Primary care practitioners' diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries.

abstract：INTRODUCTION:In the context of a population that is growing older, and a number of high-profile scandals about care standards in hospital and community settings, having a skilled and knowledgeable workforce caring for older people is an ethical and policy imperative. Support workers make up the majority of the workforc...

journal_title：BMJ open

authors： Rycroft-Malone J,Burton C,Hall B,McCormack B,Nutley S,Seddon D,Williams L

更新日期：2014-05-30 00:00:00

abstract：OBJECTIVE:The aim of the present research was to examine associations between poor driving behaviour (DB), driving when fatigued (DF), risk taking (RT) and road traffic accidents (RTAs). DESIGN:The study involved a cross-sectional online survey of clients of an insurance company. The survey measured DB (speeding, dist...

journal_title：BMJ open

authors： Smith AP

更新日期：2016-08-18 00:00:00

abstract：INTRODUCTION:With the ageing of the population and the general improvement of care, an increasing number of people are living with multiple chronic health conditions or 'multimorbidity'. Multimorbidity often implies multiple medical treatments. As a consequence, the risk of adverse events and the time spent by patients...

journal_title：BMJ open

authors： Déruaz-Luyet A,N'Goran AA,Tandjung R,Frey P,Zeller A,Haller DM,Rosemann T,Burnand B,Bodenmann P,Senn N,Widmer D,Herzig L

更新日期：2015-10-28 00:00:00

abstract：OBJECTIVES:Hospice care (HC) is seen as a comprehensive approach, that enhances quality of end-of-life (EOL) care, for terminally ill patients. Despite its positive aspects, HC enrolment is disproportionate for rural patients, who are less likely to use HC in comparison to their urban counterparts. The purpose of this ...

journal_title：BMJ open

authors： Ko E,Fuentes D,Singh-Carlson S,Nedjat-Haiem F

更新日期：2020-07-01 00:00:00

abstract：OBJECTIVES:To further identify the single-nucleotide polymorphisms (SNPs) that contribute to the genetic susceptibility to sarcoidosis, we examined the potential association between sarcoidosis and 15 SNPs of the ANXA11 gene. DESIGN:A case-control study. SETTING:A tuberculosis unit in a hospital of the university in ...

journal_title：BMJ open

authors： Feng X,Zang S,Yang Y,Zhao S,Li Y,Gao X,Zhang L

更新日期：2014-07-23 00:00:00

abstract：INTRODUCTION:Robot-assisted laparoscopic prostatectomy (RALP) offers potential cure for localised prostate cancer but is associated with considerable toxicity. Potency and urinary continence are improved when the neurovascular bundles (NVBs) are spared during a nerve spare (NS) RALP. There is reluctance, however, to pe...

journal_title：BMJ open

authors： Dinneen E,Haider A,Allen C,Freeman A,Briggs T,Nathan S,Brew-Graves C,Grierson J,Williams NR,Persad R,Oakley N,Adshead JM,Huland H,Haese A,Shaw G

更新日期：2019-06-11 00:00:00

abstract：OBJECTIVE:This study aims to examine the impact of gender and expected gender roles on the career development of young female traditional Korean medicine (KM) doctors. DESIGN:We conducted semistructured interviews to examine the experiences of study subjects regarding early career choices, employment, job performance ...

journal_title：BMJ open

authors： Chun SE,Lee JH,Lee JE,Lee SMK,Leem J,Kim H

更新日期：2019-08-21 00:00:00

abstract：OBJECTIVES:To develop a scale to assess infectious disease-specific health literacy (IDSHL) in China and test its initial psychometric properties. METHODS:Item pooling, reduction and assessment of psychometric properties were conducted. The scale was divided into 2 subscales; subscale 1 assessed an individual's skills...

journal_title：BMJ open

authors： Tian X,Di Z,Cheng Y,Ren X,Chai Y,Ding F,Chen J,Southerland JL,Cui Z,Hu X,Xu J,Xu S,Qian G,Wang L

更新日期：2016-08-05 00:00:00

abstract：OBJECTIVES:To define the core competencies essential for specialist training in neurocritical care in China. DESIGN:Modified Delphi method and nominal group (NG) technique. SETTING:National. PARTICIPANTS:A total of 1094 respondents from 33 provinces in China participated in the online survey. A NG of 11 members was ...

journal_title：BMJ open

authors： Cui Z,Gao L,Huang QB,Li LH,Qiu BH,Shi GZ,Yu XY,Wang Y,Zhang L,Wang Y,Zhang L,Zhou JX,Working Group from Neuro-Critical Care Committee affiliated to the Chinese Association of Critical Care Physicians and the National Center for H

更新日期：2020-01-06 00:00:00

abstract：OBJECTIVE:To identify factors influencing cardiologists' and hospitalists' decisions regarding palliative care referral among hospitalised patients with advanced heart failure. DESIGN:An exploratory, randomised vignette-based survey. SETTING:Cardiology and hospitalist divisions at three Michigan State institutions an...

journal_title：BMJ open

authors： Abedini NC,Guo G,Hummel SL,Bozaan D,Beasley M,Cowger J,Chopra V

更新日期：2020-12-15 00:00:00

abstract：OBJECTIVES:To estimate the potential impact of the addition of culture-based screening for group B streptococcus (GBS) carriage in pregnancy to a risk-based prevention policy in the UK. We aimed to establish agreement within a multidisciplinary group of key stakeholders on the model input parameters. DESIGN:Determinis...

journal_title：BMJ open

authors： Bevan D,White A,Marshall J,Peckham C

更新日期：2019-03-23 00:00:00

abstract：INTRODUCTION:Adolescence is a critical period for youths with chronic conditions, when they are supposed to take over the responsibility for their health. Type 1 diabetes (T1D) is one of the most common chronic conditions in childhood and inadequate self-management increases the risk of short-term and long-term complic...

journal_title：BMJ open

authors： Brorsson AL,Bratt EL,Moons P,Ek A,Jelleryd E,Torbjörnsdotter T,Sparud-Lundin C

更新日期：2020-04-14 00:00:00

abstract：OBJECTIVE:The objective was to compare the results of performance-based and self-assessed measures of health literacy (HL) and to evaluate the contribution of their joint use in assessing some HL antecedents. DESIGN:This was a cross-sectional study. SETTING:The study was conducted on the general population in Florenc...

journal_title：BMJ open

authors： Lorini C,Lastrucci V,Paolini D,Bonaccorsi G,Florence Health Literacy Research Group.

更新日期：2020-10-05 00:00:00

abstract：OBJECTIVES:While studies at the undergraduate level have begun to explore healthcare students' safety and dignity dilemmas, none have explored such dilemmas with multiple stakeholders at the postgraduate level. The current study therefore explores the patient and staff safety and dignity narratives of multiple stakehol...

journal_title：BMJ open

authors： Sholl S,Scheffler G,Monrouxe LV,Rees C

更新日期：2019-05-27 00:00:00

abstract：OBJECTIVES:We examined the utility of January 2004 to April 2014 Google Trends data from information searches for cancer screenings and preparations as a complement to population screening data, which are traditionally estimated through costly population-level surveys. SETTING:State-level data across the USA. PARTICI...

journal_title：BMJ open

authors： Schootman M,Toor A,Cavazos-Rehg P,Jeffe DB,McQueen A,Eberth J,Davidson NO

更新日期：2015-06-08 00:00:00

abstract：INTRODUCTION:Rapid technology development due to the introduction of Industrial Revolution 4.0 and Internet of Things has created a demand and gradual transition from traditional teaching and learning to technology-based learning in higher education, including healthcare education. The COVID-19 pandemic has accelerated...

journal_title：BMJ open

authors： Romli MH,Cheema MS,Mehat MZ,Md Hashim NF,Abdul Hamid H

更新日期：2020-11-23 00:00:00

abstract：OBJECTIVE:This paper explores what aspects of a multicomponent intervention were deemed strengths and weaknesses by teenagers and the local council when promoting physical activity to young people. DESIGN:Qualitative findings at 12 months from a mixed method randomised control trial. METHODS:Active Children Through I...

journal_title：BMJ open

authors： James M,Christian D,Scott S,Todd C,Stratton G,Demmler J,McCoubrey S,Halcox J,Audrey S,Ellins EA,Irvine E,Brophy S

更新日期：2019-05-10 00:00:00

abstract：INTRODUCTION:Atrial fibrillation (AF) is one of the leading causes of cerebrovascular mortality and morbidity. Oral anticoagulants (OACs) have been shown to reduce the incidence of cardioembolic stroke in patients with AF, adherence to treatment being an essential element for their effectiveness. Since the release of t...

journal_title：BMJ open

authors： Rodríguez-Bernal CL,García-Sempere A,Hurtado I,Santa-Ana Y,Peiró S,Sanfélix-Gimeno G

更新日期：2018-12-19 00:00:00

abstract：OBJECTIVES:To introduce multilevel repeated measures (RM) models and compare them with multilevel difference-in-differences (DID) models in assessing the linear relationship between the length of the policy intervention period and healthcare outcomes (dose-response effect) for data from a stepped-wedge design with a hi...

journal_title：BMJ open

authors： Ren Y,Yang M,Li Q,Pan J,Chen F,Li X,Meng Q

更新日期：2017-02-22 00:00:00

abstract：INTRODUCTION:Randomised controlled trials (RCTs) provide high-quality evidence to inform practice. However, much routine care is not based on available RCT evidence. Understanding this disconnect may improve trial design, reporting and implementation. Published literature commenting on RCTs may yield relevant insights....

journal_title：BMJ open

authors： Byrne BE,Rooshenas L,Lambert H,Blazeby JM

更新日期：2018-11-08 00:00:00

abstract：INTRODUCTION:Osteoarthritis (OA) pain is a major cause of long-term disability and chronic pain in the adult population. One in five patients does not receive satisfactory pain relief, which reflects the complexity of chronic pain and the current lack of understanding of mechanisms of chronic pain. Recently, duloxetine...

journal_title：BMJ open

authors： Reckziegel D,Bailey H,Cottam WJ,Tench CR,Mahajan RP,Walsh DA,Knaggs RD,Auer DP

更新日期：2017-06-26 00:00:00

abstract：INTRODUCTION:Osteoarthritis of the trapeziometacarpal joint affects approximately 10%-25% of women, especially those who are postmenopausal. It may result in thumb dysfunction. Among the treatments, intra-articular injections of corticosteroid (CS) and hyaluronic acid (HA) are both effective and recommended. However, c...

journal_title：BMJ open

authors： Cormier G,Le Goff B,Denis A,Varin S,Auzanneau L,Dimet J,Le Thuaut A

更新日期：2019-01-09 00:00:00

abstract：INTRODUCTION:Returning to work can be problematic for cancer survivors due to suboptimal workplace support, a heavy workload, decreased physical functioning and fatigue. The timely and permanent return to work (RtW) of cancer patients favourably influences quality of life and economic independence. Multidisciplinary in...

journal_title：BMJ open

authors： Groeneveld IF,de Boer AG,Frings-Dresen MH

更新日期：2012-07-10 00:00:00

abstract：INTRODUCTION:Early childhood development (ECD) is a critical component for building the foundation of future physical and emotional health and subsequent academic success. The quality of the home environment to promote development is an important factor in ECD. Since large rural-urban disparities in the home environmen...

journal_title：BMJ open

authors： Xu M,Liu A,Zhao C,Fang H,Huang X,Berman S,Guan H

更新日期：2020-10-19 00:00:00

abstract：BACKGROUND:The first- and second-trimester screening for trisomy 21 (T21) are reimbursed for all pregnant women in Belgium. Using a cut-off risk of 1:300 for T21, about 5% of all pregnant women are referred for definitive prenatal diagnosis using an invasive test, at a sensitivity of (only) 72.5%. The sensitivity and s...

journal_title：BMJ open

authors： Neyt M,Hulstaert F,Gyselaers W

更新日期：2014-11-07 00:00:00

abstract：OBJECTIVES:While increasing attention is paid to the rising prevalence of chronic diseases in Africa, there is little focus on chronic kidney disease (CKD). This systematic review assesses CKD burden among the general population and high-risk groups on the entire African continent. DESIGN, SETTING AND PARTICIPANTS:We ...

journal_title：BMJ open

authors： Abd ElHafeez S,Bolignano D,D'Arrigo G,Dounousi E,Tripepi G,Zoccali C

更新日期：2018-01-10 00:00:00

abstract：OBJECTIVES:The aim of this analysis is to: (i) assess the prevalence of clinically significant depressive symptoms at baseline and follow-up for participants in the PROUD trial of HIV pre-exposure prophylaxis (PrEP), examining changes in prevalence over time and (ii) investigate the association of socioeconomic and psy...

journal_title：BMJ open

authors： Miltz A,Lampe F,McCormack S,Dunn D,White E,Rodger A,Phillips A,Sherr L,Sullivan AK,Reeves I,Clarke A,Gafos M

更新日期：2019-12-10 00:00:00

abstract：OBJECTIVE:To describe overlapping coping strategies in people with Parkinson's disease. DESIGN:Cross-sectional, cohort study. SETTING:Monocentric, inpatient and outpatient, university hospital. PARTICIPANTS:Two-hundred participants enrolled, 162 patients with Parkinson's disease (without dementia) analysed. PRIMARY...

journal_title：BMJ open

authors： Liebermann JD,Witte OW,Prell T

更新日期：2020-07-14 00:00:00

abstract：OBJECTIVE:The objective is to determine if suspected concussions in elite football are medically assessed according to the International Conferences on Concussion in Sport consensus statement recommendations. SETTING:Men's Union of European Football Association (UEFA) Football Championship. PARTICIPANTS:All professio...

journal_title：BMJ open

authors： Abraham KJ,Casey J,Subotic A,Tarzi C,Zhu A,Cusimano MD

更新日期：2019-05-30 00:00:00

abstract：OBJECTIVE:Primarily to develop a multimarker score for prediction of 3-year mortality in older patients with decompensated heart failure (HF). DESIGN:Prospective cohort study. SETTING:Secondary care. Single centre. PATIENTS AND BIOMARKERS: 131 patients, aged ≥65 years, with decompensated HF were included. Assessment ...

journal_title：BMJ open

authors： Bjurman C,Jensen J,Petzold M,Hammarsten O,Fu ML

更新日期：2013-03-09 00:00:00