A5056554717- Health Systems, Economic Evaluations, Quality of Life
- Musculoskeletal pain and rehabilitation
- Healthcare Policy and Management
- Health Policy Implementation Science
- Evaluation and Performance Assessment
- Global Health Care Issues
- Primary Care and Health Outcomes
- Community Health and Development
- Pain Management and Opioid Use
- Emergency and Acute Care Studies
- Health disparities and outcomes
- Inflammatory mediators and NSAID effects
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Trauma and Emergency Care Studies
- Pressure Ulcer Prevention and Management
- Substance Abuse Treatment and Outcomes
- Chronic Disease Management Strategies
- Mental Health and Patient Involvement
- Homelessness and Social Issues
- Workplace Health and Well-being
- Employment and Welfare Studies
- Spine and Intervertebral Disc Pathology
- Opioid Use Disorder Treatment
- Injury Epidemiology and Prevention
- Wound Healing and Treatments
Swansea University
2015-2024
Cardiff and Vale University Health Board
2001-2024
National Health Service Wales
2024
Health and Human Development (2HD) Research Network
2019-2022
Leighton Hospital
2019
Mid Cheshire Hospitals NHS Foundation Trust
2019
King's College Hospital
2018
Asthma UK
2017
Princess of Wales Hospital
2017
Morriston Hospital
2017
Asymptomatic atrial fibrillation (AF) is increasingly common in the aging population and implicated many ischemic strokes. Earlier identification of AF with appropriate anticoagulation may decrease stroke morbidity mortality.We conducted a randomized controlled trial screening using an AliveCor Kardia monitor attached to WiFi-enabled iPod obtain ECGs (iECGs) ambulatory patients. Patients ≥65 years age CHADS-VASc score ≥2 free from were iECG arm or routine care (RC). participants acquired...
There are enormous costs which society has to bear as a result of the burden chronic pain and its suffering.Policy makers at governmental level commissioners, health care decision-makers alike should adopt broad, strategic coherent perspective in determining issues relating service provision resource allocation.
There are a lack of reliable data on the epidemiology and associated burden costs asthma. We sought to provide first UK-wide estimates epidemiology, healthcare utilisation asthma.We obtained analysed asthma-relevant from 27 datasets: these comprised national health surveys for 2010-11, routine administrative, social care datasets 2011-12; 2011-12 were estimated in pounds sterling using economic modelling.The prevalence asthma depended definition source used. The UK lifetime patient-reported...
Abstract Chronic wounds are known to represent a significant burden patients and National Health Service ( NHS ) alike. However, previous attempts estimate the costs associated with management of chronic have been based on literature studies or broad estimates derived from incidence rates extrapolations relatively small‐scale studies. The aim this study is therefore determine extent resource utilisation by classed as having within Wales using linked routine data – available through Secure...
<h3>BACKGROUND</h3> Pulmonary rehabilitation programmes improve the health of patients disabled by lung disease but their cost effectiveness is unproved. We undertook a cost/utility analysis in conjunction with randomised controlled clinical trial pulmonary versus standard care. <h3>METHODS</h3> Two hundred patients, mainly chronic obstructive disease, were randomly assigned to either an 18 visit, 6 week programme or medical management. The difference between mean 12 months care for and...
Despite the growing literature that collaboration is a 'good' thing, there are calls emphasising need for evidence of its effectiveness. However, nature to assess effectiveness less clear. This paper examines components contribute challenges confront on collaboration. It considers differing interpretations have been placed evaluation and explores how ways determining outcomes levels outcome measurement collaborative influenced by multifactorial concept. Evidence impact diversity perspectives...
Chronic pain is associated with a range of other problems, including disturbed sleep, depression, anxiety, fatigue, reduced quality life, and an inability to work or socialise. We investigated whether good symptom control (using definitions moderate substantial benefit) improvement in symptoms. Individual patient data from four randomised trials fibromyalgia (2575 patients) lasting 8-14weeks were used calculate percentage reduction for each completing (1858), divided into one five groups...
In rectal cancer, preoperative staging should identify early tumours suitable for treatment by surgery alone and locally advanced that require therapy to induce tumour regression from the potential resection margin. Currently, local can be performed digital examination (DRE), endoluminal ultrasound (EUS) or magnetic resonance imaging (MRI). Each method was compared clinical benefit cost-effectiveness. The accuracy of high-resolution MRI, DRE EUS in identifying favourable, unfavourable...
Aims: University students' wellbeing and health promoting damaging behaviours are important comprise many parameters. The purpose of this study was to assess a range lifestyle characteristics 3,706 undergraduate students from seven universities in England, Wales Northern Ireland. We compared differences these parameters between males females, across the participating universities. Methods: A self-administered questionnaire assessed socio-demographic information (e.g., gender, age),...
Objective. To estimate the prevalence of inadequate pain relief (IPR) among patients with symptomatic knee OA prescribed analgesic therapy and to characterize IPR.
Abstract The aim of this study was to estimate costs associated with the management patients venous leg ulcers (VLUs) from perspective UK National Health Service (NHS). analysis undertaken through Secure Anonymised Information Linkage Databank which brings together and anonymously links a wide range person‐based data around 75% general practitioner (GP) practices within Wales (population coverage ~2.5 million). covered an 11‐year period 2007 2017. All linked relevant codes were tracked...
Male and female meat chickens were reared for 28 d in blue, green, red, or white light at 30 lx the effects on tissue growth bird behavior recorded. Birds red more active, as expressed by greater walking activity treatment floor-pecking, wing-stretching, aggression treatment. In these two treatments, gut contents skin bone weights reduced. After d, preference of birds green lights was determined, well residual rearing color growth. first few hours test, chose to remain their color, except...
Pain represents a major clinical, social and economic problem, with estimates of its prevalence ranging from 8 to over 60%. The impact pain on economies is enormous, the cost back alone equivalent more than fifth one country's total health expenditure 1.5% annual gross domestic product, while in another, it three-times all types cancer. However, decision makers have tended concentrate their attention very minor component burden, namely prescription costs, which, case pain, represent 1%...
ObjectiveEndoscopic mucosal ablation is a promising technique that used to treat dysplastic Barrett's oesophagus. The purpose of this study was investigate the efficacy and cost-effectiveness two techniques, argon plasma coagulation (APC) photodynamic therapy (PDT), in oesophagus.Material methodsTwenty-six patients with oesophagus (21 M, median age 60 years, length 4 cm, 23 low-grade dysplasia (LGD), 3 high-grade (HGD)) were randomized APC: 13 patients, PDT: patients. APC performed at power...
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...