Aims: To investigate changes in the gender ratio (M/F) at birth, fertility and stillbirth rates in England and Wales. Study Design: Analysis of average GR (1974-2010) for 570 UK local government areas. Re-analysis of average GR for births in the UK (2007-2014), by place of birth...
Open access
Research Article10.9734/BJMMR/2017/32372
A series of clustered infectious-like events have been recently documented in both the northern hemisphere (Canada, UK [England, Northern Ireland, Scotland and Wales], all countries in the European Union, and the USA) and the southern hemisphere (Australia and New Zealand), in wh...
Open access
Research Article10.9734/BJMMR/2016/20062
Background: The National Health Service (NHS) in the UK has been beset by unprecedented growth in emergency admissions to hospital which are specifically medical in nature, while surgical and trauma admissions are only showing the level of low growth expected from demographic cha...
Open access
Research Article10.9734/BJMMR/2015/14845
Aims: To study the effect of a large infectious-like event on admissions to, and bed occupancy in, a very large acute hospital in Reading (western Berkshire) England, observed to commence in the early part of 2012. These changes occurred in parallel with infectious-like spread of...
Open access
Research Article10.9734/BJMMR/2015/13938
Aims: This study aims to investigate the small area spread of a presumed infectious agent, and to determine which factors determined the point of initiation, speed of the spread and the resulting increase in emergency medical admissions. Study Design: Analysis of a monthly time s...
Open access
Research Article10.9734/BJMMR/2015/14223
Aims: In 2003, 2008 and 2012, deaths in the UK showed unexpected and unexplained large increases similar in magnitude to the larger influenza epidemics seen before 2000. However there were no unusual levels of influenza to explain these spikes. This study aims to investigate the...
Open access
Research Article10.9734/BJMMR/2015/14285
Aims: To study the trends in admission for diseases of the appendix and to attempt to present a potential basis for the observed (complex) age-dependent trends and etiologies. Study Design: Longitudinal study of admissions relating to the appendix with analysis by age and gender....
Open access
Research Article10.9734/BJMMR/2015/13302
Aims: To determine if the ubiquitous herpes virus, cytomegalovirus (CMV), could be involved in a large and unexplained increase in all-cause mortality in England and Wales in 2012, and more specifically if this involvement was via a respiratory etiology. Study Design: Analysis of...
Open access
Research Article10.9734/BJMMR/2014/11382
Aims: To demonstrate infectious-like spread of an agent leading to a period of higher death and medical admissions in the Wigan local authority, part of the greater Manchester area of England, during 2011 and 2012. Study Design: Longitudinal study of deaths and hospital admission...
Open access
Research Article10.9734/BJMMR/2014/10807
Aims: To evaluate single-year-of-age specificity in deaths in England and Wales associated with a large, unexpected and unexplained increase in 2012. To demonstrate that this type of event has occurred previously across the entire UK. To demonstrate that infectious-like spread at...
Open access
Research Article10.9734/BJMMR/2014/9072
Aims: To explore the interplay between information asymmetry and financial forecasting in the context of the English National Health Service (NHS). Study Design: Synthesis of the political context of the English NHS and how this impacts on the information flows to assist NHS acco...
Open access
Research Article10.9734/BJMMR/2017/31474
Aims: This Policy Article, which includes data synthesis, seeks to evaluate the effectiveness of demographic-based forecasting of future hospital admissions, and hence for hospital bed numbers. A role for the absolute number of deaths, as a proxy for persons approaching the end-o...
Open access
Research Article10.9734/BJMMR/2017/29984
Aims: To study the role of social group and deprivation on the proportion of patients admitted via the emergency department who then progress to the critical care unit. Study Design: Two large data bases were compared using the output area code of the patient’s home address. Pla...
Open access
Research Article10.9734/BJMMR/2016/29208
Aims: To review the current state of hospital bed planning, and to develop a simple tool to estimate short-term future bed requirements using historical bed occupancy data. Study Design: Analysis of daily bed occupancy between January 2008 and October 2015. Synthesis of trends in...
Open access
Research Article10.9734/BJMMR/2016/29518
Aims: To inform wider debate regard attendance at the Accident & Emergency department via analysis of the complex factors regulating attendances at two London hospitals. Study Design: Analysis of 508,569 A&E attendances from a large hospital data base. Place and Duration...
Open access
Research Article10.9734/BJMMR/2016/28783
Aims: To investigate the need for additional critical care beds, the potential for economy of scale in larger units, including ratios to support the choice of bed numbers. Study Design: Time trend analysis and construction of useful ratios to assist planning. Place and Duration o...
Open access
Research Article10.9734/BJMMR/2016/28736