NICE and 10% statins/ NICE and 10% statin threshold – Inside Health 1/9/15

  NICE statin guidelines  http://www.bcs.com/pages/news_full.asp?NewsID=19792270 http://qintervention.org/index.php   Meningitis B vaccination   http://www.nhs.uk/Conditions/vaccinations/Pages/meningitis-B-vaccine.aspx http://www.nhs.uk/Conditions/vaccinations/Pages/when-to-get-your-child-vaccinated.aspx https://www.gov.uk/government/publications/menb-vaccine-and-paracetamol  

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Pharma in Practice

Free link to BMJ feature   280515_BMJ ICS Enquiry_response to Dr McCartney_final (3) Croydon CCG response 17 04 15 (2) NHS Croydon CCG Supplementary sheet (3)   Copy of spreadsheet pharma practice bmj july 22nd Portsmouth City Council, on behalf of Portsmouth Clinical Commissioning Group Corporate Information Governance Team Customer Community & Democratic Service Guildhall […]

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Inside Health 14/7/15

Sugar tax BMA report http://bma.org.uk/working-for-change/improving-and-protecting-health/food-for-thought big Lancet series on obesity http://www.thelancet.com/series/obesity-2015 evidence on smoking legislation https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216319/dh_124959.pdf http://www.ifs.org.uk/wps/wp201313.pdf https://www.iser.essex.ac.uk/research/publications/522422 http://tobaccocontrol.bmj.com/content/early/2009/08/10/tc.2009.030627.abstract http://oem.bmj.com/content/early/2009/02/10/oem.2008.040311.abstract http://circ.ahajournals.org/content/117/9/1183.short http://content.onlinejacc.org/article.aspx?articleid=1140093 http://www.nejm.org/doi/full/10.1056/NEJMra1308383 evidence about minimum price for alcohol (discussed in a previous Inside Health) http://margaretmccartney.com/2013/03/19/references-for-tonights-inside-health-19313/ drunk driving legislation and evidence https://www.nice.org.uk/guidance/ph50/resources/additional-publications2 UK responsibility deal https://responsibilitydeal.dh.gov.uk/ criticisms of UK responsibility deal http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8480095&fileId=S1368980011002060 LSHTM study showing […]

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Low carb diets

http://annals.org/article.aspx?articleid=1900694 – RCT of low carb (well 40gs, ) vs low fat (well, 30% calories) above. the important bit: people cut down calories in both groups, but didn’t match the diet at 12m compared with 3m   “high carb diet and lack obesity and diabetes: The low-carbohydrate diet was more effective for weight loss and cardiovascular risk […]

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Thermometers

Original paper http://bjgp.org/content/65/635/e366 NICE fever in children (under 5s) recommendations http://www.nice.org.uk/guidance/cg160/chapter/1-recommendations Gut instinct in clinicians http://www.bmj.com/content/345/bmj.e6144

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Knee arthroscopy – Inside Health 21/7/15

4271 Bupa Medical Poster Orthopaedic_v7 (2) NEJM sham surgery RCT http://www.nejm.org/doi/full/10.1056/NEJMoa013259 further trial with control group having maximum medical/physiotherapy http://www.nejm.org/doi/full/10.1056/NEJMoa0708333#t=articleBackground RCT physiotherapy vs surgery for moderate-severe arthritis of knee http://www.nejm.org/doi/full/10.1056/NEJMoa0708333 surgery vs physiotherapy for mild-moderate osteoarthritis or meniscal tear http://www.nejm.org/doi/full/10.1056/NEJMoa1301408#t=articleMethods Arthroscopic surgery for degenerative knee changes : real vs sham , www.nejm.org/doi/full/10.1056/NEJMoa1305189 Meniscal tears are […]

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Nitrous oxide – Inside Health 23/7/15

7.6% 16-24 year old reported use in 2013/4 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/368576/RestrictingSupplyNitrousOxide.pdf ACDM letter to Theresa May https://www.gov.uk/government/publications/acmd-advice-on-nitrous-oxide-abuse Bill https://www.gov.uk/government/collections/psychoactive-substances-bill-2015 http://services.parliament.uk/bills/2015-16/psychoactivesubstances.html

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7 day working – Inside Health 23/7/15

http://www.healthpolicyjrnl.com/article/S0168-8510(14)00272-3/abstract “We showed that some of the people who tend to use primary care services more often (e.g. retired people and people over 65 years) are more likely to choose to stay with a practice inside their neighbourhood than go outside. If it was confirmed that healthier groups (who use fewer services) were more interested […]

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RCGP council 20/6/15

– I spoke against credentialing – where it the evidence of effectiveness, and what are we not doing instead when we are doing the paperwork for it – Supported John Cosgrove’s excellent #openRGCP paper, which means that all council papers will be open access unless there is good reason not to be. This was widely […]

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