A5101574891- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Health disparities and outcomes
- Healthcare Systems and Technology
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Metabolism, Diabetes, and Cancer
- Primary Care and Health Outcomes
- Cancer Risks and Factors
- Reproductive Health and Contraception
- Diabetes Treatment and Management
- Maternal and Perinatal Health Interventions
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Pancreatic and Hepatic Oncology Research
- Obesity and Health Practices
- Cancer, Lipids, and Metabolism
- Clinical practice guidelines implementation
- Pain Management and Treatment
- Global Maternal and Child Health
- Diabetic Foot Ulcer Assessment and Management
- Nutrition and Health in Aging
- Diabetes Management and Research
- Bariatric Surgery and Outcomes
- Health Promotion and Cardiovascular Prevention
- Cardiovascular Health and Risk Factors
University of Edinburgh
2008-2021
Glasgow Centre for Population Health
2021
Vanderbilt University Medical Center
2021
Centre for Inflammation Research
2019
University of Exeter
2014
University of Bristol
2014
Royal Brompton Hospital
2011
Lung Institute
2011
Northwick Park Hospital
2011
Imperial College London
2002-2011
OBJECTIVES: We aimed to compare a new primary care outcome measure-the Patient Enablement Instrument (PEI)-against two established satisfaction measures [the Medical Interview Satisfaction Scale (MISS) and the Consultation Questionnaire (CSQ)]. Specifically, we sought (i) test whether enablement are related or separate concepts; (ii) assess internal consistency of PEI might be enhanced by inclusion items from instruments. METHODS: forms containing three instruments in variety combinations...
<h3>Abstract</h3> <b>Objectives:</b> To measure quality of care at general practice consultations in diverse geographical areas, and to determine the principal correlates associated with enablement as an outcome measure. <b>Design:</b> Cross sectional multipractice questionnaire based study. <b>Setting:</b> Random sample practices four participating regions: Lothian, Coventry, Oxfordshire, west London. <b>Participants:</b> 25 994 adults attending 53 over two weeks March April 1998. <b>Main...
To describe the association of BMI with mortality in patients diagnosed type 2 diabetes.Using records 106,640 Scotland, we investigated between recorded around diagnosis diabetes mellitus (T2DM) and using Cox proportional hazards regression adjusted for age smoking status, 25 to <30 kg/m(2) as a referent group. Deaths within years determination were excluded. Mean follow-up death or end 2007 was 4.7 years.A total 9,631 deaths occurred 2001 2007. Compared reference group, risk higher 20 <25...
To describe associations between alcoholic liver disease (ALD) or nonalcoholic fatty (NAFLD) hospital admission and cardiovascular (CVD), cancer, mortality in people with type 2 diabetes mellitus (T2DM).We performed a retrospective cohort study by using linked population-based routine data from registry, hospital, death records for aged 40-89 years diagnosed T2DM Scotland 2004 2013 who had one more records. Liver outcomes were identified ICD-9 ICD-10 codes. We estimated hazard ratios (HRs)...
To evaluate differences in HbA1c concentrations between centers and to assess the factors associated with glycemic control young people type 1 diabetes Scotland.Data on 1,755 patients (94% of those registered) were collected from 18 providing care children <15 years age. At every clinic visit, a duplicate sample was measured reference laboratory, clinical information prospectively.Average concentration 9.1% (range 5.0-15.0). The following significant associations level identified: age,...
The study objective was to describe the effect of socioeconomic status (SES) on mortality among people with type 2 diabetes.We used a population-based national electronic diabetes database for 35- 84-year-olds in Scotland 2001-2007 linked records. SES derived from an area-based measure Q5 and Q1 representing most deprived affluent quintiles, respectively. Poisson regression estimate relative risks (RRs) compared population without stratified by age (35-64 65-84 years), sex, duration (< ≥...
Hypoglycemia is associated with increased cardiovascular mortality, but the reason for this association poorly understood. We tested hypothesis that myocardial blood flow reserve (MBFR) decreased during hypoglycemia using contrast echocardiography in patients type 1 diabetes mellitus (DM) and healthy control subjects.Twenty-eight volunteers DM 19 subjects underwent hyperinsulinemic clamps maintained sequential euglycemia (plasma glucose, 90 mg/dL [5.0 mmol/L]) followed by 50 [2.8 60 minutes...
The hypothalamic–pituitary–adrenal axis is a vital neuroendocrine system that regulates the secretion of glucocorticoid hormones from adrenal glands. This characterized by dynamic ultradian hormonal oscillation, and in addition highly responsive to stressful stimuli. We have recently shown primary mechanism generating this rhythm systems-level interaction where adrenocorticotrophin hormone (ACTH) released pituitary stimulates glucocorticoids, which turn feedback at level rapidly inhibit ACTH...
The aim of this study was to assess the role socioeconomic status (SES) in associations between type 2 diabetes and life expectancy a complete national population. An observational population-based cohort performed using Scottish Care Information – Diabetes database. Age-specific (stratified by SES) calculated for all individuals with age range 40–89 during period 2012–2014, remaining population Scotland aged without diabetes. Differences two groups were calculated. Results based on 272,597...
Previous studies have suggested that the patient's experience of a consultation with doctor is not affected by presence medical students. However, no study has looked at effect student on conventional UK general practice consultations.This aimed to measure quality as experienced patients when students are present, explore patients' attitudes students, and look relationships between these factors.We conducted cross-sectional questionnaire in practices north-east England. General practitioners...
Promoting a more patient-responsive service has been the focus of policy initiatives in newer EU states. One measure success should be patient's assessment their consultation with doctor.To quality Polish primary care using patient enablement (a patient-driven instrument developed UK) and to test its theoretical framework. To compare outcome different types doctor delivering Poland following reform.Cross-sectional quantitative questionnaire survey.Random sample doctors practising within...
Background Mortality in people with and without diabetes often exhibits marked social patterning, risk of death being greater deprived groups. This may reflect deprivation-related differences comorbid disease (conditions additional to itself). study sought determine whether the patterning mortality a population type 2 mellitus (T2DM) is explained by differential comorbidity. Methods Hospital records for 70 197 men 56 451 women diagnosed T2DM at 25 years age above Scotland during period...
Background. Patient satisfaction surveys are increasingly used to measure consulting quality and outcome, but little is known of how good doctors at judging their patients' with consultations.
Endothelial progenitor cells (EPCs) are mobilized into the vascular space and home to damaged tissues, where they promote repair in part through a process of angiogenesis. Neuregulins (NRGs) ligands epidermal growth factor family that signal type I receptor tyrosine kinases erbB (erbB2, erbB3, erbB4) regulate endothelial cell biology, promoting Stimuli such as ischemia exercise EPC mobilization also induce cleavage release transmembrane NRG from cardiac microvascular (CMECs). We hypothesized...
Abstract Background A growing body of research emphasizes the importance contextual factors on health outcomes. Using postcode sector data for Scotland (UK), this study tests hypothesis spatial heterogeneity in relationship between area-level deprivation and mortality to determine if differences West vs. rest influence relationship. Research into inequalities frequently fails recognise deprivation-health relationship, assuming that global relationships apply uniformly across geographical...