- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Healthcare innovation and challenges
- Health Services Management and Policy
- Employment and Welfare Studies
- Interprofessional Education and Collaboration
- Healthcare Systems and Challenges
- Healthcare Quality and Management
- Child and Adolescent Health
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Art, Politics, and Modernism
- Healthcare Systems and Technology
- Healthcare cost, quality, practices
- Health and Medical Research Impacts
- Human Resource and Talent Management
- Diversity and Career in Medicine
- Health Systems, Economic Evaluations, Quality of Life
- Air Quality and Health Impacts
- Fluorine in Organic Chemistry
- Global Health Care Issues
- Geological Modeling and Analysis
- Distributed and Parallel Computing Systems
- Mental Health and Patient Involvement
University of Birmingham
2008-2024
Committee on Climate Change
2021-2024
NOAA National Weather Service
2024
Binus University
2024
University of Technology Sydney
2018-2023
John Wiley & Sons (United States)
2023
Hudson Institute
2023
Liechtenstein Institute
2023
Health Foundation
2022
University of Exeter
2020-2022
Peer review is at the heart of processes not just medical journals but all science. It method by which grants are allocated, papers published, academics promoted, and Nobel prizes won. Yet it hard to define. has until recently been unstudied. And its defects easier identify than attributes. shows no sign going away. Famously, compared with democracy: a system full problems least worst we have. When something peer reviewed in some sense blessed. Even journalists recognize this. When BMJ...
In order to evaluate episodic secretion of aldosterone over the entire day, plasma aldosterone, renin activity and cortisol were measured every 10 or 30 min in normal human subjects, on both sodium restricted diets, while receiving dexamethasone, oral contraceptives patients with primary aldosteronism, all supine. Peak levels occurred latter part sleeping hours early themorning subjects diets. Aldosterone was positively correlated these but only 3 out 5. When suppressed by peak same, not...
Head, Family and Community Section Program Director Health School of Nursing University Pennsylvania Philadelphia,
The effects of placebo and varying doses intravenous morphine were studied in 74 patients. All patients underwent extraction impacted mandibular third molars. Two hours after onset anesthesia all received a (intravenous saline). One hour the administration each patient either second or, 4, 6, 8 or 12 mg morphine, double blind, via hidden line. Pain level was evaluated 50 min using visual analog scale. Pooled data from produced dose-response curve asymptotic by mg. mean pain relief following...
For more than a decade the English NHS has pursued integrated care through three national pilot programmes. The independent evaluators of these programmes here identify several common themes that inform development care.The shared aim better coordination between hospital and community-based health services social care. Each programme recruited local sites designed specific interventions to support inter-professional inter-organisational collaboration.The pilots were highly heterogenous...
Since 1991, there has been a series of reforms the English National Health Service (NHS) entailing an increasing separation between commissioners services and widening range public independent sector providers able to compete for contracts provide NHS patients. We examine extent which local had adopted market-oriented (transactional) model commissioning care people with long term conditions several years into latest period reform. The paper also considers factors that may have inhibited or...
This paper provides the results of a year-long evaluation large-scale integrated care pilot in north-west London. The aimed to integrate across primary, acute, community, mental health and social for people with diabetes and/or those aged 75+ through planning, multidisciplinary case reviews, information sharing project management support.
Objective To examine the work of commissioning care for people with long-term conditions and factors inhibiting or facilitating commissioners making service change. Design Multisite mixed methods case study research, combining qualitative analysis interviews, documents observation meetings. Participants Primary trust managers clinicians, general practice-based commissioners, National Health Service foundation senior voluntary sector local government representatives. Setting Three...
The International Campaign to Revitalise Academic Medicine (ICRAM) considered current global instabilities and future drivers of change, then created five scenarios how academic medicine might look in 2025.
Nursing is a safety critical activity but not easily quantified. This makes the building of predictive staffing models challenge. The aim this study was to determine if relationships between registered and non-registered nurse levels clinical outcomes could be discovered through mining routinely collected data. secondary examine feasibility develop use 'big data' techniques commonly used in industry for area healthcare future uses.The data were obtained from 1 large acute National Health...
Hydrologic forecasting is vital not only to the National Weather Service mission of saying lives and protecting property but also our nation's water management decision makers. Since its inception, River Flood Program has continually endeavored modernize tools techniques. Modernization an innovative process research development that strives make available best methods, data, equipment for hydrologic forecasts. This paper addresses role modern technology (e.g., automation, computers, radar)...
The government has identified GP led commissioning as critical to tackling the twin challenges of service change and improved efficiency, but does evidence bear this out? <b>Judith Smith</b> <b>Nicholas Mays</b> investigate