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:Bladder cancer (BC) is the 10th common cancer worldwide and ranks seventh in Nigeria. This scoping review aims to identify the gaps in clinical care and research of BC in Nigeria as part of the development of a larger national research programme aiming to improve outcomes and care of BC. METHODS AND ANALY...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041894
更新日期:2021-01-31 00:00:00
abstract:SETTING:The State of Qatar has had one of the highest COVID-19 infection rates globally and has used state-managed quarantine and isolation centres to limit the spread of infection. Quarantine and isolation have been shown to negatively affect the mental health of individuals. Qatar has a unique population, with around...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-045794
更新日期:2021-01-31 00:00:00
abstract:OBJECTIVE:Internationally recognised specialist breast cancer scientists, clinicians and healthcare professionals have published breast cancer research gaps that are informing research funding priorities in the UK and worldwide. We aimed to determine the breast cancer research priorities of the public to compare with t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036072
更新日期:2021-01-29 00:00:00
abstract:OBJECTIVES:Medical image analysis practices face challenges that can potentially be addressed with algorithm-based segmentation tools. In this study, we map the field of automatic MR brain lesion segmentation to understand the clinical applicability of prevalent methods and study designs, as well as challenges and limi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042660
更新日期:2021-01-29 00:00:00
abstract:OBJECTIVES:To measure work-related burnout in all groups of health service staff during the COVID-19 pandemic and to identify factors associated with work-related burnout. DESIGN:Cross-sectional staff survey. SETTING:All staff grades and types across primary and secondary care in a single National Health Service orga...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042591
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Mentoring is frequently suggested as an intervention to address gender inequalities in the workplace. OBJECTIVES:To systematically review evidence published since a definitive review in 2006 on the effectiveness of mentoring interventions aimed at achieving gender equality in academic medicine. DESIGN:Syst...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040355
更新日期:2021-01-26 00:00:00
abstract:OBJECTIVES:Inspired by the James Lind Alliance (JLA) user involvement approach, the aim of the present study was to identify the top 10 uncertainties for sleep research raised by students in higher education, and to discuss our experiences with adapting the JLA method to a student population. DESIGN:The study design i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043697
更新日期:2021-01-26 00:00:00
abstract:INTRODUCTION:Epilepsy is a common neurological condition affecting between 3% and 3.5% of the Australian population at some point in their lifetime. The effective management of chronic and complex conditions such as epilepsy requires person-centred and coordinated care across sectors, from primary to tertiary healthcar...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043553
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Clinical depression is a substantial problem among adolescents, increasing significantly at about age 15 years. It causes impairment in social, academic and familial relationships, as well as ongoing cognitive and emotional difficulties for the individual. A study in Iceland demonstrated that a cognitive-b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040374
更新日期:2021-01-22 00:00:00
abstract:OBJECTIVE:We aimed to estimate the gender-specific prevalence and associated factors of hypertension among elderly people in Bangladesh. DESIGN AND METHOD:We analysed data from the food security and nutrition surveillance round 2018-2019. The multistage cluster sampling method was used to select the study population. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038326
更新日期:2021-01-21 00:00:00
abstract:OBJECTIVE:We implemented this study to report the prevalence and associated risk factors of hypertension among adult men and women aged >30 years residing in selected urban and rural areas of Dhaka division, Bangladesh. DESIGN:Cross-sectional study. SETTING:Two urban (Dhaka city north and Dhaka city south) and two ru...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038975
更新日期:2021-01-20 00:00:00
abstract:INTRODUCTION:Frailty is a common condition affecting older adults and is associated with increased mortality and adverse outcomes. Identification of older adults at risk of adverse outcomes is central to subsequent resource planning and targeted interventions. This systematic review and meta-analysis will examine the: ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040765
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVE:To summarise the unfolding of the COVID-19 epidemic among slum dwellers and different social strata in the city of Buenos Aires during the first 20 weeks after the first reported case. DESIGN:Observational study using a time-series analysis. Natural experiment in a big city. SETTING:Population of the city o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-044592
更新日期:2021-01-20 00:00:00
abstract:INTRODUCTION:Opioid use has increased globally for the management of chronic non-cancer-related pain. There are concerns regarding the misuse of opioids leading to persistent opioid use and subsequent hospitalisation and deaths in developed countries. Hospital admissions related to surgery or trauma have been identifie...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-044493
更新日期:2021-01-19 00:00:00
abstract:OBJECTIVES:To assess the internal consistency and construct validity of the Finnish translation of the Jenkins Sleep Scale (JSS) in a large healthy working-age population with diverse work characteristics. DESIGN:Survey-based cross-sectional cohort study. SETTING:Survey conducted by an institute of occupational healt...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043276
更新日期:2021-01-18 00:00:00
abstract:INTRODUCTION:Chronic kidney disease is a serious and a frequent disease associated with a high risk of morbi-mortality. Although several risk factors have already been well addressed, mostly diabetes and hypertension, many remain underappreciated, such as chronic exposure to air pollution. METHODS AND ANALYSIS:We will...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041088
更新日期:2021-01-17 00:00:00
abstract:OBJECTIVE:To determine burn-out levels and associated factors among healthcare personnel working in a tertiary hospital of a highly burdened area of north-east Italy during the COVID-19 pandemic. DESIGN:Observational study conducted from 21 April to 6 May 2020 using a web-based questionnaire. SETTING:Research conduct...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-045127
更新日期:2021-01-17 00:00:00
abstract:OBJECTIVE:Determine the association of incident antibiotic prescribing levels for common infections with infection-related complications and hospitalisations by comparing high with low prescribing general practitioner practices. DESIGN RETROSPECTIVE COHORT STUDY:Retrospective cohort study. DATA SOURCE:UK primary care...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041218
更新日期:2021-01-15 00:00:00
abstract:INTRODUCTION:Recent randomised clinical trials showed benefit of non-culprit lesion revascularisation in ST-elevation myocardial infarction (STEMI) patients. However, it remains unclear whether revascularisation should be performed at the index procedure or at a later stage. METHODS AND ANALYSIS:The instantaneous wave...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-044035
更新日期:2021-01-15 00:00:00
abstract:INTRODUCTION:Recurrent urinary tract infections (RUTIs) have a significant negative impact on quality of life and healthcare costs. To date, daily prophylactic antibiotics are the only treatment which have been shown to help prevent RUTIs. D-mannose is a type of sugar which is believed to inhibit bacterial adherence to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037128
更新日期:2021-01-13 00:00:00
abstract:OBJECTIVE:The aim is to explore the trends of hypertension incidence and regional variations in China from 1991 to 2015. DESIGN:A dynamic prospective cohort study. SETTING:China Health and Nutrition Survey 1991-2015. PARTICIPANTS:12 952 Chinese adults aged 18+ years. PRIMARY OUTCOME MEASURES:Incident hypertension f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042053
更新日期:2021-01-13 00:00:00
abstract:INTRODUCTION:Diabetic kidney disease (DKD) is a prevalent and costly complication of diabetes with limited therapeutic options, being the leading cause of end-stage kidney disease in most developed regions. Recent big data studies showed that add-on Chinese medicine (CM) led to a reduced risk of end-stage kidney diseas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042686
更新日期:2021-01-12 00:00:00
abstract:OBJECTIVES:Despite widespread availability of evidence-based guidelines to inform rational use of medicines, considerable unwarranted variation exists in prescribing. A greater understanding of key determinants of contemporary prescribing in UK general practice could inform strategies to promote evidence-based prescrib...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041460
更新日期:2021-01-11 00:00:00
abstract:OBJECTIVES:To conduct a systematic review with meta-analysis of cohort studies to evaluate the association of coffee consumption with the risk of prostate cancer. DATA SOURCES:PubMed, Web of Science and Embase were searched for eligible studies up to September 2020. STUDY SELECTION:Cohort studies were included. DATA...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038902
更新日期:2021-01-11 00:00:00
abstract:PURPOSE:Acute-on-chronic liver failure (ACLF) is a clinical syndrome with high short-term mortality, unclear mechanism and controversial diagnosis criteria. The Chinese Acute-on-Chronic Liver Failure (CATCH-LIFE) study has been conducted in China to fill the gaps. In the first phase (the CATCH-LIFE investigation cohort...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037793
更新日期:2021-01-08 00:00:00
abstract:OBJECTIVE:To identify the advantages and disadvantages that group practices have on patients, physicians and healthcare systems. STUDY DESIGN:A scoping review was performed based on the methodology proposed by Arksey and O'Malley, and refined by Levac et al. Titles and abstracts were screened by two reviewers. A quant...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041579
更新日期:2021-01-08 00:00:00
abstract:OBJECTIVES:This study investigated what kinds of experiences influence regional quota (chiikiwaku) medical students' motivation to practice community healthcare (CH), and the mechanism of this influence, by focusing on their experiences in a community-based medical education (CBME) programme. DESIGN:A qualitative them...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039344
更新日期:2021-01-07 00:00:00
abstract:OBJECTIVES:Our work aimed at exploring the relationship between cold spells and acute exacerbation of chronic obstructive pulmonary disease (AECOPD) hospitalisations in Beijing, China, and assessing the moderating effects of the intensities and the durations of cold spells, as well as identifying the vulnerable. DESIG...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039745
更新日期:2021-01-06 00:00:00
abstract:BACKGROUND:COVID-19 has posed several medical, psychosocial and economic impacts among the majority of the society. The ambiguity of its transmission, the intense desire of self-protection, family, and friends, the unknown impact of catching the disease itself, unstoppable spread, the panic and outright misinformation ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043185
更新日期:2021-01-06 00:00:00
abstract:OBJECTIVES:Intrinsic capacity (IC) was proposed by the WHO as a new concept for capturing an individual's functional capacities across their lifetime. We aimed to investigate the prevalence and factors associated with IC decline and examine associations between IC and adverse outcomes among community-dwelling older adu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043062
更新日期:2021-01-05 00:00:00
abstract:INTRODUCTION:Daily radiotherapy delivered with radiosensitisation offers patients with muscle invasive bladder cancer (MIBC) comparable outcomes to cystectomy with functional organ preservation. Most recurrences following radiotherapy occur within the bladder. Increasing the delivered radiotherapy dose to the tumour ma...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041005
更新日期:2020-12-31 00:00:00
abstract:OBJECTIVE:In the field of palliative care (PC) as it is integrated into heart failure (HF) treatment, it is essential to explore the patient experience and build on this knowledge for the further development of PC practice and policy. Based on an intervention study, this paper explores what patients with HF find signif...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043955
更新日期:2020-12-31 00:00:00
abstract:OBJECTIVES:Cardiac rehabilitation (CR) improves outcomes after myocardial infarction (MI), but it is underused in China. The purpose of this study was to develop a set of quality indicators (QIs) to improve clinical practices and to confirm the measurability and performance of the developed QIs for CR in Chinese patien...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039757
更新日期:2020-12-30 00:00:00
abstract:OBJECTIVE:To investigate the gap between real-world data and clinical research initiated by doctors in China, explore the potential reasons for this gap and collect different stakeholders' suggestions. DESIGN:This qualitative study involved three types of hospital personnel based on three interview outlines. The data ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038375
更新日期:2020-12-29 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
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041149
更新日期:2020-12-29 00:00:00
abstract:BACKGROUND:The unmet burden of surgical care is high in low-income and middle-income countries. The Lancet Commission on Global Surgery (LCoGS) proposed six indicators to guide the development of national plans for improving and monitoring access to essential surgical care. This study aimed to characterise the Somalila...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042968
更新日期:2020-12-29 00:00:00
abstract:INTRODUCTION:Major depression is a highly prevalent pathology that is currently the second most common cause of disease-induced disability in our society. The onset and continuation of depression may be related to a wide variety of biological and psychosocial factors, many of which are linked to different lifestyle asp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038457
更新日期:2020-12-28 00:00:00
abstract:INTRODUCTION:Rotator cuff injuries account for up to 70% of pain in the shoulder. However, there remains no consensus on the best surgical treatment for patients with rotator cuff injuries, in terms of the cost-effectiveness and cost-utility of open and arthroscopic methods for rotator cuff repair. The objective of thi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043126
更新日期:2020-12-28 00:00:00
abstract:OBJECTIVE:Recent studies have shown that people with mental illnesses have higher mortality and morbidity rates due to long-term conditions and lifestyle diseases. This knowledge has led to health promotion initiatives in mental health care to improve the physical health of people with mental illness. This article expl...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036403
更新日期:2020-12-24 00:00:00
abstract:INTRODUCTION:Smokeless tobacco (ST) was consumed by 356 million people globally in 2017. Recent evidence shows that ST consumption is responsible for an estimated 652 494 all-cause deaths across the globe annually. The WHO Framework Convention on Tobacco Control (FCTC) was negotiated in 2003 and ratified in 2005 to imp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042860
更新日期:2020-12-24 00:00:00