Debra de Silva

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Active travel to school can be an important contributor to the total physical activity of children but levels have declined and more novel approaches are required to stimulate this as an habitual behaviour. The aim of this mixed methods study was to investigate the feasibility of an international walk to school competition supported by novel swipecard(More)
BACKGROUND Allergic reactions to plant and animal derived food allergens can have serious consequences for sufferers and their families. The associated social, emotional and financial costs make it a priority to understand the best ways of managing such immune-mediated hypersensitivity responses. Conceptually, there are two main approaches to managing food(More)
It is temptingly easy to treat improvement interventions as if they are drugs—tech-nical, stable and uninfluenced by the environment in which they work. Doing so makes life so much easier for everyone. It allows improvement practitioners to plan their work with a high degree of certainty, funders to be confident that they know what they are buying and(More)
BACKGROUND The European Academy of Allergy and Clinical Immunology is developing guidelines about how to prevent and manage food allergy. As part of the guidelines development process, a systematic review is planned to examine published research about the prevention of food allergy. This systematic review is one of seven inter-linked evidence syntheses that(More)
1 Learning from experience Innovation in the NHS is now being driven regionally by strategic health authorities. Learning how other national and international organisations have approached, planned and embedded innovation will help SHAs foster a culture of innovation. This overview outlines key evidence about what has worked well and what has been(More)
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