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 […]

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 […]

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 […]

I am making no apologies for this! It’s really important and there is not a lot of evidence out there considering how disabling it is to many people. links: This is the most important one! About the use of a bulb syringe https://pubmed.ncbi.nlm.nih.gov/18186996/ text is https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2148238/ and https://pubmed.ncbi.nlm.nih.gov/21403136/ systematic review and economic evaluation Parliamentary questions […]

ear wax! higher incidence in people with learning disability https://onlinelibrary.wiley.com/doi/full/10.1111/j.1468-3156.2005.00351.x?saml_referrer#b9%20#b10 ear candling – no evidence it works/ some evidence it makes worse by depositing candle wax inside the ear survey of ENT drs – lots reported seeing injuries from use esp burns https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2231549/ self ear irrigation devices – bulb syringes used in other european countries […]

NICE fever guidance Different types of consultation /access – good overview

Current NICE guidance https://www.nice.org.uk/guidance/ng136 Lancet meta analysis paper https://www.sciencedirect.com/science/article/pii/S0140673621005900#bib9 See appendix list of trials included -and how few included people with BP under the current NICE range+have no history of heart attack/stroke etc https://ars.els-cdn.com/content/image/1-s2.0-S0140673621005900-mmc1.pdf Cardiac stats

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 […]

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/

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