Deepak Mahabir

..To quantify problems of relational and management continuity of care in patients with multiple long-term conditions...

..This study asked whether the properties of medical codes in electronic patient records may be characterised through the application of item response theory models...

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..The study also evaluated achievement of recommended standards of care; variation between family practices; and changes in risk factor values from before to after stroke...

..We compared the classifications obtained using different definitions for 'hypertension'...

..We tested the properties of the 18 Household Food Security Survey (HFSS) items, and the validity of the resulting food security classifications, in an English-speaking middle-income country...

..To evaluate the reliability and validity of a six-item food security scale when self-administered by adolescents...

..A full consideration of continuity of care should therefore cover both of these distinct perspectives, exploring how these come together to enhance the patient-centredness of care...

..To describe the association between values for a proportion and the intraclass correlation coefficient (ICC)...

..To determine whether case subjects who were later diagnosed with type 2 diabetes utilized primary care differently from control subjects who remained free from diabetes...

..A more consistent approach to drug selection might be associated with improved patient outcomes...

..To describe the prescription of glucose self-monitoring materials in the first 12 months after initiation of oral hypoglycaemic therapy...

..We aimed to quantify socio-economic and ethnic inequalities in diabetes retinal screening...

..Relative mortality of type 2 diabetes appears to be decreasing in men and women in the United Kingdom...

..To determine the effect of a clinical diagnosis of diabetes mellitus (DM) on healthcare utilization and health outcomes...

..The relevance of continuity of care in chronic illness is uncertain...

..The aim of this study was to estimate trends in primary care consultations and antibiotic prescribing for acute respiratory tract infections (RTIs) in the UK from 1997 to 2006...

..This study aimed to evaluate the relevance of different codes for the identification of acute stroke in a primary care database, and to evaluate trends in the use of different codes over time...

..The authors estimated trends in 1-year case-fatality of stroke in relation to changes in vascular risk management from 1997 to 2005...

..We aimed to determine whether family practices' achievement of diabetes quality of care targets is associated with diabetic retinal disease in registered patients...

..We investigated whether experienced food insecurity was associated with weight control behaviour of adolescents...

..We evaluated the reliability and validity of the short form household food security scale in a different setting from the one in which it was developed...

..We evaluated whether measures of the supply and structure of primary medical services are associated with health and health care indicators after adjusting for confounding...

..We compared mortality in subjects treated either with metformin or sulphonylurea drugs alone, or in combination...

..To evaluate the provision of free school meals in Trinidad and Tobago in relation to children's social and nutritional status...

..Continuity is an important attribute of health care, but appropriate measures are not currently available. We developed an experience-based measure of continuity of care in type 2 diabetes...

..Diabetic foot disease is common but care practices predispose to foot injury. Implementation of a strategy to improve care of the feet is needed...

..To evaluate distribution of body mass index (BMI) and subcutaneous fat in children of African or Indian subcontinent descent living in Trinidad and Tobago...

..To analyse achievement of metabolic targets by English general practices following the introduction of a new system of incentives...

..After adjusting for health status, there was evidence for horizontal inequity in access to private care in relation to household amenities and composition...

..We evaluated cigarette smoking, alcohol intake and consumption of different foods as determinants of glycated haemoglobin in a general population sample...

..18 (95% confidence interval 0.27 to 2.09) more processes of care. Delivery of medical care varied among the health centres and those with higher staffing levels provided more processes of care...

..To evaluate an intervention to improve diabetes care in government-run heath centres in Trinidad and Tobago over 5 years...

..This paper reports an ecological analysis that evaluated whether population health was associated with general practitioner (GP) supply in England...

..In diabetes mellitus, cigarette smoking is associated with increased risk of cardiovascular mortality and microvascular complications. We evaluated cigarette smoking in people with diabetes mellitus in a socio-economically deprived area...

..23, 1.06 to 1.42, P = 0.006) or treated for high BP (odds ratio 1.25, 1.06 to 1.47, P = 0.009). Detection and treatment of high BP are particularly relevant in subjects who continue to smoke...

..We evaluated the relationship between diabetes, health status, household income and expenditure on health care in the general population in Trinidad...

..This is associated with body mass index, abdominal obesity and diabetes. There is no consistent association between education or income and blood pressure in men...

..The protocol describes one application: a study of antibiotic prescribing for acute respiratory infection; a second protocol outlines an intervention in a less frequent chronic condition of public health importance, stroke...

..We aimed to investigate changes in consultation rates and the proportion of consultations with antibiotics prescribed for different types of respiratory tract infections...

..This study evaluated whether food insecurity and obesity were associated in a population sample in Trinidad...

..The effect of antihypertensive treatment on survival and recurrence in an unselected sample of the general population, using the General Practice Research Database, was analysed...

..To evaluate the effectiveness of offering antenatal screening for sickle cell disease and thalassaemia in primary care as a way of facilitating earlier uptake of screening...

..It is important that service 'redesign' and developments in vertically integrated services for chronic disease management take account of impacts on patients' experience of continuity of care...

..Our results provide standardised data for health related quality of life in relation to severity of illness from diabetes, these might be used to aid the evaluation of relevant interventions...

..Stratified designs may be used to increase study efficiency, but variation between areas may sometimes compromise generalisability...

..To examine patients' experiences of continuity of care in the context of different long-term conditions and models of care, and to explore implications for the future organization care of long-term conditions...

..To explore the association between area deprivation and adult oral health...

..This study examined whether offering this screening in primary care at the time of pregnancy confirmation compromises women making informed choices. Design Partial factorial, cluster randomized controlled trial...

..There was some evidence to suggest that these inequalities might be explained by variations in access to oncology services. Future studies should investigate the pathways and barriers to specialist care in this condition...

..In 2000, operative treatment was undertaken for 31% of new presentations of carpal tunnel syndrome, 3% of Morton's metatarsalgia, and 30% of ulnar neuropathy...

..The aim of the study was to report the association of socio-economic factors with child's height...

..Equity of access may be measured in terms of the availability, utilisation or outcomes of services. Both horizontal and vertical dimensions of equity require consideration...

..There is limited evidence regarding the factors that facilitate recruitment and retention of general practices in clinical trials. It is therefore pertinent to consider the factors that facilitate research in primary care...

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..Data concerning tumour stage did not clearly distinguish superficial from invasive tumours. Cancer registry data were found to be reliable except for tumour stage which may not be clearly documented in clinical records...

..However undernutrition is common and associated with a number of negative clinical outcomes. There is little information regarding food access from the patients' perspective...

..Studies should be designed with reference to the overall distribution of ICCs and with attention to features that increase efficiency...

..Application of the bootstrap-t method to the variance stabilizing transformation of rho improved upon the performance of the standard bootstrap methods, providing close to nominal coverage...

..We evaluated whether black African and black Caribbean people with diabetes in the UK gain access to diabetes health care on an equitable basis compared with white people...

..002). CONCLUSIONS: Experiences of food insecurity may be common in households with incomes at the level of the UK national minimum wage or lower...

..Our goal was to determine whether immunization is associated with the incidence of Guillain-Barré syndrome (GBS)...

..Geographical inequalities in lung cancer treatment and patient survival have been described. We hypothesized that lung cancer patients' access to treatment may be influenced by deprivation and the pathway to care...

..Sharing specialist skills in one PCG was associated with increased professional satisfaction but no net improvement in clinical measures. A shared diabetes EPR is unlikely to be used, unless integrated with practice information systems...

..We estimated shared genetic and shared environmental contributions to within-household correlation for anthropometric variables and cardiovascular disease risk factors...

..For studies where the number of subjects per cluster is small and rho is large all cluster-level methods may perform poorly for studies with between 10 and 50 clusters per trial arm...

..To evaluate the association between alarm symptoms and the subsequent diagnosis of cancer in a large population based study in primary care...

..The purpose of this study was to test the hypothesis that changing utilization of lipid-lowering, antihypertensive, and oral hypoglycemic drugs may be associated with trends in all-cause mortality in men and women with type 2 diabetes...

..Antenatal sickle cell and thalassaemia screening sometimes occurs too late to allow couples a choice regarding termination of affected fetuses. The target gestational age for offering the test in the UK is 10 weeks...

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