Τρίτη 25 Ιουνίου 2019

Doctors spurn NHS long term plan
Doctors at the BMA's annual representative meeting have expressed strong doubts about NHS England's strategy for the next decade, published in January.1Representatives voted overwhelmingly against a...
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13:16
The wrong diabetes: how C peptide testing might help
Sophie Fleming was diagnosed as having type 1 diabetes mellitus when she was 8 years old and was treated with insulin for 27 years. Her diagnosis, however, was wrong.This was discovered by chance in...
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13:11
"Doctors need to step up"—why are there still so few medical chief executives in the NHS?
When Navina Evans, a consultant psychiatrist at East London NHS Foundation Trust, was asked by the trust's chief executive, the forensic psychiatrist Robert Dolan, to consider starting the journey...
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13:06
One doctor's disability may lead to curriculum change in India
Satendra Singh, 42, cannot remember walking unaided. After contracting polio at nine months old, he spent a lot of his childhood in hospitals and getting fittings for leg braces.He remembers always...
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13:01
Alcohol excess: time for a new positive and multifaceted strategy
We agree with Salisbury that new measures are needed to promote sensible attitudes towards drinking and are pleased that her article took a balanced approach.1 We need a positive and multifaceted...
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12:56
Poor induction and lack of honest feedback is blamed for higher rate of GMC referrals among BAME doctors
The fact that disproportionate numbers of black, Asian, and minority ethnic (BAME) doctors are referred to the General Medical Council for fitness to practise concerns may be because of poor...
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11:45
Fighting loneliness with architecture, agencies, and activities
Make no mistake: loneliness is a killer.12 In our systematic review, depression was the most strongly evidenced consequence for mental health, but many other disorders could contribute to the higher...
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Mon Jun 24, 2019 17:36
Migrant charging in the NHS: how doctors can support patients when hospital care is denied
This Feature (BMJ 2019;365:l2281, doi:10.1136/bmj.l2281) has an error in the fifth paragraph of the section titled "Risks of discrimination." The hospital trust in which 541 women were charged for...
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Mon Jun 24, 2019 16:26
NHS needs to "cross the rubicon" of explaining service closures to patients, regional health boss says
The NHS still needs to work out how to explain service closures to patients, the leader of a local health system has said.Pat Flaherty, sustainability and transformation partnership lead for...
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Mon Jun 24, 2019 16:20
Boosting morale: good job, junior
Nearly three years ago, Rimmer reported that senior doctors needed to do more to boost the morale of junior doctors.1I am nearing the end of my first year working in medicine, and there is one...
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Mon Jun 24, 2019 16:05
BMA to hold conference on gender bias in response to sexism allegations
The BMA will co-host its first conference on gender bias with the Medical Women's Federation this November, the association's chair of council, Chaand Nagpaul, has announced.Speaking at the BMA's...
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Mon Jun 24, 2019 14:51
WHO drops opioid guidelines after criticism of corporate influence
The World Health Organization is discarding two opioid guidelines after a report by two members of the US Congress alleged that they were tainted by opioid manufacturers.The bipartisan report accused...
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Mon Jun 24, 2019 13:31
Doctors' messes are missed
In the 1960s and 1970s hospitals had messes for junior doctors.1 They also provided accommodation. Both disappeared under cost pressures and a ridiculous belief that, because they were not core NHS...
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Mon Jun 24, 2019 12:36
Rising rates of colorectal cancer in younger adults
The increase in rates of colorectal cancer among adults under 50 was first noted in 2003 but has only recently received attention.1 To understand the causes of this increase, it is useful to get the...
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Mon Jun 24, 2019 12:25
We need a social care system that is as much a source of national pride as the NHS
History casts a long shadow and often it's the choices that seem less important in the moment that have the biggest long term impact. In 1948, older and disabled people were divided into the "sick,"...
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Mon Jun 24, 2019 12:21
Social media addiction: technological deȷa vu
Zendle and Bowden-Jones are correct about the methodological shortcomings of research that aims to understand the effects of social media.12 But these observations also apply to related research that...
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Fri Jun 21, 2019 16:01
Marshall Marinker: academic general practitioner who laid the foundations of modern general practice
bmj;365/jun21_9/l4337/FAF1faShortly before his death, Marshall Marinker spoke at an event at the Royal College of General Practitioners to honour the memory of Michael Balint, the great Hungarian...
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Fri Jun 21, 2019 13:36
Rise in inappropriate out of area mental health placements is "totally unacceptable"
Seven NHS trusts made up more than half of all inappropriate out of area placements (OAPs) for acute mental health inpatient care between December 2018 and February 2019, according to data from NHS...
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Fri Jun 21, 2019 13:25
William Pollok Black
bmj;365/jun21_6/l4347/FAF1faWilliam Pollok Black ("Bill") joined Miss Wylie's Class F at the High School of Glasgow in 1936 and achieved three Mowat scholarships and his rugby colours before leaving...
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Fri Jun 21, 2019 12:46
Preventing hospital associated venous thromboembolism
Venous thromboembolism is a serious healthcare problem affecting over 1 in 1000 adults worldwide annually.1 Epidemiological studies have shown that before the use of thromboprophylaxis in hospital,...
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Fri Jun 21, 2019 12:41
Satinder Lal
bmj;365/jun21_5/l4299/FAF1faSatinder Lal grew up in Delhi and moved to the UK in 1951, where he worked initially in London. He developed an interest in respiratory medicine, undertaking research at...
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Fri Jun 21, 2019 12:36
Christopher Willcox
bmj;365/jun21_4/l4284/FAF1faChristopher Willcox was born into a medical family. His father (Philip) was a consultant physician in the Windsor area. Both grandfathers were eminent doctors: Sir William...
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Fri Jun 21, 2019 12:31
Juliet Manyemba
bmj;365/jun21_3/l4301/FAF1faJuliet Manyemba qualified in medicine at the University of Zimbabwe in 1988. She completed her master of medicine in Zimbabwe in 1995. In addition she achieved a MSc in...
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Fri Jun 21, 2019 12:26
Barbara Krystyna Turk
bmj;365/jun21_2/l4305/FAF1faBarbara Krystyna Turk (née Zawisza) was born in Battersea, London, and grew up in south London. She left Coombe County School at 16 with 2 O levels, not believing she had...
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Fri Jun 21, 2019 12:21
Patricia Jane Lowry
bmj;365/jun21_1/l4286/FAF1faPatricia Jane Lowry was the second of three children for Thomas, a GP, and May, a nurse. She attained her membership of the Royal College of Physicians in 1979, completed...
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Fri Jun 21, 2019 12:05
Satisfaction with hospital care falls as pressure mounts on NHS, finds CQC
Satisfaction among hospital patients in England has stalled or fallen across many key indicators, show the results of a survey by the Care Quality Commission.The healthcare sector regulator's annual...
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Thu Jun 20, 2019 19:01
An unstable lump in the groin
A 49 year old man with type 2 diabetes presented with a three day history of severe right sided groin swelling and pain, feeling generally unwell, fatigue, and fever. His medical history included two...
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Thu Jun 20, 2019 18:51
Correction for vol. 365, p.
Using economic evidence to support policy decisions to fund interventions for non-communicable diseasesAn editing error in this article by Melanie Bertram and colleagues (BMJ 2019;365:l1648, 20 May;...
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Thu Jun 20, 2019 17:31
Medical associate professionals are the way forward
Medical associate professionals are integral members of the modern medical team.12 This role is new in the United Kingdom but has been flourishing in United States for the past five decades.3...
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Thu Jun 20, 2019 17:06
Setting goals can help people with early stage dementia improve function
The studyClare L, Kudlicka A, Oyebode J R, et al. Goal-oriented cognitive rehabilitation for early-stage Alzheimer's and related dementias: the GREAT RCT. Health Technol Assess 2019;23:1-242.The...
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Thu Jun 20, 2019 16:46
Junior doctors are embarrassing themselves by opposing medical associate professionals
I read the news that junior doctors opposed medical associate professionals sitting postgraduate exams and becoming equal in terms of staffing with disquiet.1The idea that upskilling medical...
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Thu Jun 20, 2019 15:16
NHS to roll out specialist stroke centres across England
Specialist centralised stroke units are to be rolled out across England in a move that the NHS says will save thousands of lives.Establishing specialist stroke units like those that already exist in...
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Thu Jun 20, 2019 14:26
Medical associates: junior doctors should pick their battles
The BMA junior doctors' vote against professional equivalency for medical associate professionals is counterintuitive and shortsighted.1 What is professional equivalency? Doctors are doctors, with...
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Thu Jun 20, 2019 14:21
Japanese women's marks soar as medical school exam rigging ends
Female applicants are outscoring males in the first fair entrance exams at Japanese medical schools that were rocked last year by revelations of widespread exam rigging against women.Juntendo...
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Thu Jun 20, 2019 12:41
Hard lumps under the skin
A 16 year old boy had a two year history of skin lumps on his legs and progressive muscle weakness. Examination revealed a purplish rash on his eyelids, reduced power in the proximal upper and lower...
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Thu Jun 20, 2019 12:21
Evaluating the impact of healthcare interventions using routine data
What you need to knowAssessing the impact of healthcare interventions is critical to inform future decisions Compare observed outcomes with what you would have expected if the intervention had not...
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Thu Jun 20, 2019 12:20
What will it take to stop the tobacco epidemic?
It's almost 70 years since Richard Doll and A Bradford Hill published their landmark paper in The BMJ linking smoking to lung cancer (doi:10.1136/bmj.2.4682.739). In the intervening years we've...
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Thu Jun 20, 2019 12:16
Brexit and illegal drug use monitoring: five minutes with . . . Alexis Goosdeel
"If there is no agreement [on Brexit], there would no longer be any cooperation between the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) and the UK. In practical terms, this means...
Latest headlines from BMJ
Thu Jun 20, 2019 12:10
Boosting vaccination rates . . . and other others
Legislation to improve vaccination ratesIn 2016 California tightened its immunisation requirements for schoolchildren. Parental requests for exemption because of personal or religious beliefs were no...
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Thu Jun 20, 2019 11:11
Tobacco control: new resources, existing treaties, and emerging challenges
Tobacco use remains the leading preventable cause of death in the world.1 Three research papers in The BMJ examine smoking and efforts to deal with it, and these studies pose important questions...
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Thu Jun 20, 2019 01:30
State versus private ownership of tobacco companies
Murphy and Crossley's feature article highlights the economic, political, and cultural challenges that China and Japan face in reducing the immense toll of disease and death caused by tobacco...
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Thu Jun 20, 2019 10:32
Seven days in medicine: 12-18 June 2019
NHS performanceMPs warn on long waiting timesPatient suffering in England is being overlooked as NHS performance against waiting time targets for cancer and non-urgent care "spirals downwards," MPs...
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Thu Jun 20, 2019 08:31
Alexandros Sfakianakis
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