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  1. Article ; Online: 'Dirty CSF': an MRI feature of CNS fungal infection.

    Coughlan, Charles Hamish / Hoskote, Chandrashekar / Mehta, Arpan R

    BMJ case reports

    2023  Volume 16, Issue 12

    Language English
    Publishing date 2023-12-07
    Publishing country England
    Document type Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2023-257720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Developing useful early warning and prognostic scores for COVID-19.

    Coughlan, Charles / Rahman, Shati / Honeyford, Kate / Costelloe, Céire E

    Postgraduate medical journal

    2023  Volume 97, Issue 1150, Page(s) 477–480

    Language English
    Publishing date 2023-03-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/postgradmedj-2021-140086
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.340: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Managing multimorbidity: listening to patients and integrated care.

    Coughlan, Charles / Watson, Mando

    BMJ (Clinical research ed.)

    2020  Volume 368, Page(s) m713

    MeSH term(s) Delivery of Health Care, Integrated ; Humans ; Multimorbidity ; Patient-Centered Care ; Primary Health Care
    Language English
    Publishing date 2020-02-26
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m713
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.10: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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  4. Article: Cerebral amyloid angiopathy-related inflammation: a rare but important cause of acute confusion on the general medical take.

    Coughlan, Charles / Lim, Emma / Chandratheva, Arvind / Jager, Rolf / Werring, David J

    British journal of hospital medicine (London, England : 2005)

    2023  Volume 84, Issue 8, Page(s) 1–3

    MeSH term(s) Humans ; Cerebral Amyloid Angiopathy/complications ; Inflammation/etiology
    Language English
    Publishing date 2023-08-21
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2023.0102
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: What you need to know about microbiology referrals.

    Rayner-Philipson, Morgan / Webster, Jemma / Coughlan, Charles / De, Surjo

    British journal of hospital medicine (London, England : 2005)

    2022  Volume 83, Issue 6, Page(s) 1–5

    Abstract: Microbiologists are frequently consulted for guidance on the investigation and management of infection, including antimicrobial prescribing in hospital settings. There is a rising demand for timely microbiology advice in the context of increasing global ... ...

    Abstract Microbiologists are frequently consulted for guidance on the investigation and management of infection, including antimicrobial prescribing in hospital settings. There is a rising demand for timely microbiology advice in the context of increasing global travel and antibiotic resistance, which give rise to complex cases. However, junior doctors are seldom trained in making effective referrals. Improving confidence in this key skill saves time for both the referring clinician and the specialist, and results in more accurate advice being given. This benefits patients who are more likely to receive appropriate treatment. This article presents guidance, developed in consultation with specialists, to improve the quality of referrals to microbiologists. This includes the information required for a high-quality referral, and signposts referring clinicians to existing resources which are suitable for simpler cases not requiring specialist input.
    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Anti-Infective Agents ; Humans ; Medical Staff, Hospital ; Referral and Consultation ; Specialization
    Chemical Substances Anti-Bacterial Agents ; Anti-Infective Agents
    Language English
    Publishing date 2022-06-29
    Publishing country England
    Document type Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2022.0023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: How to improve care across boundaries.

    Coughlan, Charles / Manek, Nishma / Razak, Yasmin / Klaber, Robert E

    BMJ (Clinical research ed.)

    2020  Volume 369, Page(s) m1045

    MeSH term(s) Delivery of Health Care, Integrated/standards ; Humans ; Interprofessional Relations ; Leadership ; Patient Education as Topic ; Patient Participation ; Quality Improvement
    Language English
    Publishing date 2020-04-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m1045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.10: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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  8. Article ; Online: Quality improvement education for medical students: a near-peer pilot study.

    McGeorge, Elizabeth / Coughlan, Charles / Fawcett, Martha / Klaber, Robert Edward

    BMC medical education

    2020  Volume 20, Issue 1, Page(s) 128

    Abstract: Background: Quality improvement (QI) is an essential component of modern clinical practice. Front-line professionals offer valuable perspectives on areas for improvement and are motivated to deliver change. In the UK, all junior doctors are expected to ... ...

    Abstract Background: Quality improvement (QI) is an essential component of modern clinical practice. Front-line professionals offer valuable perspectives on areas for improvement and are motivated to deliver change. In the UK, all junior doctors are expected to participate in QI in order to advance to the next stage of their training. However, UK undergraduates receive no standardized training in QI methods. This is perpetuated within medical schools by a lack of teaching capacity and competing priorities, and may lead to tokenistic engagement with future QI projects.
    Methods: We describe a near-peer teaching programme designed to introduce students to QI methods. This pilot study was conceived and delivered in full by junior doctors and used existing resources to ensure high quality teaching content. 111 fifth-year medical students from the University of Cambridge were taught in interactive, participative workshops that encourage them to develop their own QI change ideas and projects. Core topics included the model for improvement, driver diagrams, stakeholder engagement, measurement for improvement and analysing and presenting data. Students completed surveys before and immediately after this intervention to assess their understanding of and confidence in utilizing QI methods. Questionnaires were also completed by junior doctor tutors.
    Results: Analysis of questionnaires completed before and immediately after the intervention revealed statistically significant improvements in students' self-reported understanding of QI (p < 0.05) and confidence in applying techniques to their own work (p < 0.05). Students expressed a preference for QI teaching delivered by junior doctors, citing a relaxed learning environment and greater relevance to their stage of training. Tutors reported increased confidence in using QI techniques and a greater willingness to engage with QI in future.
    Conclusions: In this single-centre study, near-peer teaching produced significant improvements in students' self-reported understanding of QI and confidence in applying QI methods. Near-peer teaching may constitute a sustainable means of teaching essential QI skills at undergraduate level. Future work must evaluate objective measures of student engagement with and competence in conducting QI.
    MeSH term(s) Attitude of Health Personnel ; Clinical Competence/standards ; Curriculum ; Education, Medical, Undergraduate/organization & administration ; Humans ; Peer Group ; Pilot Projects ; Quality Improvement/organization & administration ; Schools, Medical/organization & administration ; Students, Medical/statistics & numerical data ; United Kingdom
    Language English
    Publishing date 2020-04-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-020-02020-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Leisure time physical activity throughout adulthood is associated with lower medicare costs: evidence from the linked NIH-AARP diet and health study cohort.

    Coughlan, Diarmuid / Saint-Maurice, Pedro F / Carlson, Susan A / Fulton, Janet / Matthews, Charles E

    BMJ open sport & exercise medicine

    2021  Volume 7, Issue 1, Page(s) e001038

    Abstract: Background: There is limited information about the association between long-term leisure time physical activity (LTPA) participation and healthcare costs. The purpose of this study was to investigate the association between LTPA over adulthood with ... ...

    Abstract Background: There is limited information about the association between long-term leisure time physical activity (LTPA) participation and healthcare costs. The purpose of this study was to investigate the association between LTPA over adulthood with later life healthcare costs in the USA.
    Methods: Using Medicare claims data (between 1999 and 2008) linked to the National Institutes of Health-American Association of Retired Persons (NIH-AARP) Diet and Health Study, we examined associations between nine trajectories of physical activity participation throughout adulthood with Medicare costs.
    Results: Compared with adults who were consistently inactive from adolescence into middle age, average annual healthcare costs were significantly lower for maintainers, adults who maintained moderate (-US$1350 (95% CI: -US$2009 to -US$690) or -15.9% (95% CI: -23.6% to -8.1%)) or high physical activity levels (-US$1200 (95% CI: -US$1777 to -US$622) or -14.1% (95% CI: -20.9% to -7.3%)) and increasers, adults who increased physical activity levels in early adulthood (-US$1874 (95% CI: US$2691 to -US$1057) or -22.0% (95% CI: -31.6% to -12.4%)) or in middle age (-US$824 (95% CI: -US$1580 to -US$69 or -9.7% (95% CI -18.6% to -0.8%)). For the four trajectories where physical activity decreased, the only significant difference was for adults who increased physical activity levels during early adulthood with a decline in middle age (-US$861 (95% CI:-US$1678 to -US$45) or -10.1% (95% CI: -19.7% to -0.5%)).
    Conclusion: Our analyses suggest the healthcare cost burden in later life could be reduced through promotion efforts supporting physical activity participation throughout adulthood.
    Language English
    Publishing date 2021-03-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2817580-3
    ISSN 2055-7647
    ISSN 2055-7647
    DOI 10.1136/bmjsem-2021-001038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Spinal tuberculosis and tuberculous psoas abscess.

    Coughlan, Charles Hamish / Priest, Josephine / Rafique, Akkib / Lynn, William

    BMJ case reports

    2019  Volume 12, Issue 12

    MeSH term(s) Humans ; Low Back Pain/etiology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Mycobacterium tuberculosis/isolation & purification ; Psoas Abscess/diagnostic imaging ; Psoas Abscess/etiology ; Psoas Abscess/pathology ; Tomography, X-Ray Computed ; Tuberculosis, Spinal/complications ; Tuberculosis, Spinal/diagnostic imaging ; Tuberculosis, Spinal/pathology
    Language English
    Publishing date 2019-12-10
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2019-233619
    Database MEDical Literature Analysis and Retrieval System OnLINE

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