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/ […]

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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 […]

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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

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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

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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 […]

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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 […]

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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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Inside Health – coronavirus – 14/4/20

Covid-19 studies https://www.recoverytrial.net https://www.phctrials.ox.ac.uk/principle-trial https://www.remapcap.org/ Belgian study on aerodynamics preprint http://www.urbanphysics.net/COVID19_Aero_Paper.pdf Q+A http://www.urbanphysics.net/Questions_and_Answers.pdf studies of note on transmission and implications for distancing https://jamanetwork.com/journals/jama/fullarticle/2763852 https://wwwnc.cdc.gov/eid/article/26/7/20-0885_article https://www.nejm.org/doi/10.1056/NEJMc2004973 original paper on distancing – 6 foot in 1970! https://www.osha.gov/Publications/influenza_pandemic.html#maintain_operations

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Inside Health – 7/4/20

Conjunctivitis small study finding corona in some lacrimal fluid https://www.medrxiv.org/content/10.1101/2020.02.11.20021956v1 and https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2764083 WHO analysis of people with corona and conjunctival symptoms Click to access who-china-joint-mission-on-covid-19-final-report.pdf larger study not finding corona in eye fluid https://onlinelibrary.wiley.com/doi/10.1002/jmv.25725 Asthma British Thoracic Society advice file:///Users/user/Downloads/BTS%20Advice%20for%20Healthcare%20Professionals%20treating%20patients%20with%20asthma%20(6).pdf Government methodology https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19 European definition of ‘severe asthma’ (table 3) Click to access 343.full.pdf Asthma […]

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Inside Health 17/3/20

NSAIDs and covid19 NHS advice https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-advice/ French announcement https://forum.facmedicine.com/threads/anti-inflammatories-may-aggravate-covid-19-french-health-minister-warns.47919/ and https://dgs-urgent.sante.gouv.fr/dgsurgent/inter/detailsMessageBuilder.do?id=30500&cmd=visualiserMessage Irish advice https://www.hse.ie/eng/services/news/media/pressrel/advice-about-anti-inflammatory-medication-and-covid-19.html ACE inhibitors and covid19 Lancet letter Click to access PIIS2213-2600(20)30116-8.pdf Science Media Centre reaction expert reaction to questions about high blood pressure, diabetes, and ACE inhibitor drugs, and risk of COVID-19 infection European Society of Cardiology https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang Scotland – no 111 […]

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