with outcomes following first, single-stage RevKR for infection.

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Background: The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) program is an evidence-based exercise program for adults with hand function difficulties due to rheumatoid arthritis. A self-guided online version of the program has been developed for direct access by patients.

Purpose: To evaluate the delivery of the online program in routine therapy care and its impact on clinical outcomes, before making it widely available.

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Defence has a significant interest in the use of artificial intelligence (AI)-based technologies to address some of the challenges it faces. At the core of future military advantage will be the effective integration of humans and AI into human-machine teams (HMT) that leverages the capabilities of people and technologies to outperform adversaries. Realising the full potential of these technologies will depend on understanding the relative strengths of humans and machines, and how we design effective integration to optimise performance and resilience across all use cases and environments.

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Objectives: To explore how process evaluation of complex interventions alongside randomized clinical trials (RCTs) in musculoskeletal conditions are conducted.

Study Design And Setting: Systematic review.

Methods: We searched the MEDLINE, SCOPUS, CINAHL, PsycINFO, Embase, Web of Science, and Cochrane databases.

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Pain and knee stiffness are common problems following total knee replacement surgery, with 10-20% of patients reporting dissatisfaction following their procedure. A remote assessment of knee stiffness could improve outcomes through continuous monitoring, facilitating timely intervention. Using machine learning algorithms, computer vision can extract joint angles from video footage, offering a method to monitor knee range of motion in patients' homes.

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Good relationships between families and schools make a difference to children's learning - and the same goes for autistic children. But parents of autistic children often find it very stressful interacting with teachers and school staff. In this study, we focused on autistic parents of autistic children.

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Article Synopsis
  • Patients post-hip fracture often experience fragmented care and poor discharge planning, highlighting the need for improved patient flow and transition support from hospital to home.* -
  • A qualitative study involving interviews with patients, carers, and health professionals revealed challenges such as ineffective communication and disjointed services during discharge, along with the complexity of recovery beyond just the physical injury.* -
  • Solutions suggested include better reassurance, collaborative planning, and personalized care to help patients and their supporters navigate the transition more effectively, ultimately aiming for a more coordinated approach in discharge planning.*
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Background: Many older adults experience disabling back and leg pain. This study aimed to identify factors associated with back pain causing severe interference with daily activities over 2 years.

Methods: Participants were 2,109 community-dwelling adults (aged 65-100 years; mean age 74.

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Article Synopsis
  • * Key measurements from MRI, like the pubococcygeal line (PCL), H line, and M line, help evaluate the size and function of the pelvic floor and identify abnormalities such as rectocele or rectal prolapse.
  • * Dynamic pelvic MRI is particularly valuable for patients with complex conditions or incongruent symptoms, allowing surgeons to make informed treatment decisions and effectively communicate with patients.
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Genetic medicines show promise for treating various diseases, yet clinical success has been limited by tolerability, scalability, and immunogenicity issues of current delivery platforms. To overcome these, we developed a proteolipid vehicle (PLV) by combining features from viral and non-viral approaches. PLVs incorporate fusion-associated small transmembrane (FAST) proteins isolated from fusogenic orthoreoviruses into a well-tolerated lipid formulation, using scalable microfluidic mixing.

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Background Frailty is a common syndrome affecting older people and puts them at risk of hospitalisation, needing care or death. First signs of frailty include reduced muscle strength and mobility decline. A key cause of mobility decline as we age is sarcopenia (age related reduction in muscle strength and mass).

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Background: A high proportion of patients do not regain outdoor mobility after hip fracture. Rehabilitation explicitly targeting outdoor mobility is needed to enable these older adults to recover activities which they value most. The overarching aim of this study is to determine the feasibility of a randomised controlled trial which aims to assess the clinical- and cost-effectiveness of an intervention designed to enable recovery of outdoor mobility among older adults after hip fracture (the OUTDOOR intervention).

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The benefits of exercise have been widely explored among people with Parkinson's (PwP). Exercise can improve non-motor (fatigue, pain, sleep, etc.) and motor features (balance, muscle strength, gait speed, etc.

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Article Synopsis
  • Anterior cruciate ligament (ACL) injuries in the knee often lead to decreased activity levels and a higher risk of osteoarthritis, and there’s a lack of clear guidelines for managing these injuries either through surgery or rehabilitation.
  • This study aimed to compare the effectiveness and cost of surgical ACL reconstruction without prior rehab against a rehabilitation approach before surgery for patients with non-acute ACL injuries and symptoms of instability.
  • Conducted across 29 NHS orthopedic units in the UK, the trial tracked key outcomes like knee function and patient satisfaction over 18 months in 316 participants.
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Background: Patients are key stakeholders of clinical research, and their perspectives are relevant for researchers when planning and conducting clinical trials. Numerous aspects of trial process can influence participants' experiences. Their experiences within a trial can impact retention rates.

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Aims: Ankle fractures are common, mainly affecting adults aged 50 years and over. To aid recovery, some patients are referred to physiotherapy, but referral patterns vary, likely due to uncertainty about the effectiveness of this supervised rehabilitation approach. To inform clinical practice, this study will evaluate the effectiveness of supervised versus self-directed rehabilitation in improving ankle function for older adults with ankle fractures.

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Background: During the COVID-19 pandemic, social distancing and reduced social contact may have affected older adults' health.

Objectives: To evaluate the perceived impact of social distancing on older adults' health and explore the association between social contact and health outcomes.

Design: Cross-sectional and longitudinal analyses of the OPAL cohort study.

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Taxus is a genus of coniferous shrubs and trees, commonly known as the yews, in the family Taxaceae. All species of yew contain taxine alkaloids, which are ascribed as the toxic principles. Anecdotally, free ranging ruminants such as antelope, deer, elk, and moose have been regarded as tolerant to yew.

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Background And Aims: There is a need to consolidate reporting guidance for nutrition randomised controlled trial (RCT) protocols. The reporting completeness in nutrition RCT protocols and study characteristics associated with adherence to SPIRIT and TIDieR reporting guidelines are unknown. We, therefore, assessed reporting completeness and its potential predictors in a random sample of published nutrition and diet-related RCT protocols.

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Background: Parkinson's is a common progressive neurological condition characterized by motor and non-motor deficits. Physical activity and exercise can improve health, but many people with Parkinson's (PwP) have trouble reaching the recommended dosage. Our recent literature review found improvements in exercise adherence with behavioural change interventions, but it remains unclear which are most effective.

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Background: Inadequate reporting of fidelity to interventions in trials limits the transparency and interpretation of trial findings. Despite this, most trials of non-drug, non-surgical interventions lack comprehensive reporting of fidelity. If fidelity is poorly reported, it is unclear which intervention components were tested or implemented within the trial, which also hinders research reproducibility.

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Article Synopsis
  • The Anti-Freaze-F trial aimed to determine if adalimumab injections could alleviate pain and improve function in patients with early-stage frozen shoulder.
  • Conducted across four NHS services in the UK, the study randomized 39 eligible adults to receive either adalimumab or a placebo in a double-blind format.
  • Out of 156 screened patients, only 23% consented to randomization, mainly due to a preference for steroid injections, highlighting challenges in participant recruitment and retention.
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