Social media and health messages https://www.researchgate.net/publication/270903628_Reexamining_Health_Messages_in_the_Digital_Age_A_Fresh_Look_at_Source_Credibility_Effects ECDC on social media, vaccination, trust Click to access TER-Immunisation-and-trust.pdf WHO on dealing with ‘vaccine hesitancy’ Click to access 3_SAGE_WG_Strategies_addressing_vaccine_hesitancy_2014.pdf Interesting on web 2.0 opportunities and threats http://www.ncbi.nlm.nih.gov/pubmed/22172504 on social media and information http://www.ncbi.nlm.nih.gov/pubmed/25413375 ‘new’ (2012) ‘reasons’ for not giving MMR in the UK http://www.sciencedirect.com/science/article/pii/S0264410X11020883 http://www.sciencedirect.com/science/article/pii/S0264410X12002083
Continue Reading →Flying in pregnancy – Inside Health 10/2/15
https://www.rcog.org.uk/en/patients/patient-leaflets/air-travel-pregnancy/ Click to access sip_1.pdf
Continue Reading →Cancer diagnosis – Inside Health – and NHS Surveys
Risk of cancer with gastric symptoms in primary care; http://www.nature.com/bjc/journal/v108/n1/full/bjc2012551a.html The important bit is this table. Look at the PPVs (positive predictive values) on the right hand side. so ‘dyspepsia’ in this population signals cancer 0.2% of the time. Other studies put it a bit higher, but I think this is the most relevant […]
Continue Reading →Boilers on prescription/anticholinergic side effects – Inside Health 27/1/15
cold weather warning from Public Health England – average temperatures to drop to 2 degrees or below. https://www.gov.uk/government/news/phe-issues-cold-weather-alert Boiler on Prescription Report – The story so far (1) EvaluationofWarmFrontScheme Local action on fuel inequalities – cold home related fuel problems Papers of note http://www.sciencedirect.com/science/article/pii/S0013935102000099 http://www.ncbi.nlm.nih.gov/pubmed/24602854 http://www.ncbi.nlm.nih.gov/pubmed/21764645 “There was a fundamental belief that residents in […]
Continue Reading →Use of prophylactic Tamiflu in nursing homes
Tamiflu letter Here is a letter from the directors of Thames Valley NHS England. Note the use of language regarding prescribing. Here is my response.
Continue Reading →BMJ columns – open access
Who is counting the harms from changes to the benefits system? Why I love #parkrun
Continue Reading →Predicting flu – INSIDE HEALTH, 20/1/15
Forecasting with google flu trends – doesn’t work http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0056176 http://dash.harvard.edu/bitstream/handle/1/12016836/The%20Parable%20of%20Google%20Flu%20(WP-Final).pdf?sequence=1 wikipedia was a bit better; correlation of page views and CDC data http://www.ploscompbiol.org/article/info%3Adoi%2F10.1371%2Fjournal.pcbi.1003581 or there’s twitter, which fits on historical data modelling http://currents.plos.org/outbreaks/article/twitter-improves-influenza-forecasting/ Several models incorporated additional data besides clinical or laboratory-based surveillance data to generate forecasts, including internet search queries and meteorological data. http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0094130 […]
Continue Reading →Nalmefene – Inside Health 12/1/15
Nalmfelene http://www.uptodate.com/contents/pharmacotherapy-for-alcohol-use-disorder/abstract/60-62 Click to access nalmefene_Selincro_FINAL_September_2013_website.pdf COIs in researchers http://www.bmj.com/content/348/bmj.g2017/rr/692223 http://www.europeanneuropsychopharmacology.com/article/S0924-977X(13)00075-8/abstract NICE guidance http://www.nice.org.uk/guidance/ta325 http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/002583/WC500140326.pdf Statins and diabetes http://www.bmj.com/content/348/bmj.g3244 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61183-1/abstract http://www.cancerresearchuk.org/cancer-info/cancerstats/keyfacts/teenage-and-young-adult-cancer/ Cancer diagnosis in primary care Click to access CDS-evaluation-report-Executive-summary.pdf Click to access c478823affb31a36bb141d494008f175.pdf GP access in primary care http://www.rcgp.org.uk/news/2014/february/34m-patients-will-fail-to-get-appointment-with-a-gp-in-2014.aspx http://www.nuffieldtrust.org.uk/blog/wicked-problem-access-telephone-solution http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61058-8/abstract?rss=yes http://www.nuffieldtrust.org.uk/talks/slideshows/jon-nicoll-induced-demand-and-use-emergency-care http://www.bmj.com/content/349/bmj.g7228
Continue Reading →PLAC test – notes and references
http://www.plactest.com/healthcare/ -PLA2 testing is well-studied and published in peer-reviewed scientific literature and is recognized in the guidelines of the American Heart Association and the American Stroke Association7,8 About 10% to 20% of persons with coronary heart disease (CHD) have no identifiable risk factor,1 and 35% of CHD deaths occur in patients who have total serum […]
Continue Reading →Submission to PAC – NHS complaints and clinical failure
Closes on 16/1/15 http://www.parliament.uk/business/committees/committees-a-z/commons-select/public-administration-select-committee/inquiries/parliament-2010/nhs-complaints-and-clinical-failure/commons-written-submission-form/ 1. The effectiveness of the NHS’s current approach to investigating and addressing untoward medical incidents. Currently there is a blame culture, a culture of fear, and a culture of litigation in clinical practice. This is partially driven by the way the NHS has chosen to investigate clinical incidents […]
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