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Source: BMJ Open

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Total 1639 results found since Jan 2013.

Impact of cancer types on COVID-19 infection and mortality risk: a protocol for systematic review and meta-analysis
Introduction The COVID-19 pandemic has created a huge social and economic burden, and the lifestyles of individuals have significantly changed. In addition, the diagnosis, treatment and management of patients with cancer were greatly affected. Studies have shown that patients with cancer are at a higher risk of COVID-19 infection-related complications, which require aggressive preventive measures. Different types of cancer may have different risks of COVID-19 infection and death, and different preventive care measures are needed for different types of patients with cancer. Here, we designed a protocol for systematic review...
Source: BMJ Open - July 8, 2022 Category: General Medicine Authors: Zou, J., Xiao, Z., Yang, J., Li, L., Hao, T., Cui, N., Wu, J., Wu, Y. Tags: Open access, Oncology, COVID-19 Source Type: research

Upstream interventions to promote oral health and reduce socioeconomic oral health inequalities: a scoping review protocol
This study will review published and available grey literature and does not require an ethics review. The scoping review protocol has been registered with the Open Science Framework. The final report will be circulated and disseminated through publication and feed into the work of the ongoing Lancet Commission on Oral Health. Due to the policy relevance of this work, discussions will take place with key stakeholders regarding the implications of the findings for future policy development.
Source: BMJ Open - June 23, 2022 Category: General Medicine Authors: Dawson, E. R., Stennett, M., Daly, B., Macpherson, L. M. D., Cannon, P., Watt, R. G. Tags: Open access, Public health Source Type: research

Concepts and metrics of clinician attention: a scoping review protocol
Introduction There is growing emphasis on the importance of both the cognitive and behavioural phenomenon of attention for clinicians engaged in patient care. Aspects of attention such as cognitive load, distraction and task switching have been studied in various settings with different methodologies. Using the protocol described here, we aim to systematically review the medical literature in order to map the concept of attention and to synthesise diverse concepts and methods under the broader category of research focused on ‘attention’. Methods and analysis Following the methodology described by the Joanna Br...
Source: BMJ Open - June 13, 2022 Category: General Medicine Authors: Kissler, M. J., Kissler, K., Porter, S. C., Keniston, A., Jankousky, K., Burden, M. Tags: Open access, Health services research Source Type: research

Spontaneous bladder rupture and associated factors during pregnancy:a systematic review and metanalysis protocol
Introduction Spontaneous bladder rupture during pregnancy is a potentially life-threatening event requiring immediate surgery to reduce morbidity and mortality. This systematic review aims to identify associated factors of spontaneous bladder rupture during pregnancy and propose a diagnostic and therapeutic algorithm. Methods and analysis To improve the reporting of this protocol, the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 statement was used. The primary objective is to identify and summarise the associated factors with spontaneous bladder rupture during pregnancy. The secondary ou...
Source: BMJ Open - August 23, 2022 Category: General Medicine Authors: Ranjbar, A., Mehrnoush, V., Roozbeh, N., Banaei, M., Darsareh, F. Tags: Open access Obstetrics and gynaecology Source Type: research

'Whats next? The journey from hospital to community engagement from the perspectives of adults following severe acquired brain injury: a scoping review protocol
Introduction Community integration and social participation remain a challenge for many individuals following acquired brain injury (ABI) and the transition from hospital to home is a complex journey. It is important to conceptualise this transition from the perspective of people with ABI, to inform future research with the overall aim of improving the experience of community re-engagement and maintaining important relationships within social networks. Methods and analysis The methodology outlined by Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis: extension for Scoping...
Source: BMJ Open - September 21, 2022 Category: General Medicine Authors: Currie, S., Douglas, J., Winkler, D. Tags: Open access, Rehabilitation medicine Source Type: research

Effectiveness and safety of fibrinolytic therapy in critically ill patients with COVID-19 with ARDS: protocol for a prospective meta-analysis
Introduction The use of fibrinolytic therapy has been proposed in severe acute respiratory distress syndrome (ARDS). During the COVID-19 pandemic, anticoagulation has received special attention due to the frequent findings of microthrombi and fibrin deposits in the lungs and other organs. Therefore, the use of fibrinolysis has been regarded as a potential rescue therapy in these patients. In this prospective meta-analysis, we plan to synthesise evidence from ongoing clinical trials and thus assess whether fibrinolytic therapy can improve the ventilation/perfusion ratio in patients with severe COVID-19-caused ARDS as compar...
Source: BMJ Open - September 26, 2022 Category: General Medicine Authors: Kovacs, E. H., Dembrovszky, F., Ocskay, K., Szabo, L., Hegyi, P., Molnar, Z., Tanczos, K. Tags: Open access, Intensive care, COVID-19 Source Type: research

Development, implementation and validation of resource-stratified guidelines in low-income and middle-income countries: a scoping review protocol
Introduction Nearly every field of medicine has some form of clinical practice guidelines. However, only within the past 5–10 years has the medical community acknowledged the need for well-developed guidelines tailored to the local healthcare needs and the resources available. In most low-income and middle-income countries (LMICs), healthcare workers depend on guidelines developed in high-income countries (HICs), yet many interventions validated in a HIC are ineffective when implemented in an LMIC. The variation in infrastructure, medical personnel, technology and environmental conditions exhibited in LMICs relative ...
Source: BMJ Open - September 28, 2022 Category: General Medicine Authors: Griswold, D., Venturini, S., Carney, N., Rubiano, A. M., Hutchinson, P. J., Kolias, A. G. Tags: Open access, Evidence based practice Source Type: research

Factors associated with perceived coercion in adults receiving psychiatric care: a scoping review protocol
Introduction Coercion is inevitably linked to psychiatric and mental healthcare. Though many forms of coercion exist, perceived coercion appears to be a less studied form despite its marked prevalence and negative consequences. In the literature, several factors have been studied for their association with perceived coercion, but few literature reviews have focused on this precise subject. Gaining knowledge of the association between these factors and the degree of perceived coercion is essential to guide future research and develop informed interventions. The purpose of this review will be to identify, in the literature, ...
Source: BMJ Open - October 17, 2022 Category: General Medicine Authors: Lessard-Deschenes, C., Goulet, M.-H., Pariseau-Legault, P. Tags: Open access, Mental health Source Type: research

Understanding the barriers and facilitators that influence access to quality cardiovascular care for rural Indigenous peoples: protocol for a scoping review
Introduction Māori (the Indigenous peoples of New Zealand) are disproportionately represented in cardiovascular disease (CVD) prevalence, morbidity and mortality rates, and are less likely to receive evidence-based CVD healthcare. Rural Māori experience additional barriers to treatment access, poorer health outcomes and a more significant burden of CVD risk factors compared with non-Māori and Māori living in urban areas. Importantly, these inequities are similarly experienced by Indigenous peoples in other nations impacted by colonisation. Given the scarcity of available literature, we are condu...
Source: BMJ Open - December 12, 2022 Category: General Medicine Authors: Tane, T., Selak, V., Eggleton, K., Harwood, M. Tags: Open access, Cardiovascular medicine Source Type: research

Development and applications of the anaesthetists non-technical skills behavioural marker system: protocol for a systematic review
Introduction The high incidence of unsafe anaesthetic care leads to adverse events and increases the burden on patient safety. An important reason for unsafe anaesthesia care is the lack of non-technical skills (NTS), which are defined as personal cognitive, social or interpersonal skills, among anaesthetists. The anaesthetists’ NTS (ANTS) behavioural marker system has been widely used to evaluate and improve anaesthetists’ behavioural performance to ensure patient safety. This protocol describes a planned systematic review aiming to determine the validity and reliability of the ANTS behavioural marker system a...
Source: BMJ Open - December 14, 2022 Category: General Medicine Authors: Kang, J., Hu, J., Yan, C., Xing, X., Tu, S., Zhou, F. Tags: Open access, Anaesthesia Source Type: research

Distribution, frequency and clinical presentation of leptospirosis and coinfections: a systematic review protocol
Introduction Leptospirosis is a zoonotic disease with high prevalence in low-income and middle-income countries and tropical and subtropical regions. The clinical symptoms of the disease are similar to symptoms presented by other endemic infectious diseases that could be present simultaneously. Thus, leptospirosis could be masked by similar infections like dengue, malaria, hantavirus, melioidosis and borreliosis, among others. Therefore, leptospirosis could present itself as an under-reported infection or as a coinfection with another pathogen, as has been reported in the literature. However, there is a lack of documented ...
Source: BMJ Open - December 16, 2022 Category: General Medicine Authors: Parra Barrera, E. L., Bello, S., Gallego-Lopez, G. M., Atero, N., Reyes Santamaria, E., Bautista, A. Tags: Open access, Infectious diseases Source Type: research

Protocol for a meta-research study of protocols for diet or nutrition-related trials published in indexed journals: general aspects of study design, rationale and reporting limitations
This study will undertake a secondary analysis of published data and does not require ethical approval. The results will be disseminated through journals and conferences targeting stakeholders involved in nutrition research.
Source: BMJ Open - December 26, 2022 Category: General Medicine Authors: Silva, F. M., Adegboye, A. R. A., Curioni, C., Gomes, F. S., Collins, G. S., Kac, G., A De Beyer, J., Cook, J. A., Cheikh Ismail, L., Page, M. J., Khandpur, N., Lamb, S., Hopewell, S., Kirtley, S., Durao, S., Vorland, C. J., M Schlussel, M. Tags: Open access, Medical publishing and peer review Source Type: research

Machine learning approach to predict postpartum haemorrhage: a systematic review protocol
Introduction Postpartum haemorrhage (PPH) is the most serious clinical problem of childbirth that contributes significantly to maternal mortality worldwide. This systematic review aims to identify predictors of PPH based on a machine learning (ML) approach. Methods and analysis This review adhered to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol. The review is scheduled to begin on 10 January 2023 and end on 20 March 2023. The main objective is to identify and summarise the predictive factors associated with PPH and propose an ML-based predictive algorithm. From inceptio...
Source: BMJ Open - January 19, 2023 Category: General Medicine Authors: Boujarzadeh, B., Ranjbar, A., Banihashemi, F., Mehrnoush, V., Darsareh, F., Saffari, M. Tags: Open access Obstetrics and gynaecology Source Type: research

Integrating climate change into nursing curricula and continuing education: a scoping review protocol
Introduction Climate change constitutes a major threat to human health. Nurses have an essential role to play in protecting populations from this threat, and to fulfil this role, they must be properly prepared. The purpose of this scoping review is to examine studies on the integration of climate change into the academic curriculum or continuing education of nurses so as to identify issues and opportunities related to this integration. Methods and analysis The method being used is the methodological framework proposed by Arksey and O'Malley and Levac et al. First, a search strategy using keywords and their combinations wi...
Source: BMJ Open - January 31, 2023 Category: General Medicine Authors: Diallo, T., Roberge, M., Berube, A., Audate, P.-P. Tags: Open access, Nursing Source Type: research

Paramedic supportive discharge programmes to improve health system efficiency and patient outcomes: a scoping review protocol
Introduction Discharging older adults with frailty home from the emergency department (ED) poses unique challenges due to multiple interacting physical and social problems. Paramedic supportive discharge services help overcome these challenges by adding in-home assessment and/or interventions. Our objective is to describe existing paramedic programmes designed to support discharge from the ED or hospital to avoid unnecessary hospital admissions. A comprehensive description of paramedic supportive discharge services will be conducted by mapping the literature to describe: (1) why such programmes are needed; (2) who is being...
Source: BMJ Open - February 16, 2023 Category: General Medicine Authors: Goldstein, J., Lajeunesse, D., Abawajy, K., Luan, A., Hancock, K., Carter, A., Greene, J. A., McVey, J., Lee, J. S. Tags: Open access, Emergency medicine Source Type: research