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Surgeons and patients sex

Study in the news (Canada) https://www.researchgate.net/profile/Angela-Jerath/publication/356887012_Association_of_Surgeon-Patient_Sex_Concordance_With_Postoperative_Outcomes/links/61b2bb4c358cc06c3f9a801b/Association-of-Surgeon-Patient-Sex-Concordance-With-Postoperative-Outcomes.pdf Other studies of note: USA study of surgery – didn’t find a link between sex of patients/surgeons and outcomes (but found the older surgeons have lower mortality rates) also found here Canadian study comparing male and female surgeons outcomes (better as elective, no difference in emergency) US study of […]

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Inside Health – January

Dry January https://www.tandfonline.com/doi/full/10.1080/08870446.2020.1743840 https://www.researchgate.net/publication/339212416_Temporary_abstinence_during_Dry_January_predictors_of_success_impact_on_well-being_and_self-efficacy https://pubmed.ncbi.nlm.nih.gov/29730627/ https://bmjopen.bmj.com/content/8/5/e020673 exercise and sleep https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716674/ https://bjsm.bmj.com/content/51/5/479 https://pubmed.ncbi.nlm.nih.gov/34163383/ https://pubmed.ncbi.nlm.nih.gov/25903450/ https://www.sciencedirect.com/science/article/pii/S1836955312701066 https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-0913-3 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385214/ making new habits https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505409/

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‘pre-diabetes/impaired glucose tolerance/ ‘high risk sugar’ and the evidence…..

UK Gov review (spot the non sig outcomes, the stat but not clinically sig outcomes….the lack cost effectiveness detail) https://www.gov.uk/government/publications/diabetes-prevention-programmes-evidence-review rollout analysis https://bmjopen.bmj.com/content/8/2/e019467 National guidance – NHS Healthcheck https://www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/ NICE diagnosis categories https://pathways.nice.org.uk/pathways/preventing-type-2-diabetes#path=view%3A/pathways/preventing-type-2-diabetes/managing-risk-of-type-2-diabetes.xml&content=view-node%3Anodes-high-risk good BMJ analysis on key overdiagnosis issues Click to access 760940 and another from BJGP Click to access 172.full.pdf Prevent diabetes cluster […]

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Inside Health – fortifications

Fluoride in water supplies – and old one and a good one https://www.bmj.com/content/335/7622/699.long and Scotland https://dwqr.scot/public-water-supply/drinking-water-quality-faqs/fluoride/ Cochrane review https://www.nature.com/articles/sj.bdj.2016.257 impact in Scotland Click to access NDEP_for_England_OH_Survey_5yr_2019_v1.0.pdf impact on hospital admissions https://www.nature.com/articles/s41415-021-2945-8 Consultation on folic acid https://www.gov.uk/government/consultations/adding-folic-acid-to-flour/proposal-to-add-folic-acid-to-flour-consultation-document#sacn-reports and impact assessment Click to access folic-acid-impact-assessment.pdf and https://www.gov.uk/government/consultations/adding-folic-acid-to-flour/proposal-to-add-folic-acid-to-flour-consultation-document#current-advice systematic review https://www.cambridge.org/core/journals/public-health-nutrition/article/impact-of-folic-acid-fortification-of-flour-on-neural-tube-defects-a-systematic-review/EE00B553A9BD987BADF495B21E3CCF6C controlled trial https://pubmed.ncbi.nlm.nih.gov/27005659/ impact assessment of fortification […]

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Inside Health – NHS data

NHS Digital https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/general-practice-data-for-planning-and-research Polls on citizen views https://www.healthwatch.co.uk/news/2021-07-20/patient-data-crucial-planning-health-services-and-so-building-trust-how-nhs-uses-it and https://www.healthwatch.co.uk/news/2018-05-17/how-do-people-feel-about-their-data-being-shared-nhs Manchester Uni citizens jury Click to access New%2012621_NIHR_Juries_Report_WEB.pdf Other ways of doing things OpenSafely https://www.opensafely.org/ SPIRE scotland https://spire.scot/ Wellcome excellent resource https://understandingpatientdata.org.uk/news/trustworthy-use-gp-data-what-must-happen-now Caldicott review https://www.gov.uk/government/publications/review-of-data-security-consent-and-opt-outs caution on pseudo nmyised data https://techscience.org/a/2018100901/ Good briefing from Med Confidential Major health data breaches and scandals not forgetting google […]

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Inside Health – menstruation

old licensed menstrual light/absent rx in US Seasonale 2003 – 4 periods a year Lybrel 2007 – no periods at all https://sitn.hms.harvard.edu/flash/2008/issue40/ – logical progression Long v interesting essay on the prehistory 2015 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462239/ clearly being prescribed for ‘heavy periods’ / regulation rather than contraception in Ireland https://www.tandfonline.com/doi/full/10.1080/09612025.2020.1833495 John  Rock  https://jamanetwork.com/journals/jama/article-abstract/664981 cochrane review https://www.cochrane.org/CD004695/FERTILREG_combined-hormonal-contraceptives-taken-extended-regimens-more-28-days-compare-favorably-traditional safety […]

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RCGP Council 2021

I usually post up what I’ve said. It was a very long meeting. I try not to repeat things that others have said. I contributed towards one paper written by Victoria Tzortziou Brown. My concern is that honours etc given out by college (eg lecturerships, FRCGPs) should be actively trying to increase diversity, the sex […]

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World Service – ovarian cancer screening

Lancet study for UKCTOCS -2021 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00731-5/fulltext and 2015 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)01224-6/fulltext Puerto Rico practice https://www.hindawi.com/journals/bmri/2014/920915/ US Preventive services taskforce https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening NHS advice on ovarian cancer symptoms https://www.nhs.uk/conditions/ovarian-cancer/

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Yellow Cards

Yellow Card link https://coronavirus-yellowcard.mhra.gov.uk/about Government website on adverse reactions Click to access COVID-19_AstraZeneca_Vaccine_Analysis_Print.pdf York review – history of patient reporting https://aura.abdn.ac.uk/bitstream/handle/2164/2957/mon1520_YCS.pdf;jsessionid=70780E9E705E664188E0B406FFFD2605?sequence=1 https://www.gov.uk/government/publications/coronavirus-covid-19-vaccine-adverse-reactions/coronavirus-vaccine-summary-of-yellow-card-reporting Denmark pause https://www.theguardian.com/society/2021/mar/11/denmark-pauses-astrazeneca-vaccines-to-investigate-blood-clot-reports

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Covid ‘immunity’ ‘vaccination’ ‘testing’ passports

Quarantine – historical https://journals.sagepub.com/doi/pdf/10.1177/003591574503800701 WHO and international vaccine certification https://link.springer.com/chapter/10.1007/978-3-642-73772-5_120 https://journals.sagepub.com/doi/pdf/10.1177/003591574503800701 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7454779/ Click to access Green-Book-Chapter-14v2_0.pdf WHO and current guidance https://www.who.int/news-room/articles-detail/interim-position-paper-considerations-regarding-proof-of-covid-19-vaccination-for-international-travellers UK currently reviewing ‘complex issues’ https://www.bbc.co.uk/news/55970801 previous problems with IHR https://journals.sagepub.com/doi/full/10.1177/0098858816658273 loopholes with yellow fever vaccination https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31670-8/fulltext issues with apps and data security https://www.qmul.ac.uk/media/news/2021/se/new-tool-reveals-security-and-privacy-issues-with-contact-tracing-apps.html fantastic tracker from Ada Lovelace Institute https://www.adalovelaceinstitute.org/project/international-monitor-vaccine-passports-covid-status-apps/ Rabies vaccination and […]

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