Measuring asthma quality in primary care: Can we develop better measures?

Measuring comorbidity in patients receiving dialysis: can we do better?

PROFESSIONAL EDUCATION • Board Certification: Nephrology, Royal College of Physicians of Ireland • Board Certification: Internal Medicine, Royal College of Physicians of Ireland • Fellowship: Stanford University Nephrology Program CA • Fellowship: Royal College of Physicians in Ireland (2013) Ireland • Residency: Mayo Clinic Graduate Medical Education (2009) MN • Residency: National University ...

Can We Find Better Bronchodilators to Relieve Asthma Symptoms?

Bronchodilators are the first line therapy during acute asthmatic exacerbations to reverse airway obstruction primarily by relaxing airway smooth muscle. Only three categories of bronchodilators exist in clinical practice: β-adrenergic agonists, anticholinergics, and methylxanthines. Each of these categories have specific drugs dating back to the early 20th century, raising the question of whet...

Primary Vascular Access: How can we do better?

The long-term survival and quality of life of patients on haemodialysis is dependent on the adequacy of dialysis via an appropriately placed vascular access. The native arteriovenous fistula at the wrist is generally accepted as the vascular access of choice in haemodialysis patients due to its low complication and high patency rates. It has been shown beyond doubt that an optimally functioning...

We must--and we can--do better.

Implementing guidelines in primary care: can population impact measures help?

BACKGROUND Primary care organisations are faced with implementing a large number of guideline recommendations. We present methods by which the number of eligible patients requiring treatment, and the relative benefits to the whole population served by a general practice or Primary Care Trust, can be calculated to help prioritise between different guideline recommendations. METHODS We have dev...