Journal of the Royal Society of Medicine最新文献

{"title":"Key SARS-CoV-2 testing strategies implemented in the UK: rationale and impact.","authors":"Tom Fowler, Chris Kenny, Sarah Tunkel, Andrew Dodgson, Jeanette Hall, Peter Marks, Paul Klapper, Malur Sudhanva, Raghavendran Kulasegaran-Shylini, Zareen Thorlu-Bangura, Obaghe Edeghere, Catherine Falconer, Robert Jenkins, Edward Blandford, Ian Hall, Iain Buchan, W John Edmunds, Tim Peto, Susan Hopkins","doi":"10.1177/01410768251322225","DOIUrl":"https://doi.org/10.1177/01410768251322225","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768251322225"},"PeriodicalIF":8.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why do doctors make poor decisions? Spotlighting 'noise' as an under-recognised source of error in clinical practice.","authors":"Isaac Ks Ng, Daniel J Morgan, Lim Tow Keang","doi":"10.1177/01410768251324822","DOIUrl":"10.1177/01410768251324822","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768251324822"},"PeriodicalIF":8.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global burden of malaria and neglected tropical diseases in children and adolescents, 1990-2019: a population-based, cross-sectional study.","authors":"Jinxin Zheng, Daoqi Zhang, Shunxian Zhang, Muxin Chen, Zhaoyu Guo, Shiyang Guan, Yushu Liu, Robert Bergquist, Shizhu Li, Xiaonong Zhou, Xinyu Feng","doi":"10.1177/01410768251321572","DOIUrl":"10.1177/01410768251321572","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate the global burden of malaria and neglected tropical diseases (NTDs) in children and adolescents aged 0-19 years and to analyse trends to inform public health and policy decisions.</p><p><strong>Design: </strong>Population-based, cross-sectional study.</p><p><strong>Setting: </strong>Global analysis across 204 countries and territories.</p><p><strong>Participants: </strong>Children and adolescents aged 0-19 years with malaria and NTDs, stratified by age, gender and location from 1990 to 2019.</p><p><strong>Main outcome measures: </strong>Yearly incidence, prevalence, and disability-adjusted life years (DALYs) for malaria and NTDs, age-standardised incidence rates (ASIRs) and age-standardised DALY rates (ASDRs).</p><p><strong>Results: </strong>The global burden of malaria and NTDs among children and adolescents aged 0-19 years remains substantial. In 2019, 195.6 million cases of malaria and NTDs were recorded globally, resulting in 43.9 million (95% Uncertainty Interval (UI): 25.0-70.4 million) DALYs. The incidence rate increased until 2005 and then declined. Sub-Saharan Africa had the highest ASDR, while high-income regions had the lowest. Significant ASDR reductions occurred in Andean Latin America and South Asia. The burden was highest in low-Socio-Demographic Index (SDI) regions, with malaria accounting for over 93% of DALYs among children under five. Females had slightly higher incidence rates, while DALYs were evenly distributed between genders. There was an inverse association observed between SDI and ASDRs.</p><p><strong>Conclusions: </strong>Malaria and NTDs continue to disproportionately affect children and adolescents in low-SDI regions, especially sub-Saharan Africa. Sustaining gains while accelerating control efforts is the key to successful control progress and ambiguous elimination goals for both malaria and NTDs.</p>","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768251321572"},"PeriodicalIF":8.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The urgent responsibility to confront psychiatric abuses and defend ethical principles in a turbulent world.","authors":"Alexander J Smith, Robert van Voren, Dinesh Bhugra, Anna Buadze, Michael Liebrenz","doi":"10.1177/01410768251320168","DOIUrl":"10.1177/01410768251320168","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768251320168"},"PeriodicalIF":8.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planning for end of life in the past and present: historical, legal and clinical perspectives on ReSPECT.","authors":"James David van Oppen, Sarah Gunn, Timothy John Coats, Nataly Papadopoulou, Michaela Senkova, Sarah Tarlow, Elizabeth Wicks","doi":"10.1177/01410768251317843","DOIUrl":"10.1177/01410768251317843","url":null,"abstract":"<p><p>The ReSPECT ('Recommended Summary Plan for Emergency Care and Treatment') process was developed in the UK to guide and document conversations and decision-making with patients and their relatives around intervention during critical deterioration. This includes advising whether resuscitation should be attempted when a person dies. Current medical preparation for death is qualitatively different to social behaviours by people in the past and presents some controversies when considering the legal status of death-related decisions. In this article, we discuss our interdisciplinary perspectives as archaeological, historical, legal, medical and clinical psychologist academics following a historico-medico-legal appraisal of the ReSPECT process as situated in the current UK legal and cultural landscape. We review controversies and conundrums, and contextualise and contrast the current position to preparing for death and dying in the past.</p>","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768251317843"},"PeriodicalIF":8.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compassion fatigue: result or cause of burnout? And do doctors get it?","authors":"Dinesh Bhugra","doi":"10.1177/01410768251320166","DOIUrl":"10.1177/01410768251320166","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768251320166"},"PeriodicalIF":8.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout: its meaning and how to deal with it?","authors":"Dinesh Bhugra","doi":"10.1177/01410768251320167","DOIUrl":"10.1177/01410768251320167","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768251320167"},"PeriodicalIF":8.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Quiet quitting' among medical practitioners: a hallmark of burnout, disillusionment and cynicism.","authors":"Isaac Ks Ng, Wilson Gw Goh, Christopher Thong, Kevin Sh Teo","doi":"10.1177/01410768241311059","DOIUrl":"10.1177/01410768241311059","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768241311059"},"PeriodicalIF":8.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In support of 'Addressing visa inequities in health: a geopsychiatry perspective'.","authors":"Shagufta Nasir, Mohammad Ghazi Shahnawaz, Lydia Giménez-Llort","doi":"10.1177/01410768241309222","DOIUrl":"10.1177/01410768241309222","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768241309222"},"PeriodicalIF":8.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"We still know little about long COVID.","authors":"Malcolm Stodell","doi":"10.1177/01410768241309753","DOIUrl":"10.1177/01410768241309753","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"1410768241309753"},"PeriodicalIF":8.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}