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Mashup Score: 1Understanding the impact of a residential housing program for people living with HIV/AIDS: results from a realist evaluation - 8 hour(s) ago
Background In Canada, the Public Health Agency surveillance of new HIV cases has demonstrated annual increasing rates since 2020. The rates of new HIV cases are highest in the province of Saskatchewan. Objectives The aim of the project was to conduct a resident-oriented realist evaluation of an innovative supportive housing programme, Sanctum, for people living with HIV/AIDS who also face social care issues, such as homelessness. This project took place in Saskatchewan, a province that is seeking innovative approaches to improve quality of life and HIV/AIDS management for its citizens. Our evaluation addressed how and why participants were successful (or not) within the Sanctum programme. Design and setting Sanctum is a housing programme located in an inner-city location within the province of Saskatchewan. A unique component of this evaluation was the inclusion of an individual with lived experience, a resident partner, as a member of the research team. Participants 11 recent Sanctum
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Mashup Score: 0
Objectives There was no evidence regarding the relationship between septic shock and tracheal injury scores. Investigate whether septic shock was independently associated with tracheal injury scores in intensive care unit (ICU) patients with invasive ventilation. Design Prospective observational cohort study. Setting Our study was conducted in a Class III hospital in Hebei province, China. Participants Patients over 18 years of age admitted to the ICU between 31 May 2020 and 3 May 2022 with a tracheal tube and expected to be on the tube for more than 24 hours. Primary and secondary outcome measures Tracheal injuries were evaluated by examining hyperaemia, ischaemia, ulcers and tracheal perforation by fiberoptic bronchoscope. Depending on the number of lesions, the lesions were further classified as moderate, severe or confluent. Results Among the 97 selected participants, the average age was 56.6±16.5 years, with approximately 64.9% being men. The results of adjusted linear regression
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Mashup Score: 0
While most of the top-ten papers from April 2024 have already been discussed in previous blog posts, the focus of this post is on artificial intelligence (AI), the topic of number 8 in this month’s Top 10 (see table below). We have published a number of papers that examine AI and its potential use in […]Read More…
Source: blogs.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 1
Objectives This qualitative study aimed to explore opportunities to strengthen tuberculosis (TB) health service delivery from the perspectives of health workers providing TB care in Shigatse prefecture of Tibet Autonomous Region, China. Design Qualitative research, semi-structured in-depth interviews. Setting The TB care ecosystem in Shigatse, including primary and community care. Participants Participants: 37 semi-structured interviews were conducted with village doctors (14), township doctors and nurses (14), county hospital doctors (7) and Shigatse Centre for Disease Control staff (2). Results The three main themes reported include (1) the importance of training primary and community health workers to identify people with symptoms of TB, ensure TB is diagnosed and link people with TB to further care; (2) the need to engage community health workers to ensure retention in care and adherence to TB medications; and (3) the opportunity for innovative technologies to support coordinated c
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Mashup Score: 1
Objective Patients with impaired kidney function and increased albuminuria are at risk of developing cardiovascular disease (CVD). Previous research has revealed that a substantial proportion of patients with chronic kidney disease (CKD) do not get a registered diagnosis in the electronic health record of the general practitioner. The aim of this study was to investigate the association between non-registration of CKD and all-cause mortality and cardiovascular outcome. Design and setting A retrospective study in primary care. Methods The analyses were carried out in the INTEGO database, a general practice-based morbidity registration network in Flanders, Belgium. The study used INTEGO data from the year 2018 for all patients ≥18 years old, including 10 551 patients. To assess the risk of mortality and CVD, a time-to-event analysis was performed. Cox proportional hazard model was used to evaluate the association between non-registration and incidence of all-cause mortality and cardiovas
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Mashup Score: 0Topic Collection | BMJ Mental Health - 2 day(s) ago
In recent years, there has been a resurgence of interest exploring the intersection sleep/circadian science and mental health. BMJ Mental Health is calling for submissions on circadian mental health research and innovation with particular focus on major depression, psychosis, bipolar disorder, dementia, neurodevelopmental disorders (ASD and ADHD) and substance misuse disorders. Submissions Open | Submission Deadline : 9th June 2024 We are pleased to offer a 25% discount on the Article Processing Charge
Source: mentalhealth.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 1Did COVID-19 ICU patient mortality risk increase as Colorado hospitals filled? A retrospective cohort study - 2 day(s) ago
Objectives To assess whether increasing levels of hospital stress—measured by intensive care unit (ICU) bed occupancy (primary), ventilators in use and emergency department (ED) overflow—were associated with decreasing COVID-19 ICU patient survival in Colorado ICUs during the pre-Delta, Delta and Omicron variant eras. Design A retrospective cohort study using discrete-time survival models, fit with generalised estimating equations. Setting 34 hospital systems in Colorado, USA, with the highest patient volume ICUs during the COVID-19 pandemic. Participants 9196 non-paediatric SARS-CoV-2 patients in Colorado hospitals admitted once to an ICU between 1 August 2020 and 1 March 2022 and followed for 28 days. Outcome measures Death or discharge to hospice. Results For Delta-era COVID-19 ICU patients in Colorado, the odds of death were estimated to be 26% greater for patients exposed every day of their ICU admission to a facility experiencing its all-era 75th percentile ICU fullness or above,
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Mashup Score: 0What recovery domains are important following a total knee replacement? A qualitative, interview-based study - 2 day(s) ago
Objectives To explore people’s views of recovery from total knee replacement (TKR) and which recovery domains they felt were important. Design Semi-structured interviews exploring the views of individuals about to undergo or who have undergone TKR. A constant-comparative approach with thematic analysis was used to identify themes. The process of sampling, collecting data and analysis were continuous and iterative throughout the study, with interviews ceasing once thematic saturation was achieved. Setting Tertiary care centre. Participants A purposive sample was used to account for variables including pre, early or late postoperative status. Results 12 participants were interviewed, 4 who were preoperative, 4 early postoperative and 4 late postoperative. Themes of pain, function, fear of complications, awareness of the artificial knee joint and return to work were identified. Subthemes of balancing acute and chronic pain were identified. Conclusions The results of this interview-based s
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Mashup Score: 1
Objectives To investigate the relationships among caregiver burden, family resilience, and caregiver capacity in the care of stroke survivors. We hypothesised that family resilience would mediate the relationship between caregiver burden and caregiver capacity. Design A cross-sectional study design was used. Setting The study was conducted in a tertiary care setting in Ningbo City, Zhejiang Province, China. Participants The study involved 413 stroke survivors and their primary caregivers. Outcome measures The primary caregivers completed the Shortened Chinese Version of the Family Resilience Assessment Scale, Zarit Caregiver Burden Interview and Family Caregiver Task Inventor and provided their sociodemographic information. Stroke survivors were assessed for activities of daily living, and their sociodemographic information was provided. Data were analysed, controlling for sociodemographic variables and focusing on the mediating effect of family resilience. Results Caregiver burden was
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Mashup Score: 1
Objectives Inappropriate antibiotic prescribing is a major cause of antimicrobial resistance (AMR). The aim of this study was to explore paediatric general practitioners’ (GP Peds) antibiotic prescription practice in suspected respiratory tract infections (RTIs), using the capability–opportunity–motivation–behaviour framework. Design The design is a qualitative study based on individual, semistructured telephone or virtual interviews. Setting Paediatric general practice in Hungary. We applied stratified maximum variation sampling to cover the categories of age, sex and geographical location of participants. Participants We interviewed 22 GP Peds. Nine were male and 13 were female: 2 of them were less than 40 years old, 14 were between 40 and 60 years, and 6 were above 60 years. 10 worked in low-antibiotic prescription areas, 5 in areas with medium levels of antibiotic prescription, 3 in high-antibiotic prescription areas, and 4 in and around the capital city. Results Study participants
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Understanding the impact of a residential housing program for people living with HIV/AIDS: results from a realist evaluation. https://t.co/t0FQ4reyp9