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In public healthcare systems, effectiveness is a central requirement for determining which services should be offered and reimbursed. Yet, due to its technical nature and to the need for specification through specialised...

Objective Unlike survival measures, life expectancy readily illustrates the burden of cancer on society and the average impact on individuals diagnosed with cancer. Cancer stage at diagnosis is a key prognostic factor an...

Abstract Background Concern exists about the variation in maternity services across England, highlighted by various high-profile investigations into care failures. In response, NHS England developed the Core Competency F...

Objectives To establish the incidence of developing diabetes mellitus (DM) post hospitalisation with influenza.Design Retrospective cohort study.Setting Electronic healthcare records from Clinical Practice Research Datal...

Abstract Background Improving equitable access to fresh fruit and vegetables (FV) remains a critical public health priority in the UK, particularly in low-income communities where affordability, accessibility, and social...

Abstract Introduction We describe the burden of severe influenza in England overall, and in risk groups (as defined by age, immunocompromise, and other comorbidities) and those with recent COVID-19. Methods The INFORM (I...

Every day our increasingly multi-cultural societies experience new manifestations of cultural and religious diversity. The one I wish to address in this paper concerns the practice among members of close religious commun...

ABSTRACT Purpose Tobacco smoking is a major driver of chronic disease, and e‐cigarette use is increasingly common, yet their associations with prescribed medication burden remain unclear. Methods We analysed data from ...

A Guerra do Paraguai ou da Tríplice Aliança não pode ser entendida fora do contexto mundial da época. Obviamente, não é possível reconstruir todos e cada um dos elementos desse passado. Temos de nos dar por satisf...

Abstract Species of the chewing louse genus Neopsittaconirmus Conci, 1942 are host-specific parasites on Old World and Australasian parrots (Psittaciformes), infesting both wild and captive birds. Despite veterinarian pr...

Background Poisoning is an important public health issue. The English Index of Multiple Deprivation (IMD) is a socioeconomic analytical tool that can be used to explore population level inequalities at neighbourhood leve...

ObjectiveApproximately half of common variable immunodeficiency (CVID) patients develop debilitating and life-threatening clinical manifestations of immune dysregulation, including lymphoproliferation, cytopenias, inters...

O texto traz resultados de estudo de caso que focaliza escola técnica de nível médio administrada por Organização da Sociedade Civil de Interesse Público - Oscip -, por meio de contrato de gestão estabelecido com ...

Abstract Background The NHS has introduced a range of new and extended roles in recent decades. Physician associates / assistants (PAs) have become one of the most politically scrutinised of these roles. In 2024, the UK ...

Background: Recent years have witnessed a surge in the integration of digital intelligence within dental education, with various technologies increasingly supporting clinical skill training and educational applications. ...

Background Many older people experience Mild Cognitive Impairment (MCI), which may compromise the effectiveness of health promotion programmes.Objectives We explored engagement with behaviour change among participants sc...

Abstract Background School food standards in England aim to support healthy diets for all pupils, including those with special educational needs and disabilities (SEND). While dietary advice is consistent across groups, ...

Objective Children and young people (CYP) presenting in mental health crisis to acute paediatric settings represent a growing clinical and system-level challenge. These environments, primarily designed for physical healt...

The characteristics and duration of the processes occurring from the design and designation of a Marine Protected Area (MPA) to the effective implementation and renewal of its management plan were analysed in 234 MPAs fr...

Background Cognitive behavioural therapy (CBT) is considered to be an effective treatment for schizophrenia. In recent years, researchers have published clinical research results on CBT for schizophrenia. However, there ...

Despite decades of global attention, work-related musculoskeletal disorders (MSD) remain a significant challenge, with substantial personal and societal costs (1). The lack of progress in addressing this prevalent proble...

Letters sent during a Grand Tour, an early modern educational journey, are often considered important sources for the history of tourism and travel, history of diplomacy or family relations. However, the example of the c...

Abstract Background Ethnic inequalities exist in the prevalence of mental disorders and their associated treatment outcomes. Cultural variation may influence psychological symptom expression; understanding this might inf...