Gary Mitchell
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Articles by Gary Mitchell
Association of Accelerated Biological Age in Midlife with Cardiovascular Events, Dementia, and All-Cause Mortality in the Framingham Offspring Study
Abstract Accelerated biological age (ABA) better capture the aging process than chronological age (CA) and has been linked to adverse health outcomes, but long-term associations remain unclear. We modeled ABA using anthropometric and biochemical biomarkers across three examination cycles (1991–2001) in 3046 Framingham Offspring Study participants.
Betaine affects dairy herd health and performance during heat stress
High-producing dairy cows are sensitive to numerous stressors throughout the year. As temperature and humidity rise, an increasing temperature and humidity index (THI) beyond the thermo-neutral zone for dairy cows contributes additional stress. The metabolic heat produced within the rumen makes high-performing dairy cows and dry cows particularly susceptible to heat stress, with increasing THI negatively affecting dairy cow health and performance and, in extreme cases, fertility.
Gift i 24 år: Deler sjokkavsløring
Brian Cox: Filmstjernen har vært gift med kona i en årrekke. Nå røper han sjokkerende detaljer rundt ekteskapet. KOMMER MED AVSLØRING: Brian Cox er lykkelig gift - men det kommer ikke av seg selv, skal vi tro stjerne-skuespilleren i nytt intervju. Her er han avbildet i London i 2021.
Hegseth Doubles Down on Iran Pressure
Defense chief says U.S. will ‘negotiate with bombs’ until Tehran backs off Secretary of Defense Pete Hegseth, right, said the Pentagon’s goal is to destroy Iran’s missiles, drones and navy. Oliver Contreras/AFP/Getty Images Defense Secretary Pete Hegseth said the coming days of the war with Iran will be decisive, adding that the U.S. would “negotiate with bombs” until Tehran relinquishes its ambitions.
Hegseth Says U.S. Ready to 'Negotiate With Bombs' Until Iran Makes a Deal
Secretary of Defense Pete Hegseth and Gen. Dan Caine, the chairman of the Joint Chiefs of Staff, at the Pentagon on Tuesday. Jonathan Ernst/Reuters Defense Secretary Pete Hegseth said the U.S. would “negotiate with bombs” until Iran relinquishes its ambitions. "We would much prefer to get a deal. If Iran was willing to relinquish material they have and ambitions they have... great, that's the goal. We don't want to do more militarily than we have to," Hegseth said.
U.S. Military Ready to Put Negotiators ‘In an Even Better Position,’ Hegseth Says
When Defense Secretary Pete Hegseth was asked about the progress of U.S. talks with Tehran he deferred to U.S. negotiators. "We stand right there next to our negotiating team—always willing and prepared to put them in an even better position,” he said without elaborating as he drew the news conference to a close.
FAA issues ground stop at LaGuardia after plane collides with vehicle
Gary Mitchell The Federal Aviation Administration issued a ground stop at LaGuardia Airport in New York City after a plane collided with a vehicle. The NYPD said officers were called at 11:44 p.m. Sunday about reports of an unusual incident at the airport. Upon arrival, officers were told that an Air Canada plane had been in a collision with a Port Authority vehicle, the police department said. Updates to follow as news develops.
Development and Validation of the AI-HeartAge Model in Framingham and UK Biobank
Information & Authors Published In History Received: 10 October 2025 Accepted: 16 February 2026 Published online: 19 March 2026 Permissions Request permissions for this article. Keywords aorta arterial pressure cardiovascular disease heart failure risk factors Subjects Disclosures G.F. Mitchell is the owner of Cardiovascular Engineering Inc, a company that designs and manufactures devices that measure vascular stiffness.
Trump to hold meeting on Greenland in Davos
President Trump said he had agreed to a meeting at the World Economic Forum in Davos over Greenland after a very good call with the head of the North Atlantic Treaty Organization.I had a very good telephone call with Mark Rutte, the Secretary General of NATO, concerning Greenland, Trump wrote on Truth Social.I agreed to a meeting of the various parties in Davos, Switzerland. As I expressed to everyone, very plainly, Greenland is imperative for National and World Security.
Trump to Hold Meeting on Greenland in Davos
President says he had “very good” phone call with NATO chief President Trump speaks to reporters before boarding Air Force One. Julia Demaree Nikhinson/Associated Press President Trump said he had agreed to a meeting at the World Economic Forum in Davos over Greenland after a “very good” call with the head of the North Atlantic Treaty Organization. “I had a very good telephone call with Mark Rutte, the Secretary General of NATO, concerning Greenland,” Trump wrote on Truth Social.
特朗普将在达沃斯就格陵兰岛问题举行会谈
美国总统特朗普(Trump)表示，在与北大西洋公约组织(North Atlantic Treaty Organization, 简称：北约)负责人进行了一次“非常好的”通话后，他已同意在达沃斯世界经济论坛(World Economic Forum)期间就格陵兰问题举行一次会议。 特朗普在Truth Social上写道：“我与北约秘书长马克·吕特(Mark Rutte)就格陵兰岛问题进行了一次非常好的通话。” Copyright ©2026 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8
Network analysis and comparison of psychological distress among women with miscarriage experience
ABSTRACT As many as 15.3% of pregnancies do not end in a live birth meaning miscarriage is among the most common pregnancy complications. This experience is robustly evidenced to be associated with adverse health and well-being outcomes for mothers, however, much existing evidence focuses on psychopathology outcomes such as depression and anxiety disorders.
Addressing ageism: how nurses can tackle bias in the care of older people
This article introduces the concept of ageism in healthcare and explores the practical implications and challenges that older people may encounter. Abstract This article, the fourth in the series on stigmatisation, introduces the concept of ageism in healthcare, focusing on its practical implications and challenges for older individuals.
Nurse-Led Strategies for Lifestyle Modification to Control Hypertension in Older Adults: A Scoping Review
All articles published by MDPI are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by MDPI, including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited. For more information, please refer to https://www.mdpi.com/openaccess.
Therapeutic Doll Interventions for People Living with Dementia in Care Homes: A Scoping Review
All articles published by MDPI are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by MDPI, including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited. For more information, please refer to https://www.mdpi.com/openaccess.
Heart Failure Nurses within the Primary Care Setting
The current prevalence of heart failure (HF) is estimated to be 64.3 million cases worldwide, with numbers expected to increase as the global population ages.1 Many of these individuals live with at least three additional chronic illnesses, such as diabetes, hypertension or chronic kidney disease, either as a precursor or consequence of their coexisting cardiovascular condition.2 Over the past 40 years, due to increasing patient numbers, long-term care for many patients with a chronic illness...
Exploring Resilience in Care Home Nurses: An Online Survey
All articles published by MDPI are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by MDPI, including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited. For more information, please refer to https://www.mdpi.com/openaccess.
Vascular Age Assessed From an Uncalibrated, Noninvasive Pressure Waveform by Using a Deep Learning Approach: The AI-VascularAge Model
Ramachandran S. Vasan https://orcid.org/0000-0001-7357-5970 Boston University and NHLBI’s Framingham Study, MA (J.R., M.G.L., V.X., R.S.V.). Preventive Medicine and Epidemiology, Boston University School of Medicine, Boston Medical Center, MA (V.X., R.S.V.). Evans Department of Medicine (N.M.H., R.S.V.). Whitaker Cardiovascular Institute, Boston University School of Medicine, MA (N.M.H., R.S.V.). University of Texas School of Public Health, San Antonio (R.S.V.).
Oral Care for Dementia - 10 Top Tips
Oral health is a crucial aspect of overall well-being, especially for individuals with dementia. As healthcare professionals, you play a pivotal role in maintaining the oral hygiene and comfort of individuals with dementia. Here are 10 essential tips to help you provide effective oral care and support. 1. Early action matters: timely intervention is key. Encourage regular dental check-ups, especially after a dementia diagnosis.
Determinants of fatigue in emergency department clinicians who wear personal protective equipment
Data availability statement The data that support the findings of this study are available from the corresponding author upon reasonable request.
The Anxieties of a Newly Sober Alcoholic
On Holding on to the Next 24 Hours after 30 Day Back in April, I decided to "put the cork in the jug," as they say, for good. It had been a few years in the making, 20 or so even, if I really want to work my way back. Then, I relapsed. I only lasted two weeks. I started over again. And the relapse, that was just me proving to myself I am as powerless as I thought. And, boy, have I been tired. Tired of being sick and hungover. Tired of upsetting my wife. Tired of hiding things.
Transforming Advance Care Planning in Nursing Homes Empowering Conversations for Better Care | Royal College of Nursing
1 Jun 2023 I am thrilled to share with you the findings of our recent research study on advance care planning in nursing homes during the COVID-19 pandemic. As a co-author of this study, I believe our findings hold great significance for your day-to-day practice, providing valuable insights into improving care and communication with care home residents and their families.
Global evidence on falls and subsequent social isolation in older adults: a scoping review
Results After screening 4993 citations and 304 full-text articles against our eligibility criteria, 39 studies were identified as eligible for inclusion based on our primary objective for this review (figure 1). No studies were identified when limiting to the COVID-19 context for our secondary objective. Study and patient characteristics have been summarised in table 1 and detailed data are reported in online supplemental appendices 2 and 3.
Association of orthostatic blood pressure response with incident heart failure: The Framingham Heart Study
Loading metrics Open Access Peer-reviewed Research Article Tara A. Shrout, Stephanie Pan, Gary F. Mitchell, Ramachandran S. Vasan, Vanessa Xanthakis Tara A. Shrout, Stephanie Pan, Gary F. Mitchell, Ramachandran S. Vasan, Vanessa Xanthakis Published: April 22, 2022 https://doi.org/10.1371/journal.pone.0267057 Abstract Importance Orthostatic hypotension (OH) and hypertension (OHT) are aberrant blood pressure (BP) regulation conditions associated with higher cardiovascular disease risk.
Interventions to support family caregivers of people with advanced dementia at the end of life in nursing homes: A mixed-methods systematic review
1. Prince, M, Bryce, R, Albanese, E, et al. The global prevalence of dementia: a systematic review and metaanalysis. Alzheimers Dement 2013; 9: 63–75.e62. Google Scholar | Crossref 2. World Health Organization . Dementia, https://www.who.int/news-room/fact-sheets/detail/dementia (2020, Accessed 3 May 2021). Google Scholar 3. Prince, M, Wimo, A, Guerchet, M, et al. World Alzheimer report 2015 – the global impact of dementia. An analysis of prevalence, incidence, cost and trends.
Delirium occurrence in hospitalised older people is positively associated with development of dementia postdischarge
Delirium occurrence in hospitalised older people is positively associated with development of dementia postdischarge http://orcid.org/0000-0003-2133-2998Gary Mitchell, Sophie Crooks School of Nursing & Midwifery, Queen's University Belfast, Belfast, UK Correspondence to Dr Gary Mitchell, School of Nursing & Midwifery, Queen's University Belfast, Belfast BT7 1NN, UK; Gary.Mitchell{at}qub.ac.uk Statistics from Altmetric.com delirium & cognitive disorders dementia geriatric medicine Commentary...
Evaluation of a ‘serious game’ on nursing student knowledge and uptake of influenza vaccination
40-Item knowledge questionnaire about influenza and vaccination A total of 145 nursing students were purposively selected to participate in a pre- and post-knowledge questionnaire about influenza after receiving access to the ‘serious game’. This sample was selected to determine the extent to which the game improved knowledge about influenza in a homogenous group. From these 124 nursing students (85.52%) completed a 40-item pre and post questionnaire.
Evaluation of a delirium awareness podcast for undergraduate nursing students in Northern Ireland: a pre−/post-test study
Abstract Background Delirium is a common disorder affecting several people in primary, secondary, and tertiary settings. The condition is frequently under-diagnosed leading to long-lasting physical and cognitive impairment or premature death. Despite this, there has been limited research on the impact of innovative approaches to delirium education amongst undergraduate nursing students.
Combining physical and cognitive interventions positively affects gait in older adults with cognitive impairment
Combining physical and cognitive interventions positively affects gait in older adults with cognitive impairment Gary Mitchell, Victoria McTurk School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK Correspondence to Dr Gary Mitchell, School of Nursing and Midwifery, Queen's University Belfast, Belfast BT7 1NN, UK; Gary.Mitchell{at}qub.ac.uk Statistics from Altmetric.com dementia nursing Commentary on: Zhang W, Low LF, Gwynn JD, et al.
Emphasise capability, not disability: exploring public perceptions, facilitators and barriers to living well with dementia in Northern Ireland
Abstract Background Improving public knowledge and understanding about dementia has been identified as a priority area by people living with the condition, researchers, educators, and policymakers for several years. Societies that have a better understanding of the condition are more likely to enable people living with dementia to enjoy a better quality of life.
Enabling sustained communication with patients for safe and effective management of oral chemotherapy: A longitudinal ethnography
Aims To examine how patients received, understood, and acted on healthcare professional communication about their oral chemotherapeutic regimen throughout their treatment. Design A longitudinal ethnographic study.
Association of subclinical atherosclerosis with echocardiographic indices of cardiac remodeling: The Framingham Study
Loading metrics Open Access Peer-reviewed Research Article Cecilia Castro-Diehl, Rebecca J. Song, Gary F. Mitchell, David McManus, Susan Cheng, Ramachandran S. Vasan, Vanessa Xanthakis Cecilia Castro-Diehl, Rebecca J. Song, Gary F. Mitchell, David McManus, Susan Cheng, Ramachandran S. Vasan, Vanessa Xanthakis Published: May 15, 2020 https://doi.org/10.1371/journal.pone.0233321 Figures Abstract Background It is well established that coronary artery disease progresses along with myocardial disease.
Evaluation of a co-produced delirium awareness programme for undergraduate nursing students in Northern Ireland: a pre-test/post-test study
Abstract Background Delirium is recognised internationally as a common disorder that causes acute deterioration in a person’s cognitive abilities. Healthcare professionals play a key role in the early identification and management of delirium and effective education can support timely recognition and treatment. There is currently a lack of research exploring the delirium education provided to undergraduate nursing students.
Just as visitors were about to return to Ocracoke, coronavirus cuts the island off again
The month of March is a harbinger in any tourist-reliant beach community, marking the end of the months-long fast that is winter and the start of a new season of regular income. On Ocracoke Island, this March held special promise after the ruinous flood from Hurricane Dorian in September that damaged most of the buildings in the village, wiped out the fall tourist season and left many of the island’s 400 full-time residents with bills they weren’t sure they could pay.
Just as visitors were about to return to Ocracoke, coronavirus cuts the island off again
The month of March is a harbinger in any tourist-reliant beach community, marking the end of the months-long fast that is winter and the start of a new season of regular income. On Ocracoke Island, this March held special promise after the ruinous flood from Hurricane Dorian in September that damaged most of the buildings in the village, wiped out the fall tourist season and left many of the island’s 400 full-time residents with bills they weren’t sure they could pay.
Just as visitors were about to return to Ocracoke, coronavirus cuts the island off again
The month of March is a harbinger in any tourist-reliant beach community, marking the end of the months-long fast that is winter and the start of a new season of regular income. On Ocracoke Island, this March held special promise after the ruinous flood from Hurricane Dorian in September that damaged most of the buildings in the village, wiped out the fall tourist season and left many of the island’s 400 full-time residents with bills they weren’t sure they could pay.
Just as visitors were about to return to Ocracoke, coronavirus cuts the island off again
The month of March is a harbinger in any tourist-reliant beach community, marking the end of the months-long fast that is winter and the start of a new season of regular income. On Ocracoke Island, this March held special promise after the ruinous flood from Hurricane Dorian in September that damaged most of the buildings in the village, wiped out the fall tourist season and left many of the island’s 400 full-time residents with bills they weren’t sure they could pay.
Just as visitors were about to return to Ocracoke, coronavirus cuts the island off again
The month of March is a harbinger in any tourist-reliant beach community, marking the end of the months-long fast that is winter and the start of a new season of regular income. On Ocracoke Island, this March held special promise after the ruinous flood from Hurricane Dorian in September that damaged most of the buildings in the village, wiped out the fall tourist season and left many of the island’s 400 full-time residents with bills they weren’t sure they could pay.
Just as visitors were about to return to Ocracoke, coronavirus cuts the island off again
The month of March is a harbinger in any tourist-reliant beach community, marking the end of the months-long fast that is winter and the start of a new season of regular income. On Ocracoke Island, this March held special promise after the ruinous flood from Hurricane Dorian in September that damaged most of the buildings in the village, wiped out the fall tourist season and left many of the island’s 400 full-time residents with bills they weren’t sure they could pay.
Just as visitors were about to return to Ocracoke, coronavirus cuts the island off again
The month of March is a harbinger in any tourist-reliant beach community, marking the end of the months-long fast that is winter and the start of a new season of regular income. On Ocracoke Island, this March held special promise after the ruinous flood from Hurricane Dorian in September that damaged most of the buildings in the village, wiped out the fall tourist season and left many of the island’s 400 full-time residents with bills they weren’t sure they could pay.
Delirium occurrence in hospitalised older people is positively associated with development of dementia postdischarge
Delirium occurrence in hospitalised older people is positively associated with development of dementia postdischarge http://orcid.org/0000-0003-2133-2998Gary Mitchell, Sophie Crooks School of Nursing & Midwifery, Queen's University Belfast, Belfast, UK Correspondence to Dr Gary Mitchell, School of Nursing & Midwifery, Queen's University Belfast, Belfast BT7 1NN, UK; Gary.Mitchell{at}qub.ac.uk Statistics from Altmetric.com delirium & cognitive disorders dementia geriatric medicine Commentary...
Undiagnosed delirium is common and difficult to predict among hospitalised patients
Undiagnosed delirium is common and difficult to predict among hospitalised patients Gary Mitchell School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK Correspondence to Dr Gary Mitchell, Queen’s University Belfast, School of Nursing and Midwifery, Belfast BT9 7BL, UK; Gary.Mitchell{at}qub.ac.uk Statistics from Altmetric.com Commentary on: Lange P, Lamanna M, Watson R, et al.
When a Loved One Won't Seek Mental Health Treatment
Description Praise Escape the “family trap,” help your loved one on the road to recovery, and take back your life. If you have a family member who suffers from mental illness, but refuses to seek treatment, you may feel like you’re caught in a trap. If you try making life easier for your loved one, you wind up perpetuating dependency and entitlement. If you push for treatment, you are met with resistance or outright animosity.
Combining physical and cognitive interventions positively affects gait in older adults with cognitive impairment
Combining physical and cognitive interventions positively affects gait in older adults with cognitive impairment Gary Mitchell, Victoria McTurk School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK Correspondence to Dr Gary Mitchell, School of Nursing and Midwifery, Queen's University Belfast, Belfast BT7 1NN, UK; Gary.Mitchell{at}qub.ac.uk Statistics from Altmetric.com dementia nursing Commentary on: Zhang W, Low LF, Gwynn JD, et al.
Undiagnosed delirium is common and difficult to predict among hospitalised patients
Undiagnosed delirium is common and difficult to predict among hospitalised patients Gary Mitchell School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK Correspondence to Dr Gary Mitchell, Queen’s University Belfast, School of Nursing and Midwifery, Belfast BT9 7BL, UK; Gary.Mitchell{at}qub.ac.uk Statistics from Altmetric.com Commentary on: Lange P, Lamanna M, Watson R, et al.
Person-Centred Care
On Wednesday 18th November (8pm-9pm GMT) we are delighted to host our final #ebnjc tweet-chat of the year on person-centred care in nursing and healthcare with Professor Brendan McCormack. Participating in the Twitter chat requires a Twitter account. If you do not already have one you can create an account at Twitter.
Words Matter in Dementia Care
EBN are excited to share Joanne Agnelli’s latest blog which focuses on the appropriate use of language in dementia care. Joanne @JoanneAgnelli is a dementia services quality manager from Four Seasons Health Care. This year she has presented her work at the Alzheimer’s Disease International Conference (Perth, Australia), The Alzheimer’s Show (London, England) and is due to present at the Healthcare Interdisciplinary Research Conference (Dublin, Ireland) later this year.
Doll Therapy in Dementia Care
'An honest and eye-opening exploration of the use of dolls in improving the lives of people with dementia. I found the key to opening my eyes was the statement that we shouldn't look at the dolls but look at the person.
Care home managers' knowledge of palliative care: a Northern Irish study
International Journal of Palliative NursingVol. 22, No. 5 Research Gary Mitchell Jessie McGreevy Deborah HL Preshaw Joanne Agnelli Monica Diamond Abstract Aim: The aim of this study was to determine care home managers' knowledge of palliative care using the palliative care quiz for nursing (PCQN). Background: Palliative care is strongly advocated for all people living with advancing incurable illness.
Medicines management for people with dementia
Gary Mitchell Lecturer, School of Nursing and Midwifery, Medical Biology Centre, Queen’s University Belfast, Belfast, Northern Ireland Shauna Rooney Resident experience care specialist, Four Seasons Health Care, Belfast, Northern Ireland Colin Sheeran Dementia lead project facilitator, Four Seasons Health Care, London, England Joanne Strain Head of nursing, Four Seasons Health Care, London, England Why you should read this article: • To enhance your understanding of the pharmacological...
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