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The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on public health or other clinical topics then use Trip today.
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Association of PublicHealth Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations 28979980 2018 11 15 2380-6591 2 11 2017 Nov 01 JAMA cardiology JAMA Cardiol Association of PublicHealth Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations. 1226-1235 10.1001/jamacardio.2017.3471 Little is known about the influence of comprehensive publichealth initiatives according to out-of-hospital cardiac arrest (OHCA) location (...) to Enhance Survival (CARES) from January 1, 2010, through December 31, 2014. The setting was 16 counties in North Carolina. Patients were stratified by home vs public OHCA. Publichealth initiatives to improve bystander and first-responder interventions included training members of the general population in CPR and in the use of automated external defibrillators, teaching first responders about team-based CPR (eg, automated external defibrillator use and high-performance CPR), and instructing dispatch
Civil rights as determinants of publichealth and racial and ethnic health equity: Health care, education, employment, and housing in the United States 29250579 2018 11 13 2352-8273 4 2018 Apr SSM - population health SSM Popul Health Civil rights as determinants of publichealth and racial and ethnic health equity: Health care, education, employment, and housing in the United States. 17-24 10.1016/j.ssmph.2017.10.006 This essay examines how civil rights and their implementation have affected (...) when civil rights are enforced. Discrimination and segregation in housing persist because anti-discrimination civil rights laws have not been well enforced. Enforcement is an essential component for the success of civil rights law. Civil rights and their enforcement may be considered a powerful arena for publichealth theorizing, research, policy, and action. Hahn R A RA Division of PublicHealth Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services, Centers
Predictors and consequences of rural clientsâ€™ satisfaction level in the district public-private mixed health system of Bangladesh 29202099 2018 11 13 2397-0642 2 2017 Global health research and policy Glob Health Res Policy Predictors and consequences of rural clients' satisfaction level in the district public-private mixed health system of Bangladesh. 31 10.1186/s41256-017-0052-9 We investigated predictors of the rural clients' satisfaction level (CSL), and interlinks between perceived (...) specific service quality (PSSQ), perceived utility value (PUV), CSL, and clients' reactions (CR) towards current and future utilization of providers and facilities in the public-private mixed health system of Bangladesh. A quantitative study using interviewer-administered questionnaire was conducted among 400 rural patients. CSL was measured both directly and indirectly. Clients' opinions of PSSQ relating to healthcare structure and process features were measured for indirectly assessing
My Signals - Publichealth My Signals - Publichealth collection Dissemination Centre Search this site My Signals - Publichealth collection In My Signals , health and social care staff and service users tell us what research is important to them and why they feel others need to know about it. Join the conversation on Twitter and tell us which Signals have interested, excited or surprised you, using #MySignals. You can find out more or read the latest on the . In this collection, ( ), Director (...) of PublicHealth at Doncaster Council, explains the role of research evidence in publichealth, and highlights NIHR Signals of particular interest to people working to improve publichealth. Evidence use in publichealth Since April 2013, local authorities in England have regained their role in leading the local publichealth system. Whilst the transfer of publichealth from the NHS is a key part of this, it is worth remembering that local government was already working to improve social, economic
Transport and publichealth in China: the road to a healthy future. Transportation-related risk factors are a major source of morbidity and mortality in China, where the expansion of road networks and surges in personal vehicle ownership are having profound effects on publichealth. Road traffic injuries and fatalities have increased alongside increased use of motorised transport in China, and accident injury risk is aggravated by inadequate emergency response systems and trauma care. National (...) air quality standards and emission control technologies are having a positive effect on air quality, but persistent air pollution is increasingly attributable to a growing and outdated vehicle fleet and to famously congested roads. Urban design favours motorised transport, and physical activity and its associated health benefits are hindered by poor urban infrastructure. Transport emissions of greenhouse gases contribute substantially to regional and global climate change, which compound public
A PublicHealth Preparedness Logic Model: Assessing Preparedness for Cross-border Threats in the European Region 29058967 2018 06 06 2018 11 13 2326-5108 15 5 2017 Sep/Oct Health security Health Secur A PublicHealth Preparedness Logic Model: Assessing Preparedness for Cross-border Threats in the European Region. 473-482 10.1089/hs.2016.0126 Improving preparedness in the European region requires a clear understanding of what European Union (EU) member states should be able to do, whether acting (...) internally or in cooperation with each other or the EU and other multilateral organizations. We have developed a preparedness logic model that specifies the aims and objectives of publichealth preparedness, as well as the response capabilities and preparedness capacities needed to achieve them. The capabilities, which describe the ability to effectively use capacities to identify, characterize, and respond to emergencies, are organized into 5 categories. The first 3 categories-(1) assessment; (2) policy
HIV and Chronic Pain, Part 2: Addressing the Opioid PublicHealth Crisis 29662723 2018 11 14 2168-3808 35 4 2017 Oct Rehabilitation oncology (American Physical Therapy Association. Oncology Section) Rehabil Oncol HIV and Chronic Pain, Part 2: Addressing the Opioid PublicHealth Crisis. 197-198 Pullen Sara D SD Emory University School of Medicine, Department of Rehabilitation Medicine, Atlanta, GA 30322. eng P30 AI050409 AI NIAID NIH HHS United States Journal Article United States Rehabil Oncol
Beyond pulmonary nontuberculous mycobacteria disease: do extra-pulmonary forms represent an emerging clinical and publichealth threat? 28948162 2018 11 13 2312-0541 3 3 2017 Jul ERJ open research ERJ Open Res Beyond pulmonary nontuberculous mycobacteria disease: do extra-pulmonary forms represent an emerging clinical and publichealth threat? 00091-2017 10.1183/23120541.00091-2017 Pulmonary and extra-pulmonary diseases caused by nontuberculous mycobacteria: new clinical and publichealth
The International Health Regulations (IHR) – 10 years of global publichealth security – Le Règlement sanitaire international (RSI) – 10 ans de sécurité sanitaire mondiale WHO IRIS: The International Health Regulations (IHR) – 10 years of global publichealth security – Le Règlement sanitaire international (RSI) – 10 ans de sécurité sanitaire mondiale Browse Related links Files in This Item: File Description Size Format 161.66 kB Adobe PDF Title: The International Health Regulations (IHR) – 10 (...) years of global publichealth security – Le Règlement sanitaire international (RSI) – 10 ans de sécurité sanitaire mondiale Authors: Issue Date: 8-Sep-2017 Publisher: World Health Organization = Organisation mondiale de la Santé Journal: Weekly Epidemiological Record = Relevé épidémiologique hebdomadaire, 92 (36): 534-536 Place of publication: Geneva = Genève Language: English French Description: 3 p Subject: URI: Appears in Collections: Items in WHO IRIS are protected by copyright, with all rights
Improving the quality of care in the publichealth system in Bangladesh: building on new evidence and current policy levers WHO IRIS: Improving the quality of care in the publichealth system in Bangladesh: building on new evidence and current policy levers Browse Related links Files in This Item: File Description Size Format 885.85 kB Adobe PDF Title: Improving the quality of care in the publichealth system in Bangladesh: building on new evidence and current policy levers Authors: Issue Date (...) : Aug-2017 Publisher: World Health Organization. Regional Office for South-East Asia Place of publication: New Delhi Language: English Gov't Doc #: SEA-APO-001 URI: Appears in Collections: Items in WHO IRIS are protected by copyright, with all rights reserved, unless otherwise indicated. |
Evolutionary publichealth: introducing the concept. The emerging discipline of evolutionary medicine is breaking new ground in understanding why people become ill. However, the value of evolutionary analyses of human physiology and behaviour is only beginning to be recognised in the field of publichealth. Core principles come from life history theory, which analyses the allocation of finite amounts of energy between four competing functions-maintenance, growth, reproduction, and defence (...) . A central tenet of evolutionary theory is that organisms are selected to allocate energy and time to maximise reproductive success, rather than health or longevity. Ecological interactions that influence mortality risk, nutrient availability, and pathogen burden shape energy allocation strategies throughout the life course, thereby affecting diverse health outcomes. Publichealth interventions could improve their own effectiveness by incorporating an evolutionary perspective. In particular, evolutionary
Publichealth information in crisis-affected populations: a review of methods and their use for advocacy and action. Valid and timely information about various domains of publichealth underpins the effectiveness of humanitarian publichealth interventions in crises. However, obstacles including insecurity, insufficient resources and skills for data collection and analysis, and absence of validated methods combine to hamper the quantity and quality of publichealth information available (...) to humanitarian responders. This paper, the second in a Series of four papers, reviews available methods to collect publichealth data pertaining to different domains of health and health services in crisis settings, including population size and composition, exposure to armed attacks, sexual and gender-based violence, food security and feeding practices, nutritional status, physical and mental health outcomes, publichealth service availability, coverage and effectiveness, and mortality. The paper also
Evidence on publichealth interventions in humanitarian crises. Recognition of the need for evidence-based interventions to help to improve the effectiveness and efficiency of humanitarian responses has been increasing. However, little is known about the breadth and quality of evidence on health interventions in humanitarian crises. We describe the findings of a systematic review with the aim of examining the quantity and quality of evidence on publichealth interventions in humanitarian crises (...) to identify key research gaps. We identified 345 studies published between 1980 and 2014 that met our inclusion criteria. The quantity of evidence varied substantially by health topic, from communicable diseases (n=131), nutrition (n=77), to non-communicable diseases (n=8), and water, sanitation, and hygiene (n=6). We observed common study design and weaknesses in the methods, which substantially reduced the ability to determine causation and attribution of the interventions. Considering the major
Type 2 diabetes in adolescents: a severe phenotype posing major clinical challenges and publichealth burden. Type 2 diabetes in adolescence manifests as a severe progressive form of diabetes that frequently presents with complications, responds poorly to treatment, and results in rapid progression of microvascular and macrovascular complications. Although overall still a rare disease, adolescent type 2 diabetes now poses major challenges to paediatric and adult diabetes services in many (...) countries. Therapeutic options are heavily curtailed by a dearth of knowledge about the condition, with low numbers of participants and poor trial recruitment impeding research. Together with lifestyle modification, metformin remains the first-line therapy for adolescents with type 2 diabetes, although the majority rapidly progress to treatment failure and insulin therapy. Early bariatric surgery is controversial but has great potential to transform outcomes. Health systems must respond by both
Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. BACKGROUND: Weekend hospital admission is associated with increased mortality, but the contributions of varying illness severity and admission time to this weekend effect remain unexplored. METHODS: We analysed unselected emergency admissions to four Oxford University National Health Service hospitals in the UK from Jan 1, 2006, to Dec 31, 2014. The primary outcome (...) 938 emergency admissions. 18 313 (4·7%) patients admitted as weekday energency admissions and 6070 (5·1%) patients admitted as weekend emergency admissions died within 30 days (p<0·0001). 9347 individuals underwent 9707 emergency admissions on public holidays. 559 (5·8%) died within 30 days (p<0·0001 vs weekday). 15 routine haematology and biochemistry test results were highly prognostic for mortality. In 271 465 (53·9%) admissions with complete data, adjustment for test results explained 33
Mass incarceration, publichealth, and widening inequality in the USA. In this Series paper, we examine how mass incarceration shapes inequality in health. The USA is the world leader in incarceration, which disproportionately affects black populations. Nearly one in three black men will ever be imprisoned, and nearly half of black women currently have a family member or extended family member who is in prison. However, until recently the publichealth implications of mass incarceration were (...) unclear. Most research in this area has focused on the health of current and former inmates, with findings suggesting that incarceration could produce some short-term improvements in physical health during imprisonment but has profoundly harmful effects on physical and mental health after release. The emerging literature on the family and community effects of mass incarceration points to negative health impacts on the female partners and children of incarcerated men, and raises concerns that excessive