The Conflict of Public Health Law and Civil Liberties Part IV: Anger, Frustration, and the Loss of Trust
Political power and public trust are fragile things. Short of criminal law enforcement, voluntary agreement with any significant restriction of ordinary freedom of speech or behavior depends on convincing large numbers of citizens that temporary suspension of a particular liberty is in their best interest. Threats to health or property are convincing reasons to change behavior, to give someone else control over our daily lives. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - April 23, 2024 Category: General Medicine Authors: Curtis E. Harris Tags: Commentary Source Type: research
The importance of history (her story)
A 75-year-old woman was admitted with recurrent urinary tract infection (UTI). (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - April 23, 2024 Category: General Medicine Authors: Ami Schattner, Ina Dubin, Yair Glick Tags: Clinical Communication to the Editor Source Type: research
Pursuance of a Yoruba name for cervical cancer in Southwest Nigeria: a case study
Conclusions
There was no consensus Yoruba name for cervical cancer among the study participants. Efforts to educate the Yoruba speaking populace about cervical cancer, its prevention, management and participation in its research can be frustrated if a generally accepted Yoruba name is not provided for this cancer. Stakeholders’ collaboration is required to get an appropriate Yoruba name for cervical cancer. (Source: BMJ Open)
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Balogun, F. M., Omotade, O. Tags: Open access, Public health Source Type: research
Health professionals perspectives on the role of obstetric ultrasonography in maternity care in rural eastern Ethiopia: a qualitative descriptive study
Conclusion
Ultrasound service utilisation at health centres improves maternity care. The utilisation of ultrasound in healthcare enables providers to closely monitor the growth and development of the fetus, identify potential complications or abnormalities and administer timely interventions. This integration of ultrasound technology translates into enhanced prenatal care, early detection of issues and prompt management, ultimately leading to improved outcomes for both the mother and the baby. (Source: BMJ Open)
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Tefera, M., Mezmur, H., Jemal, M., Assefa, N. Tags: Open access, Health services research Source Type: research
Association between onychomycosis and ulcerative complications in patients with diabetes: a longitudinal cohort study in Dutch general practice
Conclusions
Onychomycosis significantly increased the risk of ulcer development in patients with DM in primary care, independently of other risk factors. In addition, onychomycosis increased the risk of surgeries and infectious complications. These results underscore the importance of giving sufficient attention to onychomycosis in primary care and corresponding guidelines. Early identification of onychomycosis during screening and routine care provides a good opportunity for timely recognition of increased ulcer risk. (Source: BMJ Open)
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Watjer, R. M., Heckmans, K. M., Eekhof, J. A., Gummi, L., Quint, K. D., Numans, M. E., Bonten, T. N. Tags: Open access, Diabetes and Endocrinology Source Type: research
Navigating challenges: a socioecological analysis of sexual and reproductive health barriers among Eritrean refugee women in Ethiopia, using a key informant approach
Conclusions
A complex set of issues spanning individual needs, social norms, community resources, healthcare limitations and structural mismatches create significant barriers to fulfilling the SRH needs of Eritrean refugee women in Ethiopia. Factors like limited awareness, cultural taboos, lack of safe spaces, inadequate healthcare facilities and restrictive policies all contribute to the severe limitations on SRH services available in refugee settings. The overlap in findings underscores the importance of developing multilevel interventions that are culturally sensitive to the needs of refugee women across all SEM levels....
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Zepro, N. B., Medhanyie, A. A., Probst-Hensch, N., Chernet, A., Tschopp, R., Abongomera, C., Paris, D. H., Merten, S. Tags: Open access, Public health Source Type: research
Protocol for a prospective multicentre cohort study to address the question whether diabetes and its management is still a risk factor in fast-track joint arthroplasty
Introduction
Perioperative glycaemic control is important. However, the complexity of guidelines for perioperative diabetes management is complicated due to different and novel antihyperglycaemic medications, limited procedure-specific data and lack of data from implemented fast-track regimens which otherwise are known to reduce morbidity and glucose homeostasis disturbances. Consequently, outcome in patients with diabetes mellitus (DM) after surgery and the influence of perioperative diabetes management on postoperative recovery remains poorly understood.
Methods and analysis
A prospective observational multicentre study...
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Issa, L. M., Kehlet, H., Madsbad, S., Lindberg-Larsen, M., Varnum, C., Jakobsen, T., Andersen, M. R., Bieder, M. J., Overgaard, S., Hansen, T. B., Gromov, K., Jorgensen, C. C. Tags: Open access, Diabetes and Endocrinology Source Type: research
Temporal trends and the association between self-rated oral health and falls in community-dwelling older adults in South Korea: a secondary analysis of survey data
Conclusions
Older adults with poor SROH, especially women, had more fall accidents, making them a priority target for fall prevention strategies. This study suggests considering SROH status when identifying fall risk factors in community-dwelling older adults. (Source: BMJ Open)
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Seo, H.-J., Ahn, S.-K., Choi, M.-J. Tags: Open access, Epidemiology Source Type: research
Photobiomodulation in the treatment of palmar-plantar erythrodysesthesia: a randomised controlled clinical study protocol
The objective of this protocol will be to evaluate the efficacy of PBM in reducing PPE induced by capecitabine and 5-fluorouracil chemotherapy.
Methods and analysis
This will be a randomised controlled, double-blind, double-centre clinical trial (Centro Asistencial del Sindicato Médico del Uruguay and Instituto Nacional del Cáncer from Uruguay). The sample population (40 individuals) will be divided into two groups: group 1 will receive moisturising cream plus PBM treatment and group 2 moisturising cream plus PBM sham treatment, at the ratio of 1:1. PBM will be performed at 630 nm two times per week in palmo...
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Lestido, V., Rodriguez, F., Rodriguez, A., Pombo, V., Barrios, R., Pavani, C. Tags: Open access, Oncology Source Type: research
Self-directed digital interventions for the improvement of emotion regulation--effectiveness for mental health and functioning in adolescents: protocol for a systematic review
Introduction
Research suggests that problems with emotion regulation, that is, how a person manages and responds to an emotional experience, are related to a range of psychological disorders (eg, bipolar disorder, anxiety and depression). Interventions targeting emotion regulation have been shown to improve mental health in adults, but evidence on related interventions for adolescents is still emerging. Increasingly, self-directed digital interventions (eg, mobile apps) are being developed to target emotion regulation in this population, but questions remain about their effectiveness. This systematic review aimed to synthe...
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Thomson, A., Lawrence, E. G., Oliver, B. R., Wright, B., Hosang, G. M. Tags: Open access, Mental health Source Type: research
Prevalence and social determinants of anxiety and depression among adults in Ghana: a systematic review and meta-analysis protocol
Introduction
Anxiety and depression pose a significant global health challenge, especially affecting adults in low-income and middle-income countries. In many low-income and middle-income countries, including those in sub-Saharan Africa, social determinants such as access to affordable health services, conflict, food insecurity, and poverty may be associated with the prevalence of anxiety and depression, further contributing to health disparities. To mitigate the burden of anxiety and depression in sub-Saharan Africa, it is essential to develop country-level tailored mental health policies and strategies. For example, Ghan...
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Awortwe, V., Daivadanam, M., Adjorlolo, S., Olsson, E. M., Coumoundouros, C., Woodford, J. Tags: Open access, Mental health Source Type: research
Infection and telomere length: a systematic review protocol
Introduction
Telomeres are a measure of cellular ageing with potential links to diseases such as cardiovascular diseases and cancer. Studies have shown that some infections may be associated with telomere shortening, but whether an association exists across all types and severities of infections and in which populations is unclear. Therefore we aim to collate available evidence to enable comparison and to inform future research in this field.
Methods and analysis
We will search for studies involving telomere length and infection in various databases including MEDLINE (Ovid interface), EMBASE (Ovid interface), Web of Scien...
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Tunnicliffe, L., Muzambi, R., Bartlett, J. W., Howe, L., Abdul Basit, K., Warren-Gash, C. Tags: Open access, Epidemiology Source Type: research
Risk stratification and prognosis prediction using cardiac biomarkers in COVID-19: a single-centre retrospective cohort study
Conclusions
Elevation of cardiac biomarkers was associated with poor prognosis of COVID-19 patients. (Source: BMJ Open)
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Sano, M., Toyota, T., Morimoto, T., Noguchi, Y., Shigeno, R., Murai, R., Okada, T., Sasaki, Y., Taniguchi, T., Kim, K., Kobori, A., Ehara, N., Kinoshita, M., Doi, A., Tomii, K., Kihara, Y., Furukawa, Y. Tags: Open access, Cardiovascular medicine, COVID-19 Source Type: research
VaNoLaH trial: a study protocol--a multinational randomised controlled trial including two identical substudies comparing vaginal versus vNOTES (vaginal natural orifice transluminal surgery) hysterectomy or laparoscopic versus vNOTES hysterectomy
Introduction
Hysterectomy is one of the most common surgeries performed in women. Minimally invasive methods are on the rise globally as they have been shown to decrease surgical morbidity compared with abdominal hysterectomy. Hysterectomy by vaginal natural orifice transluminal endoscopic surgery (vNOTES) is the latest innovation. It combines the vaginal approach and endoscopy via the vagina. Large pragmatic randomised controlled trials (RCTs) are lacking comparing outcomes after vNOTES, vaginal hysterectomy (VH) and laparoscopic hysterectomy (LH).
Methods
Multicentre pragmatic RCT aiming to recruit 1000 women aged 18&nd...
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Baekelandt, J. F., Stuart, A., Wagenius, J., Laenen, A., Mol, B. W., Deprest, J., Bosteels, J. J. A. Tags: Open access, Obstetrics & Gynaecology Obstetrics and gynaecology Source Type: research
Survival status and predictors of mortality among preterm neonates admitted in Bench Sheko Zone, Sheka Zone and Keffa Zone Governmental Hospitals, Southwest Ethiopia (2021): prospective follow-up study
Conclusion and recommendation
The rate of preterm neonatal mortality was high compared with the Ethiopia Demographic and Health Survey report nationally. Healthcare workers should encourage KMC services and breastfeeding initiation and prevent preterm neonates from being anaemic to increase their chances of survival. (Source: BMJ Open)
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Mihretu, E., Genie, Y. D., Adugnaw, E., Shibabaw, A. T. Tags: Open access, Paediatrics Source Type: research
