Publications by authors named "M G Hawkins"

Article Synopsis
  • This study examines a new healthcare model in New Zealand that combines a low-carbohydrate diet and health coaching to help manage prediabetes and Type 2 diabetes.
  • Participants reported health benefits like weight loss and increased energy, while also facing challenges such as resistance from some healthcare providers and misconceptions about low-carb diets.
  • The model shows promise for improving patient outcomes and reducing the workload on healthcare professionals, though further education and awareness are needed for wider adoption.
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International Classification of Diseases, Tenth Revision (ICD-10) billing data used in outpatient stewardship metrics is under-described for acute and chronic sinusitis. We found that different sinusitis ICD-10 definitions impacted antibiotic prescribing rates (APRs). Chronic sinusitis ICD-10s dilute overall sinusitis APR, particularly in primary care settings and should be examined separately.

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Variation in outcomes definitions and reporting limit the utility of clinical trial results. The Core Outcome Research Measures in Anal Cancer (CORMAC) project developed a core outcome set (COS) for chemoradiotherapy trials for anal squamous cell carcinoma (ASCC) through an international healthcare professional and patient consensus process. The CORMAC-COS comprises 19 outcomes across 4 domains (disease activity, survival, toxicity, life impact).

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Mitotic activity is an important feature for grading several cancer types. However, counting mitotic figures (cells in division) is a time-consuming and laborious task prone to inter-observer variation. Inaccurate recognition of MFs can lead to incorrect grading and hence potential suboptimal treatment.

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Article Synopsis
  • The study examines four common health literacy instruments—TOFHLA, NVS, HLS-EU-Q47, and HLQ—to compare their effectiveness and reliability in measuring health literacy, noting that health literacy has become more about the interactive relationship between individuals and health systems rather than just individual skills.
  • Researchers found high internal consistency across all instruments, but observed notable floor and ceiling effects, with TOFHLA showing the highest ceiling effect and NVS the only floor effect.
  • The results indicated low to moderate correlations between the different instruments, suggesting they assess different aspects of health literacy; therefore, the choice of instrument should align with the specific goals of the measurement.
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