Browse research from the Peninsula Medical School.

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Submissions from 2018

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Physical activity for antenatal and postnatal depression in women attempting to quit smoking: randomised controlled trial, Amanda Daley, Muhammad Riaz, S Lewis, Paul Aveyard, Tim Coleman, Isaac Manyonda, Robert West, B Lewis, Bess Marcus, Adrian Taylor, Judith Ibison, Andrew Kent, and Michael Ussher

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Achieving Integrated Care for Older People: What Kind of Ship? Comment on “Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight for the Future?”, Rod Sheaff

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Ultramicroscopy/lightsheet-microscopy in dementia, E Kramer

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A systematic review and consensus definitions for standardised end-points in perioperative medicine: pulmonary complications, RM Pearse and StEP-COMPAC Group

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Children’s Compliance With Wrist-Worn Accelerometry Within a Cluster-Randomized Controlled Trial: Findings From the Healthy Lifestyles Programme, L Price, K Wyatt, J Lloyd, C Abraham, and et al

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Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales, R Laugharne, S Eaves, A Mascas, K Psatha, and et al

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Desperately seeking outcomes: Quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales, Richard Laugharne, Scott Eaves, Alin Mascas, Kiki Psatha, Gill Dinnis, Jonathan Trower, and Rohit Shankar

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Evaluating the development of medical revalidation in England and its impact on organisational performance and medical practice: overview report, J Archer, K Bloor, C Bojke, A Boyd, M Bryce, J Ferguson, N Gutacker, C Hillier, K Luscombe, T Price, de Bere S Regan, A Tazzyman, J Tredinnick-Rowe, and K Walshe

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‘It's a silver lining’: A template analysis of satisfaction and quality of life following post‐mastectomy breast reconstruction, H Matthews, A Turner, I Williamson, and W Clyne

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Mental Health in UK Biobank - development, implementation and results from an online questionnaire completed by 157,366 participants, WE Lee, K Davis, J Coleman, M Adams, and et al

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UMbRELLA: Evaluating the regulatory impacts of medical revalidation – final report., J Archer, N Cameron, M Lewis, M Marshall, J O'Hanlon, de Bere S Regan, K Walshe, R Baines, A Boyd, M Bryce, J Ferguson, E Gabe-Thomas, S Holmes, M Lalani, T Price, P Rae, M Roberts, S Stevens, A Tazzyman, J Tredinnick-Rowe, J Wakeling, and D Zahra

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The International Landscape of Medical Licensing Examinations: A Typology Derived From a Systematic Review, Julian Archer, Tristan Price, Nick Lynn, Lee Coombes, Martin Roberts, Tom Gale, and de Bere S Regan

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Has the time come to stratify and score SUDEP risk to inform people with epilepsy of their changes in safety?, Rohit Shankar, Craig Newman, Alistair Gales, Brendan N. McLean, Jane Hanna, Samantha Ashby, Matthew C. Walker, and Josemir W. Sander

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IMPACT OF DEMENTIA CARE HOME LEARNING COMMUNITY IN DEMENTIA CARE HOMES IN TORBAY, DEVON, UK, A Rana, D Somerfield, and R Sheaff

Ret protects the midbrain dopaminergic system against α- synuclein toxicity., E Kramer

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Using Social Media to Generate and Collect Primary Data: The #ShowsWorkplaceCompassion Twitter Research Campaign, W Clyne, S Pezaro, K Deeny, and R Kneafsey

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A Case of Invasive Sinonasal Carcinosarcoma: The Importance of Early Detection, J Yuen, V Varadarajan, M Stavrakas, S Muquit, and H Khalil

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Moral narratives and mental health: rethinking understandings of distress and healthcare support in contexts of austerity and welfare reform, Felicity Thomas, Lorraine Hansford, Joseph Ford, Katrina Wyatt, Rosemarie McCabe, and Richard Byng

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Interventions for reducing unplanned paediatric admissions: an observational study in one hospital, Kerryn Husk, Vashti Berry, Richard Tozer, Gina Skipwith, Robert Radmore, Susan Ball, Obioha C. Ukoumunne, and Stuart Logan

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Prescribing gardening and conservation activities for health and wellbeing in older people, Kerryn Husk, Rebecca Lovell, and Ruth Garside

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Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial., WS Beattie and et al

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The Role of Pedagogy in Clinical Education, J Tredinnick-Rowe

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Digital care in epilepsy: A conceptual framework for technological therapies, Rohit Shankar, Rupert Page, Brendan N. McLean, Jane Hanna, and Craig Newman

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Video-calls to reduce loneliness and social isolation within care environments for older people: an implementation study using collaborative action research, Sonam Zamir, Catherine Hagan Hennessy, Adrian H. Taylor, and Ray B. Jones

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Association between Household Air Pollution Exposure and Chronic Obstructive Pulmonary Disease Outcomes in 13 Low- and Middle-Income Country Settings., T Siddharthan, MR Grigsby, D Goodman, M Chowdhury, A Rubinstein, V Irazola, L Gutierrez, JJ Miranda, A Bernabe-Ortiz, D Alam, B Kirenga, R Jones, Gemert F van, RA Wise, and W Checkley

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Atezolizumab in Platinum-treated Locally Advanced or Metastatic Urothelial Carcinoma: Outcomes by Prior Number of Regimens., JL Perez-Gracia, Y Loriot, JE Rosenberg, T Powles, and et al

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From Programme Theory to Logic Models for Multispecialty Community Providers: A Realist Evidence Synthesis, WR Sheaff, S Brand, H LLoyd, A Wanner, M Fornasiero, S Briscoe, J Valderas, R Byng, and M Pearson

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Epigenomic Modifications Mediating Antibody Maturation, Richard Chahwan, Emily C. Sheppard, Rikke Brandstrup Morrish, Michael J. Dillon, and Rebecca Leyland

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Atezolizumab versus chemotherapy in patients with platinum-treated locally advanced or metastatic urothelial carcinoma (IMvigor211): a multicentre, open-label, phase 3 randomised controlled trial, T Powles, I Duran, MS van der Heijden, and et al

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Development and validation of Spasticity Index-Amyotrophic Lateral Sclerosis., C. A. Young, K. Milinis, A. Tennant, R. J. Mills, A. Al-Chalabi, G. Burke, D. J. Dick, J. Ealing, C. O. Hanemann, T. Harrower, C. J. McDermott, T. Majeed, A. Pinto, K. Talbot, T. Williams, and TONiC study group

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An evaluation of medical student-led podcasts: what are the lessons learnt?, S Kapoor, R Catton, and H Khalil

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Evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: study protocol for a randomised controlled trial., Tim Kirkpatrick, Charlotte Lennox, Rod Taylor, Rob Anderson, Michael Maguire, Mark Haddad, Susan Michie, Christabel Owens, Graham Durcan, Alex Stirzaker, William Henley, Caroline Stevenson, Lauren Carroll, Cath Quinn, Sarah Louise Brand, Tirril Harris, Amy Stewart, Roxanne Todd, Sarah Rybczynska-Bunt, Rebecca Greer, Mark Pearson, Jenny Shaw, and Richard Byng

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Acalabrutinib in relapsed or refractory mantle cell lymphoma (ACE-LY-004): a single-arm, multicentre, phase 2 trial, M Wang, S Rule, and et al

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Web-Based Intervention Using Behavioral Activation and Physical Activity for Adults With Depression (The eMotion Study): Pilot Randomized Controlled Trial (Preprint), JD Lambert, CJ Greaves, P Farrand, L Price, AM Haase, and AH Taylor

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Rapid Review on Safeguarding to Update the Healthy Child Programme 5 to 19, N Axford, K Lowther, L Timmons, G Bjornstad, L Brook, L Webb, and S Sonthalia

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NFAT-mediated defects in erythropoiesis cause anemia in Il2-/- mice., Amiya K. Patra, Sabrina Giampaolo, Gabriela Wójcik, Stefan Klein-Hessling, and Edgar Serfling

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Evaluating a Dementia Learning Community: exploratory study and research implications, Rod Sheaff, Ian Sherriff, and Catherine Hagan Hennessy

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General practitioner contributions to achieving sustained healthcare for offenders: a qualitative study, Cath Quinn, Katie Denman, Philippa Smithson, Christabel Owens, Rod Sheaff, John Campbell, Ian Porter, Jill Annison, and Richard Byng

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Ibrutinib versus temsirolimus: 3-year follow-up of patients with previously treated mantle cell lymphoma from the phase 3, international, randomized, open-label RAY study., S Rule, W Jurczak, M Jerkeman, C Rusconi, and et al

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Interventions to improve antimicrobial prescribing of doctors in training (IMPACT): a realist review, C Papoutsi, K Mattick, M Pearson, N Brennan, S Briscoe, and G Wong

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Prospective, multicentre study of external ventricular drainage-related infections in the UK and Ireland, AAB Jamjoom and British Neurosurgical Trainee Research Collaborative

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The scale of the problem of obstructive lung disease in Africa becomes clearer, but where are the solutions?, R Jones

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'Wrong' answers, right response: learning from randomised controlled trials when you don't get the results you were hoping for, N Axford, S Whelan, and T Hobbs

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Global proteome and phosphoproteome analysis of meningiomas, Jemma Dunn, Sara Ferluga, Edwin Lasonder, and Oliver Hanemann

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Cluster randomised controlled trial and economic and process evaluation to determine the effectiveness and cost-effectiveness of a novel intervention [Healthy Lifestyles Programme (HeLP)] to prevent obesity in school children., K Wyatt, J LLoyd, ES Creanor, C Green, SG Dean, M Hillsdon, C Abraham, R Tomlinson, V Pearson, RS Taylor, E Ryan, A Streeter, C McHugh, A Hurst, L Price, L Crathorne, C Krageloh, R Siegert, and S Logan

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Consensus Clustering of temporal profiles for the identification of metabolic markers of pre-diabetes in childhood (EarlyBird 73), Mario Lauria, Maria Persico, Nikola Dordevic, Ornella Cominetti, Alice Matone, Joanne Hosking, Alison Jeffery, Jonathan Pinkney, Silva L Da, Corrado Priami, Ivan Montoliu, and François Pierre Martin

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Physical activity and the prevention, reduction, and treatment of alcohol and/or substance use across the lifespan (The PHASE review): protocol for a systematic review, Tom P. Thompson, Adrian H. Taylor, Amanda Wanner, Kerryn Husk, Yinghui Wei, Siobhan Creanor, Rebecca Kandiyali, Jo Neale, Julia Sinclair, Mona Nasser, and Gary Wallace

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Codesigning a Measure of Person-Centred Coordinated Care to Capture the Experience of the Patient: The Development of the P3CEQ, T Sugavanam, B Fosh, J Close, R Byng, J Horrell, and H Lloyd

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Effectiveness of home-based exercise in older patients with advanced chronic obstructive pulmonary disease: A 3-year cohort study, Kozui Kida, Ritsuko Wakabayashi, Yuji Kusunoki, Kumiko Hattori, Takashi Motegi, Ryuko Furutate, Aki Itoh, Rupert C.M. Jones, and Michael E. Hyland

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Improvement of fatigue, physical functioning, and well-being among patients with severe impairment at baseline receiving ibrutinib in combination with bendamustine and rituximab for relapsed chronic lymphocytic leukemia/small lymphocytic lymphoma in the HELIOS study., P Cramer, G Fraser, R Santucci-Silva, S Grosicki, and et al

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Application of prognostic scores in the STOPAH trial: Discriminant function is no longer the optimal scoring system in alcoholic hepatitis, Ewan H. Forrest, Stephen R. Atkinson, Paul Richardson, Steven Masson, Stephen Ryder, Mark R. Thursz, Michael Allison, Anne McCune, Dermot Gleeson, Andrew Austin, David Patch, Ashwin Dhanda, Debbie Shawcross, and Mark Wright

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Can practitioners use patient reported measures to enhance person centred coordinated care in practice? A qualitative study, Hannah Wheat, Jane Horrell, Jose M. Valderas, James Close, Ben Fosh, and Helen Lloyd

Circulating miR-9 levels as a novel prognostic biomarker for highergrade meningioma, D Baiz, C Negroni, S Ferluga, E Ercolano, C Adams, and CO Hanemann

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Clinical chronobiology: a timely consideration in critical care medicine, Daniel Martin, Helen McKenna, der Horst GTJ van, and Irwin Reiss

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Correction to: Ret is essential to mediate GDNF’s neuroprotective and neuroregenerative effect in a Parkinson disease mouse model, Jorg B. Schulz, Anja Drinkut, Karsten Tillack, Durga P. Meka, Sebastian Kügler, and Edgar R. Kramer

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Decreasing the risk of sudden unexpected death in epilepsy: structured communication of risk factors for premature mortality in people with epilepsy, R. Shankar, W. Henley, C. Boland, R. Laugharne, B. N. McLean, C. Newman, J. Hanna, S. Ashby, M. C. Walker, and J. W. Sander

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Designing a care pathway for high risk parkinson’s patients, TLY Chloe, T Dominey, E Pearson, F Murphy, and C Carroll

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Diagnosis of lethal or prenatal‐onset autosomal recessive disorders by parental exome sequencing, Sian Ellard, Karen L. Stals, M Wakeling, Júlia Baptista, Richard Caswell, Andrew Parrish, Julia Rankin, Carolyn Tysoe, Garan Jones, Adam C. Gunning, Allen H Lango, Lisa Bradley, Angela F. Brady, Helena Carley, Jenny Carmichael, Bruce Castle, Deirdre Cilliers, Helen Cox, Charu Deshpande, Abhijit Dixit, Jacqueline Eason, Frances Elmslie, Andrew E. Fry, Alan Fryer, Muriel Holder, Tessa Homfray, Emma Kivuva, Victoria McKay, R Newbury‐Ecob, Michael Parker, Claire Searle, Nora Shannon, Deborah Shears, Sarah Smithson, Ellen Thomas, Peter D. Turnpenny, Vinod Varghese, Pradeep Vasudevan, E Wakeling, Emma L. Baple, and Sian Ellard

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Differential phosphorylation and n-terminal configuration of capsid subunits in parvovirus assembly and viral trafficking, J Gil-Ranedo, E Hernando, N Valle, L Riolobos, B Maroto, and JM Almendral

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Discrimination, harassment and non-reporting in UK medical education, Jonathan Broad, Marion Matheson, Fabienne Verrall, Anna K. Taylor, Daniel Zahra, Louise Alldridge, and Gene Feder

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Empowering students with the hidden curriculum, Hilary Neve and Tracey Collett

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Engaging Multiple Stakeholder Groups in the Development of Standards for Multiple Sclerosis Care: A Modified Delphi Process, J Hobart, A Bowen, L Eberhard, G Pepper, and G Giovannoni

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Engaging Without Exposing: Use of a Fictional Character to Facilitate Mental Health Talk in Focus Groups With Men Who Have Been Subject to the Criminal Justice System, Christabel Owens, Mary Carter, Deborah Shenton, Richard Byng, and Cath Quinn

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Enhanced natural killer cell activity is found in exposed uninfected recipients of hepatitis C-contaminated blood, M. M. Ow, D. Hegazy, U. M. Warshow, and M. E. Cramp

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Eslicarbazepine acetate as a replacement for levetiracetam in people with epilepsy developing behavioral adverse events, Rohit Shankar, Virupakshi Jalihal, William Henley, Mary Parrett, Phil Tittensor, Brendan N. McLean, Ammad Ahmed, and Josemir W. Sander

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Etiology and treatment of neurodegenerative diseases, E Kramer

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Evaluating the clinical utility of the parkinson’s kinetigraph (PKG), L Hutchinson, T Dominey, E Pearson, F Murphy, L Bell, and C Carroll

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Evidence from a quasi-experimental study for the effectiveness of the influenza vaccination against myocardial infarction in UK adults aged at least 65 y, AJ Streeter and WE Henley

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Exercise for people with Parkinson’s: a practical approach, Bhanu Ramaswamy, Julie Jones, and Camille Carroll

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Factors influencing treatment escalation from long-acting muscarinic antagonist monotherapy to triple therapy in patients with COPD: a retrospective THIN-database analysis, JR Hurst, M Dilleen, K Morris, S Hills, B Emir, and R Jones

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First comprehensive tool for screening pain in Parkinson's disease: The King's Parkinson's Disease Pain Questionnaire (KPPQ)., P. Martinez-Martin, A. M. Rizos, J. Wetmore, A. Antonini, P. Odin, S. Pal, R. Sophia, C. Carroll, D. Martino, C. Falup-Pecurariu, B. Kessel, T. Andrews, D. Paviour, C. Trenkwalder, K. R. Chaudhuri, and EUROPAR & MDS Non-Motor PD Study Group

Gender-questioning children deserve better science, Richard Byng, Susan Bewley, Damian Clifford, and Margaret McCartney

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Health trainer-led motivational intervention plus usual care for people under community supervision compared with usual care alone: a study protocol for a parallel-group pilot randomised controlled trial (STRENGTHEN), Tom P. Thompson, Lynne Callaghan, Emma Hazeldine, Cath Quinn, Samantha Walker, Richard Byng, Gary Wallace, Siobhan Creanor, Colin Green, Annie Hawton, Jill Annison, Julia Sinclair, Jane Senior, and Adrian H. Taylor

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High miR-9 levels represent a novel prognostic biomarker to predict development of malignant meningioma, D Baiz, C Negroni, S Ferluga, E Ercolano, C Adams, and CO Hanemann

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Humanized mice to investigate neurodegenerative diseases, E Kramer

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Identifying enablers and barriers to individually tailored prescribing: a survey of healthcare professionals in the UK, Joanne Reeve, Nicky Britten, Richard Byng, Jo Fleming, Janet Heaton, and Janet Krska

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Impact of the SIGN head injury guidelines and NHS 4-hour emergency target on hospital admissions for head injury in Scotland: an interrupted times series, Carl Marincowitz, Fiona E. Lecky, Eleanor Morris, Victoria Allgar, and Trevor A. Sheldon

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Improving community exercise provision in Parkinson’s, M Palin, J Rideout, C Carroll, and V Evans

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Improving the quality of cognitive screening assessments: ACEmobile, an iPad‐based version of the Addenbrooke's Cognitive Examination‐III, CGJ Newman, AD Bevins, JP Zajicek, JR Hodges, and et al

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Increasing motivation and engagement in neurosurgery for medical students through practical simulation-based learning, John Hanrahan, Michail Sideris, Parmenion P. Tsitsopoulos, Alexios Bimpis, Terouz Pasha, Peter C. Whitfield, and Apostolos E. Papalois

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Inequity of care provision and outcome disparity in autoimmune hepatitis in the United Kingdom, JK Dyson, Lin Lee Wong, Theophile Bigirumurame, Gideon M. Hirschfield, Stuart Kendrick, Ye H. Oo, Ansgar W. Lohse, MA Heneghan, David E.J. Jones, and Matthew Cramp

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Insulin resistance is higher in prepubertal girls but switches to become higher in boys at age 16: A Cohort Study (EarlyBird 57), Jonathan Pinkney, SC Jeffery, Joanne Hosking, AN Jeffery, Michael J. Murphy, Linda D. Voss, and Terence J. Wilkin

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International consensus on quality standards for multiple sclerosis care: results from a modified Delphi process, J Hobart, A Bowen, L Eberhard, G Pepper, and G Giovannoni

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Intervention Delivery Fidelity Assessment of a Counseling-Based Intervention for Promoting Smoking Reduction and Increasing Physical Activity, Tom P. Thompson, Jeffrey D. Lambert, Colin J. Greaves, and Adrian H. Taylor

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Interventions to improve antimicrobial prescribing of doctors in training (IMPACT): a realist review, N Brennan, C Papoutsi, K Mattick, M Pearson, S Briscoe, and G Wong

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Longitudinal analyses of serum metabolite phenotypes in the EarlyBird cohort identify metabolic readouts associated with childhood insulin resistance, J Hosking, M Lauria, O Cominetti, A Jeffery, J Hager, J Pinkney, and F-P Martin

Low back pain, Tim Germon, Damian Clifford, William Lee, and Jeremy Hobart

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Machine-learning based identification of undiagnosed dementia in primary care: a feasibility study, Emmanuel A. Jammeh, Camille B. Carroll, SW Pearson, Javier Escudero, Athanasios Anastasiou, Peng Zhao, Todd Chenore, John Zajicek, and Emmanuel Ifeachor

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Patient-reported outcomes with initiation of fluticasone furoate/vilanterol versus continuing usual care in the asthma Salford Lung Study, H Svedsater, R Jones, N Bosanquet, L Jacques, J Lay-Flurrie, DA Leather, J Vestbo, S Collier, and A Woodcock

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Personal wellbeing networks, social capital and severe mental illness: findings from an exploratory study, Vanessa Pinfold, Daryl Sweet, Richard Byng, Martin Webber, Doyo Gragn Enki, Ian Porter, John Larsen, and Peter Huxley

Planning future CPD. What comes next?, J Winter, R Turner, L Spowart, and P Kneale

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PO-511 High miR-9 levels represent a novel prognostic biomarker to predict development of malignant meningioma, D Baiz, C Negroni, S Ferluga, E Ercolano, C Adams, and OC Hanemann

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Prevalence of asthma, aspirin sensitivity and allergy in chronic rhinosinusitis: data from the UK National Chronic Rhinosinusitis Epidemiology Study, CM Philpott, S Erskine, C Hopkins, N Kumar, S Anari, N Kara, S Sunkaraneni, J Ray, A Clark, A Wilson, C Philpott, A Robertson, S Ahmed, S Carrie, V Sunkaraneni, P Jervis, J Panesaar, A Farboud, R Cathcart, R Almeyda, H Khalil, P Prinsley, N Mansell, M Salam, J Hobson, J Woods, and E Coombes

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Prospective subgroup analyses of the randomized MCL‐002 (SPRINT) study: lenalidomide versus investigator's choice in relapsed or refractory mantle cell lymphoma, L Arcaini, T Lamy, J Walewski, D Belada, and et al

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Quality after the QOF? Before dismantling it, we need a redefined measure of ‘quality’, James Close, Richard Byng, Jose M. Valderas, Nicky Britten, and Helen Lloyd

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Real-world effectiveness of influenza vaccination in older adults in the UK from 1997-2012: A quasi-experimental cohort study, WE Henley and AJ Streeter

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Responding effectively to adult mental health patient feedback in an online environment: A coproduced framework, Rebecca Baines, John Donovan, de Bere S Regan, Julian Archer, and Ray Jones

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Risk of thromboembolism in patients developing critical illness-associated atrial fibrillation, B Clayton, S Ball, J Read, and S Waddy

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The 2018 Lake Louise Acute Mountain Sickness Score, Robert C. Roach, Peter H. Hackett, Oswald Oelz, Peter Bärtsch, Andrew M. Luks, Martin J. MacInnis, J. Kenneth Baillie, Eric Achatz, Edi Albert, JS Andrews, JD Anholm, MZ Ashraf, P Auerbach, B Basnyat, BA Beidleman, RR Berendsen, MM Berger, KE Bloch, H Brugger, A Cogo, RG Costa, A Cumpstey, A Cymerman, T Debevec, C Duncan, D Dubowitz, A Fago, M Furian, M Gaidica, P Ganguli, MPW Grocott, D Hammer, D Hall, D Hillebrandt, MP Hilty, G Himashree, B Honigman, N Gilbert-Kawai, B Kayser, L Keyes, M Koehle, S Kohli, A Kuenzel, BD Levine, M Lichtblau, J Macdonald, MB Maeder, M Maggiorini, Daniel Martin, S Masuyama, J McCall, S McIntosh, Gregoire Millet, Fernando Moraga, Craig Mounsey, Stephen R. Muza, Samuel Oliver, Qadar Pasha, Ryan Paterson, Lara Phillips, Aurélien Pichon, Philipp A. Pickerodt, Matiram Pun, Manjari Rain, Drummond Rennie, G Ri-Li, Steven Roy, Samuel Verges, Santos TBC dos, Robert B. Schoene, Otto D. Schoch, Surinderpal Singh, Talant Sooronbaev, Craig D. Steinback, Mike Stembridge, Glenn Stewart, Tsering Stobdan, Giacomo Strapazzon, Andrew W. Subudhi, Erik Swenson, Thompson AA Roger, Patot MT van, Rosie Twomey, Silvia Ulrich, Nicolas Voituron, Dale R. Wagner, Shih Hao Wang, John B. West, Matt Wilkes, and Gabriel Willmann

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The British Neurosurgical Trainee Research Collaborative: Five years on, Angelos G. Kolias, Aswin Chari, Aimun A. Jamjoom, Ellie Edlmann, Aminul I. Ahmed, Ian C. Coulter, Ruichong Ma, Paul May, Paul M. Brennan, and Peter J.A. Hutchinson