Vicky Hammersley

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BACKGROUND Corticosteroids and antiviral agents are widely used to treat the early stages of idiopathic facial paralysis (i.e., Bell's palsy), but their effectiveness is uncertain. METHODS We conducted a double-blind, placebo-controlled, randomized, factorial trial involving patients with Bell's palsy who were recruited within 72 hours after the onset of(More)
OBJECTIVE To evaluate the disease burden of upper respiratory infections in elderly people living at home. DESIGN Prospective surveillance of elderly people. INTERVENTION None. SETTING Leicestershire, England SUBJECTS 533 subjects 60 to 90 years of age. MAIN OUTCOME MEASURES Pathogens, symptoms, restriction of activity, duration of illness,(More)
OBJECTIVE To determine whether people whose marital partners have depression, diabetes, hypertension, ischaemic heart disease, stroke, hyperlipidaemia, peptic ulcer disease, or asthma or chronic obstructive pulmonary disease are at increased risk of the same disease. DESIGN Cross sectional study. SETTING 10 practices from the Trent Focus Collaborative(More)
INTRODUCTION Telephone consulting is increasingly used to improve access to care and optimise resources for day-time work. However, there remains a debate about how such consultations differ from face-to-face consultations in terms of content quality and/or safety. To investigate this, a comparison of family doctors' telephone and face-to-face consultations(More)
BACKGROUND The polymerase chain reaction has improved the detection of picornaviruses and rhinoviruses and our understanding of their role in reversible airways disease. The effects of colds on lower respiratory morbidity and bacterial colonisation in cystic fibrosis remain uncertain. METHODS Children with cystic fibrosis were evaluated regularly in the(More)
OBJECTIVES To determine whether paperless medical records contained less information than paper based medical records and whether that information was harder to retrieve. DESIGN Cross sectional study with review of medical records and interviews with general practitioners. SETTING 25 general practices in Trent region. PARTICIPANTS 53 British general(More)
In a prospective study of community-dwelling people 60-90 years of age, we examined the coverage of influenza vaccine during 1992-3 and 1993-4, the efficacy of vaccination in reducing serologically-confirmed clinical episodes of influenza A during 1993, and the effect of cigarette smoking. During 1992 and 1993, influenza vaccine was given to 106/215 (49%)(More)
OBJECTIVES To determine whether there are important differences in performance between group practices and singlehanded general practitioners and the extent to which any differences are explained by practice characteristics such as deprivation. DESIGN Cross sectional survey. SETTING 206 singlehanded practices and 606 partnerships in Trent region, United(More)
BACKGROUND It is notoriously difficult to recruit patients to randomised controlled trials in primary care. This is particularly true when the disease process under investigation occurs relatively infrequently and must be investigated during a brief time window. Bell's palsy, an acute unilateral paralysis of the facial nerve is just such a relatively rare(More)
BACKGROUND Informed decision-making approaches to cancer screening emphasise the importance of decisions being determined by individuals' own values and preferences. However, advice from a trusted source may also contribute to autonomous decision-making. This study examined preferences regarding a recommendation from the NHS and information provision in the(More)