A5010104212- Atrial Fibrillation Management and Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Acute Ischemic Stroke Management
- HIV/AIDS Research and Interventions
- HIV-related health complications and treatments
- Global Maternal and Child Health
- Cardiac Arrhythmias and Treatments
- HIV Research and Treatment
- ECG Monitoring and Analysis
- Venous Thromboembolism Diagnosis and Management
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cardiac Health and Mental Health
- Blood Pressure and Hypertension Studies
- Survey Methodology and Nonresponse
- Cerebrovascular and Carotid Artery Diseases
- Healthcare Systems and Reforms
- Historical and modern epidemiology studies
- Cardiovascular Health and Risk Factors
- Nursing Diagnosis and Documentation
- Bipolar Disorder and Treatment
- Dietary Effects on Health
- Adolescent and Pediatric Healthcare
- HIV/AIDS Impact and Responses
- Family Support in Illness
- Heart Rate Variability and Autonomic Control
University of Birmingham
2020-2024
Picker Institute Europe
2021
ORCID
2020
Introduction Coexisting multiple health conditions is common among older people, a population that increasing globally. The potential for polypharmacy, adverse events, drug interactions and development of additional complicates prescribing decisions these patients. Artificial intelligence (AI)-generated decision-making tools may help guide clinical in the context conditions, by determining which medication options best. This study aims to explore perceptions healthcare professionals (HCPs)...
Evidence on the risk of cardiovascular disease (CVD) and CVD factors in people with human immunodeficiency virus (PWH) is limited. We aimed to identify composite CVD, individual events, common factors.
Background Identifying existing care pathways is the first step for understanding how services can be improved to enable early diagnosis and effective follow-up non-communicable diseases (NCDs); however, evidence on should identified in low- middle-income countries (LMICs) lacking.Objective To describe generalisability lessons learned from recruitment data collection quantitative component of a mixed methods study designed determine pathway atrial fibrillation (AF) Brazil, China Sri...
Background Atrial fibrillation (AF) is a major risk factor for stroke. To enable improvements to AF diagnosis and follow-up care, understanding current patient pathways barriers optimal care are essential. We investigated the their drivers, impact of COVID-19 pandemic on in middle-income country setting, Brazil. Methods This mixed-methods study São Paulo, included adults (≥18y) with from 13 primary/secondary healthcare facilities. Surveys using baseline, (administered ≥two months after...
Atrial fibrillation (AF) is the most common cardiac arrhythmia that affects 60 million people worldwide. Limited evidence on AF management exists from low- and middle-income countries none Sri Lanka. We aimed to investigate existing care pathway patients' perception identify barriers enablers for optimal in Northern Province, Lanka.A rapid evaluation was undertaken with use of qualitative methods. Local healthcare providers (HCPs) mapped intended patients which then explored annotated...
People living with HIV (PLWH) are at a higher risk for developing diabetes and hypertension. Often services separate non-communicable diseases (NCDs), but how this impacts NCD care among PLWH is unknown. We aimed to understand the barriers facilitators prevention, early diagnosis safe effective hypertension PLWH.Semi-structured interviews (SSIs) were conducted 10 healthcare professionals (HCPs) that PLWH, HCPs people 16 comorbidity of and/or Participants recruited from two facilities in...
The COVID-19 pandemic resulted in significant physical and psychological impacts for survivors, the healthcare professionals caring patients. Nurses doctors critical care faced longer working hours, increased burden of patients, limited resources, all context personal social isolation uncertainties regarding cross-infection. We evaluated anxiety, depression, stress, post-traumatic stress disorder (PTSD), alcohol dependence among nurses intensive units (ICUs) Nepal explored individual drivers...
Abstract Introduction The impact of HIV infection on the aging process is disputed and largely unknown. We aimed to identify whether people living with experience premature, accelerated, and/or accentuated by investigating development four age‐related non‐communicable diseases in versus without HIV. Methods This population‐based matched cohort study design used UK‐based primary care electronic health records from IQVIA Medical Research Database. Between January 2000 2020, all aged ≥18 years...
Background The Community Mental Health Survey (CMHS) is a valuable resource of information on experiences mental health care in England; however, response rates are declining.Aim To increase the overall rate and young adult service users.Methods Four interventions were trialled randomised controlled study design alongside 2017 CMHS. questionnaire letters modified based an established framework for influencing behaviour. materials plus pre-notification card tested to rate, identified by...
The effect of fasting on immunity is unclear. Prolonged thought to increase the risk infection due dehydration. This study describes antibiotic prescribing patterns before, during, and after Ramadan in a primary care setting within Pakistani Bangladeshi populations UK, most whom are Muslims, compared those who do not observe Ramadan.Retrospective controlled interrupted time series analysis electronic health record data from practices. consists two groups: Pakistanis/Bangladeshis white...
Abstract Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia that affects 60 million people worldwide. Limited evidence on AF management exists from low- and middle-income countries none Sri Lanka. We aimed to investigate existing care pathway patients’ perception identify barriers enablers for optimal in Northern Province, Methods: A rapid evaluation was undertaken with use of qualitative methods. Local healthcare providers (HCPs) mapped intended patients which then...
The association between ideal cardiovascular health (ICVH) status and atrial fibrillation or flutter (AFF) diagnosis has been less studied compared to other diseases.
Abstract Background Atrial fibrillation (AF) negatively impacts health systems worldwide. We aimed to capture perceptions of and barriers facilitators for AF care in Brazilian primary units (PCUs) from the perspective healthcare professionals (HCPs). Methods This mixed-methods, cross-sectional study utilised an exploratory sequential design, beginning with quantitative data collection (up 18 closed questions) immediately followed by a semi-structured interview. HCPs were recruited 11 PCUs...
Early diagnosis and continuity of care is vital for atrial fibrillation (AF), to reduce stroke ; There a lack understanding when how AF being diagnosed managed the pathway) in low- middle-income countries (LMICs). We aimed identify pathway Northern Province, Sri Lanka determine COVID-19 pandemic impacted pathway.
Timely diagnosis and management of diabetes hypertension among people living with HIV (PLWH) is imperative; however, many barriers exist within the current model care for these comorbidities. We aimed to understand how HIV, diabetes, should be delivered associated facilitators preferred delivery approach. conducted semi-structured interviews 16 PLWH comorbidities and/or (referred hereafter as non-communicable diseases [NCDs]), 10 healthcare professionals (HCPs) that provide NCDs, HCPs HIV....
To investigate the time-dependent effects of traditional risk factors on functional disability in all-cause mortality post-stroke, we evaluated data from a long-term stroke cohort. Baseline cerebrovascular (CVRF) and functionality at 1 6 months were survivors prospective cohort using modified Rankin scale (m-RS), which classifies participants as improvement disability, unchanged (at least moderate), worsening disability. Cox regression models considering baseline factors, medication use,...
To investigate the association between medication use and long-term all-cause mortality in a Brazilian stroke cohort.Both ischemic hemorrhagic were evaluated. Medication was assessed as: never, only pre-stroke, post-stroke, continuous use. We evaluated anti-hypertensives, anti-diabetics, lipid-lowering drugs, anti-platelets, anti-coagulants. Cox regression models adjusted for sociodemographic cardiovascular risk factors.Among 1173 incident cases (median age: 68; 86.8% ischemic, 70%...
Introduction Atrial fibrillation (AF) is the most common arrhythmia globally. It associated with a fivefold risk in stroke, but early diagnosis and effective treatment can reduce this risk. AF often underdiagnosed, particularly low-income middle-income countries (LMICs) where screening for not always feasible or considered practice primary care settings. Epidemiological data on LMICs incomplete vulnerable populations. This LMIC research collaborative aims to identify prevalence of Northern...