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REST: a preoperative tailored sleep intervention for patients undergoing total knee replacement – feasibility study for a randomised controlled trial
Published 2024-03-01“…Objectives To test the feasibility of a randomised controlled trial (RCT) of a novel preoperative tailored sleep intervention for patients undergoing total knee replacement.Design Feasibility two-arm two-centre RCT using 1:1 randomisation with an embedded qualitative study.Setting Two National Health Service (NHS) secondary care hospitals in England and Wales.Participants Preoperative adult patients identified from total knee replacement waiting lists with disturbed sleep, defined as a score of 0–28 on the Sleep Condition Indicator questionnaire.Intervention The REST intervention is a preoperative tailored sleep assessment and behavioural intervention package delivered by an Extended Scope Practitioner (ESP), with a follow-up phone call 4 weeks postintervention. …”
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The Prognosis in Palliative care Study II (PiPS2): A prospective observational validation study of a prognostic tool with an embedded qualitative evaluation.
Published 2021-01-01“…Validation study participants were adults with incurable cancer; with or without capacity; recently referred to community, hospital and hospice palliative care services across England and Wales. Sub-study participants were patients, caregivers and HPs. 1833 participants were recruited. …”
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An exploration of the experiences and self-generated strategies used when navigating everyday life with Long Covid
Published 2024-03-01“…Participants aged over 18 years, who self-identified with Long Covid, were recruited from England and Wales. Data were analysed with patient contributors using a reflexive thematic analysis. …”
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Occupational differences in COVID-19 incidence, severity, and mortality in the United Kingdom: Available data and framework for analyses [version 1; peer review: 1 approved, 2 appr...
Published 2021-05-01“…For example, mortality data suffer from problems of coding of COVID-19 deaths, and the deaths (in England and Wales) that have been referred to the coroner are unavailable. …”
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Problem-based learning and legal education – a case study in integrated experiential study
Published 2015-03-01“…<p>This work describes the legal education system as it currently exists in England and Wales (the rest of the UK has a somewhat different structure) and highlights perceived shortcomings in that system. …”
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Relative Survival After Transcatheter Aortic Valve Implantation: How Do Patients Undergoing Transcatheter Aortic Valve Implantation Fare Relative to the General Population?
Published 2017-10-01“…Methods and ResultsNational cohort data (n=6420) from the 2007 to 2014 UK TAVI registry were matched by age, sex, and year to mortality rates for England and Wales (population, 57.9 million). The Ederer II method related observed patient survival to that expected from the matched general population. …”
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BabyBreathe trial: protocol for a randomised controlled trial of a complex intervention to prevent postpartum return to smoking
Published 2023-09-01“…Target sample size is 880, recruiting across midwifery services at four hubs in England and Scotland and through remote advertising in England, Scotland, Wales and Northern Ireland. Outcomes are collected at 6 and 12 months. …”
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General practice wide adaptations to support patients affected by DVA during the COVID-19 pandemic: a rapid qualitative study
Published 2023-03-01“…Methods Remote semi-structured interviews were conducted by telephone with staff from six localities in England and Wales where the Identification and Referral to Improve Safety (IRIS) primary care DVA programme is commissioned. …”
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Variations in presentation, management, and patient outcomes of urinary tract infection: a prospective four-country primary care observational cohort study
Published 2017“…Participants were slightly younger in Wales, had less severe symptoms in Spain, and had waited longer before consulting in the Netherlands. 259 (35·7%, 95% CI 32·3 to 39·2) were urine culture positive for UTI, with similar proportions in England and Wales but much higher in Spain and the Netherlands. …”
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C-reactive protein testing to guide antibiotic prescribing for COPD exacerbations
Published 2019“…</p> <p><strong>Methods</strong> We performed a multicenter, open-label, randomized, controlled trial involving patients with a diagnosis of COPD in their primary care clinical record who consulted a clinician at 1 of 86 general medical practices in England and Wales for an acute exacerbation of COPD. The patients were assigned to receive usual care guided by CRP point-of-care testing (CRP-guided group) or usual care alone (usual-care group). …”
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Childhood encephalitis in the United Kingdom - epidemiology, trends in hospital admissions and the role of intravenous immunoglobulin
Published 2018“…</p> <p>To contribute to ongoing work currently addressing these issues globally, I conducted a 30-year review of childhood encephalitis hospital admissions in England, and also a 10- year review of paediatric intensive care unit (PICU) admissions in England and Wales (E&W;). Through these projects, I defined the incidence of all-cause childhood encephalitis in England, and severe encephalitis in E&W.; I described hospital admission trends for childhood encephalitis in England, and evaluated how these had varied with introduction of the combined measles, mumps, rubella vaccine. …”
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Timely Digital Patient-Clinician Communication in Specialist Clinical Services for Young People:A Mixed-Methods Study (The LYNC Study)
Published 2017“…<br/><br/> Methods<br/> Mixed method case studies of 20 NHS specialist clinical teams from across England and Wales and their current practice providing care for 13 different long-term physical or mental health conditions. …”
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Serial interval of COVID-19 and the effect of Variant B.1.1.7: analyses from prospective community cohort study (Virus Watch) [version 1; peer review: 2 approved]
Published 2021-09-01“…Methods: The Virus Watch study is an online, prospective, community cohort study following up entire households in England and Wales during the COVID-19 pandemic. Putative household infector-infectee pairs were identified where more than one person in the household had a positive swab matched to an illness episode. …”
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Refusal and resistance to care by people living with dementia being cared for within acute hospital wards: an ethnographic study
Published 2019-03-01“…Setting: This ethnography was carried out on 155 days (over 18 months) in 10 wards within five hospitals across England and Wales, which were purposefully selected to represent a range of hospital types, geographies and socioeconomic catchments. …”
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The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial
Published 2023-05-01“…Methods Our design was an observational implementation feasibility assessment across England and Wales, January 2021–June 2022. Our objectives were to determine whether Trusts could provide attendants with advanced training (implementation feasibility), who deliver protocol-consistent care (fidelity), within existing resources (costs), while maintaining low neonatal admission rates (safety) and adequate recruitment rates (trial feasibility). …”
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Occupational differences in COVID-19 incidence, severity, and mortality in the United Kingdom: Available data and framework for analyses [version 2; peer review: 1 approved, 2 appr...
Published 2023-01-01“…For example, mortality data suffer from problems of coding of COVID-19 deaths, and the deaths (in England and Wales) that have been referred to the coroner are unavailable. …”
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Determining the Prevalence and Incidence of SARS-CoV-2 Infection in Prisons in England: Protocol for a Repeated Panel Survey and Enhanced Outbreak Study
Published 2022-01-01“… BackgroundThere are over 80,000 people imprisoned in England and Wales in 117 prisons. The management of the COVID-19 pandemic presents particular challenges in this setting where confined, crowded, and poorly ventilated conditions facilitate the rapid spread of infectious diseases. …”
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Clinical and cost-effectiveness of paramedic administered fascia iliaca compartment block for emergency hip fracture (RAPID 2)—protocol for an individually randomised parallel-grou...
Published 2022-08-01“…Hospital clinicians in five sites (paired ambulance services and receiving hospitals) in England and Wales will train 220 paramedics to administer FICB. …”
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Attitudes towards coronavirus (COVID-19) vaccine and sources of information across diverse ethnic groups in the UK: a qualitative study from June to October 2020
Published 2022-09-01“…Data were transcribed and analysed through inductive thematic analysis and mapped to the Theoretical Domains Framework.Setting England and Wales.Participants 100 participants from 19 self-identified ethnic groups.Results Mistrust and doubt were reported across ethnic groups. …”
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