Publications by category
Books
DANIELS (2016).
Mrcgp Akt 1001 Questions Answers.Abstract:
Mrcgp Akt 1001 Questions Answers
Abstract.
Daniels R (2007).
Nmrcgp Practice Papers Applied Knowledge Test., PasTest Ltd.
Abstract:
Nmrcgp Practice Papers Applied Knowledge Test
Abstract.
Daniels R, Neumegen G, Acheson P (2002).
Practice Papers for the Mrcgp Written Paper.Abstract:
Practice Papers for the Mrcgp Written Paper
Abstract.
Journal articles
Daniels R, Cottin J, Khanafer N (2023). Point-of-Care Testing for SARS-CoV-2: a Prospective Study in a Primary Health Centre.
Diagnostics,
13(11), 1888-1888.
Abstract:
Point-of-Care Testing for SARS-CoV-2: a Prospective Study in a Primary Health Centre
Background: in 2020, health systems across the world responded to the COVID-19 pandemic by making rapid changes to reduce the risk of exposure in patients and healthcare professionals. The use of point-of-care tests (POCT) has been a central strategy in dealing with the COVID-19 pandemic. The aims of this study were to evaluate the impact of POCT strategy (1) on maintaining elective surgeries by removing the risk of delayed pre-appointment testing and turn-around times and (2) on time dedicated for end-to-end appointment and management, and (3) to assess the feasibility of using the ID NOW® among healthcare professionals and patients in a primary care setting, requiring pre-surgical appointment and minor ENT surgery in the Townsend House Medical Centre (THMC), Devon, United Kingdom. Methods: a logistic regression was performed to identify factors associated with the risk of canceled or delayed surgeries and medical appointments. Second, a multivariate linear regression analysis was conducted to calculate changes in the time dedicated to administrative tasks. A questionnaire was developed to assess the acceptance of POCT in patients and staff. Results: 274 patients were included in this study; 174 (63.5%) in Group 1 (Usual Care) and 100 (36.5%) in Group 2 (Point of Care). Multivariate logistic regression showed that the percentage of postponed or canceled appointments was similar between the two groups (adjusted OR = 0.65, [95%CI: 0.22–1.88]; p = 0.42). Similar results were observed for the percentage of postponed or canceled scheduled surgeries (adjusted OR = 0.47, [95%CI: 0.15–1.47]; p = 0.19). The time dedicated to administrative tasks was significantly lowered by 24.7 min in G2 compared to G1 (p < 0.001). 79 patients in G2 (79.0%) completed the survey, and the majority agreed or strongly agreed that it improved care management (79.7%), decreased administrative time (65.8%), reduced the risk of canceled appointments (74.7%) and the traveling time to do COVID-19 test (91.1%). Having point-of-care testing in the clinic in the future seemed more than welcome by 96.6% of patients; 93.6% declared to be less stressed by having the test at the clinic than waiting for the results of the test realized elsewhere. The five healthcare professionals of the primary care center completed the survey, and all agreed that the POCT positively influences the workflow and can be successfully implemented into routine primary care. Conclusions: Our study shows that NAAT-based point-of-care SARS-CoV-2 testing significantly improved flow management in a primary care setting. POC testing was a feasible and well-accepted strategy by patients and providers.
Abstract.
Mokbel K, Daniels R, Weedon MN, Jackson L (2022). A Comparative Safety Analysis of Medicines Based on the UK Pharmacovigilance and General Practice Prescribing Data in England.
In Vivo,
36(2), 780-800.
Abstract:
A Comparative Safety Analysis of Medicines Based on the UK Pharmacovigilance and General Practice Prescribing Data in England.
BACKGROUND/AIM: Adverse drug reactions (ADRs) represent a major concern leading to significant increases in both morbidity and mortality globally. Providing healthcare professionals (HCPs) and patients with real-world data on drug safety is imperative to facilitate informed decision-making. The study aimed to determine the feasibility of creating comparative safety charts for medicines by mapping ADR reporting onto prescribing data. MATERIALS AND METHODS: Data on serious and fatal ADR reports from the Yellow Card database was mapped onto general practice prescription data in England. The rate of serious and fatal ADR reports per million items prescribed was calculated for commonly-prescribed medicines. RESULTS: Quantitative comparative analyses for 137 medicines belonging to 26 therapeutic classes were conducted. Significant differences were observed within most therapeutic classes for the rate of serious and fatal ADR reports per prescribing unit. CONCLUSION: Despite the limitations of ADR reporting and prescribing databases, the study provides a proof-of-concept for the feasibility of mapping ADR reporting onto prescribing data to create comparative safety charts that could support evidence-based decision-making around formulary choices.
Abstract.
Author URL.
Daniels R, Harding A, Smith JR, Gomez-Cano M (2020). Development and validation of a tool to measure belongingness as a proxy for participation in undergraduate clinical learning. Education for Primary Care, 31(5), 311-317.
Daniels R, mukaara B, Ngenzi J (2017). Telemedicine as a tool to improve access to specialist healthcare for ENT outpatients in rural Rwanda: pilot project. East African Medical Journal, 93, 565-566.
Daniels RJ (2011). It's not their fault. BMJ, 343
Daniels RJ (2001). It is too easy to blame only the patient. BMJ, 323(7303).
Daniels RJ (1998). Serotonin syndrome due to venlafaxine overdose.
Emergency Medicine Journal,
15(5), 333-334.
Abstract:
Serotonin syndrome due to venlafaxine overdose
A case is presented of serotonin syndrome after deliberate overdose of the antidepressant venlafaxine. The mechanism, diagnosis, and management of this disorder is discussed.
Abstract.
Daniels RJ, Fulcher RA (1997). An unusual cause of rib fracture following a road traffic accident.
Emergency Medicine Journal,
14(2), 113-114.
Abstract:
An unusual cause of rib fracture following a road traffic accident
A case is presented which is thought to be the first described example of rib fracture occurring as a result of airbag inflation. It would appear that the propellant cartridge came loose during deployment to form a missile, striking the patient on his chest and fracturing a rib.
Abstract.
Cooper P, Guderian R, Paredes W, Daniels R, Perera D, Espinel M, Valdez M, Griffin G (1996). Bartonellosis in Zamora Chinchipe province in Ecuador.
Trans R Soc Trop Med Hyg,
90(3), 241-243.
Abstract:
Bartonellosis in Zamora Chinchipe province in Ecuador.
Human bartonellosis was investigated in the Ecuadorian province of Zamora Chinchipe; 17 cases were identified retrospectively from hospital records over the period 1984-1995, mostly from 6 communities in the provincial district of Zumba. A questionnaire concerning risk factors for disease transmission was administered in these 6 communities. Blood samples were taken from individuals with current febrile illnesses or skin lesions suggestive of bartonellosis. Samples for detection of Bartonella bacilliformis were also taken from all school-age children in communities where historical cases had been identified by questionnaire. No bacteriologically positive case was identified and no evidence of asymptomatic infection was detected. Risk factors for disease transmission, identified by the questionnaire, included the presence of sick or dying chickens and guinea-pigs. It was suggested that bartonellosis is a zoonosis with wild animals, probably rodents, as the reservoir. The widespread use of residual insecticides and the easy availability of antibiotics is likely to have modified the epidemiology of this disease over the last decade.
Abstract.
Author URL.
Publications by year
2023
Daniels R, Cottin J, Khanafer N (2023). Point-of-Care Testing for SARS-CoV-2: a Prospective Study in a Primary Health Centre.
Diagnostics,
13(11), 1888-1888.
Abstract:
Point-of-Care Testing for SARS-CoV-2: a Prospective Study in a Primary Health Centre
Background: in 2020, health systems across the world responded to the COVID-19 pandemic by making rapid changes to reduce the risk of exposure in patients and healthcare professionals. The use of point-of-care tests (POCT) has been a central strategy in dealing with the COVID-19 pandemic. The aims of this study were to evaluate the impact of POCT strategy (1) on maintaining elective surgeries by removing the risk of delayed pre-appointment testing and turn-around times and (2) on time dedicated for end-to-end appointment and management, and (3) to assess the feasibility of using the ID NOW® among healthcare professionals and patients in a primary care setting, requiring pre-surgical appointment and minor ENT surgery in the Townsend House Medical Centre (THMC), Devon, United Kingdom. Methods: a logistic regression was performed to identify factors associated with the risk of canceled or delayed surgeries and medical appointments. Second, a multivariate linear regression analysis was conducted to calculate changes in the time dedicated to administrative tasks. A questionnaire was developed to assess the acceptance of POCT in patients and staff. Results: 274 patients were included in this study; 174 (63.5%) in Group 1 (Usual Care) and 100 (36.5%) in Group 2 (Point of Care). Multivariate logistic regression showed that the percentage of postponed or canceled appointments was similar between the two groups (adjusted OR = 0.65, [95%CI: 0.22–1.88]; p = 0.42). Similar results were observed for the percentage of postponed or canceled scheduled surgeries (adjusted OR = 0.47, [95%CI: 0.15–1.47]; p = 0.19). The time dedicated to administrative tasks was significantly lowered by 24.7 min in G2 compared to G1 (p < 0.001). 79 patients in G2 (79.0%) completed the survey, and the majority agreed or strongly agreed that it improved care management (79.7%), decreased administrative time (65.8%), reduced the risk of canceled appointments (74.7%) and the traveling time to do COVID-19 test (91.1%). Having point-of-care testing in the clinic in the future seemed more than welcome by 96.6% of patients; 93.6% declared to be less stressed by having the test at the clinic than waiting for the results of the test realized elsewhere. The five healthcare professionals of the primary care center completed the survey, and all agreed that the POCT positively influences the workflow and can be successfully implemented into routine primary care. Conclusions: Our study shows that NAAT-based point-of-care SARS-CoV-2 testing significantly improved flow management in a primary care setting. POC testing was a feasible and well-accepted strategy by patients and providers.
Abstract.
2022
Mokbel K, Daniels R, Weedon MN, Jackson L (2022). A Comparative Safety Analysis of Medicines Based on the UK Pharmacovigilance and General Practice Prescribing Data in England.
In Vivo,
36(2), 780-800.
Abstract:
A Comparative Safety Analysis of Medicines Based on the UK Pharmacovigilance and General Practice Prescribing Data in England.
BACKGROUND/AIM: Adverse drug reactions (ADRs) represent a major concern leading to significant increases in both morbidity and mortality globally. Providing healthcare professionals (HCPs) and patients with real-world data on drug safety is imperative to facilitate informed decision-making. The study aimed to determine the feasibility of creating comparative safety charts for medicines by mapping ADR reporting onto prescribing data. MATERIALS AND METHODS: Data on serious and fatal ADR reports from the Yellow Card database was mapped onto general practice prescription data in England. The rate of serious and fatal ADR reports per million items prescribed was calculated for commonly-prescribed medicines. RESULTS: Quantitative comparative analyses for 137 medicines belonging to 26 therapeutic classes were conducted. Significant differences were observed within most therapeutic classes for the rate of serious and fatal ADR reports per prescribing unit. CONCLUSION: Despite the limitations of ADR reporting and prescribing databases, the study provides a proof-of-concept for the feasibility of mapping ADR reporting onto prescribing data to create comparative safety charts that could support evidence-based decision-making around formulary choices.
Abstract.
Author URL.
2020
Daniels R, Harding A, Smith JR, Gomez-Cano M (2020). Development and validation of a tool to measure belongingness as a proxy for participation in undergraduate clinical learning. Education for Primary Care, 31(5), 311-317.
2017
Daniels R, mukaara B, Ngenzi J (2017). Telemedicine as a tool to improve access to specialist healthcare for ENT outpatients in rural Rwanda: pilot project. East African Medical Journal, 93, 565-566.
2016
DANIELS (2016).
Mrcgp Akt 1001 Questions Answers.Abstract:
Mrcgp Akt 1001 Questions Answers
Abstract.
2011
Daniels RJ (2011). It's not their fault. BMJ, 343
Daniels R (2011). My life as a heartsink patient: living with chronic pain. BJGP 2011;61:75.
2007
Daniels R (2007).
Nmrcgp Practice Papers Applied Knowledge Test., PasTest Ltd.
Abstract:
Nmrcgp Practice Papers Applied Knowledge Test
Abstract.
2002
Daniels R, Neumegen G, Acheson P (2002).
Practice Papers for the Mrcgp Written Paper.Abstract:
Practice Papers for the Mrcgp Written Paper
Abstract.
2001
Daniels RJ (2001). It is too easy to blame only the patient. BMJ, 323(7303).
1998
Daniels RJ (1998). Serotonin syndrome due to venlafaxine overdose.
Emergency Medicine Journal,
15(5), 333-334.
Abstract:
Serotonin syndrome due to venlafaxine overdose
A case is presented of serotonin syndrome after deliberate overdose of the antidepressant venlafaxine. The mechanism, diagnosis, and management of this disorder is discussed.
Abstract.
1997
Daniels RJ, Fulcher RA (1997). An unusual cause of rib fracture following a road traffic accident.
Emergency Medicine Journal,
14(2), 113-114.
Abstract:
An unusual cause of rib fracture following a road traffic accident
A case is presented which is thought to be the first described example of rib fracture occurring as a result of airbag inflation. It would appear that the propellant cartridge came loose during deployment to form a missile, striking the patient on his chest and fracturing a rib.
Abstract.
1996
Cooper P, Guderian R, Paredes W, Daniels R, Perera D, Espinel M, Valdez M, Griffin G (1996). Bartonellosis in Zamora Chinchipe province in Ecuador.
Trans R Soc Trop Med Hyg,
90(3), 241-243.
Abstract:
Bartonellosis in Zamora Chinchipe province in Ecuador.
Human bartonellosis was investigated in the Ecuadorian province of Zamora Chinchipe; 17 cases were identified retrospectively from hospital records over the period 1984-1995, mostly from 6 communities in the provincial district of Zumba. A questionnaire concerning risk factors for disease transmission was administered in these 6 communities. Blood samples were taken from individuals with current febrile illnesses or skin lesions suggestive of bartonellosis. Samples for detection of Bartonella bacilliformis were also taken from all school-age children in communities where historical cases had been identified by questionnaire. No bacteriologically positive case was identified and no evidence of asymptomatic infection was detected. Risk factors for disease transmission, identified by the questionnaire, included the presence of sick or dying chickens and guinea-pigs. It was suggested that bartonellosis is a zoonosis with wild animals, probably rodents, as the reservoir. The widespread use of residual insecticides and the easy availability of antibiotics is likely to have modified the epidemiology of this disease over the last decade.
Abstract.
Author URL.