Geriatric Medicine
School of Clinical Sciences & Community Health
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Dr Gillian E Mead
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Position
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Reader in Geriatric Medicine |
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Honorary Consultant Geriatrician |
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Qualifications
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MB B Chir, MA, MD, FRCP |
Email
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gillian.e.mead@ed.ac.uk |
Phone
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0131 242 6481 |
Fax
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0131 242 6370 |
Address
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Room
S1644, Royal Infirmary of Edinburgh, Little France
Crescent, Edinburgh EH16 5NN |
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Biography
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I did my
medical training at University of Cambridge, and house jobs in Cambridge and
Norwich. I moved to London for senior house officer posts, and then to
Liverpool for specialist training in Geriatric Medicine. My research
training was at University of Manchester, where I led the first randomised
trial of carotid surgery for acute stroke. I was awarded an MD by University
of Cambridge for this work. I completed my training in Geriatric and
General Medicine in Edinburgh in 1999. Before taking up my current post as
Senior Lecturer in Geriatric Medicine in 2000, I spent six months working in
Auckland, New Zealand, where I helped to establish a stroke service at
Middlemore Hospital.
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Professional Membership
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British
Association of Stroke Physicians: Scientific Committee |
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British
Geriatrics Society: Academic and Research Committee
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Scottish
Intercollegiate Guideline Network: member of guideline development group
for stroke |
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Broad Areas of interest:
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Research
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Physical
fitness after stroke
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Exercise after
stroke
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Post-stroke
fatigue
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Telemedicine
for the evaluation of patients with ‘brain attacks’
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Exercise for
depression
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Clinical
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Acute Medicine of Elderly and Acute stroke (Royal Infirmary), Stroke
Rehabilitation (Astley Ainslie Hospital). In 200I, I established a Stroke
clinic at the Royal Infirmary. In 2005, I led the development of a
thrombolysis service for acute stroke at the Royal Infirmary.
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I am a member
of the Steering Group of the Lothian Stroke Managed Clinical Network
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Teaching
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Leading the
development of an NVQ Level 4 course for exercise instructors, in
collaboration with Queen Margaret University, Edinburgh
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Developed an e-library
of cases in Geriatric Medicine, aimed primarily at Undergraduate students
and available through Edinburgh Electronic Medical Curriculum
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Undergraduate
and post-graduates in Geriatric Medicine
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Member of
Portfolio Subcommittee, University of Edinburgh
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Contribute to
Medical Biology BSc course and Cardiovascular Biology Workshop for BHF PhD
students
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Supervise
post-graduate researchers
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Methodological skills
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Randomised
trials of complex interventions, systematic reviews of randomised trials and
observational studies, measurement of physical fitness.
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Highlights of previous research
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I was awarded
the Research into Ageing Edgar Palamountain Prize in 1997, for my trial of
carotid surgery in acute stroke.
STARTER (STroke:
A randomised Trial of Exercise or Relaxation) was selected for presentation
at a Stroke Symposium organised by the Chief Scientist Office of the
Scottish Executive in 2007. This work has led to further funding to develop
a course for exercise instructors about stroke.
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Hobbies & interests
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Mountaineering. Highlights include ascents of several of the Alpine 4000m
peaks including the Matterhorn (4478 m). I have also climbed Mount Cook
(3754m) in New Zealand and have completed ascents of all 284 Scottish peaks
over 3000 feet (Munros).
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Ongoing research projects
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Scoping the provision of exercise services in Scotland for people
after stroke
This new project will start in March 2009 and will map provision of
exercise services for people after stroke and devise best practice
guidelines which will inform the future development of exercise services
for people after stroke.
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Longitudinal cohort study of fatigue after stroke, and associations
with physical inactivity
This project will seek to determine the natural history of fatigue
after stroke, and the relationship between fatigue and physical
inactivity. It will start in March 2009 and will run for almost three
years.
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Goal setting in exercise after stroke
This PhD project in collaboration with Queen Margaret University
will seek to determine the role of goal setting in patients after stroke
referred for community exercise classes.
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Evaluation of Telemedicine for brain attacks
This project will determine whether
telemedicine improves access to acute stroke treatments and secondary
prevention, and whether it is acceptable to patients and carers.
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Fatigue after stroke
We will systematically review all available studies to
determine a) independent risk factors for fatigue and b) effectiveness
of treatments for post-stroke fatigue.
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Exercise for depression
This project systematically
reviewed all randomised trial evidence on exercise for depression.
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Exercise after stroke
We have performed our own randomised trial of exercise after stroke, and are
currently systematically reviewing all available evidence for the Cochrane
Collaboration.
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I am a member of the
stroke research group at the
Western General Hospital in Edinburgh and work closely with this group.
Publications (2003 onwards):
Mead GE Exercise after stroke. Editorial, BMJ 339 247-248 (1st August
2009).
Mead GE. Morley W. Campbell P. Greig CA. McMurdo M. Lawlor DA. Exercise for
depression (summary of systematic review) Mental health and physical activity.
In press
Saunders DS, Greig CA, Young A, Mead GE Physical fitness training after stroke:
Cochrane database of systematic reviews. In press
Wevers L, van de Port I, Vermue M, Mead G, Kwakkel G. Effects of Task-Oriented
Circuit Class Training on Walking Competency After Stroke. A Systematic Review.
Stroke. 2009 May 21. [Epub ahead of print] PubMed PMID: 19461035.
Mead GE, Dennis MS, Lewis SJ, McGeough E, Sharpe M. Interventions for
post-stroke fatigue. (review) Cochrane Database of Systematic Reviews 2009
in press.
Carin-Levy G. Kendall M. Young A. Mead G. The psychosocial effects of exercise
and relaxation classes for persons surviving a stroke. Canadian Journal of
Occupational Therapy - Revue Canadienne d Ergotherapie. 76(2):73-80, 2009
Mead GE, Morley W, McMurdo M, Campbell P,
Greig C, Lawlor DA. Exercise for depression. Cochrane Database of Systematic
reviews, 2008; Issue 4
Carin-Levy
G, Greig CA, Lewis SJ, Stewart A, Young A, Mead GE
. The effect of different body positions on
anthropometric measurements and derived estimates of body composition
International Journal of Body Composition Research 2008, issue 3
Saunders DS, Greig CA, Young A Mead GE. Activity limitations in
ambulatory individuals with stroke are associated with impaired explosive
extensor power in both lower limbs. Arch Phys Med Rehabil 2008;
89:677-83
Mead GE, Dennis MS, Lewis SJ, McGeough E, Sharpe M.
Interventions for post-stroke fatigue. (Protocol) Cochrane Database of
Systematic Reviews 2008, Issue 2.
Henderson GR,
Mead GE, van Dyke M, Ramsay S, MacDowall M, Dennis MS.
The use of statistical process control charts to identify
improvements in the process of care: an example from stroke medicine Quality
Safety in Health Care 2008; 17, Issue: 4.
Mead G. Lynch
J. Greig C. Young A. Lewis S. Sharpe M. Evaluation of fatigue
scales in stroke patients Stroke. 38(7):2090-5, 2007 .
Mead GE. Greig CA. Cunningham I. Lewis SJ. Dinan S. Saunders DH. Fitzsimons
C. Young A. Stroke: a randomized trial of exercise or relaxation. Journal of
the American Geriatrics Society. 55(6):892-9, 2007 .
Mead GE. Wardlaw JM. Lewis SC. Dennis MS. Lothian Stroke Registry Study
Group. No evidence that severity of stroke in internal carotid occlusion is
related to collateral arteries Journal of Neurology, Neurosurgery &
Psychiatry. 77(6):729-33, 2006 .
Carin-Levy G. Greig C. Young A. Lewis S. Hannan J. Mead G. Longitudinal
changes in muscle strength and mass after acute stroke Cerebrovascular
Diseases. 21(3):201-7, 2006.
Colledge N. Sellar R. Wardlaw J. Lewis S. Mead G. Wilson J. Interobserver
agreement in magnetic resonance brain and neck imaging Journal of
Neuroimaging. 16(1):47-51, 2006 Jan.
GE Mead Exercise or Relaxation after stroke? (personal view) BMJ
2005;330:1337
Mead GE. Elder AT. Flapan AD. Kelman A. Electrical cardioversion for atrial
fibrillation and flutter Cochrane Database of Systematic Reviews.
(3):CD002903, 2005.
Morley W. Jackson K. Mead GE. Post-stroke fatigue: an important yet
neglected symptom. [Letter] Age & Ageing. 34(3):313, 2005 May.
Cordina J. Mead G. Pharmacological cardioversion for atrial fibrillation
and flutter. Cochrane Database of Systematic Reviews. (2):CD003713, 2005.
S Welsh G Mead H Chant A Picton PA O'Neill CN McCollum Early Carotid Surgery
in acute stroke: a multicentre Randomised Pilot Study Cerebrovascular
diseases 2004;18:200-205
D Saunders C Greig A Young GE Mead Physical fitness training for stroke
patients (Cochrane review) In: The Cochrane Library, Issue 1, 2004.
Chichester UK
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