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Total 1639 results found since Jan 2013.

Communication and engagement of community members from ethnic minorities during COVID-19: a scoping review
Conclusions The insights gained from the activities and experiences documented in this review during the COVID-19 pandemic should be incorporated into future decision-making and interventions to enhance communication and engagement strategies.
Source: BMJ Open - June 21, 2023 Category: General Medicine Authors: Seale, H., Harris-Roxas, B., Mustafa, K., McDermid, P. Tags: Open access, Public health, COVID-19 Source Type: research

Understanding factors influencing the use of clinical guidelines in low-income and middle-income settings: a scoping review
Conclusion The development and evaluation of concrete interventions is vital to facilitate the implementation of clinical guidelines and improve healthcare service quality. Further studies are necessary to examine the relative importance of the five identified factors on the effective use of clinical guidelines in different contexts.
Source: BMJ Open - June 21, 2023 Category: General Medicine Authors: Orangi, S., Orangi, T., Kabubei, K. M., Honda, A. Tags: Open access, Health services research Source Type: research

Monitoring sarcopenia with wearable devices: a systematic review protocol
Introduction Sarcopenia is a highly prevalent muscle dysfunction among older adults and is associated with adverse events. The periodic monitoring enables an early screening of patients at risk and control of the progression of muscle impairment. Wearable devices have been used as clinical support for sarcopenia detection. Therefore, this review aims to identify how wearable devices have been used to screen sarcopenia. Methods and analyses Searches will be conducted from August 2023 on PubMed, CINHAL, Embase, Web of Science and SciELO databases. We will include cross-sectional and/or baseline data from prospective studies...
Source: BMJ Open - June 21, 2023 Category: General Medicine Authors: Pimentel, M. M., dos Santos, W. H. B., Rodrigues, E. K., Gomes Fernandes, S. G., de Carvalho, P. F., Fernandes, A. T. d. N. S. F., Barbosa, P. E. e. S., Campos Cavalcanti Maciel, A. Tags: Open access, Epidemiology Source Type: research

Spontaneous spinal cord infarctions: a systematic review and pooled analysis protocol
Introduction Spinal cord infarction (SCInf) is a rare ischaemic event that manifests with acute neurological deficits. It is typically classified as either spontaneous, defined as SCInf without any inciting event, or periprocedural, which typically occur in conjunction with vascular surgery with aortic manipulations. While periprocedural SCInf has recently been the subject of intensified research, especially focusing on the primary prevention of this complication, spontaneous SCInf remains less studied. Methods and analysis Electronic databases, including PubMed, Web of Science and Embase, will be searched using the keywo...
Source: BMJ Open - June 21, 2023 Category: General Medicine Authors: El-Hajj, V. G., Stenimahitis, V., Gharios, M., Mahdi, O. A., Elmi-Terander, A., Edström, E. Tags: Open access, Neurology Source Type: research

Understanding the implementation of health checks in the prevention and early detection of chronic diseases among Aboriginal and Torres Strait Islander people in Australia: a realist review protocol
Introduction Chronic disease remains the leading cause of morbidity and mortality among Aboriginal and Torres Strait Islander peoples in Australia. Regular structured, comprehensive health assessments are available to Aboriginal and Torres Strait Islander people as annual health checks funded through the Medicare Benefits Schedule. This realist review aims to identify context-specific enablers and tensions and contribute to developing an evidence framework to guide the implementation of health checks in the prevention and early detection of chronic diseases for Aboriginal and Torres Strait Islander people. Methods and ana...
Source: BMJ Open - June 21, 2023 Category: General Medicine Authors: Yadav, U. N., Smith, M., Agostino, J., Sinka, V., Williamson, L., Wyber, R., Butler, D. C., Belfrage, M., Freeman, K., Passey, M., Walke, E., Hammond, B., Lovett, R., Douglas, K. A. Tags: Open access, Health policy Source Type: research

Acupuncture for gait disturbance of patients with subacute and chronic stroke: a systematic review and meta-analysis protocol
Introduction Hemiparetic gait is one of the most common sequelae of a stroke. Acupuncture has shown potential in correcting hemiplegic gait patterns and improving motor function recovery after stroke. However, controversial findings and a lack of supportive evidence on the effectiveness of acupuncture for post-stroke hemiplegia. The intelligent gait analysis system provides a new perspective for the study of hemiparetic gait. This systematic review aims to collect relevant studies and critically evaluate the efficacy and safety of acupuncture in alleviating gait disturbance of post-stroke hemiplegia based on quantified gai...
Source: BMJ Open - June 21, 2023 Category: General Medicine Authors: Sun, Z., Lin, Y.-r., Lu, M.-j., Huang, K.-y., Sun, K., Zhang, J.-b. Tags: Open access, Rehabilitation medicine Source Type: research

Patients experiences with the application of medical adhesives to the skin: a qualitative systematic review protocol
Introduction Medical adhesives are adhesives used in medical devices to establish and maintain contact with the body over a period of time (usually by application to the skin) and are widely used in most care settings. Application of medical adhesives to the skin can lead to skin stripping, mild or severe allergic reactions and skin irritation that may manifest as redness, itching or rash. Adhesive-related skin injury can lead to infection, delayed wound healing and an increased risk of scarring. These injuries can cause severe discomfort and pain, and can affect the patient’s quality of life. A systematic review sum...
Source: BMJ Open - June 21, 2023 Category: General Medicine Authors: Hofman, H., Beeckman, D., Duljic, T., Al Gilani, S., Johansson, S., Kottner, J., Kinnaer, L.-M., Eriksson, M. Tags: Open access, Nursing Source Type: research

Effectiveness of internet-based and mobile-based interventions for adults with overweight or obesity experiencing symptoms of depression: a systematic review protocol
The objective of this systematic review is to summarise the effectiveness and to critically evaluate studies on IMIs addressing comorbid depressive symptoms in adults with overweight or obesity. Methods and analysis The study authors will systematically search the databases MEDLINE, Cochrane Library, PsycINFO, Web of Science, Embase and Google Scholar (for grey literature) for randomised controlled trials (RCTs) of IMIs for individuals with overweight or obesity and comorbid depressive symptoms without restrictions on publication date (planned inception 1 June 2023 to 1 December 2023). Two reviewers will independently ext...
Source: BMJ Open - June 20, 2023 Category: General Medicine Authors: Schladitz, K., Luppa, M., Riedel-Heller, S. G., Loebner, M. Tags: Open access, Mental health Source Type: research

Stenting versus medical therapy alone for symptomatic intracranial arterial stenosis: protocol for a systematic review and individual patient data meta-analysis
Introduction Intracranial atherosclerotic stenosis (ICAS) is a common cause of stroke worldwide. However, whether the treatment options for symptomatic ICAS is stent placement or medical therapy alone is still controversial. At present, three multicentre randomised controlled trials (RCTs) have been published, but their research designs are also slightly different and the conclusions are not completely consistent. Therefore, we plan to conduct a systematic review and individual patient data (IPD) meta-analysis of randomised clinical trials to ascertain safety and efficacy of stenting versus medical therapy alone for sympto...
Source: BMJ Open - June 20, 2023 Category: General Medicine Authors: Wang, T., Xing, Z., Gong, H., Derdeyn, C. P., Zaidat, O. O., Almallouhi, E., Luo, J., Gao, P., Wang, H., Jiao, L. Tags: Open access, Neurology Source Type: research

Coinfections of malaria and sexually transmitted and reproductive tract infections in pregnancy in sub-Saharan Africa: a systematic review and individual participant data meta-analysis protocol
Introduction Malaria infection and curable sexually transmitted infections and reproductive tract infections (STIs/RTIs) adversely impact pregnancy outcomes. In sub-Saharan Africa, the prevalence of malaria and curable STIs/RTIs is high and, where coinfection is common, combination interventions may be needed to improve pregnancy outcomes. The aim of this systematic review is to estimate the prevalence of malaria and curable STI/RTI coinfection during pregnancy, risk factors for coinfection and prevalence of associated adverse pregnancy outcomes. Methods and analysis We will use three electronic databases, PubMed, EMBASE ...
Source: BMJ Open - June 20, 2023 Category: General Medicine Authors: Sorano, S., Gore-Langton, G., Opondo, C., Smith, C., Matsui, M., Chaponda, E. B., Chandramohan, D., Chico, R. M. Tags: Open access, Infectious diseases Source Type: research

Acupuncture for protracted opioid abstinence syndrome: study protocol for a systematic review and meta-analysis
This study will not invade patients' personal privacy, and so ethical review is not required. The results will be disseminated in a peer-reviewed journal. PROSPERO registration number CRD42022382978.
Source: BMJ Open - June 19, 2023 Category: General Medicine Authors: Li, T., Zeng, Y. W., Zhang, F., Zhou, X., Ren, Y. Tags: Open access, Complementary medicine Source Type: research

Impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: protocol for a rapid scoping review
Introduction Interprofessional teams and funding and payment provider arrangements are key attributes of high-performing primary care. Several Canadian jurisdictions have introduced team-based models with different payment models. Despite these investments, the evidence of impact is mixed. This has raised questions about whether team-based primary care models are being implemented to facilitate team collaboration and effectiveness. Thus, we present a protocol for a rapid scoping review to systematically map, synthesise and summarise the existing literature on the impact of provider remuneration mechanisms and extrinsic and...
Source: BMJ Open - June 19, 2023 Category: General Medicine Authors: Aggarwal, M., Hutchison, B., Kokorelias, K. M., Mehta, K., Greenberg, L., Moran, K., Barber, D., Samson, K. Tags: Open access, General practice / Family practice Source Type: research

Mental health problems among healthcare professionals during COVID-19 in Africa: a protocol for umbrella review
Introduction COVID-19 pandemic is a global health problem. In Africa, healthcare professionals face mental health problems due to COVID-19. But little was done on the prevalence of mental disorders among healthcare professionals during COVID-19 in Africa. This umbrella review of meta-analysis aimed to provide the pooled prevalence of anxiety, depression, stress, suicide, demoralisation and insomnia during COVID-19 pandemic in Africa. Methods and analysis We will search the African Journals Online, MedRxiv, PubMed and Google Scholar to identify studies published from the occurrence of the pandemic to March 2023. Systematic...
Source: BMJ Open - June 19, 2023 Category: General Medicine Authors: Hasen, A. A., Seid, A. A., Mohammed, A. A. Tags: Open access, Mental health, COVID-19 Source Type: research

Suicide postvention for staff and students on university campuses: a scoping review
Conclusion Staff and students require support measures due to the impact of suicide bereavement and the unique nature of the university context. There is a need for further research to move from descriptive studies to focus on intervention studies, particularly at universities in low-income and middle-income countries.
Source: BMJ Open - June 16, 2023 Category: General Medicine Authors: Allie, S.-L. N., Bantjes, J., Andriessen, K. Tags: Open access, Mental health Source Type: research

Transcarotid versus transfemoral access for cerebrovascular intervention: protocol for a systematic review and meta-analysis
Introduction Cerebrovascular intervention is an excellent option to treat cerebrovascular diseases. Interventional access is a prerequisite and a foundation for cerebrovascular intervention, which is crucial to the success of an intervention. Although transfemoral arterial access (TFA) has become a popular and acceptable method of access for cerebrovascular angiography and intervention in clinical practice, it has some drawbacks that limit the usage in cerebrovascular interventions. Therefore, transcarotid arterial access (TCA) has been developed in cerebrovascular interventions. We aim to conduct a systematic review to co...
Source: BMJ Open - June 14, 2023 Category: General Medicine Authors: Luo, J., Liao, W., Lei, D., Xing, Z., Wang, T., Xu, W., Wang, X., Yang, R., Wang, J., Gong, H., Yang, B., Ma, Y., Jiao, L., Chen, Y. Tags: Open access, Neurology Source Type: research