Abstract:
OBJECTIVE:To explore factors associated with the psychological well-being of junior doctors in Australia. DESIGN:Qualitative study using semistructured interviews. SETTING:Three teaching hospitals in Brisbane, Queensland, Australia. PARTICIPANTS:Fifteen junior medical officers (postgraduate year 2 doctors) employed across three hospitals in Queensland participated in the study. MAIN OUTCOME MEASURES:Fifteen de-identified interviews were analysed. Four key themes emerged-workplace issues impacting on health and well-being; experiences of bullying and harassment; strategies to improve health and well-being; and barriers to seeking healthcare. CONCLUSION:Underlying system and cultural factors affect the health of junior doctors. Self-stigma particularly affects junior doctors and impacts on their healthcare seeking behaviours.
journal_name
BMJ Openjournal_title
BMJ openauthors
Forbes MP,Iyengar S,Kay Mdoi
10.1136/bmjopen-2018-027558subject
Has Abstractpub_date
2019-06-12 00:00:00pages
e027558issue
6issn
2044-6055pii
bmjopen-2018-027558journal_volume
9pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:OBJECTIVES:Previous studies on the effect of statin adherence on cardiovascular events in the primary prevention of cardiovascular disease have adjusted for time-dependent confounding, but potentially introduced bias into their estimates as adherence and confounders were measured simultaneously. We aimed to evaluate th...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011306
更新日期:2016-06-03 00:00:00
abstract:OBJECTIVE:To explore clinicians' perspectives on supporting parents' decision-making following diagnosis of a severe congenital anomaly, and how this is shaped by current policy. METHODS:This paper reports data collated as part of a larger project examining parents' decision-making following antenatal diagnosis. The f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014716
更新日期:2017-06-06 00:00:00
abstract:INTRODUCTION:Chronic obstructive pulmonary disease (COPD) exacerbations progress the course of disease and impair lung function. Inhaled maintenance therapy reduces exacerbations. It is not yet established which inhaled therapy combination is best to reduce exacerbations, lung function decline and symptom burden. METH...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025048
更新日期:2019-02-20 00:00:00
abstract:OBJECTIVE:To evaluate the effect, on birth weight and birth weight centile, of use of the PrenaBelt, a maternal positional therapy device, during sleep in the home setting throughout the third trimester of pregnancy. DESIGN:A double-blind, sham-controlled, randomised clinical trial. SETTING:Conducted from September 2...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-022981
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:Accreditation in France relies on a mandatory 4-year cycle of self-assessment and a peer review of 82 standards, among which 14 focus priority standards (FPS). Hospitals are also required to measure yearly quality indicators (QIs-5 in 2010). On advice given by the accreditation committee of HAS (Haute Autori...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003289
更新日期:2013-08-30 00:00:00
abstract:OBJECTIVE:Leptin is a pleiotropic hormone associated with learning and memory via brain receptors. However, elevated plasma leptin levels may impair cognitive and memory functions. Since individual differences in memory performance affect students' ability to learn, we aimed to study the relation between leptin status ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010972
更新日期:2016-10-18 00:00:00
abstract:OBJECTIVES:Our aim was to explore how members of community pharmacy staff perceive and experience the role of procedures within the workplace in community pharmacies. SETTING:Community pharmacies in England and Wales. PARTICIPANTS:24 community pharmacy staff including pharmacists and pharmacy support staff were inter...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010851
更新日期:2016-06-06 00:00:00
abstract:INTRODUCTION:Haemophilia is a rare, inherited disorder in which blood does not clot normally, resulting in bleeding into joints and muscles. Long-term consequence is disabling joint pain, stiffness, muscle weakness, atrophy and reduced mobility. The purpose of this proposed feasibility of a randomised controlled trial ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029474
更新日期:2019-08-01 00:00:00
abstract::Objectives Eosinophilic oesophagitis (EO) shows eosinophilic infiltration of the mucosa and can present with symptoms indistinguishable from gastrooesophageal reflux disease (GORD). The authors describe the clinical, endoscopic and histopathological features of all cases of histological EO presenting during 2007-2008 ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000493
更新日期:2012-01-12 00:00:00
abstract::OBJECTIVES: To assess the impact of lower socioeconomic status on the outcome of major torso trauma patients under the single-payer system by the National Health Insurance (NHI) in Taiwan. DESIGN: A nationwide, retrospective cohort study. SETTING: An observational study from the NHI Research Database (NHIRD), invol...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032062
更新日期:2019-11-12 00:00:00
abstract:INTRODUCTION:Recommendations on energy intake are key in body weight management to improve glycaemic control in people with type 2 diabetes (T2D). International clinical guidelines recommend a variety of eating patterns to promote energy restriction as the primary dietetic approach to body weight control in managing T2...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032893
更新日期:2019-11-21 00:00:00
abstract:INTRODUCTION:Human papillomavirus (HPV) is a causal agent of malignancies including cervical, vulvar, vaginal, penile, anal and oropharyngeal cancer, as well as benign conditions such as anogenital warts. HPV vaccination protects individuals against infections with the target HPV types and their clinical outcomes. Howe...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039383
更新日期:2020-08-11 00:00:00
abstract:OBJECTIVES:Frequent attenders (FAs) suffer more and consult general practitioners (GPs) more often for chronic physical and psychiatric illnesses, social difficulties and distress than non-FAs. However, it is unclear to what extent FAs present transient episodes of care (TECs) compared with non-FAs. DESIGN:Retrospecti...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-012563
更新日期:2016-12-13 00:00:00
abstract:OBJECTIVES:To estimate the relationship between patient characteristics and referral decisions made by musculoskeletal hubs, and to assess the possible impact of an evidence-based referral tool. DESIGN:Retrospective analysis of medical records and decision tree model evaluating policy changes using local and national ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-028915
更新日期:2020-07-02 00:00:00
abstract:PURPOSE:Progression of stable coronary artery disease (CAD) towards acute coronary syndrome (ACS) is a dynamic and heterogeneous process with many intertwined constituents, in which a plaque destabilising sequence could lead to ACS within short time frames. Current CAD risk assessment models, however, are not designed ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-012929
更新日期:2016-12-23 00:00:00
abstract:INTRODUCTION:International policy recommends continuous, cost-effective monitoring of health data to enable health services to identify and respond to health inequities as experienced by different ethnic groups. However, there is a lack of routinely collected ethnicity data, particularly in primary care, and very littl...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026335
更新日期:2018-10-31 00:00:00
abstract:OBJECTIVES:There is growing evidence that antihypertensive agents, particularly centrally acting ACE inhibitors (CACE-Is), which cross the blood-brain barrier, are associated with a reduced rate of cognitive decline. Given this, we compared the rates of cognitive decline in clinic patients with dementia receiving CACE-...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002881
更新日期:2013-07-25 00:00:00
abstract:OBJECTIVES:Low-dose methoxyflurane is a non-opioid, inhaled analgesic administered via the Penthrox inhaler and was recently licensed in Europe for emergency relief of moderate-to-severe trauma-associated pain in conscious adults. This non-interventional study investigated occupational exposure to methoxyflurane in the...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034647
更新日期:2020-02-10 00:00:00
abstract:INTRODUCTION:Glaucoma is the second leading cause of age-related vision loss worldwide; it is an umbrella term that is used to describe a set of complex ocular disorders with a multifactorial aetiology. Both genetic and lifestyle risk factors for glaucoma are well established. Thus far, however, systematic reviews on t...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-019049
更新日期:2018-02-28 00:00:00
abstract:OBJECTIVES:Cardiovascular disease is an important comorbidity in patients with chronic obstructive pulmonary disease (COPD). We aimed to systematically review the evidence for: (1) risk of myocardial infarction (MI) in people with COPD; (2) risk of MI associated with acute exacerbation of COPD (AECOPD); (3) risk of dea...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2015-007824
更新日期:2015-09-11 00:00:00
abstract:OBJECTIVE:The risk of fetal death increases steeply after 42 gestational weeks. Since 2009, Denmark has had a more proactive policy including prevention of prolonged pregnancy, and early intervention in women with diabetes, preeclampsia, high body mass index and of a higher age group. The aim of this study was to descr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005785
更新日期:2014-08-14 00:00:00
abstract:OBJECTIVES:This review aims to understand what elements of psychosocial interventions are associated with improved outcomes for people with dementia to inform implementation in care homes. DESIGN:A systematic review of qualitative and quantitative intervention studies was undertaken. ELIGIBILITY CRITERIA FOR INCLUDED...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-014177
更新日期:2017-02-09 00:00:00
abstract:PURPOSE:Chagas disease (CD) has become a global health issue mainly due to migration. Germany lacks surveillance data and is home to a large Latin American immigrant population. Recognising that Bolivia is the country with the highest CD prevalence in Latin America, this cross-sectional, descriptive pilot study investi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013960
更新日期:2017-01-16 00:00:00
abstract:OBJECTIVE:We sought to examine the effect of smoking cessation on subsequent development of depressive disorders. DESIGN:This was a retrospective cohort study. METHODS:We used administrative claim and health check data from fiscal years 2010 to 2014, obtained from the largest health insurance association in Fukuoka, ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025124
更新日期:2019-03-23 00:00:00
abstract:INTRODUCTION:The importance of cardiovascular health in relation to pregnancy outcome is increasingly acknowledged. Women who develop certain pregnancy complications, in particular preeclampsia, are at higher risk for future cardiovascular disease. Independent of its outcome, pregnancy requires a substantial adaptive r...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033083
更新日期:2019-11-10 00:00:00
abstract:OBJECTIVES:To describe prevalence and predictors of poor sexual well-being for men and women over 5 years following treatment for colorectal cancer. DESIGN:Prospective longitudinal study, from presurgery to 5 years postsurgery, with eight assessment points. Logistic regression models predicted sexual well-being from p...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038953
更新日期:2020-11-12 00:00:00
abstract:INTRODUCTION:Dizziness is a common symptom in general practice with a high prevalence among older adults. The most common cause of dizziness in general practice is peripheral vestibular disease. Vestibular rehabilitation (VR) is a safe and effective treatment for peripheral vestibular disease that entails specific exer...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-015479
更新日期:2017-01-20 00:00:00
abstract:OBJECTIVE:Psychological distress is generally associated with poor dietary intake, but this has never been investigated among residents after a major disaster. We attempted to reveal the associations between dietary intake and non-specific mental health distress as well as traumatic symptoms among evacuees after the Gr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011534
更新日期:2016-07-05 00:00:00
abstract:OBJECTIVES:The Republic of Korea (Korea) has experienced a steady increase in the number of births from immigrant women over the last 20 years. However, little is known about the birth outcomes of immigrant women in Korea. This study compared Korean birth data from immigrant and native women who married native men, and...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017720
更新日期:2017-09-24 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