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Mashup Score: 1Endometriosis and uterine fibroids and risk of premature mortality: prospective cohort study - 4 hour(s) ago
Objective To prospectively assess the effect of endometriosis and uterine fibroids on the long term risk of premature mortality (younger than 70 years). Design Prospective cohort study Setting The Nurses’ Health Study II, United States (1989-2019). Participants 110 091 women aged 25-42 years in 1989 without a history of hysterectomy before endometriosis or fibroids diagnosis, cardiovascular diseases, or cancer. Main outcome measures Hazard ratios (estimated by Cox proportional hazards models) for total and cause specific premature mortality according to laparoscopically confirmed endometriosis or ultrasound or hysterectomy confirmed uterine fibroids reported in biennial questionnaires. Results 4356 premature deaths were recorded during 2 994 354 person years of follow-up (27.2 years per person), including 1459 from cancer, 304 from cardiovascular diseases, and 90 from respiratory diseases. The crude incidence of all cause premature mortality for women with and without laparoscopically
Source: www.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 11Nurse and doctor turnover and patient outcomes in NHS acute trusts in England: retrospective longitudinal study - 7 hour(s) ago
Objective To investigate the association between monthly turnover rates of hospital nurses and senior doctors and patient health outcomes (mortality and unplanned hospital readmissions). Design Retrospective longitudinal study. Setting All 148 NHS acute trusts in England (1 April 2010 to 30 March 2019), excluding specialist and community NHS hospital trusts. Participants Yearly records on 236 000 nurses, 41 800 senior doctors (specialist, associate specialist and specialty doctors, and consultants), and 8.1 million patients admitted to hospital. Main outcome measures The panel data regression analysis used nine years of monthly observations from administrative datasets at healthcare worker and patient levels. Associations using linear and unconditional quantile regressions were estimated, including controls for seasonality and NHS hospital trust. Four hospital quality indicators (risk adjusted by patient age, sex, and Charlson index comorbidities) were used and measured at a monthly fr
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
High monthly turnover rates of nurses and senior doctors are associated with higher deaths for emergency patients admitted to NHS hospitals in England, finds a study published by @bmj_latest. Link to research: https://t.co/RelYnXEki1 Link to editorial: https://t.co/WIu2liymBv https://t.co/6iF3e3qIMq
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Mashup Score: 0Our impact: 2024 - 1 day(s) ago
BMJ Group impact report. Improving health outcomes worldwide – these are our success stories.
Source: info.bmj.comCategories: General Medicine News, General HCPsTweet-
Frequent users of e-learning resources like BMJ Learning can potentially reduce their carbon footprint related to continuing professional development (CPD) by 18.5 kg. How so? https://t.co/X9NpI23EFB https://t.co/ceNsblZFxy
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Mashup Score: 2Stress and mental health symptoms in early pregnancy are associated with the oral microbiome - 2 day(s) ago
Background Research has revealed associations between microbes of the gastrointestinal tract and stress, anxiety and depression in pregnant or postpartum women. While these studies suggest a gut-brain-behaviour axis, no studies have examined microbes of the oral cavity in relation to maternal mental health. Objective To explore a potential oral-brain-behaviour axis related to maternal mental health. Methods Microbes were measured in saliva obtained from 224 second-trimester (mean±SD = 17±2 weeks) women oversampled for stress. Oralome data were associated with women’s recent or cumulative pregnancy stress, trait and state anxiety, depression symptoms and post-traumatic stress disorder (PTSD) symptoms. Covariates explored included age, income, alcohol and tobacco use, dental issues and physical health problems. Results Pregnant women in the high trait anxiety or depression symptom groups had higher oral alpha diversity, indicating higher richness of species within samples. Groups with hi
Source: mentalhealth.bmj.comCategories: General Medicine News, General HCPsTweet-
The number and type of microbes present in the saliva of pregnant women differ according to whether they are experiencing life stress and symptoms of anxiety, depression and post-traumatic stress disorder (PTSD) @BMJMentalHealth. Link: https://t.co/EL1SU4ck7a https://t.co/25UpUpKAHB
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Mashup Score: 0
Introduction Many National Immunisation Programmes attempt to leverage the private sector ; however, there is limited consolidated and synthesised documentation on good practices, gaps and lessons learnt. A 2017 WHO guidance document recommended best practices for private sector engagement (PSE) in immunisation. We conducted a pragmatic scoping review to identify gaps, update and consolidate evidence on promising practices in PSE for vaccination. Methods Building on two previous reviews published in 2011 and 2017, we conducted a pragmatic scoping review of peer-reviewed publications from low-income and middle-income countries since September 2016 in PubMed that pertained to PSE and immunisation service delivery. We extracted and analysed findings using a new analytical framework covering motivations, enablers and barriers, risks and challenges, and engagement mechanisms. Results We collated over 80 well-documented analyses of PSE for vaccination, derived from 54 peer-reviewed publicati
Source: gh.bmj.comCategories: General Medicine News, General HCPsTweet-
Two @GlobalHealthBMJ studies provide fresh perspectives on private sector engagement and governance to improve health and wellbeing in low and middle income countries. Link to papers: https://t.co/c7MqfZayqi and https://t.co/ksSTx6Dae8 https://t.co/isun80TtIk
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Mashup Score: 0false - 2 day(s) ago
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Categories: General Medicine News, General HCPsTweet-
Today, @dav3c1arke, brings people together in Nagasaki to discuss how we can make sure health systems deliver public value, by mobilising both public and private actors. He will discuss a new @GlobalHealthBMJ supplement on the topic. Link to conference: https://t.co/ZWt2zQ3DQA https://t.co/Wi5QZdOsB8
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Mashup Score: 2Physical activity and life expectancy: a life-table analysis - 4 day(s) ago
Objective Low physical activity (PA) levels are associated with increased mortality. Improved measurement has resulted in stronger proven associations between PA and mortality, but this has not yet translated to improved estimates of the disease burden attributable to low PA. This study estimated how much low PA reduces life expectancy, and how much life expectancy could be improved by increasing PA levels for both populations and individuals. Methods We applied a predictive model based on device-measured PA risk estimates and a life-table model analysis, using a life-table of the 2019 US population based on 2017 mortality data from the National Centre for Health Statistics. The participants included were 40+ years with PA levels based on data from the 2003–2006 National Health and Nutritional Examination Survey. The main outcome was life expectancy based on PA levels. Results If all individuals were as active as the top 25% of the population, Americans over the age of 40 could live an
Source: bjsm.bmj.comCategories: General Medicine News, General HCPsTweet-
If every American over the age of 40 was as physically active as the top 25% of the population, they could expect to live an extra 5 years, on average, suggest the findings of a modelling study published online in the @BJSM_BMJ. https://t.co/vGdSMJcXqB https://t.co/6vTYJc0Xh0
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Mashup Score: 2Physical activity and life expectancy: a life-table analysis - 5 day(s) ago
Objective Low physical activity (PA) levels are associated with increased mortality. Improved measurement has resulted in stronger proven associations between PA and mortality, but this has not yet translated to improved estimates of the disease burden attributable to low PA. This study estimated how much low PA reduces life expectancy, and how much life expectancy could be improved by increasing PA levels for both populations and individuals. Methods We applied a predictive model based on device-measured PA risk estimates and a life-table model analysis, using a life-table of the 2019 US population based on 2017 mortality data from the National Centre for Health Statistics. The participants included were 40+ years with PA levels based on data from the 2003–2006 National Health and Nutritional Examination Survey. The main outcome was life expectancy based on PA levels. Results If all individuals were as active as the top 25% of the population, Americans over the age of 40 could live an
Source: bjsm.bmj.comCategories: General Medicine News, General HCPsTweet-
If every American over the age of 40 was as physically active as the top 25% of the population, they could expect to live an extra 5 years, on average, suggest the findings of a modelling study published online in the @BJSM_BMJ. https://t.co/vGdSMJcXqB https://t.co/6vTYJc0Xh0
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Mashup Score: 2Physical activity and life expectancy: a life-table analysis - 5 day(s) ago
Objective Low physical activity (PA) levels are associated with increased mortality. Improved measurement has resulted in stronger proven associations between PA and mortality, but this has not yet translated to improved estimates of the disease burden attributable to low PA. This study estimated how much low PA reduces life expectancy, and how much life expectancy could be improved by increasing PA levels for both populations and individuals. Methods We applied a predictive model based on device-measured PA risk estimates and a life-table model analysis, using a life-table of the 2019 US population based on 2017 mortality data from the National Centre for Health Statistics. The participants included were 40+ years with PA levels based on data from the 2003–2006 National Health and Nutritional Examination Survey. The main outcome was life expectancy based on PA levels. Results If all individuals were as active as the top 25% of the population, Americans over the age of 40 could live an
Source: bjsm.bmj.comCategories: General Medicine News, General HCPsTweet-
If every American over the age of 40 was as physically active as the top 25% of the population, they could expect to live an extra 5 years, on average, suggest the findings of a modelling study published online in the @BJSM_BMJ. https://t.co/vGdSMJcXqB https://t.co/6vTYJc0Xh0
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Mashup Score: 2Physical activity and life expectancy: a life-table analysis - 5 day(s) ago
Objective Low physical activity (PA) levels are associated with increased mortality. Improved measurement has resulted in stronger proven associations between PA and mortality, but this has not yet translated to improved estimates of the disease burden attributable to low PA. This study estimated how much low PA reduces life expectancy, and how much life expectancy could be improved by increasing PA levels for both populations and individuals. Methods We applied a predictive model based on device-measured PA risk estimates and a life-table model analysis, using a life-table of the 2019 US population based on 2017 mortality data from the National Centre for Health Statistics. The participants included were 40+ years with PA levels based on data from the 2003–2006 National Health and Nutritional Examination Survey. The main outcome was life expectancy based on PA levels. Results If all individuals were as active as the top 25% of the population, Americans over the age of 40 could live an
Source: bjsm.bmj.comCategories: General Medicine News, General HCPsTweet-
If every American over the age of 40 was as physically active as the top 25% of the population, they could expect to live an extra 5 years, on average, suggest the findings of a modelling study published online in the @BJSM_BMJ. https://t.co/vGdSMJcXqB https://t.co/6vTYJc0Xh0
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Women with a history of endometriosis and uterine fibroids might have an increased long term risk of premature death, finds a large study from the United States published by @bmj_latest today. Link: https://t.co/Gus7tKUWYL https://t.co/BImsnj6gFg