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95,298 results
  • Dementia care: international perspectives. [Journal Article]
  • COCurr Opin Psychiatry 2019 May 16
  • Burns A, Robert P, IDEAL steering group
  • CONCLUSIONS: The majority of countries have made national attempts to estimate the number of people with dementia, have licenced antidementia drugs and have the support of a national Alzheimer's association with a website containing independent advice. More than half have a national plan targeted at the development of care and in a further quarter, the development of such plans is in progress. There appears to have been a great increase in interest and awareness of dementia in the last few years.
  • Interventions to reduce ambient particulate matter air pollution and their effect on health. [Review]
  • CDCochrane Database Syst Rev 2019 May 20; 5:CD010919
  • Burns J, Boogaard H, … Rehfuess E
  • CONCLUSIONS: Given the heterogeneity across interventions, outcomes, and methods, it was difficult to derive overall conclusions regarding the effectiveness of interventions in terms of improved air quality or health. Most included studies observed either no significant association in either direction or an association favouring the intervention, with little evidence that the assessed interventions might be harmful. The evidence base highlights the challenges related to establishing a causal relationship between specific air pollution interventions and outcomes. In light of these challenges, the results on effectiveness should be interpreted with caution; it is important to emphasize that lack of evidence of an association is not equivalent to evidence of no association.We identified limited evidence for several world regions, notably Africa, the Middle East, Eastern Europe, Central Asia and Southeast Asia; decision-makers should prioritize the development and implementation of interventions in these settings. In the future, as new policies are introduced, decision-makers should consider a built-in evaluation component, which could facilitate more systematic and comprehensive evaluations. These could assess effectiveness, but also aspects of feasibility, fidelity and acceptability.The production of higher quality and more uniform evidence would be helpful in informing decisions. Researchers should strive to sufficiently account for confounding, assess the impact of methodological decisions through the conduct and communication of sensitivity analyses, and improve the reporting of methods, and other aspects of the study, most importantly the description of the intervention and the context in which it is implemented.
  • Changes in Body Weight Before and After Kidney Donation. [Journal Article]
  • CJCan J Kidney Health Dis 2019; 6:2054358119847203
  • Bugeja A, Harris S, … Clark EG
  • CONCLUSIONS: Donors with normal BMI experienced significant weight loss before donation and maintained healthy body weight post-donation. Conversely, donors with BMI ≥25 kg/m2 at donation experienced significant weight gain over 1-year post-donation. Our findings suggest the need for enhanced weight control efforts among obese and overweight kidney donors to reduce the risk of ESKD.
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