A5020635977- Pharmaceutical Economics and Policy
- Blood Pressure and Hypertension Studies
- Pharmacovigilance and Adverse Drug Reactions
- Pharmaceutical Quality and Counterfeiting
- Pharmaceutical industry and healthcare
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Pharmaceutical Practices and Patient Outcomes
- Analytical Methods in Pharmaceuticals
- Smoking Behavior and Cessation
- Primary Care and Health Outcomes
- Cardiovascular Syncope and Autonomic Disorders
- Pharmaceutical studies and practices
- Male Breast Health Studies
- Autoimmune and Inflammatory Disorders Research
- Nursing Roles and Practices
- Biotechnology and Related Fields
- Global Healthcare and Medical Tourism
- Healthcare Decision-Making and Restraints
- Anesthesia and Pain Management
- Medical Education and Admissions
- Cardiovascular Disease and Adiposity
- Disaster Response and Management
- Migration, Policy, and Dickens Studies
- Interprofessional Education and Collaboration
- Antibiotic Use and Resistance
Royal College of Physicians
2024
University of Brighton
2015-2023
University of Portsmouth
2011-2021
Cockcroft Institute
2021
United Nations Industrial Development Organization
2018
Direct-acting oral anticoagulants (DOACs) were developed as an alternative to warfarin treat and prevent thromboembolism, including stroke prevention in non-valvular atrial fibrillation patients. The COVID-19 pandemic could increase the risk of and/or bleeding patients due nonadherence or sub/supra-optimal dosing.To investigate DOAC prescription trends England's community settings during complete first wave pandemic.Descriptive interrupted time series (ITS) analyses conducted examine...
Objectives To evaluate the readiness to implement Falsified Medicines Directive (FMD) by community pharmacies in England. Eight secondary objectives were assessed. Setting Community/retail pharmacies. Participants We invited pharmacists from 501 complete a survey. Non-contractors, non-pharmacists or practising abroad excluded. randomly selected addresses, ensuring that they nationally representative. Interventions mailed survey October 2018 with single follow-up January 2019. Respondents...
Disease-modifying anti-rheumatic drugs (DMARDs), including methotrexate and azathioprine, are commonly used to treat rheumatoid arthritis (RA) inflammatory bowel disease (IBD). Blood-test safety monitoring is mainly undertaken in primary care. Normal blood results common.To determine the frequency associations of persistently normal tests patients with RA prescribed methotrexate, IBD azathioprine.Two-year retrospective study a cohort taken from an electronic pseudonymised care/laboratory...
To examine the effect of COVID-19 pandemic on gonadorelin analogue prescription for community patients in England.We included data from all primary-care who had relevant prescriptions dispensed England. Descriptive statistics and interrupted time series analysis over 22 months (15 before 7 after lockdown) was evaluated.A total months' worth were analyzed (or 1 041 638 items, monthly average 47 347 items). Goserelin; leuprorelin, triptorelin are medicines most used by quantity study period....
During the pandemic, there have been disruptions to how patients seek care.To investigate monthly prescription claims for asthma and chronic obstructive pulmonary disease (COPD) medicines during first UK wave, interrupted time series (ITS) analysis was used. A national cohort of community patients' data were examined.Descriptive statistics show salbutamol, aminophylline, ipratropium, theophylline remain below pre-pandemic levels.Montelukast showed increase (Est. 67,151 doses, P = 0.05, 95%...
Background: Management of high blood pressure (BP) typically requires adherence to medication regimes. However, it is known that the COVID-19 pandemic both interrupted access some routine prescriptions and changed patient health behaviours. Aim: This study, therefore, retrospectively investigated prescription reimbursement cardiovascular (CVD) medicines as a proxy measure for during pandemic. Methods: A cohort study all primary care patients in England prescribed CVD medicines. The exposure...
Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed for pain and inflammation. NSAID complications include acute kidney injury (AKI), causing burden to patients health services through increased morbidity, mortality, hospital admissions.To measure the extent of prescribing in an adult population, degree which with potential higher risk AKI were exposed NSAIDs, quantify their AKI.Retrospective 2-year closed-cohort study.A retrospective cohort adults was identified from a...
Context: Falsified-medicines pose a worldwide problem to patients, healthcare professionals, pharmaceutical companies, and governments. Community pharmacists are usually the last points of contact with patients can protect them by quarantining falsified medicines. Hence, their opinions valuable in exploring how profession combat this. Aims: To explore opinion respect Methods: A postal survey was developed distributed 359 pharmacies via local committee Hampshire, UK. Descriptive statistics...
Objectives The primary objective was to assess the accuracy (calibration and validation status) of digital blood pressure (BP) monitors used within community pharmacy in England secondary objectives were overall quality BP service by assessing prevalence, utilisation other in-service considerations. Design A cross-sectional survey. Setting Primary-care retail-pharmacies. Participants 500 pharmacies that contribute government dispensing-data invited post complete Private contractors excluded....
To investigate monthly prescription refills for common immunosuppressive/immunomodulatory therapy (sulfasalazine, hydroxychloroquine, azathioprine, methotrexate, leflunomide) prescriptions in England during the complete first wave of COVID-19 pandemic. Secondary analysis examined unit cost and regional use.A national cohort community-based, primary care patients who anonymously contribute data to English Prescribing Dataset, dispensed community England, were included. Descriptive statistics...
Background Approximately 14% of UK hospital in-patients receive supplemental oxygen therapy, only 57% have valid prescriptions. Oxygen must be optimally prescribed to ensure maximal therapeutic response whilst minimizing adverse outcomes (including fatality). This study investigates prescription compliance.
Many UK transplant centers currently provide restricted access due to coronavirus disease 2019 (COVID-19).1ODT Clinical—NHS Blood and Transplant, Transplant centre closures restrictions. Available at: /deceased-donation/covid-19-advice-for-clinicians/transplant-centre-closures-and-restrictions/. Accessed May 25, 2020.Google Scholar Full-year total organ transplants numbered 3997 in 2019–2020 versus 4183 the previous year, a fall of 4.45% (Table 1; Supplementary Waiting List).2NHS...
Failure of the Falsified Medicines Directive (FMD) in UK could mean that substandard and falsified medicines (SFs) enter supply chain. Does this risk patients' health? Readiness to implement FMD, prevalence SFs vs. regulator detection were assessed.A total 12,040 primary care pharmacies across England invited (April 2021-March 2022). Respondent postcodes used extract deprivation scores. Information request was placed with medicine's agency. Survey findings calculate probability power a...