Publications by authors named "R Lilford"
Article Synopsis
- A systematic review was conducted to summarize the latest evidence on oral health issues in slum areas, highlighting the disease burden, perceptions, practices, and access to services in both slum and non-slum urban environments of low and middle-income countries (LMICs).
- The review included studies published from January 2000 to June 2023 and utilized comprehensive databases, focusing on empirical research that reported on oral health among slum residents.
- Out of 56 assessed articles, 23 were included in the review, primarily from Asia (57%) and Africa (39%), with a varied focus on slums and urban settings to better inform health policy.
Background: Dichotomisation of statistical significance, rather than interpretation of effect sizes supported by confidence intervals, is a long-standing problem.
Methods: We distributed an online survey to clinical trial statisticians across the UK, Australia and Canada asking about their experiences, perspectives and practices with respect to interpretation of statistical findings from randomised trials. We report a descriptive analysis of the closed-ended questions and a thematic analysis of the open-ended questions.
Background: Real-time disease surveillance is an important component of infection control in at-risk populations. However, data on cases or from lab testing is often not available in many low-resource settings. Rapid diagnostic tests (RDT), including immunochromatographic assays, may provide a low cost, expedited source of infection data.
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- - Antibiotic-resistant infections are a major global health concern, causing over 700,000 deaths annually, leading to the development of ePAMS+, an ePrescribing tool aimed at improving antibiotic usage and combating resistance in healthcare settings.
- - A non-randomised trial was conducted in two English hospitals during the pandemic to assess the feasibility and usability of ePAMS+, involving interviews and quantitative data collection to evaluate its implementation and effects on antibiotic prescribing practices.
- - Results from 60 interviews and nearly 2,000 patient admissions indicated some aspects of ePAMS+ were well-received, though improvements are needed for certain features, highlighting both the potential and challenges of adopting this antimicrobial stewardship tool in clinical settings.