Mexico 1 year later http://www.bmj.com/content/352/bmj.h6704 2013 meta analysis http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-1072 20% tax modelling in UK http://www.bmj.com/content/347/bmj.f6189 the role of ‘signalling’ http://www.bmj.com/content/352/bmj.h6904 Mexico changes products http://www.euromonitor.com/soft-drinks-in-mexico/report head to head in BMJ including re Denmark http://www.bmj.com/content/351/bmj.h4047 background Click to access HoC-Health-follow-up-info-Feb-2015-financial-final.pdf St Helena Click to access Budget-Speech-2014-15-21-March-2014.pdf https://sthelenaonline.org/2014/03/28/st-helena-shows-uk-the-way-with-fizzy-drinks-tax/
Continue Reading →Asthma/ scarlet fever/measles Inside Health 15/3/16
ASTHMA Dutch study in question http://bjgp.org/content/66/644/e152 SIGN guidelines on asthma Click to access pat141_CHILDREN.pdf In children with mild, intermittent wheeze and other respiratory symptoms which occur only with viral upper respiratory infections (colds), it is often reasonable to give no specific treatment and to plan a review of the child after an interval agreed with […]
Continue Reading →Inside Health 8/3/16 vaginal seeding
Vaginal seeding BMJ article http://www.bmj.com/content/352/bmj.i227 suggestion that babies born as result of CS don’t have the same microbe make up http://www.cell.com/trends/molecular-medicine/abstract/S1471-4914(14)00216-0?_returnURL=http%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1471491414002160%3Fshowall%3Dtrue and hygeine hypothesis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110651/ http://www.ncbi.nlm.nih.gov/pubmed/?term=20566857 Other studies have linked different microbes to increased risks of some disorders (increased risk not diagnosis) http://www.jacionline.org/article/S0091-6749(14)01650-9/abstract Nature study http://www.readcube.com/articles/10.1038%2Fnm.4039 HEALTH CHECKS/ ONE YOU http://www.nhs.uk/Conditions/nhs-health-check/Pages/NHS-Health-Check.aspx
Continue Reading →does talc cause cancer? Inside Health 1/3/16
http://www.ncbi.nlm.nih.gov/pubmed/26689397 “Multiple studies of ovarian cancer and genital talc use have led only to consensus about possible carcinogenicity. Seeking greater clarity, we examined this association in 2041 cases with epithelial ovarian cancer and 2100 age-and-residence-matched controls. METHODS: We defined genital talc use as regular application to the genital/rectal area directly, on sanitary napkins, tampons, or […]
Continue Reading →RCGP council 26/2/16
Junior doctors review of morale: I suggested that the RCGP creates its own review of the evidence on moral and fatigue in junior doctors in particular and uses this as an independent reference and review when the AoMRC undertakes its’ review spoke to issue about post graduate learning and sponsorship of modules – these should […]
Continue Reading →E-cigs Inside Health 16/2/16
E CIGARETTES smoking stats Click to access smok-eng-2014-rep.pdf lancet review http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(15)00521-4/fulltext Nicotine replacement therapy http://www.ncbi.nlm.nih.gov/pubmed/23152200, NNT about 15 http://www.aafp.org/afp/2015/0701/od1.html comparative QALYS for smoking cessation Click to access OS_SmokingCessation(1).pdf cystine http://www.nejm.org/doi/full/10.1056/NEJMoa1407764 MHRA details Click to access con616843.pdf owned by BAT http://www.newsjs.com/url.php?p=http://www.theguardian.com/society/2016/jan/04/british-american-tobacco-e-cigarette-wins-uk-medicine-licence cochrane on EC http://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-or-reduce-the-amount-they-smoke-and-are-they-safe-to-use-for-this-purpose current stats (inc e cig use) http://www.smokinginengland.info safety http://jpubhealth.oxfordjournals.org/content/early/2014/08/09/pubmed.fdu055.short http://ehp.niehs.nih.gov/15-10185/
Continue Reading →Zika virus – Inside Health 9/2/16
WHO advice NHS advice RCOG advice Uncertainty over numbers of children affected in Brazil
Continue Reading →SPRINT trial – hypertension. Inside Health 2/2/16
Notes on SPRINT Trial: http://www.nejm.org/doi/full/10.1056/NEJMoa1511939#t=articleResults also of note http://www.cochrane.org/CD006742/HTN_benefits-of-antihypertensive-drugs-for-mild-hypertension-are-unclear http://cks.nice.org.uk/chronic-kidney-disease-not-diabetic#!scenariorecommendation:5 http://cks.nice.org.uk/hypertension-not-diabetic This was a randomised controlled trial 9391 people without diabetes at high risk of CVS events and with BP of over 130mm HG not blinded average bp 121 in rx group, 134.6 in normal rx group outcomes – MI, stroke, HF, death from CVS […]
Continue Reading →folic acid/flour Inside Health 26/1/16
http://www.ffinetwork.org/regional_activity/europe.php all wheat flour (except wholemeal) produced in the UK is subject to legislation which requires calcium, iron, niacin and thiamin to be added at certain specified levels Folic acid factsheet – women wanting to be/pregnant – https://www.bda.uk.com/foodfacts/FolicAcid.pdf 1st reading of a bill to make mandatory in house of lords awaiting second reading – england […]
Continue Reading →Inside Health BBC Radio 4 19/1/16- notes on stroke stats
The ‘ 20% more likely to have a stroke at the weekend’ quote used by various politicians – seems to have come from study in PLOS 2004 – 2012 DATA http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0131836#sec014 However ,20% is relative risk – one needs to know the absolute risk to make sense of that. If admitted at weekend death rate […]
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