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zaterdag 3 maart 2018

The Lancet: [Articles] Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of an...

[Articles] Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial
Self-monitoring, with or without telemonitoring, when used by general practitioners to titrate antihypertensive medication in individuals with poorly controlled blood pressure, leads to significantly lower blood pressure than titration guided by clinic readings. With most general practitioners and many patients using self-monitoring, it could become the cornerstone of hypertension management in primary care.
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[Comment] Nursing Now campaign: raising the status of nurses
There have been enormous developments in nursing over the past decades, with extended roles, nurse practitioners, and degree level education spreading globally and with, for example, prescribing by nurses now established in countries as different as Botswana and the UK.1 Nursing and midwifery make up almost half the global health workforce, are at the centre of most health teams, and have a massive impact on health.2 However, nurses and midwives will assume an even more extensive and influential role in the future for at least six powerful reasons.
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[Comment] Taking aim at cholera
In 1854, John Snow's work on cholera in London immortalised the power of mapping as a tool for disease prevention and control.1 Over 160 years later, a more ambitious effort to map cholera has been reported in The Lancet.2 Forgoing so-called shoe leather epidemiology in favour of big data, Justin Lessler and colleagues2 used 279 cholera datasets covering 2283 locations in 37 countries, and cluster-level maps of access to improved water and sanitation in 41 countries, to map cholera incidence across sub-Saharan Africa at a 20 km × 20 km grid scale.
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[Articles] Mapping the burden of cholera in sub-Saharan Africa and implications for control: an analysis of data across geographical scales
Although cholera occurs throughout sub-Saharan Africa, its highest incidence is concentrated in a small proportion of the continent. Prioritising high-risk areas could substantially increase the efficiency of cholera control programmes.
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[Correspondence] Addressing paediatric surgical care on World Birth Defects Day
As we pause to reflect on the burden of disease caused by birth defects during World Birth Defects Day on March 3, 2018, we highlight the importance of developing surgical systems for children, to decrease the morbidity and mortality of birth defects.
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