self taken covid swabs: Canadian review on methods links Californian study in April small self selected group 45 people Australian study in May NEJM letter 3/6/20 Jama Open June 12th July 22nd JAMA unsupervised home kits 185 people Danish study published early Sept – 109 patients October 14th
Continue Reading →Inside Health 13/10/20 – non drug interventions, Test and trace
BESSI collaboration :https://www.bessi-collab.net/about-us SAGE on non drug interventions https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/925854/S0769_Summary_of_effectiveness_and_harms_of_NPIs.pdf rates of covid-19 testing https://coronavirus.data.gov.uk/?_ga=2.54504936.1326017125.1602531867-289927355.1585336355
Continue Reading →Inside Health 11/8/20
flu vaccinations: Green book: Click to access GreenBook_Chapter_19_Influenza_April_2019.pdf Click to access Letter_annualflu_2020_to_2021_update.pdf evidence on effectiveness https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890-017-0420-8#:~:text=The%20results%20of%20three%20studies,failure%20in%20persons%20%E2%89%A5%2065 https://www.cochrane.org/news/featured-review-three-updated-cochrane-reviews-assessing-effectiveness-influenza-vaccines https://www.cochrane.org/CD004876/ARI_vaccines-preventing-seasonal-influenza-and-its-complications-people-aged-65-or-older https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005187.pub5/full https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006484.pub3/full?highlightAbstract=vaccin%7Cvaccines%7Cflu https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008983.pub3/full?highlightAbstract=vaccin%7Cvaccines%7Cflu https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004876.pub4/full https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2019.24.1900121#html_fulltext https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004879.pub5/full https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001269.pub6/full uptake data Click to access Surveillance_Influenza_and_other_respiratory_viruses_in_the_UK_2019_to_2020_FINAL.pdf https://www.hps.scot.nhs.uk/a-to-z-of-topics/influenza/#data review of covid-19 in children and transmission patterns https://jamanetwork.com/journals/jamapediatrics/fullarticle/2771181
Continue Reading →Inside Health 29th Sept 2020 – covid in children
links Cochrane review on adult symptoms https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013665/full big UK study on symptoms of children admitted to hospital with covid https://www.bmj.com/content/370/bmj.m3249#datasupp study of symptoms of antibody+ve children in the UK who were not admitted to hospital Click to access 2020.08.31.20183095v1.full.pdf study of outbreaks in schools looking for direction of infectiousness https://www.medrxiv.org/content/10.1101/2020.08.21.20178574v1 NHS Scotland testing data https://beta.isdscotland.org/find-publications-and-data/population-health/covid-19/covid-19-statistical-report/9-september-2020/dashboard/ […]
Continue Reading →Inside Health 4/8/20
antibody tests /and unreliability https://www.cochrane.org/CD013652/INFECTN_what-diagnostic-accuracy-antibody-tests-detection-infection-covid-19-virus#:~:text=Antibody%20tests%20one%20week%20after,of%20those%20without%20COVID%2D19. National voices on what is needed for better understanding Click to access improving_information.pdf your covid recovery website https://www.yourcovidrecovery.nhs.uk/about/ previous research on similar interventions http://www.spaceforcopd.co.uk/about-research https://thorax.bmj.com/content/68/Suppl_3/A15 exercise rehab for heart failure https://pubmed.ncbi.nlm.nih.gov/20393935/ web based program for angina https://pubmed.ncbi.nlm.nih.gov/25217464/ and copd https://erj.ersjournals.com/content/44/6/1538 web based cbt https://pubmed.ncbi.nlm.nih.gov/25273302/ – with more interaction https://www.dovepress.com/computer-based-interactive-health-communications-for-people-with-chron-peer-reviewed-article-SHTT and […]
Continue Reading →Inside Health – choirs, statistics, cycles
MHRA – Temperature screening products https://www.gov.uk/government/news/dont-rely-on-temperature-screening-products-for-detection-of-coronavirus-covid-19-says-mhra Prof Jackie Cassell – choirs and covid https://www.jackiecassell.com/choirs-coronavirus-sexuallytransmitted/ Case report from USA https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm other outbreaks https://edition.cnn.com/2020/04/01/us/washington-choir-practice-coronavirus-deaths/index.htmlhttps://world-today-news.com/choirs-may-be-super-spreaders-nrc/ https://www.globaltimes.cn/content/1189811.shtml false positives and negatives Office for National Statistics “we do not know the true sensitivity and specificity of the test because COVID-19 is a new virus” https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/coronaviruscovid19infectionsurveypilot/england17july2020
Continue Reading →Inside Health 14/7/20
mesh and device regulation Useful links BMJ series on mesh – this on conflicts of interest https://www.bmj.com/content/363/bmj.k4164#ref-2 and https://www.bmj.com/content/363/bmj.k4137?ijkey=32cd6095d62352451d2fca5bd0244c337314ea38&keytype2=tf_ipsecsha Europe’s device regulation https://www.bmj.com/content/363/bmj.k4205 complication rates https://www.nature.com/articles/s41598-017-11821-w systematic review https://pubmed.ncbi.nlm.nih.gov/21424785/ device testing https://ora.ox.ac.uk/objects/uuid:11925495-37a8-46c0-a39c-851ffafb88a6/download_file?file_format=pdf&safe_filename=Mahtani%2Bet%2Bal%252C%2BTransvaginal%2Bmesh%2Bfailure%2B-%2Blessons%2Bfor%2Bregulation%2Bof%2Bimplantable%2Bdevices.pdf&type_of_work=Journal+article FDA report https://www.fda.gov/media/81123/download
Continue Reading →RCGP council – virtual – 20/6/20
This council was held online and was shorter than usual. Please note that there is no point in repeating what someone else has said; it was a shorter meeting than usual so this was especially important. This is just a record of what I said . 1) motion from North East London Faculty in support […]
Continue Reading →Inside Health 12/5/20 – changes to GP types of consultation
some links – basically what we do in a pandemic -because of risk of leaving the house – can’t really be compared to ‘normal’ or ‘best quality’ care. some video can be useful, phone even more useful (but we are doing that already) and we don’t know what negative impacts might result from thinking we […]
Continue Reading →Inside Health – death certification
https://www.bma.org.uk/advice-and-support/covid-19/practical-guidance/covid-19-death-certification-and-cremation Click to access chief-medical-officer-in-scotland-letter-about-death-certification-during-covid-19-pandemic-march-2020.pdf https://www.gov.scot/publications/death-certification-during-an-influenza-pandemic-chief-medical-officer-guidance/ Click to access COVID-19-act-excess-death-provisions-info-and-guidance-31-march.pdf https://www.themdu.com/guidance-and-advice/latest-updates-and-advice/certifying-deaths-during-covid-19-outbreak Click to access revised-guidance-for-registered-medical-practitioners-on-the-notification-of-deaths-regulations.pdf Click to access Mr-Nigel-Parsley-letter-18-March-2020.pdf
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