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Journal article

Health Well

Core outcome research measures in anal cancer (CORMAC): protocol for systematic review, qualitative interviews and Delphi survey to develop a core outcome set in anal cancer

Introduction The incidence of anal squamous cell carcinoma (ASCC) has increased threefold in the last 30 years. Initial treatment is chemoradiotherapy, associated with short-term and long-term side effects. Future therapy innovations aim to reduce morbidit ...

Identifying clinical features in primary care electronic health record studies: methods for codelist development

Objective Analysis of routinely collected electronic health record (EHR) data from primary care is reliant on the creation of codelists to define clinical features of interest. To improve scientific rigour, transparency and replicability, we describe and d ...

Use of a primary care online consultation system, by whom, when and why: evaluation of a pilot observational study in 36 general practices in South West England

Objectives Evaluation of a pilot study of an online consultation system in primary care. We describe who used the system, when and why, and the National Health Service costs associated with its use. Design 15-month observational study. Setting Primary care ...

Physician Intervention to Positive Depression Screens Among Adolescents in Primary Care

The objective of this study was to determine the effectiveness of computer-based screening and physician feedback to guide adolescent depression management within primary care. ...

Lack of hospital capacity delayed quarter of hip fracture operations

Hip fracture patients who are medically fit should have surgery within 48 hours of admission This story continues at Lack of hospital capacity delayed quarter of hip fracture operations Or just read more coverage at Irish Medical Times ...

Free GP care led to 25% increase in children’s GP visits

ESRI report reveals children with a medical or doctor visit card paid extra visits to their doctor This story continues at Free GP care led to 25% increase in children’s GP visits Or just read more coverage at Irish Medical Times ...

Virtual mentoring in nursing education: A scoping review of the literature

Background and objective: Large numbers of nurse educators are retiring, creating a paucity of experienced advisors and research investigators to mentor nurse educators. The guiding of doctoral students in nursing is at a demanding crossroad. A new mentor ...

Can sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study

Abstract Aim The aim of this study was to investigate any possible relationship between sleep disorders, burnout and job performance in a shift-work population of nurses. Background Sleep disorders and burnout can affect the job performance of nurses in te ...

Doctors perception of support and the processes involved in complaints investigations and how these relate to welfare and defensive practice: a cross-sectional survey of the UK physicians

Objective How adverse outcomes and complaints are managed may significantly impact on physician well-being and practice. We aimed to investigate how depression, anxiety and defensive medical practice are associated with doctors actual and perceived support ...

Prevalence of Nonmedical Use of Prescription Opioids and Association With Co-occurring Substance Use Disorders Among Adolescents in Substance Use Treatment

We sought to describe the prevalence of the nonmedical use of prescription opioids (NMUPO) and its association with co-occurring substance use disorders in a sample of adolescents in substance treatment. ...

Ability of Nontraditional Risk Factors and Inflammatory Biomarkers for Cardiovascular Disease to Identify High Cardiometabolic Risk in Adolescents: Results From the LabMed Physical Activity Study

Then objective of this study was to evaluate the ability of several nontraditional cardiometabolic and inflammatory biomarkers in identifying high cardiometabolic risk in adolescents. ...

Insights Into Aspects Behind Internet-Related Disorders in Adolescents: The Interplay of Personality and Symptoms of Adjustment Disorders

Problematic Internet use (PIU) that has recently been referred to as Internet-related disorder is a growing health concern. Yet, it is unclear why some adolescents are developing problematic use, whereas others sustain control. Based on previous research, ...

Cervical Cancer Screening and Follow-Up Procedures in Women Age <21 Years Following New Screening Guidelines

The 2009 American College of Obstetricians and Gynecologists guidelines recommended no cervical cancer screening before age 21 years. We examined changes in screening, diagnostic, and treatment procedures for cervical dysplasia after guideline introduction ...

Improving outcomes after catheter ablation of atrial fibrillation: better patient selection, better procedure, or both?

This editorial refers to ‘Temporal trends in atrial fibrillation recurrence rates after ablation between 2005 and 2014- a nationwide Danish cohort study’, by J.L. Pallisgaard et al., doi: 10.1093/eurheartj/ehx466. ...

Unmet need for primary prevention in individuals with hypertriglycerid aemia not eligible for statin therapy according to European Society of Cardiology/European Atherosclerosis Society guidelines: a contemporary population-based study

AbstractAimsTo identify individuals at high risk of atherosclerotic cardiovascular disease (ASCVD), who are not definite statin eligible according to the 2016 European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) guidelines, based on hi ...

The search for cardiovascular benefit from treating obstructive sleep apnoea with CPAP therapy

This editorial refers to ‘A meta-analysis of continuous positive airway pressure therapy in prevention of cardiovascular events in patients with obstructive sleep apnoea’, by S.U. Kahn et al., doi: 10.1093/eurheartj/ehx597. ...

Isolated cardiac sarcoidosis: the crucial role of multimodal imaging with positron emission tomography/magnetic resonance imaging in diagnosis and therapy surveillance

A 48-year-old male presented with symptomatic ventricular tachycardia of 226 b.p.m. After external cardioversion, electrocardiogram revealed a complete right bundle branch block but no other abnormalities. Echocardiography showed a reduced left ventricular ...

Neuronal ceroid lipofuscinosis with severe biventricular impairment: a rare genetic disorder with associated myopathy?

A 29-year-old male of African origin was admitted with aspiration pneumonia. He was previously referred for cardiology assessment due to fluid overload and elevated BNP but did not attend clinic. He had neuronal ceroid lipofuscinosis (Batten Disease) havin ...

Evaluation of Mental Disorders Using Proton Magnetic Resonance Spectroscopy in Dialysis and Predialysis Patients

Background/Aims: Psychological complications are prevalent in patients with chronic kidney disease (CKD). This study aimed to investigate mental disorders in stage 4-5 CKD patients, to detect metabolite concentrations in the brain by proton magnetic reson ...

Heavy Alcohol Consumption Effects on Blood Pressure and on Kidney Structure Persist After Long-Term Withdrawal

Background/Aims: Heavy ethanol consumption is a risk factor for hypertension and prompts organ damage. There is no information regarding the impact of long-term heavy ethanol consumption on kidney structure and function linking to their hypertensive effec ...

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