Abstract:
OBJECTIVE:Legislation to safeguard children from maltreatment by carers or violence by others was advanced in England and Scotland around 2004-2005 and resulted in different policies and services. We examined whether subsequent trends in injury admissions to hospital related to maltreatment or violence varied between the two countries. SETTING AND PARTICIPANTS:We analysed rates of all unplanned injury admission to National Health Service (NHS) hospitals in England and Scotland between 2005 and 2011 for children and adolescents aged less than 19 years. OUTCOMES:We compared incidence trends for maltreatment or violence-related (MVR) injury and adjusted rate differences between 2005 and 2011 using Poisson or negative binomial regression models to adjust for seasonal effects and secular trends in non-MVR injury. Infants, children 1-10 years and adolescents 11-18 years were analysed separately. RESULTS:In 2005, MVR rates were similar in England and Scotland for infants and 1-10-year-olds, but almost twice as high in Scotland for 11-18-year-olds. MVR rates for infants increased by similar amounts in both countries, in line with rising non-MVR rates in England but contrary to declines in Scotland. Among 1-10-year-olds, MVR rates increased in England and declined in Scotland, in line with increasing non-MVR rates in England and declining rates in Scotland. Among 11-18-year-olds, MVR rates declined more steeply in Scotland than in England along with declines in non-MVR trends. CONCLUSIONS:Diverging trends in England and Scotland may reflect true changes in the occurrence of MVR injury or differences in the way services recognise and respond to these children, record such injuries or a combination of these factors. Further linkage of data from surveys and services for child maltreatment and violence could help distinguish the impact of policies.
journal_name
BMJ Openjournal_title
BMJ openauthors
Gonzalez-Izquierdo A,Cortina-Borja M,Woodman J,Mok J,McGhee J,Taylor J,Parkin C,Gilbert Rdoi
10.1136/bmjopen-2013-004474subject
Has Abstractpub_date
2014-04-22 00:00:00pages
e004474issue
4issn
2044-6055pii
bmjopen-2013-004474journal_volume
4pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVE:Nearly 100 000 primary total knee replacements (TKR) are performed in the UK annually. The primary aim of TKR is pain relief, but 10%-34% of patients report chronic pain. The aim of this systematic review was to evaluate the effectiveness of presurgical interventions in preventing chronic pain after TKR. DES...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033248
更新日期:2020-01-20 00:00:00
abstract:OBJECTIVE:To determine if low-dose weekly chloroquine (CQ) therapy improves recovery from malaria-associated anaemia. DESIGN:Proof of concept randomised clinical trial. SETTING:West Kiang District, Lower River Region, The Gambia. PARTICIPANTS:Children resident in participating communities, aged 12-72 months, with un...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002666
更新日期:2013-07-04 00:00:00
abstract:OBJECTIVE:To examine the use of selective serotonin reuptake inhibitors (SSRIs) among Danish women of childbearing age according to lifestyle factors. DESIGN:Cross-sectional survey. SETTING:The Central Denmark Region. PARTICIPANTS:4234 women (71.5% of the invited women) aged 25-44 years who participated in a public ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003024
更新日期:2013-07-31 00:00:00
abstract:OBJECTIVES:Patients with idiopathic intracranial hypertension (IIH) usually require multiple lumbar punctures (LPs) during the course of their disease, and often report significant morbidity associated with the procedure. The aim of this study was to assess the patient's experience of diagnostic LP in IIH. DESIGN, MET...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020445
更新日期:2018-05-30 00:00:00
abstract:INTRODUCTION:Cardiovascular disease (CVD) remains a major cause of morbidity and premature mortality globally. Despite the availability of low-cost evidence based medicines, there is a significant treatment gap in those with established or at high risk of CVD in the primary care setting. Pharmacist-based interventions ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027634
更新日期:2019-08-05 00:00:00
abstract:OBJECTIVE:Since most biomedical research focuses on a specific disease, evaluation of research output requires disease-specific bibliometric indicators. Currently used methods are insufficient. The aim of this study is to develop a method that enables detailed analysis of worldwide biomedical research output by disease...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020818
更新日期:2018-06-04 00:00:00
abstract:OBJECTIVES:This study aims to describe the association between use of municipality healthcare services before an emergency department (ED) contact and mortality, hospital reattendance and institutionalisation. DESIGN:Population-based prospective cohort study. SETTING:ED of a large university hospital. PARTICIPANTS:A...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026881
更新日期:2019-04-24 00:00:00
abstract:OBJECTIVES:It is unclear how newer methods of respiratory support for infants born extremely preterm (EP; 22-27 weeks gestation) have affected in-hospital sequelae. We aimed to determine changes in respiratory support, survival and morbidity in EP infants since the early 1990s. DESIGN:Prospective longitudinal cohort s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037507
更新日期:2020-09-10 00:00:00
abstract:OBJECTIVES:Patient-centred care is related to better health outcomes, greater patient satisfaction and reduced healthcare costs. One of the core components of patient-centred care, defined in the patient-centred clinical method, is enhancing the patient-doctor relationship. In this study, we aim to measure the therapeu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033710
更新日期:2020-02-05 00:00:00
abstract:BACKGROUND:COVID-19 has posed several medical, psychosocial and economic impacts among the majority of the society. The ambiguity of its transmission, the intense desire of self-protection, family, and friends, the unknown impact of catching the disease itself, unstoppable spread, the panic and outright misinformation ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043185
更新日期:2021-01-06 00:00:00
abstract:OBJECTIVES:An increasing number of studies had shown that air pollution exposure may aggravate blood glucose control in patients with diabetes, an independent risk factor for colorectal cancer (CRC) proposed by some researchers. This study aimed to investigate the impact of exposure to ambient particulate matter with a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036955
更新日期:2020-10-28 00:00:00
abstract:BACKGROUND:A positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse manag...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015607
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:To describe the nature, frequency and content of non-vitamin K oral anticoagulant (NOAC)-related events for healthcare professionals sponsored by the manufacturers of the NOACs in Australia. A secondary objective is to compare these data to the rate of dispensing of the NOACs in Australia. DESIGN AND SETTIN...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030253
更新日期:2019-08-20 00:00:00
abstract:OBJECTIVES:Assessing the cost-effectiveness credentials of this intervention in patients with concomitant atrial fibrillation (AF) and heart failure (HF) compared with usual medical therapy. DESIGN:A Markov model comprising two health states (ie, alive or dead) was constructed. The transition probabilities were direct...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031033
更新日期:2019-09-05 00:00:00
abstract:OBJECTIVE:Few studies have comprehensively examined changes in smoking status and related factors after a disaster. We examined these factors among residents of an evacuation area in Fukushima after the Great East Japan Earthquake. METHODS:The study participants included 58 755 men and women aged ≥20 years who partici...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018943
更新日期:2018-06-30 00:00:00
abstract:INTRODUCTION:Parkinson's disease (PD) is the second most common neurodegenerative disorder in developed countries. There is an increasing interest in the use of mindfulness-related interventions in the management of patients with a chronic disease. In addition, interventions that promote personal control, stress-manage...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003326
更新日期:2013-10-10 00:00:00
abstract:OBJECTIVES:Literature on associations between female genital mutilation/cutting (FGM/C) and fistula points to a common belief that FGM/C predisposes women to developing fistula. This study explores this association using nationally representative survey data. DESIGN:A secondary statistical analysis of cross-sectional ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025355
更新日期:2019-07-29 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the knowledge and practice of health workers about multidrug-resistant tuberculosis (MDR-TB) prevention and control. STUDY DESIGN AND SETTINGS:A cross-sectional study was conducted at Gondar University Referral Hospital and Felege Hiwot Referral Hospital. PARTICIPANTS:Ran...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-022948
更新日期:2019-02-19 00:00:00
abstract:OBJECTIVES:To compare the subsequent fertility and risk of recurrence of an ectopic pregnancy (EP) in women who had had an EP, according to the type of surgical treatment they received--that is, salpingectomy, salpingostomy or tubal anastomosis. METHODS:A retrospective cohort study was carried out between January 2003...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007339
更新日期:2015-09-08 00:00:00
abstract:OBJECTIVE:This study assessed the potential operational feasibility and acceptability of a heat-stable, inhaled oxytocin (IOT) product for community-based prevention of postpartum haemorrhage in Myanmar. METHODS:A qualitative inquiry was conducted between June 2015 and February 2016 through focus group discussions and...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022140
更新日期:2018-10-24 00:00:00
abstract:OBJECTIVES:The objectives of this mixed-methods study were to assess the uptake, sustainability and influence of the Footprints Project. SETTING:Twenty-two-bed university-affiliated ICU in Hamilton, Canada. PARTICIPANTS:ICU patients admitted and their families, as well as clinicians. INTERVENTIONS:We developed a per...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029810
更新日期:2019-11-02 00:00:00
abstract:INTRODUCTION:Telemedical lifestyle programmes for people with type 2 diabetes mellitus (T2DM) provide an opportunity to develop a healthier lifestyle and consequently to improve health outcomes. When implementing new programmes into standard care, considering patients' preferences may increase the success of the partic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036995
更新日期:2020-09-09 00:00:00
abstract:OBJECTIVE:To determine the influence of age and gender, respectively, on the association between employment status and body mass index (BMI) in Korean adults using a large, nationally representative sample. DESIGN:Cross-sectional study. SETTING:South Korea. PARTICIPANTS:7228 from fourth wave of the Korean Longitudin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012117
更新日期:2016-11-15 00:00:00
abstract:OBJECTIVE:To determine the prevalence, nature and predictors of patients having medication administration omissions in hospitals. METHODS:All medication administration omissions data collected using the standardised methodology of the Medication Safety Thermometer in January 2015 were examined. Hospital inpatients pre...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-028170
更新日期:2019-06-09 00:00:00
abstract:INTRODUCTION:Using specific tools to assess the measurement properties of health status instruments is recommended both to standardise the review process and to improve the methodological quality of systematic reviews. However, depending on the measurement standards on which these tools are developed, the approach to a...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2018-022829
更新日期:2018-07-23 00:00:00
abstract:INTRODUCTION:Depression and alcohol use disorders are international public health priorities for which there is a substantial treatment gap. Brief mental health interventions delivered by lay health workers in primary care services may reduce this gap. There is limited economic evidence assessing the cost-effectiveness...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026973
更新日期:2019-05-14 00:00:00
abstract:OBJECTIVES:Several ABILHAND Rasch-built manual ability scales were previously developed for chronic stroke (CS), cerebral palsy (CP), rheumatoid arthritis (RA), systemic sclerosis (SSc) and neuromuscular disorders (NMD). The present study aimed to explore the applicability of a generic manual ability scale unbiased by ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001807
更新日期:2012-10-31 00:00:00
abstract:INTRODUCTION:Total mesorectal excision (TME) is the highly effective standard treatment for rectal cancer but is associated with significant morbidity and may be overtreatment for low-risk cancers. This study is designed to determine the feasibility of international recruitment in a study comparing organ-saving approac...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-019474
更新日期:2017-12-28 00:00:00
abstract:BACKGROUND:Several studies have shown an association between oral diseases and chronic kidney disease (CKD), and regular oral care may be an important strategy for reducing the burden of CKD. The objective of this study was therefore to evaluate the association between dental and periodontal diseases in Thai patients w...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011836
更新日期:2016-07-27 00:00:00
abstract:OBJECTIVE:Exploring the views of stakeholders to the referral management systems (RMS) used by GP practices in Northumberland, UK to evaluate its perceived effectiveness. DESIGN:This was an in-depth qualitative semi-structured interview study. PARTICIPANTS AND SETTING:32 participants (GPs, hospital consultants, refer...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028436
更新日期:2019-07-09 00:00:00