abstract：:In the wake of the death of an 11-year-old girl the Egyptian government has banned any government-affiliated medical staff from performing female circumcision. Egyptian health policy has shifted from trying to control the practice by keeping it under government supervision towards condemnation. In October 1995 the h...

journal_title：BMJ (Clinical research ed.)

authors： Wiens J

更新日期：1996-08-03 00:00:00

abstract：OBJECTIVE:To establish the extent of prescribing injectable and oral methadone to opiate addicts and the practice characteristics and dispensing arrangements attached to these prescriptions. DESIGN:National survey of 25% random sample of community (high street) pharmacies through postal questionnaire, with four mailin...

journal_title：BMJ (Clinical research ed.)

authors： Strang J,Sheridan J,Barber N

更新日期：1996-08-03 00:00:00

abstract：:Current services for those with mental disorders show two trends. Psychiatric services are becoming concentrated on the care of those with "severe mental illness," largely (but unjustifiably) synonymous with chronic psychosis. The retreat of psychiatry from the care of those with non-psychotic mental disorders has hel...

journal_title：BMJ (Clinical research ed.)

authors： Wessely S

更新日期：1996-07-20 00:00:00

abstract：OBJECTIVE:To identify the number of patients who were misdiagnosed as being in the vegetative state and their characteristics. DESIGN:Retrospective study of the clinical records of the medical, occupational therapy, and clinical psychology departments. SETTING:20 bed unit specialising in the rehabilitation of patient...

journal_title：BMJ (Clinical research ed.)

authors： Andrews K,Murphy L,Munday R,Littlewood C

更新日期：1996-07-06 00:00:00

abstract：UNLABELLED:OBJECTIVE--To measure needs for care of patients aged 18-65 years with major mental illness. DESIGN:Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their main carers with t...

journal_title：BMJ (Clinical research ed.)

authors： Murray V,Walker HW,Mitchell C,Pelosi AJ

更新日期：1996-06-22 00:00:00

abstract：OBJECTIVE:To show the influence of variations in case mix on clinical outcome indicators for patients admitted to hospital with acute stroke. DESIGN:"Before and after" cohort study, with prospective, consecutive identification of patients and prospective follow up; multiple logistic regression analyses to correct for ...

journal_title：BMJ (Clinical research ed.)

authors： Davenport RJ,Dennis MS,Warlow CP

更新日期：1996-06-15 00:00:00

abstract：OBJECTIVES:To estimate the cost effectiveness of statins in lowering serum cholesterol concentration in people at varying risk of fatal cardiovascular disease and to explore the implications of changing the criteria for intervention on cost and cost effectiveness for a purchasing authority. DESIGN:A life table method ...

journal_title：BMJ (Clinical research ed.)

authors： Pharoah PD,Hollingworth W

更新日期：1996-06-08 00:00:00

abstract：OBJECTIVES:To compare outcome and costs of general practitioners, senior house officers, and registrars treating patients who attended accident and emergency department with problems assessed at triage as being of primary care type. DESIGN:Prospective intervention study which was later costed. SETTING:Inner city acci...

journal_title：BMJ (Clinical research ed.)

authors： Dale J,Lang H,Roberts JA,Green J,Glucksman E

更新日期：1996-05-25 00:00:00

abstract：OBJECTIVE:To determine the value of short course, high dose albendazole chemotherapy in the treatment of persistent diarrhoea related to HIV in unselected patients in urban Zambia. DESIGN:A randomised double blind placebo controlled trial of albendazole 800 mg twice daily for two weeks. Patients were monitored intensi...

journal_title：BMJ (Clinical research ed.)

authors： Kelly P,Lungu F,Keane E,Baggaley R,Kazembe F,Pobee J,Farthing M

更新日期：1996-05-11 00:00:00

abstract：OBJECTIVES:To explore general practitioners' reasons for recent changes in their prescribing behaviour. DESIGN:Qualitative analysis of semistructured interviews. SETTING:General practice in south east London. SUBJECTS:A heterogeneous sample of 18 general practitioners. RESULTS:Interviewees were able to identify bet...

journal_title：BMJ (Clinical research ed.)

authors： Armstrong D,Reyburn H,Jones R

更新日期：1996-04-13 00:00:00

abstract：:The Swedish government recently published a report on priorities in health care. It was written by a cross party group of politicians and drew extensively on the views of the public, health professionals, experience of earlier local exercises in priority setting, and research based evidence. It laid down an ethical fr...

journal_title：BMJ (Clinical research ed.)

authors： McKee M,Figueras J

更新日期：1996-03-16 00:00:00

abstract：OBJECTIVE:To compare the risk of detention under the Mental Health Act 1983 in a representative group of people with psychotic disorders from different ethnic groups. SETTING:Two defined geographical areas in south London. DESIGN:Annual period prevalent cases of psychosis were identified in 1993 in the study areas fr...

journal_title：BMJ (Clinical research ed.)

authors： Davies S,Thornicroft G,Leese M,Higgingbotham A,Phelan M

更新日期：1996-03-02 00:00:00

abstract：:A committee of French bishops has contradicted the Vatican's condemnation of all methods of contraception by acknowledging that condom use may be necessary in order to prevent the spread of HIV and protect against AIDS. The Social Commission of the French Episcopate made this statement in a book entitled AIDS: Societ...

journal_title：BMJ (Clinical research ed.)

authors： Dorozynski A

更新日期：1996-02-24 00:00:00

abstract：:The issue of children on hunger strike (voluntary total fasting) has not been reported before. The World Medical Association Declaration of Tokyo 1975 and the Declaration of Malta 1991 (revised 1992) provide clinicians with guidelines for the management of adult patients on hunger strike but do not mention children. W...

journal_title：BMJ (Clinical research ed.)

authors： Mok A,Nelson EA,Murphy J,Hampson A,Hendriks JH

更新日期：1996-02-24 00:00:00

abstract：OBJECTIVES:To clarify the type of fetal growth impairment associated with increased blood pressure in adult life, and to establish whether this association is influenced by obesity and is mediated through impairment of insulin action. DESIGN:Cross sectional survey with retrospective ascertainment of size at birth from...

journal_title：BMJ (Clinical research ed.)

authors： Leon DA,Koupilova I,Lithell HO,Berglund L,Mohsen R,Vagero D,Lithell UB,McKeigue PM

更新日期：1996-02-17 00:00:00

abstract：OBJECTIVE:To assess relative efficacy and toxicity of aminoglycosides given by single daily dose compared with multiple daily doses. DESIGN:Meta-analysis of 21 randomised trials identified through MEDLARS (1966 to January 1995). Data were overviewed with fixed effects and random effects models and with meta-regression...

journal_title：BMJ (Clinical research ed.)

authors： Barza M,Ioannidis JP,Cappelleri JC,Lau J

更新日期：1996-02-10 00:00:00

abstract：OBJECTIVES:To evaluate the use of a maternity unit run by general practitioners and midwives, describing the outcome of labour in an unselected group of women and quantifying the contribution made by general practitioners. DESIGN:Retrospective population based review of obstetric patients who had access to an isolated...

journal_title：BMJ (Clinical research ed.)

authors： Baird AG,Jewell D,Walker JJ

更新日期：1996-01-27 00:00:00

abstract：:Monocycline is the most widely prescribed systemic antibiotic for acne largely because it needs to be given only once or twice a day and seems not to induce resistance. Up to April 1994 11 cases of minocycline induced systemic lupus erythematosus and 16 cases of hepatitis had been reported to the Committee on Safety o...

journal_title：BMJ (Clinical research ed.)

authors： Gough A,Chapman S,Wagstaff K,Emery P,Elias E

更新日期：1996-01-20 00:00:00

abstract：OBJECTIVE:To identify the nature and extent of any vocational training deficit within the London initiative zone and investigate the reasons. DESIGN:Collation of statistics and postal questionnaire surveys. SETTING:Thames regions inside and outside the London initiative zone. SUBJECTS:General practice registrars, tr...

journal_title：BMJ (Clinical research ed.)

authors： Harris T,Silver T,Rink E,Hilton S

更新日期：1996-01-13 00:00:00

abstract：OBJECTIVE:To study prevalence of Turner's syndrome in Denmark and to assess validity of prenatal diagnosis. DESIGN:Study of data on prenatal and postnatal Turner's syndrome in Danish Cytogenetic Central Register. SUBJECTS:All registered Turner's syndrome karyotypes (100 prenatal cases and 215 postnatal cases) during ...

journal_title：BMJ (Clinical research ed.)

authors： Gravholt CH,Juul S,Naeraa RW,Hansen J

更新日期：1996-01-06 00:00:00

abstract：OBJECTIVE:To investigate the effect of watching different types of video on energy expenditure. DESIGN:Randomised study assessing a "pleasant," an "amusing," an "exciting," and no video film clips. SUBJECTS:12 volunteers who did not know the purpose of the study. MAIN OUTCOME MEASURES:Changes in energy expenditure, ...

journal_title：BMJ (Clinical research ed.)

authors： Cooper BG,Matthews JN,Alberti KG

更新日期：1995-12-23 00:00:00

abstract：:Care in the community for insane people today is more a matter of expert provision than communal support. In consequence, although they are no longer confined to hospital, mentally ill people largely remain marginalised in a society that does not have the resources, nor often the inclination, to take responsibility fo...

journal_title：BMJ (Clinical research ed.)

authors： Roffe D,Roffe C

更新日期：1995-12-23 00:00:00

abstract：:Aside from email and the world wide web, there are several other systems for distributing information on the Internet. Telnet is a system that allows you to log on to a remote computer from anywhere on the Internet and affords access to many useful biomedical sites on the Internet. File transfer protocol (FTP) is a me...

journal_title：BMJ (Clinical research ed.)

authors： Pallen M

更新日期：1995-12-16 00:00:00

abstract：:Robots designed for surgery have three main advantages over humans. They have greater three dimensional spatial accuracy, are more reliable, and can achieve much greater precision. Although few surgical robots are yet in clinical trials one or two have advanced to the stage of seeking approval from the UK's Medical De...

journal_title：BMJ (Clinical research ed.)

authors： Buckingham RA,Buckingham RO

更新日期：1995-12-02 00:00:00

abstract：:The benefits to medical practitioners of using the Internet are growing rapidly as the Internet becomes easier to use and ever more biomedical resources become available on line. The Internet is the largest computer network in the world; it is also a virtual community, larger than many nation states, with its own rule...

journal_title：BMJ (Clinical research ed.)

authors： Pallen M

更新日期：1995-11-25 00:00:00

abstract：OBJECTIVES:To compare the course and outcome of psychotic illness in a group of Afro-Caribbean patients resident in the United Kingdom and a group of white British patients. DESIGN:Cohort study of consecutive admissions followed up for four years. SUBJECTS:113 patients with psychotic illness of recent onset admitted ...

journal_title：BMJ (Clinical research ed.)

authors： McKenzie K,van Os J,Fahy T,Jones P,Harvey I,Toone B,Murray R

更新日期：1995-11-18 00:00:00

abstract：:In a series of papers published during the past decade Richard Wilkinson has advanced the view that income inequality is the key determinant of variations in average life expectancy at birth among developed countries. Yet a careful examination of the two sources of data on income distribution most often used by Wilkin...

journal_title：BMJ (Clinical research ed.)

authors： Judge K

更新日期：1995-11-11 00:00:00

abstract：OBJECTIVES:To explore the assumptions underlying consumers' responses to questions of resource priorities in the NHS. DESIGN:Qualitative analysis of semi-structured interviews with a heterogeneous sample of 16 patients drawn from a general practice. RESULTS:Interviewees were not persuaded that they had a legitimate r...

journal_title：BMJ (Clinical research ed.)

authors： Dicker A,Armstrong D

更新日期：1995-10-28 00:00:00

abstract：OBJECTIVE:To investigate the effects of the home environment on the risk of severe asthma during adolescence. DESIGN:A questionnaire based case-control study drawn from a cross sectional survey of allergic diseases among secondary school pupils in Sheffield in 1991. SUBJECTS:763 children whose parents had reported th...

journal_title：BMJ (Clinical research ed.)

authors： Strachan DP,Carey IM

更新日期：1995-10-21 00:00:00

abstract：:The first call for applications to the NHS research and development programme on the interface between primary and secondary care was advertised in February 1994. A total of 674 outline proposals were submitted and 54 (8%) secured funding. Projects have been commissioned in 16 of the 21 priority areas and around 6m po...

journal_title：BMJ (Clinical research ed.)

authors： Wisely J,Haines A

更新日期：1995-10-21 00:00:00

abstract：:On 1 April the Department of Health introduced the mandatory collection of data on the ethnic group of patients admitted to hospital. Its coding was based on a national minimum standard for classifying ethnic groups, ostensibly using the categories in the 1991 census. In the census, however, one in four people from et...

journal_title：BMJ (Clinical research ed.)

authors： Aspinall PJ

更新日期：1995-10-14 00:00:00

abstract：OBJECTIVE:To examine the distribution of patterns of macronutrient density in relation to obesity. DESIGN:Cross sectional. SETTING:Denmark. SUBJECTS:323 men and women aged 35-65 years, selected randomly from a larger population sample of Danish adults. MAIN OUTCOME MEASURE:Bias in dietary reporting of energy and pr...

journal_title：BMJ (Clinical research ed.)

authors： Heitmann BL,Lissner L

更新日期：1995-10-14 00:00:00

abstract：OBJECTIVE:To investigate socioeconomic variation among young women in the risk of hospital admission for diseases (including neoplasms) of the female genital system and breast and for the common surgical procedures of dilatation and curettage and hysterectomy. DESIGN:Large nationally representative cohort study with i...

journal_title：BMJ (Clinical research ed.)

authors： Kuh D,Stirling S

更新日期：1995-09-30 00:00:00

abstract：OBJECTIVE:To determine how changes in the number of admissions from waiting lists and changes in the number of additions to the lists are related to list size and waiting times, in the context of local waiting list initiatives. DESIGN:Review of national and Körner statistics. SETTING:England (1987-94) and districts o...

journal_title：BMJ (Clinical research ed.)

authors： Newton JN,Henderson J,Goldacre MJ

更新日期：1995-09-23 00:00:00

abstract：OBJECTIVE:To assess whether occupational exposure among commercial airline cabin attendants are associated with risk of cancer. DESIGN:Record linkage study. SETTING:Finland. SUBJECTS-1577 female and 187 male cabin attendants who had worked for the Finnish airline companies. MAIN OUTCOME MEASURE:Standardised incidenc...

journal_title：BMJ (Clinical research ed.)

authors： Pukkala E,Auvinen A,Wahlberg G

更新日期：1995-09-09 00:00:00

abstract：OBJECTIVE:To examine period trends in the rate of suicide in the first 28 days after discharge from psychiatric hospital. DESIGN:Cohort study of patients discharged from psychiatric hospital. SETTING:Scotland. SUBJECTS:All patients aged 15-84 who were discharged from Scottish psychiatric hospitals during 1968 to 199...

journal_title：BMJ (Clinical research ed.)

authors： Geddes JR,Juszczak E

更新日期：1995-08-05 00:00:00

abstract：OBJECTIVE:To investigate the risk factors for HIV infection in patients attending clinics for sexually transmitted diseases in India. DESIGN:Descriptive study of HIV serology, risk behaviour, and findings on physical examination. SUBJECTS:2800 patients presenting to outpatient clinics between 13 May 1993 and 15 July ...

journal_title：BMJ (Clinical research ed.)

authors： Rodrigues JJ,Mehendale SM,Shepherd ME,Divekar AD,Gangakhedkar RR,Quinn TC,Paranjape RS,Risbud AR,Brookmeyer RS,Gadkari DA

更新日期：1995-07-29 00:00:00

abstract：:For the past 18 years there has been a proliferation of European committees, boards, associations, colleges, and working groups set up to promote the harmonisation of specialist training in Europe. It has been taken as read that this objective is desirable. The fact that these bodies have achieved remarkably little is...

journal_title：BMJ (Clinical research ed.)

authors： Brearley S

更新日期：1995-07-29 00:00:00

abstract：:A US organization, Population Action International, is reported in this article to have released findings on the health risks for women in 118 countries. Countries are ranked on 10 indicators, including such indicators as the number of births to women aged under 19 years, the availability of legal abortion, maternal ...

journal_title：BMJ (Clinical research ed.)

authors： Dillner L

更新日期：1995-07-15 00:00:00

abstract：OBJECTIVE:To assess the impact of teaching general practitioners to carry out structured assessments of their long term mentally ill patients. DESIGN:Randomised controlled trial. SETTING:Sixteen group general practices in South Thames (west) region. SUBJECTS:440 adults disabled by long term mental illness. INTERVEN...

journal_title：BMJ (Clinical research ed.)

authors： Kendrick T,Burns T,Freeling P

更新日期：1995-07-08 00:00:00