Thomas C. Hughes

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OBJECTIVES This study explores whether the specificity of risk assessment for parasuicide repetition can be improved by measurement of two psychological variables (over-generality of autobiographical memory and future fluency for positive events) in the immediate aftermath of the index parasuicide. DESIGN In a longitudinal study, parasuicide patients(More)
BACKGROUND The London 2012 Olympic and Paralympic Games is a mass gathering event that will present a major public health challenge. The Health Protection Agency, in collaboration with the College of Emergency Medicine, has established the Emergency Department Sentinel Syndromic Surveillance System (EDSSS) to support the public health surveillance(More)
—Retention and readability of small (2.5 3 1.0 3 0.1-mm) and large (3.0 3 1.5 3 0.1mm) visible implant (VI) tags were compared among different size-classes (211–470 mm total length, TL) of hatchery brook trout Salvelinus fontinalis. Among smaller size-groups (,400 mm TL), retention of large tags (63–86%) 100 d after tagging was less than retention of small(More)
BACKGROUND Advanced resuscitation skills training is an important and enjoyable part of medical training, but requires small group instruction to ensure active participation of all students. Increases in student numbers have made this increasingly difficult to achieve. METHODS A single-blind randomised controlled trial of peer-led vs. expert-led(More)
BACKGROUND This study illustrates the potential of using emergency department attendance data, routinely accessed as part of a national syndromic surveillance system, to monitor the impact of thunderstorm asthma. METHODS The Emergency Department Syndromic Surveillance System (EDSSS) routinely monitors anonymised attendance data on a daily basis across a(More)
This report describes the development of novel syndromic cold weather public health surveillance indicators for use in monitoring the impact of extreme cold weather on attendances at EDs, using data from the 2010-11 and 2011-12 winters. A number of new surveillance indicators were created specifically for the identification and monitoring of cold weather(More)
Seasonal respiratory infections place an increased burden on health services annually. We used a sentinel emergency department syndromic surveillance system to understand the factors driving respiratory attendances at emergency departments (EDs) in England. Trends in different respiratory indicators were observed to peak at different points during winter,(More)
BACKGROUND Dysarthria is a common sequel of nonprogressive brain damage (typically stroke and traumatic brain damage). Impairment-based therapy and a wide variety of compensatory management strategies are undertaken by speech and language therapists with this patient population. OBJECTIVE To determine the efficacy of speech and language therapy(More)