Abstract:
OBJECTIVES:Sustaining emergency care access is of great concern. The aim of this study is to evaluate access to emergency care in a repopulated village following the 2011 Fukushima disaster. DESIGN:This research was a retrospective observational study. The primary outcome measure was total emergency medical services (EMS) time. A Bayesian time series analysis was performed to consider local time series trend and seasonality. SETTING:The residents in Kawauchi Village, Fukushima, Japan were forced to evacuate after the 2011 Fukushima disaster. As the radiation dose was an acceptable level, the residents began the process of repopulation in April 2012. PARTICIPANTS:This study included patients transported by EMS from January 2009 to October 2015. Patients transported during the evacuation period (from March 2011 to March 2012) were excluded. RESULTS:A total of 781 patients were transferred by EMS (281 patients before the disaster, 416 after repopulation and 84 during the evacuation period). A Bayesian time series analysis revealed an increase in total EMS time, from the first request call to arrival at a hospital of 21.85 min (95% credible interval 14.2-29.0, Bayesian one-sided tail-area probability p=0.001). After the disaster, 42.3% of patients were transported to a partner hospital. CONCLUSIONS:Total EMS time increased after repopulation of the area affected because of a massive number of hospital closures. Proactive partnerships would be a possible countermeasure in the affected areas after a major disaster.
journal_name
BMJ Openjournal_title
BMJ openauthors
Nishikawa Y,Tsubokura M,Takahashi Y,Nomura S,Ozaki A,Kimura Y,Morita T,Sawano T,Oikawa T,Nakayama Tdoi
10.1136/bmjopen-2018-023836subject
Has Abstractpub_date
2019-02-09 00:00:00pages
e023836issue
2issn
2044-6055pii
bmjopen-2018-023836journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:The objective of this study was to explore whether reducing the material supplied to external experts during peer review and decreasing the burden of response would maintain review quality into prioritising research questions for a major research funder. METHODS AND ANALYSIS:Clinical experts who agreed to r...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-016104
更新日期:2017-08-21 00:00:00
abstract:OBJECTIVE:This study aims: (1) to describe the pattern and extent of multimorbidity and polypharmacy in UK Biobank participants with chronic obstructive pulmonary disease (COPD) and (2) to identify which comorbidities are associated with increased risk of adverse drug reactions (ADRs) resulting from polypharmacy. DESI...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018404
更新日期:2018-01-14 00:00:00
abstract:INTRODUCTION:Integrated care (IC) models have emerged to address gaps in care for individuals with complex healthcare needs. Although the clinical and cost-effectiveness of IC models are well-established, our understanding of whether IC models facilitate a patient-centred care experience from the patients' perspective ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-018311
更新日期:2017-12-14 00:00:00
abstract:PURPOSE:Limited published data exist on the clinical epidemiology of atrial fibrillation (AF) in South Asia including India. Most of the published data are from the Western countries and the Far East. The Kerala AF registry was initiated to collect systematic, prospective data on clinical characteristics, risk factors,...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025901
更新日期:2019-07-27 00:00:00
abstract:PURPOSE:Cardiovascular disease (CVD) is a major challenge to global health. The same epidemiological transition scenario is replayed as countries develop, but with variations based on environment, culture and ethnic mixture. The Baependi Heart Study was set up in 2005 to develop a longitudinal family-based cohort study...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011598
更新日期:2016-10-21 00:00:00
abstract:OBJECTIVE:The primary objective was to explore differences in perceived need for care (PNC), mental health services use (MHSU) and perceived sufficiency of care (PSC) between Canadian Armed Forces Regular Force (RegF) and Reserve Force (ResF) personnel with an objective need for mental health services. DESIGN:Data cam...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028849
更新日期:2019-09-18 00:00:00
abstract:OBJECTIVE:This study was aimed to explore parents' experience of assisting children affected by tuberous sclerosis complex (TSC) with subependymal giant-cell astrocytoma (SEGA) manifestation, in order to understand their caring needs and expectation of support. SETTING AND PROCEDURE:The study was designed according to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003707
更新日期:2013-12-06 00:00:00
abstract:INTRODUCTION:Pectus excavatum repair is associated with substantial postoperative pain, despite the use of epidural analgesia and other analgesic regimens. Perioperative recorded music interventions have been shown to alleviate pain and anxiety in adults, but evidence for children and adolescents is still lacking. This...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036380
更新日期:2020-07-08 00:00:00
abstract:BACKGROUND:First responders (police, fire and ambulance officers) are at a significantly increased risk of experiencing poor mental health, including depression and post-traumatic stress disorder. These conditions are associated with high rates of cardiovascular disease, in part due to low levels of physical activity (...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030668
更新日期:2019-09-11 00:00:00
abstract:INTRODUCTION:Sub-Saharan Africa remains the epicentre of the HIV pandemic, yet enormous knowledge gaps still exist to elicit a comprehensive portrait of multimorbidity and HIV linkage. This study aims to conduct a systematic meta-analysis of peer-reviewed literature to investigate the current status of multimorbidity e...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036988
更新日期:2020-12-12 00:00:00
abstract:OBJECTIVES:To compare the risk profile of women giving birth in private and public hospitals and the rate of obstetric intervention during birth compared with previous published rates from a decade ago. DESIGN:Population-based descriptive study. SETTING:New South Wales, Australia. PARTICIPANTS:691 738 women giving b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001723
更新日期:2012-09-10 00:00:00
abstract:OBJECTIVES:To understand how the uptake of an extended primary care service in the evenings and weekend varied by day of week and over time. Secondary objectives were to understand patient demographics of users of the service and how these varied by type of appointment and to core hour users. DESIGN:Observational stud...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028138
更新日期:2019-09-05 00:00:00
abstract:PURPOSE:Puerto Rican children experience high rates of asthma and obesity. Further, infants born in Puerto Rico are more at risk for being born prematurely compared with infants on the mainland USA. Environmental exposures from multiple sources during critical periods of child development, potentially modified by psych...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036389
更新日期:2020-07-19 00:00:00
abstract:INTRODUCTION:Corticosteroid injections (CSI) are a recommended and often-used first-line intervention for shoulder impingement syndrome (SIS) in primary care and orthopaedic settings. Manual physical therapy (MPT) offers a non-invasive approach with negligible risk for managing SIS. There is limited evidence to suggest...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000137
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:This study evaluated knowledge, opinions and compliance related to Uganda's comprehensive smoke-free law among hospitality venues in Kampala Uganda. DESIGN:This multi-method study presents cross-sectional findings of the extent of compliance in the early phase of Uganda's comprehensive smoke-free law (2 mont...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017601
更新日期:2018-01-05 00:00:00
abstract:OBJECTIVES:Physicians often refer patients with musculoskeletal conditions to physical therapy. However, it is unclear to what extent physical therapists' treatment choices align with the evidence. The aim of this systematic review was to determine what percentage of physical therapy treatment choices for musculoskelet...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032329
更新日期:2019-10-07 00:00:00
abstract:INTRODUCTION:Bladder cancer (BC) (including renal pelvis, ureter and urethra) is one of the most common urogenital cancers and the fourth most frequent cancer in men in the USA. In Norway, the incidence of BC has increased over the last decades. The age-standardised incidence rates per 100 000 for 2011-2015 were 53.7 i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019309
更新日期:2018-03-30 00:00:00
abstract:PURPOSE:In response to the need for more advanced and longitudinal data concerning chronic diseases, behavioural risk factors and social support systems in India, the SWADES (Social Well-being and Determinants of Health Study) was established. PARTICIPANTS:At baseline, 997 adults aged 30 years and over, living in the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032803
更新日期:2020-03-09 00:00:00
abstract:OBJECTIVES:Anxiety disorders (ADs) are common after traumatic brain injury (TBI). However, the risk factors of new-onset ADs remain unclear. This study was aimed at evaluating the incidence and risk factors for new-onset ADs, including pre-existing hyperlipidaemia and three major comorbidities (diabetes mellitus, hyper...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005269
更新日期:2014-07-17 00:00:00
abstract:INTRODUCTION:One in five men is likely to receive a diagnosis of prostate cancer (PCa) by the age of 85 years. Men diagnosed with low-risk PCa may be eligible for active surveillance (AS) to monitor their cancer to ensure that any changes are discovered and responded to in a timely way. Communication of risk in this co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017372
更新日期:2017-10-05 00:00:00
abstract:PURPOSE:To describe a newly created all-Nordic cohort of patients with gastro-oesophageal reflux disease (GORD), entitled the Nordic Antireflux Surgery Cohort (NordASCo), which will be used to compare participants having undergone antireflux surgery with those who have not regarding risk of cancers, other diseases and ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016505
更新日期:2017-06-08 00:00:00
abstract:OBJECTIVES:We conducted a study to evaluate the use of job aids and simple user instructions to improve adherence for the treatment of childhood pneumonia with amoxicillin dispersible tablet (DT). DESIGN:A mixed-method study implemented in three phases between October 2015 and February 2016. SETTINGS:The study was im...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024978
更新日期:2019-05-30 00:00:00
abstract:INTRODUCTION:For patients with advanced cancer, research shows that pain is frequent, burdensome and undertreated. Evidence-based approaches to support cancer pain management have been developed but have not been implemented within the context of the UK National Health Service. This protocol is for a pragmatic multicen...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-021965
更新日期:2018-03-22 00:00:00
abstract:INTRODUCTION:Cancer-related cognitive impairment (CRCI) can have detrimental effects on quality of life, even among patients with non-central nervous system (CNS) cancers. Several studies have been conducted to explore different markers associated with CRCI to understand its pathobiology. It is proposed that the underl...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-017578
更新日期:2018-01-27 00:00:00
abstract:INTRODUCTION:Idiopathic nephrotic syndrome (INS) is the most common glomerulopathy that results in childhood chronic kidney disease in China, but the relationships between different clinical phenotypes and immunological genetic variants observed in patients with INS are ambiguous and have not been well studied. A cohor...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028717
更新日期:2019-08-28 00:00:00
abstract:OBJECTIVES:To examine the effect on estimated levels of health conditions produced from large-scale surveys, when either list-wise respondent deletion or standard demographic item-level imputation is employed. To assess the degree to which further bias reduction results from the inclusion of correlated ancillary variab...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000696
更新日期:2012-07-12 00:00:00
abstract:INTRODUCTION:Cancer is one of the leading causes of death globally and many jurisdictions have developed population-based cancer screening programmes to reduce the public health burden of disease. However, screening participation remains suboptimal. Social media and other mobile health (mHealth) technologies are increa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035411
更新日期:2020-02-05 00:00:00
abstract:OBJECTIVES:Evidence of the extent of poor oral health in the older UK adult population is limited. We describe the prevalence of oral health conditions, using objective clinical and subjective measures, in a population-based study of older men. DESIGN:Cross-sectional study. SETTING AND PARTICIPANTS:A representative s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009476
更新日期:2015-12-29 00:00:00
abstract:OBJECTIVE:The reasons that physicians leave the institutions have not been extensively studied. We aimed to evaluate these reasons, which include the desire to work at another hospital or the intention to make a career change, among physicians in tertiary hospitals in China and explore the associations between the indi...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-023756
更新日期:2019-03-13 00:00:00
abstract:OBJECTIVES:Although successful airway management is essential for emergency trauma care, comprehensive studies are limited. We sought to characterise current trauma care practice of airway management in the emergency departments (EDs) in Japan. DESIGN:Analysis of data from a prospective, observational, multicentre reg...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-006623
更新日期:2015-02-04 00:00:00