Uncovering cynicism in medical training: a qualitative analysis of medical online discussion forums.

abstract：INTRODUCTION:Chronic kidney disease is a serious and a frequent disease associated with a high risk of morbi-mortality. Although several risk factors have already been well addressed, mostly diabetes and hypertension, many remain underappreciated, such as chronic exposure to air pollution. METHODS AND ANALYSIS:We will...

journal_title：BMJ open

authors： Hamroun A,Camier A,Bigna JJ,Glowacki F

更新日期：2021-01-17 00:00:00

abstract：OBJECTIVES:To evaluate a protocol for a population-based programme targeting the prevention of rheumatic heart disease (RHD) progression by early echocardiographic diagnosis of valvular lesions and timely implementation of secondary prevention. DESIGN:Observational survey with a subsequent prospective cohort study. S...

journal_title：BMJ open

authors： Shrestha NR,Kalesan B,Karki P,Sherpa K,Basnet A,Urban P,Pilgrim T

更新日期：2012-10-19 00:00:00

abstract：INTRODUCTION:Teenage pregnancy remains a worldwide health concern which is an outcome of, and contributor to, health inequalities. The need for gender-aware interventions with a focus on males in addressing teenage pregnancy has been highlighted as a global health need by WHO and identified in systematic reviews of (re...

journal_title：BMJ open

authors： Lohan M,Aventin Á,Clarke M,Curran RM,Maguire L,Hunter R,McDowell C,McDaid L,Young H,White J,Fletcher A,French R,Bonell C,Bailey JV,O'Hare L

更新日期：2018-07-28 00:00:00

abstract：OBJECTIVE:To predict antibiotic use after initial treatment with ibuprofen using data from a randomised controlled trial comparing ibuprofen to pivmecillinam in the treatment of women with symptoms of an uncomplicated urinary tract infection (UTI). SETTING:16 sites in a primary care setting in Norway, Sweden and Denma...

journal_title：BMJ open

authors： Vik I,Mdala I,Bollestad M,Cordoba GC,Bjerrum L,Neumark T,Damsgaard E,Bærheim A,Grude N,Lindbaek M

更新日期：2020-08-30 00:00:00

abstract：INTRODUCTION:Perioperative benzodiazepines are used because of their anxiolytic, sedative and amnestic effects. Evidence has demonstrated an association of benzodiazepines with adverse neuropsychiatric effects. Nonetheless, because of their potential benefits, perioperative benzodiazepines continue to be used routinely...

journal_title：BMJ open

authors： Spence J,Young J,Alhazzani W,Whitlock R,D'Aragon F,Um K,Mazer D,Beaver C,Jacobsohn E,Belley-Cote E

更新日期：2019-12-11 00:00:00

abstract：INTRODUCTION:Acute, non-low back-related musculoskeletal pain is common and associated with significant socioeconomic costs. No review has evaluated all interventional studies for acute musculoskeletal pain, which limits attempts to make inferences regarding the relative effectiveness of treatments. METHODS AND ANALYS...

journal_title：BMJ open

authors： Busse JW,Craigie S,Sadeghirad B,Couban R,Hong P,Oparin Y,May C,Lok A,Guyatt GH

更新日期：2019-04-03 00:00:00

abstract：INTRODUCTION:Trigeminal neuralgia (TN) affects 4 to 28.9/100 000 people worldwide, and antiepileptic drugs such as carbamazepine and oxcarbazepine are the firstline treatment options. However, the efficacy and safety of other antiepileptic drugs remain unclear due to insufficient direct comparisons. OBJECTIVE:To compa...

journal_title：BMJ open

authors： Qin Z,Xie S,Mao Z,Liu Y,Wu J,Furukawa TA,Kwong JSW,Tian J,Liu Z

更新日期：2018-01-21 00:00:00

abstract：OBJECTIVE:To describe a novel strategy, Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) to evaluate hospital performance, by analysing differences in 30-day mortality after a first-ever acute myocardial infarction (AMI) in Sweden. DESIGN:Cross-classified study. SETTING:68 Swedish ...

journal_title：BMJ open

authors： Rodriguez-Lopez M,Merlo J,Perez-Vicente R,Austin P,Leckie G

更新日期：2020-10-23 00:00:00

abstract：OBJECTIVES:Different studies have been conducted on the role of curcumin in health since having multiple properties, including antioxidant and anti-inflammatory effects. Due to the lack of studies regarding curcumin effects on obese patients with non-alcoholic fatty liver disease (NAFLD), our protocol was designed to a...

journal_title：BMJ open

authors： Jazayeri-Tehrani SA,Rezayat SM,Mansouri S,Qorbani M,Alavian SM,Daneshi-Maskooni M,Hosseinzadeh-Attar MJ

更新日期：2017-07-10 00:00:00

abstract：IMPORTANCE:The Use of a Multidrug Pill In Reducing cardiovascular Events (UMPIRE) trial has shown improved adherence with the use of a polypill strategy when compared with usual medications for cardiovascular disease (CVD) prevention. To advance from efficacy to impact, we need a better understanding of why and how suc...

journal_title：BMJ open

authors： Wood F,Salam A,Singh K,Day S,Jan S,Prabhakaran D,Rodgers A,Patel A,Thom S,Ward H

更新日期：2015-09-30 00:00:00

abstract：OBJECTIVES:This study reviews the current state of the published peer-reviewed literature related to physician burnout and two quality of care dimensions. The purpose of this systematic literature review is to address the question, 'How does physician burnout affect the quality of healthcare related to the dimensions o...

journal_title：BMJ open

authors： Dewa CS,Loong D,Bonato S,Trojanowski L

更新日期：2017-06-21 00:00:00

abstract：INTRODUCTION:The Australian Council on Healthcare Standards (ACHS) set criteria for the delivery of healthcare services in Australia. While a voluntary process, continual accreditation with ACHS is an expectation of, and for, Australian healthcare providers. Juxtapositioned with the ACHS, the Nursing and Midwifery Boar...

journal_title：BMJ open

authors： Ratsch A,Sewell F,Pennington A

更新日期：2019-08-24 00:00:00

abstract：INTRODUCTION:Persisting neurotropic viruses are proposed to increase the risk of dementia, but evidence of association from robust, adequately powered population studies is lacking. This is essential to inform clinical trials of targeted preventive interventions. METHODS AND ANALYSIS:We will carry out a comprehensive ...

journal_title：BMJ open

authors： Warren-Gash C,Forbes H,Breuer J,Hayward AC,Mavrodaris A,Ridha BH,Rossor M,Thomas SL,Smeeth L

更新日期：2017-06-23 00:00:00

abstract：INTRODUCTION:One potential stressor that can affect preimplantation and postimplantation embryonic growth after in vitro fertilisation (IVF) is the pH of the human embryo culture medium, but no evidence exists to indicate which pH level is optimal for IVF. Based on anecdotal evidence or mouse models, culture media manu...

journal_title：BMJ open

authors： Fawzy M,Emad M,Wilkinson J,Mansour R,Mahran A,Fetih A,Abdelrahman M,AbdelGhafar H

更新日期：2020-02-04 00:00:00

abstract：OBJECTIVE:To compare the prevalence of work-related potential traumatic events (PTEs), support protocols and mental health symptoms across Dutch gynaecologists, orthopaedic surgeons and paediatricians. DESIGN:Cross-sectional study, supplementary analysis of combined data. SETTING:Nationwide survey between 2014 and 20...

journal_title：BMJ open

authors： Scheepstra KWF,Pauw HS,van Steijn ME,Stramrood CAI,Olff M,van Pampus MG

更新日期：2020-09-02 00:00:00

abstract：BACKGROUND:Large gaps exist in the implementation of guideline recommendations for cardiovascular disease (CVD) risk management. Electronic decision support (EDS) systems are promising interventions to close these gaps but few have undergone clinical trial evaluation in Australia. We have developed HealthTracker, a mul...

journal_title：BMJ open

authors： Peiris D,Usherwood T,Panaretto K,Harris M,Hunt J,Patel B,Zwar N,Redfern J,Macmahon S,Colagiuri S,Hayman N,Patel A

更新日期：2012-11-19 00:00:00

abstract：OBJECTIVES:This study seeks to determine not only the reliability of parental touch in detecting fever as compared to rectal thermometry in under-five children, but also the sociodemographic factors that may predict its reliability. SETTING:The study was carried out in the Emergency Paediatric Unit of a tertiary hospi...

journal_title：BMJ open

authors： Abdulkadir MB,Johnson WBR,Ibraheem RM

更新日期：2014-10-10 00:00:00

abstract：OBJECTIVES:Inspired by the James Lind Alliance (JLA) user involvement approach, the aim of the present study was to identify the top 10 uncertainties for sleep research raised by students in higher education, and to discuss our experiences with adapting the JLA method to a student population. DESIGN:The study design i...

journal_title：BMJ open

authors： Holmen H,Riiser K,Løyland B,Sandbekken IH,Almendingen K,Andenæs R,Bjørnnes AK,Fagerlund BH,Früh EA,Helseth S,Kvarme LG,Leegaard M,Misvær N,Pallesen S,Rasalingam A,Ravn I,Ribu L,Rostad HM,Sparboe-Nilsen B,Sæterstrand

更新日期：2021-01-26 00:00:00

abstract：OBJECTIVES:Taiwan succeeded in raising the proportion of peritoneal dialysis (PD) usage after the National Health Insurance (NHI) payment scheme introduced financial incentives in 2005. This study aims to compare the economic costs between automated PD (APD) and continuous ambulatory PD (CAPD) modalities from a societa...

journal_title：BMJ open

authors： Tang CH,Wu YT,Huang SY,Chen HH,Wu MJ,Hsu BG,Tsai JC,Chen TH,Sue YM

更新日期：2017-03-21 00:00:00

abstract：INTRODUCTION:Osteoarthritis (OA) is the leading cause of disability and pain in older adults. Although increasing physical activity (PA) can help reduce symptoms, patients with lower-limb OA are less active than the general public. Although physiotherapists commonly deliver PA programmes, they lack knowledge of key bar...

journal_title：BMJ open

authors： Willett MJ,Greig C,Rogers D,Fenton S,Duda J,Rushton A

更新日期：2019-10-28 00:00:00

abstract：OBJECTIVES:To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover. DESIGN:A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING...

journal_title：BMJ open

authors： Randmaa M,Engström M,Swenne CL,Mårtensson G

更新日期：2017-08-04 00:00:00

abstract：INTRODUCTION:Risk calculators (RCs) are easy-to-use tools considering available clinical variables that could help to select those patients with risk of prostate cancer (PCa) who should undergo a prostate biopsy. OBJECTIVE:To perform a comparison for the prediction of significant PCa (SigPCa) between the European Rand...

journal_title：BMJ open

authors： Gomez Gomez E,Salamanca Bustos JJ,Carrasco Valiente J,Fernandez Rueda JL,Blanca A,Valero Rosa J,Bravo Arrebola I,Marquez López J,Jimenez Vacas JM,Luque R,Requena Tapia MJ

更新日期：2019-11-12 00:00:00

abstract：OBJECTIVE:To describe the range and nature of available research regarding sources of information that patients access to inform their decisions about elective surgery. DESIGN:Scoping review. DATA SOURCES:Peer-reviewed studies published until February 2019 from the six scientific literature databases were searched an...

journal_title：BMJ open

authors： Atlas A,Milanese S,Grimmer K,Barras S,Stephens JH

更新日期：2019-08-05 00:00:00

abstract：INTRODUCTION:Atrial fibrillation (AF) is the most common form of cardiac arrhythmia and is associated with a number of comorbidities such as coronary artery disease and heart failure. While physical activity is already implemented in current international guidelines for the prevention and treatment of AF, the precise r...

journal_title：BMJ open

authors： Zacher J,Dillschnitter K,Freitag N,Kreutz T,Bjarnason-Wehrens B,Bloch W,Predel HG,Schumann M

更新日期：2020-10-31 00:00:00

abstract：OBJECTIVES:To report the distribution and predictors of insulin resistance (IR) in young people presenting to primary care-based mental health services. DESIGN:Cross-sectional. SETTING:Headspace-linked clinics operated by the Brain and Mind Centre of the University of Sydney. PARTICIPANTS:768 young people (66% femal...

journal_title：BMJ open

authors： Scott EM,Carpenter JS,Iorfino F,Cross SPM,Hermens DF,Gehue J,Wilson C,White D,Naismith SL,Guastella AJ,Hickie IB

更新日期：2019-05-27 00:00:00

abstract：INTRODUCTION:Diabetic macular oedema (DMO) and proliferative diabetic retinopathy (PDR) are the major causes of sight loss in people with diabetes. Due to the increased prevalence of diabetes, the workload related to these complications is increasing making it difficult for Hospital Eye Services (HSE) to meet demands. ...

journal_title：BMJ open

authors： Lois N,Cook J,Aldington S,Waugh N,Mistry H,Sones W,McAuley D,Aslam T,Bailey C,Chong V,Ghanchi F,Scanlon P,Sivaprasad S,Steel D,Styles C,McNally C,Rice R,Prior L,Azuara-Blanco A,EMERALD Study Group.

更新日期：2019-06-28 00:00:00

abstract：OBJECTIVES:Understanding patients' preferences for treatment is crucial to provision of good care and shared decisions, especially when more than one treatment option exists for a given condition. One such condition is infection of the area around the prosthesis after hip replacement, which affects between 0.4% and 3% ...

journal_title：BMJ open

authors： Carroll FE,Gooberman-Hill R,Strange S,Blom AW,Moore AJ

更新日期：2020-01-21 00:00:00

abstract：OBJECTIVES:Our aims were to assess the relationship between workplace violence, job satisfaction, burnout, organisational support and turnover intention, and to explore factors associated with turnover intention among nurses in Chinese tertiary hospitals. METHODS:The purposive sampling method was used to collect data ...

journal_title：BMJ open

authors： Liu W,Zhao S,Shi L,Zhang Z,Liu X,Li L,Duan X,Li G,Lou F,Jia X,Fan L,Sun T,Ni X

更新日期：2018-06-09 00:00:00

abstract：OBJECTIVE:To evaluate the effects of intravenous fluid bolus compared to maintenance intravenous fluids alone as part of immediate emergency care in children with severe febrile illness and signs of impaired circulation in low-income settings. DESIGN:Systematic review of randomised controlled trials (RCTs), and observ...

journal_title：BMJ open

authors： Opiyo N,Molyneux E,Sinclair D,Garner P,English M

更新日期：2014-04-30 00:00:00

abstract：OBJECTIVES:Use data from the UK Severe Asthma Registry (UKSAR) to assess the efficacy and safety of bronchial thermoplasty (BT) in routine UK clinical practice and to identify characteristics of 'responders'. DESIGN:Prospective, longitudinal, cohort, multicentre registry study. SETTING:All (11) UK centres performing ...

journal_title：BMJ open

authors： Burn J,Sims AJ,Patrick H,Heaney LG,Niven RM

更新日期：2019-06-19 00:00:00