- Pharmaceutical Practices and Patient Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Dysphagia Assessment and Management
- Health Policy Implementation Science
- Pharmaceutical studies and practices
- Esophageal and GI Pathology
- Medication Adherence and Compliance
- Innovations in Medical Education
- Patient Safety and Medication Errors
- Nursing Roles and Practices
- Syphilis Diagnosis and Treatment
- Interprofessional Education and Collaboration
- Child Nutrition and Feeding Issues
- Patient Satisfaction in Healthcare
- Emergency and Acute Care Studies
- Tracheal and airway disorders
- Reproductive tract infections research
- Influenza Virus Research Studies
- Primary Care and Health Outcomes
- Mental Health and Patient Involvement
- Delphi Technique in Research
- Pregnancy and Medication Impact
- Pharmacogenetics and Drug Metabolism
- Pregnancy and preeclampsia studies
- Total Knee Arthroplasty Outcomes
Nottingham Trent University
2020-2025
University of Leicester
2009-2025
University of Exeter
2013-2025
University of Bergen
2016-2024
Lawrence Livermore National Laboratory
2024
University of East Anglia
2014-2023
Liverpool Heart and Chest Hospital
2020-2022
Liverpool John Moores University
2022
University of Liverpool
2015-2022
Norwich Research Park
2011-2022
Post-stroke dysphagia (PSD) is present in more than 50% of acute stroke patients, increases the risk complications, particular aspiration pneumonia, malnutrition and dehydration, linked to poor outcome mortality. The aim this guideline assist all members multidisciplinary team their management patients with PSD. These guidelines were developed based on European Stroke Organisation (ESO) standard operating procedure followed Grading Recommendations, Assessment, Development Evaluation (GRADE)...
Aims The use of medication and information discharge summaries (MIDS) has become a standard procedure in many hospitals. We have evaluated if these summaries, together with in‐patient pharmaceutical counselling backed up simple medicine reminder card, may help the delivery seamless care. Methods Elderly patients prescribed more than four items discharged to their own home received policy including recently introduced MIDS card. Each patient's GP was sent copy on discharge. Pre‐discharge...
The physiologic changes that occur during pregnancy can lead to a variety of conditions usually be self-treated. There are no licensed medicines for such as morning sickness or insomnia in pregnancy, and evidence from Western countries suggests patients often resort using herbal medicines. Research on the health behaviors pregnant women United Kingdom with respect remedies has not been undertaken.The objective this study is describe use user sources information about herbs used.The design...
To examine the diagnostic accuracy of a previously developed model for first-trimester combined test in screening trisomies 21, 18 and 13.This was prospective validation study 13 by assessment combination maternal age, fetal nuchal translucency, heart rate serum free β-human chorionic gonadotropin (β-hCG) pregnancy-associated plasma protein-A (PAPP-A) at 11 + 0 to 6 weeks' gestation 108 982 singleton pregnancies undergoing routine care three maternity hospitals. A published algorithm used...
Objectives To compare health-related and cost-related outcomes of consultations for symptoms suggestive minor ailments in emergency departments (EDs), general practices community pharmacies. Design Observational study; prospective cohort design. Setting EDs (n=2), (n=6) pharmacies (n=10) a mix rural/urban deprived/affluent areas across North East Scotland Anglia. Participants Adults (≥18 years) presenting between 09:00 18:00 (Monday–Friday) 09:00–18:00 (Monday–Saturday) with ≥1 the...
Data protection authorities worldwide have agreed on the value of considering privacy-by-design principles when developing privacy-friendly systems and software. However, technical plane, a profusion privacy-oriented guidelines approaches coexists, which provides partial solutions to overall problem aids engineers during different stages system development lifecycle. As result, find difficult understand what they should do make their abide by privacy design, thus hindering adoption...
A host of new technologies are under development to improve the quality and reproducibility cryoelectron microscopy (cryoEM) grid preparation. Here we have systematically investigated preparation three macromolecular complexes using different vitrification devices (Vitrobot, chameleon, a time-resolved cryoEM device) on various timescales, including grids made within 6 ms (the fastest reported date), interrogate particle behavior at air-water interface for timepoints. Results demonstrate that...
This paper reports the findings from a multidisciplinary and cross-institutional Economic Social Research Council (ESRC) funded project called ‘Improving Voice Identification Procedures’ (IVIP). People harbour stereotypes about particular accents, those judgements may be brought with them into legal domain. Considering potential consequences of accent by witnesses jurors, this study examines relationship between ratings for characteristics likelihood acting in certain criminal non-criminal...
Abstract Background Chronic Obstructive Pulmonary Disease (COPD) is associated with low health-related quality of life and high costs to healthcare systems, particularly due hospital admissions exacerbations. Medicines, inhalers especially, reduce the risk hospitalisations exacerbations, but factors influencing medicine-taking behaviours are not fully understood. Aim To explore experiences people COPD related medicines, followingly identify characterise any barriers enablers using...
Aims To evaluate the professional contact between community pharmacist and general practitioner during dispensing process on issues other than legality or simple clarification of prescription. Methods Fourteen pharmacists from five adjacent localities completed details each clinical pharmacy intervention 1 week month for a period year. Each was randomly selected. When had to prescriber, prescription, following data were recorded: brief patient details, prescribed drug therapy, reason...
Objectives To determine the effects of erectile dysfunction and to explore impact treatment with sildenafil (Viagra). Design An exploratory qualitative study semistructured interviews. Setting Men's health clinic in NHS hospital. Participants 40 men who had attended during year before interview. Main outcome measures Impact on men, their expectations ofsildenafil, relationships. Issues explored approach. Results Erectile caused serious distress all those experienced it, marked self esteem...
To compare the effectiveness of pharmacist medication review, with or without prescribing, standard care, for patients chronic pain.An exploratory randomised controlled trial.Six general practices prescribing pharmacists in Grampian (3) and East Anglia (3).Patients on repeat prescribed pain (4815) were screened by practitioners (GPs), mailed invitations (1397). 196 180 (92%) completed. Exclusion criteria included: severe mental illness, terminally ill, cancer related pain, history addiction....
kelly j., wright d. & wood j. (2011) Medicine administration errors in patients with dysphagia secondary care: a multi-centre observational study. Journal of Advanced Nursing67(12), 2615–2627. Abstract Aim. The aim this study was to describe the interventions used by nurses when administering oral medicines and without dysphagia, quantify appropriateness these medicine error rate. Background. is complex potentially more prone because need match medication's formulation swallowing ability...
ABSTRACT Objective To report the incidence of preterm pre‐eclampsia (PE) in women who are screen positive according to criteria National Institute for Health and Care Excellence (NICE) American College Obstetricians Gynecologists (ACOG), compare with that those or negative by The Fetal Medicine Foundation (FMF) algorithm. Methods This was a secondary analysis data from ASPRE study. study population consisted singleton pregnancy underwent prospective screening PE means FMF algorithm, which...
Abstract Background over 50% of older people in hospital are prescribed a pre-admission medicine that is potentially inappropriate; however, deprescribing by geriatricians and pharmacists limited. This study aimed to characterise geriatricians’ pharmacists’ barriers enablers hospital. It also intended develop framework intervention components facilitate implementation deprescribing. Methods fifty-four representing four UK hospitals attended eight focus groups. We designed topic guide invite...