Inside Health 8/8/17

https://academic.oup.com/jnci/article/92/13/1081/2909528/Breast-Density-as-a-Predictor-of-https://pdfs.semanticscholar.org/49b2/5cd6ca3d008704f5a6cebf6da9ad761bf817.pdf https://www.ncbi.nlm.nih.gov/pubmed/24816206 Radiology, October 2002, Vol. 225:1, pp. 165-175) https://ec.europa.eu/jrc/sites/jrcsh/files/20151020-21-breast-cancer-standards-singer_en.pdf http://www.auntminnie.com/index.aspx?sec=ser&sub=def&pag=dis&ItemID=106694 http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/BD289E88F9F95876CA25803E001FC4E6/$File/Position%20Statement%20on%20breast%20density%20and%20screening%20within%20the%20BreastScreen%20Australia%20Program.pdf https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/440208/nhsbsp74.pdf http://www.eusoma.org/Engx/Guidelines/Other/OtherFS.aspx?cont=FS_5_3 http://assets.krebsliga.ch/downloads/identifying_women_with_dense_breasts_at_high_risk_for_interval_cancer.pdf https://www.ncbi.nlm.nih.gov/pubmed/18477782

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Inside Health 1/8/17

Antibiotics and optimal duration of taking them paper in BMJ Lancet in 1999 Prof Harold Lambert http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(99)01139-3/fulltext 2009 in Clinical Medicine – similar issues http://www.clinmed.rcpjournal.org/content/9/6/632.1.full do patients actually think not completing course is bad? cite two studies Most believed antibiotic resistance was due to excessive (median 70%, in 11 studies) or unnecessary (median 74%, in […]

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Inside Health 25/7/17 – PPIs

Good overview  Time line summary  NICE guidance  and here  current UK prescribing  study US veterans study  WHO essential medicines http://www.who.int/medicines/publications/essentialmedicines/20th_EML2017.pdf?ua=1 surgery for peptic ulcers massively reduced – probably at least in part due to PPIs https://www.ncbi.nlm.nih.gov/pubmed/15460842 JAMA mortality study   

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Babylon – Inside Health Radio 4 11/7/17

FAQ for people in North London – which says this is an ‘independent’ study see the evidence available for the app  ; “Our approach enables the reliable use of red-flags which leads to a high recall of 100% (all cases needing A&E will receive that outcome), at the cost of precision (some cases falsely receive […]

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RCGP Council 24/6/17

1) COI and relationship council to trustee board I asked that published literature makes clear that Trustee Board (who are reviewing sponsorship guidance) must report to Council. 2) 5YFW evidence based nonsense On discussion of the 5 year forward view, I was most concerned that: there 5 Year Forward View seems to be still regarded […]

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Inside Health 7/3/17

Aspirin and here   CRP point of care testing https://www.nice.org.uk/guidance/cg191/chapter/1-Recommendations based on trial published BMJ http://bmjopenrespres.bmj.com/content/2/1/e000086 and (3) the evidence from systematic reviews and other studies suggests little, if any, benefit is achieved from the prescription of antibiotics, except in elderly patients at high risk of pneumonia. 2005 – said CRP not good enough test – […]

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Inside Health 28/2/17

8 GLASSES OF WATER 8 glasses of water a day 1945, US Food and Nutrition Board recommended 2.5 litres water a day. Qualified this by saying that it’s mostly contained within foods water company advertised “Healthcare professionals should be encouraged to talk with patients about the calorific content of SSBs [sugar sweetened beverages] when discussing […]

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RCGP council meeting 25/2/16

RCGP sponsorship policy: The Trustee Board have decided to review this after concerns were brought my myself and others to Council about sponsorship of conference and education. I’m concerned that because the Trustee Board are also responsible for finances it will be difficult to disentangle the two responsibilities. While the Trustee Board are also responsible […]

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