A5031243932- Health disparities and outcomes
- Chronic Disease Management Strategies
- Botulinum Toxin and Related Neurological Disorders
- Neurological disorders and treatments
- Ophthalmology and Visual Health Research
- Mycorrhizal Fungi and Plant Interactions
- Glaucoma and retinal disorders
- Genetic Neurodegenerative Diseases
- Forest Ecology and Biodiversity Studies
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Early Childhood Education and Development
- Parkinson's Disease Mechanisms and Treatments
- Noise Effects and Management
- Geriatric Care and Nursing Homes
- Lichen and fungal ecology
- Urban Transport and Accessibility
- Education Discipline and Inequality
- Youth Substance Use and School Attendance
- Fungal Biology and Applications
- Retinal Diseases and Treatments
- Obesity, Physical Activity, Diet
- Retinal and Optic Conditions
- Food Security and Health in Diverse Populations
Swansea University
2018-2025
National University of Ireland, Maynooth
2018
Abstract The ability to manage ill health and care needs might be affected by who a person lives with. This study examined how the risk of unplanned hospitalisation transition living in home varied according household size co-resident multimorbidity. Here we show results from cohort using Welsh nationwide linked healthcare census data, that employed multilevel multistate models account for competing death clustering within households. highest rates were those alone. Event lower all shared...
The Welsh Index of Multiple Deprivation (WIMD) is an area-based deprivation measure comprising eight domains, produced by the Government to rank Lower Layer Super Output Areas (LSOAs) in Wales. Researchers use WIMD account for deprivation, however, as one domain contains health indicators, there a risk endogeneity bias when using research on outcomes. This study evaluated effect results removing from overall or only income measures. 2019 scores were linked 2,760,731 individuals SAIL...
Abstract Background Measurement of multimorbidity in research is variable, including the choice data source used to ascertain conditions. We compared estimated prevalence and associations with mortality using different sources. Methods A cross-sectional study SAIL Databank 2,340,027 individuals all ages living Wales on 01 January 2019. Comparison constituent 47 conditions from primary care (PC), hospital inpatient (HI), linked PC-HI sources examination between condition count 12-month...
Abstract Background and purpose Accurate epidemiological information is essential for the improved understanding of dystonia syndromes, as well better provisioning clinical services providing context diagnostic decision‐making. Here, we determine epidemiological, social deprivation, mortality characteristics adult‐onset idiopathic in Welsh population. Methods A retrospective population‐based cohort study using anonymized electronic health care data Wales was conducted to identify individuals...
Abstract Background and purpose Although psychiatric diagnoses are recognized in idiopathic dystonia, no previous studies have examined the temporal relationship between dystonia at scale. Here, we determine rates of medication prescription those diagnosed with dystsuponia compared to matched controls. Methods A longitudinal population‐based cohort study using anonymized electronic health care data Wales (UK) was conducted identify individuals comorbid diagnoses/prescriptions 1 January 1994...
Objective & ApproachDemand for urgent eyecare exponentially outstrips public healthcare capacity in the United Kingdom. Such eye conditions, and related vision impairment, affect lives of people everywhere. We aimed to quantify burden on primary- community-care providers a national population using data produced by General Practitioner, Accident Emergency, pharmacy optometry services. A secondary aim was characterise some drivers this burden. analysed from Secure Anonymised Information...
Abstract In the context of an emerging new additional learning needs (ALN) system in Wales, this research explores who was likely to be identified with special educational (SEN) under previous system. Our study reveals analysis linked Welsh education and health data on SEN identification learners mainstream settings born between 2002/3 2008/9. Using longitudinal multilevel modelling, we explore (i) is (ii) whether there evidence social patterning identification. We find that 48% those year...
Abstract Decomposition of lignin‐rich wood by fungi drives nutrient recycling in woodland ecosystems. Fluctuating abiotic conditions are known to promote the functioning ecological communities and In context decay, fluctuating temperature increases decomposition rates. Metabolomics, tandem with other ‘omics tools, can highlight metabolic processes affected experimental treatments, even absence genome sequences annotations. Globally, natural decay dominated phylum Basidiomycota. We examined...
Abstract While motor and psychiatric phenotypes in idiopathic dystonia are increasingly well understood, a few studies have examined the rate, type, temporal pattern of other clinical co-morbidities dystonia. Here, we determine rates diagnoses across 13 broad systems-based diagnostic groups, comparing an overall cohort, sub-cohorts cervical dystonia, blepharospasm, dystonic tremor, to matched-control cohort. Using SAIL databank, undertook longitudinal population-based cohort study (January...
Background The demand for acute eyecare exponentially outstrips capacity. public lacks awareness of community services. Aim To quantify the burden on different healthcare service providers in a national population through prescribing and medicines provision by GPs, optometrists, pharmacists, care accident emergency (A&E) A secondary aim was to characterise some drivers this burden. Design setting retrospective data-linkage study set Wales, UK. Method Analysis datasets undertaken from...
Multimorbidity is one of the greatest challenges facing health and social care systems globally. It associated with high rates service use, adverse healthcare events, premature death. Despite its importance, little known about effects contextual determinants such as household area characteristics on outcomes for people multimorbidity. This study protocol presents a plan examination associations between individual, household, important outcomes.The will use cross-section data from SAIL...
ObjectivesEducation outcomes predict life chances; however disabilities and concurrent learning difficulties are often barriers to school performance. Low educational achievement is also linked with socio-economic deprivation. We aimed quantify the association of these factors education by ages 12 17 for children in Wales (UK). ApproachWe health, data born after 1997 Wales, registered any one isolated congenital anomalies. Children were included if they had known at (n=9,223) (n=4524). A...