flu vaccinations: Green book: Click to access GreenBook_Chapter_19_Influenza_April_2019.pdf Click to access Letter_annualflu_2020_to_2021_update.pdf evidence on effectiveness https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890-017-0420-8#:~:text=The%20results%20of%20three%20studies,failure%20in%20persons%20%E2%89%A5%2065 https://www.cochrane.org/news/featured-review-three-updated-cochrane-reviews-assessing-effectiveness-influenza-vaccines https://www.cochrane.org/CD004876/ARI_vaccines-preventing-seasonal-influenza-and-its-complications-people-aged-65-or-older https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005187.pub5/full https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006484.pub3/full?highlightAbstract=vaccin%7Cvaccines%7Cflu https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008983.pub3/full?highlightAbstract=vaccin%7Cvaccines%7Cflu https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004876.pub4/full https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2019.24.1900121#html_fulltext https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004879.pub5/full https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001269.pub6/full uptake data Click to access Surveillance_Influenza_and_other_respiratory_viruses_in_the_UK_2019_to_2020_FINAL.pdf https://www.hps.scot.nhs.uk/a-to-z-of-topics/influenza/#data review of covid-19 in children and transmission patterns https://jamanetwork.com/journals/jamapediatrics/fullarticle/2771181

links Cochrane review on adult symptoms https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013665/full big UK study on symptoms of children admitted to hospital with covid https://www.bmj.com/content/370/bmj.m3249#datasupp study of symptoms of antibody+ve children in the UK who were not admitted to hospital Click to access 2020.08.31.20183095v1.full.pdf study of outbreaks in schools looking for direction of infectiousness https://www.medrxiv.org/content/10.1101/2020.08.21.20178574v1 NHS Scotland testing data https://beta.isdscotland.org/find-publications-and-data/population-health/covid-19/covid-19-statistical-report/9-september-2020/dashboard/ […]

antibody tests /and unreliability https://www.cochrane.org/CD013652/INFECTN_what-diagnostic-accuracy-antibody-tests-detection-infection-covid-19-virus#:~:text=Antibody%20tests%20one%20week%20after,of%20those%20without%20COVID%2D19. National voices on what is needed for better understanding Click to access improving_information.pdf your covid recovery website https://www.yourcovidrecovery.nhs.uk/about/ previous research on similar interventions http://www.spaceforcopd.co.uk/about-research https://thorax.bmj.com/content/68/Suppl_3/A15 exercise rehab for heart failure https://pubmed.ncbi.nlm.nih.gov/20393935/ web based program for angina https://pubmed.ncbi.nlm.nih.gov/25217464/ and copd https://erj.ersjournals.com/content/44/6/1538 web based cbt https://pubmed.ncbi.nlm.nih.gov/25273302/ – with more interaction https://www.dovepress.com/computer-based-interactive-health-communications-for-people-with-chron-peer-reviewed-article-SHTT and […]

MHRA – Temperature screening products https://www.gov.uk/government/news/dont-rely-on-temperature-screening-products-for-detection-of-coronavirus-covid-19-says-mhra Prof Jackie Cassell – choirs and covid https://www.jackiecassell.com/choirs-coronavirus-sexuallytransmitted/ Case report from USA https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm other outbreaks https://edition.cnn.com/2020/04/01/us/washington-choir-practice-coronavirus-deaths/index.htmlhttps://world-today-news.com/choirs-may-be-super-spreaders-nrc/ https://www.globaltimes.cn/content/1189811.shtml false positives and negatives Office for National Statistics “we do not know the true sensitivity and specificity of the test because COVID-19 is a new virus” https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/coronaviruscovid19infectionsurveypilot/england17july2020

some links – basically what we do in a pandemic -because of risk of leaving the house – can’t really be compared to ‘normal’ or ‘best quality’ care. some video can be useful, phone even more useful (but we are doing that already) and we don’t know what negative impacts might result from thinking we […]

Lancet letter on sepsis https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32483-3/fulltext NEWs and GPs https://emj.bmj.com/content/early/2020/01/09/emermed-2019-209069.full media BJGP open https://bjgpopen.org/content/bjgpoa/early/2020/01/21/bjgpopen20X101005.full.pdf no association with 1 hour antibotics and survival  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4597314/ 2019 – systematic review – equivocal  https://www.ncbi.nlm.nih.gov/pubmed/31855885 death rates in children https://www.gov.uk/government/publications/health-profile-for-england/chapter-2-major-causes-of-death-and-how-they-have-changed hospitals to be fined https://www.bmj.com/content/364/bmj.l1124.long antibiotic resistance https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/843129/English_Surveillance_Programme_for_Antimicrobial_Utilisation_and_Resistance_2019.pdf popups on ‘fever’ http://www.pulsetoday.co.uk/clinical/clinical-specialties/infectious-diseases/are-gps-suffering-from-sepsis-fatigue/20035534.article concerns about overdiagnosis https://www.ncbi.nlm.nih.gov/pubmed/26346055

heart disease in women – press release 2016 paper that went with press release other papers of note https://www.bmj.com/content/350/bmj.g7873 https://heart.bmj.com/content/103/1/10 https://www.hindawi.com/journals/cdtp/2019/9546931/ https://www.ahajournals.org/doi/10.1161/JAHA.119.012307 https://link.springer.com/article/10.1007%2Fs11886-014-0557-5 https://www.nejm.org/doi/full/10.1056/nejm199107253250402 https://www.heartandlung.org/article/S0147-9563(11)00270-6/fulltext https://www.leeds.ac.uk/news/article/3905/heart_attacks_in_women_more_likely_to_be_missed https://academic.oup.com/cardiovascres/article/115/14/e158/5614321 https://www.ahajournals.org/doi/10.1161/JAHA.119.012307

I had to leave early in the afternoon but left notes which were read at appropriate times. C10 priorities read  Deliver practical solutions to sustain and equip GPs to provide the best possible patient care and shape the future of general practice Develop the College into a dynamic and inclusive membership community Promote the contribution […]

This project is part of the work Sam Finnikin and I are doing as part of our fellowship in Evidence and Values at the RCGP.  Essentially:  General practice has seen so many re-disorganisations, contracts, changes and pressures…as well as added workload, and many of us are struggling to love/ do the job we love well. General […]

NSAIDs in pregnancy significant risk of miscarriage –  https://www.ncbi.nlm.nih.gov/pubmed/29890124 (small numbers but one series raised risk from 15% to 23% )  https://www.bmj.com/content/327/7411/368.long science of ovulation and NSAIDS https://link.springer.com/article/10.2165%2F00002018-200225080-00001 https://www.ncbi.nlm.nih.gov/pubmed/16493584 case series 2006 https://www.ncbi.nlm.nih.gov/pubmed/8646437 https://www.ncbi.nlm.nih.gov/pubmed/8624628 https://academic.oup.com/rheumatology/article/39/8/880/1784112 conference abstract, seems to have remained otherwise unpublished Salman S, Sherif B, Al-Zohyri A. Effects of some non steroidal anti-inflammatory […]