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Mashup Score: 0
Introduction Migrant women in transit face high risk of developing mental health problems such as depression and anxiety, driven by gendered social-structural factors including violence, social isolation, migration uncertainty, limited access to services and gender inequities. Although migrant women who endure such conditions have high need for mental health prevention, few evidence-based interventions are tailored to this population. Moreover, while women and children’s mental health are interconnected, few mental health interventions address parenting needs. The aim of this study is to pilot-test a novel parenting and mental health prevention intervention for migrant mothers with young children (MMC) in Tijuana, Mexico, including (a) assessing acceptability; (b) estimating effect sizes on symptoms of depression, anxiety, and parenting stress; (c) identifying which theory-based mechanisms of action predict changes in outcomes; and (d) identifying factors associated with differential i
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Mashup Score: 2Differential attainment at national selection for higher surgical training: a retrospective cohort study - 16 hour(s) ago
Objectives National selection for higher surgical specialty training (HST) in the UK is a high-stakes gatekeeping assessment. If barriers, such as differential attainment, exist at HST selection for some groups and not others, then this will have a significant and lasting impact on trainees’ career progression and the diversity of the workforce, which should reflect the population it provides care for. The objective of this study was to characterise the relationship between candidate sociodemographic factors and performance at National Selection for HST in the UK. Design A retrospective cohort study. Setting National Selection for HST in the UK. Participants All UK graduates in the UKMED database () who underwent selection for HST from 2012 to 2019. Outcomes and measures Performance at HST Selection for each surgical specialty is measured by assessment of the candidate’s academic portfolio and multiple objective structured clinical examination style stations testing knowledge and skill
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Mashup Score: 1
Objective To investigate the safety, feasibility and acceptability of the Neurofenix platform for upper-limb rehabilitation in acute and subacute stroke. Design A feasibility randomised controlled trial with a parallel process evaluation. Setting Acute Stroke Unit and participants’ homes (London, UK). Participants 24 adults (>18 years), acute and subacute poststroke, new unilateral weakness, scoring 9–25 on the Motricity Index (elbow and shoulder), with sufficient cognitive and communicative abilities to participate. Interventions Participants randomised to the intervention or control group on a 2:1 ratio. The intervention group (n=16) received usual care plus the Neurofenix platform for 7 weeks. The control group (n=8) received usual care only. Outcomes Safety was assessed through adverse events (AEs), pain, spasticity and fatigue. Feasibility was assessed through training and support requirements and intervention fidelity. Acceptability was assessed through a satisfaction questionnai
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Mashup Score: 2
Objectives This study assessed knowledge of physical activity (PA) guidelines and confidence to deliver PA advice, across current final-year medical students in Scotland. This follows a 2013 survey finding that this cohort lacked this knowledge and confidence; thus, authors recommended improvements to undergraduate medical PA education and re-evaluation of these measures thereafter. Design A cross-sectional online survey. Setting The survey was distributed across four Scottish universities. Participants Final-year undergraduate medical students; n=166 completed the survey. 69% women, 23.3±1.8 years old and 69% met the PA guidelines. Results 27% correctly identified the UK PA guidelines, despite 52% stating awareness of these. While 80% reported receiving PA education, only 20% felt adequately trained to give PA advice to the general population. This study highlights that compared with 2013, more students were aware of PA guidelines and had received training, but fewer could identify th
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Mashup Score: 0Exploratory study of patients’ and carers’ preferences for postdischarge surgical wound monitoring using survey and interviews - 2 day(s) ago
Objectives To explore patients’ and carers’ preferences for postdischarge surgical wound monitoring. Design Explanatory mixed methods study with an online survey followed by online interviews. Setting The online survey was distributed via the Cardiothoracic Interdisciplinary Research Network and cardiac surgery patient and public involvement groups in London and Leicester, UK. Participants were invited to share the survey link with other patients and carers. Interviewees were recruited through the survey. Participants Seventy participants completed the survey: 74% patients and 26% carers. A range of ages, sex, ethnicities and geographical locations were represented. Six survey patient participants volunteered to be interviewed. Findings Themes identified were the impact on patients of having a surgical site infection, patients’ preferences for postdischarge surgical wound follow-up, access to specialist support, wound monitoring using digital technology and receiving information from t
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What are patients’ and carers’ preferences for surgical wound monitoring after discharge? See the results of this survey via the Cardiothoracic Interdisciplinary Research Network and cardiac surgery patient and public involvement groups in the UK: https://t.co/llRDq4yqOg… https://t.co/xy5mGwzJaq https://t.co/fdXtWtJxTx
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Mashup Score: 0
Objective To study the behavioural factors associated with sustained cigarette smoking cessation, and those associated with a current smoker attempting to quit, among current and former cigarette smokers living in low-income South African communities. Setting Three low-income areas in South Africa. Design In-person surveys with structured questions that asked respondents about their cigarette smoking and quitting behaviour, sociodemographic information and behavioural attributes. Participants Current smokers were eligible to participate if they had smoked at least one cigarette in the week prior to the interview (n=569). Former smokers were eligible if they had ever smoked cigarettes regularly in the past and had abstained from smoking for at least 6 months (n=106). Outcomes (1) Abstinence from cigarette smoking for at least 6 months and (2) attempting to quit cigarette smoking in the past 12 months. Results Compared with low levels of self-control, high levels of self-control increase
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Mashup Score: 9Global insight into rare disease and orphan drug definitions: a systematic literature review - 2 day(s) ago
Objectives This study sheds light on the available global definitions, classifications, and criteria used for rare diseases (RDs), ultrarare diseases (URDs), orphan drugs (ODs) and ultraorphan drugs (UODs) and provides insights into the rationale behind these definitions. Design A systematic literature review was conducted to identify existing definitions and the criteria used to define RDs, ODs and their subtypes. Data sources Searches were performed in the PubMed/Medline, Embase, Scopus and Web of Science (Science and Social Sciences Citation Index) databases covering articles published from 1985 to 2021. Eligibility criteria for selecting studies English-language studies on the general human population were included if they provided definitions or criteria for RDs, ODs and/or their subtypes without restrictions on publication year, country or jurisdiction. Data extraction and synthesis Two independent reviewers conducted the search, screening and data extraction. Narrative synthesis
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Mashup Score: 2
Objective This study explored and compared stakeholder perspectives on enhancements to cervical cancer screening for vulnerable women across seven European countries. Design In a series of Collaborative User Boards, stakeholders were invited to collaborate on identifying facilitators to improve cervical cancer screening. Setting This study was part of the CBIG-SCREEN project which is funded by the European Union and targets disparities in cervical cancer screening for vulnerable women ([www.cbig-screen.eu][1]). Data collection took place in Bulgaria, Denmark, Estonia, France, Italy, Portugal and Romania. Participants Represented stakeholders at various levels, including user representatives (vulnerable women), healthcare professionals, social workers, programme managers and decision makers. Methods 14 meetings lasting 2 hours each were held in these seven countries between October 2021 and June 2022. The meetings were audio or video recorded, transcribed and translated into English for
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Mashup Score: 0Exploring the experiences of cognitive symptoms in Long COVID: a mixed-methods study in the UK - 3 day(s) ago
Objective To explore the lived experiences and extent of cognitive symptoms in Long COVID (LC) in a UK-based sample. Design This study implemented a mixed-methods design. Eight focus groups were conducted to collect qualitative data, and the Framework Analysis was used to reveal the experiences and impact of cognitive symptoms. A self-report questionnaire was used to collect the quantitative data to assess the perceived change and extent of symptomology post COVID-19. Setting Focus groups were conducted in April 2023 online via Zoom and in-person at the University of Leeds, UK. Participants 25 people with LC living in the UK participated in the study. Participants were aged 19–76 years (M=43.6 years, SD=14.7) and included 17 women and 8 men. Results Reduced cognitive ability was among the most prevalent symptoms reported by the study participants. Three key themes were identified from the qualitative data: (1) rich accounts of cognitive symptoms; (2) the impact on physical function and
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Mashup Score: 1Cohort profile: the BangladEsh Longitudinal Investigation of Emerging Vascular and nonvascular Events (BELIEVE) cohort study - 5 day(s) ago
Purpose Bangladesh has experienced a rapid epidemiological transition from communicable to non-communicable diseases (NCDs) in recent decades. There is, however, limited evidence about multidimensional determinants of NCDs in this population. The BangladEsh Longitudinal Investigation of Emerging Vascular and nonvascular Events (BELIEVE) study is a household-based prospective cohort study established to investigate biological, behavioural, environmental and broader determinants of NCDs. Participants Between January 2016 and March 2020, 73 883 participants (aged 11 years or older) were recruited from 30 817 households across urban, urban-poor (‘slum’) and rural settings in Bangladesh. A structured questionnaire was administered by trained personnel recording participants’ demographic, socioeconomic, behavioural, medical, environmental and other factors. Anthropometric measurements and blood pressure were recorded for each participant. Biological specimens were collected and aliquoted for
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Mamá Empoderada (Mom Power) is a novel parenting and mental health prevention intervention for migrant mothers with young children at the Mexico-US border Read this study protocol for a pilot trial of this intervention due to complete in 2026: https://t.co/4SibzRF5wT https://t.co/NztjcAjyYj