A5021224610- Cardiac Arrest and Resuscitation
- Diabetic Foot Ulcer Assessment and Management
- Emergency and Acute Care Studies
- Disaster Response and Management
- Mechanical Circulatory Support Devices
- Clinical Reasoning and Diagnostic Skills
- Injury Epidemiology and Prevention
- Pediatric health and respiratory diseases
- Healthcare Technology and Patient Monitoring
- Healthcare Policy and Management
- Geriatric Care and Nursing Homes
- Pressure Ulcer Prevention and Management
- Trauma and Emergency Care Studies
- Family and Disability Support Research
- Health Promotion and Cardiovascular Prevention
- Infant Development and Preterm Care
- Antibiotics Pharmacokinetics and Efficacy
- Skin Diseases and Diabetes
- Restraint-Related Deaths
- Non-Invasive Vital Sign Monitoring
- Mental Health and Patient Involvement
- Wound Healing and Treatments
- Natural Antidiabetic Agents Studies
- Cystic Fibrosis Research Advances
- Sepsis Diagnosis and Treatment
Cairnmillar Institute
2024
Birmingham and Solihull Mental Health NHS Foundation Trust
2023
Mental Health Foundation
2023
Bangor University
2007-2019
Poole Hospital
2010-2011
Royal Stoke University Hospital
2009
Swansea University
2009
Nottingham University Hospitals NHS Trust
2008
Universitätsmedizin Göttingen
2006
University of Göttingen
2006
To identify trends in emergency admissions for patients with clinical conditions classed as 'ambulatory care sensitive' (ACS) and assess if reductions might be due to improvements preventive care.Observational study of routinely collected hospital admission data from March 2001 April 2011. Admission rates were calculated at the population level using national estimates area residence.All National Health Service (NHS) hospitals England 2011 people residents England.Age-standardised each 27...
Objectives: To determine the comparative effectiveness and cost-effectiveness of three dressing products, N-A ® , Inadine Aquacel for patients with diabetic foot ulcers, as well feasibility consequences less frequent changes by health-care professionals.Design: A multicentre, prospective, observer-blinded, parallel group, randomised controlled trial, arms.Setting: Established expert multidisciplinary clinics management ulcers across UK.Participants: Patients over age 18 type 1 or 2 diabetes...
Plant medicines (phytotherapies) have a long history as treatments for diabetes. With disturbing rise in the prevalence of this metabolic disease and associated healthcare costs, interest alternative or complementary therapies has grown. Over last 10-20 years, data from controlled investigations animal models patients validated therapeutic value numerous phytotherapies Phytotherapies their combinations demonstrate multiple beneficial antidiabetic mechanisms, including modulation carbohydrate...
The early recognition and goal-directed management of severely septic patients has been shown to reduce mortality. This study aimed determine compliance with the ‘Surviving Sepsis' guidelines analyse systems involved in delivering care a UK teaching hospital. Patients from any hospital department clinically significant positive blood cultures (n=229) were identified. Adults who met criteria for severe sepsis deemed suitable active included (n=46). None received all bundle elements within...
Background Policy and reviews of health-care safety quality emphasise the role NHS managers in ensuring safe, good-quality patient care through effective staffing. Guidance requires that combine professional judgement with evidence-based workforce planning deployment tools technologies (WPTs). Evidence has focused on effectiveness WPTs, but little is known about supporting their implementation, or impact using WPTs across settings. Objectives The review answered following question: ‘NHS...
Introduction Nursing staffing levels in hospitals appear to be associated with improved patient outcomes. National guidance indicates that the triangulation of information from workforce planning and deployment technologies (WPTs; eg, Safer Care Tool) ‘local knowledge’ is important for managers achieve appropriate better Although WPTs provide predictive about future requirements, ensuring safety quality care also requires consideration other sources real time. Yet little attention has been...
Previously aldosterone was only thought to exert damaging effects on the failing heart owing adverse compensatory measures in fluid homeostasis. However, recent evidence has suggested that mineralcorticoid receptor for is also present vasculature and heart, it here aldosterone’s role of more significance relation worsening cardiac dysfunction. Aldosterone blockade with spironolactone been strongly correlated reduced mortality morbidity rates patients chronic failure caused by systolic left...
Abstract This implementation study sought to determine what works support brief smoking cessation (BSC) in acute hospital settings, through exploration of organizational delivery and the role healthcare professionals (HCPs). We used a realist approach, with embedded stakeholder engagement, within large health organization. conducted interviews (n = 27), survey 279) organization documentation review 44). The final programme theory suggests HCPs implement BSC when they value it as part their...
Diabetes causes almost 50% of all non-traumatic lower extremity amputations (LEAs) worldwide, and it is estimated that the lifetime risk for amputation in patients with diabetes 10–15%.2 Diabetic who undergo an LEA have overall poor prognosis; 9–20% require another within 12 months up to half these a further one five years. The associated mortality rate high peri-operatively (8–23%), at year (11–41%) years (39–80%).2 incidence may vary 200-fold between different centres, communities...
The diabetes mellitus, insulin glucose infusion in acute myocardial infarction (DIGAMI) study (Malmberg et al, 1994; 1995; 1996; 1997) assessed the effects of intravenous and glucose, followed by multi-dose subcutaneous insulin, on mortality after (AMI) patients with hyperglycaemia. suggested improved survival rates those who had received glucose. These results prompted many clinicians to question alter their practice. However, did cause some controversy. regimen was not without problems...
Aims Raising concerns is a duty for all doctors. However, scoping exercise within large mental health Trust demonstrated that trainees experience difficulties in raising both patient safety and training concerns. As part of trainee-led quality improvement (QI) project this Trust, our aim was to develop pulse survey capture the current likelihood factors influencing this. Methods An online developed using ‘plan do study act’ (PDSA) methodology. The initial draft informed by data from Autumn...
Diabetic peripheral neuropathic pain (DPNP) is a common complication of diabetes. In hospital clinic-based studies the prevalence in people with diabetes has ranged from 11–20%.1 Long-standing occurs one six diabetes.2 recent review it was noted that knowledge epidemiology DPNP compromised by lack large, population-based and consensus on definition diagnostic criteria.3 sensory neuropathy generally after some years diabetes, often painless, patients may not be aware its presence. One study...