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bja bjb bjc bjd bje bjf bjg bjh bji bjj bjk bjl. 2011. bka bkb bkc bkd bke bkf bkg bkh bki bkj bkk bkl. 2012. bla blb blc bld ble blf blg blh bli blj blk bll. 2013. bma bmb bmc bmd bme bmf bmg bmh bmi bmj bmk bml. 2014. bna bnb bnc bnd bne bnf bng bnh bni bnj bnk bnl. 2015. boa bob boc bod boe bof bog boh boi boj bok bol. 2016

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bja bjb bjc bjd bje bjf bjg bjh bji bjj bjk bjl. 2011. bka bkb bkc bkd bke bkf bkg bkh bki bkj bkk bkl. 2012. bla blb blc bld ble blf blg blh bli blj blk bll. 2013. bma bmb bmc bmd bme bmf bmg bmh bmi bmj bmk bml. 2014. bna bnb bnc bnd bne bnf bng bnh bni bnj bnk bnl. 2015. boa bob boc bod boe bof bog boh boi boj bok bol. 2016

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Results The geometric mean ratios (GMR, 95% CI) and Spearman correlations (r) of self-reported (after 6 months) versus recorded number and duration of calls were: GMR=0.65 (0.53 to 0.80), r=0.53; and GMR=1.11 (0.86 to 1.42), r=0.57 respectively. Participants held the phone on average for 86% of the total call time near the head. Self-reported right side users …

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Choroiditis. Chronic chlamydial conjunctivitis. Chronic open-angle glaucoma. Clouding of the lens. COAG. Comitant strabismus. Cone dystrophy. Consecutive strabismus. Contact lens-related corneal abrasion.

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Updated: 6 hours ago

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New onset of double vision with red eye is suggestive of orbital pathologies, including orbital cellulitis and thyroid eye disease. Any contact lens wear? A painful red eye in contact lens wearers should raise the suspicion of contact lens-related c

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CME volunteers for the Malignant Hyperthermia Association of the United States (MHAUS), including as a consultant for the malignant hyperthermia hotline. CME is co-author of a chapter on malignant hyperthermia in Fuhrman & …

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The incidence of acute anesthetic-associated MH varied from 1 in 4000 to 1 in 250,000 anesthetics over a 6.5-year period, depending on the details of the clinical definition of MH and the type of anesthetic drugs to which the patient was exposed. Or

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+44 (020) 7383 6418

The BMJ, BMA House, Tavistock Square, London WC1H 9JP, UK. Tel: +44 (020) 7387 4410. Fax: +44 (020) 7383 6418. For questions about article submission and ScholarOne (our manuscript submission system), please contact [email protect

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2021-001234

Epileptic seizure frequency fell by an average of 86% among 10 children treated with whole plant medicinal cannabis, reveals a case series, published in the open access journal BMJ Paediatrics Open.. None of the children had responded to other treatments, including the only cannabidiol (CBD) product licensed for their condition.. The findings prompt the …

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Updated: 4 hours ago

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Chronic constipation is a polysymptomatic heterogeneous disorder. Patients define constipation on the basis of excessive straining, a sense of incomplete evacuation, failed or lengthy attempts to defecate, hard stools, and, less frequently, by the number of stools per week. Herz MJ, Kahan E, Zalevski S, et al. Constipation: a different entity for patients and doctors.

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Background The COVID-19 outbreak has placed the National Health Service under significant strain. Social distancing measures were introduced in the UK in March 2020 and virtual consultations (via telephone or video call) were identified as a potential alternative to face-to-face consultations at this time. Local problem The Royal National Orthopaedic Hospital (RNOH) …

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Interesting, I thought.Apparently RFK Jr. is doing the same thing with Peter Doshi as he did with Dr. Hooman Noorchashm and republishing his work on his antivaccine website, as there is also a notice:. Originally published by The BMJ May 18, 2021, written by Peter Doshi, reproduced here under the terms of the CC BY NC licence.. This refers to this Creative …

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It seemed a truth universally acknowledged that the human population had no pre-existing immunity to SARS-CoV-2, but is that actually the case? Peter Doshi explores the emerging research on immunological responses Even in local areas that have experienced some of the greatest rises in excess deaths during the covid-19 pandemic, serological surveys since the …

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Bell’s palsy is an acute, sudden-onset, unilateral facial palsy of probable viral aetiology. Clinical diagnosis of exclusion. High-dose corticosteroids should be administered in all patients in the absence of significant contraindications. Other treatment options include concomitant antiviral age...

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Coronavirus disease 2019 (COVID-19) is an infectious acute respiratory disease caused by a novel coronavirus. The World Health Organization (WHO) was informed of cases of pneumonia of unknown microbial etiology associated with Wuhan City, Hubei Province, China on 31 December 2019. The WHO later a...

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### What you need to know Loop diuretics are commonly prescribed to manage oedema symptoms such as swollen legs or breathlessness and to relieve fluid overload. They are widely recommended by guidelines and organisations such as the National Institute for Health and Care Excellence (NICE) in the UK. The loop diuretics available in the UK are furosemide, …

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Cushing syndrome is the clinical manifestation of pathological hypercortisolism from any cause. Patients often display weight gain with central obesity, facial rounding and plethora, proximal muscle weakness, and thinning of the skin.

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Dementia is a syndrome characterised by deterioration in cognition, resulting in impairment in the activities of daily living. Cognitive decline often affects multiple domains. The incidence of dementia doubles with every 6.3 year increase in age, from 3.9 per 1000 person-years at age 60-64, to 1...

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Infective endocarditis often presents non-specifically, most commonly with fever and symptoms/signs of embolism.Consider historical sources of bacteraemia, such as indwelling vascular catheters, recent dental work, and intravenous drug use.Symptoms are often subtle and examination is often non-speci

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Just 1.6 cases per 100,000 in younger individuals (12-39 years) after Pfizer-BioNTech vaccine; Findings support the overall safety of mRNA vaccines for covid-19. A study published by The BMJ today (December 16, 2021) provides more reassuring data on the risk of heart inflammation (myocarditis or

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Updated: 2 hours ago

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The Association for Respiratory Technology & Physiology (ARTP) last produced a statement on the performance of lung function testing in 1994. At that time the focus was on a practical statement for people working in lung function laboratories. Since that time there have been many technological advances and alterations to best practice in the measurement and interpretation …

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Updated: 7 hours ago

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In one study the non-attendance rate overall fell from 15% to 4.6% and to 1.4% for those people who also received a phone call. 12 Many more studies have concluded that better communication improved outcomes for patients. 13, 14. People also want to feel involved, not just in their care, but also in decisions about research and in helping others.

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Updated: 6 hours ago

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Cates C. Confidence intervals for the number needed to treat: Pooling numbers needed to treat may not be reliable. BMJ 1999; 318: 1764-1765. Clarke MJ, Broderick C, Hopewell S, Juszczak E, Eisinga A. Compression stockings for preventing deep vein thrombosis in airline passengers. Cochrane Database of Systematic Reviews 2016; 9: CD004002.

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Contact the Product Owner of BMJ’s Article Transfer Service for more information or assistance. ORCID Annals of the Rheumatic Diseases mandates ORCID iDs for the submitting author at the time of article submission; co-authors and reviewers are strongly encouraged to also connect their ScholarOne accounts to ORCID.

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Objectives Behçet’s syndrome (BS) is a rare systemic vasculitis often complicated by thrombotic events. Given the lack of validated biomarkers, BS diagnosis relies on clinical criteria. In search of novel biomarkers for BS diagnosis, we determined the profile of plasmatic circulating microRNAs (ci-miRNAs) in patients with BS compared with healthy controls (HCs). …

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The NHS Institute for Innovation and Improvement has determined that a £7 million saving can be achieved per trust by improving theatre efficiency. The aim of this quality improvement project was to improve orthopaedic theatre turnaround without compromising the patient safety. We process mapped all the stages from application of dressing to knife to skin on the next patient …

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Updated: 5 hours ago

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Dear Editor. After nearly 3 and a half years of our previous response to the same article we confess that we were wrong. Actually, Sir Philip Sedgewick has rightly taken the reference value as 1 for both NNT & NNH.

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A number of educational modules for self-assessment are now available online via BMJ Learning. Aimed at hospital pharmacists and based on recordings of satellite events held at the annual European Association of Hospital Pharmacists (EAHP) Congress, they are free to access and accredited by the Accreditation Council for Pharmacy Education (ACPE).

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Updated: 3 hours ago

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Mal J Med Health Sci 2018; 14(2): 17-29.|Ganasegaran K, Renganathan P, Abdul Manaf R, et al. Factors associated with anxiety and depression among type 2 diabetes outpatients in Malaysia: A descriptive cross-sectional single-centre study. BMJ Open 2014; 4: e004794.|Mohamed R, Abdul Kadir A, Yaacob LH.

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Systemic sclerosis (SSc), also known as scleroderma, is a multi-system, autoimmune disease, characterised by functional and structural abnormalities of small blood vessels, fibrosis of skin and internal organs, and production of auto-antibodies.

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It’s been driving policy decisions since covid-19 emerged in late 2019, but what is the R number, and does it matter, asks Elisabeth Mahase The R number could refer to either the basic reproduction number, known as the R nought or zero (R), or the effective reproduction number (Re). R describes how many people each infected person will infect on average, …

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Geva Greenfield and colleagues ask whether it is time to reconsider the role of the GP as gatekeeper to specialist services, and call for more evidence to guide future policy Gatekeeping is the term used to describe the role of primary care physicians or general practitioners (GPs) in authorising access to specialty care, hospital care, and diagnostic tests.1 …

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Pickup JC, Freeman SC, Sutton AJ. Glycaemic control in type 1 diabetes during real time continuous glucose monitoring compared with self monitoring of blood glucose: meta-analysis of randomised controlled trials using individual patient data. BMJ. 2011; 343:3805. [PMC free article] [Google Scholar]

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Ana M Valdes and colleagues discuss strategies for modulating the gut microbiota through diet and probiotics Microbiome refers to the collective genomes of the micro-organisms in a particular environment, and microbiota is the community of micro-organisms themselves (box 1). Approximately 100 trillion micro-organisms (most of them bacteria, but also viruses, fungi, …

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Updated: 6 hours ago

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Plan-do–study–act (PDSA) cycles are the building blocks of iterative healthcare improvement.1 Although frequently regarded as separate from research,2 this quality improvement method remains rooted in the scientific method. The P in PDSA usually stands for ‘plan’ but could just as easily refer to ‘predict’. Each cycle combines prediction with a test of change (in effect, …

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The CONSORT statement is used worldwide to improve the reporting of randomised controlled trials. Kenneth Schulz and colleagues describe the latest version, CONSORT 2010, which updates the reporting guideline based on new methodological evidence and accumulating experience Randomised controlled trials, when appropriately designed, …

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Since its publication in 1996, CONSORT has been supported by more than 400 journals (www.consort-statement.org) and several editorial groups, such as the International Committee of Medical Journal Editors.49 The introduction of CONSORT within journals is associated with improved quality of reports of RCTs.17 50 51 However, CONSORT is an …

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Problem based learning is used in many medical schools in the United Kingdom and worldwide. This article describes this method of learning and teaching in small groups and explains why it has had an important impact on medical education. In problem based learning (PBL) students use “triggers” from the problem case or scenario to define their own learning …

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Updated: 7 hours ago

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The editor-in-chief of The British Medical Journal (BMJ), Fiona Godlee, alongside Kamran Abbasi, an executive editor of the BMJ who will succeed Godlee on January 1st 2022, published a piece in the journal criticizing Mark Zuckerberg and Facebook “fact checkers.” The piece was published on the 2nd of November.

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The sources nominated most often as frequent interruption sources were as follows: patients (69.8% of respondents), call buttons (60%), nurses (51%), relatives (43%) and doctors (25.9%). We asked all nurses about their views of being observed during the study. The majority (60.2%, n=53) reported that being observed made no difference to them.

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bmj iso 45001 With ISO 45001, BMJ is at another step to ensure that we do not only aim to become your number one partner in the cigarette industries but also aim to be the number one partner for our stakeholder’s health and safety.

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Updated: 7 hours ago

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These are general formatting guidelines across BMJ, ... Contact details for the editorial team are on the journal’s Contact Us page. You can also refer to our formatting checklist to make sure you have covered everything on submission ... be careful with punctuation, e.g. Caparo Industries plc v Dickman and others [1990] 1 All ER 568-608.

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BMJ Best Practice uses the latest evidence-based research, guidelines and expert opinion to offer step-by-step guidance on diagnosis, prognosis, treatment and prevention. Click ‘Access BMJ Best Practice’ button below. Enter your OpenAthens username and password and click ‘Sign in’* …

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+44 (0)203 655 5997

London, UK head office BMJ BMA House Tavistock Square London WC1H 9JR United Kingdom . Switchboard: +44 (0)203 655 5997 Customer Service: +44 (0) 20 7111 1105

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There may be occasions where several reviewers are invited before the required number can be arranged, or when a reviewer fails to deliver a review and the invitation process needs to start again. The average time to first decision is published on each journal’s website. Article provenance. BMJ is committed to transparency.

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BMJ is a global healthcare knowledge provider with a vision for a healthier world. Call +44 (0) 20 7111 1105 or email support@bmj.com for subscriptions, partnership interest, or …

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Join us on 9-10th December 2021. BMJ Masterclasses are back! We are delighted to be able to host our BMJ Masterclass virtual programme in 2021. The event will have options for you to learn from expert speakers, ask questions and interact with peers.

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Head office BMJ, BMA House, Tavistock Square, London WC1H 9JR, United Kingdom. Switchboard: +44 (0)20 7387 4410 Customer Service: +44 (0) 20 7111 1105

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BMJ Quality & Safety. is an international peer-reviewed journal covering the science of improvement across healthcare service and provision. Impact Factor: 7.035 Citescore: 9.0 All …

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Contact the Product Owner of BMJ’s Article Transfer Service for more information or assistance. Article processing charges BMJ Global Health is an open access journal and levies an Article Processing Charge (APC) of 3,000 GBP (exclusive of VAT for UK and EU authors).

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