Inside Health 20/1/18

cannabis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307971/ https://www.nature.com/articles/nrn3530 Our work on cannabis has been delayed because it turned out that cannabis placebo is considered a Schedule 1 drug in the UK. This meant that placebo had to be added to our licence and that import and export licences were then required for obtaining it from overseas suppliers. As these licences […]

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Inside Health- Radio 4 references 30/1/18

Iron: it’s all very interesting… there is a very nice series of GP studies just waiting to be done that cover side effects, rise in Hb, and patient preferences… eg 2005 study 90 older americans in hospital and with IDA l http://www.amjmed.com/article/S0002-9343(05)00210-X/fulltext https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582401/ http://www.who.int/elena/titles/guidance_summaries/iron_women/en/ http://www.sciencedirect.com/science/article/pii/S2352302617301825#ceabs50 http://www.bloodjournal.org/content/126/17/1981.long –   aspirin dose and stroke https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/485050

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Inside Health 23/1/18

Glasgow ‘effect’  http://www.gcph.co.uk/publications/635_history_politics_and_vulnerability_explaining_excess_mortality   Asbestos https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1522094/ http://www.hse.gov.uk/asbestos/assets/docs/exposure.pdf https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/637442/Asbestos_general_informtation.pdf http://pmj.bmj.com/content/80/940/72

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Inside Health 16/1/18: modelling HPV and cervical smears; BRAC mutations and breast cancer

HPV http://onlinelibrary.wiley.com/doi/10.1002/ijc.31094/full  modelling study – ? how long the vaccine will work well for, longest studies 10 years http://www.tandfonline.com/doi/full/10.4161/hv.29532, http://bmjopen.bmj.com/content/7/8/e015867, https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/cix797/4283361?redirected england currently https://www.gov.uk/guidance/cervical-screening-programme-overview HPB pilots: colposcopy rates go up at least at first http://britishcytology.org.uk/resources/Julia-Palmer-HPV-Colposcopy-BAC-ASM.pdf https://www.bsccp.org.uk/assets/file/uploads/resources/NHSCSP_20_Colposcopy_and_Programme_Management_(3rd_Edition)_(2).pdffor those women who were referred to colposcopy, the positive predictive value for high-grade disease (CIN2+) varied from 9.1% to 30% between the […]

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RCGP Council 18/11/17

bear in mind that I can only tweet what I said – there is no point in repeating someone else’s point in council – it wastes time.   things I said today: we should surely move to a central recording system of all declarations of interest – it’s not always obvious when a conflict arises […]

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Inside Health 24/10/17

English surveillance programme for antimicrobial utilisation and resistance ESPAUR 4th report October 2017 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/653443/ESPAUR_report_2017_.pdf https://academic.oup.com/jac/article-abstract/doi/10.1093/jac/dkx323/4161408/Trends-and-patterns-in-antibiotic-prescribing resistance systematic review bmj 2010 http://www.bmj.com/content/340/bmj.c2096 Individuals prescribed an antibiotic in primary care for a respiratory or urinary infection develop bacterial resistance to that antibiotic. The effect is greatest in the month immediately after treatment but may persist for up […]

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Inside Health 17/10/17 Dr Google / recording sexuality

Dr Google GPs threaten to remove patients who visit ‘Dr Google’ first   formal evaluation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2815378/ in people referred to hospital, other studies found using the web to prepare increased anxiety levels https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487739/ but overall mixed result German study published in 2017 examined ways that people use internet for web info https://link.springer.com/article/10.1007%2Fs00103-017-2549-2 some early US […]

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Inside Health 22/9/17 – depression in children

press release http://www.cls.ioe.ac.uk/news.aspx?itemid=4646&itemTitle=One+in+four+girls+is+depressed+at+age+14%2c+new+study+reveals&sitesectionid=27&sitesectiontitle=News&returnlink=news.aspx%3fsitesectionid%3d27%26sitesectiontitle%3dNews headlined ‘One in four girls is depressed’ and the first line New research shows a quarter of girls (24%) and one in 10 boys (9%) are depressed at age 14 how do you diagnose depression ? http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/depressionkeyfacts.aspx http://www.who.int/classifications/icd/en/bluebook.pdf Moods and Feelings Questionnaire      3) third party info parents didn’t match up […]

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