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1.
BMJ ; 368: l6775, 2020 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-32005673

RESUMO

The studyDambha-Miller H, Day AJ, Strelitz J, et al. Behaviour change, weight loss and remission of Type 2 diabetes: a community-based prospective cohort study. Diabet Med 2019. doi:10.1111/dme.14122This project was funded by the NIHR Health Technology Assessment Programme (project number 08/116/300) as well as the Wellcome Trust (grant number: G061895), the Epidemiology Unit programme (MC_UU_12015/4), and the National Health Service R&D support funding.To read the full NIHR Signal, go to: https://discover.dc.nihr.ac.uk/content/signal-000841/weight-loss-after-type-2-diabetes-diagnosis-boosts-chance-of-remission.


Assuntos
Diabetes Mellitus Tipo 2 , Perda de Peso , Peso Corporal , Humanos , Estudos Prospectivos , Medicina Estatal
4.
Br J Nurs ; 29(1): 44-49, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31917940

RESUMO

AIMS AND OBJECTIVES: the purpose of this pilot study was to explore the attitudes and perceptions of members of the UK public towards self-care for minor ailments. BACKGROUND: with an ageing and increasing population, and an NHS under extreme pressure, methods to reduce demand on health services are vital. Increasing the use of self-care for minor ailments is one way in which this pressure could be alleviated. DESIGN AND METHOD: this study used qualitative methods including semi-structured telephone interviews. The data were then evaluated, and key themes drawn out using thematic analysis. FINDINGS: the results showed that the public are aware of the notion of self-care, and some are engaging with it. However, for a number of reasons, patients are still likely to want a face-to-face appointment despite the use of online and telephone advice services. CONCLUSION: the study highlighted that there are multifactorial aspects impacting on a patient's likelihood of engaging in self-care when faced with a minor illness. The results are not generalisable to every member of the public, but interesting questions are raised with regard to the usefulness of current public health messages in various media when there appears to be a lack of desire from the public to use some recommended services.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Autocuidado/psicologia , Índice de Gravidade de Doença , Humanos , Projetos Piloto , Medicina Estatal , Reino Unido
5.
Br J Nurs ; 29(1): 62-63, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31917944

RESUMO

Emeritus Professor Alan Glasper, from the University of Southampton, discusses processes for ensuring that all patients have an up-to-date personalised care plan that details all their care needs during admission to hospital.


Assuntos
Planejamento de Assistência ao Paciente/organização & administração , Medicina de Precisão/métodos , Medicina de Precisão/enfermagem , Humanos , Medicina Estatal , Reino Unido
6.
Br J Nurs ; 29(1): 50-54, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31917945

RESUMO

INTRODUCTION: access to water at the bedside is a cornerstone of patient care. Among bedbound inpatients, water within reach at the bedside is a basic human dignity and one that ought not to be neglected. AIM: the authors sought to identify the extent to which accessible hydration facilities were provided to a bedbound inpatient population. METHODS: a cross-sectional, point-prevalent audit of hospitalised medical inpatients across five centres was conducted. Data were collected between meal times and noted baseline demographics and admission details, adequacy of oral hydration provision at the bedside and, where provision was inadequate, factors associated with this. RESULTS: across a total surveyed patient population of 559 we identified 138 patients who were bedbound. Among these bedbound patients, 6% (n=8) had no water provided at the bedside. However, 7 of these were deemed to be unable to swallow safely. In total, 44 (32%) of the 138 bedbound patients were unable to reach the water at their bedside; 18 of these patients would have been able to drink for themselves had the water been in reach. CONCLUSION: there is significant room for improvement in ensuring patients who are immobile are able to reach drinking apparatus at the bedside. In the five centres surveyed, approximately one in five bedbound patients with no contraindication are unable to reach an essential means of hydration.


Assuntos
Auditoria Clínica , Desidratação/prevenção & controle , Água Potável , Hospitalização , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Inglaterra , Feminino , Hospitais Gerais , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Medicina Estatal , Adulto Jovem
7.
Br J Nurs ; 29(1): 75, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31917946

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers the need for nurse leaders to champion progress in digital technology and information-sharing with the aim of providing better care.


Assuntos
Registros Eletrônicos de Saúde/organização & administração , Enfermeiras Administradoras/psicologia , Medicina Estatal/normas , Inglaterra , Humanos
8.
Br J Nurs ; 29(1): 64-65, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31917947

RESUMO

John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses how a study of law can enhance a patient safety syllabus.


Assuntos
Pessoal de Saúde/educação , Segurança do Paciente/legislação & jurisprudência , Inglaterra , Humanos , Medicina Estatal/legislação & jurisprudência
10.
BMJ ; 368: m134, 2020 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-31937593
12.
Br J Nurs ; 29(2): 82, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972105
13.
J R Soc Med ; 113(1): 3, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31922443

Assuntos
Medicina Estatal
16.
N Engl J Med ; 382(4): 309-317, 2020 01 23.
Artigo em Inglês | MEDLINE | ID: mdl-31971676

RESUMO

BACKGROUND: In September 2015, the United Kingdom introduced the multicomponent meningococcal group B vaccine (4CMenB, Bexsero) into its publicly funded national immunization program at a reduced two-dose priming schedule for infants, with a 12-month booster. METHODS: Using data from enhanced national surveillance of invasive meningococcal disease in England, we evaluated the effect of vaccination on the incidence of meningococcal group B disease during the first 3 years of the program. The effect of vaccination was assessed by comparing the observed incidence of disease with the expected incidence based on the incidence during the 4-year prevaccination period in equivalent cohorts and with the use of disease trends in cohorts of children younger than 5 years of age who were not eligible to receive the vaccine. Vaccine effectiveness was estimated with the use of the indirect screening method. RESULTS: 4CMenB uptake in England remained consistently high; data from the first 3 months of 2018 showed that 92.5% of children had completed the primary immunizations by their first birthday and 87.9% had received all three doses by 2 years. From September 2015 through August 2018, the incidence of meningococcal group B disease in England (average annual birth cohort, approximately 650,000 infants) was significantly lower in vaccine-eligible cohorts than the expected incidence (63 observed cases as compared with 253 expected cases; incidence rate ratio, 0.25; 95% confidence interval [CI], 0.19 to 0.36), with a 75% reduction in age groups that were fully eligible for vaccination. The adjusted vaccine effectiveness against meningococcal group B disease was 52.7% (95% CI, -33.5 to 83.2) with a two-dose priming schedule for infants and 59.1% (95% CI, -31.1 to 87.2) with a two-dose priming schedule plus a booster at 1 year). Over the 3-year period, there were 169 cases of meningococcal group B disease in the vaccine-eligible cohorts, and an estimated 277 cases (95% CI, 236 to 323) were prevented. CONCLUSIONS: The 4CMenB program was associated with continued positive effect against meningococcal group B disease in children in England, and protection after three doses of the vaccine was sustained for at least 2 years. (Funded by Public Health England.).


Assuntos
Programas de Imunização , Infecções Meningocócicas/prevenção & controle , Vacinas Meningocócicas/imunologia , Neisseria meningitidis Sorogrupo B , Pré-Escolar , Intervalos de Confiança , Inglaterra/epidemiologia , Humanos , Esquemas de Imunização , Imunização Secundária , Incidência , Lactente , Recém-Nascido , Infecções Meningocócicas/epidemiologia , Medicina Estatal , Resultado do Tratamento , Reino Unido
17.
Br J Nurs ; 29(2): 127, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972109

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers the problems with pensions, and the spectre of money problems generally facing nurses.


Assuntos
Enfermeiras e Enfermeiros/economia , Enfermeiras e Enfermeiros/psicologia , Pensões , Inglaterra , Humanos , Medicina Estatal
18.
Br J Nurs ; 29(2): 122-123, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972113

RESUMO

John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, looks back at some patient safety policy publications and crises in 2019 and asks whether the NHS will be any safer in 2020 and whether any lessons have been learnt.


Assuntos
Segurança do Paciente , Medicina Estatal/organização & administração , Humanos , Reino Unido
19.
Br J Nurs ; 29(2): 124, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972116

RESUMO

John Fowler, Educational Consultant, explores how to survive your nursing career.


Assuntos
Consultores , Recursos Humanos de Enfermagem/economia , Salários e Benefícios , Consultores/psicologia , Humanos , Recursos Humanos de Enfermagem/psicologia , Medicina Estatal , Reino Unido
20.
Br J Nurs ; 29(2): 120-121, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972120

RESUMO

Emeritus Professor Alan Glasper, from the University of Southampton, discusses government concerns about the low uptake of flu vaccination among frontline healthcare staff.


Assuntos
Pessoal de Saúde , Vacinas contra Influenza/administração & dosagem , Programas Obrigatórios , Humanos , Medicina Estatal , Reino Unido
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