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Mashup Score: 0Treatment and exercise strategies and their associations with pain and disability: a prospective cohort study of patients with long-lasting low back pain - 11 hour(s) ago
Objectives To describe self-reported treatment and exercise strategies among patients with long-lasting low back pain (LBP) 1 month after consultation at a specialised hospital-based Medical Spine Clinic and evaluate their associations with changes in pain and disability 1 and 3 months after consultation. Design Prospective cohort study using questionnaire data before consultation (baseline) and 1 and 3 months after consultation. Setting Specialised hospital-based Medical Spine Clinic, Denmark. Participants 1686 patients with long-lasting LBP completed the baseline questionnaire; 908 patients responded at 1 month, of them 623 responded at 3 month. Interventions Patients were categorised by treatment (physiotherapy, chiropractic treatment, physiotherapy+chiropractic treatment and no recommended treatment) and exercise strategy (exercise continued, exercise ceased, exercise initiated and not exercising). Primary and secondary outcome measures Pain was assessed by the numeric rating scale
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Mashup Score: 0Efficacy of cashew nut protein immunotherapy: protocol for a single-centre randomised controlled trial in a Polish paediatric population - 15 hour(s) ago
Introduction The prevalence of food allergies, particularly IgE-mediated allergies, is rising in developed countries, with cashew nut allergy emerging as a significant public health concern due to its potential for severe anaphylaxis and frequent association with atopic disorders. Cashew nuts are among the most common allergens in Europe and Australia, often involving cosensitisation with pistachios, hazelnuts and other allergens. Diagnosis relies on clinical history, measurement of specific IgE (sIgE) levels, skin prick tests (SPT) and oral food challenges (OFCs). Current management strategies focus on allergen avoidance and emergency interventions, whereas oral immunotherapy (OIT) represents a promising approach to desensitisation. Recent studies, including the NUT CRACKER trial, have reported high desensitisation rates with cashew OIT, although these are associated with a risk of adverse events. This study introduces a novel randomised controlled trial aimed at evaluating the effica
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Mashup Score: 0Exploring the social dimensions of AI integration in healthcare: a qualitative study of stakeholder views on challenges and opportunities - 24 hour(s) ago
Objectives This study aimed to investigate the opportunities and challenges associated with integrating artificial intelligence (AI) in healthcare by exploring the perspectives of various stakeholders. The objective was to provide a nuanced understanding of stakeholder views to address concerns and promote the acceptance and successful integration of AI technologies in medical practice. Design This exploratory qualitative study used semi-structured interviews. Data were analysed using a combination of deductive and inductive coding, followed by content analysis to identify and develop categories. Setting This study was conducted in Tübingen, Germany, within the framework of the TüKITZMed project (Tübingen AI Training Center for Medicine), between August 2022 and March 2023. Participants A total of 38 stakeholders participated, including 6 lecturers, 9 clinicians, 10 healthcare students, 6 AI experts and 7 institutional stakeholders. Inclusion criteria included professionals involved in
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Mashup Score: 0
Objectives Elevated left ventricular end-diastolic pressure (LVEDP) in ST-segment elevation myocardial infarction (STEMI) has been studied in patients who received thrombolysis or who were treated early in the primary percutaneous coronary intervention (PCI) era; LVEDP was found to be a predictor of adverse outcomes in these retrospective post hoc analyses. The aim of the current analysis is to assess the prognostic value of the elevated LVEDP in STEMI patients undergoing primary PCI in current contemporary practice. Design Prospective, single-centre study. Participants Our study enrolled STEMI patients with elevated LVEDP undergoing primary PCI at John Hunter Hospital, Newcastle, Australia. Primary outcome measure The primary endpoint was the combination of 12-month all-cause mortality and heart failure admissions, comparing different quartiles of LVEDP. Results A total of 997 patients underwent primary PCI at our hospital during the 5-year study period (age: 64±13 years, males: 73%;
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Mashup Score: 0Trends in educational inequality in healthy life expectancy in Denmark between 2010 and 2021: a population-based study - 2 day(s) ago
Objectives For several decades, mortality has decreased more rapidly among individuals with a higher socioeconomic position than among those with a lower position. This widening social inequality gap has increasingly been recognised as an important aspect of public health research and policies. The objective of this study was to examine trends in educational inequality in healthy life expectancy (HLE) in Denmark between 2010 and 2021 at the age of 30 years. Design The study is a population-based study based on register data on longest attained education, standard life tables and self-reported health information from nationwide health surveys. Setting The study is conducted among the general adult population in Denmark. Participants Participants include respondents from the Danish National Health Survey and the Danish Health and Morbidity Survey in 2010, 2013, 2017 and 2021 aged ≥30 years. Primary and secondary outcome measures Expected lifetime in good self-rated health, with no long-s
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Mashup Score: 0Critically ill patients undergoing interhospital transportation: a prospective multicentre cohort study in the Euregio Meuse-Rhine - 19 day(s) ago
Objective The principal aim of this study was to investigate differences in the characteristics and physiological parameters of critically ill patients who underwent interhospital transportation. Design Prospective observational cohort study. Setting Multicentre study within the Euregio Meuse-Rhine, including Dutch and German hospitals. Patients A representative sample of critically ill adult patients who underwent interhospital transport accompanied by a physician was included. Interventions None. Transportation cohort description Data on patient characteristics, transport logistics, interventions and adverse events were recorded using an online questionnaire. The cohort was divided into Dutch and German subsets and further stratified based on the transportation modality. Descriptive statistics were utilised to present the cohort characteristics. Results Dutch patients (89%) were mainly transported by mobile intensive care unit (MICU). For the present investigation, in Germany, the In
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Mashup Score: 0“Trying not to be seen”: a qualitative study exploring adolescent girls’ experiences seeking antenatal care in a Nairobi informal settlement - 19 day(s) ago
Background Adolescent girls living in low-income urban informal settlements face unique challenges that elevate their susceptibility to early childbearing. However, there has been limited research attention, especially qualitative studies, on their use or non-use of antenatal care (ANC) services. Informed by the socioecological theory, we examined the obstacles to and facilitators of ANC services use among pregnant adolescent girls in a low-income urban informal settlement in Kenya. Methods The study adopted a qualitative explanatory design. We purposively selected 22 adolescent girls aged 13–19 who were either pregnant or had given birth, 10 parents and three health providers to participate in individual interviews. We employed inductive and deductive thematic analyses informed by socioecological theory to explain the barriers to enablers of antenatal services use among pregnant adolescent girls in low-income informal settlements. Findings Most adolescent girls interviewed faced barri
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Mashup Score: 0Cardiovascular medicine Archives | BMJ Open - 19 day(s) ago
BMJ Open’s Cardiovascular medicine topic collection brings together the latest and most up-to-date research and reviews in this subject.
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Mashup Score: 1
Objectives Poor quality handover instructions prepared by hospital staff have been identified as a key threat to safe discharges. To optimise patient safety, it is important to identify and understand the influences on how discharge documentation is prepared by hospital staff. The aim of this study was to systematically identify and explore important barriers and enablers to the preparation of high-quality discharge documentation by healthcare professionals (HCPs) for primary care teams at patient discharge. Setting and participants HCPs from different staff groups (doctors, nurses, pharmacists, occupational and physiotherapists) participated in online interviews. Design Semistructured interviews informed by the theoretical domains framework (TDF), to identify key influences on the preparation of discharge documentation. Anonymised transcripts were analysed thematically using a combined inductive-deductive approach. Themes were framed as influences on the preparation of discharge docum
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Mashup Score: 0Surgical team perceptions of the surgical safety checklist implementation in Indonesian hospitals: a descriptive qualitative study - 19 day(s) ago
Introduction The surgical safety checklist (SSC) is designed to improve the safety of surgical procedures, reduce avoidable complications and deaths and foster better communication and collaboration among healthcare providers. Despite the global acceptance of the initiative, there is limited comprehensive research on the challenges, success factors, impact and the role of professional organisations in SSC implementation in Indonesia. This study aimed to explore the implementation of SSC in Indonesia by investigating the challenges, success factors, impact and role of professional organisations in SSC implementation in Indonesia based on the perspective of the surgical team. Method This descriptive qualitative study, part of a larger research project, employed purposive sampling to select 13 interview participants from surgical teams across hospitals with varying ownership structures, as well as members of surgical-related professional organisations. Data were collected through in-depth
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Treatment and exercise strategies and their associations with pain and disability: a prospective cohort study of patients with long-lasting low back pain https://t.co/h6uzsGOXUi https://t.co/xVH6BuTYCy