5,082,997 papers found

BACKGROUND: Bulimia nervosa is a severe mental disorder associated with several physical and mental health complications. The aim of this review is to provide an overview of existing theoretical models regarding the development and maintenance of bulimia nervosa. A second aim is to develop a synthesis to allow for a mo…

INTRODUCTION: Social isolation and loneliness are prevalent among older adults and associated with negative health outcomes. Virtual reality (VR) interventions have emerged as a potential approach to address this problem, but their effectiveness remains unclear. This systematic review aims to synthesise evidence on the…

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To determine the benefits and harms of dose reduction or discontinuation of biologic disease-modifying anti-rheumatic drugs or targeted synthetic disease-modifying anti-rheumatic drugs in adults with psoriatic arthritis who are in r…

INTRODUCTION: Access to medical rehabilitation remains poor in Sub-Saharan Africa. This is partly due to inadequate service delivery emanating from ill-defined public health policies. Developed countries have adopted public-private partnership (PPP) agreements between the government and private sectors, thus presenting…

Hospitals' medical surge preparedness or surge capacity preparedness plays a significant role in reducing mortalities and in the treatment of severe injuries in disasters and emergencies. Though actions or activities for surge capacity preparedness of hospitals are discussed in several studies, they remain fragmented a…

AIM: This scoping review will gather existing evidence on specific interventions at presentation and discharge which aim to standardize care and/or reduce unnecessary admissions and/or readmissions to hospital for patients presenting with acute exacerbation of chronic obstructive pulmonary (airways) disease. DESIGN: S…

BACKGROUND: There is recognition that the overuse of procedures, tests and medications strains the healthcare system financially and can cause unnecessary stress and harm to patients. In recent years, several initiatives have targeted the reduction or elimination of low-value practices in healthcare. Research suggests…

BACKGROUND/AIMS: Many clinical trials are reported without reference to the existing relevant high-quality research. This study aimed to investigate the extent to which authors of reports of clinical trials of physiotherapy interventions try to use high-quality clinical research to (1) help justify the need for the tri…

OBJECTIVES: Systematic reviews on complex interventions like self-management interventions often do not explicitly state an operational definition of the intervention studied, which may impact the review's conclusions. This study aimed to propose an operational definition of self-management interventions and determine…

BACKGROUND: Autologous skin grafting is an important modality for wound coverage; however, it can result in donor site morbidity. Epidermal grafting is an emerging option to overcome this challenge. Furthermore, it can be done in an outpatient setting with minimal or no pain. To date, the evidence on the efficacy of th…

INTRODUCTION: Serious adverse outcomes for people with dementia include institutionalisation, hospitalisation, death, development of behavioural and psychiatric symptoms, and reduced quality of life. The quality of the relationship between the person with dementia and their informal/family carer is thought to affect th…

AIM: To establish the psychometric properties of instruments to measure learning outcomes in healthcare students. BACKGROUND: Meaningful learning is an active process that promotes a wider and deeper understanding of concepts. It is the result of an interaction between new and previous knowledge. Meaningful learning p…

RATIONALE: Social media platforms have made information about mental health more accessible than ever, with over 60% of young adults using social media as a primary information source. Content about neurodiversity issues, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), is h…

The postpartum period is a time of increased vulnerability to mental health challenges due to physiological, emotional, and social changes, with nearly one-quarter of Canadian mothers reporting symptoms of postpartum depression or anxiety. These challenges may be amplified for racialized mothers, who may encounter syst…

INTRODUCTION: Implementation science seeks to promote the adoption and sustainment of evidence-based interventions across diverse settings. While technical and organisational determinants of implementation have been extensively studied, relational factors-particularly trust and trustworthiness-remain under-theorised de…

INTRODUCTION: Although currently available behavioral interventions can be effective at promoting physical activity among people with multiple sclerosis (MS), there is inconsistency in the magnitude of reported intervention effects. This highlights the importance of exploring the available evidence of moderation, which…

INTRODUCTION: Triage is an essential strategy to mitigate crowding and guarantee patients' safety in emergency departments. To improve the quality of triage in emergency departments, Nurses should be equipped with the necessary competencies. Therefore, this review aims to synthesize available evidence on the competency…

OBJECTIVE: The objective of this review is to assess whether tobacco use is a risk factor for recurrent aphthous stomatitis. INTRODUCTION: Recurrent aphthous stomatitis is a common oral condition that presents as oral ulcers. Tobacco use is generally considered a risk factor for several types of oral lesions; however,…

BACKGROUND: Cardiac arrhythmias, particularly atrial fibrillation, are highly prevalent and represent a growing global health burden. Cardiac ablation is a commonly used procedure for the treatment of cardiac arrhythmias, often requiring anaesthesia to ensure patient safety and procedural success. Despite its widesprea…