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east anglia

James B Kirkbride, Yasir Hameed, Gayatri Ankireddypalli, Konstantinos Ioannidis, Carolyn M Crane, Mukhtar Nasir, Nikolett Kabacs, Antonio Metastasio, Oliver Jenkins, Ashkan Espandian, Styliani Spyridi, Danica Ralevic, Suneetha Siddabattuni, Ben Walden, Adewale Adeoye, Jesus Perez, Peter B Jones
OBJECTIVE: Few studies have characterized the epidemiology of first-episode psychoses in rural or urban settings since the introduction of early intervention psychosis services. To address this, the authors conducted a naturalistic cohort study in England, where such services are well established. METHOD: All new first-episode psychosis cases, 16-35 years old, presenting to early intervention psychosis services in the East of England were identified during 2 million person-years follow-up...
October 24, 2016: American Journal of Psychiatry
Jackie Inch, Terry Porteous, Vivienne Maskrey, Annie Blyth, Jackie Burr, Jennifer Cleland, David J Wright, Richard Holland, Christine M Bond, Margaret C Watson
BACKGROUND: Effective management of minor ailments in community pharmacies could reduce the burden on alternative high-cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies. OBJECTIVE: To explore the appropriateness of minor ailment management in community pharmacies. SETTING: Prospective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England)...
September 28, 2016: International Journal of Pharmacy Practice
Phyo Kyaw Myint, Andrew C Kidd, Chun Shing Kwok, Stanley D Musgrave, Oliver Redmayne, Anthony K Metcalf, Joseph Ngeh, Anne Nicolson, Peter Owusu-Agyei, Raj Shekhar, Kevin Walsh, Diana J Day, Elizabeth A Warburton, Max O Bachmann, John F Potter
BACKGROUND: Time to computerized tomography (CT) is important to institute appropriate and timely hyperacute management in stroke. We aimed to evaluate mortality outcomes in relation to age and time to CT scan. METHODS: We used routinely collected data in 8 National Health Service trusts in East of England between September 2008 and April 2011. Stroke cases were prospectively identified and confirmed. Odds ratios (ORs) for unadjusted and adjusted models for age categories (<65, 65-74, 75-84, and ≥85 years) as well as time to CT categories (<90 minutes, ≥90 to <180 minutes, ≥180 minutes to 24 hours, and >24 hours) and in-hospital and early (<7 days) mortality outcomes were calculated...
September 8, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Ruth Stone
Ruth Stone, Second-year student at the University of East Anglia, reflects on her past 2 years as a nursing student and considers what she has ahead of her in her final year of study.
August 11, 2016: British Journal of Nursing: BJN
Lillan Mo Andreassen, Reidun Lisbet Skeide Kjome, Una Ørvim Sølvik, Julie Houghton, James Antony Desborough
Background Type 2 diabetes is a common diagnosis in care home residents that is associated with potentially inappropriate prescribing and thus risk of additional suffering. Previous studies found that diabetes medicines can be safely withdrawn in care home residents, encouraging further investigation of the potential for deprescribing amongst these patients. Objectives Describe comorbidities and medicine use in care home residents with Type 2 diabetes; identify number of potentially inappropriate medicines prescribed for these residents using a medicines optimisation tool; assess clinical applicability of the tool...
August 2016: International Journal of Clinical Pharmacy
Inga Plaskocinska, Hannah Shipman, James Drummond, Edward Thompson, Vanessa Buchanan, Barbara Newcombe, Charlotte Hodgkin, Elisa Barter, Paul Ridley, Rita Ng, Suzanne Miller, Adela Dann, Victoria Licence, Hayley Webb, Li Tee Tan, Margaret Daly, Sarah Ayers, Barnaby Rufford, Helena Earl, Christine Parkinson, Timothy Duncan, Mercedes Jimenez-Linan, Gurdeep S Sagoo, Stephen Abbs, Nicholas Hulbert-Williams, Paul Pharoah, Robin Crawford, James D Brenton, Marc Tischkowitz
BACKGROUND: Over recent years genetic testing for germline mutations in BRCA1/BRCA2 has become more readily available because of technological advances and reducing costs. OBJECTIVE: To explore the feasibility and acceptability of offering genetic testing to all women recently diagnosed with epithelial ovarian cancer (EOC). METHODS: Between 1 July 2013 and 30 June 2015 women newly diagnosed with EOC were recruited through six sites in East Anglia, UK into the Genetic Testing in Epithelial Ovarian Cancer (GTEOC) study...
October 2016: Journal of Medical Genetics
Anna McKinnon, Patrick Smith, Richard Bryant, Karen Salmon, William Yule, Tim Dalgleish, Clare Dixon, Reginald D V Nixon, Richard Meiser-Stedman
The Children's Post-Traumatic Cognitions Inventory (CPTCI) is a self-report questionnaire that measures maladaptive cognitions in children and young people following exposure to trauma. In this study, the psychometric properties of the CPTCI were examined in further detail with the objective of furthering its utility as a clinical tool. Specifically, we investigated the CPTCI's discriminant validity, test-retest reliability, and the potential for the development of a short form of the measure. Three samples (London, East Anglia, Australia) of children and young people exposed to trauma (N = 535; 7-17 years old) completed the CPTCI and a structured clinical interview to measure posttraumatic stress disorder (PTSD) symptoms between 1 and 6 months following trauma...
June 2016: Journal of Traumatic Stress
Claire R M Dibben, Golam M Khandaker, Benjamin R Underwood, Christopher O'Loughlin, Catherine Keep, Louisa Mann, Peter B Jones
Aims and method To identify training needs of the next generation of psychiatrists and barriers in prescribing first-generation antipsychotics (FGAs). We have surveyed psychiatry trainees in East Anglia with regard to their training experience, knowledge and attitudes to the use of oral FGAs as regular medication. Results Two-thirds of trainees were aware that first- and second-generation antipsychotics (SGAs) have similar efficacy, and a similar proportion perceived the older drugs to have more or 'stronger' side-effects...
April 2016: BJPsych Bulletin
David Huggins
To address some of the recommendations of the Willis Commission ( Royal College of Nursing 2012 ), and in response to local evaluation of mentor and nursing student experiences, the University of East Anglia has implemented a project to teach mentors coaching skills. The aim is to enhance mentor support of nursing students during practice placements and improve student learning in practice. This article describes the project and discusses the similarities and differences between mentoring and coaching. It shows how coaching has reduced the 'burden' of mentoring by reducing mentors' workloads, and has helped students to take responsibility for identifying learning needs and delivering supervised patient care...
April 2016: Nursing Management (Harrow)
M E Stuart, D J Lapworth
Groundwater is a large, slowly changing pool of the macronutrients nitrogen (N), phosphorus (P) and dissolved organic carbon (DOC), with impacts on receptors, surface waters, dependent wetlands and coastal marine ecosystems. Sources of N to groundwater include fertilisers, animal wastes and septic effluents. N species are well-quantified in groundwater and NO3-N has a wide range of median values (0-12mg/L). The highest concentrations are in the Chalk of East Anglia and Humberside and the Permo-Triassic Sandstone (PTS) of Staffordshire...
March 24, 2016: Science of the Total Environment
Ruth Stone
No abstract text is available yet for this article.
March 24, 2016: British Journal of Nursing: BJN
(no author information available yet)
The risk of catching Ebola from a survivor is 'very low', according to University of East Anglia (UEA) researchers who set out to discover how long the virus persists in human body fluids.
March 9, 2016: Nursing Standard
Hajira Dambha-Miller, Andrew J M Cooper, Rebecca K Simmons, Ann Louise Kinmonth, Simon J Griffin
OBJECTIVE: To examine the association between the experience of patient-centred care (PCC), health behaviours and cardiovascular disease (CVD) risk factor levels among people with type 2 diabetes. DESIGN: Population-based prospective cohort study. SETTING: 34 general practices in East Anglia, UK, delivering organised diabetes care. PARTICIPANTS: 478 patients recently diagnosed with type 2 diabetes aged between 40 and 69 years enrolled in the ADDITION-Plus trial...
2016: BMJ Open
Dominique Kim Frances Bradley, Murray Griffin
BACKGROUND: The English National Health Service Institute for Innovation and Improvement designed a series of programmes called The Productive Series. These are innovations designed to help healthcare staff reduce inefficiency and improve quality, and have been implemented in healthcare organisations in at least 14 different countries. This paper examines an implementation of the first module of the Productive Community Services programme called 'The Well Organised Working Environment'...
March 2016: International Journal of Nursing Studies
Julia Allison
This study examines the maternal mortality rate in six early modern rural parishes of East Anglia where a midwife was known to be practicing. Register entries from the six parishes are translated and transcribed and maternal outcomes established and discussed. Midwives and their families are researched to establish marital status, parity and social standing. Maternal mortality is calculated and differing rates for women experiencing multiple births, stillbirths and base births examined.
2015: Local Population Studies
Peter H Scanlon, Stephen J Aldington, Jose Leal, Ramon Luengo-Fernandez, Jason Oke, Sobha Sivaprasad, Anastasios Gazis, Irene M Stratton
BACKGROUND: The English NHS Diabetic Eye Screening Programme was established in 2003. Eligible people are invited annually for digital retinal photography screening. Those found to have potentially sight-threatening diabetic retinopathy (STDR) are referred to surveillance clinics or to Hospital Eye Services. OBJECTIVES: To determine whether personalised screening intervals are cost-effective. DESIGN: Risk factors were identified in Gloucestershire, UK using survival modelling...
September 2015: Health Technology Assessment: HTA
David Coghill
Magon and colleagues highlight a number of relative strengths and weaknesses very reminiscent of those we have seen over the years in the development of similar services for children and adolescents. It is clear that we all have a lot of work to do to improve our approach to the transition from child to adult services. There was clear evidence that adult services can adapt to manage ADHD, but there is also a clear need for increased upskilling of clinicians in the practical management of medication and other treatments...
June 2015: BJPsych Bulletin
Rakesh Kumar Magon, Beena Latheesh, Ulrich Müller
Aims and method To measure compliance with National Institute for Health and Care Excellence (NICE) recommendations in two adult attention-deficit hyperactivity disorder (ADHD) clinics and to guide further service development. We audited the case notes of 150 patients referred to adult ADHD clinics in East Anglia in 2010-2011 against NICE standards using an adapted version of the ADHD audit support tool. Results We found good compliance with NICE standards for diagnosis, assessment and pharmacological treatment of adult ADHD...
June 2015: BJPsych Bulletin
J P Hutchinson, R P Smith
Ovine serum samples submitted to Animal and Plant Health Agency (APHA) (formerly the Animal Health and Veterinary Laboratories Agency) - Weybridge regional laboratories in England and Wales for diagnostic and monitoring purposes between 2005 and 2012 were investigated for possible spatial and temporal variations in seropositivity to Toxoplasma gondii infection. Of the 4354 samples tested by latex agglutination, 2361 (54.2 per cent) were seropositive. No correlation between seropositivity and climatic conditions was identified by mixed-effects modelling using meteorological data summaries...
May 30, 2015: Veterinary Record
Aileen R Neilson, Hanne Bruhn, Christine M Bond, Alison M Elliott, Blair H Smith, Philip C Hannaford, Richard Holland, Amanda J Lee, Margaret Watson, David Wright, Paul McNamee
OBJECTIVES: To explore differences in mean costs (from a UK National Health Service perspective) and effects of pharmacist-led management of chronic pain in primary care evaluated in a pilot randomised controlled trial (RCT), and to estimate optimal sample size for a definitive RCT. DESIGN: Regression analysis of costs and effects, using intention-to-treat and expected value of sample information analysis (EVSI). SETTING: Six general practices: Grampian (3); East Anglia (3)...
2015: BMJ Open
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