Chris Duncan

ORCID: 0000-0001-8767-497X
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About
Contact & Profiles
Research Areas
  • Acute Myocardial Infarction Research
  • Cardiac Imaging and Diagnostics
  • Coronary Interventions and Diagnostics
  • Electronic and Structural Properties of Oxides
  • Legal principles and applications
  • ZnO doping and properties
  • Copper-based nanomaterials and applications
  • Atrial Fibrillation Management and Outcomes
  • Ethics in Clinical Research
  • Elder Abuse and Neglect
  • Privacy-Preserving Technologies in Data
  • Health disparities and outcomes
  • Cardiovascular Function and Risk Factors
  • Autopsy Techniques and Outcomes
  • Commonwealth, Australian Politics and Federalism
  • Religion, Society, and Development
  • European history and politics
  • Law, logistics, and international trade
  • Christian Theology and Mission
  • Chronic Disease Management Strategies
  • Eastern European Communism and Reforms
  • Educational Challenges and Innovations
  • Cooperative Studies and Economics
  • Canadian Identity and History
  • Homelessness and Social Issues

Christchurch Hospital
2022

British Heart Foundation
2022

Medical Research Council
2022

National Institute for Health Research
2022

London School of Hygiene & Tropical Medicine
2022

University of Edinburgh
2018-2022

University of Otago
2022

NHS Lothian
2021

National Health Service
2021

National Renewable Energy Laboratory
2002

High-sensitivity cardiac troponin assays permit use of lower thresholds for the diagnosis myocardial infarction, but whether this improves clinical outcomes is unknown. We aimed to determine introduction a high-sensitivity I (hs-cTnI) assay with sex-specific 99th centile diagnostic threshold would reduce subsequent infarction or cardiovascular death in patients suspected acute coronary syndrome.In stepped-wedge, cluster-randomised controlled trial across ten secondary tertiary care hospitals...

10.1016/s0140-6736(18)31923-8 article EN cc-by The Lancet 2018-08-28

Background: The introduction of more sensitive cardiac troponin assays has led to increased recognition myocardial injury in acute illnesses other than coronary syndrome. Universal Definition Myocardial Infarction recommends high-sensitivity testing and classification patients with based on pathogenesis, but the clinical implications implementing this guideline are not well understood. Methods: In a stepped-wedge cluster randomized, controlled trial, we implemented assay recommendations 48...

10.1161/circulationaha.119.042960 article EN cc-by Circulation 2019-10-07

Importance Type 2 myocardial infarction occurs owing to multiple factors associated with oxygen supply-demand imbalance, which may confer different risks of adverse outcomes. Objective To evaluate the prevalence and outcomes imbalance among patients type infarction. Design, Setting, Participants In this secondary analysis a stepped-wedge, cluster randomized clinical trial conducted at 10 tertiary care hospitals in Scotland, 6096 an adjudicated diagnosis 1 or from June 10, 2013, March 3,...

10.1001/jamanetworkopen.2022.20162 article EN cc-by-nc-nd JAMA Network Open 2022-07-11

For over a decade, Scotland has implemented and operationalized system of Safe Havens, which provides secure analytics platforms for researchers to access linked, deidentified electronic health records (EHRs) while managing the risk unauthorized reidentification. In this paper, perspective is provided on state-of-the-art Scottish Haven network, including its evolution, define key activities required scale network’s capability facilitate research care improvement initiatives. A set processes...

10.2196/31684 article EN cc-by Journal of Medical Internet Research 2021-12-03

High-sensitivity cardiac troponin (hs-cTn) assays have improved the diagnosis of myocardial infarction in patients with healthy kidney function and are now widely used clinical practice. 1However, impairment, long-term elevations levels common, interpretation can be more challenging. 2 As such, effect implementing hs-cTn testing on outcomes impairment is uncertain.Methods | High-Sensitivity Troponin Evaluation Patients With Acute Coronary Syndrome (High-STEACS) was a stepped-wedge,...

10.1001/jamainternmed.2021.1184 article EN cc-by JAMA Internal Medicine 2021-06-07

Abstract Trustees are routinely faced with problems that need solutions, many of which significant no clear or easy resolution within reach. Both onshore and offshore, the Public Trustee v Cooper jurisdiction offers a helpful set court-assisted solutions for number different types issues encountered by trustees. But to what extent should beneficiaries trusts be able weave their way into issue-resolution decision-making processes, just how far (and long) trustee remain engaged in process?...

10.1093/tandt/ttz104 article EN Trusts & Trustees 2019-10-29

Click to increase image sizeClick decrease size Additional informationNotes on contributorsChris DuncanChris Duncan is an Associate Lecturer in the Department of Geography and Planning, University New England, Armidale.

10.1080/10371656.1994.11005132 article EN Rural Society 1994-01-01

Abstract Trusts are commonly used for asset protection, however the popularity of revocable trusts and reserved powers has led to a tendency draft trust deeds with extensive settlor or some other person ensure that an element control over is retained. That approach not without risk extent scope any can have unintended consequences lead trust's protection characteristics being eroded. In this article we look at key decisions where use resulted in loss their sought achieve, highlighting risks...

10.1093/tandt/ttaa118 article EN Trusts & Trustees 2020-12-22

<sec> <title>UNSTRUCTURED</title> For over a decade, Scotland has implemented and operationalized system of Safe Havens, which provides secure analytics platforms for researchers to access linked, deidentified electronic health records (EHRs) while managing the risk unauthorized reidentification. In this paper, perspective is provided on state-of-the-art Scottish Haven network, including its evolution, define key activities required scale network’s capability facilitate research care...

10.2196/preprints.31684 preprint EN 2021-07-09

Click to increase image sizeClick decrease size Additional informationNotes on contributorsChris DuncanChris Duncan is an Associate Lecturer in the Department of Geography and Planning, University New England, Armidale.

10.5172/rsj.3.3.20 article EN Rural Society 1993-10-01
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