BMJ : British medical journal
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Hospitals in rural Africa, such as in Rwanda, often lack electricity, supplies, and staff. In our setting, basic care processes, such monitoring vital signs, giving drugs, and laboratory testing, were performed unreliably, resulting in delays in treatment owing to lack of information needed for clinical decision making. ⋯ Four lessons are highlighted: making data visible and using them to inform subsequent interventions can promote change in resource poor settings; improvements can be made in advance of resource inputs, but sustained change in resource poor settings requires additional resources; local leadership is essential for success; and early successes were crucial for encouraging staff and motivating buy-in.
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Multicenter Study
Differences in atherosclerosis according to area level socioeconomic deprivation: cross sectional, population based study.
To examine the relation between area level social deprivation and ultrasound markers of atherosclerosis (common carotid intima-media thickness and plaque score), and to determine whether any differences can be explained by "classic" (currently recognised) or "emerging" (novel) cardiovascular risk factors. ⋯ Deprivation is associated with increased carotid plaque score and intima-media thickness. The association of deprivation with atherosclerosis is multifactorial and not adequately explained by classic or emerging risk factors.
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Randomized Controlled Trial Multicenter Study
Food incentives to improve completion of tuberculosis treatment: randomised controlled trial in Dili, Timor-Leste.
To determine the effectiveness of the provision of whole food to enhance completion of treatment for tuberculosis. ⋯ Provision of food did not improve outcomes with tuberculosis treatment in these patients in Timor-Leste. Further studies in different settings and measuring different outcomes are required.
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Randomized Controlled Trial Multicenter Study Comparative Study
Supervised exercise therapy versus usual care for patellofemoral pain syndrome: an open label randomised controlled trial.
To assess the effectiveness of supervised exercise therapy compared with usual care with respect to recovery, pain, and function in patients with patellofemoral pain syndrome. ⋯ Supervised exercise therapy resulted in less pain and better function at short term and long term follow-up compared with usual care in patients with patellofemoral pain syndrome in general practice. Exercise therapy did not produce a significant difference in the rate of self reported recovery.