abstract：OBJECTIVE:To encourage active participation of Leicestershire general practitioners and their staff in audit; to examine the use of vitamin B-12 injections and to achieve a more appropriate use. DESIGN:Implementation of an agreed audit protocol, with central analysis and feedback of anonymous and aggregated data by a ...

journal_title：BMJ (Clinical research ed.)

authors： Fraser RC,Farooqi A,Sorrie R

更新日期：1995-07-01 00:00:00

abstract：OBJECTIVE:To determine whether patients with unexpected prehospital cardiac arrest could be identified in whom ambulance resuscitation attempts would be futile. DESIGN:Review of ambulance and hospital records; detailed review of automated external defibrillator rhythm strips of patients in whom no shock was advised. ...

journal_title：BMJ (Clinical research ed.)

authors： Marsden AK,Ng GA,Dalziel K,Cobbe SM

更新日期：1995-07-01 00:00:00

abstract：:Polls show increasing public interest in advance statements or directives about medical treatment ("living wills") but that few people, apart from Jehovah's Witnesses, carry such documents. Patients' firm, witnessed oral decisions are often sufficient to aid clinical decision making but should still be recorded in med...

journal_title：BMJ (Clinical research ed.)

authors： Sommerville A

更新日期：1995-06-24 00:00:00

abstract：:A doctor who performed an abortion in Poland faces two years in prison and the loss of his medical license for up to 10 years if he is found guilty of violating the new abortion laws introduced in 1993 after a lengthy campaign by the Catholic church and the Christian Democratic Union party. The new laws permit aborti...

journal_title：BMJ (Clinical research ed.)

authors： Gajewski M

更新日期：1995-06-17 00:00:00

abstract：:Several forces have resulted in the creation in Tayside of the first formally integrated unit of undergraduate and postgraduate education in general practice in the United Kingdom. Forces that helped this integration included the desire for change, national developments in education, financial support through funds se...

journal_title：BMJ (Clinical research ed.)

authors： Bain J,Scott R,Snadden D

更新日期：1995-06-17 00:00:00

abstract：OBJECTIVE:To document the relative importance of endogenous sex steroids in modulating the frequency of orgasms, the dominant aspect of sexual behaviour in healthy eugonadal men. DESIGN:Measurement of adrenal and testicular sex steroids in a sample of army recruits and study of their relation to frequency of orgasms a...

journal_title：BMJ (Clinical research ed.)

authors： Mantzoros CS,Georgiadis EI,Trichopoulos D

更新日期：1995-05-20 00:00:00

abstract：:I have attempted to adopt the perspective of a patient--albeit one with a rather atypical background--to explore what I want from health research and researchers. This has left me with the impression that health researchers could serve the interests of the public more effectively in a variety of ways, and that they wo...

journal_title：BMJ (Clinical research ed.)

authors： Chalmers I

更新日期：1995-05-20 00:00:00

abstract：OBJECTIVE:To examine the association between intake of different types of alcoholic drinks and mortality. DESIGN:Prospective population study with baseline assessment of alcohol intake, smoking habit, income, education, and body mass index, and 10-12 years' follow up of mortality. SETTING:Copenhagen city heart study,...

journal_title：BMJ (Clinical research ed.)

authors： Grønbaek M,Deis A,Sørensen TI,Becker U,Schnohr P,Jensen G

更新日期：1995-05-06 00:00:00

abstract：:In the absence of any systematic evaluation of the changes it has made to the NHS, the government cites three "indicators of success." These are record numbers of patients treated, shorter waiting times for hospital treatment, and more children being immunised against the main childhood diseases. Closer inspection of ...

journal_title：BMJ (Clinical research ed.)

authors：

更新日期：1995-04-22 00:00:00

abstract：OBJECTIVES:To investigate the association between four sociodemographic measures (unemployment, overcrowding, low social class, and the proportion of migrants from areas of high prevalence of tuberculosis) and average level and rate of change of notification rates for tuberculosis. DESIGN:Ecological analysis of both t...

journal_title：BMJ (Clinical research ed.)

authors： Mangtani P,Jolley DJ,Watson JM,Rodrigues LC

更新日期：1995-04-15 00:00:00

abstract：OBJECTIVE:To investigate differences between hospitals in clinical management of patients admitted with fractured hip and to relate these to mortality at 90 days. DESIGN:A prospective audit of process and outcome of care based on interviews with patients, abstraction from records with standard proforma, and follow up ...

journal_title：BMJ (Clinical research ed.)

authors： Todd CJ,Freeman CJ,Camilleri-Ferrante C,Palmer CR,Hyder A,Laxton CE,Parker MJ,Payne BV,Rushton N

更新日期：1995-04-08 00:00:00

abstract：OBJECTIVE:To discover if there is an association between respiratory tract infections and pericoronitis of erupting third molars in young adults. DESIGN:Data from male military conscripts' medical records were collected over five years and the incidence of respiratory tract infection before and after acute pericoronit...

journal_title：BMJ (Clinical research ed.)

authors： Meurman JH,Rajasuo A,Murtomaa H,Savolainen S

更新日期：1995-04-01 00:00:00

abstract：OBJECTIVE:To determine whether maternal smoking during pregnancy causes impairment in growth after birth. DESIGN:Longitudinal study. SETTING:Six medical university centres of six towns of north, central, and south Italy. SUBJECTS:12,987 babies (10,238 born from non-smoking mothers, 2276 from mothers smoking one to n...

journal_title：BMJ (Clinical research ed.)

authors： Conter V,Cortinovis I,Rogari P,Riva L

更新日期：1995-03-25 00:00:00

abstract：OBJECTIVES:To assess the incidence, time of day, and driver morbidity associated with vehicle accidents where the most likely cause was the driver falling asleep at the wheel. DESIGN:Two surveys were undertaken, in southwest England and the midlands, by using police databases or on the spot interviews. SUBJECTS:Drive...

journal_title：BMJ (Clinical research ed.)

authors： Horne JA,Reyner LA

更新日期：1995-03-04 00:00:00

abstract：OBJECTIVES:To observe one general practice's attempt to reduce prescribing costs on becoming third wave fundholders through the introduction of a generic formulary applied to all new and repeat prescribing. To assess the impact on patients and prescribing patterns. DESIGN:An observational study using interviews with p...

journal_title：BMJ (Clinical research ed.)

authors： Dowell JS,Snadden D,Dunbar JA

更新日期：1995-02-25 00:00:00

abstract：:WHO is under pressure from all sides to justify its existence. Donors want to know what they are getting for their money, and health professionals question the relevance of the organisation's work. The pressure to justify itself is perhaps strongest of all in Europe, where most member countries have fully fledged heal...

journal_title：BMJ (Clinical research ed.)

authors： Godlee F

更新日期：1995-02-11 00:00:00

abstract：OBJECTIVE:To determine prevalence of HIV infection and drug injecting behaviour among inmates of Glenochil Prison on a specified date a year after an outbreak of hepatitis B and HIV infection. DESIGN:Cross sectional: voluntary, anonymous HIV salivary antibody surveillance and linked self completion questionnaire on ri...

journal_title：BMJ (Clinical research ed.)

authors： Gore SM,Bird AG,Burns SM,Goldberg DJ,Ross AJ,Macgregor J

更新日期：1995-02-04 00:00:00

abstract：:The introduction in Britain of advance directives--which allow a person to state in advance of becoming incompetent that they wish to take part in treatment decisions when no longer mentally competent--has now been advocated by the medical and legal establishments. The practical application of directives relating to h...

journal_title：BMJ (Clinical research ed.)

authors： Robertson GS

更新日期：1995-01-28 00:00:00

abstract：OBJECTIVES:(a) To investigate defensive medical practices among general practitioners; (b) to compare any such practices with general practitioners' understanding of certain aspects of the terms of service and medical negligence and practitioners' concerns about the risk of being sued or having a complaint lodged. DES...

journal_title：BMJ (Clinical research ed.)

authors： Summerton N

更新日期：1995-01-07 00:00:00

abstract：:First aid, as a profession in its own right, has a history of only 120 years. It evolved from the teachings of the Royal Humane Society and military surgeons, who saw the wisdom of training in splinting and bandaging for battlefield wounds. In 1878 two Aberdeenshire military officers, Surgeon-Major Peter Shepherd of t...

journal_title：BMJ (Clinical research ed.)

authors： Pearn J

更新日期：1994-12-24 00:00:00

abstract：OBJECTIVE:To investigate the intrinsic effects of individually prescribed homoeopathic medicines. DESIGN:Randomised double blind placebo controlled study. SETTING:Paediatric outpatient department of university hospital. PATIENTS:175 children with frequently recurring upper respiratory tract infections. Of the 170 ch...

journal_title：BMJ (Clinical research ed.)

authors： de Lange de Klerk ES,Blommers J,Kuik DJ,Bezemer PD,Feenstra L

更新日期：1994-11-19 00:00:00

abstract：OBJECTIVE:To discover whether the wartime government evacuation of children from London and other population centres to rural districts was associated with any increase in childhood leukaemia. DESIGN:Observational study of mortality from leukaemia among the childhood population of England and Wales in relation to the ...

journal_title：BMJ (Clinical research ed.)

authors： Kinlen LJ,John SM

更新日期：1994-11-05 00:00:00

abstract：:Planning future policy for medicines poses difficult problems. The main players in the drug business have their own views as to how the world around them functions and how the future of medicines should be shaped. In this paper we show how a scenario analysis can provide a powerful teaching device to readjust peoples'...

journal_title：BMJ (Clinical research ed.)

authors： Leufkens H,Haaijer-Ruskamp F,Bakker A,Dukes G

更新日期：1994-10-29 00:00:00

abstract：:Doctors and other health professionals in developing countries are missing out on relevant information about health. A lot of the information they need is available in the developed countries, and those who have it are happy to share it with them. But transporting information, like food or medicines, from one part of ...

journal_title：BMJ (Clinical research ed.)

authors： Kale R

更新日期：1994-10-08 00:00:00

abstract：:The recent growth in the numbers of published systematic reviews reflects growing recognition of their importance for improving knowledge about the effects of health care. In Britain the NHS R&D Programme has established two centres to prepare systematic reviews of existing information, and the Cochrane Collaboration-...

journal_title：BMJ (Clinical research ed.)

authors： Chalmers I,Haynes B

更新日期：1994-10-01 00:00:00

abstract：OBJECTIVES:To assess the experiences of obstetricians in England and Wales of serum screening for Down's syndrome. DESIGN:Postal questionnaire survey. SUBJECTS:Questionnaires were sent to all practising obstetricians in England and Wales with nonacademic appointments who had not participated in an earlier (randomly s...

journal_title：BMJ (Clinical research ed.)

authors： Green JM

更新日期：1994-09-24 00:00:00

abstract：:For an unprepared sexually active teenager the 1990s present a minefield of potential problems in addition to the most obvious problems of unplanned pregnancy and sexually transmitted disease. Promoting the importance of a healthy sexual and reproductive life to young people requires openness, better sex education, re...

journal_title：BMJ (Clinical research ed.)

authors： Williams EC,Kirkman RJ,Elstein M

更新日期：1994-09-24 00:00:00

abstract：OBJECTIVES:To determine prospectively the rates of change in bone mineral density in elderly people and to examine the relation between lifestyle and demographic factors and these rates of change. DESIGN:Longitudinal population based study. SETTING:Dubbo, New South Wales, Australia. SUBJECTS:Representative sample (n...

journal_title：BMJ (Clinical research ed.)

authors： Jones G,Nguyen T,Sambrook P,Kelly PJ,Eisman JA

更新日期：1994-09-17 00:00:00

abstract：:Preparing a review entails many judgments. The focus of the review must be decided. Studies that are relevant to the focus of the review must be identified, selected for inclusion and critically appraised. Information must be collected and synthesised from the relevant studies, and conclusions must be drawn. Checklist...

journal_title：BMJ (Clinical research ed.)

authors： Oxman AD

更新日期：1994-09-10 00:00:00

abstract：:About 70% of all abortions performed in Delhi, India, are terminations due to the fetus being female. Private clinics make a profit out of offering sex determination tests. The new bill (the Prenatal Diagnostic Techniques Bill) introduced in Lok Sabha by Deputy Health Minister Pawan Singh Ghatowatr would stop "sex d...

journal_title：BMJ (Clinical research ed.)

authors： Imam Z

更新日期：1994-08-13 00:00:00

abstract：:Cancer control encompasses the whole spectrum from prevention and early diagnosis to treatment and palliation. The key to the future of cancer control will be to establish multidisciplinary approaches to each type of cancer across this spectrum. For primary prevention this requires some understanding of the causes of ...

journal_title：BMJ (Clinical research ed.)

authors： Austoker J

更新日期：1994-08-13 00:00:00

abstract：OBJECTIVE:To assess the ability of ultrasonography to identify reflux nephropathy in children after urinary tract infection. DESIGN:Ten experienced radiologists performed a total of 240 ultrasonographic examinations of kidneys in a one day study. The examiners were unaware of the results of previous radiological and c...

journal_title：BMJ (Clinical research ed.)

authors： Stokland E,Hellström M,Hansson S,Jodal U,Odén A,Jacobsson B

更新日期：1994-07-23 00:00:00

abstract：:The "four principles plus scope" approach provides a simple, accessible, and culturally neutral approach to thinking about ethical issues in health care. The approach, developed in the United States, is based on four common, basic prima facie moral commitments--respect for autonomy, beneficence, nonmaleficence, and ju...

journal_title：BMJ (Clinical research ed.)

authors： Gillon R

更新日期：1994-07-16 00:00:00

abstract：OBJECTIVE:To determine whether the increased iron demands of pregnancy could be met by increased absorption from dietary sources. DESIGN AND SETTING:Longitudinal prospective study in the research unit of a maternity hospital. SUBJECTS:12 normal pregnant women. INTERVENTIONS:At 12, 24, and 36 weeks' gestation (within...

journal_title：BMJ (Clinical research ed.)

authors： Barrett JF,Whittaker PG,Williams JG,Lind T

更新日期：1994-07-09 00:00:00

abstract：:Medical audit has its critics, who point to the large sums of NHS cash that seem to be disappearing down a medical plughole. These criticisms are recognised by medical audit advisory groups but there are many reasons why the work of these groups has not yet resulted in many publications in journals or bumped up health...

journal_title：BMJ (Clinical research ed.)

authors： Johnson R

更新日期：1994-07-09 00:00:00

abstract：OBJECTIVES:To assess and improve the quality of care provided to women undergoing induced abortion. DESIGN:Two rounds of prospective, criterion based case note review audit. SETTING:Ten NHS gynaecology units throughout Scotland. SUBJECTS:2004 patient episodes of abortion care identified consecutively during two roun...

journal_title：BMJ (Clinical research ed.)

authors： Penney GC,Glasier A,Templeton A

更新日期：1994-07-02 00:00:00

abstract：:Telephone helplines are an effective way of dealing with health related incidents in which large numbers of people need personal counselling or information for reassurance or case finding. Helplines often have to be set up at short notice, which is labour intensive and makes recruitment of appropriate staff difficult....

journal_title：BMJ (Clinical research ed.)

authors： Stark C,Christie P,Marr AC

更新日期：1994-07-02 00:00:00

abstract：OBJECTIVES:To estimate the amount spent on specific hospital care by health agencies in 1993-4 and compare it with the resources allocated to patients registered with fundholding practices for the same type of care. To investigate whether fundholding practices and health agencies pay different amounts for inpatient car...

journal_title：BMJ (Clinical research ed.)

authors： Dixon J,Dinwoodie M,Hodson D,Dodd S,Poltorak T,Garrett C,Rice P,Doncaster I,Williams M

更新日期：1994-07-02 00:00:00

abstract：OBJECTIVE:To examine whether the risk of breast cancer is increased by a recent term pregnancy. DESIGN:Population based case-control study. SETTING:Eight areas in the United States. SUBJECTS:Cases were 2279 multiparous women residents of the eight areas aged 25-49 who were diagnosed as having breast cancer during 19...

journal_title：BMJ (Clinical research ed.)

authors： Cummings P,Stanford JL,Daling JR,Weiss NS,McKnight B

更新日期：1994-06-25 00:00:00

abstract：OBJECTIVE:To describe and quantify the patients and clinical activities of independent short stay hospitals. DESIGN:Retrospective survey of hospital records for sampled periods of one financial year and comparison with data from 1981 to 1986. SETTING:217 independent hospitals in England and Wales, 1992-3. MAIN OUTCO...

journal_title：BMJ (Clinical research ed.)

authors： Williams BT,Nicholl JP

更新日期：1994-06-25 00:00:00