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Health Well

Advance care planning uptake among patients with severe lung disease: a randomised patient preference trial of a nurse-led, facilitated advance care planning intervention

Objective Advance care planning (ACP) clarifies goals for future care if a patient becomes unable to communicate their own preferences. However, ACP uptake is low, with discussions often occurring late. This study assessed whether a systematic nurse-led AC ...

Status of patient safety culture in Arab countries: a systematic review

Objectives To explore the status of patient safety culture in Arab countries based on the findings of the Hospital Survey on Patient Safety Culture (HSPSC). Design Systematic review. ...

Performance curves of medical researchers during their career: analysis of scientific production from a retrospective cohort

Objectives To establish the pattern of change in individual scientific production over the career of medical researchers. Design Retrospective cohort based on prospectively collected data in a hospital information system. Setting Multicentre university hos ...

Study protocol for a pragmatic randomised controlled trial evaluating efficacy of a smoking cessation e-'Tabac Info Service: ee-TIS trial

Introduction A French national smoking cessation service, Tabac Info Service, has been developed to provide an adapted quitline and a web and mobile application involving personalised contacts (eg, questionnaires, advice, activities, messages) to support s ...

Comparison of efficacy and safety between benidipine and hydrochlorothiazide in fosinopril-treated hypertensive patients with chronic kidney disease: protocol for a randomised controlled trial

Introduction Co-administration of a diuretic or calcium channel blocker with an ACE inhibitor are both preferred combinations in patients with hypertensive chronic kidney disease (CKD). According to the available evidence, it is still unknown which combina ...

Feasibility and effect of home-based therapy programmes for children with cerebral palsy: a protocol for a systematic review

Introduction Given the promising advantages of upper extremity home-based programmes in children with cerebral palsy (CP), a systematic review of the available literature on this topic is warranted. The purpose of the systematic review described in this pr ...

Healthcare usage and economic impact of non-treated obesity in Italy: findings from a retrospective administrative and clinical database analysis

Objectives Investigate the prevalence of obesity in Italy and examine its resource consumption and economic impact on the Italian national healthcare system (NHS). Design Retrospective, observational and real-life study. Setting Data from three health unit ...

Realist evaluation of intersectoral oral health promotion interventions for schoolchildren living in rural Andean communities: a research protocol

Background Intersectoral collaboration, known to promote more sustainable change within communities, will be examined in an oral health promotion program (OHPP). In Peru, an OHPP was implemented by the Ministry of Health, to reduce the incidence of caries ...

Inappropriate prescribing among older persons in primary care: protocol for systematic review and meta-analysis of observational studies

Introduction Inappropriate prescribing has a significant impact on older persons in primary care. Previous reviews on inappropriate prescribing included a heterogeneous range of populations and may not be generalisable to primary care. In this study we aim ...

Factors associated with hospitalisations in chronic conditions deemed avoidable: ecological study in the Spanish healthcare system

Objectives Potentially avoidable hospitalisations have been used as a proxy for primary care quality. We aimed to analyse the ecological association between contextual and systemic factors featured in the Spanish healthcare system and the variation in pote ...

Evaluating the relative effectiveness of high-intensity and low-intensity models of behaviour change communication interventions for abortion care-seeking in Bihar and Jharkhand, India: a cross-sectional study

Background This study aimed to compare the effectiveness of a high-intensity model (HIM) and a low-intensity model (LIM) of behaviour change communication interventions in Bihar and Jharkhand states of India designed to improve women's knowledge and u ...

What is the influence of single-entry models on access to elective surgical procedures? A systematic review

Background Single-entry models (SEMs) for the management of patients awaiting elective surgical services are designed to increase access and flow through the system of care. We assessed scope of use and influence of SEMs on access (waiting times/throughput ...

Accuracy of enteral syringes with commonly prescribed paediatric liquid medicines

Objective Oral syringes are the preferred method for delivering paediatric enteral drugs; however, little is known about factors affecting accuracy, particularly at volumes <5 mL. We investigated volumetric accuracy for enteral syringes, using commercia ...

Rudeness

‘Who is that rude man? He must be someone important.’ The man referred to was a very self-important associate medical director, well known for his lack of common courtesy. My colleague’s remark held another grain of truth, too: the ability to be rude, and ...

George Boole, saucy little Alice and an uneventful smallpox vaccination: one of the greatest stories never told

In the summer of 1955, the last and the largest polio epidemic in Western Europe, infecting as many as 50 000 children and adults,1 transpired in Cork, Ireland. It is recent enough to resonate in the living memory of the current generation of Irish grandp ...

Explaining socioeconomic inequalities in exclusive breast feeding in Norway

Background and objective In high-income countries, lower socioeconomic position is associated with lower rates of breast feeding, but it is unclear what factors explain this inequality. Our objective was to examine the association between socioeconomic pos ...

Comparison of UK paediatric consultants' participation in child health research between 2011 and 2015

Objective To identify whether there have been changes over time in the capacity of paediatric consultants to undertake research and if the activity differs between men and women. Design Comparison of data from two surveys of UK paediatric consultants. Subj ...

Early-life exposures predicting onset and resolution of childhood overweight or obesity

Objectives To determine which of multiple early-life exposures predict onset or resolution of overweight/obesity during a 9-year period. ...

How to prevent egg allergy

Over the past couple of years, a flurry of papers has altered the way we think about food allergy in young children. Instead of avoiding a potentially allergenic food, evidence is accumulating that deliberate exposure may be beneficial. Previously, Archiv ...

Smoking, vaping and adolescents

As paediatricians we may have mixed feelings about e-cigarettes or ‘vaping’ devices, from which users inhale flavoured water vapour with added nicotine. I often recommend them to smoking parents whose children have respiratory disease, on the assumption t ...

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