Publications
206 results found
Taylor DR, Bateman ED, Boulet L-P, et al., 2008, A new perspective on concepts of asthma severity and control, EUROPEAN RESPIRATORY JOURNAL, Vol: 32, Pages: 545-554, ISSN: 0903-1936
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- Citations: 328
Partridge MR, 2008, Patient-centred asthma education in the emergency department: the case in favour, EUROPEAN RESPIRATORY JOURNAL, Vol: 31, Pages: 920-921, ISSN: 0903-1936
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- Citations: 9
Tadross JA, Ghiassi R, le Roux CW, et al., 2008, The relationship between BMI and measurements of obstructive sleep apnoea, 16th European Congress on Obesity, Publisher: NATURE PUBLISHING GROUP, Pages: S145-S145, ISSN: 0307-0565
British Thoracic Society Scottish Intercollegiate Guidelines Network, 2008, British Guideline on the Management of Asthma., Thorax, Vol: 63 Suppl 4, Pages: iv1-121
Mason N, Roberts N, Yard N, et al., 2008, Nebulisers or spacers for the administration of bronchodilators to those with asthma attending emergency departments?, Respiratory Medicine
BACKGROUND: Systematic reviews and national guidelines conclude that the nebulised route of administration of bronchodilators has no advantage over the use of a spacer in moderately severe exacerbations of asthma. Whether this recommendation is implemented and whether it might affect use of staff time is unknown. OBJECTIVES: To determine the current method of administration of bronchodilators to those with non-life-threatening asthma attending emergency departments (ED) in London, UK and to monitor the implementation of a new policy to administer bronchodilators by spacers in one ED with a special reference to the time taken by nurses to administer the therapy by two different routes. METHODS: Thirty-five EDs in Greater London were surveyed regarding their current practice. A time and motion study was then undertaken in one department observing nurses administering bronchodilators in the 3 weeks before and 3 weeks after a departmental policy change to favour the use of spacer devices rather than nebulisers. RESULTS: The majority of EDs (94.3%) in Greater London were using the nebulised route of administering bronchodilators to the majority of their adult patients. Spacers were more commonly used for the treatment of children (60.3% of departments using spacers and nebulisers or spacers alone). Over half of the hospitals surveyed (51.4%) were unaware that the British Guidelines on Asthma Management suggested that outcomes were the same and that there were potential advantages in the use of a spacer for both adults and children. Time and motion studies showed that the use of a spacer took no more nursing time than administration of the bronchodilator via a nebuliser; in fact treatment and set-up time were considerably lower for spacers. CONCLUSION: Spacer administration of bronchodilators to those with asthma attending EDs utilises less treatment time than use of a nebuliser. A survey of EDs in Greater London has shown that despite guideline conclusions there appears
Sridhar M, Taylor R, Dawson S, et al., 2008, A nurse led intermediate care package in patients who have been hospitalised with an acute exacerbation of chronic obstructive pulmonary disease, THORAX, Vol: 63, Pages: 194-200, ISSN: 0040-6376
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- Citations: 81
Toro-Troconis M, Mellstrom U, Partridge M, et al., 2008, An Architectural Model for the Design of Game-Based Learning Activities for Virtual Patients in Second Life, 2nd European Conference on Games-Based Learning, Publisher: ACAD CONFERENCES LTD, Pages: 459-466
Roberts NJ, Ghiassi R, Partridge MR, 2008, Health literacy in COPD., Int J Chron Obstruct Pulmon Dis, Vol: 3, Pages: 499-507, ISSN: 1176-9106
If patients are to participate fully in their care and in the management of a long-term condition such as chronic obstructive pulmonary disease, good communication is essential. However, not all patients are able to use the written word and we need to be aware of the size of this problem and its implications for the way in which we give information and conduct medical consultations. The impact of health literacy on outcomes can be considerable and improvements can be made by being aware of the problem, offering information in several different forms, and by reinforcing the spoken word with pictorial images.
Roberts NJ, Evans G, Blenkhorn P, et al., 2007, Usage of a new electronic asthma action plan in primary care, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: A97-A97, ISSN: 0040-6376
Darlow C, Roberts NJ, Wilson G, et al., 2007, Potential advantages of an initial telephone consultation in those referred for a specialist respiratory opinion, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: A52-A52, ISSN: 0040-6376
Roberts NJ, Wong PS, Mohamed Z, et al., 2007, Comprehension of pictorial asthma action plans by Somalis and Malaysians, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: A101-A101, ISSN: 0040-6376
Ghiassi R, Cummin A, Slingsby L, et al., 2007, Can patients self-administer the Epworth Sleepiness Scale?, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: A111-A111, ISSN: 0040-6376
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- Citations: 1
Coker RK, Shiner RJ, Partridge MR, 2007, Is air travel safe for those with lung disease?, EUROPEAN RESPIRATORY JOURNAL, Vol: 30, Pages: 1057-1063, ISSN: 0903-1936
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- Citations: 46
Smith SF, Roberts NJ, Partridge MR, 2007, Comparison of a web-based package with tutor-based methods of teaching respiratory medicine: subjective and objective evaluations., BMC Med Educ, Vol: 7
BACKGROUND: Respiratory disease is a major cause of morbidity and mortality not only in the United Kingdom, but globally. A good understanding of respiratory disease and its treatment is essential for all medical graduates. As a result of changes in clinical practice, patients with some common respiratory illnesses are less often admitted to hospital, restricting the experience available to undergraduate students. Combined with a potential shortage of clinical teachers, this means that new methods of teaching need to be developed and appraised. The aim of this study was to establish whether a web-based package on the diagnosis of respiratory disease would be as effective and as acceptable to final year medical students as tutor-led methods of teaching the same material. METHODS: 137 out of 315 final year undergraduate students in a single medical school volunteered to take part. Each received up to two hours of tutor-lead interactive, tutor-lead didactic or electronic, Web-based teaching on the accurate diagnosis and management of respiratory disease. Post teaching performance was assessed by multiple true/false questions and data interpretation exercises, whilst students' teaching preferences were assessed by questionnaire. RESULTS: Despite a high knowledge baseline before the study, there was a small, but statistically significant increase in knowledge score after all forms of teaching. Similarly, data interpretation skills improved in all groups, irrespective of teaching format, Although paradoxically most students expressed a preference for interactive tutor-lead teaching, spirometry interpretation in those receiving web-based teaching improved significantly more [p = 0.041] than in those in the interactive group. CONCLUSION: Web-based teaching is at least as good as other teaching formats, but we need to overcome students' reluctance to engage with this teaching method.
Brown C, Hennings J, Caress A-L, et al., 2007, Lay educators in asthma self management: Reflections on their training and experiences, PATIENT EDUCATION AND COUNSELING, Vol: 68, Pages: 131-138, ISSN: 0738-3991
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- Citations: 17
Blake D, Roberts NJ, Partridge MR, 2007, How much of a primary care nurse's time is spent on those with respiratory disease? A pilot study., Prim Care Respir J, Vol: 16, Pages: 319-320, ISSN: 1471-4418
A pilot study was undertaken to assess the respiratory component of primary care nurses' working time. 13 nurses were interviewed and 10 completed a diary during one working week. The nurses spent a mean 6.6% of their time caring for those with respiratory disease and were of the opinion that during this time they undertook 68% of the management of long term respiratory illness in the practices. More time was spent with those with asthma than with other respiratory conditions and the nurses felt that they were appropriately trained for the tasks undertaken. However, with more training they felt that they could undertake more basic care of those patients with COPD, and more advanced care of those patients with asthma.
Brown CE, Roberts NJ, Partridge MR, 2007, Does the use of a glossary aid patient understanding of the letters sent to their general practitioner?, CLINICAL MEDICINE, Vol: 7, Pages: 457-460, ISSN: 1470-2118
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- Citations: 5
Smith SF, Roberts NJ, Partridge MR, 2007, Do newly qualified doctors use the knowledge and skills they learned as medical undergraduates?, Medical Education, Vol: 41, Pages: 917-917
Taylor R, Dawson S, Roberts N, et al., 2007, Why do patients decline to take part in a research project involving pulmonary rehabilitation?, RESPIRATORY MEDICINE, Vol: 101, Pages: 1942-1946, ISSN: 0954-6111
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- Citations: 39
Roberts NJ, Partridge MR, 2007, Telephone consultations in secondary care, RESPIRATORY MEDICINE, Vol: 101, Pages: 1665-1669, ISSN: 0954-6111
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- Citations: 17
Roberts NR, Partridge MR, 2007, Optimal consultations for those with respiratory illness, Breathe, Vol: 3, Pages: 331-337
Partridge MR, 2007, Asthma: 1987-2007. What have we achieved and what are the persisting challenges?, Prim Care Respir J, Vol: 16, Pages: 145-148, ISSN: 1471-4418
Despite an increasing prevalence of asthma, enormous advances have been made in our understanding and management of asthma over the last 20 years. Work begun two or three decades ago demonstrated the inflammatory nature of asthma, emphasised the need for regular treatment, and introduced the goal of maintaining normal lung function. More recent work demonstrated the benefits of adding a long-acting inhaled beta-agonist to low-dose inhaled steroids as an alternative to escalating the steroid dosage. More recently still, studies and regulatory approval have led to the possibility of the same inhaler being used for maintenance therapy and for relief. However, these new ways of using old medicines, along with some new medicines such as omalizumab, should not detract us from looking beyond the prescription. The challenges facing us now are to determine why the prevalence of asthma has increased so dramatically, and in the absence of a cure how we can best help increasing numbers of people with asthma benefit from the treatment which is available. This will involve a much more aggressive implementation of advice regarding self-management education and a restructuring of health services to provide a service that is cognisant of the fact that, like us, patients are increasingly busy - and if they are to benefit from regular review, that review needs to be offered at a convenient time and by convenient methods.
Macedo P, Coker RK, Partridge MR, 2007, Is there a uniform approach to the management of diffuse parenchymal lung disease (DPLD) in the UK? A national benchmarking exercise., BMC Pulm Med, Vol: 7
BACKGROUND: Benchmarking is the comparison of a process to the work or results of others. We conducted a national benchmarking exercise to determine how UK pulmonologists manage common clinical scenarios in diffuse parenchymal lung disease (DPLD), and to determine current use and availability of investigative resources. We compared management decisions to existing international guidelines. METHODS: Consultant members of the British Thoracic Society were mailed a questionnaire seeking their views on the management of three common scenarios in DPLD. They were asked to choose from various management options for each case. Information was also obtained from the respondents on time served as a consultant, type of institution in which they worked and the availability of a local radiologist and histopathologist with an interest/expertise in thoracic medicine. RESULTS: 370 out of 689 consultants replied (54% response rate). There were many differences in the approach to the management of all three cases. Given a scenario of relapsing pulmonary sarcoidosis in a lady with multiple co-morbidities, half of respondents would institute treatment with a variety of immunosuppressants while a half would simply observe. 42% would refer a 57-year old lady with new onset DPLD for a surgical lung biopsy, while a similar number would not. 80% would have referred her for transplantation, but a fifth would not. 50% of consultants from district general hospitals would have opted for a surgical biopsy compared to 24% from cardiothoracic centres: this may reflect greater availability of a radiologist with special interest in thoracic imaging in cardiothoracic centres, obviating the need for tissue diagnosis. Faced with an elderly male with high resolution CT thorax (HRCT) evidence of usual interstitial pneumonia (UIP), three quarters would observe, while a quarter would start immunosuppressants. 11% would refer for a surgical biopsy. 14% of UK pulmonologists responding to the survey revealed
Dockrell M, Partridge MR, Valovirta E, 2007, The limitations of severe asthma: the results of a European survey, ALLERGY, Vol: 62, Pages: 134-141, ISSN: 0105-4538
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- Citations: 35
Roberts NJ, Partridge MR, 2007, The effect of telephone reminders on attendance in respiratory outpatient clinics, J Health Services Res Policy, Vol: 12(2), Pages: 69-72
Hassett R, Meade K, Partridge MR, 2006, Enhancing the accuracy of respiratory diagnoses in primary care: a report on the establishment of a Community Respiratory Assessment Unit., Prim Care Respir J, Vol: 15, Pages: 354-361, ISSN: 1471-4418
AIMS: To establish a Community Respiratory Assessment Unit and to evaluate its role in enhancing the accuracy of respiratory diagnosis in primary care. METHODS: We established a central and peripatetic nurse-led service utilising semi-structured history taking, spirometry, oxygen saturation monitoring and semi-structured reporting, coupled with the provision of educational materials to both primary care physicians and patients. RESULTS: Phased access to the service was offered to 32 general practices. Use varied widely between practices and a total of 364 patients were referred in the first year. The single biggest diagnostic group consisted of patients with definite or suspected COPD, but the diagnosis was often not confirmed. Patient and GP satisfaction with the service was extremely high; without it misdiagnoses and inappropriate therapeutic trials are possible. CONCLUSION: A community respiratory assessment unit such as this is one way of offering a centrally-directed, quality-controlled, diagnostic support service for primary care physicians.
Glasser M, Roberts NJ, Partridge MR, 2006, Are evaluated respiratory service developments implemented into clinical practice?, Winter Meeting of the British-Thoracic-Society/British-Lung-Foundation (BTS/BLF), Publisher: B M J PUBLISHING GROUP, Pages: II8-II8, ISSN: 0040-6376
Sridhar M, Taylor R, Dawson S, et al., 2006, The effects of a nurse-led intermediate care package in patients who have been hospitalised for an exacerbation of chronic obstructive pulmonary disease, Winter Meeting of the British-Thoracic-Society/British-Lung-Foundation (BTS/BLF), Publisher: B M J PUBLISHING GROUP, Pages: II29-II29, ISSN: 0040-6376
Hassett R, Meade K, Partridge MR, 2006, Establishment of a community respiratory assessment unit, Winter Meeting of the British-Thoracic-Society/British-Lung-Foundation (BTS/BLF), Publisher: B M J PUBLISHING GROUP, Pages: II8-II8, ISSN: 0040-6376
Ghiassi R, Murphy K, Cummin ARC, et al., 2006, The understanding and comprehensibility of pictograms used in a new screening tool for sleepiness and obstructive sleep apnoea syndrome, Winter Meeting of the British-Thoracic-Society/British-Lung-Foundation (BTS/BLF), Publisher: B M J PUBLISHING GROUP, Pages: II78-II78, ISSN: 0040-6376
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