Research priorities in environmental health.

Abstract:

:Environmental issues tend to greater political attention than do environmental health aspects. Therefore, when conflicts of interest occur with other environmental concerns, negative consequences for public health may result. For example, a strategy to substantially reduce indoor ventilation in many dwellings in Scandinavia in order to save energy has led to increased humidity levels and higher prevalences of house dust mites. Wood burning for local heating is promoted because it is a renewable source of energy, and diesel vehicles are promoted because they emit lower levels of carbon dioxide per kilometer compared to conventional gas engines, but both practices lead to increased emissions of fine particulates, which have been associated with adverse health effects. Increasing the level of resources available for research into environmental health is one way to help environmental health issues receive greater attention. Environmental health research initiatives taken by the European Commission, the European Science Foundation, and the World Health Organization's regional office for Europe are noted. Environmental health research is multidisciplinary and should encompass basic science as well as applied research. International collaboration is often very useful in environmental health research.

journal_name

BMJ

authors

Pershagen G

doi

10.1136/bmj.318.7199.1636

keywords:

subject

Has Abstract

pub_date

1999-06-19 00:00:00

pages

1636-7

issue

7199

eissn

0959-8138

issn

1756-1833

journal_volume

318

pub_type

社论
  • Role of peak bone mass and bone loss in postmenopausal osteoporosis: 12 year study.

    abstract:OBJECTIVE:To examine the role of peak bone mass and subsequent postmenopausal bone loss in the development of osteoporosis and the reliability of identifying women at risk from one bone mass measurement and one biochemical assessment of the future bone loss. DESIGN:Population based study. SETTING:Outpatient clinic fo...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.303.6808.961

    authors: Hansen MA,Overgaard K,Riis BJ,Christiansen C

    更新日期:1991-10-19 00:00:00

  • Off-label indications for antidepressants in primary care: descriptive study of prescriptions from an indication based electronic prescribing system.

    abstract::Objective To examine off-label indications for antidepressants in primary care and determine the level of scientific support for off-label prescribing.Design Descriptive study of antidepressant prescriptions written by primary care physicians using an indication based electronic prescribing system.Setting Primary care...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.j603

    authors: Wong J,Motulsky A,Abrahamowicz M,Eguale T,Buckeridge DL,Tamblyn R

    更新日期:2017-02-21 00:00:00

  • Effects of Helicobacter pylori treatment and vitamin and garlic supplementation on gastric cancer incidence and mortality: follow-up of a randomized intervention trial.

    abstract:OBJECTIVE:To assess the effects of Helicobacter pylori treatment, vitamin supplementation, and garlic supplementation in the prevention of gastric cancer. DESIGN:Blinded randomized placebo controlled trial. SETTING:Linqu County, Shandong province, China. PARTICIPANTS:3365 residents of a high risk region for gastric ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmj.l5016

    authors: Li WQ,Zhang JY,Ma JL,Li ZX,Zhang L,Zhang Y,Guo Y,Zhou T,Li JY,Shen L,Liu WD,Han ZX,Blot WJ,Gail MH,Pan KF,You WC

    更新日期:2019-09-11 00:00:00

  • Benefits and harms in clinical trials of duloxetine for treatment of major depressive disorder: comparison of clinical study reports, trial registries, and publications.

    abstract:OBJECTIVE:To determine, using research on duloxetine for major depressive disorder as an example, if there are inconsistencies between protocols, clinical study reports, and main publicly available sources (journal articles and trial registries), and within clinical study reports themselves, with respect to benefits an...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,评审

    doi:10.1136/bmj.g3510

    authors: Maund E,Tendal B,Hróbjartsson A,Jørgensen KJ,Lundh A,Schroll J,Gøtzsche PC

    更新日期:2014-06-04 00:00:00

  • The disabled living centre: what does it do?

    abstract::Seventy five consecutive users of the Leeds disabled living foundation were surveyed. Two thirds of these users were at least moderately severely disabled. Forty eight of the 65 people (74%) who completed the questionnaire were recommended aids, and 33 had received some at the end of the survey. Only 10 of 28 people h...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.297.6662.1523

    authors: Chamberlain MA,Gallop J

    更新日期:1988-12-10 00:00:00

  • Incidence of and mortality from cancer in hypertensive patients.

    abstract:OBJECTIVES:To assess incidence of and mortality from cancer in hypertensive patients taking atenolol, comparing the findings with two control populations and with hypertensive patients taking other drugs. DESIGN:Retrospective analysis of patients first seen in the Glasgow Blood Pressure Clinic between 1972 and 1990. P...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.306.6878.609

    authors: Hole DJ,Hawthorne VM,Isles CG,McGhee SM,Robertson JW,Gillis CR,Wapshaw JA,Lever AF

    更新日期:1993-03-06 00:00:00

  • Outcome of breech delivery at term.

    abstract:OBJECTIVE:To compare neonatal mortality and morbidity in term infants presenting by the breech and delivered vaginally or by caesarean section. DESIGN:Population based comparison of outcomes. Data derived from the St Mary's maternity information system. SETTING:North West Thames Regional Health Authority, 1988-90. S...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.305.6856.746

    authors: Thorpe-Beeston JG,Banfield PJ,Saunders NJ

    更新日期:1992-09-26 00:00:00

  • Efficacy of PD-1 or PD-L1 inhibitors and PD-L1 expression status in cancer: meta-analysis.

    abstract:OBJECTIVE:To evaluate the relative efficacy of programmed cell death 1 (PD-1) or programmed cell death ligand 1 (PD-L1) inhibitors versus conventional drugs in patients with cancer that were PD-L1 positive and PD-L1 negative. DESIGN:Meta-analysis of randomised controlled trials. DATA SOURCES:PubMed, Embase, Cochrane ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmj.k3529

    authors: Shen X,Zhao B

    更新日期:2018-09-10 00:00:00

  • Control of defecation in patients with spinal injuries by stimulation of sacral anterior nerve roots.

    abstract:OBJECTIVE:To observe the effects of stimulation of the sacral anterior roots on anorectal and low colonic pressures and to programme implanted stimulators to produce defecation. DESIGN:Prospective study of 12 consecutive patients. SETTING:Spinal injuries unit and university gastrointestinal physiology department. PA...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.300.6738.1494

    authors: MacDonagh RP,Sun WM,Smallwood R,Forster D,Read NW

    更新日期:1990-06-09 00:00:00

  • The impact on general practitioners of the changing balance of care for elderly people living in institutions.

    abstract:OBJECTIVES:To describe utilisation of general practitioners by elderly people resident in communal establishments; to examine variations in general practitioner utilisation and estimate the likely impact of the "downsizing" of long stay provision in NHS hospitals. DESIGN:Secondary analyses of the survey of disability ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.317.7154.322

    authors: Kavanagh S,Knapp M

    更新日期:1998-08-01 00:00:00

  • Incidence of cancer among Finnish airline cabin attendants, 1967-92.

    abstract:OBJECTIVE:To assess whether occupational exposure among commercial airline cabin attendants are associated with risk of cancer. DESIGN:Record linkage study. SETTING:Finland. SUBJECTS-1577 female and 187 male cabin attendants who had worked for the Finnish airline companies. MAIN OUTCOME MEASURE:Standardised incidenc...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.311.7006.649

    authors: Pukkala E,Auvinen A,Wahlberg G

    更新日期:1995-09-09 00:00:00

  • Melting the Iron Curtain: opportunities for public health collaboration through international joint ventures.

    abstract::The opportunities for international public health collaboration through joint business ventures between the USSR and Western nations, an arrangement that would benefit the public, industry, and the medical community, are discussed. Evidence indicates that the state of health of the Soviet population is declining rapi...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.302.6777.633

    authors: Gellert GA,Kaznady SI

    更新日期:1991-03-16 00:00:00

  • Effect of restrictive versus liberal transfusion strategies on outcomes in patients with cardiovascular disease in a non-cardiac surgery setting: systematic review and meta-analysis.

    abstract:OBJECTIVE:To compare patient outcomes of restrictive versus liberal blood transfusion strategies in patients with cardiovascular disease not undergoing cardiac surgery. DESIGN:Systematic review and meta-analysis. DATA SOURCES:Randomised controlled trials involving a threshold for red blood cell transfusion in hospita...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/bmj.i1351

    authors: Docherty AB,O'Donnell R,Brunskill S,Trivella M,Doree C,Holst L,Parker M,Gregersen M,Pinheiro de Almeida J,Walsh TS,Stanworth SJ

    更新日期:2016-03-29 00:00:00

  • Perceptions of stroke in the general public and patients with stroke: a qualitative study.

    abstract:OBJECTIVES:To gain insight into people's thoughts on stroke and to inform the development of educational strategies in the community. DESIGN:Focus group discussions: two groups of people who had a stroke and their carers, and two groups of members of the general public. SETTING:New South Wales, Australia. PARTICIPAN...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.324.7345.1065

    authors: Yoon SS,Byles J

    更新日期:2002-05-04 00:00:00

  • Ultrasonography compared with intravenous urography in the investigation of adults with haematuria.

    abstract:OBJECTIVE:To compare ultrasonography with intravenous urography in the investigation of adults with haematuria. DESIGN:Prospective study entailing the examination of all patients with both investigations concurrently. The investigations were performed independently on routine lists by different duty radiologists. Each...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 临床试验,杂志文章

    doi:10.1136/bmj.301.6760.1074

    authors: Spencer J,Lindsell D,Mastorakou I

    更新日期:1990-11-10 00:00:00

  • What worries parents when their preschool children are acutely ill, and why: a qualitative study.

    abstract:OBJECTIVE:To identify and explore parents' concerns when young children become acutely ill. DESIGN:Qualitative study making use of semi-structured one to one and group interviews with parents of preschool children. SETTING:Disadvantaged inner city community. SUBJECTS:95 parents of preschool children. RESULTS:Fever,...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.313.7063.983

    authors: Kai J

    更新日期:1996-10-19 00:00:00

  • Painful crises in sickle cell disease--patients' perspectives.

    abstract::One hundred and two patients returned structured questionnaires sent to clinics for sickle cell disease in the United Kingdom in order to gain greater insight into the patients' perception of painful crises. Most patients who suffer pain crises experience a prodromal stage that should be investigated further to find o...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.297.6646.452

    authors: Murray N,May A

    更新日期:1988-08-13 00:00:00

  • Accuracy of diagnosis of psychosis on general practice computer system.

    abstract:OBJECTIVES:To determine the accuracy of diagnoses of schizophrenia and non-affective psychosis entered by general practitioners on a computer system. To compare recording of clinical events on computer with written records. DESIGN:Examination of case notes of all patients with a computer diagnosis of psychosis. Search...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.307.6895.32

    authors: Nazareth I,King M,Haines A,Rangel L,Myers S

    更新日期:1993-07-03 00:00:00

  • A multifaceted strategy for implementation of the Ottawa ankle rules in two emergency departments.

    abstract:PROBLEM:Despite widespread acceptance of the Ottawa ankle rules for assessment of acute ankle injuries, their application varies considerably. DESIGN:Before and after study. BACKGROUND AND SETTING:Emergency departments of a tertiary teaching hospital and a community hospital in Australia. KEY MEASURES FOR IMPROVEMEN...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bmj.b3056

    authors: Bessen T,Clark R,Shakib S,Hughes G

    更新日期:2009-08-12 00:00:00

  • Weighting in the dark: resource allocation in the new NHS.

    abstract::National allocation of resources to regional health authorities and by them to districts is now determined by a weighted capitation formula. The national formula was derived from regression analysis, with hospital utilisation as an index of need for health care--a method which has fundamental limitations. This paper a...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.306.6881.835

    authors: Sheldon TA,Smith GD,Bevan G

    更新日期:1993-03-27 00:00:00

  • Intergenerational 20 year trends in the prevalence of asthma and hay fever in adults: the Midspan family study surveys of parents and offspring.

    abstract:OBJECTIVE:To estimate trends between 1972-6 and 1996 in the prevalences of asthma and hay fever in adults. DESIGN:Two epidemiological surveys 20 years apart. Identical questions were asked about asthma, hay fever, and respiratory symptoms at each survey. SETTING:Renfrew and Paisley, two towns in the west of Scotland....

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.321.7253.88

    authors: Upton MN,McConnachie A,McSharry C,Hart CL,Smith GD,Gillis CR,Watt GC

    更新日期:2000-07-08 00:00:00

  • Examination of instruments used to rate quality of health information on the internet: chronicle of a voyage with an unclear destination.

    abstract:OBJECTIVE:This study updates work published in 1998, which found that of 47 rating instruments appearing on websites offering health information, 14 described how they were developed, five provided instructions for use, and none reported the interobserver reliability and construct validity of the measurements. DESIGN:...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,评审

    doi:10.1136/bmj.324.7337.569

    authors: Gagliardi A,Jadad AR

    更新日期:2002-03-09 00:00:00

  • Prescribing injectable and oral methadone to opiate addicts: results from the 1995 national postal survey of community pharmacies in England and Wales.

    abstract:OBJECTIVE:To establish the extent of prescribing injectable and oral methadone to opiate addicts and the practice characteristics and dispensing arrangements attached to these prescriptions. DESIGN:National survey of 25% random sample of community (high street) pharmacies through postal questionnaire, with four mailin...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.313.7052.270

    authors: Strang J,Sheridan J,Barber N

    更新日期:1996-08-03 00:00:00

  • Re-engineering systems for the treatment of depression in primary care: cluster randomised controlled trial.

    abstract:OBJECTIVE:To test the effectiveness of an evidence based model for management of depression in primary care with support from quality improvement resources. DESIGN:Cluster randomised controlled trial. SETTING:Five healthcare organisations in the United States and 60 affiliated practices. PATIENTS:405 patients, aged ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/bmj.38219.481250.55

    authors: Dietrich AJ,Oxman TE,Williams JW Jr,Schulberg HC,Bruce ML,Lee PW,Barry S,Raue PJ,Lefever JJ,Heo M,Rost K,Kroenke K,Gerrity M,Nutting PA

    更新日期:2004-09-11 00:00:00

  • Management of labour in an isolated rural maternity hospital.

    abstract:OBJECTIVES:To evaluate the use of a maternity unit run by general practitioners and midwives, describing the outcome of labour in an unselected group of women and quantifying the contribution made by general practitioners. DESIGN:Retrospective population based review of obstetric patients who had access to an isolated...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.312.7025.223

    authors: Baird AG,Jewell D,Walker JJ

    更新日期:1996-01-27 00:00:00

  • Prevalence of asthma in Finnish young men.

    abstract:OBJECTIVE:To determine the prevalence of asthma in cohorts of Finnish young men in the period 1926-89. DESIGN:A retrospective analysis using reports and statistics of Finnish defence forces. SETTING:Call up examinations of candidates for military conscription and examination of conscripts discharged because of poor h...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.301.6746.266

    authors: Haahtela T,Lindholm H,Björkstén F,Koskenvuo K,Laitinen LA

    更新日期:1990-08-04 00:00:00

  • The quality of health care in prison: results of a year's programme of semistructured inspections.

    abstract:OBJECTIVES:To assess, as part of wider inspections by HM Inspectorate of Prisons, the extent and quality of health care in prisons in England and Wales. DESIGN:Inspections based on a set of "expectations" derived mainly from existing healthcare quality standards published by the prison service and existing ethical gui...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.315.7120.1420

    authors: Reed J,Lyne M

    更新日期:1997-11-29 00:00:00

  • Central fatness and risk of all cause mortality: systematic review and dose-response meta-analysis of 72 prospective cohort studies.

    abstract:OBJECTIVE:To quantify the association of indices of central obesity, including waist circumference, hip circumference, thigh circumference, waist-to-hip ratio, waist-to-height ratio, waist-to-thigh ratio, body adiposity index, and A body shape index, with the risk of all cause mortality in the general population, and t...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmj.m3324

    authors: Jayedi A,Soltani S,Zargar MS,Khan TA,Shab-Bidar S

    更新日期:2020-09-23 00:00:00

  • Factors associated with the presence of diabetic ketoacidosis at diagnosis of diabetes in children and young adults: a systematic review.

    abstract:OBJECTIVE:To identify the factors associated with diabetic ketoacidosis at diagnosis of type 1 diabetes in children and young adults. DESIGN:Systematic review. DATA SOURCES:PubMed, EMBASE, Web of Science, Scopus, and Cinahl and article reference lists. STUDY SELECTION:Cohort studies including unselected groups of ch...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,评审

    doi:10.1136/bmj.d4092

    authors: Usher-Smith JA,Thompson MJ,Sharp SJ,Walter FM

    更新日期:2011-07-07 00:00:00

  • Smoking cessation and reduction in people with chronic mental illness.

    abstract::The high prevalence of cigarette smoking and tobacco related morbidity and mortality in people with chronic mental illness is well documented. This review summarizes results from studies of smoking cessation treatments in people with schizophrenia, depression, anxiety disorders, and post-traumatic stress disorder. It ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,评审

    doi:10.1136/bmj.h4065

    authors: Tidey JW,Miller ME

    更新日期:2015-09-21 00:00:00