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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Sham surgery

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 Cochrane reviews http://www.cochrane.org/CD005118/MUSKEL_arthroscopic-debridement-for-osteoarthritis-of-the-knee NICE guidance https://www.nice.org.uk/guidance/ipg230/chapter/1-guidance New BMJ study http://www.bmj.com/content/350/bmj.h2747 Canadian review http://www.cmaj.ca/content/186/14/1057.long variability of use across Scotland (2010) http://www.ncbi.nlm.nih.gov/pubmed/20400024 Australian […]

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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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reply to Professor June Andrews

sent to LRB just now after this http://www.lrb.co.uk/v37/n06/letters Professor June Andrews says, of dementia that “The sooner someone sues a GP for failure to diagnose as early as possible, the better.” It is disturbing that Andrews, responding to Francis on the subject of dementia screening, is seemingly not aware of the evidence base. Screening is always […]

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