Imran Rafi
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View article: PREVALENCE OF DERMATOPHYTE INFECTIONS IN SCHOOL-AGED CHILDREN AND ASSOCIATED HYGIENE PRACTICES
PREVALENCE OF DERMATOPHYTE INFECTIONS IN SCHOOL-AGED CHILDREN AND ASSOCIATED HYGIENE PRACTICES Open
Background: Dermatophyte infections remain a prevalent public health concern among school-aged children, particularly in low-resource and tropical regions. These infections, though often superficial, can cause significant discomfort, stigm…
View article: 124 Wealth & Short-Term Surgical Outcomes: A Systematic Review & Meta-Analysis
124 Wealth & Short-Term Surgical Outcomes: A Systematic Review & Meta-Analysis Open
Aim Socioeconomic factors play a key role in patient outcomes. This systematic review and meta-analysis, conducted in accordance with PRISMA guidelines, considers the effect of patient income/wealth level on 90-day postoperative outcomes. …
View article: Assessment of a Polygenic Risk Score in Screening for Prostate Cancer
Assessment of a Polygenic Risk Score in Screening for Prostate Cancer Open
In a prostate cancer screening program involving participants in the top decile of risk as determined by a polygenic risk score, the percentage found to have clinically significant disease was higher than the percentage that would have bee…
View article: UNENDURABLE WATER POLLUTION BY WASTE DUMPING IN BURIGANGA RIVER AND THREAT TO PUBLIC HEALTH: A MINI REVIEW
UNENDURABLE WATER POLLUTION BY WASTE DUMPING IN BURIGANGA RIVER AND THREAT TO PUBLIC HEALTH: A MINI REVIEW Open
A number of countries, particularly those in South and Southeast Asia, are suffering with river pollution; Bangladesh is among those affected by water pollution. The Buriganga River is regarded as one of the most contaminated rivers in Ban…
View article: Implementing a digital rare disease case-finding tool in UK primary care: a qualitative study of health professionals’ experience
Implementing a digital rare disease case-finding tool in UK primary care: a qualitative study of health professionals’ experience Open
Background Rare diseases affect millions of people globally, with a lifetime incidence of 1 in 17. They are complex, multisystem, severe disease, and patients experience a diagnostic delay averaging 5.6 years with associated misdiagnoses, …
View article: Integrating primary care: an inside perspective on the Fuller Stocktake
Integrating primary care: an inside perspective on the Fuller Stocktake Open
In November 2021 Claire Fuller led a national piece of work looking at primary care within integrated care systems (ICSs) to identify what was working well and why. The published report from this piece of work became known as the Fuller St…
View article: Impact of General Practitioner Education on Acceptance of an Adjuvanted Seasonal Influenza Vaccine among Older Adults in England
Impact of General Practitioner Education on Acceptance of an Adjuvanted Seasonal Influenza Vaccine among Older Adults in England Open
Seasonal vaccination against influenza and in-pandemic COVID-19 vaccination are top public health priorities; vaccines are the primary means of reducing infections and also controlling pressures on health systems. During the 2018–2019 infl…
View article: The BARCODE1 Pilot: a feasibility study of using germline single nucleotide polymorphisms to target prostate cancer screening
The BARCODE1 Pilot: a feasibility study of using germline single nucleotide polymorphisms to target prostate cancer screening Open
Objectives To assess the feasibility and uptake of a community‐based prostate cancer (PCa) screening programme selecting men according to their genetic risk of PCa. To assess the uptake of PCa screening investigations by men invited for sc…
View article: Primary care genomic research: One eye on the future
Primary care genomic research: One eye on the future Open
The exceptional advances in genomic medicine in the last two decades, since the sequencing of the human genome, have already had a major impact on healthcare in the UK. Until recently this was predominantly in secondary and tertiary care, …
View article: How genomic information is accessed in clinical practice: an electronic survey of UK general practitioners
How genomic information is accessed in clinical practice: an electronic survey of UK general practitioners Open
Genomic technologies are having an increasing impact across medicine, including primary care. To enable their wider adoption and realize their potential, education of primary health-care practitioners will be required. To enable the develo…
View article: Experiences of GP trainees in undertaking telephone consultations: a mixed-methods study
Experiences of GP trainees in undertaking telephone consultations: a mixed-methods study Open
Background Primary care telephone consultations are increasingly used for patient triage, reviews, and providing clinical information. They are also a key postgraduate training component yet little is known about GP trainees’ preparation f…
View article: Quality improvement of prescribing safety: a pilot study in primary care using UK electronic health records
Quality improvement of prescribing safety: a pilot study in primary care using UK electronic health records Open
Background Quality improvement (QI) is a priority for general practice, and GPs are expected to participate in and provide evidence of QI activity. There is growing interest in harnessing the potential of electronic health records (EHR) to…
View article: Should UK primary care be an early adopter of genomic medicine?
Should UK primary care be an early adopter of genomic medicine? Open
Genomics is the study of all the DNA in the genome, together with technologies that allow it to be read, analysed and interpreted. Powerful new genomic technologies now allow greater accessibility to the human genome which is, in turn, all…
View article: Thyroid hormone replacement in the preconception period and pregnancy
Thyroid hormone replacement in the preconception period and pregnancy Open
Hypothyroidism is common in women of reproductive age and occurs in 2–3% of all pregnancies.1,2 Suboptimal thyroid function in pregnancy carries significant risks of poor obstetric outcomes including pregnancy loss and offspring neurodevel…
View article: Serological surveillance of influenza in an English sentinel network: pilot study protocol
Serological surveillance of influenza in an English sentinel network: pilot study protocol Open
Background Rapidly undertaken age-stratified serology studies can produce valuable data about a new emerging infection including background population immunity and seroincidence during an influenza pandemic. Traditionally seroepidemiology …
View article: A patient-centred intervention to improve the management of multimorbidity in general practice: the 3D RCT
A patient-centred intervention to improve the management of multimorbidity in general practice: the 3D RCT Open
Background People with multimorbidity experience impaired quality of life, poor health and a burden from treatment. Their care is often disease-focused rather than patient-centred and tailored to their individual needs. Objective To implem…
View article: Conurbation, Urban, and Rural Living as Determinants of Allergies and Infectious Diseases: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2016-2017
Conurbation, Urban, and Rural Living as Determinants of Allergies and Infectious Diseases: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2016-2017 Open
Those living in conurbations or urban areas were more likely to consult a general practice for allergic rhinitis and upper respiratory tract infection. Both conurbation and rural living were associated with an increased risk of urinary tra…
View article: Understanding usual care for patients with multimorbidity: baseline data from a cluster-randomised trial of the 3D intervention in primary care
Understanding usual care for patients with multimorbidity: baseline data from a cluster-randomised trial of the 3D intervention in primary care Open
Objectives Recent evidence has highlighted the high prevalence and impact of multimorbidity, but the evidence base for improving management is limited. We have tested a new complex intervention for multimorbidity (the 3D model). The paper …
View article: Conurbation, Urban, and Rural Living as Determinants of Allergies and Infectious Diseases: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2016-2017 (Preprint)
Conurbation, Urban, and Rural Living as Determinants of Allergies and Infectious Diseases: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2016-2017 (Preprint) Open
BACKGROUND Living in a conurbation, urban, or rural environment is an important determinant of health. For example, conurbation and rural living is associated with increased respiratory and allergic conditions, whereas a farm or rural upb…
View article: Incidence of Lower Respiratory Tract Infections and Atopic Conditions in Boys and Young Male Adults: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2015-2016
Incidence of Lower Respiratory Tract Infections and Atopic Conditions in Boys and Young Male Adults: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2015-2016 Open
Boys younger than 15 years have greater odds of presenting with LRTI and atopic conditions, whereas girls may present more with URTI and UTI. These differences may provide insights into disease mechanisms and for health service planning.
View article: Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal college of general practitioners research and surveillance centre annual report 2015-2016
Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal college of general practitioners research and surveillance centre annual report 2015-2016 Open
Background: The Royal College of General Practitioners Research and Surveillance Centre comprises more than 150 general practices, with a combined population of more than 1.5 million, contributing to UK and European public health surveilla…
View article: Incidence of Lower Respiratory Tract Infections and Atopic Conditions in Boys and Young Male Adults: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2015-2016 (Preprint)
Incidence of Lower Respiratory Tract Infections and Atopic Conditions in Boys and Young Male Adults: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2015-2016 (Preprint) Open
BACKGROUND The Royal College of General Practitioners Research and Surveillance Centre comprises more than 150 general practices, with a combined population of more than 1.5 million, contributing to UK and European public health surveilla…