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MassScreening

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Ebola airport screening: Will it work? - BBC News

The UK has announced it will start screening some passengers for Ebola - but will this actually help stop the spread of the disease?  
BBC News
about 5 years ago
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36

The GALS screening examination | Arthritis Research UK

The GALS screening examination is designed for routine clerking of a patient. It is available in both video and CD format elsewhere. A brief revision form is presented here.  
arthritisresearchuk.org
about 5 years ago
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57

Regional examination of the musculoskeletal system: introduction video

Regional examination of the musculoskeletal system (REMS) refers to the more detailed examination that would be expected once an abnormality has been detected through either the history or screening examination.  
arthritisresearchuk.org
about 5 years ago
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1
57

The Diabetic Foot Exam

An overview and demonstration of the diabetic foot exam, including inspection for common deformities, evaluation of vascular supply, and screening for neurop...  
YouTube
about 5 years ago
Apple touch icon 228x228 precomposed
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15

Breastcancer.org - Breast Cancer Information and Awareness

We are a 501(c) non-profit organization offering a complete resource for breast cancer, including up-to-date information on the latest treatments, screening tests, stages and breast cancer types, as well as prevention information.  
Breastcancer.org
about 5 years ago
Static.www.bmj
1
2

Think hard before expanding cancer screening

How far should we go to find out whether people are infected with hepatitis C? What benefit will this bring them and at what risk? Recommendations for extended population screening are converging on people born between 1945 and 1965. In the United States the Centers for Disease Control and Prevention and the Preventative Services Task Force have recommended this “cohort screening,” as most infected people are in that age group. In the US alone this would mean screening 60 million people.  
bmj.com
almost 5 years ago
Www.bmj
1
7

How much is too much breast screening?

Ingrid Torjesen describes how the government is pushing on with a giant trial of extended breast screening, despite serious concerns that women are not being fully informed of the risks  
bmj.com
almost 5 years ago
Www.bmj
1
9

Is widespread screening for hepatitis C justified?

Several organisations have recommended greatly expanded screening for hepatitis C infection. Ronald Koretz and colleagues are concerned that no study has tested whether this will lead to net clinical benefit or harm in screened populations  
bmj.com
almost 5 years ago
Static.www.bmj
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21

Opioids for low back pain

Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear. The magnitude of pain relief across chronic non-cancer pain conditions is about 30%. Given the brevity of randomized controlled trials, the long term effectiveness and safety of opioids are unknown. Loss of long term efficacy could result from drug tolerance and emergence of hyperalgesia. Complications of opioid use include addiction and overdose related mortality, which have risen in parallel with prescription rates. Common short term side effects are constipation, nausea, sedation, and increased risk of falls and fractures. Longer term side effects may include depression and sexual dysfunction. Screening for high risk patients, treatment agreements, and urine testing have not reduced overall rates of opioid prescribing, misuse, or overdose. Newer strategies for reducing risks include more selective prescription of opioids and lower doses; use of prescription monitoring programs; avoidance of co-prescription with sedative hypnotics; and reformulations that make drugs more difficult to snort, smoke, or inject.  
bmj.com
almost 5 years ago
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18

Hearing in the first six months of life is vital for normal development - video

Neeti Kailas tells the story of how she created a portable diagnostic device to pioneer hearing loss screening in India  
the Guardian
almost 5 years ago
Preview
1
44

The Diabetic Foot Exam

An overview and demonstration of the diabetic foot exam, including inspection for common deformities, evaluation of vascular supply, and screening for neurop...  
YouTube
almost 5 years ago
Www.bmj
1
17

Early diagnosis and treatment: the goal of hepatitis C screening

Koretz and colleagues correctly highlight the need for robust evidence for hepatitis C screening, but a few points warrant a more balanced discussion.1  
bmj.com
over 4 years ago
Www.bmj
1
29

Screening tests for tuberculosis before starting biological therapy

Before starting treatment, exclude active tuberculosis by asking about symptoms (such as cough, fever, weight loss, and night sweats) and possible exposure to or history of tuberculosis, and with a chest radiograph  
bmj.com
over 4 years ago
Static.www.bmj
1
43

Opioids for low back pain

Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear. The magnitude of pain relief across chronic non-cancer pain conditions is about 30%. Given the brevity of randomized controlled trials, the long term effectiveness and safety of opioids are unknown. Loss of long term efficacy could result from drug tolerance and emergence of hyperalgesia. Complications of opioid use include addiction and overdose related mortality, which have risen in parallel with prescription rates. Common short term side effects are constipation, nausea, sedation, and increased risk of falls and fractures. Longer term side effects may include depression and sexual dysfunction. Screening for high risk patients, treatment agreements, and urine testing have not reduced overall rates of opioid prescribing, misuse, or overdose. Newer strategies for reducing risks include more selective prescription of opioids and lower doses; use of prescription monitoring programs; avoidance of co-prescription with sedative hypnotics; and reformulations that make drugs more difficult to snort, smoke, or inject.  
bmj.com
over 4 years ago
Www.bmj
1
27

Screening tests for tuberculosis before starting biological therapy

Before starting treatment, exclude active tuberculosis by asking about symptoms (such as cough, fever, weight loss, and night sweats) and possible exposure to or history of tuberculosis, and with a chest radiograph  
bmj.com
over 4 years ago
Www.bmj
1
4

Screening and treatment for hepatitis C: a balanced perspective

Koretz and colleagues proposed a randomised trial of hepatitis C (HCV) screening on the basis of a selective literature review.1 We offer a contrasting view based on four key points:  
bmj.com
over 4 years ago
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Authors’ reply to Selvapatt and colleagues, Matthews and colleagues, Badrinath, and Ward and Lee

Selvapatt and colleagues made several points: large numbers of people are infected; birth cohort screening is cost effective; previously treated patients without severe fibrosis are unlikely to progress; sustained virological response improves quality of life; treatment reduces mortality; and newer agents have fewer side effects (last two also alluded to by Matthews and colleagues).1 2 3 The number of patients is not the issue, which is whether …  
bmj.com
over 4 years ago
Static.www.bmj
1
27

Response from Hepatitis C Trust, BASL, BIA, BVHG, BSG, and BHIVA to article asking whether widespread screening for hepatitis C is justified

Koretz and colleagues argue that hepatitis C virus (HCV) screening should be delayed.1 We disagree. HCV transmission was common in the 1960s-80s, and because mortality occurs 30-40 years after infection deaths will rise exponentially over the next decade.2 Delaying effective intervention will have a massive impact. The authors argue that because a community study showed an increase in liver and non-liver mortality most infected people will not die from HCV. Infection can cause or exacerbate renal disease, diabetes, and dyslipidaemia and treatment reduces all cause mortality,3 indicating that both liver and non-liver related deaths are caused by …  
bmj.com
over 4 years ago
Www.bmj
1
5

Hepatitis C screening of men who have sex with men

Koretz and colleagues failed to highlight hepatitis C (HCV) as an emerging sexually transmitted infection in men who have sex with men (MSM), and the public health implications.1  
bmj.com
over 4 years ago
Www.bmj
1
25

Early diagnosis and treatment: the goal of hepatitis C screening

Koretz and colleagues correctly highlight the need for robust evidence for hepatitis C screening, but a few points warrant a more balanced discussion.1  
bmj.com
over 4 years ago