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:OBJECTIVES:To assess the communication potential of three-dimensional (3D) patient-specific models of congenital heart defects and their acceptability in clinical practice for cardiology consultations. DESIGN:This was a questionnaire-based study in which participants were randomised into two groups: the 'model group' ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007165
更新日期:2015-04-30 00:00:00
abstract:OBJECTIVES:Since population-based data on prognostic factors affecting survival in patients with breast cancer with bone metastasis (BM) are currently limited, we conducted this nationwide retrospective cohort study to examine the prognostic role of disease stage at breast cancer diagnosis and length of BM-free interva...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-007702
更新日期:2015-04-29 00:00:00
abstract:OBJECTIVES:With accurate molecular tests now available for diagnosis of chlamydia and gonorrhoea (Chlamydia trachomatis (CT)/Neisseria gonorrhoeae (NG)) at the point-of-care (POC), we aimed to explore the public health implications (benefits and barriers) of their integration into remote primary care in Australia. MET...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006922
更新日期:2015-04-28 00:00:00
abstract:OBJECTIVE:It is unknown into what extent patients with ST-elevation myocardial infarction (STEMI) utilise a joint service number (Swedish Healthcare Direct, SHD) as first medical contact (FMC) instead of Emergency Medical Services (EMS) and how this impact time to diagnosis. We aimed to (1) describe patients' FMC; (2) ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-007059
更新日期:2015-04-21 00:00:00
abstract:OBJECTIVE:To establish the reliability and validity of the translated version of the Safety Attitudes Questionnaire (SAQ) by evaluating its psychometric properties and to determine possible differences among nurses and physicians regarding safety attitudes. DESIGN:A cross-sectional study utilising the Albanian version...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006528
更新日期:2015-04-15 00:00:00
abstract:OBJECTIVE:To determine factors and outcomes associated with ultra-early surgery for poor-grade aneurysmal subarachnoid haemorrhage (aSAH). DESIGN:A multicentre retrospective analysis, observational study. SETTING:High-volume teaching hospitals (more than 150 aSAH cases per year). PARTICIPANTS:118 patients with World...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-007410
更新日期:2015-04-15 00:00:00
abstract:OBJECTIVES:To derive a tool to determine Urgent Care Center (UCC) crowding and investigate the association between different levels of UCC overcrowding and negative patient care outcomes. DESIGN:Prospective pilot study. SETTING:Single centre study in the USA. PARTICIPANTS:3565 patients who registered at UCC during t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006860
更新日期:2015-04-14 00:00:00
abstract:OBJECTIVES:To estimate the excess in admissions associated with type1 diabetes in childhood. DESIGN:Matched-cohort study using anonymously linked hospital admission data. SETTING:Brecon Group Register of new cases of childhood diabetes in Wales linked to hospital admissions data within the Secure Anonymised Informati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005644
更新日期:2015-04-13 00:00:00
abstract:OBJECTIVES:To conduct a fully independent, external validation of a research study based on one electronic health record database using a different database sampling from the same population. DESIGN:Retrospective cohort analysis of β-blocker therapy and all-cause mortality in patients with cancer. SETTING:Two UK nati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007299
更新日期:2015-04-13 00:00:00
abstract:OBJECTIVE:Whether areas affected by Q fever during a large outbreak (2008-2010) had higher rates of adverse pregnancy outcomes than areas not affected by Q fever. DESIGN:Nationwide registry-based ecological study. SETTING:Pregnant women in areas affected and not affected by Q fever in the Netherlands, 2003-2004 and 2...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006821
更新日期:2015-04-10 00:00:00
abstract:BACKGROUND:Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural ...
journal_title:BMJ open
pub_type: 历史文章,杂志文章
doi:10.1136/bmjopen-2014-007217
更新日期:2015-04-08 00:00:00
abstract:OBJECTIVE:The association between obesity and disability may differ between high-income and low-income/middle-income countries but there are no studies comparing this association between these settings. The aim of the study was to assess this association in nine countries using nationally-representative data from the C...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-007313
更新日期:2015-04-02 00:00:00
abstract:OBJECTIVES:The objectives of this study are: (1) to estimate the prevalence of unmet need for family planning among married women using Botswana Family Health Survey 2007 data and (2) to identify risk factors for unmet need for family planning among married women. DESIGN:This study used secondary data from a cross-sec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006603
更新日期:2015-03-31 00:00:00
abstract:OBJECTIVE:To analyse the spatial-temporal clustering of the HIV/AIDS epidemic in Chongqing and to explore its association with the economic indices of AIDS prevention and treatment. METHODS:Data on the HIV/AIDS epidemic and economic indices of AIDS prevention and treatment were obtained from the annual reports of the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006669
更新日期:2015-03-27 00:00:00
abstract:OBJECTIVES:There is a controversy about the impact of economic crisis on suicide rates in Greece. We analysed recent suicide data to identify who has been most affected and the relationships to economic and labour market indicators. SETTING:Greece. PRIMARY AND SECONDARY OUTCOME MEASURES:Age-specific and sex-specific ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007295
更新日期:2015-03-25 00:00:00
abstract:INTRODUCTION:User engagement in mental health service design is heralded as integral to health systems quality and performance, but does engagement improve health outcomes? This article describes the CORE study protocol, a novel stepped wedge cluster randomised controlled trial (SWCRCT) to improve psychosocial recovery...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-006688
更新日期:2015-03-24 00:00:00
abstract:OBJECTIVES:To examine the association between smoking cessation attempts during the previous 12 months, motivators to quit smoking and nicotine dependence levels among current male smokers after Japan's massive 2010 tobacco tax increase. DESIGN:Cross-sectional study. SETTING:A self-reported questionnaire about smokin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006658
更新日期:2015-03-20 00:00:00
abstract:OBJECTIVE:To determine if improvements in cognitive outcome detected at 18 months' corrected age (CA) in infants born <33 weeks' gestation receiving a high-docosahexaenoic acid (DHA) compared with standard-DHA diet were sustained in early childhood. DESIGN:Follow-up of a multicentre randomised controlled trial. Random...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2014-007314
更新日期:2015-03-18 00:00:00
abstract:OBJECTIVES:(1) To explain general practitioners' (GPs') approaches to prostate-specific antigen (PSA) testing and overdiagnosis; (2) to explain how GPs reason about their PSA testing routines and (3) to explain how these routines influence GPs' personal experience as clinicians. SETTING:Primary care practices in Austr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006367
更新日期:2015-03-17 00:00:00
abstract:OBJECTIVE:While newcomers are often disproportionately concentrated in disadvantaged areas, little attention is given to the effects of immigrants' postimmigration context on their mental health and care use. Intersectionality theory suggests that understanding the full impact of disadvantage requires considering the e...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006690
更新日期:2015-03-13 00:00:00
abstract:OBJECTIVES:To determine if point-of-care (POC) glycated haemoglobin (HbA₁c) is sufficiently accurate in real-world remote settings to predict or exclude the diagnosis of diabetes based on laboratory HbA1c measurements. DESIGN:Cross-sectional study comparing POC capillary HbA₁c results with corresponding venous HbA₁c l...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006277
更新日期:2015-03-12 00:00:00
abstract:OBJECTIVE:To classify diseases based on age at peak incidence to identify risk factors for later disease in women's life course. DESIGN:A cross-sectional baseline survey of participants in the Japan Nurses' Health Study. SETTING:A nationwide prospective cohort study on the health of Japanese nurses. The baseline surv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006360
更新日期:2015-03-11 00:00:00
abstract:OBJECTIVES:Investigating the potential pathways linking shift work and cardiovascular diseases (CVD), this study aimed to identify whether sleep disturbances mediate the relationship between shift work and the metabolic syndrome, a cluster of CVD risk factors. DESIGN:Cross-sectional study. SETTING:A tertiary-level, a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007327
更新日期:2015-03-10 00:00:00
abstract:BACKGROUND:Data privacy is a major concern in spatial epidemiology because exact residential locations or parts of participants' addresses such as street or zip codes are used to perform geospatial analyses. To overcome this concern, different levels of aggregation such as census districts or zip code areas are mainly ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006481
更新日期:2015-03-09 00:00:00
abstract:OBJECTIVES:A recent study reported a large increase in the number of meniscal procedures from 2000 to 2011 in Denmark. We examined the nation-wide distribution of meniscal procedures performed in the private and public sector in Denmark since different incentives may be present and the use of these procedures may diffe...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006659
更新日期:2015-02-24 00:00:00
abstract:OBJECTIVES:Physicians are a commonly targeted group in health research surveys, but their response rates are often relatively low. The goal of this paper was to evaluate the effect of unconditional incentives in the form of a coffee card on physician postal survey response rates. DESIGN:Following 13 key informant inte...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007166
更新日期:2015-02-18 00:00:00
abstract:INTRODUCTION:Sexually transmitted infections (STI) are a major public health problem. Condoms provide effective protection but there are many barriers to use. Face-to-face health promotion interventions are resource-intensive and show mixed results. Interactive digital interventions may provide a suitable alternative, ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007552
更新日期:2015-02-16 00:00:00
abstract:OBJECTIVES:The aim of the study was to explore the associations between the dyad's (person with stroke and informal caregiver) perception of the person with stroke's rehabilitation needs and stroke severity, personal factors (gender, age, sense of coherence), the use of rehabilitation services, amount of informal care ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006784
更新日期:2015-02-12 00:00:00
abstract:OBJECTIVES:Accurate assessment of cartilage status is increasingly becoming important to clinicians for offering joint preservation surgeries versus joint replacements. The goal of this study was to evaluate the validity of three-dimensional (3D), gradient-echo (GRE)-based T2* and T1Gd mapping for the assessment of var...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006895
更新日期:2015-02-09 00:00:00
abstract:OBJECTIVE:To develop a conceptual model for effective use of telehealth in the management of chronic health conditions, and to use this to develop and evaluate an intervention for people with two exemplar conditions: raised cardiovascular disease risk and depression. DESIGN:The model was based on several strands of ev...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006448
更新日期:2015-02-06 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
abstract:OBJECTIVE:To study the incidence of de novo multimorbidity across all ages in a geographically defined population with an emphasis on sex and ethnic differences. DESIGN:Historical cohort study. SETTING:All persons residing in Olmsted County, Minnesota, USA on 1 January 2000 who had granted permission for their record...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006413
更新日期:2015-02-03 00:00:00
abstract:OBJECTIVES:To complete a 30-year interrupted time-series analysis of the impact of austerity-related and prosperity-related events on the occurrence of suicide across Greece. SETTING:Greece from 1 January 1983 to 31 December 2012. PARTICIPANTS:A total of 11 505 suicides, 9079 by men and 2426 by women, occurring in Gr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005619
更新日期:2015-02-02 00:00:00
abstract:OBJECTIVE:To assess the association of socioeconomic deprivation (SED) with survival after stroke in China. DESIGN:A systematic literature review and a new population-based cohort study. SETTING AND PARTICIPANTS:In urban and rural communities in Anhui, China, 2978 residents aged ≥60 years took part in baseline invest...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2014-005688
更新日期:2015-01-30 00:00:00
abstract:OBJECTIVE:To evaluate the evidence on the efficacy of psychosocial interventions for improving pregnancy rates and reducing distress for couples in treatment with assisted reproductive technology (ART). DESIGN:Systematic review and meta-analysis. DATA SOURCES:PsycINFO, PubMed, EMBASE, CINAHL, Web of Science and The C...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2014-006592
更新日期:2015-01-28 00:00:00
abstract:OBJECTIVES:To assess the current health of the Deaf community in the UK and compare with the general population. DESIGN:A quota sample of adult Deaf British Sign Language (BSL) users underwent a health assessment and interview in 2012-2013. Comparative data were obtained from the Health Survey for England (HSE) 2011 a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006668
更新日期:2015-01-25 00:00:00
abstract:OBJECTIVES:To analyse the clinical features, inflammatory markers and radiographs of community-acquired pneumonia (CAP) cases with lobe or multi foci infiltration; with a special focus on factors which allow the differential diagnosis of viral and mycoplasma pneumonia. SETTING:Retrospective chart review of CAP cases i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006766
更新日期:2015-01-16 00:00:00
abstract:OBJECTIVES:We conducted a retrospective review of patients with extrapulmonary small cell carcinomas (EPSCCs) to explore the distribution, treatments, patterns of relapse and outcomes by primary site. SETTING:We have reviewed the outcomes of one of the largest data sets of consecutive patients with EPSCC identified fr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-006440
更新日期:2015-01-14 00:00:00
abstract:OBJECTIVE:To clarify the pathophysiological basis of persistent geotropic positional nystagmus (PGN) in patients with the horizontal canal type of benign paroxysmal positional vertigo (H-BPPV), the time constant (TC) of nystagmus and the relationship between its slow phase eye velocity (SPV) and the angle of head rotat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006607
更新日期:2015-01-13 00:00:00
abstract:OBJECTIVE:Recent studies have suggested that stress in a pregnant mother may affect the future health of the unborn child negatively. An excellent proxy for health problems is the use of healthcare resources. Using nationwide data, we examined whether persons born to mothers who lost a close relative during pregnancy h...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005657
更新日期:2015-01-08 00:00:00