Leadership development in complex health systems: a qualitative study.

abstract：OBJECTIVES:To review the metrics and findings of studies evaluating effects of drug decriminalisation or legal regulation on drug availability, use or related health and social harms globally. DESIGN:Systematic review with narrative synthesis. DATA SOURCES:We searched MEDLINE, Embase, PsycINFO, Web of Science and six...

journal_title：BMJ open

authors： Scheim AI,Maghsoudi N,Marshall Z,Churchill S,Ziegler C,Werb D

更新日期：2020-09-21 00:00:00

abstract：INTRODUCTION:Persistent infection with sexually transmitted, high-risk human papillomavirus (HPV) types is the cause of all cervical cancers and some anogenital and oropharyngeal cancers. HPV is an extremely common asymptomatic infection but little known and poorly understood by the public. Patients with HPV-related ca...

journal_title：BMJ open

authors： Hendry M,Pasterfield D,Adams R,Evans M,Fiander A,Robling M,Campbell C,Makin M,Gollins S,Hiscock J,Nafees S,Bekkers MJ,Rose J,Williams O,Stanley M,Wilkinson C

更新日期：2016-04-25 00:00:00

abstract：:Background Mini-sternotomy for isolated aortic valve replacement aims to reduce operative trauma hastening recovery and improving the cosmetic outcome of cardiac surgery. The short-term clinical benefits from the mini-sternotomy are presumed to arise because the incision is less extensive and the lower half of the che...

journal_title：BMJ open

authors： Khoshbin E,Prayaga S,Kinsella J,Sutherland FW

更新日期：2011-11-24 00:00:00

abstract：OBJECTIVES:Despite evidence for an association between the built environment and physical activity, less evidence exists regarding relations between the built environment and sedentary behaviour. This study investigated the extent to which objectively assessed and self-reported neighbourhood walkability, in addition to...

journal_title：BMJ open

authors： McCormack GR,Mardinger C

更新日期：2015-11-25 00:00:00

abstract：OBJECTIVE:To quantify the effects of increased cycling on both mortality and morbidity. DESIGN:Health Impact Assessment. SETTING:Cycling to place of work or education in Copenhagen, Denmark. POPULATION:Effects were calculated based on the working-age population of Copenhagen. MAIN OUTCOME MEASURES:The primary outco...

journal_title：BMJ open

authors： Holm AL,Glümer C,Diderichsen F

更新日期：2012-07-24 00:00:00

abstract：OBJECTIVE:Lung cancer is increasingly recognised as a heterogeneous disease. Recent advances with targeted therapies for lung cancer with oncogenic mutations have greatly improved the prognosis for this subset of patients, yet little is known about their experiences. This study aimed to identify the needs and explore t...

journal_title：BMJ open

authors： Al Achkar M,Marchand L,Thompson M,Chow LQM,Revere D,Baldwin LM

更新日期：2020-03-23 00:00:00

abstract：OBJECTIVES:To investigate the impact of gender on multimorbidity in northern Iran. DESIGN:A cross-sectional analysis of the Golestan cohort data. SETTING:Golestan Province, Iran. STUDY POPULATION:49 946 residents (age 40-75 years) of Golestan Province, Iran. MAIN OUTCOME MEASURES:Researchers collected data related ...

journal_title：BMJ open

authors： Alimohammadian M,Majidi A,Yaseri M,Ahmadi B,Islami F,Derakhshan M,Delavari A,Amani M,Feyz-Sani A,Poustchi H,Pourshams A,Sadjadi AM,Khoshnia M,Qaravi S,Abnet CC,Dawsey S,Brennan P,Kamangar F,Boffetta P,Sadjadi A,Ma

更新日期：2017-05-09 00:00:00

abstract：OBJECTIVE:To investigate the association of living in foster care (FC) with substance use and subjective well-being in a sample of secondary school students (11-16 years) in Wales in 2015/16, and to examine whether these associations are attenuated by the perceived quality of interpersonal relationships. DESIGN:Cross-...

journal_title：BMJ open

authors： Long SJ,Evans RE,Fletcher A,Hewitt G,Murphy S,Young H,Moore GF

更新日期：2017-02-20 00:00:00

abstract：OBJECTIVES:To control and prevent the burdens associated with chronic kidney disease (CKD), Taiwan's National Health Insurance Administration (NHIA) launched the 'early-CKD programme' in 2011 to extend care and education to patients with CKD. This study aims to evaluate the effectiveness of the early-CKD programme in t...

journal_title：BMJ open

authors： Chen YC,Weng SF,Hsu YJ,Wei CJ,Chiu CH

更新日期：2020-12-29 00:00:00

abstract：OBJECTIVE:To examine geographic variation in use of surgery for female stress urinary incontinence (SUI), mainly midurethral mesh tape insertions, in the English National Health Service (NHS). DESIGN:National cohort study. SETTING:NHS hospitals. PARTICIPANTS:27 997 women aged 20 years or older who had a first SUI su...

journal_title：BMJ open

authors： Mamza JB,Geary RS,El-Hamamsy D,Cromwell DA,Duckett J,Monga A,Toozs-Hobson P,Mahmood T,Wilson A,Tincello DG,van der Meulen JH,Gurol Urganci I

更新日期：2019-08-28 00:00:00

abstract：INTRODUCTION:Workplace social capital (WSC) has been shown to affect employees' well-being and health, yet it is not clear how public managers can create WSC and which forms of WSC are most important. This study is the first prospective cohort study to examine the relationship between management behaviour, WSC, well-be...

journal_title：BMJ open

authors： Pihl-Thingvad S,Hansen SW,Winter V,Hansen MS,Willems J

更新日期：2020-10-27 00:00:00

abstract：BACKGROUND:Conflicts of interest may bias the findings of systematic reviews. The objective of this methodological survey was to assess the frequency and different types of conflicts of interest that authors of Cochrane and non-Cochrane systematic reviews report. METHODS:We searched for systematic reviews using the Co...

journal_title：BMJ open

authors： Hakoum MB,Anouti S,Al-Gibbawi M,Abou-Jaoude EA,Hasbani DJ,Lopes LC,Agarwal A,Guyatt G,Akl EA

更新日期：2016-08-10 00:00:00

abstract：OBJECTIVE:To provide a broader evidence summary to inform dietary guidelines of the effect of tree nuts on criteria of the metabolic syndrome (MetS). DESIGN:We conducted a systematic review and meta-analysis of the effect of tree nuts on criteria of the MetS. DATA SOURCES:We searched MEDLINE, EMBASE, CINAHL and the C...

journal_title：BMJ open

authors： Blanco Mejia S,Kendall CW,Viguiliouk E,Augustin LS,Ha V,Cozma AI,Mirrahimi A,Maroleanu A,Chiavaroli L,Leiter LA,de Souza RJ,Jenkins DJ,Sievenpiper JL

更新日期：2014-07-29 00:00:00

abstract：OBJECTIVES:(1) Summarise chest ultrasound accuracy to diagnose radiological consolidation, referenced to chest CT in patients with acute respiratory failure (ARF). (2) Directly compared ultrasound with chest X-ray. SETTING:Hospitalised patients. PARTICIPANTS:Studies were eligible if adult participants in respiratory ...

journal_title：BMJ open

authors： Hew M,Corcoran JP,Harriss EK,Rahman NM,Mallett S

更新日期：2015-05-19 00:00:00

abstract：INTRODUCTION:Bilinguals with aphasia (BWA) present varying degrees of lexical access impairment and recovery across their two languages. Because both languages may benefit from therapy, identifying the optimal target language for treatment is a current challenge for research and clinical practice. Prior research has de...

journal_title：BMJ open

authors： Peñaloza C,Dekhtyar M,Scimeca M,Carpenter E,Mukadam N,Kiran S

更新日期：2020-11-18 00:00:00

abstract：OBJECTIVE:To investigate social inequalities underlying low birthweight (LBW) outcomes in Sri Lanka. DESIGN:Cross-sectional study. SETTING:This study used the Sri Lanka Demographic and Health Survey 2016, the first such survey to cover the entire country since the Civil War ended in 2001. PARTICIPANTS:Birthweight da...

journal_title：BMJ open

authors： Abeywickrama G,S Padmadas S,Hinde A

更新日期：2020-05-25 00:00:00

abstract：INTRODUCTION:Tobacco causes kidney damage that can progress to chronic kidney disease. However, the diagnostic parameters used in clinics are not effective in identifying smokers at risk. Our first objective is to more effectively detect subclinical renal damage in smokers. In addition, we hypothesise that tobacco cons...

journal_title：BMJ open

authors： Prieto M,Vicente-Vicente L,Casanova AG,Hernández-Sánchez MT,Gomez-Marcos MA,Garcia-Ortiz L,Morales AI,members of the Biomarkers of kidney damage and tobacco.

更新日期：2020-03-08 00:00:00

abstract：INTRODUCTION:Cognitive changes after anaesthesia and surgery, such as delirium and postoperative cognitive dysfunction (POCD), are common and lead to poor outcomes and increased healthcare costs. While several interventions for delirium exist, there are no effective treatment strategies for POCD. Understanding the risk...

journal_title：BMJ open

authors： Choi S,Avramescu S,Orser BA,Au S

更新日期：2019-02-24 00:00:00

abstract：PURPOSE:The Upper Gastrointestinal Cancer Registry (UGICR) was developed to monitor and improve the quality of care provided to patients with upper gastrointestinal cancers in Australia. PARTICIPANTS:It supports four cancer modules: pancreatic, oesophagogastric, biliary and primary liver cancer. The pancreatic cancer ...

journal_title：BMJ open

authors： Maharaj AD,Holland JF,Scarborough RO,Evans SM,Ioannou LJ,Brown W,Croagh DG,Pilgrim CHC,Kench JG,Lipton LR,Leong T,McNeil JJ,Nikfarjam M,Aly A,Burton PR,Cashin PA,Chu J,Duong CP,Evans P,Goldstein D,Haydon A,Hii M

更新日期：2019-09-30 00:00:00

abstract：OBJECTIVES:To explore the views and experiences of patients on the care they have received while enrolled on the Northumberland High Risk Patient Programme (NHRPP). This programme involved case finding of frail patients using a multidisciplinary team (MDT)-led community case management programme, and support of patient...

journal_title：BMJ open

authors： Gowing A,Dickinson C,Gorman T,Robinson L,Duncan R

更新日期：2016-09-09 00:00:00

abstract：BACKGROUND:According to new Norwegian laws, mental healthcare for adults are obligated to assess all patients who are parents and to act on their children's needs. This article describes the study protocol of implementing the interventions Family Assessment and Child Talks for children of patients in the adult psychiat...

journal_title：BMJ open

authors： Reedtz C,Lauritzen C,van Doesum KT

更新日期：2012-05-03 00:00:00

abstract：INTRODUCTION:Patients with an intracerebral haemorrhage are at increased risk of venous thromboembolism. Pharmacotherapy and pneumatic compression devices are capable of preventing venous thromboembolism, however both interventions have limitations. There are no head-to-head comparisons between these two interventions....

journal_title：BMJ open

authors： Yogendrakumar V,Lun R,Hutton B,Fergusson DA,Dowlatshahi D

更新日期：2018-11-05 00:00:00

abstract：OBJECTIVES:Multiple personal and work-related factors influence medical trainees' career decision-making. The relative value of these diverse factors is under-researched, yet this intelligence is crucially important for informing medical workforce planning and retention and recruitment policies. Our aim was to investig...

journal_title：BMJ open

authors： Scanlan GM,Cleland J,Johnston P,Walker K,Krucien N,Skåtun D,NHS Education for Scotland.

更新日期：2018-03-12 00:00:00

abstract：OBJECTIVES:Bariatric surgery is the most clinically effective treatment for people with severe and complex obesity, however, the psychosocial outcomes are less clear. Follow-up care after bariatric surgery is known to be important, but limited guidance exists on what this should entail, particularly related to psycholo...

journal_title：BMJ open

authors： Coulman KD,MacKichan F,Blazeby JM,Donovan JL,Owen-Smith A

更新日期：2020-02-06 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

authors： Hoad N,Swinton M,Takaoka A,Tam B,Shears M,Waugh L,Toledo F,Clarke FJ,Duan EH,Soth M,Cook DJ

更新日期：2019-11-02 00:00:00

abstract：OBJECTIVE:To determine the feasibility of therapy-based, risk-stratified follow-up guidelines for childhood and teenage cancer survivors by evaluating adverse health outcomes in a survivor cohort retrospectively assigned a risk category. DESIGN:Retrospective cohort study. SETTING:Tertiary level, single centre, paedia...

journal_title：BMJ open

authors： Edgar AB,Duffin K,Borthwick S,Marciniak-Stepak P,Wallace WH

更新日期：2013-08-02 00:00:00

abstract：:Objective To identify factors predicting early death in women with breast cancer. Design Cohort study. Setting 29 trusts across seven cancer networks in the North Thames area. Participants 15 037 women with primary breast cancer diagnosed between January 1996 and December 2005. Methods Logistic regression analyses...

journal_title：BMJ open

authors： Stapelkamp C,Holmberg L,Tataru D,Møller H,Robinson D

更新日期：2011-11-28 00:00:00

abstract：OBJECTIVE:The aims of this study were to describe the experiences of senior students using mobile devices in a clinical setting while learning and interacting with clinical teachers, patients and each other, and to identify challenges that facilitated or impeded the use of such devices in the hospital. DESIGN:Interpre...

journal_title：BMJ open

authors： Rashid-Doubell F,Mohamed S,Elmusharaf K,O'Neill CS

更新日期：2016-05-03 00:00:00

abstract：OBJECTIVES:Fatal drowning estimates using a single underlying cause of death (UCoD) may under-represent the number of drowning deaths. This study explores how data vary by International Classification of Diseases (ICD)-10 coding combinations and the use of multiple underlying causes of death using a national register o...

journal_title：BMJ open

authors： Peden AE,Franklin RC,Mahony AJ,Scarr J,Barnsley PD

更新日期：2017-12-21 00:00:00

abstract：OBJECTIVES:Healthcare workers (HWs) are prone to high levels of stress and burnout, particularly when caring for people with HIV/AIDS. This study assessed whether participation in Botswana's Workplace Wellness Programme (WWP) for HWs was associated with job satisfaction, occupational stress, well-being and burnout. ME...

journal_title：BMJ open

authors： Ledikwe JH,Kleinman NJ,Mpho M,Mothibedi H,Mawandia S,Semo BW,O'Malley G

更新日期：2018-03-16 00:00:00