- Chronic Obstructive Pulmonary Disease (COPD) Research
- Chronic Disease Management Strategies
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Primary Care and Health Outcomes
- Inhalation and Respiratory Drug Delivery
- Air Quality and Health Impacts
- Respiratory viral infections research
- Climate Change and Health Impacts
- Pneumonia and Respiratory Infections
- Cystic Fibrosis Research Advances
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Asthma and respiratory diseases
- Emergency and Acute Care Studies
- Nursing Diagnosis and Documentation
- SARS-CoV-2 and COVID-19 Research
- Oral health in cancer treatment
- Migraine and Headache Studies
- Nonmelanoma Skin Cancer Studies
- Occupational and environmental lung diseases
- Interprofessional Education and Collaboration
- Radiomics and Machine Learning in Medical Imaging
- Otolaryngology and Infectious Diseases
- Effects of Radiation Exposure
- Health, Medicine and Society
- Evacuation and Crowd Dynamics
Queen's University
2014-2024
Queens University
2024
University College London
2021-2023
Liverpool Heart and Chest Hospital
2019-2023
University of Liverpool
2019-2023
Liverpool Heart and Chest Hospital NHS Trust
2019-2023
North Manchester General Hospital
2013
Lancashire Teaching Hospitals NHS Foundation Trust
2013
Clinical criteria to select patients with headache in whom structural diagnostic studies (computed tomography) have a high yield disclosing intracranial pathologic findings, independent of abnormal findings on neurologic examination, not been defined.To determine which clinical characteristics predict the presence independently headache.Case-control, consecutive sample.Major metropolitan trauma center emergency department.Hospital records 139 hospitalized and 329 randomly selected from 1720...
To estimate the prevalence of dyslipidemia and to describe its management in Canadian primary care.
<b>In patients with combined pulmonary fibrosis and emphysema, emphysema do not have a synergistic effect that results in worsened survival when compared to IPF without emphysema</b>https://bit.ly/35EJMo6
Primary care antimicrobial stewardship programs are virtually non-existent. Using electronic medical record (EMR) data for an interrupted time series study, the authors examined relationship between antibiotic prescriptions acute respiratory tract infections (RTIs) and COVID-19 pandemic. The main outcome of study was to gauge proportion RTI encounters with prescription. pre-pandemic prescribing rate 27.8%. During pandemic, dropped significantly by 9.4% (p < 0.001). Almost 750,000 fewer...
In this study, we present a hybrid CNN-RNN approach to investigate long-term survival of subjects in lung cancer screening study. Subjects who died cardiovascular and respiratory causes were identified whereby the CNN model was used capture imaging features CT scans RNN time series thus global information. The models trained on underwent deaths control cohort matched participant age, gender, smoking history. combined can achieve an AUC 0.76 which outperforms humans at mortality prediction....
Interprofessional teams and funding payment provider arrangements are key attributes of high-performing primary care. Several Canadian jurisdictions have introduced team-based models with different models. Despite these investments, the evidence impact is mixed. This has raised questions about whether care being implemented to facilitate team collaboration effectiveness. Thus, we present a protocol for rapid scoping review systematically map, synthesise summarise existing literature on...
<h3>Context:</h3> Building a source for pan-Canadian EMR data, which has complex and geographically varied healthcare system, is challenging. For more than decade, the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) been working to develop standardize primary care data ensure it sufficient quality be valuable clinicians, researchers, policy makers. A (DQ) framework was developed evaluate CPCSSN database. <h3>Objective:</h3> assess two DQ dimensions (1) accuracy reliability; (2)...
David Barber and Emma Rickards, look at this common, yet serious, respiratory condition
<b>Introduction:</b> Climate change is an important driver of health inequalities. Air pollution disproportionately affects deprived and vulnerable communities [1]. Inhaled therapies are key components respiratory conditions such as asthma chronic obstructive pulmonary disease (COPD). Hydrofluorocarbons (HFCs) found in meter dose inhalers (MDIs) powerful greenhouse gases. MDIs have a high carbon footprint 500g CO2eq per dose, compared to 20g Dry powder (DPIs) [2]. The MDI prescribing...
<h3>Introduction</h3> Respiratory virtual wards have been developed to support the management of community acquired pneumonia (CAP) from secondary care community, with careful selection appropriate patients. Little is understood about characteristics those readmitted care, however in general around 26% patients discharged are within 30 days, comorbidities being a predictor.<sup>1</sup> <h3>Methods</h3> A retrospective review consecutive managed our ward for June 2022 May 2023 was undertaken...
<h3>Introduction</h3> Climate change is an important driver of health inequalities. Air pollution disproportionately affects deprived and vulnerable communities.<sup>1</sup> Inhaled therapies are key components respiratory conditions such as asthma chronic obstructive pulmonary disease (COPD). Hydrofluorocarbons (HFCs) found in meter dose inhalers (MDIs) powerful greenhouse gases. MDIs have a high carbon footprint 500g CO2eq per dose, compared to 20g Dry powder (DPIs).<sup>2</sup> The MDI...
<h3>Introduction</h3> Respiratory virtual wards provide the opportunity to support COPD acute exacerbation management within community,<sup>1</sup> and can reduce burden on secondary care admissions, where re-admission rates are approximately 20%.<sup>2</sup> Appropriate patient selection is key for successful implementation of wards; however little known about characteristics those readmitted from wards. We therefore investigated readmissions following ward. <h3>Methods</h3> A retrospective...
<h3>Introduction</h3> Patient Activation Measure (PAM) is a validated patient reported-measure that measures patients' knowledge, skill, and confidence to manage their own health care (Hibbard J.H. <i>et al</i>. Health Serv Res. 2005 Dec; 40:1918–30). Patients with low activation scores are often frequent users of elective & emergency medical services. <h3>Aim</h3> To explore changes in via PAM for patients who completed course Pulmonary Rehabilitation (PR) against those failed complete....
<b>Introduction:</b> Patient Activation Measure (PAM) is a validated patient reported-measure that measures patients' knowledge, skill, and confidence to manage their own health care (Hibbard J.H. et al. Health Serv Res. 2005 Dec; 40:1918-30). Patients with low activation scores are often frequent users of elective & emergency medical services. <b>Aim:</b> To explore changes in via PAM for patients who completed course Pulmonary Rehabilitation (PR) against those failed complete....
<b>Introduction:</b> Previous studies identified that cold weather events can predate increased inpatient admissions by 7 days in COPD (Marno et al, 2006). Increased utilisation of local community services was observed during changes, requiring more resources. <b>Aim:</b> To explore relationships between & exacerbation treatment Bronchiectasis, to develop a predictive score allow effective resource targetting. <b>Methods:</b> The UK Meteorological office collects data within 6 miles the...
The importance of pulmonary rehabilitation (PR) is well known for the management chronic respiratory disease and a core component management. important increasing uptake availability PR made clear within NHS long term plan. Despite this push little about patient’s perspective or how to improve despite proven benefits in health related quality life. To evaluate patient perceptive 4 group interviews were conducted different groups North West England. Patients asked discuss their thoughts on...