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The present study aimed to assess, in an epidemiologically representative sample of patients with psychosis, the relationship between patient and staff perception of need and to investigate the association between unmet need and study variables when assessed by patients and staff, respectively. Of 474 cases of functional psychosis identified in the(More)
OBJECTIVE To assess the short term health effects of improving housing. DESIGN Randomised to waiting list. SETTING 119 council owned houses in south Devon, UK. PARTICIPANTS About 480 residents of these houses. INTERVENTION Upgrading houses (including central heating, ventilation, rewiring, insulation, and re-roofing) in two phases a year apart. (More)
BACKGROUND Primary care clinicians suggest that staff education is needed to increase chlamydia testing appropriately. OBJECTIVES To determine if interactive workshops and modified laboratory request forms could increase testing and case detection. METHODS STUDY DESIGN Prospective cluster randomized controlled study, using modified Zelen's design,(More)
BACKGROUND The purpose of this study was to investigate the long-term outcomes following stripping of the long saphenous vein during primary varicose vein surgery and to identify factors which may predict recurrence and the need for reoperation. METHODS The original study was designed as a randomized trial of 100 patients (133 legs) who underwent(More)
BACKGROUND A randomized study of the effect on people's health of improving their housing is underway in Torbay. The link between poor health, particularly respiratory health, and poor housing conditions has been recognized for a long time, but there have been few intervention studies to demonstrate that improving housing can improve health. In 1994, South(More)
OBJECTIVE To determine whether recurrence of leg ulcers may be prevented by surgical correction of superficial venous reflux in addition to compression. DESIGN Randomised controlled trial. SETTING Specialist nurse led leg ulcer clinics in three UK vascular centres. PARTICIPANTS 500 patients (500 legs) with open or recently healed leg ulcers and(More)
AIMS To evaluate the introduction of a community-based non-mydriatic and mydriatic digital photographic screening programme by measuring the sensitivity and specificity compared with a reference standard and assessing the added value of technician direct ophthalmoscopy. METHODS Study patients had one-field, non-mydriatic, 45 degrees digital imaging(More)
OBJECTIVE To evaluate the effect of age, duration of diabetes, cataract, and pupil size on the image quality in digital photographic screening. RESEARCH DESIGN AND METHODS Randomized groups of 3,650 patients had one-field, non-mydriatic, 45 degrees digital retinal imaging photography before mydriatic two-field photography. A total of 1,549 patients were(More)
AIM To compare two reference standards when evaluating a method of screening for referable diabetic retinopathy. METHOD Clinics at Oxford and Norwich Hospitals were used in a two centre prospective study of 239 people with diabetes receiving an ophthalmologist's examination using slit lamp biomicroscopy, seven field 35 mm stereophotography and two field(More)
Functional breathing problems, including symptomatic hyperventilation, may impair quality of life. Symptoms associated with functional breathing disorders have been reported as being common in secondary care settings, and can affect 29% of adults with current asthma in the community. The prevalence of dysfunctional breathing in the general adult population(More)