David Wainwright
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Impact of the MHRA safety update on vitamin B12 testing and coding in metformin users: a retrospective primary care analysis Open
Background Metformin is the most commonly prescribed oral treatment for type 2 diabetes mellitus (T2DM) in the UK. Long-term therapy has been linked to vitamin B 12 deficiency, a concern recognised for decades but not consistently addresse…
Impact of the MHRA Safety Update on Vitamin B 12 Testing and Coding in Metformin Users: A Retrospective Primary Care Analysis Open
Background: Metformin is the most commonly prescribed first-line oral treatment for type 2 diabetes mellitus (T2DM) in the UK. Long-term therapy has been linked to vitamin B 12 deficiency, a concern recognised for decades but not consisten…
Electronic medicine management systems in developing countries: A landscape review Open
Medicines are a major global health expense. However, suboptimal use increases costs and causes patient harm. One way to reduce costs and increase safe, efficient medicines use is with electronic medicines management systems (EMMS). They a…
Vitamin B12 deficiency in long-term metformin use and clinician awareness: a scoping review protocol Open
Introduction A relationship between long-term metformin use and vitamin B12 deficiency has been long discussed in the literature. Nonetheless, prior to 2022, there was no official guidance. In June 2022, the Medicines and Healthcare produc…
113 Predictors of Pain and Open Wounds Following CO2 Laser Management of Burn Scars Open
Introduction The CO2 laser can be beneficial in scar management, but there is a risk of pain and open wounds. This study aims to identify predictors of pain and wound formation based on treatment details and patient reported outcomes. Meth…
Scoping review protocol- Scoping review Vitamin B <sub>12</sub> deficiency in long term metformin use and clinician awareness Open
Introduction A relationship between long-term metformin use and vitamin B 12 deficiency has been long discussed in literature. Nonetheless, prior to 2022, there was no official guidance. In June 2022, the MHRA published advice, stating tha…
What Can Policy-Makers in the United Kingdom Learn from the Regulation of Physician Assistants in the United States of America? Open
The role of Physician Assistant emerged in 1960s America and their number has increased to become a significant component of the health care workforce in that country. On the eve of a new policy regulating Physician Associates in the Unite…
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Making Every Contact Count with people with MSK conditions: Exploring physiotherapist acceptability Open
There are known risk factors that are associated with the onset and exacerbation of musculoskeletal (MSK) conditions and pain. Physiotherapists are uniquely placed to deliver brief interventions with their patients. Healthy Conversation Sk…
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View article: Value and sustainability in technology-enabled care services: a case study from north-east England
Value and sustainability in technology-enabled care services: a case study from north-east England Open
A critical barrier to the large-scale adoption of technology-enabled care services (TECS) remains a lack of evidence around their business cases that would create sufficient value for the stakeholders involved. Drawing on a case study of t…
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Doctor–patient interactions that exclude patients experiencing homelessness from health services: an ethnographic exploration Open
Background People experiencing homelessness have poor health indices and poor access to health care. Their health service utilisation (HSU) is typified by: late illness presentations; poor attendance rates at appointments; low usage of pri…
Empowerment unmasked: welfare professionals and the reluctant exercise of state power Open
This study employed the methods of critical ethnography to examine the phenomenon of 'empowerment' as it occurred in a south London community project. The initiative aimed to form a partnership between welfare professionals and loca people…
An ethnography exploring the limits of dedifferentiation in the lives of adults with intellectual disabilities Open
Background: Dedifferentiation refers to the trend of positioning people with intellectual disabilities together with other disabled individuals for political purposes, to act as a counter to differentiated approaches. This article explores…
View article: Designing sustainable business models for telehealthcare services adoption: A critical realism informed case study approach
Designing sustainable business models for telehealthcare services adoption: A critical realism informed case study approach Open
A rising elderly population in England, together with the prevalence of long-term chronic health conditions and higher demands for social care, raise significant issues in terms of financing the provision of telehealthcare services. These …
What influences young doctors in their decision-making about general practice as a possible career? A qualitative study Open
Background: Recruitment to General Practitioner (GP) training programmes in the United Kingdom is poor. Colleagues' negative comments about general practice could contribute to this.Aim: To investigate what influences Foundation Year 2 (FY…