A5057311790- Innovations in Medical Education
- Economic and Environmental Valuation
- Obesity, Physical Activity, Diet
- Respiratory Support and Mechanisms
- Clinical Reasoning and Diagnostic Skills
- Medical Education and Admissions
- Emergency and Acute Care Studies
- Gender, Labor, and Family Dynamics
- Neonatal Respiratory Health Research
- Cutaneous Melanoma Detection and Management
- Organic Food and Agriculture
- Health disparities and outcomes
- Nutritional Studies and Diet
- Venous Thromboembolism Diagnosis and Management
- Infectious Diseases and Mycology
- SARS-CoV-2 and COVID-19 Research
- Asthma and respiratory diseases
- Medical Device Sterilization and Disinfection
- Patient Safety and Medication Errors
- Simulation-Based Education in Healthcare
- Decision-Making and Behavioral Economics
- Cardiovascular Function and Risk Factors
- Infection Control in Healthcare
- Healthcare Systems and Challenges
- School Health and Nursing Education
Queen's University Belfast
2016-2024
Queens University
2021-2024
ORCID
2023
Health Sciences Centre
2015
St. Vincent's University Hospital
2014
MRC Biostatistics Unit
2012-2014
Medical Research Council
2012-2013
St Peter's Hospital
1998
Seldom have studies taken account of changes in lifestyle habits the elderly, or investigated their impact on disease-free life expectancy (LE) and LE with cardiovascular disease (CVD). Using data subjects aged 50+ years from three European cohorts (RCPH, ESTHER Tromsø), we used multi-state Markov models to calculate independent joint effects smoking, physical activity, obesity alcohol consumption without CVD. Men women 50 who a favourable (overweight but not obese, light/moderate drinker,...
Despite unprecedented progress in developing COVID-19 vaccines, global vaccination levels needed to reach herd immunity remain a distant target, while new variants keep emerging. Obtaining near universal vaccine uptake relies on understanding and addressing resistance. Simple questions about acceptance however ignore that the vaccines being offered vary across countries even population subgroups, differ terms of efficacy side effects. By using advanced discrete choice models estimated stated...
Introduction Ensuring equivalence in high-stakes performance exams is important for patient safety and candidate fairness. We compared inter-school examiner differences within a shared OSCE resulting impact on students' pass/fail categorisation.
Type 2 diabetes (T2D) is associated with increased risk of cardiovascular disease (CVD). As disturbed angiogenesis and endothelial dysfunction are strongly implicated in T2D CVD, we aimed to investigate the association between a novel anti-angiogenic protein, FK506-binding protein like (FKBPL), these diseases. Plasma FKBPL was quantified by ELISA cross-sectionally 353 adults, consisting 234 119 non-diabetic subjects with/without matched for age, BMI gender. levels were higher (adjusted mean:...
Introduction Whilst rarely researched, the authenticity with which Objective Structured Clinical Exams (OSCEs) simulate practice is arguably critical to making valid judgements about candidates' preparedness progress in their training. We studied how and why an OSCE gave rise different experiences of for participants under circumstances.
Background Although mortality and health inequalities at birth have increased both geographically in socioeconomic terms, little is known about age 85, the fastest growing sector of population Great Britain (GB). Aim To determine whether trends drivers life expectancy (LE) disability-free (DFLE) 85 between 1991 2001 are same as those birth. Methods DFLE for by gender were calculated each local authority GB using Sullivan method. Regression modelling was used to identify area characteristics...
Asthma symptoms adversely impact quality of life in particular those with poor disease control. Commonly used patient-reported measures for asthma to assess control often inadequately capture the cough, despite evidence that cough is one most bothersome patients asthma. This study aims improve our understanding how perceive better understand its clinical impact.A discrete choice experiment (DCE) was performed two distinct adult populations; severe as defined by Global Initiative (GINA) step...
To assess whether patients with deep vein thrombosis (DVT) could be satisfactorily treated on an outpatient basis low molecular weight (LMW) heparin and warfarin.A 22 month prospective study of adults attending St Peter's Hospital accident emergency department DVT.1093 were referred assessed; 160 venogram positive, which 159 between the ages 89 years age have now been LMW as outpatients. Direct liaison community nurses has minimised impact general practitioner workload.1272 bed days saved...
Objective structured clinical exams (OSCEs) are a cornerstone of assessing the competence trainee healthcare professionals, but have been criticised for (1) lacking authenticity, (2) variability in examiners' judgements which can challenge assessment equivalence and (3) limited diagnosticity trainees' focal strengths weaknesses. In response, this study aims to investigate whether sharing integrated-task OSCE stations across institutions increase perceived while enhancing by enabling...
Pathogenic organisms, including those that are multidrug resistant, can survive for extended periods of time on surfaces. Numerous studies show contaminated hand-touch sites, such as door handles, pose a serious risk onward transfer to patients.To compare microbial levels the handles ten frequently used locations, with and without handle disinfection system in place, busy rehabilitation unit consisting two wards at National Orthopaedic Hospital, Dublin.A (Handle Hygiene®), utilizing an...
In the UK, men and women can expect to spend approximately half of their remaining years from age 65 in good health. Nutritional needs change with age, diet offering potential prevent and/or lessen impact poor Furthermore, specific Food Based Dietary guidelines (FBDGs) are required as older adults have nutrient needs. There gaps evidence on role dietary habits nutrients healthy ageing (1) . Much prior work focuses those chronic illness disease. is a limited base addressing issues healthier...
Dear Editor, Management of dysplastic naevi (DN) is controversial. Opinion divided regarding their definition, histological grading, clinical significance and risk subsequently developing cutaneous melanoma (CM). A recent systematic review by Vuong et al.1 evaluated the outcomes observed versus re-excised histologically confirmed DN, with data largely drawn from North American centres. The multicentre study Kim al.2 helped to further elucidate subsequent in patients DN guide pragmatic...
Abstract Project Aim To retrospectively evaluate a clinical management algorithm for acute wheezers in UK Pediatric Emergency Department (PED). Overview and Rationale Acute wheezing attacks are leading cause of PED attendances inpatient admissions. Prednisolone, routine treatment, is intolerable almost one‐third children, requiring repeated dosing, which may prolong length stay (LOS). address this problem, we: (1) developed an (concise, single‐sided flow‐chart, instructing immediate...
Abstract Background The rapid introduction of computer-based testing (CBT) in UK (United Kingdom) undergraduate and postgraduate medical education, mainly as a result the COVID-19 pandemic, has generated large amounts examination data, which we call ClickStream . As candidates navigate through exams, read questions, view images, choose answers sometimes change return, re-read, make further changes, multiple actions are recorded series time-stamped clicks or keystrokes. Analysing that mass...