abstract：:The studies reviewed here show that the duration and severity of individual episodes of back pain can be lessened, reducing recurrences and their cost in terms of suffering and lost work. Frank examines differential diagnosis; acute, chronic, and intractable pain; and service implications. Modern management emphasises...

journal_title：BMJ (Clinical research ed.)

authors： Frank A

更新日期：1993-04-03 00:00:00

abstract：OBJECTIVE:To examine the association between accidental dural puncture and long term headache and related symptoms. DESIGN:Postal questionnaire survey to elucidate new symptoms occurring after childbirth, and linking of these to data in obstetric and anaesthetic case notes. Women were surveyed between 13 months and ni...

journal_title：BMJ (Clinical research ed.)

authors： MacArthur C,Lewis M,Knox EG

更新日期：1993-04-03 00:00:00

abstract：:Recent changes in the Russian government introduced by Boris Yeltsin include the appointment of Eduard Nechaev as health minister at the beginning of this year. The appointment received little publicity in the West, although his predecessor was sacked after only one year for failing to make any effort to improve healt...

journal_title：BMJ (Clinical research ed.)

authors： Ryan M

更新日期：1993-04-03 00:00:00

abstract：:National allocation of resources to regional health authorities and by them to districts is now determined by a weighted capitation formula. The national formula was derived from regression analysis, with hospital utilisation as an index of need for health care--a method which has fundamental limitations. This paper a...

journal_title：BMJ (Clinical research ed.)

authors： Sheldon TA,Smith GD,Bevan G

更新日期：1993-03-27 00:00:00

abstract：OBJECTIVE:To describe the time distribution of visits at night and to evaluate trends in night visits from 1982 to 1992. DESIGN:Analysis of a sample of one in 12 claim forms for night visits submitted over one year beginning 1 July 1991, and estimation of the number of night visits in previous years from data on payme...

journal_title：BMJ (Clinical research ed.)

authors： Salisbury C

更新日期：1993-03-20 00:00:00

abstract：OBJECTIVE:To investigate a reported association between dental disease and risk of coronary heart disease. SETTING:National sample of American adults who participated in a health examination survey in the early 1970s. DESIGN:Prospective cohort study in which participants underwent a standard dental examination at bas...

journal_title：BMJ (Clinical research ed.)

authors： DeStefano F,Anda RF,Kahn HS,Williamson DF,Russell CM

更新日期：1993-03-13 00:00:00

abstract：OBJECTIVES:To assess incidence of and mortality from cancer in hypertensive patients taking atenolol, comparing the findings with two control populations and with hypertensive patients taking other drugs. DESIGN:Retrospective analysis of patients first seen in the Glasgow Blood Pressure Clinic between 1972 and 1990. P...

journal_title：BMJ (Clinical research ed.)

authors： Hole DJ,Hawthorne VM,Isles CG,McGhee SM,Robertson JW,Gillis CR,Wapshaw JA,Lever AF

更新日期：1993-03-06 00:00:00

abstract：:The results of a survey of 769 patients attending the St. James's University Fertility Control Clinic, England, for abortion services showed that patients seeing general practitioners were less knowledgeable than those attending specialist clinics. There was a demonstrated need for counseling on pill and condom use a...

journal_title：BMJ (Clinical research ed.)

authors： Bromham DR,Cartmill RS

更新日期：1993-02-27 00:00:00

abstract：OBJECTIVES:To assess the acceptability of screening newborn boys for Duchenne muscular dystrophy. DESIGN:Screening is offered on the basis of informed consent in response to an information sheet entitled "A new test for baby boys--Do you want it?" The programme includes a prospective long term evaluation of family res...

journal_title：BMJ (Clinical research ed.)

authors： Bradley DM,Parsons EP,Clarke AJ

更新日期：1993-02-06 00:00:00

abstract：OBJECTIVES:To identify risk factors predisposing to the development of flucloxacillin associated jaundice. DESIGN:Case-control study. Medical records of cases and controls were reviewed and information recorded on standard data collection forms. SETTING:Alfred Hospital recruiting subjects from Melbourne, Sydney, and ...

journal_title：BMJ (Clinical research ed.)

authors： Fairley CK,McNeil JJ,Desmond P,Smallwood R,Young H,Forbes A,Purcell P,Boyd I

更新日期：1993-01-23 00:00:00

abstract：OBJECTIVE:To investigate the clinical effects of regulating umbilical cord clamping in preterm infants. DESIGN:A prospective randomised study. SETTING:The Queen Mother's Hospital, Glasgow. SUBJECTS:36 vaginally delivered infants over 27 and under 33 weeks' gestation. INTERVENTION:Holding the infant 20 cm below the ...

journal_title：BMJ (Clinical research ed.)

authors： Kinmond S,Aitchison TC,Holland BM,Jones JG,Turner TL,Wardrop CA

更新日期：1993-01-16 00:00:00

abstract：:London's health care problems, particularly underfunding, are mirrored in other major cities in the United Kingdom and abroad. None has found the perfect solution, but the debates on the Tomlinson report provide an opportunity to review how to manage the three major areas of service provision, medical education, and r...

journal_title：BMJ (Clinical research ed.)

authors： Maxwell R

更新日期：1993-01-16 00:00:00

abstract：:In July 1992 Dr Keith Mumby, a clinical ecologist, appeared before the professional conduct committee of the General Medical Council on five charges to do with his practice of clinical ecology. He was found guilty of two of the charges--touting for publicity and failing to give a patient adequate medical attention--an...

journal_title：BMJ (Clinical research ed.)

authors： Kay AB

更新日期：1993-01-09 00:00:00

abstract：OBJECTIVE:To assess long term survival (> 5 years) and quality of life in severely ill patients referred for urgent cardiac transplantation. SETTING:Tertiary referral centres: before transplantation at the National Heart Hospital (late 1984 to end 1986); after transplantation at Harefield Hospital. SUBJECTS:Eighteen ...

journal_title：BMJ (Clinical research ed.)

authors： Mulcahy D,Fitzgerald M,Wright C,Sparrow J,Pepper J,Yacoub M,Fox KM

更新日期：1993-01-09 00:00:00

abstract：OBJECTIVE:To assess the potential effects of primary prevention with anticoagulants or aspirin in atrial fibrillation on Swedish population. DESIGN:Analysis of cost effectiveness based on the following assumptions: about 83,000 people have atrial fibrillation in Sweden, of whom 22,000 would be potential candidates for...

journal_title：BMJ (Clinical research ed.)

authors： Gustafsson C,Asplund K,Britton M,Norrving B,Olsson B,Marké LA

更新日期：1992-12-12 00:00:00

abstract：OBJECTIVE:To determine whether genetic factors associated with established rheumatoid arthritis could, in combination with rheumatoid factor, predict the development of radiological erosions in patients with early symmetrical (rheumatoid-like) arthritis. DESIGN:Prospective study. SETTING:Teaching hospital, early arth...

journal_title：BMJ (Clinical research ed.)

authors： Emery P,Salmon M,Bradley H,Wordsworth P,Tunn E,Bacon PA,Waring R

更新日期：1992-12-05 00:00:00

abstract：:Elderly and disabled people have been led to expect great improvements in the quality of community care after April 1993. The choice to live safely at home is to be offered as an alternative to residential care. The financial and organisational relationships are all intended to support this in practice. The Tomlinson ...

journal_title：BMJ (Clinical research ed.)

authors： Jowell T

更新日期：1992-12-05 00:00:00

abstract：OBJECTIVE:To assess the implementation of action protocols dictated by antenatal risk factors noted at the initial (booking) antenatal visit. DESIGN:Retrospective study of 2000 women delivered between 1 March 1990 and 29 March 1991. SETTING:Maternity department of a district general hospital supporting a multiethnic ...

journal_title：BMJ (Clinical research ed.)

authors： Yoong AF,Lim J,Hudson CN,Chard T

更新日期：1992-11-14 00:00:00

abstract：OBJECTIVE:To examine changes in primary care in London in the 11 years since the Acheson report on primary health care in inner London. DESIGN:Analysis of key data from the family health services authority performance indicators and from the Department of Health; study of trends since the time of the Acheson report; e...

journal_title：BMJ (Clinical research ed.)

authors： Jarman B,Bosanquet N

更新日期：1992-11-07 00:00:00

abstract：:Many clinicians remain unsure of the relevance of measuring quality of life to their clinical practice. In health economics quality of life measures have become the standard means of assessing the results of health care interventions and, more controversially, the means of prioritising funding; but they have many othe...

journal_title：BMJ (Clinical research ed.)

authors： Fitzpatrick R,Fletcher A,Gore S,Jones D,Spiegelhalter D,Cox D

更新日期：1992-10-31 00:00:00

abstract：OBJECTIVE:To determine whether prophylactic treatment with low molecular weight heparin reduces the incidence of thrombosis in patients who have had general or orthopaedic surgery. DESIGN:Meta-analysis of results from 52 randomised, controlled clinical studies (29 in general surgery and 23 in orthopaedic surgery) in w...

journal_title：BMJ (Clinical research ed.)

authors： Leizorovicz A,Haugh MC,Chapuis FR,Samama MM,Boissel JP

更新日期：1992-10-17 00:00:00

abstract：OBJECTIVE:To design and evaluate a computer advisory system for the treatment of gestational trophoblastic tumour. DESIGN:A comparison of clinicians' treatment decisions with those of the computer system. Two datasets were used: one to calibrate the system and one to independently evaluate it. SETTING:Department of m...

journal_title：BMJ (Clinical research ed.)

authors： Leaning MS,Gallivan S,Newlands ES,Dent J,Brampton M,Smith DB,Bagshawe KD

更新日期：1992-10-03 00:00:00

abstract：OBJECTIVES:To identify the extent of HIV infection and injecting drug use among female streetworking prostitutes in Glasgow; to estimate the size of the female streetworking prostitute population in the city; and to estimate the number of HIV positive women working as prostitutes on the streets in Glasgow. DESIGN:Obse...

journal_title：BMJ (Clinical research ed.)

authors： McKeganey N,Barnard M,Leyland A,Coote I,Follet E

更新日期：1992-10-03 00:00:00

abstract：OBJECTIVE:To compare neonatal mortality and morbidity in term infants presenting by the breech and delivered vaginally or by caesarean section. DESIGN:Population based comparison of outcomes. Data derived from the St Mary's maternity information system. SETTING:North West Thames Regional Health Authority, 1988-90. S...

journal_title：BMJ (Clinical research ed.)

authors： Thorpe-Beeston JG,Banfield PJ,Saunders NJ

更新日期：1992-09-26 00:00:00

abstract：OBJECTIVE:To determine the outcome of administration of neuroleptics to patients with senile dementia of Lewy body type confirmed at necropsy. DESIGN:Retrospective analysis of clinical notes blind to neuropathological diagnosis. SETTING:Specialist psychogeriatric assessment units referring cases for necropsy to a tea...

journal_title：BMJ (Clinical research ed.)

authors： McKeith I,Fairbairn A,Perry R,Thompson P,Perry E

更新日期：1992-09-19 00:00:00

abstract：:A brief note on the status of the AIDS pandemic, from the Amsterdam VIIIth International Conference on AIDS, warns that the course of the epidemic is not being altered by prevention efforts. AIDS occurs in every country, usually spread by heterosexual contact, so that women are equally affected with men. WHO estimat...

journal_title：BMJ (Clinical research ed.)

authors： Tanne JH

更新日期：1992-07-25 00:00:00

abstract：OBJECTIVE:To obtain data on sexual contact between doctors and their patients. DESIGN:Anonymous questionnaire with 17 items sent to all working gynaecologists (n = 595) and all ear, nose, and throat specialists (n = 380) in the Netherlands. RESULTS:Response rate was 74%; a total 64 doctors gave a reason for not compl...

journal_title：BMJ (Clinical research ed.)

authors： Wilbers D,Veenstra G,van de Wiel HB,Weijmar Schultz WC

更新日期：1992-06-13 00:00:00

abstract：OBJECTIVES:To measure the potential for cadaver organ retrieval in New South Wales and to determine the reasons for potential donors failing to become actual donors. DESIGN:Prospective audit of all patients dying in five hospitals in New South Wales between 1 December 1989 and 30 November 1990; quality assurance of th...

journal_title：BMJ (Clinical research ed.)

authors： Hibberd AD,Pearson IY,McCosker CJ,Chapman JR,Macdonald GJ,Thompson JF,O'Connell DL,Mohacsi PJ,McLoughlin MP,Spratt PM

更新日期：1992-05-23 00:00:00

abstract：OBJECTIVE:To examine the association between obstetric epidural anaesthesia and subsequent long term problems. DESIGN:Postal questionnaire on health problems after childbirth linked to maternity case note data. SETTING:Maternity hospital in Birmingham. SUBJECTS:11701 women who delivered their most recent child durin...

journal_title：BMJ (Clinical research ed.)

authors： MacArthur C,Lewis M,Knox EG

更新日期：1992-05-16 00:00:00

abstract：OBJECTIVE:To estimate the costs of diagnosis and treatment of diabetes in Tanzania. DESIGN:Costs estimated from the reported and recorded experience of patients with newly presenting diabetes in 1989-90 and of diabetic patients first seen in 1981-2. SETTING:Muhimbili Medical Centre, Dar es Salaam. SUBJECTS:464 patie...

journal_title：BMJ (Clinical research ed.)

authors： Chale SS,Swai AB,Mujinja PG,McLarty DG

更新日期：1992-05-09 00:00:00

abstract：OBJECTIVE:To analyse the risk of second primary cancers during long term follow up of patients with Hodgkin's disease. DESIGN:Cohort study. SETTING:The British National Lymphoma Investigation (a collaborative group of over 60 participating centres in Britain treating lymphomas). PATIENTS:2846 patients first treated ...

journal_title：BMJ (Clinical research ed.)

authors： Swerdlow AJ,Douglas AJ,Hudson GV,Hudson BV,Bennett MH,MacLennan KA

更新日期：1992-05-02 00:00:00

abstract：OBJECTIVE:To determine the prevalence of HIV among pregnant women, in particular those whose behaviour or that of their partners put them at "low risk" of infection. DESIGN:Voluntary named or anonymous HIV testing of pregnant women during 21 months (November 1988 to July 1990). SUBJECTS AND SETTING:All women who plan...

journal_title：BMJ (Clinical research ed.)

authors： Goldberg DJ,MacKinnon H,Smith R,Patel NB,Scrimgeour JB,Inglis JM,Peutherer JF,Urquhart GE,Emslie JA,Covell RG

更新日期：1992-04-25 00:00:00

abstract：OBJECTIVE:To study the dynamic function of hypothalamic 5-hydroxytryptamine receptors in patients with postviral fatigue syndrome. DESIGN:Prospective comparison of patients with postviral fatigue syndrome with two control groups. SETTING:Department of neurology, University of Glasgow, Southern General Hospital; depar...

journal_title：BMJ (Clinical research ed.)

authors： Bakheit AM,Behan PO,Dinan TG,Gray CE,O'Keane V

更新日期：1992-04-18 00:00:00

abstract：OBJECTIVE:To identify the attitudes of general practitioners towards the use of thermometers in general practice. DESIGN:Postal questionnaire survey. SETTING:All general practitioners in the catchment area of Frimley Park Hospital, Surrey. SUBJECTS:145 general practitioners. MAIN OUTCOME MEASURES:Answers to questio...

journal_title：BMJ (Clinical research ed.)

authors： Clarke S

更新日期：1992-04-11 00:00:00

abstract：OBJECTIVE:To examine changes in immunisation performance in Grampian region after the introduction of the 1990 contract for general practitioners. DESIGN:Retrospective descriptive study using data held on the Grampian immunisation record system's computer. SETTING:All 95 general practices in Grampian region (313 gene...

journal_title：BMJ (Clinical research ed.)

authors： Ritchie LD,Bisset AF,Russell D,Leslie V,Thomson I

更新日期：1992-03-28 00:00:00

abstract：OBJECTIVE:Detailed analysis of primary cutaneous melanoma first diagnosed in Scotland in patients aged 65 and over. DESIGN:Comparison of changing incidence, sex distribution, site, histogenetic type, tumour thickness, and prognosis of all primary cutaneous melanomas in patients aged 65 and over diagnosed in Scotland i...

journal_title：BMJ (Clinical research ed.)

authors： McHenry PM,Hole DJ,MacKie RM

更新日期：1992-03-21 00:00:00

abstract：OBJECTIVE:To determine whether the intervention of a physiotherapist improved mobility in patients seen more than one year after stroke. DESIGN:Randomised crossover trial comparing two groups offered intervention by a physiotherapist, one immediately after entry into the trial and the other after a delay of three mont...

journal_title：BMJ (Clinical research ed.)

authors： Wade DT,Collen FM,Robb GF,Warlow CP

更新日期：1992-03-07 00:00:00

abstract：OBJECTIVE:To compare the effectiveness of manipulative therapy, physiotherapy, treatment by the general practitioner, and placebo therapy in patients with persistent non-specific back and neck complaints. DESIGN:Randomised clinical trial. SETTING:Primary health care in the Netherlands. PATIENTS:256 patients with non...

journal_title：BMJ (Clinical research ed.)

authors： Koes BW,Bouter LM,van Mameren H,Essers AH,Verstegen GM,Hofhuizen DM,Houben JP,Knipschild PG

更新日期：1992-03-07 00:00:00

abstract：OBJECTIVES:To describe the change in first day infant mortality during 1935-87. To examine the hypothesis that excess first day mortality in the 1950s and 1960s was attributable to restricting oxygen for sick newborn infants. DESIGN:Time series analysis of first day infant mortality and stillbirth rates. SETTING:Engl...

journal_title：BMJ (Clinical research ed.)

authors： Whyte RK

更新日期：1992-02-08 00:00:00

abstract：OBJECTIVE:To define the benefit of rice oral rehydration salts solution in relation to the glucose based World Health Organisation oral rehydration salts solution for treating and preventing dehydration in patients with severe dehydrating diarrhoea. DESIGN:Meta-analysis using data from 13 available randomised trials t...

journal_title：BMJ (Clinical research ed.)

authors： Gore SM,Fontaine O,Pierce NF

更新日期：1992-02-01 00:00:00