INTRODUCTION In Zambia, all children born with neural tube defects requiring surgery need to be referred to a tertiary level hospital in Lusaka, the capital city, where the specialists are based. The aim of this study was to explore the experiences of mothers accessing health care who had recently given birth to a child with a neural tube defect. METHODS AND ANALYSIS In-depth interviews were ...

OBJECTIVE To identify the limitations in palliative care provision in the last year of life for people with liver cirrhosis and potential barriers to and enablers of palliative care. DESIGN Mixed methods, including a retrospective case note review, qualitative focus groups and individual interviews. SETTING A tertiary referral liver centre in the south of England (UK). PARTICIPANTS Purpos...

INTRODUCTION Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality. Patients with COPD are characterised by a reduced health status, which can be easily assessed by the COPD Assessment Test (CAT). Previous studies show that health status can be worsened by the presence of comorbidities. However, the impact of cardiovascular comorbidities on health status as as...

Background: India has an estimated backlog of 1000000 cleft patients. A total of 35000 new cleft patients are born each year. With the capacity to operate on approximately 50000 patients each year only 15000 patients from the national backlog can be operated upon each year if capability is not augmented. Objectives: To reach the population at large we meticulously planned an out-reach programme...

COVID 19 pandemic continues to pose serious public health problems and also related financial, social psychological issues. Because of factors such as loneliness, stress, financial issues, many people committed suicide during pandemic. Hanging was the most common method adopted for committing suicide. The present study conducted highlight current prevalence pattern suicidal deaths by hanging CO...

BACKGROUND Diagnosis and treatment of cancer can contribute to psychological distress and anxiety amongst patients. Evidence indicates that information giving can be beneficial in reducing patient anxiety, so oncology specific information may have a major impact on this patient group. This study investigates the effects of an orientation program on levels of anxiety and self-efficacy amongst ne...