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Sperm counts and studies of risk/association Inside Health 16/7/19

Mobile phones and sperm quality smoking *(where are all the other studies there should be on this?) animal research  Hazardous substances advisory committee and WHO  WHO reference ranges over time and overview  Endocrine Society report  and background http://ijomeh.eu/Environmental-exposure-to-non-persistent-endocrine-disrupting-chemicals-and-semen,76451,0,2.html tiny studies looking at dose related effects of  diethylhexyl phthalate (DEHP) and polychlorinated biphenyl 153 (PCB153) https://www.nature.com/articles/s41598-019-39913-9 -> poorer […]

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Obesity and CRUK misguided campaign

for Inside Health 9/7/19 Previous column about similar CRUK campaign  Genetics and obesity  environment, genetics and obesity  CRUK own webpages on preventable risk factors – note alcohol + low fibre diet is a bigger risk factor than obesity…what about messages which are more realistically achieved? weight stigma and healthcare ironic effects of weight stigma perceived […]

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RCGP Council notes 22/6/19

thank you for re-electing me please bear in mind that there is no point repeating stuff someone else has said (unless you like the sound of your own voice etc etc ) so this is just what I said – rules are you can report what you said, not what someone else said, until the […]

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catch up items

Things over the last few months How doctors are peddling pointless vitamin drips  a few things in the Telegraph but all behind a paywall, here  Tell Me Where It Hurts, a programme for Radio 4 about what does/doesn’t/should happen  in GP consultations, and why it’s so important

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More or Less 17/5/19

    https://qrisk.org/2017/index.php https://qintervention.org/index.php https://qrisk.org/three/index.php http://www.assign-score.com/estimate-the-risk/ https://www.nice.org.uk/guidance/cg181/resources/patient-decision-aid-pdf-243780159

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Outcome switching Inside Health 26/3/19

study 329 https://www.sciencedirect.com/science/article/abs/pii/S0890856709603099   https://content.iospress.com/articles/international-journal-of-risk-and-safety-in-medicine/jrs426   http://www.consort-statement.org https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1852589/ COMPARE project http://compare-trials.org/faq

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Cannabis products – Inside Health 12/3/19

https://www.nhs.uk/conditions/medical-cannabis/ Government factsheet  MHRA statements  Review referenced by WHO – preclinical/animal studies file:///Users/user/Downloads/2CannabidiolStateoftheartandnewchallengesfortherapeuticapplications.pdf There is a lack of good evidence that any cannabis-derived product works for any chronic neuropathic pain.https://www.cochrane.org/CD012182/SYMPT_cannabis-products-adults-chronic-neuropathic-pain More people reported sleepiness, dizziness and mental problems (e.g. confusion) with all cannabis-based medicines pooled together than with placebo (low-quality evidence) https://www.cochrane.org/CD012954/IBD_cannabis-and-cannabis-oil-treatment-ulcerative-colitis The effects of […]

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Inside Health 5/3/19 aviation and healthcare

https://www.reuters.com/article/us-safety/going-into-hospital-far-riskier-than-flying-who-idUSTRE76K45R20110721 https://www.caa.co.uk/Consumers/Guide-to-aviation/Aviation-safety/ https://www.standard.co.uk/news/health/jeremy-hunt-helpline-may-need-more-medics-to-avoid-further-tragedy-after-babys-death-a3168056.html https://www.gov.uk/government/organisations/air-accidents-investigation-branch/about https://www.bmj.com/content/353/bmj.i2139 https://www.bmj.com/content/353/bmj.i2139/rr-54

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Inside Health 26/2/19 fetal doppler kits

  NICE https://www.nice.org.uk/guidance/CG62 Auscultation of the fetal heart may confirm that the fetus is alive but is unlikely to have any predictive value and routine listening is therefore not recommended. However, when requested by the mother, auscultation of the fetal heart may provide reassurance. Routine Doppler ultrasound should not be used in low‑risk pregnancies. [2008] […]

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Notes from RCGP Council 22/2/19

RCGP Council 1) Transgender module on RCGP website – which has now been withdrawn – my concern is also that the evidence base is lacking for a markedly changed demographic – I felt there was lack of clarity in chair’s blog about the wider issues and governance of evidence in modules more widely. I do […]

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