Assessing the mediating role of family resilience between caregiver burden and caregiver capacity: a cross-sectional study among Chinese stroke survivors and family caregivers in a real-world setting
Conclusions
Enhancing family resilience can reduce caregiver burden and improve caregiver capacity in stroke care. These findings underscore the importance of developing interventions focused on nursing skills and family resilience. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Xu, Q., Ge, Q., Shi, L., Zhang, Y., Ma, J. Tags: Open access, Nursing Source Type: research
Interventions to promote medical student well-being: an overview of systematic reviews
Conclusions
Individual-level interventions (mindfulness and mental health programmes) and curriculum-level interventions (pass/fail grading) can improve medical student well-being. These conclusions should be tempered by the low quality of the evidence. Further high-quality research is required to explore additional effective interventions to enhance medical student well-being and the most efficient ways to implement and combine these for maximum benefit. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Bennett-Weston, A., Keshtkar, L., Jones, M., Sanders, C., Lewis, C., Nockels, K., Solomon, J., Howick, J. Tags: Open access, Medical education and training Source Type: research
Helping patients prepare their dependent children for parental death: mixed-methods evaluation of a codeveloped training programme for palliative and allied healthcare professionals in the UK
Conclusions
The training programme has the potential to effect change in practice behaviours. A large-scale study will evaluate the roll-out of the training delivered to individual professionals and whole teams across the UK. It will provide longer-term feedback to understand practice behaviour and mediators of change across professional roles. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Cockle-Hearne, J., Groothuizen, J. E., Ream, E. Tags: Open access, Palliative care Source Type: research
Effectiveness and cost-effectiveness of community-based directly observed treatment (DOT) versus health facility-based DOT of tuberculosis in Africa: protocol for a systematic review and meta-analysis
Background
Tuberculosis (TB) remains a significant global health challenge, especially prevalent in the WHO African region. The WHO’s End TB Strategy emphasises effective treatment approaches such as directly observed therapy (DOT), yet the optimal implementation of DOT, whether through health facility-based (HF DOT) or community-based (CB DOT) approaches, remains uncertain.
Objective
To conduct a systematic comparison of the effectiveness and cost-effectiveness of Community-Based Directly Observed Treatment (CB DOT) versus Health Facility-Based Directly Observed Treatment (HF DOT) for tuberculosis (TB) treatment in...
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Baye, T., Kassaw, A. T., Gebrie, D., Girmaw, F., Ashagrie, G. Tags: Open access, Health economics Source Type: research
What recovery domains are important following a total knee replacement? A qualitative, interview-based study
Conclusions
The results of this interview-based study identify pain and function, in particular mobility, that were universally important to those undergoing TKR. Surgeons should consider exploring these domains when taking informed consent to enhance shared decision-making. Researchers should consider these recovery domains when designing interventional studies. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Khatri, C., Dhaif, F., Ellard, D., Rodrigues, J. N., Underwood, M., Mitchell, P., Metcalfe, A. Tags: Open access, Surgery Source Type: research
Pulsed field ablation with the pentaspline catheter compared with cryoablation for the treatment of paroxysmal atrial fibrillation in the UK NHS: a cost-comparison analysis
Conclusions
Routine adoption of PFA with the pentaspline PFA catheter looks to be as affordable for the NHS as current treatment alternative cryoablation. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Duxbury, C., Begley, D., Heck, P. M. Tags: Open access, Cardiovascular medicine Source Type: research
Perfusion outcomes with near-infrared indocyanine green imaging system in laparoscopic total mesorectal excision for mid-rectal or low-rectal cancer (POSTER): a study protocol
This study has been approved by Ethics committee of Beijing Friendship Hospital, Capital Medical University (approval number: 2019-P2-055-02). The results will be disseminated in major international conferences and peer-reviewed journals.
Trial registration number
NCT04012645. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Sun, L., Gao, J., Wu, G., Meng, C., Yang, Z., Wei, P., Yao, H., Zhang, Z. Tags: Open access, Surgery Source Type: research
Standard cardiopulmonary resuscitation versus chest compressions only after out-of-hospital cardiac arrest: a protocol for a systematic review and meta-analysis
This study will aim to compare standard and chest compressions-only cardiopulmonary resuscitation after out-of-hospital cardiac arrest.
Methods and analysis
This study will retrieve only randomised and quasi-randomised controlled trials from the Cochrane Library, PubMed, Web of Science and Embase databases. Data on study design, participant characteristics, intervention details and outcomes will be extracted by a unified standard form. Primary outcomes to be assessed are hospital admission, discharge, and 30-day survival, and return of spontaneous circulation. The Grading of Recommendations, Assessment, Development and Ev...
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: An, S., Liu, Y., Xi, Q., Zhang, Y., Gao, Y., Zhang, W. Tags: Open access, Cardiovascular medicine Source Type: research
Did COVID-19 ICU patient mortality risk increase as Colorado hospitals filled? A retrospective cohort study
Conclusions
Overall, and especially during the Delta era (when most Colorado facilities were at their fullest), increasing exposure to a fuller hospital was associated with an increasing mortality hazard for COVID-19 ICU patients. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Johnson, D. R., Ghosh, D., Wagner, B. D., Carlton, E. J. Tags: Open access, Public health, COVID-19 Source Type: research
Understanding associations between the COVID-19 pandemic and menstrual hygiene management among adolescent girls in Ethiopia: findings from a mixed-methods longitudinal study
Conclusions
The results of this study suggest that MHM was left behind in the COVID-19 response. New programming and policy interventions need to address financial hardship and disruptions to supplies to manage menstruation as well as tackle the inequitable gender norms that stigmatise menstruation during emergencies. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Murphy, M., Dutton, R., Gezahegne, K., Jones, N., Seager, J., Baird, S. Tags: Open access, Global health, COVID-19 Source Type: research
Evaluation of adherence to pharmacological treatments by undocumented migrants with chronic diseases: a 10-year retrospective cohort study
Conclusions
Interventions to increase medication adherence of undocumented migrants with chronic diseases are necessary, particularly in the first 2 months after beginning treatment. These should be aimed at people-centred care and include more outpatient consultations. Educational interventions should especially be taken into consideration for patients on monotherapy. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Fiorini, G., Pellegrini, G., Franchi, M., Rigamonti, A. E., Marazzi, N., Sartorio, A., Corrao, G., Cella, S. G. Tags: Open access, Public health Source Type: research
Cognitive stimulation for people with dementia in nursing homes: a protocol for a feasibility study examining a new 24/7 approach (CogStim24)
This study has the potential to serve as a basis for a large multicentre cluster randomised controlled trial. An interdisciplinarity team and mixed-methods approach will help generate information on the practicality and mechanisms of impact of CogStim24. This is important for the further development of the intervention and for facilitating its implementation. The study results will be disseminated via presentations at scientific conferences and meetings for healthcare professionals and PwD and their relatives. Several manuscripts presenting results of the different study parts will be published in peer-reviewed journals.
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Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Folkerts, A.-K., Seven, U. S., Guicheteau, J., N Dichter, M., Hellmich, M., Köpke, S., Kalbe, E. Tags: Open access, Geriatric medicine Source Type: research
Six aspects of female genital mutilation education (SAFE) model: findings from a qualitative study
Conclusion
The results of this study depict aspects associated with FGM education that should be considered by future interventions aiming to prevent the practice and inform support services for survivors in a holistic way. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Waigwa, S., Bradbury-Jones, C., Doos, L., Taylor, J. Tags: Open access, Public health Source Type: research
'Its just my knee: a qualitative study investigating the process of reframing and young athletes perceived quality of life between anterior cruciate ligament injury and surgery
Conclusions
Young athletes who have experienced an ACL injury define their QOL based on social support, sport, health and independence. Individual processes of adaptation and cognitive reframing in response to an ACL injury may exert a greater influence on postinjury QOL than the physical ramifications of the injury itself. Understanding individual perceptions may help target potential interventions or supports to enhance athletes’ adaptation to injury. (Source: BMJ Open)
Source: BMJ Open - May 9, 2024 Category: General Medicine Authors: Marmura, H., Bryant, D., Getgood, A., Webster, F. Tags: Open access, Sports and exercise medicine Source Type: research
Medical researchers perceptions regarding research evaluation: a web-based survey in Japan
Conclusion
Despite recommendations from the Declaration on Research Assessment and the Leiden Manifesto to de-emphasise quantitative indicators, this study found that Japanese medical researchers have actually tended to prioritise the journal IF and other quantitative indicators based on English-language publications in their research evaluation. Therefore, constantly reviewing the research evaluation methods while respecting the viewpoints of researchers from different research fields, generations and genders is crucial. (Source: BMJ Open)
Source: BMJ Open - May 8, 2024 Category: General Medicine Authors: Minoura, A., Shimada, Y., Kuwahara, K., Kondo, M., Fukushima, H., Sugiyama, T. Tags: Open access, Health policy Source Type: research
