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:INTRODUCTION:In Australia, an estimated 90% of those entering prison are current tobacco smokers and three-quarters of current prisoners are tobacco smokers. AIMS:To identify factors and their relative contributions to smoking cessation among male prisoners. METHODS:A total of 425 male tobacco smokers with a median a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034046
更新日期:2020-07-20 00:00:00
abstract:INTRODUCTION:Multifarious chronic obstructive pulmonary disease (COPD) guidelines have been published by local, national and global respiratory societies. These guidelines subsume holistic evidence based on recommendations to diagnose, treat, prevent and manage acute exacerbation with COPD. Despite the existing compreh...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036060
更新日期:2020-07-20 00:00:00
abstract:INTRODUCTION:Complex population health interventions that are effective in one context may not be effective elsewhere, and may even be harmful. As such, an intervention may require adaptation to ensure it fits with a new context. To date, there is no overarching guidance to help researchers to adapt and evaluate interv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038965
更新日期:2020-07-20 00:00:00
abstract:OBJECTIVES:Our aim was to determine clusters of non-communicable diseases (NCDs) in a very large, population-based sample of middle-aged and older adults from low- and middle-income (LMICs) and high-income (HICs) regions. Additionally, we explored the associations with several covariates. DESIGN:The total sample was 7...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034441
更新日期:2020-07-19 00:00:00
abstract:OBJECTIVES:International guidelines recommend opportunistic screening for atrial fibrillation (AF); however, there is no current data to inform how often to repeat screening. We aimed to investigate the incremental annual yield and stroke risk of new AF cases in individuals screened annually over 4 years. DESIGN:A ret...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035650
更新日期:2020-07-19 00:00:00
abstract:PURPOSE:Puerto Rican children experience high rates of asthma and obesity. Further, infants born in Puerto Rico are more at risk for being born prematurely compared with infants on the mainland USA. Environmental exposures from multiple sources during critical periods of child development, potentially modified by psych...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036389
更新日期:2020-07-19 00:00:00
abstract:INTRODUCTION:Vulnerable populations face significant challenges in navigating the care continuum, ranging from diagnosis of illness to linkage and retention in healthcare. Understanding how best to move individuals within these vulnerable populations across the care continuum is critical to improving their health. A la...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036937
更新日期:2020-07-19 00:00:00
abstract:OBJECTIVE:Illness perception has been shown to have significant influence on the well-being and coping strategies of persons living with chronic medical conditions. Understanding of how women living with breast cancer cognitively and emotionally represent their illness and coping strategies used is likely to help in de...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033019
更新日期:2020-07-14 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
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036870
更新日期:2020-07-14 00:00:00
abstract:OBJECTIVE:This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties. DESIGN:P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version wa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031580
更新日期:2020-07-13 00:00:00
abstract:INTRODUCTION:Severe and persistent mental illness (SPMI) can significantly impact a person's social, personal and professional life. Previous studies have demonstrated pharmacists' roles in mental healthcare; however, limited studies to date have focused on pharmacists' roles in providing healthcare services, specifica...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038270
更新日期:2020-07-13 00:00:00
abstract:OBJECTIVE:This study aimed to evaluate the duration of intensive care unit (ICU) stay prior to onset of invasive candidiasis (IC)/candidaemia. DESIGN:Systematic review and meta-analysis. DATA SOURCES:PubMed, Cochrane, Embase and Web of Science databases were searched through June 2019 to identify relevant studies. E...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036452
更新日期:2020-07-12 00:00:00
abstract:INTRODUCTION:Pectus excavatum repair is associated with substantial postoperative pain, despite the use of epidural analgesia and other analgesic regimens. Perioperative recorded music interventions have been shown to alleviate pain and anxiety in adults, but evidence for children and adolescents is still lacking. This...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036380
更新日期:2020-07-08 00:00:00
abstract:INTRODUCTION:Sepsis is defined as detrimental immune response to an infection. This overwhelming reaction often abolishes a normal reconstitution of the immune cell homeostasis that in turn increases the risk for further complications. Recent studies revealed a favourable impact of ketone bodies on resolution of inflam...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038532
更新日期:2020-07-08 00:00:00
abstract:OBJECTIVES:Linkage of electronic health records (EHRs) to Hospital Episode Statistics (HES)-Office for National Statistics (ONS) mortality data has provided compelling evidence for lower life expectancy in people with severe mental illness. However, linkage error may underestimate these estimates. Using a clinical samp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035884
更新日期:2020-07-07 00:00:00
abstract:OBJECTIVES:To investigate short-term and long-term effectiveness of simulation training to acquire a structured Airway Breathing Circulation Disability Exposure (ABCDE) approach for medical emergencies; and to examine which skills were learnt and maintained best. DESIGN:An observational study with a 3-4 months follow-...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032023
更新日期:2020-07-06 00:00:00
abstract:INTRODUCTION:The first-line recommended treatment for patients with intermittent claudication (IC) is a supervised exercise programme (SEP), which includes a minimum of 2-hours of exercise per week over a 12-week period. However, provision, uptake and adherence rates for these SEP programmes are poor, with time constra...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038825
更新日期:2020-07-06 00:00:00
abstract:INTRODUCTION:Patients with cancer are at high risk of developing pressure ulcers at the end of life as a result of their underlying condition or cancer treatment. There are many guidelines which set out best practice with regard to end-of-life skin care. However, the complexity of palliative cancer care often means tha...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034938
更新日期:2020-07-05 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:OBJECTIVE:Many studies have demonstrated that elevated serum uric acid (SUA) level is linked with metabolic syndrome (MetS). However, whether there is a sex difference in the association between SUA and MetS has not been determined. This study aimed to accurately explore the impact of SUA longitudinal changes on MetS b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035289
更新日期:2020-07-02 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
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035634
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:To establish a database network for the study of alpha-1 antitrypsin deficiency (AATD) and compare the results to CT lung density as the most direct measure of emphysema. DESIGN:A central electronic database was established to permit the upload of anonymised patient data from remote sites. Prospectively col...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036045
更新日期:2020-06-30 00:00:00
abstract:INTRODUCTION:Diabetic foot ulcer represents a major health problem globally. Preliminary studies have indicated that systemic treatment of diabetic foot ulcer patients with hyperbaric oxygen therapy have beneficial effects on wound healing, risk of amputation, glycaemic control, atherosclerosis, inflammatory markers an...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031708
更新日期:2020-06-29 00:00:00
abstract:OBJECTIVE:To assess whether disparities in rates of same-day discharge for lower extremities arterial disease (5%) and varicose vein interventions (90%) are associated with the burden of postprocedural rehabilitation process, measured through the duration of sick leave. DESIGN:Retrospective observational study using F...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034713
更新日期:2020-06-28 00:00:00
abstract:INTRODUCTION:Tobacco smoking is one of the leading causes of preventable death. This is not inevitable as tobacco control tools have become more powerful and more effective. Among these, warnings on cigarette packs have proven to be somewhat effective. Our objective is to increase the efficacy of antismoking warnings b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036166
更新日期:2020-06-28 00:00:00
abstract:INTRODUCTION:Type 2 diabetes mellitus (T2DM) is a highly prevalent chronic disease in the Spanish population. Typically, T2DM is associated with other chronic conditions. Intensive medication at the time of diagnosis has proven effective in reducing cardiovascular risk, improving glycaemic control and preventing T2DM c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033725
更新日期:2020-06-23 00:00:00
abstract:INTRODUCTION:Sciatica is a lower spine condition characterised by radiating leg pain below the knee. It may be accompanied by motor and sensory loss in the distribution of a spinal nerve. There are few effective treatments for sciatica. Orally administered glucocorticoids have shown some promise, however, any beneficia...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040559
更新日期:2020-06-23 00:00:00
abstract:INTRODUCTION:Tranexamic acid (TXA) is a synthetic derivative of the amino acid lysine that inhibits fibrinolysis by blocking lysine-binding sites on plasminogen, which contribute to reduced bleeding, the need for transfusion and mortality. Although there is reliable evidence of the efficacy of TXA, its effects on other...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036020
更新日期:2020-06-22 00:00:00
abstract:INTRODUCTION:People with intellectual disability (ID) are more likely to experience loneliness and have smaller social networks, which increases vulnerability to depression. Befriending may reduce depressive symptoms in other populations, but randomised controlled trials (RCTs) have not been carried out in this populat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033989
更新日期:2020-06-21 00:00:00
abstract:INTRODUCTION:The need for organs is comparatively higher among people of Indian origin due to the higher prevalence of end-stage organ failure. In spite of the higher need, they have a lower number of organ donors. Studies have been carried out among people of Indian origin living globally to understand the reasons for...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035360
更新日期:2020-06-21 00:00:00
abstract:INTRODUCTION:With almost 50% of cases preventable and the Australian National Bowel Cancer Screening Program in place, colorectal cancer (CRC) is a prime candidate for investment to reduce the cancer burden. The challenge is determining effective ways to reduce morbidity and mortality and their implementation through p...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036475
更新日期:2020-06-21 00:00:00
abstract:INTRODUCTION:Chronic subdural haematomas (CSDHs) are one of the most common neurosurgical conditions. The goal of surgery is to alleviate symptoms and minimise the risk of symptomatic recurrences. In the past, reoperation rates as high as 20%-30% were described for CSDH recurrences. However, following the introduction ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038275
更新日期:2020-06-21 00:00:00
abstract:OBJECTIVES:To analyse variables associated with article placement order in serial rheumatology journals. DESIGN:Content analysis. SETTING:Original articles published in seven rheumatology journals from 2013 to 2018. PRIMARY AND SECONDARY OUTCOME MEASURES:The following data were extracted from 6787 articles: order nu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034550
更新日期:2020-06-17 00:00:00
abstract:OBJECTIVES:The current COVID-19 pandemic, as well as the measures taken to control it, have a profound impact on healthcare. This study was set up to gain insights into the consequences of the COVID-19 outbreak on the core competencies of general practice, as they are experienced by general practitioners (GPs) on the f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039674
更新日期:2020-06-17 00:00:00
abstract:INTRODUCTION:Global multidrug-resistant tuberculosis (MDR-TB) treatment success rates remain suboptimal. Highly active WHO group A drugs moxifloxacin and levofloxacin show intraindividual and interindividual pharmacokinetic variability which can cause low drug exposure. Therefore, therapeutic drug monitoring (TDM) of f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035350
更新日期:2020-06-16 00:00:00
abstract:OBJECTIVE:To evaluate the cost-utility of 100 days of antibiotics in patients with chronic low back pain (LBP) and type I or II Modic changes included in the Antibiotic treatment In patients with chronic low back pain and Modic changes (AIM) study. DESIGN:A cost-utility analysis from a societal and healthcare perspect...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035461
更新日期:2020-06-15 00:00:00
abstract:OBJECTIVE:To evaluate the efficiency of county public hospitals in Shandong Province following China's new medical reform and compare the efficiency of hospitals with different bed sizes for improving efficiency. DESIGN AND SETTING:This was a cross-sectional study on the efficiency and size of 68 county public hospita...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035703
更新日期:2020-06-15 00:00:00
abstract:INTRODUCTION:Distress is experienced by the majority of cardiac patients, yet no cardiac-specific measure of distress exists. The aim of this project is to develop and validate the Cardiac Distress Inventory (CDI). Using the CDI, health professionals will be able to identify key clusters of psychological, emotional and...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034946
更新日期:2020-06-11 00:00:00
abstract:OBJECTIVES:Amid a political agenda for integrated, high-value care, the UK is implementing its Low Back and Radicular Pain Pathway. To align care with need, it is imperative to understand the patients' perspective. The purpose of this study was, therefore, to explore how people experience being managed for sciatica wit...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037157
更新日期:2020-06-11 00:00:00
abstract:INTRODUCTION:Current perspectives present feedback as a dynamic, dialogic process. It is widely accepted that feedback can have an impact on workplace performance, however, how dialogic feedback is enacted with the learner in authentic healthcare settings is less apparent. This paper seeks to describe the design and de...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034945
更新日期:2020-06-08 00:00:00