Helen F Ashdown

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BACKGROUND Interventions to prevent influenza-related complications are recommended for individuals at the greatest risk of serious clinical deterioration. However, guidelines are based on consensus opinion rather than evidence, and do not specify risk factors in children. We aimed to provide an evidence-based definition of children who are most at risk of(More)
BACKGROUND GPs report the lowest levels of morale among doctors, job satisfaction is low, and the GP workforce is diminishing. Workload is frequently cited as negatively impacting on commitment to a career in general practice, and many GPs report that their workload is unmanageable. AIM To gather an in-depth understanding of GPs' perceptions and attitudes(More)
OBJECTIVE To assess the diagnostic accuracy of pain on travelling over speed bumps for the diagnosis of acute appendicitis. DESIGN Prospective questionnaire based diagnostic accuracy study. SETTING Secondary care surgical assessment unit at a district general hospital in the UK. PARTICIPANTS 101 patients aged 17-76 years referred to the on-call(More)
BACKGROUND The existence of a crisis in primary care in the UK is in little doubt. GP morale and job satisfaction are low, and workload is increasing. In this challenging context, finding ways for GPs to manage that workload is imperative. AIM To explore what existing or potential strategies are described by GPs for dealing with their workload, and their(More)
OBJECTIVES National Institute for Health and Care Excellence guidelines recommend immediate antibiotic treatment of respiratory tract infections in 'at-risk' individuals with comorbidities. Observational evidence suggests that influenza particularly predisposes children to bacterial complications. This study investigates general practitioners' (GPs')(More)
OBJECTIVES To assess the diagnostic accuracy of three personal breathalyser devices available for sale to the public marketed to test safety to drive after drinking alcohol. DESIGN Prospective comparative diagnostic accuracy study comparing two single-use breathalysers and one digital multiuse breathalyser (index tests) to a police breathalyser (reference(More)
OBJECTIVES Children presenting unplanned to healthcare services are routinely asked about previous immunisations as part of their assessment. We aimed to assess the accuracy of screening children for immunisation status by history. DESIGN Diagnostic accuracy study. We compared information from patient history by a retrospective review of notes and used a(More)
British Journal of General Practice, December 2013 663 IntroduCtIon Numquam ponenda est pluralitas sine necessitate (plurality ought never be posed without necessity), proposed William of Ockham (Occam) in the early 14th century. Commonly known as ‘Occam’s razor’, this principle asserts that a single unifying diagnosis is more likely to explain multiple(More)
BACKGROUND Pertussis (whooping cough) is a highly infective cause of cough that causes significant morbidity and mortality. Existing case definitions include paroxysmal cough, whooping, and posttussive vomiting, but diagnosis can be difficult. We determined the diagnostic accuracy of clinical characteristics of pertussis-associated cough. METHODS We(More)