BMJ open
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Review Meta Analysis
Video decision aids to assist with advance care planning: a systematic review and meta-analysis.
Advance care planning (ACP) can result in end-of-life care that is more congruent with patients' values and preferences. There is increasing interest in video decision aids to assist with ACP. The objective of this study was to evaluate the impact of video decision aids on patients' preferences regarding life-sustaining treatments (primary outcome). ⋯ Video decision aids may improve some ACP-related outcomes. Before recommending their use in clinical practice, more evidence is needed to confirm these findings and to evaluate the impact of video decision aids when integrated into patient care.
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To evaluate the efficacy and safety of single-dose intra-articular bupivacaine plus morphine after knee arthroscopic surgery. ⋯ The administration of single-dose intra-articular bupivacaine plus morphine after knee arthroscopic surgery is effective for pain relief, and its short-term side effects remain similar to saline placebo.
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To study potential associations between body height and subsequent occurrence of chronic low back pain (LBP). ⋯ In women without LBP, a body height ≥ 170 cm may predispose to chronic LBP 11 years later. This may reflect mechanical issues or indicate a hormonal influence.
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To determine the mean body mass index (BMI, kg/m(2)) and prevalence of low weight (BMI<20) and obesity (BMI ≥ 30) in 3 population-based surveys, and to describe the longitudinal changes during 1994-2008 in mean BMI, and the prevalence of low weight and obesity. ⋯ The mean BMI and the prevalence of obesity are still increasing in Tromsø, and the increase is strongest in the youngest age groups. However, the increase in BMI was less marked in the last period (from 2001-2002 to 2007-2008) than in the first period (1994-1995 to 2001-2002).
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Randomized Controlled Trial Multicenter Study
Rationale and methods of a multicentre randomised controlled trial of the effectiveness of a Community Health Assessment Programme with Emergency Medical Services (CHAP-EMS) implemented on residents aged 55 years and older in subsidised seniors' housing buildings in Ontario, Canada.
Chronic diseases and falls substantially contribute to morbidity/mortality among seniors, causing this population to frequently seek emergency medical care. Research suggests the paramedic role can be successfully expanded to include community-based health promotion and prevention. This study implements a community paramedicine programme targeting seniors in subsidised housing, a high-risk population and frequent users of emergency medical services (EMS). The aims are to reduce EMS calls, improve health outcomes and healthcare utilisation. ⋯ This study is approved by the Hamilton Integrated Research Ethics Board and will follow the Tri-Council Policy Statement. Findings will be disseminated through reports to local stakeholders, publication in peer-reviewed journals and conference presentations.