ORCID Profile
0000-0002-4654-9520
Current Organisation
University of Kent
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Publisher: Springer Science and Business Media LLC
Date: 05-06-2017
Publisher: BMJ
Date: 2012
Publisher: Royal College of General Practitioners
Date: 09-09-2019
Abstract: Over the last 5 years, national policy has encouraged general practices to serve populations of 000 people (called ‘working at scale’) by collaborating with other practices. To describe the number of English general practices working at scale, and their patient populations. Observational study of general practices in England. Data published by the NHS on practices’ self-reports of working in groups were supplemented with data from reports by various organisations and practice group websites. Practices were categorised by the extent to which they were working at scale within these categories, the age distribution of the practice population, level of socioeconomic deprivation, rurality, and prevalence of longstanding illness were then examined. Approximately 55% of English practices (serving 33.5 million patients) were working at scale, in idually or collectively serving populations of 000 people. Organisational models representing close collaboration for the purposes of core general practice services were identifiable for approximately 5% of practices these comprised large practices, superpartnerships, and multisite organisations. Approximately 50% of practices were working in looser forms of collaboration, focusing on services beyond core general practice for ex le, primary care in the evenings and at weekends. Data on organisational models and the purpose of the collaboration were very limited for this group. In early 2018, approximately 5% of general practices were working closely at scale approximately half of practices were working more loosely at scale. However, data were incomplete. Better records of what is happening at practice level should be collected so that the effect of working at scale on patient care can be evaluated.
Publisher: Hindawi Limited
Date: 2012
DOI: 10.1155/2012/835167
Abstract: Background . Women over 70 with breast cancer have poorer one-year survival and present at a more advanced stage than younger women. Promoting early symptomatic presentation in older women may reduce stage cost effectively and is unlikely to lead to overdiagnosis. After examining efficacy in a randomised controlled trial, we piloted a brief health professional-delivered intervention to equip women to present promptly with breast symptoms, as an integral part of the final invited mammogram at age ~ 70, in the English National Health Service Breast Screening Programme. Methods . We trained mammographers, who then offered the intervention to older women in four breast screening services. We examined breast cancer awareness at baseline and one month in women receiving the intervention, and also in a service where the intervention was not offered. Results . We trained 27 mammographers to deliver the intervention confidently to a high standard. Breast cancer awareness increased 7-fold at one month in women receiving the intervention compared with 2-fold in the comparison service (odds ratio 15.2, 95% confidence interval 10.0 to 23.2). Conclusions . The PEP Intervention can be implemented in routine clinical practice with a potency similar to that achieved in a randomised controlled trial. It has the potential to reduce delay in diagnosis for breast cancer in older women.
Publisher: SAGE Publications
Date: 23-05-2013
Abstract: Older women are more likely to delay presentation with breast cancer, which contributes to poorer survival. We evaluated a written intervention that was designed to provide women with the knowledge, motivation, confidence and skills to present promptly with breast cancer symptoms. We assessed acceptability and understanding of the intervention by interviewing 43 women. We used their responses to refine the intervention. We tested the effect of the intervention on breast cancer awareness, confidence and intentions to check breasts and perceived barriers to help-seeking using a self-report questionnaire administered to 61 women prior to and one month after receiving the intervention. Quantitative data were analysed using the McNemar test. Women were not made anxious by the intervention and understood its messages. At one month, a greater proportion of women knew that breast cancer risk increases with age, identified ≥5 non-lump symptoms and reported breast checking at least monthly in comparison to before the intervention was implemented. The intervention does not induce anxiety, is understandable, and appears to increase breast cancer awareness. The results provide justification for a more rigorous trial to test efficacy.
Publisher: Springer Science and Business Media LLC
Date: 31-01-2013
DOI: 10.1038/BJC.2012.542
Publisher: BMJ
Date: 02-2014
Publisher: SAGE Publications
Date: 06-2020
Abstract: Shape memory alloys are increasingly used in numerous smart engineering structures. This study experimentally investigates static flexural and free vibration characteristics of composite beams reinforced with shape memory alloy wires. The key to this study is using shape memory alloy fibers as a means for influencing and tuning the static and dynamic responses of structures. A series of static three-point bending and modal experiments is performed to capture the capability of shape memory alloy wires in controlling the static and dynamic responses of a reinforced beam. Static and dynamic behaviors of the fiber-reinforced beam with different volumetric fiber fractions are examined. Before heat excitation, increasing the number of shape memory alloy wires leads to higher beam stiffness and lower beam deflection. However, with both heat activation and the higher number of shape memory alloy wires, beam deflection is significantly reduced. The modal vibration tests demonstrated that when shape memory alloy wires are not activated, the magnitude of natural frequencies slightly decreases by increasing the number of shape memory alloy wires. However, with heat excitation, the higher number of shape memory alloy wires, in contrast, increases the magnitude of natural frequencies. Furthermore, the higher number of activated shape memory alloy wires shows to predominantly increase the magnitude of higher modes of vibration rather than lower modes.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Lindsay Forbes.