A5006615531- Adolescent Sexual and Reproductive Health
- Emergency and Acute Care Studies
- Reproductive Health and Contraception
- Maternal and Perinatal Health Interventions
- Cardiac, Anesthesia and Surgical Outcomes
- Maternal and fetal healthcare
- Ectopic Pregnancy Diagnosis and Management
- Reproductive tract infections research
- Evaluation and Performance Assessment
- HIV/AIDS Research and Interventions
- Diverticular Disease and Complications
- Syphilis Diagnosis and Treatment
- Sexual function and dysfunction studies
- Global Maternal and Child Health
- Frailty in Older Adults
- Primary Care and Health Outcomes
- Trauma and Emergency Care Studies
- Pregnancy and Medication Impact
- HIV, Drug Use, Sexual Risk
- Shoulder and Clavicle Injuries
- Geriatric Care and Nursing Homes
- Public Policy and Administration Research
- Mental Health and Patient Involvement
- Disaster Management and Resilience
- Telemedicine and Telehealth Implementation
University of Birmingham
2020-2024
Cambridge University Hospitals NHS Foundation Trust
2024
The University of Queensland
2022
Melbourne Health
2022
Government of Western Australia Department of Health
2022
Government of Victoria
2022
Royal Glamorgan Hospital
2001
The COVID-19 pandemic required large-scale service delivery changes for government, and provided the opportunity evaluators to step up support decision makers understand impact of these changes. Rapid evaluation methods (REM) provide a pragmatic approach generating timely information evidence-based policy decision-making. Grounded in developmental utilisation-focused theory, REM incorporates team-based, mixed design, executed over 6-8-week period. Customised rubrics were used rigorously...
Delays in the detection or treatment of postpartum hemorrhage can result complications death. A blood-collection drape help provide objective, accurate, and early diagnosis hemorrhage, delayed inconsistent use effective interventions may be able to addressed by a bundle.
BackgroundThe anti-progesterone drug mifepristone and the prostaglandin misoprostol can be used to treat missed miscarriage. However, it is unclear whether a combination of more effective than administering alone. We investigated treatment with plus would result in higher rate completion miscarriage compared alone.MethodsMifeMiso was multicentre, double-blind, placebo-controlled, randomised trial 28 UK hospitals. Women were eligible for enrolment if they aged 16 years older, diagnosed by...
Timely detection and treatment of postpartum hemorrhage (PPH) are crucial to prevent complications or death. A calibrated blood-collection drape can help provide objective, accurate early diagnosis PPH, a bundle address delays inconsistencies in the use effective interventions. Here we conducted an economic evaluation alongside E-MOTIVE trial, international, parallel cluster-randomized trial with baseline control phase involving 210,132 women undergoing vaginal delivery across 78...
To assess the cost-effectiveness of mifepristone and misoprostol (MifeMiso) compared with only for medical management a missed miscarriage.Within-trial economic evaluation model-based analysis to set findings in context wider evidence range comparators. Incremental costs outcomes were calculated using nonparametric bootstrapping reported acceptability curves. Analyses performed from perspective UK's National Health Service (NHS).Twenty-eight UK NHS early pregnancy units.A cohort 711 women...
Background Timely detection and treatment of postpartum haemorrhage (PPH) are crucial to prevent complications or death. A calibrated blood-collection drape can help provide objective, accurate, early diagnosis PPH a bundle address delays inconsistencies in the use effective interventions. Methods We conducted an incremental cost-effectiveness analysis alongside E-MOTIVE trial, international, parallel cluster-randomised trial with baseline control phase, designed assess multi-component...
Background: Frailty is common in stroke, where it exerts disease- and treatment-modifying effects. However, there has been little work evaluating how frailty influences outcomes after percutaneous endoscopic gastrostomy (PEG) tube insertion. This study investigates the relationship between pre-stroke one-year mortality following PEG Methods: A index (FI) was calculated for individuals with post-stroke dysphagia who underwent insertion March 2019 February 2021. Mortality recorded at one year,...
Trial design A randomised, parallel-group, double-blind, placebo-controlled multicentre study with health economic and nested qualitative studies to determine if mifepristone (Mifegyne ® , Exelgyn, Paris, France) plus misoprostol is superior alone for the resolution of missed miscarriage. Methods Women diagnosed miscarriage in first 14 weeks pregnancy were randomly assigned (1 : 1 ratio) receive 200 mg oral or matched placebo, followed by 800 μg 2 days later. web-based randomisation system...
Background Sexually transmitted infections disproportionately affect young people and men who have sex with men. Chlamydia is Britain’s most common sexually infection. Partner notification a key intervention to reduce transmission of human immunodeficiency virus but hard implement. Accelerated partner therapy promising new approach. Objectives determine the effectiveness, costs acceptability accelerated for chlamydia in heterosexual model cost effectiveness impact on develop interventions...
ABSTRACT Objective To investigate the cost-effectiveness of accelerated partner therapy (APT) compared with standard contact tracing for people sexually transmitted chlamydia infection in United Kingdom Design Economic evaluation using a model consisting two components: population-based transmission component, to estimate impact APT on prevalence, and an economic healthcare costs health outcomes. Setting Participants Hypothetical heterosexual population 50,000 men women aged 16-34 years....
The COVID-19 pandemic required substantive delivery and practice changes for government services under tight timeframes high public scrutiny. These urgently implemented service provided the opportunity evaluators to support decision-makers understand impact of adaptations those delivering receiving health human services. Tailored rapid evaluation methods (REM) provide a pragmatic approach generating timely information evidence-based policy decision-making these conditions. Drawing from...
Evaluation Capacity Building (ECB) is a critical function that can increase uptake, quality and impact of evaluation activity in large organisations. This article describes how ECB theory has been applied the design implementation foundational training state government department. Appraisal first three years (2018–21) establishing component capacity building explored, light contemporary literature. Post-training feedback indicated high degree participant satisfaction met need among...
A62-year-old man, who was a keen amateur swimmer, presented to the orthopaedic department in June 1996 with 4-month history of lower back pain, which had developed after he been swimming. Mild tenderness noted over his left sacroiliac joint, straight leg raising normal, and resisted movements failed reproduce pain. He advised alter activity discharged. His pain persisted, however, 10 months later become localized right groin. Further review clinic revealed full range movement hips, but...
ABSTRACT Objectives Men who have sex with men (MSM) are disproportionately affected by sexually transmitted infections (STIs). Partner notification (PN) to identify, test and treat partners of MSM bacterial STIs is challenging because often report larger numbers a higher proportion one-off may be difficult engage. However, contribute onward transmission. Economic research on PN has typically focused heterosexual people evidence effectiveness in scant. We conducted systematic review economic...