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  1. Article ; Online: Comparing death rates in the pandemic: hundreds of millions could be disabled by covid.

    Fluxman, Jonathan

    BMJ (Clinical research ed.)

    2023  Volume 381, Page(s) 1230

    MeSH term(s) Humans ; Pandemics ; COVID-19 ; Disabled Persons
    Language English
    Publishing date 2023-05-31
    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.p1230
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Specialist advice for primary care: an evaluation of a gastroenterology email advice service.

    Fulton, Alice L / Williams, Horace Rt / Shah, Jayshree / Phillips, Lucy / Fluxman, Jonathan / Hoare, Jonathan M

    Future hospital journal

    2019  Volume 3, Issue 2, Page(s) 90–93

    Abstract: Communication between primary and secondary care -physicians is often unreliable and one sided in the form of clinic letters. Alternatively, general practitioners (GPs) may have difficulty contacting an on-call specialist via outdated hospital paging ... ...

    Abstract Communication between primary and secondary care -physicians is often unreliable and one sided in the form of clinic letters. Alternatively, general practitioners (GPs) may have difficulty contacting an on-call specialist via outdated hospital paging services. At Imperial College Healthcare NHS Trust, a gastroenterology email advice line was set up to promote dialogue and potentially help GPs deal with issues within their practices. The service has been evaluated both objectively through analysis of enquiries and subjectively through a -survey of GPs' views. Analysis showed a very high level of satisfaction among users of the service. There is also good evidence to suggest that the service has helped to streamline patient management and led to the avoidance of some outpatient appointments.
    Language English
    Publishing date 2019-05-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2775176-4
    ISSN 2055-3331 ; 2055-3323
    ISSN (online) 2055-3331
    ISSN 2055-3323
    DOI 10.7861/futurehosp.3-2-90
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Understanding the service use patterns of emergency department frequent attenders: could paediatric outreach be a solution?

    Hockey, Duncan James / Fluxman, Jonathan / Watson, Mando / Klaber, Robert

    Archives of disease in childhood

    2014  Volume 99, Issue 1, Page(s) 90–91

    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Cohort Studies ; Emergency Service, Hospital/utilization ; General Practice/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; London ; Urban Population
    Language English
    Publishing date 2014-01
    Publishing country England
    Document type Letter
    ZDB-ID 524-1
    ISSN 1468-2044 ; 0003-9888 ; 1359-2998
    ISSN (online) 1468-2044
    ISSN 0003-9888 ; 1359-2998
    DOI 10.1136/archdischild-2013-304495
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Breathlessness and skeletal muscle weakness in patients undergoing lung health screening in primary care.

    Kelly, Julia L / Elkin, Sarah L / Fluxman, Jonathan / Polkey, Michael I / Soljak, Michael A / Hopkinson, Nicholas S

    COPD

    2013  Volume 10, Issue 1, Page(s) 40–54

    Abstract: Earlier diagnosis of COPD is a major public health challenge as symptoms may be attributed to the normal consequences of aging. The optimum strategy for identifying patients with COPD remains to be determined. People aged 35 and over (n = 1896) on a GP ... ...

    Abstract Earlier diagnosis of COPD is a major public health challenge as symptoms may be attributed to the normal consequences of aging. The optimum strategy for identifying patients with COPD remains to be determined. People aged 35 and over (n = 1896) on a GP practice register were randomised to either invitation or an opportunistic lung health check which included spirometry, quadriceps strength and MRC dyspnoea score. Then, 101 participants subsequently completed the General Practice Physical Activity Questionnaire. A total of 335 attended over a 15-week period; 156 were in the invitation group and 179 from the opportunist group. In 25 persons, spirometry was unsatisfactory or contraindicated. Spirometry was normal in 204(65.8%) and restrictive in 36(11.6%). 70(22.6%) had airflow obstruction, corresponding to Global Initiative for Chronic Lung Disease (GOLD) stages I-IV in 18(5.8%), 35(11.3%), 14(4.5%) and 3(1.0%), respectively. The opportunist group were significantly more likely to have airflow obstruction 30.1% vs 14.3% (p = 0.001). Breathlessness was reported commonly (40.5%) and quadriceps strength correlated significantly with MRC dyspnoea score independent of age, sex, pack-years smoked, fat-free mass and FEV(1) percent predicted. This relationship was also present in the subgroup of healthy participants (n = 143). 51.5% of participants screened were classified as "inactive" and this group were weaker and more breathless than those who were more active. Airflow obstruction was more common in those screened opportunistically. Breathlessness and inactivity are common in patients taking part in spirometry screening. Breathlessness is significantly associated with leg strength independent of spirometry and should be amenable to interventions to increase physical activity.
    MeSH term(s) Adult ; Aged ; Analysis of Variance ; Cross-Sectional Studies ; Dyspnea/complications ; Dyspnea/diagnosis ; Female ; Forced Expiratory Volume ; General Practice ; Humans ; Male ; Mass Screening/methods ; Middle Aged ; Motor Activity ; Muscle Strength Dynamometer ; Muscle Weakness/complications ; Muscle Weakness/diagnosis ; Pulmonary Disease, Chronic Obstructive/complications ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Quadriceps Muscle/physiopathology ; Sedentary Lifestyle ; Smoking ; Spirometry ; Surveys and Questionnaires
    Language English
    Publishing date 2013-02
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2171107-0
    ISSN 1541-2563 ; 1541-2555
    ISSN (online) 1541-2563
    ISSN 1541-2555
    DOI 10.3109/15412555.2012.727923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Act now against new NHS competition regulations: an open letter to the BMA and the Academy of Medical Royal Colleges calls on them to make a joint public statement of opposition to the amended section 75 regulations.

    Davis, Jacky / Banks, Ian / Wrigley, David / Peedell, Clive / Pollock, Alyson / McPherson, Klim / McKee, Martin / Irving, William L / Crome, Peter / Greenhalgh, Trisha / Holland, Walter / Evans, David / Maryon-Davis, Alan / Smyth, Alan / Fleming, Peter / Coleman, Michel / Sharp, Deborah J / Whincup, Peter / Logan, Stuart /
    Cook, Derek / Moore, Robert / Rawaf, Salman / McEewen, J / West, Robert / Yudkin, John S / Clarke, Aileen / Finer, Nick / Domizio, Paola / Bambra, Clare / Jones, Anna / Feder, Gene / Scott-Samuel, Alex / Irvine, Louise / Sharma, Ajay / Fitchett, Mike / Boomla, Kambiz / Folb, Jonathan / Paul, Ashish / McCoy, David / Tallis, Ray / Burgess-Allen, Jilla / Edwards, Mark / Tomlinson, Jonathon / Colvin, Deborah / Gore, Jonathan / Brown, Kirsten / Mitchel, Sarah / Lau, Alice / Sayer, Mel / Clark, Leon / Silverman, Ruth / Marmot, Saul / Rainbow, Daniel / Carter, Lucy / Mann, Nick / Fielding, Richard / Logan, Jane / Tebboth, Louise / Arnold, Natasha / Stobbart, Kate / Cabot, Kate / Finer, Sarah / Edwards, Martin / Davies, David / Buttivant, Helen / Kraemer, Sebastian / Newell, Jo / Griffiths, Alun / Fitzgerald, Richard / Macgibbon, Robert / Lee, Alan / Macklon, A F / Hobson, Esther / Jenner, David / Jacobson, Bobbie / Timmis, Alison / Salim, Asad / Evans-Jones, John / Caan, Woody / Awsare, Ninaad / Pride, Neil / Suckling, Ruth / Bratty, Catherine / Rossiter, Brian / Hawkins, David / Currie, Jonny / Camilleri-Ferrante, Corinne / Fluxman, Jonathan / Bhatti, Osman / Anson, James / Etherington, Robert / Lawrence, David / Fell, Henry / Clarke, Edward / Ormerod, Julian / Ormerod, Oliver / Ireland, Maggie / Duncan, John A T / Chandy, Rajiv / Mindell, Jennifer / Mullen, Paul / Bennett-Richards, Phillip / Hirst, Julie / Murphy, E / Martin, P / Lowes, Simon / Grunewald, Richard / Reeve, Joanne / Schweiger, Martin / Coates, Jonathan / Farrelly, George / Chamberlain, M A / Lewis, Geoffrey / Young, Jane / Scott, Brian / Gibbs, John / Landers, Aileen / Deveson, Pete / Ingrams, Grant / Leigh, Martha / Gawler, Jeff / Ford, Amy / Nixon, Jonathan / McCartney, Margaret / Bareford, David / Singh, Surinder / Lockwood, Kate / Cripwell, Michael / Ehrhardt, Peter / Bell, David / Wortley, Pam / Tomlinson, Laurie / Hotchkiss, Julie / Ford, Steven / Turner, Gill / Reissman, Gerard / Lewis, David / Johnstone, Chris / Tomson, Mike / Torabi, Payam / Tomson, D / Tulloch, Alex / Johnston, Sally / Dickinson, Jane / McElderry, Elisabeth / Ross, Wendy / Holt, Kim / Logan, Mary / Klonin, Hilary / Danby, Jude / Goodger, V / Puntis, John / Dickson, Harriet / Gould, Derek A / Livingstone, Anna / Lefevre, Dianne / Kendall, Bryony / Singh, G / Hall, Peter / Darling, Jonathan / Hamlyn, Adrian N / Patel, Anita / Erskine, Jonathan / Fisher, Brian / Hughes, Richard / Highton, Clare / Venning, Helen / Singer, Ron / Brearey, Steve / Sikorski, Jim / Paintin, David / Feehally, John / Savage, Wendy / Freud, Kathy McAdam / Holt, Victoria J / Gill, Alison / Waterston, Tony / Souza, Richard de / Hopkinson, Nicholas / Beadsworth, Mike / Franks, Andrea / Daley, Helen / Cullinan, Paul / Basarab, Adriana / Gurling, Hugh / Zinkin, Pam / Kirwin, Simon / Buhrs, Ernst / Brown, Raymond / West, Andrew / Marlowe, Gary / Fellows, Griffith / Main, John / Applebee, Jackie / Koperski, M / Jones, Phil / Macfarlane, Alison / Beer, Naomi / Mason, Rebecca / Eisner, Maggie / Smailes, Alison / Timms, Philip / Knight, David / Jones, Coral / Wesby, Barbara / Lyttelton, Laura / Morrison, Richard / Bossano, David / Walker, Jonathan / Davies, Gerry / Godfrey, Peter / Wolfe, Ingrid / Nsutebu, Emmanuel / Stevenson, Nicola / Cheeroth, Sheila / Miller, Jo / Johnson, Guy / Noor, R / Hall, Alyson / Bostock, David / Michael, Benedict / Sharvill, John / Macpherson, Jamie / Ma, Richard / Middleton, John / Jeffreys, Anne / Cole, Jim / Boswell, John P / Bury, Bob / Mitchison, Sally / Kinmonth, Ann-Louise / Young, Gail / Maclennan, Iain / Munday, Pat

    BMJ (Clinical research ed.)

    2013  Volume 346, Page(s) f1819

    MeSH term(s) Academies and Institutes ; Dissent and Disputes/legislation & jurisprudence ; Health Care Reform/legislation & jurisprudence ; Health Care Reform/organization & administration ; Humans ; Insurance, Health ; Managed Competition/legislation & jurisprudence ; Managed Competition/organization & administration ; Politics ; Privatization ; Societies, Medical ; State Medicine/legislation & jurisprudence ; State Medicine/organization & administration ; United Kingdom
    Language English
    Publishing date 2013-03-20
    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.f1819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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