发布求助
文献互助 智能选刊 最新文献

The BMJ最新文献

筛选
英文 中文
Call for military to protect staff in Italian hospitals after surge in violent attacks. 意大利医院暴力袭击事件激增，呼吁军队保护医院员工。
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q2008
Luke Taylor
{"title":"Call for military to protect staff in Italian hospitals after surge in violent attacks.","authors":"Luke Taylor","doi":"10.1136/bmj.q2008","DOIUrl":"https://doi.org/10.1136/bmj.q2008","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should we deprescribe the term “deprescribing”? 我们是否应该取消 "取消处方 "一词？
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q2007
Lisa Kouladjian O’Donnell, Aili Langford
{"title":"Should we deprescribe the term “deprescribing”?","authors":"Lisa Kouladjian O’Donnell, Aili Langford","doi":"10.1136/bmj.q2007","DOIUrl":"https://doi.org/10.1136/bmj.q2007","url":null,"abstract":"We were surprised to read that the term “deprescribing” raises concerns for Zermansky.1 We counter that deprescribing—both the term and the concept—serve an important and specific function in achieving person centred drug management. Deprescribing is “the process of withdrawal of an inappropriate medication, supervised by healthcare professionals with the goal of managing polypharmacy and improving outcomes.”2 This definition places patients and their drug …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BMA calls for talks with London hospitals over "suppressed" pay rates for extra shifts. 英国医学会（BMA）呼吁与伦敦医院就 "压低 "加班工资率问题进行谈判。
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q2017
Jacqui Wise
{"title":"BMA calls for talks with London hospitals over \"suppressed\" pay rates for extra shifts.","authors":"Jacqui Wise","doi":"10.1136/bmj.q2017","DOIUrl":"https://doi.org/10.1136/bmj.q2017","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stevens-Johnson syndrome/toxic epidermal necrolysis: initial assessment 史蒂文斯-约翰逊综合征/中毒性表皮坏死症：初步评估
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj-2024-079986
Daniel Creamer, Tatiana Lumb, Carrie D Tibbles, Haur Yueh Lee
{"title":"Stevens-Johnson syndrome/toxic epidermal necrolysis: initial assessment","authors":"Daniel Creamer, Tatiana Lumb, Carrie D Tibbles, Haur Yueh Lee","doi":"10.1136/bmj-2024-079986","DOIUrl":"https://doi.org/10.1136/bmj-2024-079986","url":null,"abstract":"### What you need to know A student in her late teens is started on lamotrigine for suspected epilepsy. Thirteen days later her eyes become red and itchy, and the following day she develops a sore throat, chapped lips, and widespread skin itching. She attends the emergency department, is diagnosed with a viral illness, and prescribed antihistamine. The next day she has a fever, malaise, facial rash, and oral ulceration. Within 24 hours the rash spreads to her torso and limbs and has started to blister. She is admitted to the intensive care unit of a specialist burns unit and over the next five weeks is treated for extensive skin loss with severe corneal and oral ulceration. Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) describes an acute, life threatening, mucocutaneous blistering disease resulting from epidermal and mucous membrane keratinocyte apoptosis.1 Blistering of less than 10% of body surface area (BSA) is known as Stevens-Johnson syndrome (SJS), and when greater than 30%, BSA is referred to as toxic epidermal necrolysis (TEN). SJS-TEN overlap exists when BSA involvement lies between 10% and 30%.1 Estimated incidence is five or six cases per million per year.2 In 85% of patients with SJS/TEN, the disorder is caused by a hypersensitivity reaction to a drug. Around 15% of patients have no relevant medication exposure, and in these cases Mycoplasma pneumoniae or viral infections are often the cause, especially in children. During the active phase of SJS/TEN, loss of large …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to live to 110, win a coin toss, and breathe through the anus-it's the 2024 Ig Nobel awards. 如何活到 110 岁、如何在掷硬币中获胜、如何用肛门呼吸--这就是 2024 年的伊格诺贝尔奖。
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q2012
Janice Hopkins Tanne
{"title":"How to live to 110, win a coin toss, and breathe through the anus-it's the 2024 Ig Nobel awards.","authors":"Janice Hopkins Tanne","doi":"10.1136/bmj.q2012","DOIUrl":"https://doi.org/10.1136/bmj.q2012","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful co-production can help tackle inequalities in maternal health outcomes 成功的共同生产有助于解决孕产妇保健结果不平等的问题
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q1958
Shuby Puthussery
{"title":"Successful co-production can help tackle inequalities in maternal health outcomes","authors":"Shuby Puthussery","doi":"10.1136/bmj.q1958","DOIUrl":"https://doi.org/10.1136/bmj.q1958","url":null,"abstract":"Findings from the MBRRACE-UK report published in October 2023 are a stark reminder of persistent inequalities in birth outcomes for women from ethnic minorities in the UK.1 In 2019-21, the risk of maternal death was 3.8 times higher among black women and 1.8 times higher among Asian women compared with white women in the UK.1 Despite several calls to end inequalities through individualised high quality care and targeted interventions, women from ethnic minority groups often feel they are not listened to or have rarely been asked about solutions.2 That's why it's so important to involve women from ethnic minorities in developing interventions if we want to improve outcomes and patient care. Public involvement is recognised as important in both health service delivery and research design and delivery.234 Uptake and initiation of timely antenatal care is vital in ensuring good perinatal outcomes for women and babies. The MBRRACE-UK report showed that the proportion of women who received recommended levels of antenatal care were low among those who died.1 Women from some ethnic minority groups tend to attend antenatal care later.5 In order to increase the timely uptake of antenatal care in an ethnically diverse and socio-economically disadvantaged area, a project team that I led developed a community-based intervention using a co-production approach.6 The goal was to co-produce a tailored intervention best suited to meet the needs of a diverse …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
More gun regulation, less firearm harm 加强枪支管理，减少枪支伤害
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q1984
Louis Klarevas
{"title":"More gun regulation, less firearm harm","authors":"Louis Klarevas","doi":"10.1136/bmj.q1984","DOIUrl":"https://doi.org/10.1136/bmj.q1984","url":null,"abstract":"US states with tighter restrictions are seeing fewer deaths As election season heats up in the United States, the issue of gun violence has once again secured a prominent position in American political discourse. This has been intensified by the assassination attempt on former president Donald Trump in Butler, Pennsylvania, and, most recently, a high profile mass shooting that claimed four lives at a high school in Winder, Georgia. On one side of the partisan aisle, solutions to the problem have embraced the mantra of “more guns, less crime.”1 Examples of such permissive policies include taking away the discretion of authorities to deny licences to carry concealed firearms, allowing possession of firearms at more locations, and providing increased legal protections to gun owners who use personal weapons in situations where they perceive a threat to self or others. On the other side, solutions have moved towards greater gun control. These restrictive policies include more comprehensive background checks coupled with more rigorous licensing schemes, prohibitions on the availability of certain firearm technologies, and tighter regulation of firearm use and storage as well as firearm possession by high risk …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Calls for system reform as clinical negligence payouts in England climb to £2.9bn. 英格兰临床过失赔偿金攀升至 29 亿英镑，呼吁进行制度改革。
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q2014
Jane Feinmann
{"title":"Calls for system reform as clinical negligence payouts in England climb to £2.9bn.","authors":"Jane Feinmann","doi":"10.1136/bmj.q2014","DOIUrl":"https://doi.org/10.1136/bmj.q2014","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
David Oliver: Does Darzi’s report move NHS recovery and reform further forward? 大卫-奥利弗达齐的报告是否进一步推动了国家医疗服务体系的恢复和改革？
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q2009
David Oliver
{"title":"David Oliver: Does Darzi’s report move NHS recovery and reform further forward?","authors":"David Oliver","doi":"10.1136/bmj.q2009","DOIUrl":"https://doi.org/10.1136/bmj.q2009","url":null,"abstract":"One week after Labour’s general election victory Wes Streeting, the new health and social care secretary, announced a rapid diagnostic review of the state of the NHS, to be led by Ara Darzi—a professor of surgery and a health minister in the last Labour government. Streeting simultaneously announced a working group to produce a 10 year plan for healthcare, reporting next spring.1 Darzi’s Independent Investigation of the National Health Service in England was published on 12 September.2 His remit was to include social care or the wider health of the nation only “in so far as they impact on the NHS.” The report excludes detailed policy recommendations, although it does list seven key themes to inform the development of the 10 year plan. These include greater staff and patient engagement, better productivity in hospitals, “hardwiring financial flows” to support a shift from secondary to community care, and a “tilt towards technology.” It also emphasises the value of good NHS managers at the operational coalface, while criticising the overly complex patchwork of central agencies and regulators. Darzi concludes that the NHS is “in serious trouble” and that “the first step to rebuilding public trust and confidence” is to be “completely honest about where it stands.” His report …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gaza: Polio vaccination campaign gets underway as attacks on humanitarian aid continue. 加沙：小儿麻痹症疫苗接种活动启动，人道主义援助继续受到攻击。
The BMJ Pub Date : 2024-09-13 DOI: 10.1136/bmj.q1918
Elisabeth Mahase
{"title":"Gaza: Polio vaccination campaign gets underway as attacks on humanitarian aid continue.","authors":"Elisabeth Mahase","doi":"10.1136/bmj.q1918","DOIUrl":"https://doi.org/10.1136/bmj.q1918","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信