Publications by authors named "S Hulse"

To address the holistic and continuity of care needs of people who attend North East hospitals frequently for alcohol-related reasons, Recovery Navigator (Navigator) roles were introduced into Alcohol Care Teams in six hospitals in the North East of England, UK, in 2022. The Navigators aimed to provide dedicated holistic support to patients experiencing alcohol harms, starting whilst in the hospital with the potential to continue this beyond discharge. This qualitative study explores the contributions that the Navigators make towards integrated alcohol care.

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Background: Although high treatment costs of breast cancer care are well documented, the relationship between delayed/forgone (D/F) care and resource utilization among patients with breast cancer is unknown. This study sought to investigate the relationship between D/F care, resource use, and healthcare expenditures among patients with breast cancer.

Methods: Data on adult female patients with breast cancer were obtained from the Medical Expenditure Panel Survey to assess resource utilization and expenditures in the United States from 2007 to 2017.

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Evolutionary models of quantitative traits often assume trade-offs between beneficial and detrimental traits, requiring modellers to specify a function linking trait values. The choice of trade-off function can be consequential; functions that assume diminishing returns (accelerating costs) typically lead to single equilibrium genotypes, while decelerating costs often lead to genetic polymorphisms. Despite their importance, our current theory has little to say on which trade-off functions are the most biologically plausible.

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Article Synopsis
  • The COVID-19 pandemic exacerbated alcohol-related issues in England, particularly impacting lower-socioeconomic groups, with the North East and North Cumbria region experiencing the highest levels of alcohol-related harm in the country.
  • A study was conducted involving 30 non-alcohol specialist healthcare staff to explore their practices and challenges in recognizing and supporting patients with Alcohol Use Disorder (AUD) in secondary care hospitals after the pandemic.
  • Key barriers to implementing effective alcohol prevention strategies included increased poverty, acute care prioritization, stigma, and a lack of knowledge and skills among hospital staff regarding alcohol-related issues.
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