Developing a national clinical competency committee for family medicine training, South Africa by Louis S. Jenkins, Mergan Naidoo, Kefilwe Hlabyago, Dirk T. Hagemeister, Neetha Erumeda, Busisiwe Cawe, Tasleem Ras, Mulimisi Ramavhuya, Owen Eales

“…These EPAs provide a structured approach to assessing and developing the competencies required for independent practice in family medicine. …”
Get full text

Prioritising Key Concepts for informed health choices in cancer: An evidence-based online educational programme by Mengqi Li, Declan Devane, Claire Beecher, Maura Dowling, Austin G. Duffy, Caitriona Duggan, David Robert Grimes, Avril Kennan, Claire Kilty, Allen Nsangi, Andrew D. Oxman, Derek C. Stewart, Elaine Toomey, Marie Tierney

“…The process involved disseminating pre-reading materials, training sessions, and a structured judgement form to evaluate concepts for inclusion. …”
Get full text

Anaemia during pregnancy: a cross-sectional study of antenatal attendants at the Madina Pentecost Hospital, La Nkwantanang Municipality, Ghana by Richard Vikpebah Duneeh, Wina Ivy Ofori Boadu, Lois Tekutey Narh, Joseph Frimpong, Abdul-Wahab Mawuko, John Gameli Deku, Kofi Mensah, Charles Nkansah, Samuel Kwasi Appiah, Felix Osei Boakye, Enoch Odame Anto, Lilian Antwi Boateng, Benedict Sackey, Otchere Addai-Mensah

“…This cross-sectional study conveniently recruited 300 Ghanaian pregnant women attending the Madina Pentecost Hospital for antenatal care. A structured questionnaire was administered to obtain data on sociodemographics (age, marital status, level of education, occupation and religion) and knowledge level of anaemia. …”
Get full text

Engagement of Indigenous peoples in commercial tobacco reform strategies: a scoping review protocol by Andrew Waa, Raglan Maddox, El-Shadan Tautolo, Michelle Kennedy, Patricia Nez Henderson, Hershel Clark, Priscilla Nez, Penney Upton, Andrew Daniel Perusco, Sydney A. Martinez, Sierra Wilcox, Jeyasakthi Venugopal

“…This review supports the global goal of eradicating commercial tobacco-related harms – reframing commercial tobacco use as a structurally imposed harm sustained by colonial and commercial forces rather than personal choice. …”
Get full text

Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach by Luis Bahamondes, Jose G. Cecatti, Aline Munezero, Rachel E. Soeiro, Karayna G. Fernandes, Samira M. Haddad, Silvana Ferreira Bento, Karla S. Padua, Vilma Zotareli, Charles M. Charles, Montas Laporte, Caron Kim, Vanessa Brizuela, Moazzam Ali, for the WHO HRP Social Science Research Team

“…Abstract Background Limited scientific evidence is available on the impact of COVID-19 on Sexual and Reproductive Health (SRH). Some data shows that severe disruptions in SRH services expose women to preventable health risks. …”
Get full text

Barriers and supports for Indigenous youth and young adults with childhood- onset chronic health conditions transitioning from pediatric to adult healthcare: a qualitative study by Andrew S. Mackie, Mandi Gray, Alyssa Chappell, Kira Dlusskaya, Rick Lightning, Larry Listener, Arrol Crier, Barbara Dumigan-Jackson, Audrey Thomas, Bonny Graham, Randy Littlechild, Joshua Lightning, Azure Johnson, Patricia Rain, Maxine Cutarm, Richard T. Oster

“…Methods The research was done in the province of Alberta, Canada, in collaboration with a Community Advisory Committee comprised of Indigenous healthcare providers, Elders and Knowledge Keepers and guided by a community-based participatory research approach. Semi-structured qualitative interviews (n = 46) were conducted with Indigenous youth, caregivers, and healthcare providers. …”
Get full text

White matter and cortical gray matter microstructural alterations in migraine: a NODDI and DTI analysis by Zhilei Li, Yanliang Mei, Lei Wang, Tianhua Fan, Cheng Peng, Kaibo Zhang, Shouyi Wu, Tong Chen, Zhenchang Zhang, Binbin Sui, Yonggang Wang, Xueying Yu

“…The plasticity changes in neuronal structures and neurotransmitter system dysregulations potentially play a crucial role in migraine onset and chronicity of migraine. …”
Get full text

Exploring prevalence and factors associated with depression and anxiety symptoms among Bangladeshi graduates: a GIS-based cross-sectional study by Abdullah Al Habib, Imtiaz Uddin, Mehedee Hasan, Firoj Al-Mamun, Moneerah Mohammad Almerab, David Gozal, Mohammed A. Mamun

“…A cross-sectional study was conducted among graduates from two public universities in Bangladesh, using face-to-face interviews and a semi-structured questionnaire. Data were collected between March and April 2024 through convenience sampling. …”
Get full text

Dishwashing practice and its determinants among food handlers in food and drinking service establishments in Dessie City and Kombolcha Town, Northeastern Ethiopia by Mekonnen Moges, Metadel Adane, Balew Adane, Genanew Mulugeta Kassaw, Abraham Teym, Getasew Yirdaw, Lake Kumlachew, Agernesh Ayele, Yenewa Bewket, Mesfin Gebrehiwot

“…To bridge this gap, this study proposes to evaluate the dishwashing practice employed by food handlers in food and drinking establishments and its determinants in Dessie City and Kombolcha Town, Northeastern Ethiopia.Methods and MaterialsAn institution-based cross-sectional study was done on 405 food handlers from 405 food and drinking establishments from 25 June 2022 to 25 August 2022 in Dessie City and Kombolcha Town. Data were collected by pre-tested semi-structured questionnaires and observational checklists. …”
Get full text

Patient navigation in German emergency care (NODE). Study protocol of a multi-center mixed-methods trial by Daniela Krüger, Maria Altendorf, Felix Holzinger, Cornelia Wäscher, Hanna Winkler, Martin Möckel, Christoph Heintze, Judith Stumm, Konrad Schmidt, Konrad Schmidt, Anna Slagman

“…This study includes four working modules: (1) a systematic literature review; (2) qualitative semi-structured interviews with patients (n∼15–20), as well as four focus group interviews with health care providers (n∼5); (3) a prospective multi-centre cohort study in adult, self-referred emergency patients at two time points (t0: n = 1,031; t1: n = 344), primary endpoint: proportion of patients treated other than standard emergency care, secondary endpoints: secondary efficiency, patient-reported outcome measures (PROMs), patient safety, quality of care, clinical outcomes, and cost-effectiveness; participant observation of patients' treatment trajectories and organizational processes at three different patient navigation models (n∼10–15), an online provider survey; and (4) data triangulation and recommendations for practice and policy.DiscussionThis is the first study to compare different patient navigation and cooperation models to standard ED care in Germany and evaluate their effectiveness. …”
Get full text

Knowledge, perception, and attitude toward COVID-19 vaccines in the Ho township, Volta region by Vivian Tackie, Christiana Asiedu, Ewoenam Darkey, Beatrice Hammond, Linda Jailer, Janet Osei Konadu, Samuel Otieku Cyril, Williams Marie Noel, Isaac Aidoo Erzuah

“…The response rate was 99.5% (441). A structured questionnaire was used to collect the data. …”
Get full text

Community-Dwelling Filipino Older Adults’ Experiences with Virtual Coach for Health-Enhancing Physical Activity (HEPA): A Phenomenology by Michael Joseph S. Dino, Kenneth W. Dion, Peter M. Abadir, Chakra Budhathoki, Patrick Tracy Balbin, Ma. Kristina G. Malacas, Rommel P. Hernandez, Jacquelyn Joyce G. Nicolas, Jhal Barcial-Espinosa, Cheryl R. Dennison Himmelfarb, Patricia M. Davidson, Ladda Thiamwong

“…MAXQDA was used to thematically analyze the qualitative data. <b>Results:</b> Nine key informants shared their experiences with the virtual coach-driven physical exercise program using mixed reality. …”
Get full text

Identity in turmoil: Investigating the morally injurious dimensions of minority stress by Andrew A. Nicholson, Sandhya Narikuzhy, Jakub Wolf, Mina Pichtikova, Magdalena Siegel, James Mirabelli, Taylor Hatchard, Niki Hosseini-Kamkar, Ella Bawagan, Sophia L. Roth, Christina Mutschler, Ruth A. Lanius, Fardous Hosseiny, Kristen Eckstrand, Brigitte Lueger-Schuster

“…Using a convergent parallel mixed-methods design, we conducted semi-structured qualitative interviews, performed clinical assessments, and administered a comprehensive battery of quantitative measures. …”
Get full text

Family-based substance use screening and intervention for adolescents with chronic medical conditions: a study protocol to implement SBIRT-family within school-based health centers by Faith Summersett Williams, Natalie A. Larez, Lauren Mondesir, Kennedy Curtis, Sara Valdivia, Sara Becker, Kenneth Papineau, Aaron Hogue

“…Focus groups will be audio recorded and conducted in English. The semi-structured focus group guides were designed based on the Health Equity Implementation Framework (HEIF) and the Consolidated Framework for Implementation Research (CFIR). …”
Get full text

What activities do patients hope to perform following anatomic total shoulder arthroplasty but are unable to? Looking beyond patient-reported outcome measures by Alexander E. White, MD, Nicolas Pascual-Leone, MD, Anthony Finocchiaro, BS, Christopher M. Brusalis, MD, David M. Dines, MD, Joshua S. Dines, MD, Andreas Kontaxis, PhD, Samuel A. Taylor, MD, Lawrence V. Gulotta, MD, Michael C. Fu, MD, MHS

“…Background: Patients undergoing anatomic total shoulder arthroplasty (aTSA) routinely achieve significant improvements in common patient-reported outcome measures (PROMs). While these structured PROMs produce reliable and standardized data for surgeons, individual patient desires and expectations related to postoperative activities may not be completely captured in standard PROMs. …”
Get full text

Comparative child mental health and academic outcomes after primary school teachers deliver task-shifted mental health care in India by Priscilla Giri, Molly M. Lamb, Venessa C. Fuentes, Arpana Thapa, Surekha Bhattarai, Choden Dukpa, Catherine C. Shrestha, Setareh Ekhteraei, Juliana L. Vanderburg, Breanna Windsor, Abhishek K. Rauniyar, Karen Hampanda, Bradley N. Gaynes, Rinzi Lama, Michael Matergia, Christina M. Cruz

“…We compared postintervention child mental health symptom scores and academic achievement. Semi-structured interviews and focus groups were analyzed using inductive content analyses. …”
Get full text

National Health Policy and factors predicting its implementation at the local level in Nepal: an exploratory cross-sectional study by Dipendra Khadka, Dipendra Khadka, Dipendra Khadka, Zhang Xinyi, Zhang Xinyi, Zhang Mengjie, Zhang Mengjie, Rajan Bhusal, Chichen Zhang, Chichen Zhang

“…This study evaluated the implementation status, challenges, and opportunities of the NHP at the local level in Nepal.Materials and methodsA descriptive cross-sectional study was conducted in the Lumbini province among 166 health workers selected through simple random sampling. Data were collected from October 10 to November 15, 2024, using a structured questionnaire developed in Nepali through literature review and expert consultations. …”
Get full text

Diarrhea Prevalence and Sociodemographic Factors among Under-Five Children in Rural Areas of North Gondar Zone, Northwest Ethiopia by Atalay Getachew, Tadesse Guadu, Alebachew Tadie, Zemichael Gizaw, Mulat Gebrehiwot, Daniel Haile Cherkos, Martha Alemayehu Menberu, Teklay Gebrecherkos

“…A community-based cross-sectional study was conducted from April to June 2016 among 736 randomly selected households with one child under five years old. A structured questionnaire was used for collecting information on sociodemographic characteristics and diarrheal occurrence. …”
Get full text

Multimodal versus non-contrast computed tomography for assessment of acute ischaemic stroke: the PRACTISE RCT by Keith W Muir, Salwa El Tawil, Alex McConnachie, Alicia Murray, Ian Ford, Grant Mair, Joanna Wardlaw

“…Routine computed tomography (CT) brain scanning offers limited assistance: non-contrast CT (NCCT) has low sensitivity to acute ischaemia, changes usually not being visible for many hours after the onset of a stroke, and NCCT is used in practice mainly to exclude other causal pathologies such as intracerebral haemorrhage (ICH) or other structural diseases. Additional imaging modalities can provide relevant physiological information including blood vessel anatomy (CT angiography, CTA) and brain perfusion (CT perfusion, CTP). …”
Get full text

Factors associated with the dietary total antioxidant capacity of pregnant Brazilian women by Roberta Rejane Santos de Carvalho, Poliana Cristina de Almeida Fonseca Viola, Sandra Patrícia Crispim, Ana Karina Teixeira da Cunha França, Anderson Marliere Navarro, Bruno Feres de Souza, Franciane Rocha de Faria, Naiara Sperandio, Nathalia Pizato, Mariana de Souza Macedo, Renata Junqueira Pereira, Sylvia do Carmo Castro Franceschini, Carolina Abreu de Carvalho, Anderson Marliere Navarro, Carolina Abreu de Carvalho, Danielle Góes da Silva, Franciane Rocha de Faria, Naiara Sperandio, Jorge Gustavo Velásquez Meléndez, Míriam do Carmo Rodrigues Barbosa, Nathalia Pizato, Mariana de Souza Macedo, Renata Junqueira Pereira, Sandra Patrícia Crispim, Silvia Eloiza Priore, Sylvia do Carmo Castro Franceschini

“…Methods: A cross-sectional study with 2,232 pregnant women aged 18 years old or older, in the first, second, and third trimesters of pregnancy, from eleven cities in the five Brazilian regions. A semi-structured questionnaire was applied to assess socioeconomic, demographic, and health data, and a 24-hour dietary recall (R24h) was used to assess food consumption and analyze the dietary total antioxidant capacity (DTAC), estimated using the ferric reducing antioxidant power (FRAP) method. …”
Get full text