Allan Clark
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View article: Exploring the role of orbital exenteration in survival among patients with severe rhino-orbital cerebral mucormycosis: a case series
Exploring the role of orbital exenteration in survival among patients with severe rhino-orbital cerebral mucormycosis: a case series Open
Rhino-orbital cerebral mucormycosis (ROCM) is a rare, but potentially fatal opportunistic infection due to a fungus of the Mucorales sp. that involves infiltration of the sinuses, orbits, and central nervous system. Orbital exenteration (O…
View article: The feasibility of implementing a hospital deprescribing behaviour change intervention and undertaking trial processes: A mixed methods evaluation
The feasibility of implementing a hospital deprescribing behaviour change intervention and undertaking trial processes: A mixed methods evaluation Open
The study was registered on ISRCTN (ISRCTN11899506).
View article: Clinical and MRI variables in decision support systems for prostate MRI: A systematic review of decision support tools, nomograms, and risk models
Clinical and MRI variables in decision support systems for prostate MRI: A systematic review of decision support tools, nomograms, and risk models Open
Radiographer-facing tools integrating key predictors could guide contrast use, staging, and workflow decisions, improve diagnostic accuracy and reduce unnecessary contrast administration.
View article: A Comparison of a Drug Coated Balloon With Drug Eluting Stent Strategy for Treating Coronary Bifurcation Lesions
A Comparison of a Drug Coated Balloon With Drug Eluting Stent Strategy for Treating Coronary Bifurcation Lesions Open
Background The treatment of coronary bifurcation lesions (CBL) remains complex and associated with a higher rate of long‐term adverse cardiovascular events due to anatomical and procedural complexity. Aims We compared procedural outcomes b…
View article: Cessation of Smoking Trial in the Emergency Department: Long-Term Follow-up of a Randomized Controlled Trial
Cessation of Smoking Trial in the Emergency Department: Long-Term Follow-up of a Randomized Controlled Trial Open
Introduction Emergency departments (EDs) offer a valuable opportunity to deliver smoking cessation interventions. Long-term abstinence confers the maximum health benefits. Methods Adults attending UK EDs who currently smoked were randomize…
View article: Cessation of smoking in people attending UK emergency departments: the COSTED RCT with economic and process evaluation
Cessation of smoking in people attending UK emergency departments: the COSTED RCT with economic and process evaluation Open
Background The emergency department represents a potentially valuable opportunity to support smoking cessation. Evidence is lacking around the use of e-cigarettes in opportunistic settings like the emergency department. Objective To undert…
View article: Pain catastrophizing and frailty in adult spinal deformity patients with cognitive impairment
Pain catastrophizing and frailty in adult spinal deformity patients with cognitive impairment Open
OBJECTIVE Cognitive impairment and pain catastrophizing are both associated with worse surgical outcomes. The aim of this study was to define the prevalence of cognitive impairment in patients with adult spinal deformity (ASD) and the rela…
View article: Technical feasibility of the implementation of an intensive upper-limb rehabilitation system (NeuroVirt) intervention for stroke survivors
Technical feasibility of the implementation of an intensive upper-limb rehabilitation system (NeuroVirt) intervention for stroke survivors Open
Background 80% of stroke survivors have upper limb (UL) disability. NeuroVirt is a portable immersive virtual reality (VR) platform that is designed to encourage high-repetition and high-quality UL movement training. The aim of the study i…
View article: Offering Digital Adherence Support Improves Clinical Outcomes for High-Risk Chronic Obstructive Pulmonary Disease (COPD) Patients With Poor Adherence to Inhaled Therapy
Offering Digital Adherence Support Improves Clinical Outcomes for High-Risk Chronic Obstructive Pulmonary Disease (COPD) Patients With Poor Adherence to Inhaled Therapy Open
Peer reviewed
View article: A qualitative investigation of the modifiable determinants of medication adherence in bipolar disorder (BD): Views of patients and their family and friends
A qualitative investigation of the modifiable determinants of medication adherence in bipolar disorder (BD): Views of patients and their family and friends Open
Targeting antecedents of forgetfulness as well as newly identified determinants linked to 'Emotion' and 'Intentions', may improve adherence. Mapping adherence determinants to TDF domains provides a framework for designing personalised adhe…
View article: P104 Pain management training for people with persistent pain and their informal carers (JOINT SUPPORT): multicentre randomised controlled feasibility trial with embedded qualitative study in English musculoskeletal services
P104 Pain management training for people with persistent pain and their informal carers (JOINT SUPPORT): multicentre randomised controlled feasibility trial with embedded qualitative study in English musculoskeletal services Open
Background/Aims This study aimed to assess the feasibility of conducting a pragmatic, multicentre, randomised controlled trial (RCT) to test the clinical and cost-effectiveness of an informal carer pain management training programme to sup…
View article: Gastrointestinal symptom prevalence and severity among night shift workers: a cross-sectional study
Gastrointestinal symptom prevalence and severity among night shift workers: a cross-sectional study Open
Approximately 25% of the global workforce engages in night shift work (1) , characterised by non-standard hours outside the conventional 6:00am to 6:00pm window. This irregular wakefulness and pattern of mealtimes disrupt circadian rhythms…
View article: Dietary intakes of a shift working population with overweight and obesity: insights from the Shifting Weight using Intermittent Fasting in night shift workers study
Dietary intakes of a shift working population with overweight and obesity: insights from the Shifting Weight using Intermittent Fasting in night shift workers study Open
Shift workers in Australia constitute approximately 16% of the workforce, with nearly half working a rotating shift pattern (1) . Whilst poor dietary habits of shift workers have been extensively reported, along with increased risk of meta…
View article: Pain management training for people with persistent pain and their informal carers (JOINT SUPPORT): multicentre randomised controlled feasibility trial with embedded qualitative study in English musculoskeletal services
Pain management training for people with persistent pain and their informal carers (JOINT SUPPORT): multicentre randomised controlled feasibility trial with embedded qualitative study in English musculoskeletal services Open
Objectives To assess the feasibility of conducting a pragmatic, multicentre randomised controlled trial (RCT) to test the clinical and cost-effectiveness of a pain management training intervention to support people with persistent musculos…
View article: The predictors of drop out for night shift workers randomised to three different dietary weight loss interventions: a mixed methods study
The predictors of drop out for night shift workers randomised to three different dietary weight loss interventions: a mixed methods study Open
Approximately 15% of Australia’s workforce are shift workers, who are at greater risk for obesity and related conditions, such as type 2 diabetes and cardiovascular disease. (1,2,3) While current guidelines for obesity management prioritis…
View article: Effectiveness of a theory-informed intervention to increase care home staff influenza vaccination rates: a cluster randomised controlled trial
Effectiveness of a theory-informed intervention to increase care home staff influenza vaccination rates: a cluster randomised controlled trial Open
Background Care home staff’s (CHS’s) influenza vaccination rate in England is 30%–40%, below the 75% WHO recommendation. We describe the effectiveness of a theory-informed and feasibility-tested intervention (in-home clinics; posters/video…
View article: Survey-based exploration of menopause transition experiences of female staff employed in UK ambulance services (CESSATION Phase 2)
Survey-based exploration of menopause transition experiences of female staff employed in UK ambulance services (CESSATION Phase 2) Open
Introduction: Often women will experience the menopause and its associated symptoms during their working lives, and there is now an increased focus on improving menopause support offerings in the workplace. The main aim of this study was t…
View article: The effectiveness and risks of Treating people with Idiopathic Pulmonary fibrosis with the Addition of Lansoprazole (TIPAL): study protocol for a randomised placebo-controlled multicentre clinical trial
The effectiveness and risks of Treating people with Idiopathic Pulmonary fibrosis with the Addition of Lansoprazole (TIPAL): study protocol for a randomised placebo-controlled multicentre clinical trial Open
Introduction Idiopathic pulmonary fibrosis (IPF) is a chronic progressive fibrotic lung disease frequently complicated by gastro-oesophageal reflux disease. Although several observational studies and a pilot study have investigated the rol…
View article: A Psychosocial Critique of the Consequences of the COVID-19 Pandemic on UK Care Home Staff Attitudes to the Flu Vaccination: A Qualitative Longitudinal Study
A Psychosocial Critique of the Consequences of the COVID-19 Pandemic on UK Care Home Staff Attitudes to the Flu Vaccination: A Qualitative Longitudinal Study Open
Background/Objectives: Vaccinating care home staff is essential to protect vulnerable residents by reducing infection risks and creating a safer care environment. However, vaccine hesitancy amongst staff remains a challenge, particularly s…
View article: Prevalence of transthyretin cardiac amyloidosis in undifferentiated heart failure with preserved ejection fraction
Prevalence of transthyretin cardiac amyloidosis in undifferentiated heart failure with preserved ejection fraction Open
Aims Transthyretin amyloid cardiomyopathy (ATTR‐CM) is an increasinglyrecognized cause of heart failure with preserved ejection fraction (HFpEF), which may be diagnosed non‐invasively using 99 m Tc 3,3‐diphosphono‐1,2‐propanodicarboxylic a…
View article: The Context of the Emergency Department as a Location for a Smoking Cessation Intervention—Process Evaluation Findings From the Cessation of Smoking Trial in the Emergency Department Trial
The Context of the Emergency Department as a Location for a Smoking Cessation Intervention—Process Evaluation Findings From the Cessation of Smoking Trial in the Emergency Department Trial Open
Introduction Hospital emergency departments (ED) offer an opportunity to engage with large numbers of people who smoke to prompt cessation, although the acceptability of opportunistic intervention in this context has been questioned. This …
View article: Cost–utility analysis of provision of e‐cigarette starter kits for smoking cessation in emergency departments: An economic evaluation of a randomized controlled trial
Cost–utility analysis of provision of e‐cigarette starter kits for smoking cessation in emergency departments: An economic evaluation of a randomized controlled trial Open
Aims To assess the cost‐effectiveness of the Cessation of Smoking Trial in Emergency Department (COSTED) intervention compared with signposting to local stop smoking service (SSS) from the National Health Service (NHS) and personal social …
View article: Multirod posterior occipitocervical instrumentation constructs: a biomechanical analysis and initial case series of 10 patients with complex craniocervical pathology
Multirod posterior occipitocervical instrumentation constructs: a biomechanical analysis and initial case series of 10 patients with complex craniocervical pathology Open
In this proof-of-concept investigation, multiple rods (3- and 4-rods) across the OC junction using a novel occipital plate with single- and dual-headed, modular tulips was safe and effective in stabilizing the OC junction. Accompanying FE …