Publications by authors named "N W Gale"
Objectives: Training/education is increasingly used to improve healthcare professionals' knowledge, attitudes and clinical skills about lesbian, gay, bisexual and transgender (LGBT) health, but few reviews have assessed their effectiveness. This review describes the impact of training about LGBT healthcare for healthcare professionals on participants' knowledge, attitudes and clinical practice.
Design: Systematic review of intervention studies with contemporaneous comparators.
Half of acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are caused by bacterial infection, but self-management plans (SMPs) generally advocate use of antibiotics and steroids for all events. We report findings from a qualitative study exploring the acceptability of a sputum colour chart and SMP to guide patient use of antibiotics and steroids (commonly termed a 'rescue pack'). Qualitative interviews were conducted with healthcare professionals (HCPs) and patients from the Colour COPD trial - a randomised controlled trial of usual care (SMP alone) versus usual care plus sputum colour chart to manage AECOPD across England and sampled to promote maximum variation.
View Article and Find Full Text PDFRecurrent respiratory papillomatosis (RRP) is caused by human papillomaviruses (HPV) 6 and 11, but the role of their genomic variants in the disease's clinical course is unclear. This study investigated whether long-term persistence of a particular HPV genotype, subtype or genomic variant influences the RRP clinical course. HPV genotyping was performed in paired baseline and follow-up RRP laryngeal tissue specimens of 59 patients.
View Article and Find Full Text PDFArticle Synopsis
- - The study explored how individuals with cystic fibrosis (PwCF) and multidisciplinary team (MDT) members view remote exercise services (RES) to inform future improvements.
- - Through online semi-structured interviews, participants shared positive perceptions of RES, noting benefits like saving time and costs, improving work efficiency, and gaining peer support.
- - However, they also identified challenges, primarily related to technology and a lack of visual cues, and suggested that future RES should focus on personalized exercise options, user-friendly platforms, and funding for equipment.