Click to access 5cd6ca3d008704f5a6cebf6da9ad761bf817.pdf https://www.ncbi.nlm.nih.gov/pubmed/24816206 Radiology, October 2002, Vol. 225:1, pp. 165-175) Click to access 20151020-21-breast-cancer-standards-singer_en.pdf http://www.auntminnie.com/index.aspx?sec=ser&sub=def&pag=dis&ItemID=106694 Click to access Position%20Statement%20on%20breast%20density%20and%20screening%20within%20the%20BreastScreen%20Australia%20Program.pdf Click to access nhsbsp74.pdf http://www.eusoma.org/Engx/Guidelines/Other/OtherFS.aspx?cont=FS_5_3 Click to access identifying_women_with_dense_breasts_at_high_risk_for_interval_cancer.pdf https://www.ncbi.nlm.nih.gov/pubmed/18477782

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 […]

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   

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 […]

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 […]

http://www.nejm.org/doi/full/10.1056/NEJMoa1615664#t=articleDiscussion

study in the news long term studies – JAMA paper  and NEJM and uptodate Cochrane on HRT   also discussed Rephill study

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 – […]

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 […]

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 […]