Identified evidence suggests that cardiovascular disease ( CVD ) prevention services should consider regulation of blood glucose as a key target for intervention .
The primary objective of this study was to analyze the most up-to- date evidence regarding whether and how blood sugar regulation influences cardiovascular health promotion and disease prevention by carrying out an umbrella review .
Pathways to professionalism? Quality improvement, care pathways, and the interplay of standardisation and clinical autonomy.
Care pathways are a prominent feature of efforts to improve healthcare quality , outcomes and accountability , but sociological studies of pathways often find professional resistance to st and ardisation . This qualitative study examined the  adoption and adaptation of a novel pathway  as part of a r and omised controlled trial in an unusually complex , non-linear field - emergency general surgery - by teams of surgeons and physicians in six theoretically sample d sites in the UK . We find near-universal receptivity to the concept of a  pathway  as a means of improving peri-operative processes and outcomes , but concern about the impact on appropriate professional judgement . However , this concern translated not into resistance and implementation failure , but into a nuancing of the pathways-as-realised in each site , and their use as a means of enhancing professional decision-making and inter-professional collaboration . We discuss our findings in the context of recent literature on the interplay between managerialism and professionalism in healthcare , and highlight practical and theoretical implication
Identified evidence suggests that cardiovascular disease ( CVD ) prevention services should consider regulation of blood glucose as a key target for intervention .
The primary objective of this study was to analyze the most up-to- date evidence regarding whether and how blood sugar regulation influences cardiovascular health promotion and disease prevention by carrying out an umbrella review .