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Tackling gender disparities in physician suicide: insights from India 解决医生自杀中的性别差异：印度的启示
The BMJ Pub Date : 2025-01-20 DOI: 10.1136/bmj.q2346
Om Prakash
{"title":"Tackling gender disparities in physician suicide: insights from India","authors":"Om Prakash","doi":"10.1136/bmj.q2346","DOIUrl":"https://doi.org/10.1136/bmj.q2346","url":null,"abstract":"The recent systematic review and meta-analysis by Zimmermann and colleagues presents crucial insights into the ongoing gender disparity in physician suicide rates.1 While the overall reduction in suicide among physicians is commendable, the persistently elevated risk in female physicians is a concern that warrants attention. In the Indian context, the challenges faced by female physicians are exacerbated by …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"140 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142991570","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
Out-of-area mental health placements: we must increase resources for severe mental illness and capacity for inpatient care 地区外精神卫生安置：我们必须增加对严重精神疾病的资源和住院治疗能力
The BMJ Pub Date : 2025-01-20 DOI: 10.1136/bmj.r86
Peter L Cornwall
{"title":"Out-of-area mental health placements: we must increase resources for severe mental illness and capacity for inpatient care","authors":"Peter L Cornwall","doi":"10.1136/bmj.r86","DOIUrl":"https://doi.org/10.1136/bmj.r86","url":null,"abstract":"The Health Services Safety Investigations Body (HSSIB) report1 on out-of-area mental health inpatient placements provides a welcome spotlight on the problem.2 Psychiatrists have, however, repeatedly raised concerns since the Royal College of Psychiatrists set up the Commission on Acute Adult Inpatient Care in …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142991569","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
Risk of death more than doubles with long emergency waits, analysis shows. 分析显示，长时间的紧急等待会使死亡风险增加一倍以上。
The BMJ Pub Date : 2025-01-20 DOI: 10.1136/bmj.r119
Jacqui Wise
{"title":"Risk of death more than doubles with long emergency waits, analysis shows.","authors":"Jacqui Wise","doi":"10.1136/bmj.r119","DOIUrl":"https://doi.org/10.1136/bmj.r119","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"25 1","pages":"r119"},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142991641","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
Diagnosing the undiagnosed—what happened to PIMS? 诊断未诊断的问题——PIMS发生了什么？
The BMJ Pub Date : 2025-01-17 DOI: 10.1136/bmj.q2851
Adriel Chen, Devi Sridhar
{"title":"Diagnosing the undiagnosed—what happened to PIMS?","authors":"Adriel Chen, Devi Sridhar","doi":"10.1136/bmj.q2851","DOIUrl":"https://doi.org/10.1136/bmj.q2851","url":null,"abstract":"Adriel Chen and Devi Sridhar discuss the outbreak of Paediatric Inflammatory Multisystem Syndrome in 2020 and consider what lessons we can learn In mid-March 2020 and into April 2020, paediatric wards in England—usually full with children needing medical care due to respiratory diseases and other illnesses—were empty. The UK, and other countries in the world, were in a covid-19 lockdown. Schools were closing and children were staying at home and not mingling. The usual infectious disease mix that would result in children needing hospital care had a break. Paediatricians expected a quiet few months while NHS resources were directed towards the mounting wave of covid-19 hospital admissions, which were expected to be largely in the older and middle-aged population. And then incredibly unwell children started showing up in hospital.1 First one, then another one, and then several more. The children all had symptoms similar to the rare Kawasaki disease, an autoimmune disease, which can cause cardiac arrest and result in children being admitted to intensive care (ICU). Within the span of 10 days in April 2020, eight children were admitted to hospital in England, and one died.1 This sounded alarms. The children were previously fit and well, with no underlying illnesses. Paediatricians started discussing this and asked the worrying question: could this be a delayed presentation of covid-19? Most children were testing negative for SARS-COV-2 at the time of admission, but positive for the covid antibodies that noted previous infection. The children were older than those usually affected by Kawasaki disease, and most of them had caught covid five to six weeks prior.1 This alarmed physicians. Wasn’t covid-19 a disease that affected …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142987607","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
Criminal behaviour cannot be excused in the name of activism 不能以激进主义的名义为犯罪行为开脱
The BMJ Pub Date : 2025-01-17 DOI: 10.1136/bmj.r88
Hud Shaker
{"title":"Criminal behaviour cannot be excused in the name of activism","authors":"Hud Shaker","doi":"10.1136/bmj.r88","DOIUrl":"https://doi.org/10.1136/bmj.r88","url":null,"abstract":"Wilkinson and colleagues1 and Simpson2 argue that the General Medical Council should overlook criminal behaviour when it aligns with their personal beliefs. Wilkinson and colleagues question the fairness of suspending a doctor involved in unlawful protests, while Simpson advocates sabotaging infrastructure. Both letters downplay the importance of professional accountability and public trust, …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142987233","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
To get Britain working we need to get Britain healthy 为了让英国运转起来，我们需要让英国变得健康
The BMJ Pub Date : 2025-01-17 DOI: 10.1136/bmj.r76
Clare Bambra, Courtney McNamara, Luke Munford, Sophie Wickham
{"title":"To get Britain working we need to get Britain healthy","authors":"Clare Bambra, Courtney McNamara, Luke Munford, Sophie Wickham","doi":"10.1136/bmj.r76","DOIUrl":"https://doi.org/10.1136/bmj.r76","url":null,"abstract":"An approach linking health and skills could boost employability In the UK, 2.8 million people are economically inactive and in receipt of health related welfare benefits.1 Almost a million young people aged 18-24 years are not in education, employment, or training, and one in five of those receives health related benefits, largely for mental health conditions.2 Following a decade of austerity, and exacerbated by the covid-19 pandemic, ill health and health inequalities have worsened in the UK such that it is the “sick (wo)man of Europe.”3 The UK has far higher rates of health related worklessness than most other comparable economies (including Germany, Sweden, and France).4 It faces a serious economic challenge because of stagnating growth and widening inequalities in productivity, which contribute to rising rates of poverty and further inequalities in health.5 Health related worklessness became a problem for the UK in the 1980s when rapid deindustrialisation led to mass unemployment, particularly in the north of England, Scotland, and Wales.1 Between the late 1970s and …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142987234","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
US task force recommends osteoporosis screening to prevent fractures in older women. 美国特别工作组建议骨质疏松症筛查预防老年妇女骨折。
The BMJ Pub Date : 2025-01-17 DOI: 10.1136/bmj.r113
Janice Hopkins Tanne
{"title":"US task force recommends osteoporosis screening to prevent fractures in older women.","authors":"Janice Hopkins Tanne","doi":"10.1136/bmj.r113","DOIUrl":"https://doi.org/10.1136/bmj.r113","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"23 1","pages":"r113"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142989658","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
Individualised care for cervical precancer 子宫颈癌前期的个体化护理
The BMJ Pub Date : 2025-01-17 DOI: 10.1136/bmj.r7
Evangelos Paraskevaidis, Antonios Athanasiou, Laura B Ellis, Sarah J Bowden, Maria Kyrgiou
{"title":"Individualised care for cervical precancer","authors":"Evangelos Paraskevaidis, Antonios Athanasiou, Laura B Ellis, Sarah J Bowden, Maria Kyrgiou","doi":"10.1136/bmj.r7","DOIUrl":"https://doi.org/10.1136/bmj.r7","url":null,"abstract":"Decision to treat surgically should be weighed against the rate of complications The introduction of organised cervical screening programmes has enabled the early diagnosis and treatment of cervical intraepithelial neoplasia (CIN), reducing the incidence of invasive cervical cancer and mortality from the disease.1 However, surgical treatments for CIN that excise a cone shaped part of the cervix are not without complications. In a large linked study from Denmark (doi:10.1136/bmj-2023-078140), Aagaard and colleagues obtained data from nationwide registries and investigated short and long term complication rates after conisation for CIN.2 Τhe authors compared the outcomes for more than 48 000 women who underwent conisation with a matched population who had colposcopically directed biopsy alone. The authors explored long term outcomes that included cervical stenosis, fertility related consultations or treatment, infertility diagnosis, and death. The adjusted incidence rate ratio of cervical stenosis for treated women compared with untreated women was 12.6. This risk increased with age and increasing number of conisations. Data on the treatment technique, length of excision, and menstrual phase at operation3 were not recorded in the registry and were not reported. The use of cervical sutures to control intraoperative or postoperative bleeding …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142987235","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: Aid agencies ready to enter territory if ceasefire holds, but $10bn is needed to rebuild health system. 加沙：如果停火持续，援助机构准备进入加沙，但重建卫生系统需要100亿美元。
The BMJ Pub Date : 2025-01-17 DOI: 10.1136/bmj.r112
Luke Taylor
{"title":"Gaza: Aid agencies ready to enter territory if ceasefire holds, but $10bn is needed to rebuild health system.","authors":"Luke Taylor","doi":"10.1136/bmj.r112","DOIUrl":"https://doi.org/10.1136/bmj.r112","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"5 1","pages":"r112"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142989726","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
Scale of NHS's "corridor care" is revealed in Royal College of Nursing report. 英国皇家护理学院的报告揭示了NHS“走廊护理”的规模。
The BMJ Pub Date : 2025-01-17 DOI: 10.1136/bmj.r99
Jacqui Wise
{"title":"Scale of NHS's \"corridor care\" is revealed in Royal College of Nursing report.","authors":"Jacqui Wise","doi":"10.1136/bmj.r99","DOIUrl":"https://doi.org/10.1136/bmj.r99","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"24 1","pages":"r99"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142989776","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
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