Τετάρτη 22 Απριλίου 2020

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Effect of time interval from diagnosis to treatment for non-small cell lung cancer on survival: a national cohort study in Taiwan
ObjectivesThis study aimed to determine if treatment delay after non-small cell lung cancer (NSCLC) diagnosis impacts patient survival rate. Study designThis study is a natural experiment in Taiwan. A retrospective cohort investigation was conducted from 2004 to 2010, which included 42 962 patients with newly diagnosed NSCLC. MethodsWe identified 42 962 patients with newly diagnosed NSCLC in the Taiwan Cancer Registry from 2004 to 2010. We calculated the time interval between diagnosis and treatment...
BMJ Open Current Issue
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Effectiveness and feasibility of internet-based and mobile-based interventions for individuals experiencing bereavement: a systematic review protocol
IntroductionInternet-based and mobile-based interventions (IMIs) provide an innovative and efficient self-management tool for mental health problems. This systematic review aims to summarise and critically evaluate studies addressing the effectiveness and feasibility of IMIs for normal and complicated grief in bereaved adults. Methods and analysisThe databases MEDLINE, Cochrane Library, PsycINFO, Embase and Web of Science and Google Scholar (for ‘grey’ literature) will be systematically searched...
BMJ Open Current Issue
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Korean frailty and aging cohort study (KFACS): cohort profile
PurposeThe purpose of the Korean Frailty and Aging Cohort Study (KFACS) is to initiate a nationwide, population-based prospective cohort study of older adults living in the community to assess their frailty status and explore transitions between frailty states over time in Korea. ParticipantsThe KFACS is a multicentre longitudinal study with the baseline survey conducted from May 2016 to November 2017. Each centre recruited participants using quota sampling stratified by age and sex. The number...
BMJ Open Current Issue
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[18F]DCFPyL PET-MRI/CT for unveiling a molecularly defined oligorecurrent prostate cancer state amenable for curative-intent ablative therapy: study protocol for a phase II trial
IntroductionThe oligometastatic (OM) disease hypothesis of an intermediate metastatic state with limited distant disease deposits amenable for curative therapies remains debatable. Over a third of prostate cancer (PCa) patients treated with radical prostatectomy and postoperative radiotherapy experience disease recurrence; these patients are considered incurable by current standards. Often the recurrence cannot be localised by conventional imaging (CT and bone scan). Combined anatomical imaging with...
BMJ Open Current Issue
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Trends in attention-deficit and hyperactivity disorder (ADHD) medications among children and young adults in Ireland: a repeated cross-sectional study from 2005 to 2015
ObjectiveThis study examined the prescribing patterns of attention-deficit hyperactivity disorder (ADHD) medications in Ireland between 2005 and 2015 in children, adolescents and young adults, and concomitant use of psychotropic medication. DesignRepeated cross-sectional study. SettingCommunity setting using pharmacy claims data in Ireland. ParticipantsChildren and young adults aged 0–24 years. Primary and secondary outcomesAuthorised medications used to treat ADHD during the study period,...
BMJ Open Current Issue
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Clinician-recalled quoted speech in electronic health records and risk of suicide attempt: a case-crossover study
ObjectiveClinician narrative style in electronic health records (EHR) has rarely been investigated. Clinicians sometimes record brief quotations from patients, possibly more frequently when higher risk is perceived. We investigated whether the frequency of quoted phrases in an EHR was higher in time periods closer to a suicide attempt. DesignA case–crossover study was conducted in a large mental health records database. A natural language processing tool was developed using regular expression matching...
BMJ Open Current Issue
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Mapping the digital food environment: a scoping review protocol
IntroductionFood environments are the interface through which people interact with the broader food system. They are a key determinant of healthy and sustainable diets. The widespread use of digital technology in late modernity and the shift towards a digital society have posed new challenges for nutrition and health, with a concomitant surge in research on social media, digital health promotion interventions, and more recently, increasing interest in digital food marketing. While the literature...
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Prevalence and risk factors for wheeze, decreased forced expiratory volume in 1 s and bronchoconstriction in young children living in Havana, Cuba: a population-based cohort study
ObjectivesAsthma has not been extensively studied in low-income and middle-income countries, where risk factors and access to treatment may differ from more affluent countries. We aimed to identify the prevalence of asthma and local risk factors in Havana, Cuba. SettingFour municipalities in Havana, Cuba. ParticipantsA population-based cohort study design of young children living in Havana, Cuba. Children were recruited from primary care centres at age 12–15 months. Primary and secondary outcome...
BMJ Open Current Issue
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Reducing medicine-induced deterioration and adverse reactions (ReMInDAR) trial: study protocol for a randomised controlled trial in residential aged-care facilities assessing frailty as the primary outcome
IntroductionMany medicines have adverse effects which are difficult to detect and frequently go unrecognised. Pharmacist monitoring of changes in signs and symptoms of these adverse effects, which we describe as medicine-induced deterioration, may reduce the risk of developing frailty. The aim of this trial is to determine the effectiveness of a 12-month pharmacist service compared with usual care in reducing medicine-induced deterioration, frailty and adverse reactions in older people living in...
BMJ Open Current Issue
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One thousand cases of cobalt-based high dose rate brachytherapy treated at a tertiary care center: A retrospective study
Publication date: Available online 21 April 2020Source: BrachytherapyAuthor(s): Janaki Manur Gururajachar, Revathy Thangaraj, Arul Ponni Thiruraju, Kirthi Koushik Agrahara Srinivasa, Ram Charith Alva, Mohan Somashekhar Kumar
Brachytherapy
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Acute patient-reported bowel quality of life and rectal bleeding with the combination of prostate external beam radiation, low-dose-rate brachytherapy boost, and SpaceOAR
Publication date: Available online 21 April 2020Source: BrachytherapyAuthor(s): Ankur K. Patel, Christopher Houser, Ronald Benoit, Ryan P. Smith, Sushil Beriwal
Brachytherapy
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Event-Related Potential Evidence of Enhanced Visual Processing in Auditory-Associated Cortex in Adults with Hearing Loss
Objective: The present study investigated the characteristics of visual processing in the auditory-associated cortex in adults with hearing loss using event-related potentials. Methods: Ten subjects with bilateral postlingual hearing loss were recruited. Ten age- and sex-matched normal-hearing subjects were included as controls. Visual (“sound” and “non-sound” photos)-evoked potentials were performed. The P170 response in the occipital area as well as N1 and N2 responses in FC3 and FC4 were analyzed....
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