78: impact of decision aids in prostate cancer screening: a systematic review and meta-analysis
Conclusion: According to the results, decision Aids resulted in significant benefit over usual care in patients with prostate cancer screening. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Arab-Zozani, M., Vahdatimanesh, Z., Kakemam, E., Sokhanvar, M., Ghoddosineghad, D., Hasanpoor, E. Tags: Open access Poster Source Type: research

77: impact of an educational program based on human care theory (watson) on the nursing students perception of the care
Conclusion: As regards goal of nursing education programs, training nurses to promote the art and science of nursing, Also considering the importance of nursing care in the health system, and the need to design programs to strengthen and empower nurses is inevitable, the results of this study can be helpful in this regard. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Elhami, S., Khah, H. Z. H., Moradbeigi, K., Moadab, N. H., Cheraghian, B. Tags: Open access Poster Source Type: research

76: identification of retention strategies for neurosurgeons in iran: results from expert panels
Conclusion: Based on the study results, three areas of economic incentives, personal and professional factors got the greatest priority in health professional planning for retention purposes. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Ezzatabadi, M. R., Zadeh, S. A., Rafiei, S. Tags: Open access Poster Source Type: research

75: hpv infection in women: knowledge, attitudes and behaviors and the implications for libyan healthcare
Conclusion: From the literature review it has been found that there is a wide range of reported levels of knowledge about HPV internationally. This project demonstrated significant gaps in knowledge among many women worldwide about genital and HPV infection which varies according to ethnicity, socio-economic and other demographic characteristics Australian women in the literature seemed to be well informed about genital infection and HPV and this can possibly be attributed to the broad educational campaign about HPV connected to their vaccination campaign. Moreover, Dermatologists need robust to acquire new skills in const...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Elghblawi, D. E. Tags: Open access Poster Source Type: research

74: how clinical librarian acts in evidence-based medicine? a systematic review
Conclusion: In the health sector, especially in hospital library, clinical librarian position in evidence-based practice is not well established and many studies must be done in this area in the future. Dissertation thesis will be done and Policies should be considered in this area. Clinical librarian in hospital libraries can be used as a key element in the process of evidence-based medicine. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Mojgan, Z., Abdorasoul, k. Tags: Open access Poster Source Type: research

73: hospital emergency response against disasters: evidence from hospitals in iran
Conclusion: Based on WHO checklist, the only emergency response of hospitals were 54.26 percent in Tabriz. So, Hospital emergency responses against disasters have to be improved and should be 100 percent. It is essential to design a comprehensive framework for hospital emergency response. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Janati, A., Sadeghi-bazargani, H., Hasanpoor, E., Sokhanvar, M., HaghGoshyie, E. Tags: Open access Poster Source Type: research

72: hiv prevalence among female sex workers in iran: a systematic review
Conclusion: FSWs are an important high-risk group in both transmission and acquisition of HIV in the community. Findings of this study also reveal the important role of this group in HIV epidemics in Iran. This requires policy-makers to provide, develop and implement prevention programs for this population. Despite recognition of the importance of this group, only a few studies have been carried out on the incidence and prevalence of HIV infection among FSWs. Hence further studies are needed to be carried out among this group in Iran. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Faramani, R. S., Shahesmaeili, A., Hooshyar, S. H., Khajehkazemi, R., Nasirian, M., Sharifi, H., Kamali, K. Tags: Open access Poster Source Type: research

71: health related quality of life in patients undergoing hemodialysis or peritoneal dialysis treatment
Background and aims: Modern societies include increasing proportions of elderly people, with a resulting increase in the incidence and duration of chronic illnesses. Quality of life (QOL) has recently been explored as one of the main outcomes of renal replacement therapy. Since Iran's policy is that patients on hemodialysis to peritoneal dialysis driven, so in this study, we sought to compare two groups of patients hemodialysis (HD), peritoneal dialysis (PD) with regard to QOL in dialysis centers of Shiraz, Iran 2013, also QOL in patients undergoing (HD) and (PD) were compared with the QOL of Iranian society. Methods: In ...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Namdar, A., Namdar, F., Naghizadeh, M. M. Tags: Open access Poster Source Type: research

70: health insurance and the utilization of health care: a systematic review
Conclusion: health insurance increased access to health care and utilization of health services. Health insurance can also be induced demand too. But increasing utilization through health insurance doesn't improve health outcomes. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Nosratnejad, S., Shami, E. Tags: Open access Poster Source Type: research

69: family presence during resuscitation: required evidence-based guideline development
Conclusion: Participants stated that FPDR may work as a double-edged sword to family and resuscitation team, hurting, or, saving quality. It is thus recommended that guidelines be made in order to protect patients and family right's, while considering the positive, saving, edge of the phenomenon for hospitals. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Hassankhani, H., Haririan, H., Porter, J. E. Tags: Open access Poster Source Type: research

68: factors affecting the knowledge translation: a qualitative study among faculty members
Conclusion: Knowledge translation is necessary to utilize studies result. In this regard attention to affecting factors is important to deal properly and successful knowledge translation. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Kakemam, E., Sokhanvar, M., Arab-Zozani, M., Naderi, B. Tags: Open access Poster Source Type: research

67: fabrication of smart self-expanding biocompatible stents in body temperature
In this study, we focused on shape memory polymers which have lots of advantages in comparison with shape memory alloys such as high elastic deformation, excellent processability, light weight, low cost, low density, and potential of biocompatibility so they have become a proper candidate for implant materials. It has been found that mechanical properties of polymeric materials can be improved by introducing a uniform dispersion of nanoparticles. The main goal of this paper is to describe the progressive self-expansion shape memory Polyurethane/Polycaprolactane-ZnO nano-composite blends. Fabrication of self-expanding stent...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Shirsavar, M. A., Golzar, M., Baghani, M., Taghavimehr, M. Tags: Open access Poster Source Type: research

66: exploring the application of evidence in the iranian nurses' clinical judgment and decision making: a hybrid qualitative study
Conclusion: Combined results showed that integrating evidence in clinical judgment and decision making were based on access to evidence; clinical conditions, and time. Guidelines are the best integrated evidence in emergency wards and critical condition. When the guidelines were not available or there was insufficient time, nurses used their own experiences or the expert opinion. Therefore, it is recommended to update the guidelines and localize them for having appropriate integration of evidence. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Seidi, J., Alhani, F., Salsali, M., Kazemnejad, A. Tags: Open access Poster Source Type: research

65: exploring factors influencing over-medicalization: a scoping review
Conclusion: Over-medicalization originates from a wide range of factors. Identifying potential influential factors in provision of unnecessary care is pivotal to eliminate the menace of this phenomenon. Extra social, political and cultural resources will be needed if the reported factors are to be tackled. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Doshmangir, P., Doshmangir, L., Shaghaghi, R. Tags: Open access Poster Source Type: research

64: evidence for what kind of medicine
Conclusion: Patients and societies in this frame of Medicine, has not human dignity because they are not patient. They are customers, and their trafficking and money for health system is more important than their health and values. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Kazemi, A. Tags: Open access Poster Source Type: research

63: evidence based practical guideline for the management of major hemorrhage in children and teenagers
Conclusion: Medical, nursing and midwifery staff involved in frontline care must be trained to recognize major blood loss early, know when to activate the local major hemorrhage protocol and take prompt and appropriate action (1D). Annual workshops for continuous medical education are highly suggested. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Shahriari, M. Tags: Open access Poster Source Type: research

62: evidence-based "podcast"; a quest to reduce unnecessary demands
Background and aims: The unnecessary demands both from patients and doctors cause a great amount of financial waste and negative impact on patients' health. Thus there is a need for informing the public about the necessity of certain demands and the evidence behind them. Therefor we decided to launch a podcast channel with the aim of discussing top health issues and top demands and giving the listeners and understanding of what demands are their real need. Methods: We began recording the 20 minute podcasts discussing some of the most widespread demands. The podcasts were recorded in a studio with asking guest experts to j...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Mostafaei, H., Hajebrahimi, S. Tags: Open access Poster Source Type: research

61: evidence base nursing practice: a cross sectional study in south of iran
Conclusion: Barriers to implementation of EBP occur at both individual and organizational levels. The indicator of quality in nursing practice is EBP. Hence, familiarity with EBP is recommended for Iranian nurses. In addition, knowledge of barriers will help health care system and policy makers to provide a culture of EBP. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Khammarnia, M., Mohammadi, M. H., Amani, Z., Rezaeian, S., Setoodehzadeh, F. Tags: Open access Poster Source Type: research

60: evidence-based nursing in the wound bed
Conclusion: According to findings from the EBN seen, non-drug, non-invasive nursing interventions can have a preventive effect on pressure sores. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Esmaeilnezhad, M., Rasooli, A. S., Sedghivash, S., Vatani, P. Tags: Open access Poster Source Type: research

59: evidence based decision making about factors affecting consultation length of physicians worldwide: a systematic review and meta-analysis
Conclusions: According to all evidence, The results showed that no association was identified between consultation length and three factors in the random-effects model. It seems patient-physician interaction more than studied variables, influence the length of consultations. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: HajEbrahimi, S., Janati, A., Hasanpoor, E., Arab-Zozani, M., Sokhanvar, M., Pashzadeh, F., HaghGoshyie, E. Tags: Open access Poster Source Type: research

58: evaluation of the effects of acoustic stimulation and feeding mother stimulation on non-reactive non-stress test
Conclusion: Both stimulating approaches were effective in the identification of false positive NSTs and might be useful in preventing the unnecessary interventions. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Raouf, S. Tags: Open access Poster Source Type: research

57: evaluation of the circulating levels of il-12 and il-33 in patients with breast cancer: influences of the tumor stages and cytokine gene polymorphisms
Background and aims: IL-12 as an anti-tumor cytokine and IL-33 a novel identified cytokine with both pro- or anti-tumor activities, play important roles in response against tumor cells. Our aim was to evaluate the IL-12 and IL-33 levels and single nucleotide polymorphisms (SNP) in their genes in patients with breast cancer. Methods: Blood samples were collected from 100 patients with breast cancer, and 100 healthy women were controls. The serum IL-12 and IL-33 levels were measured by ELISA. The SNP rs3212227 (in IL-12 gene) and rs1929992 (in IL-33 gene) were determined using PCR-RFLP. Results: The IL-12 levels similarly ...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Minaee, K., Jafarzadeh, A., Rostami, M., Bonyani, M., Eftekhari, M., Tabrizi, R. Tags: Open access Poster Source Type: research

56: evaluation of scientific outputs of health technology assessments in pubmed
Conclusion: Health technology assessments are important tools in order to help for policy making, programming and technology management in health care services. Hence, evaluation of publication in this domain can reflect published research trend and lead to conduct ongoing studies to provide studies Effectiveness toward society requirements and government's policies. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Abbasi, F., Jalalzadeh, S., Pashazadeh, F. Tags: Open access Poster Source Type: research

9: adaptation of pregnancy risk assessment monitoring system (prams) and provide a model on it
Conclusion: The adapted PRAMS could be considered feasible in Iran and may offer a potential solution to some data deficits in maternal and child health indicators. Moreover, by monitoring pregnancy risks and outcomes, we can assess, analyses, and modify the current prenatal care program through PRAMS widespread and periodic implementation. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Kharaghani, R., Shariati, M., Keramat, A., Yunesian, M., Moghisi, A. Tags: Open access Poster Source Type: research

8: academic self-efficacy and test anxiety among students of medical sciences
Conclusion: The findings of this study showed that the students with higher self-efficacy experience lower test anxiety. Therefore, the strengthening of this individual feature in students can lead to the better performance of students in the exam situation by decreasing of test anxiety (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Taheri-Kharameh, Z. Tags: Open access Poster Source Type: research

7: a systematic review on vitamin d and angiogenesis
Conclusion: Current literature suggests that Vitamin D has anti-angiogenic and pro- angiogenic effects. There is currently insufficient evidence about main and direct effect of vitamin D on angiogenesis. Further studies are needed to investigate the dominant role and different doses of vitamin D on Angiogenesis. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Aliashrafi, S., Ebrahimi-Mameghani, M. Tags: Open access Poster Source Type: research

6: a systematic review of quality assessment of randomized controlled trials in cochrane arrhythmias systematic reviews
Conclusion: The risk of providing a treatment based on a biased effect estimate must be balanced against the difficulty of conducting trials with very low risk of bias. Bias in RCTs may overestimate or underestimate the true effectiveness of an intervention. Better understanding of the risk of bias may result in improved trials with a closer estimate of the true effectiveness of an intervention. Based on these results we recommend more high quality evidence based RCTs in the field of arrhythmias. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Parnianfard, N., Eskandariyan, I., Parvan, R., Azizi, H. Tags: Open access Poster Source Type: research

A century of public health policy in iran: an analysis of intellectual trends in iran's development plans
Conclusion: By analyzing the experiences of Iran's health system and by understanding the status quo, the strength and weakness of the system can be identified and a systematic approach can be taken to develop and implement new and better policies. Health issues are interrelated and are even affected by social conditions. Increasing the number of physicians, having extra funds, and building new hospitals with more beds are not as effective as promoting the concept of prevention in solving the problems that people faces today. The health system must be viewed as a whole made up of various intertwined parts. Its goals must b...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Doshmangir, L., Moshiri, E. Tags: Open access Poster Source Type: research

Correction
Patterson C, Emslie C, Mason O, et al. Content analysis of UK newspaper and online news representations of women's and men's ‘binge’ drinking: a challenge for communicating evidence-based messages about single-episodic drinking? BMJ Open 2016;6:e013124. doi: 10.1136/bmjopen-2016-013124 In Table 1, the figures in parentheses in the first column are incorrect. The corrected Table 1 is shown below. Table 1Summary of publications and articles in the sample  Article formatAll articlesStandardFeatureEditorialGenre / mediumPublicationn%n%n%n%Quality (n=127)Guardian / Observer5818.84820.3917.315.3In...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Tags: Open access Correction Source Type: research

Correction
Ghassabian A, Steenweg-de Graaff J, Peeters RP, et al. Maternal urinary iodine concentration in pregnancy and children's cognition: results from a population-based birth cohort in an iodine-sufficient area. BMJ Open 2014;4:e005520. doi:10.1136/bmjopen-2014- 005520 The column headers in Table 1 are the wrong way round; ‘150 µg/g’ and vice versa. Please see the corrected Table 1 below: Table 1Baseline characteristics (n=1525)  UIC adjusted for creatinine levels>150 μg/g
Source: BMJ Open - February 7, 2017 Category: Journals (General) Tags: Open access Correction Source Type: research

Assessing the potential clinical impact of reciprocal drug approval legislation on access to novel therapeutics in the USA: a cohort study
Conclusions If enacted, reciprocal approval legislation would most likely benefit only a small number of US patients receiving treatment for rare diseases, and the benefit may be somewhat mitigated by an increased exposure to harms. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Larochelle, M., Downing, N. S., Ross, J. S., David, F. S. Tags: Open access, Health policy Research Source Type: research

Green shoots of recovery: a realist evaluation of a team to support change in general practice
Conclusions The support team promoted change within practices leading to signs of the ‘green shoots of recovery’ within the time frame of the evaluation. Such interventions need to be tailored and responsive to practices' needs. The team's expertise and relationships between team members and practice staff are central to success. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Bartlett, M., Basten, R., McKinley, R. K. Tags: Open access, General practice / Family practice, Medical management Research Source Type: research

Cohort profile for the Nurture Observational Study examining associations of multiple caregivers on infant growth in the Southeastern USA
Purpose Childcare has been associated with obesity in children in cross-sectional and longitudinal studies, although some observed no association. Few studies have focused on care during infancy, a period when children may be especially vulnerable. Participants The Nurture Study is an observational birth cohort designed to assess longitudinal associations of childcare and the presence of multiple caregivers on infant adiposity and weight trajectories throughout the first year of life. We examine as potential mediators feeding, physical activity, sleep and stress. We completed recruitment in 2015. Of the 860 women who enro...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Benjamin Neelon, S. E., Ostbye, T., Bennett, G. G., Kravitz, R. M., Clancy, S. M., Stroo, M., Iversen, E., Hoyo, C. Tags: Open access, Nutrition and metabolism, Paediatrics Cohort profile Source Type: research

Factors related to receipt of non-cancer-related transurethral prostatectomy: findings from a large prospective study of 106 769 middle-aged and older Australian men
Background Transurethral prostatectomy (TURP) is a common surgical intervention for chronic lower urinary tract symptoms (LUTS). Little large-scale evidence exists on factors related to receipt of non-cancer-related TURP. Methods A prospective study of men aged ≥45 years participating in the 45 and Up Study, a large Australian cohort study, without prior prostatectomy and/or bowel/genital/urinary-tract cancer; questionnaire data were linked to hospitalisations and deaths. HRs for TURP were estimated in relation to multiple factors, adjusting for confounders. Results There were 3416 incident TURPs among 106 7...
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Joshy, G., Soga, K., Korda, R. J., Patel, M. I., Banks, E. Tags: Open access, Epidemiology, Health services research, Surgery, Urology Source Type: research

Comparison of the therapeutic dose of warfarin in HIV-infected and HIV-uninfected patients: a study of clinical practice
Conclusions There appears to be little effect of HIV infection on warfarin dosing. Warfarin therapy should be administered conventionally in HIV-infected patients. (Source: BMJ Open)
Source: BMJ Open - February 7, 2017 Category: Journals (General) Authors: Jackson, B. S., Mokoena, T. Tags: Open access, Medical management, HIV AIDS Research Source Type: research

Cause of death and potentially avoidable deaths in Australian adults with intellectual disability using retrospective linked data
Conclusions Adults with ID experience premature mortality and over-representation of potentially avoidable deaths. A national system of reporting of deaths in adults with ID is required. Inclusion in health policy and services development and in health promotion programmes is urgently required to address premature deaths and health inequalities for adults with ID. (Source: BMJ Open)
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Trollor, J., Srasuebkul, P., Xu, H., Howlett, S. Tags: Open access, Epidemiology, Public health Research Source Type: research

Systematic review of pathways for the delivery of allergy services
Conclusions Demand for allergy services appears to have significantly outpaced supply. Primary and secondary care pathways in allergy seem inadequate leading to poor referral practices, delays in patient management and consequently poor outcomes. Improvement of services requires strong public and political engagement. There is a need for well-planned, prospective studies in this area and a few are currently underway. There is no evidence to suggest that any given pathway of service provision is better than another although data from a few long-term, prospective studies look very promising. (Source: BMJ Open)
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Diwakar, L., Cummins, C., Lilford, R., Roberts, T. Tags: Open access, General practice / Family practice, Health policy, Immunology (including allergy) Research Source Type: research

Do biomass fuel use and consumption of unsafe water mediate educational inequalities in stillbirth risk? An analysis of the 2007 Ghana Maternal Health Survey
Conclusions Our results show that biomass fuel use and unsafe water consumption could be important pathways through which low maternal educational attainment leads to stillbirths in Ghana and similar developing countries. Addressing educational inequalities in developing countries is thus essential for ensuring household choices that curtail environmental exposures and help improve pregnancy outcomes. (Source: BMJ Open)
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Amegah, A. K., Näyhä, S., Jaakkola, J. J. K. Tags: Open access, Epidemiology, Public health Research Source Type: research

Comparisons of neurodegeneration over time between healthy ageing and Alzheimer's disease cohorts via Bayesian inference
Conclusions To the best of our knowledge, this is the first application of Bayesian LME models to neuroimaging data which provides inference on a population and individual level in the AD field. The application of a Bayesian LME framework allows for additional information to be extracted from longitudinal studies. This provides health professionals with valuable information of neurodegeneration stages, and a potential to provide a better understanding of disease pathology. (Source: BMJ Open)
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Cespedes, M. I., Fripp, J., McGree, J. M., Drovandi, C. C., Mengersen, K., Doecke, J. D. Tags: Open access, Epidemiology, Neurology, Radiology and imaging Research Source Type: research

Inequality trends in maternal health services for young Ghanaian women with childbirth history between 2003 and 2014
Conclusions The rise in urbanicity-related, education-related and wealth-related inequality in the usage of SBA between 2008 and 2014 threatens the sustainability of the general progress made in the usage of maternal health services in Ghana within the same period. (Source: BMJ Open)
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Asamoah, B. O., Agardh, A. Tags: Open access, Epidemiology, Global health, Health policy, Health services research, Public health Source Type: research

Erratum: Validity of self-reported myocardial infarction and stroke in regions with Sami and Norwegian populations: the SAMINOR 1 Survey and the CVDNOR project
Eliassen B-M, Melhus M, Tell GS, et al. Validity of self-reported myocardial infarction and stroke in regions with Sami and Norwegian populations: the SAMINOR 1 Survey and the CVDNOR project. BMJ Open 2016;6:e012717. doi:10.1136/bmjopen-2016 012717 The following changes should have been added to this publication before it was published online. In the abstract the sentence ‘16 865 men and women aged 30 and 36–79 years participated in the Population-based Study on Health and Living Conditions in Sami and Norwegian Populations (SAMINOR) 1 Survey in 2003–2004’ should read ‘16 865 men and women age...
Source: BMJ Open - February 6, 2017 Category: Journals (General) Tags: Open access Correction Source Type: research

Educator engagement and interaction and children's physical activity in early childhood education and care settings: an observational study protocol
This study is the first of its kind to combine RTLSs and accelerometer data in ECEC settings. It is a cross-sectional study involving ~100 educators and 500 children from 11 ECEC settings in the Illawarra region of New South Wales, Australia. A RTLS and Actigraph GT3X+ accelerometers will be concurrently used to measure the level and location of the children's and educators' physical activity while in outside environments. Children and educators will wear accelerometers on their hip that record triaxial acceleration data at 100 Hz. Children and educators will also wear a tag watch on their wrist that transmits a signa...
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Tonge, K. L., Jones, R. A., Hagenbuchner, M., Nguyen, T. V., Okely, A. D. Tags: Open access, Epidemiology Protocol Source Type: research

Supporting shared decision-making for older people with multiple health and social care needs: a protocol for a realist synthesis to inform integrated care models
Introduction Including the patient or user perspective is a central organising principle of integrated care. Moreover, there is increasing recognition of the importance of strengthening relationships among patients, carers and practitioners, particularly for individuals receiving substantial health and care support, such as those with long-term or multiple conditions. The overall aims of this synthesis are to provide a context-relevant understanding of how models to facilitate shared decision-making (SDM) might work for older people with multiple health and care needs, and how they might be applied to integrated care model...
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Bunn, F., Goodman, C., Manthorpe, J., Durand, M.-A., Hodkinson, I., Rait, G., Millac, P., Davies, S. L., Russell, B., Wilson, P. Tags: Open access, Geriatric medicine, Health services research Protocol Source Type: research

Endorsement of PRISMA statement and quality of systematic reviews and meta-analyses published in nursing journals: a cross-sectional study
Conclusions The median adherence of SRs and meta-analyses in nursing journals to PRISMA is low at 64.9% and 73.0%, respectively. Nonetheless, the adherence level of nursing journals to the PRISMA statement does not significantly vary whether they endorse or recommend such a guideline. (Source: BMJ Open)
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Tam, W. W. S., Lo, K. K. H., Khalechelvam, P. Tags: Open access, Evidence based practice, Nursing, Research methods Source Type: research

Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study
Objectives The present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong. Design A retrospective approach was adopted. Setting AED, involving all local public emergency departments from 2001 to 2012. Participants 63 557 subjects aged 0–19 years with fall injury record were included in the analysis. Primary outcome measures Fall-related injury number and rates were calculated and reported. Poisson and negative binomia...
Source: BMJ Open - February 6, 2017 Category: Journals (General) Authors: Lee, J. C.-Y., Tung, K. T.-S., Li, T. M. H., Ho, F. K.-W., Ip, P., Wong, W. H.-S., Chow, C.-B. Tags: Open access, Epidemiology, Paediatrics Research Source Type: research

Evaluation of demands, usage and unmet needs for emergency care in Yaounde, Cameroon: a cross-sectional study
Conclusions Residents of Yaoundé had a high demand for emergency care, and high unmet needs were observed due to low emergency care usage. Development of a cost-effective, universal emergency care system is urgently needed in Cameroon. (Source: BMJ Open)
Source: BMJ Open - February 5, 2017 Category: Journals (General) Authors: Ro, Y. S., Shin, S. D., Jeong, J., Kim, M. J., Jung, Y. H., Kamgno, J., Alain, E. M. G., Hollong, B. Tags: Open access, Emergency medicine, Epidemiology Research Source Type: research

Does achieving the best practice tariff improve outcomes in hip fracture patients? An observational cohort study
Objectives To determine if the introduction of the best practice tariff (BPT) has improved survival of the elderly hip fracture population, or if achieving BPT results in improved survival for an individual. Setting A single university-affiliated teaching hospital. Participants 2541 patients aged over 60 admitted with a neck of femur fracture between 2008 and 2010 and from 2012 to 2014 were included, to create two cohorts of patients, before and after the introduction of BPT. The post-BPT cohort was divided into two groups, those who achieved the criteria and those who did not. Primary and secondary outcome measures Pri...
Source: BMJ Open - February 5, 2017 Category: Journals (General) Authors: Oakley, B., Nightingale, J., Moran, C., Moppett, I. Tags: Open access, Geriatric medicine, Surgery Research Source Type: research

Integrated collaborative care teams to enhance service delivery to youth with mental health and substance use challenges: protocol for a pragmatic randomised controlled trial
This study will be conducted according to Good Clinical Practice guidelines. Participants will provide informed consent prior to study participation and data confidentiality will be ensured. A data safety monitoring panel will monitor the study. Results will be disseminated through community and peer-reviewed academic channels. Trial registration number Clinicaltrials.gov NCT02836080. (Source: BMJ Open)
Source: BMJ Open - February 5, 2017 Category: Journals (General) Authors: Henderson, J. L., Cheung, A., Cleverley, K., Chaim, G., Moretti, M. E., de Oliveira, C., Hawke, L. D., Willan, A. R., O'Brien, D., Heffernan, O., Herzog, T., Courey, L., McDonald, H., Grant, E., Szatmari, P. Tags: Open access, Addiction, Evidence based practice, Health economics, Health services research, Mental health Protocol Source Type: research

Randomised controlled trial examining the effect of an outpatient exercise training programme on haemodynamics and cardiac MR parameters of right ventricular function in patients with pulmonary arterial hypertension: the ExPAH study protocol
This study will assess the effect of an outpatient rehabilitation programme on haemodynamics and cardiac right ventricular function in patients with pulmonary arterial hypertension (PAH), a subgroup of PH. Methods and analysis This randomised controlled trial involves both a major urban tertiary and smaller regional hospital in New South Wales, Australia. The intervention will compare an outpatient rehabilitation programme with a control group (home exercise programme). Participants will be stable on oral PAH-specific therapy. The primary outcome measure will be right ventricular ejection fraction measured by cardiac MRI....
Source: BMJ Open - February 5, 2017 Category: Journals (General) Authors: Chia, K. S. W., Faux, S. G., Wong, P. K. K., Holloway, C., Assareh, H., McLachlan, C. S., Kotlyar, E. Tags: Open access, Cardiovascular medicine, Rehabilitation medicine, Respiratory medicine Protocol Source Type: research

Standardisation of delivery and assessment of research training for specialty trainees based on curriculum requirements: recommendations based on a scoping review
Conclusions Given that the majority of specialty curricula contain consistent themes around core research knowledge, consideration should be given to standardising the delivery and assessment of generic research competencies within ST. Our recommendations from this review could form the basis for developing structured research training for specialty trainees involving: (1) a taught course for knowledge-based competencies; (2) clinical placements with CRN teams for practical workplace-based experience and (3) developing research tutors to help support placements and assessment of these competencies. (Source: BMJ Open)
Source: BMJ Open - February 5, 2017 Category: Journals (General) Authors: Rangan, A., Pitchford, J., Williams, P., Wood, B., Robson, S. Tags: Open access, Medical education and training, Medical management Research Source Type: research