解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:OBJECTIVE:Identification of older patients at risk, among those accessing the emergency department (ED), may support clinical decision-making. To this purpose, we developed and validated the Dynamic Silver Code (DSC), a score based on real-time linkage of administrative data. DESIGN AND SETTING:The 'Silver Code Nation...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033374
更新日期:2019-12-22 00:00:00
abstract:OBJECTIVE:To explore patients' experience of receiving pain relief injection for suspected hip fracture from paramedics at the location of the injury. DESIGN:Qualitative interviews within a feasibility trial about an alternative to routine prehospital pain management for patients with suspected hip fracture. SETTING:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033398
更新日期:2019-12-19 00:00:00
abstract:INTRODUCTION:Acute hypoxaemic respiratory failure (AHRF) in children is the most frequent reason for non-elective hospital admission. During the initial phase, AHRF is a clinical syndrome defined for the purpose of this study by an oxygen requirement and caused by pneumonia, lower respiratory tract infections, asthma o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030516
更新日期:2019-12-18 00:00:00
abstract:OBJECTIVES:Although the smoking prevalence continues to decline in New Zealand (NZ) overall, little is known about smoking in university students. A 2013 survey of students aged 17-25 years found that 14% were current smokers, and 3% daily smokers. However, the sample did not include students from all NZ universities. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032590
更新日期:2019-12-18 00:00:00
abstract:OBJECTIVES:To (1) provide an up-to-date overview of shared decision making (SDM)-models, (2) give insight in the prominence of components present in SDM-models, (3) describe who is identified as responsible within the components (patient, healthcare professional, both, none), (4) show the occurrence of SDM-components o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031763
更新日期:2019-12-17 00:00:00
abstract:OBJECTIVE:Long working hours have been shown to raise the risk of various health outcomes. However, epidemiological evidence has shown inconsistent result in relation to type 2 diabetes mellitus (T2DM) and the association between long working hours and pre-diabetes among non-diabetic adults remains largely unexplored. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033579
更新日期:2019-12-17 00:00:00
abstract:OBJECTIVE:The aim of this study was to examine whether there is an association between grandparental care and loneliness, social isolation and/or the size of an individual's social network among community-based adults aged ≥40 years. METHODS:Cross-sectional data were drawn from a population-based sample of individuals...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029605
更新日期:2019-12-17 00:00:00
abstract:INTRODUCTION:Colorectal cancer is the fourth most common type of cancer and the second most common cause of cancer-related deaths in the UK. The full blood count (FBC) is a blood test that may play a role in early detection of the disease. Previous studies have aimed to identify how levels of individual components, suc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032759
更新日期:2019-12-16 00:00:00
abstract:OBJECTIVE:To determine research priorities for the management of broken bones of the upper limb in people over 50, which represent the shared priorities of patients, their families, carers and healthcare professionals. DESIGN/SETTING:A national (UK) research priority setting partnership. PARTICIPANTS:People aged 50 a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030028
更新日期:2019-12-15 00:00:00
abstract:OBJECTIVE:This study examines the association between profession-specific work environments and the 7-day mortality of patients admitted to these units with acute myocardial infarction (AMI), stroke and hip fracture. DESIGN:A cross-sectional study combining patient mortality data extracted from the South-Eastern Norwa...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-031704
更新日期:2019-12-15 00:00:00
abstract:INTRODUCTION:With more women working and surviving breast cancer, issues concerning sustainable employment must be addressed. Support to transition back to work is a gap in survivorship care. This paper describes the feasibility trial protocol for 'Beyond Cancer', a multimodal occupational rehabilitation programme to s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032505
更新日期:2019-12-15 00:00:00
abstract:OBJECTIVES:To investigate leftover antibiotics and their influence on self-medication with antibiotics (SMA) for Chinese children, and further explore the different influences of leftovers from two main sources: previous prescriptions and pharmaceutical purchases. DESIGN:A cross-sectional questionnaire study. SETTING...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033679
更新日期:2019-12-15 00:00:00
abstract:INTRODUCTION:Developmental alterations to the circadian rhythm, in combination with lifestyle changes (eg, changes in school start time, part-time employment), contribute to insufficient sleep among youth. Insufficient sleep is associated with poor eating behaviours in other developmental stages (ie, childhood, adultho...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030457
更新日期:2019-12-11 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
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031895
更新日期:2019-12-11 00:00:00
abstract:INTRODUCTION:There is a renewed global interest in improving community health worker (CHW) programmes. For CHW programmes to be effective, key intervention design factors which contribute to the performance of CHWs need to be identified. The recent WHO guidelines recommends the combination of financial and non-financia...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033601
更新日期:2019-12-11 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
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031085
更新日期:2019-12-10 00:00:00
abstract:OBJECTIVES:Increasing evidence suggests that low social support is associated with an elevated risk of coronary heart disease (CHD). Earlier studies in this field were conducted in predominantly middle-aged or older samples; thus, the associations reported previously may have been confounded by subclinical manifestatio...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030880
更新日期:2019-12-09 00:00:00
abstract:OBJECTIVE:Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients'...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031665
更新日期:2019-12-08 00:00:00
abstract:INTRODUCTION:Warfarin is an effective anticoagulant and the only oral anticoagulant available for patients with mechanical heart valves. The prothrombin time and the associated international normalised ratio (INR) are routinely tested to monitor the response to anticoagulation therapy in patients. Patients who undergo ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032949
更新日期:2019-12-05 00:00:00
abstract:INTRODUCTION:Trauma to the nail bed is the most common surgically treated paediatric hand injury. The majority of surgeons replace the nail plate after repairing the nail bed despite a lack of evidence to do so. Replacing the nail plate may be associated with increased postoperative infection. We will investigate the i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031552
更新日期:2019-12-04 00:00:00
abstract:INTRODUCTION:Irritable bowel syndrome (IBS) is a common chronic functional gastrointestinal disorder affecting approximately 10% to 25% of the adult population. A large number of clinical trials have been conducted to evaluate the efficacy of probiotics for IBS but the results were inconsistent. Previous meta-analyses ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027376
更新日期:2019-12-02 00:00:00
abstract:INTRODUCTION:Providing smoking cessation treatment is an important intervention for tuberculosis (TB) patients. Mobile technologies, such as smartphone applications, have shown promising potential. However, there are few effective applications that could support TB patients in their efforts to quit smoking. To address ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031204
更新日期:2019-12-02 00:00:00
abstract:INTRODUCTION:Haemophilia A is an X linked inherited bleeding disorder, caused by a decrease in coagulation factor VIII. Persons with haemophilia experience repeated musculoskeletal bleeding, which can lead to decreased range of motion, irreversible joint damage, low bone mineral density (BMD), and are at greater risk f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032891
更新日期:2019-12-02 00:00:00
abstract:OBJECTIVE:Hispanics/Latinos, the largest immigrant population in the USA, undergo the process of acculturation and have a large burden of heart failure risk. Few studies have examined the association of acculturation on cardiac structure and function. DESIGN:Cross-sectional. SETTING:The Echocardiographic Study of Lat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028729
更新日期:2019-11-28 00:00:00
abstract:BACKGROUND:In October 2012, the Chinese government established maximum retail prices for specific products, including 30 antineoplastic medications. Three years later, in June 2015, the government abolished price regulation for most medications, including all antineoplastic medications. This study examined the impacts ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031658
更新日期:2019-11-28 00:00:00
abstract:INTRODUCTION:Maternal and perinatal death surveillance and response (MPDSR), or any related form of audit, is a systematic process used to prevent future maternal and perinatal deaths. While the existence of MPDSR policies is routinely measured, measurement and understanding of policy implementation has lagged behind. ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2019-031328
更新日期:2019-11-27 00:00:00
abstract:OBJECTIVES:To determine the prevalence of intimate partner violence (IPV) in pregnancy and to understand associations and determinants. DESIGN:Cross-sectional survey. SETTING:Two rural health clinics in post-conflict northern Uganda. PARTICIPANTS:Women attending two rural health clinics for a new service providing c...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-027541
更新日期:2019-11-26 00:00:00
abstract:INTRODUCTION:Although a great majority of patients with cervical radiculopathy syndrome can successfully be treated non-operatively, a considerable proportion experience persistent symptoms, severe enough to require neurosurgical intervention. During the past decade, cervical spine procedures have increasingly been per...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-032575
更新日期:2019-11-26 00:00:00
abstract:OBJECTIVE:To examine the association between social capital and the health of male and female left-behind older adults in rural China. STUDY DESIGN:This cross-sectional study among the left-behind older adults aged 60 and older and with all their children working outside of Hubei, Shaanxi and Guangdong provinces in Ch...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030804
更新日期:2019-11-25 00:00:00
abstract:OBJECTIVES:This study aimed to explore barriers to accessing care, if any, among people living with HIV/AIDS (PLHA) in two districts of Bihar. We also aimed to assess attitudes towards PLHA among healthcare providers and community members. DESIGN:This qualitative study used an exploratory study design through thematic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033790
更新日期:2019-11-25 00:00:00
abstract:OBJECTIVE:To investigate timely access to palliative medicines/drugs (PMs) from community pharmacies to inform palliative care service delivery. DESIGN:Mixed methods in two sequential phases: (1) prospective audit of prescriptions and concurrent survey of patients/representatives collecting PMs from pharmacy and (2) i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029016
更新日期:2019-11-24 00:00:00
abstract:OBJECTIVES:This review summarises the information available for clinicians counselling older patients with kidney failure about treatment options, focusing on prognosis, quality of life, the lived experiences of treatment and the information needs of older adults. DESIGN:We followed the Joanna Briggs Institute Methodo...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2019-031427
更新日期:2019-11-24 00:00:00
abstract:OBJECTIVES:In the context of tightening fiscal budgets and increased commissioning responsibility, local decision-makers across the UK healthcare sector have found themselves in charge of the implementation and evaluation of a greater range of healthcare interventions and services. However, there is often little experi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029830
更新日期:2019-11-21 00:00:00
abstract:INTRODUCTION:Little is known about the applicability of mindfulness-based interventions in Spanish adults with overweight/obesity. The objective of the present study protocol is to describe the methods that will be used in a cluster randomised trial (CRT) that aims to evaluate the effectiveness of a mindfulness eating ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-031327
更新日期:2019-11-21 00:00:00
abstract:INTRODUCTION:While tobacco smoking prevalence is falling in many western societies, it remains elevated among high-priority cohorts. Rates up to 95% have been reported in women whose pregnancy is complicated by other substance use. In this group, the potential for poor pregnancy outcomes and adverse physical and neurob...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-032330
更新日期:2019-11-21 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:Periconception obesity is associated with a higher risk for adverse perinatal outcomes such as gestational diabetes mellitus, preeclampsia, large for gestational age, operative delivery and preterm birth. Lifestyle interventions during pregnancy have resulted in insufficient effects on reducing these perin...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-030236
更新日期:2019-11-19 00:00:00
abstract:INTRODUCTION:Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how fo...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031332
更新日期:2019-11-19 00:00:00
abstract:OBJECTIVES:This study aimed to measure the burden of work-related upper limb amputation in Korea over a 10-year period and assess its trend. DESIGN:Ecological study. SETTING:National level data in Korea between 2004 and 2013. PARTICIPANTS:49 535 subjects who claimed Korea industrial accident compensation insurance d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032793
更新日期:2019-11-19 00:00:00
abstract:OBJECTIVES:To assess the current evidence on the effect pre-arrest comorbidity has on survival and neurological outcomes following out-of-hospital cardiac arrest (OHCA). DESIGN:Systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES:MEDLINE, Ovid Embase, Sco...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031655
更新日期:2019-11-18 00:00:00