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BACKGROUND Hospital readmission for acute exacerbation of COPD (AECOPD) occurs in up to 30% of patients, leading to excess morbidity and poor survival. Physiological risk factors predict readmission, but the impact of modifiable psychosocial risk factors remains uncertain. We aimed to evaluate whether psychosocial risk factors independently predict(More)
AIMS To describe the sequence of clinically apparent events causing readmission and antedating death, subsequent to a first-time hospital admission for heart failure, in order to give insights into the natural history and mechanisms of progression of heart failure. METHODS A national database of linked hospital discharge and mortality data for Scotland(More)
BACKGROUND Hypertension is an increasing health issue in sub-Saharan Africa where malaria remains common in pregnancy. We established a birth cohort in Nigeria to evaluate the early impact of maternal malaria on newborn blood pressure (BP). METHODS Anthropometric measurements, BP, blood films for malaria parasites and haematocrit were obtained in 436(More)
We established a maternal birth cohort in Ibadan, Nigeria, where malaria is hyperendemic, to assess how intrauterine exposure to malaria affected infant blood pressure (BP) development. In a local maternity hospital, healthy pregnant women had regular blood films for malaria parasites from booking to delivery. Growth and BP were measured on 318 babies, all(More)
BACKGROUND To describe an organizing framework, Population Impact Analysis, for applying the findings of systematic reviews of public health literature to estimating the impact on a local population, with the aim of implementing evidence-based decision-making. METHODS A framework using population impact measures to demonstrate how resource allocation(More)
In a partially randomized preference trial (PRPT) patients with no treatment preference are allocated to groups at random, but those who express a preference receive the treatment of their choice. It has been suggested that the design can improve the external and internal validity of trials. We used computer simulation to illustrate the impact that an(More)
OBJECTIVES (1) To quantify the effect of using different public health competence frameworks to audit the curriculum of an online distance learning MPH program, and (2) to measure variation in the outcomes of the audit depending on which competence framework is used. STUDY DESIGN Retrospective audit. METHODS We compared the teaching content of an online(More)
n Nigeria, as for much of sub-Saharan Africa, increasing noncommunicable diseases coexist with traditional infections. 1 The steady rise in hypertension prevalence at younger ages than in developed countries 2 leads to earlier complications and premature death from hypertensive heart disease, stroke, and end-stage renal failure. 3,4 Malarial infection is(More)
n Nigeria, as for much of sub-Saharan Africa, increasing noncommunicable diseases coexist with traditional infections. 1 The steady rise in hypertension prevalence at younger ages than in developed countries 2 leads to earlier complications and premature death from hypertensive heart disease, stroke, and end-stage renal failure. 3,4 Malarial infection is(More)
I n Nigeria, as for much of sub-Saharan Africa, increasing noncommunicable diseases coexist with traditional infections. 1 The steady rise in hypertension prevalence at younger ages than in developed countries 2 leads to earlier complications and premature death from hypertensive heart disease, stroke, and end-stage renal failure. 3,4 Malarial infection is(More)
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