Notes

Prognostic function associated with plasma a higher level angiopoietin-1, angiopoietin-2, and vascular endothelial development aspect in hepatocellular carcinoma.
In addition, a data extraction template will be developed and utilised to provide a description of the characteristics of IBD clinical communication as well as an estimation of its effect on health outcomes in a narrative synthesis.

Ethical review and approval is not required for this systematic review as no primary data will be collected. The results will be published in peer-reviewed journals and presented at academic conferences.

International Prospective Register of Systematic Reviews (PROSPERO) on 28 April 2020 (registration number CRD42020169657).
International Prospective Register of Systematic Reviews (PROSPERO) on 28 April 2020 (registration number CRD42020169657).
Medical school serves as a critical developmental period for future physicians, during which students begin to form a professional identity. Just as personal appearance, particularly clothing, is an important external expression of one's personal identity, 'uniforms' in healthcare, including white coats and scrubs, symbolise status and a group identity. There are, however, limited studies on the impact of physician attire on medical students' formation of professional identity. Accordingly, through qualitative analysis of written narratives, we sought to analyse medical students' experiences of wearing professional physician attire, namely scrubs, and how the uniform impacted their confidence level, performance and behaviours, as well as their identity as future physicians.

Qualitative analysis of medical student's written narratives.

Khalifa University College of Medicine and Health Sciences (KU CMHS) is a new medical school in the United Arab Emirates, with an inaugural class of 30 students admitted ieducators or mentors could provide an important opportunity for students to discuss and explore professional identity early in training.
To assess the scale of ethnic inequalities in severe maternal morbidity (SMM) rates and quantify the contribution of maternal characteristics to these disparities.

Retrospective cohort study.

Whole-of-population linked administrative data from 2002 to 2015 in Western Australia.

Women with 410 043 birth events (includes all births from the same pregnancy) of 20 weeks' or more gestation, including terminations for congenital anomalies.

Women with SMM were identified based on a composite indicator of SMM using diagnosis and procedure codes developed for use in routinely collected data. Mothers were classified into seven ethnic groups, based on their reported ethnic origin. The associations between maternal ethnic origin and SMM were examined using a log-binomial model, which estimates risk ratios (RRs) and 95% CIs. https://www.selleckchem.com/products/ijmjd6.html The Blinder-Oaxaca decomposition technique was employed to partition the disparity in SMM between Aboriginal and Caucasian populations into 'explained' and 'unexplained' components.

During women. While improvements in SES and a reduction in teenage pregnancy can potentially support a sizeable reduction in SMM rate inequalities, future research should investigate other potential pathways and targeted interventions to close the ethnicity disparity.
To assess the prevalence and risk factors of overweight and obesity among type 2 diabetes mellitus (T2DM) patients in Uganda.

Retrospective chart review.

This study was conducted in the outpatient's T2DM clinic in St. Francis Hospital-Nsambya, Uganda between March and May 2017.

Type 2 diabetes patients registered in the diabetes clinic between July 2003 and September 2016.

Overweight and obesity defined as body mass index (kg/m
) of 25.0-29.9 and obesity as 30.0 or higher.

Of 1275 T2DM patients, the median age was 54 (IQR 44-65) years, 770 (60.40%) were females, 887 (69.6%) had hypertension, 385 (28%) had controlled glycaemia, 349 (27%) were obese, while 455 (36%) were overweight. Overweight/obesity were lower among men (OR 0.45, 95% CI 0.340 to 0.593, p≤0.001) and among patients aged ≥65 years (OR 0.52, 95% CI 0.350 to 0.770, p=0.001); patients who rarely ate fruits and vegetables (OR 0.66, 95% CI 0.475 to 0.921, p=0.014) but higher among patients of middle (OR 1.83, 95% CI 1.320 to 2.550, p≤0.001) and upper (OR 2.10, 95% CI 1.450 to 2.990, p≤0.001) socioeconomic status; on dual therapy (OR 2.17, 95% CI 1.024 to 4.604, p=0.043); with peripheral neuropathy (OR 1.40, 95% CI 1.039 to 1.834, p=0.026) and hypertension (OR 1.70, 95% CI 1.264 to 2.293, p≤0.001).

Overweight and obesity are high among T2DM patients in this population and may contribute significantly to poor outcomes of T2DM. Therefore, strategies to address this problem are urgently needed.
Overweight and obesity are high among T2DM patients in this population and may contribute significantly to poor outcomes of T2DM. Therefore, strategies to address this problem are urgently needed.
Adults with an intellectual disability (AWID) are often polymedicated because of somatic and psychiatric health problems. Besides, they may display challenging behaviours, leading to off-label prescription of psychotropic drugs, without efficacy and with numerous adverse effects. In this context, a prescription/deprescription tool (Tool for Optimising Prescription in Intellectual Disability/TOP-ID) was developed to improve the care of AWID. This paper describes how TOP-ID was designed.

Four-step consensus-based process involving a review of the literature, eight semistructured interviews and a two-round Delphi process.

Seventeen general practices and university and general hospitals from Belgium, France and Switzerland.

Eighteen French-speaking physicians from different domains of expertise participated in the Delphi process.

For the Delphi iteration process, consensus was defined as at least a 65% agreement between the experts.

Two rounds were needed for the Delphi process. Eighty-one items of the tool were submitted to 18 out of 35 recruited French-speaking experts during the first round. Sixty-nine per cent of the items reached a rate of agreement of 65% or more in that round. Thirteen questions were reformulated and resubmitted for the second Delphi iteration round. All of the statements reached a rate of agreement of 65% or more in the second round.

TOP-ID is the first prescription-deprescription tool developed specifically for AWIDs in French. It is intended to help prescribers document patient care in order to reduce prescription errors and to improve safety. The next steps of the project include the development of an electronic version of TOP-ID and a utility study.
TOP-ID is the first prescription-deprescription tool developed specifically for AWIDs in French. It is intended to help prescribers document patient care in order to reduce prescription errors and to improve safety. The next steps of the project include the development of an electronic version of TOP-ID and a utility study.
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