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Effect of screening sigmoidoscopy and screening colonoscopy on colorectal cancer incidence and mortality: systematic review and meta-analysis of randomised controlled trials and observational studies

Objectives To review, summarise, and compare the evidence for effectiveness of screening sigmoidoscopy and screening colonoscopy in the prevention of colorectal cancer occurrence and deaths.  
bmj.com
over 7 years ago
Www.bmj
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25

Prevention and management of pressure ulcers in primary and secondary care: summary of NICE guidance

Pressure ulcers are serious and distressing, and they can affect people of any age. Not only do they increase mortality, result in extended hospital stays, and consume substantial healthcare resources, they are often an example of avoidable harm. Reported prevalence rates range from 4.7% to 32.1% in hospital populations and as much as 22% in nursing home populations.1 Prevention of this devastating condition must be a priority for the NHS. Stage 1 pressure ulcers (see box for definition of stages) can be reversible if identified promptly, and most stage 2 and 3 ulcers can be healed with appropriate care, but all require a multidisciplinary approach for effective management. It is hoped that this guideline will help reduce pressure ulcers nationally and improve care when pressure ulcers do occur.  
bmj.com
over 7 years ago
Www.bmj
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22

Inducing hypothermia after out of hospital cardiac arrest

Out of hospital cardiac arrest is common and is associated with a high rate of mortality.1 With early ambulance treatment, about 30% of these patients have a return of spontaneous circulation and are transported to hospital. However, many patients remain comatose owing to hypoxic brain injury, and this is the leading cause of death after hospital admission.  
bmj.com
over 7 years ago
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20

Inactivity, disability, and death are all interlinked

Physical activity has long been recognised as an important determinant of health and longevity, and many countries have explicit physical activity guidelines for promoting health.1 2 The corollary of this is that people who do not meet the guidelines, a substantial proportion of the population,3 are at risk of worse health. However, relatively little attention has been given to the question of how much activity is needed to make a difference. Although this is not explicitly their primary purpose, two new papers shed light on this question. Dunlop and colleagues (doi:10.1136/bmj.g2472) followed a cohort of people who had mild to moderate osteoarthritis or were at risk of osteoarthritis to look at the development of disability over two years.4 Cooper and colleagues (doi:10.1136/bmj.g2219) estimated the relation between physical capability in midlife—as indicated by grip strength, chair rise speed, and standing balance—and later mortality.5 Both showed that the relation between inactivity and risk of disability or death is not linear: people …  
bmj.com
over 7 years ago
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1
16

Dietary fiber intake and mortality among survivors of myocardial infarction: prospective cohort study

Objective To evaluate the associations of dietary fiber after myocardial infarction (MI) and changes in dietary fiber intake from before to after MI with all cause and cardiovascular mortality.  
bmj.com
over 7 years ago
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1
17

Dietary fiber intake and mortality among survivors of myocardial infarction: prospective cohort study

Objective To evaluate the associations of dietary fiber after myocardial infarction (MI) and changes in dietary fiber intake from before to after MI with all cause and cardiovascular mortality.  
www.bmj.com
over 7 years ago
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WHO | 7 million premature deaths annually linked to air pollution

In new estimates released today, WHO reports that in 2012 around 7 million people died - one in eight of total global deaths – as a result of air pollution exposure. This finding more than doubles previous estimates and confirms that air pollution is now the world’s largest single environmental health risk. Reducing air pollution could save millions of lives.  
who.int
over 7 years ago
Www.bmj
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25

Up to 40% of premature deaths in US are preventable, says CDC

If all US states achieved the same death rates for the top five causes of death—heart disease, cancer, chronic lower respiratory diseases, stroke, and unintentional injury—as those achieved by the states with the lowest rate for each cause, 20% to 40% of premature deaths in the United States could be prevented, the Centers …  
www.bmj.com
over 7 years ago
Www.bmj
1
27

Death rates fell significantly after Massachusetts implemented 2006 health reform

Death from all causes in non-elderly residents of Massachusetts—those age 20 to 64—fell by 2.9% in the four years after it implemented its 2006 health reform law, and deaths from causes amenable to healthcare interventions fell by 4.5%, a new study says.1  
www.bmj.com
over 7 years ago
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1
35

Why the UK has a high child death rate - BBC News

The UK has one of the most advanced health systems in the world, but one of worst child mortality rates in Western Europe.  
BBC News
over 7 years ago
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1
14

Mortality and morbidity 15 years after hospital admission with mild head injury

Stream Mortality and morbidity 15 years after hospital admission with mild head injury by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 7 years ago
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1
26

COPD and mortality after acute myocardial infarction

Stream COPD and mortality after acute myocardial infarction by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 7 years ago
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1
14

Oncologic Emergencies: Neutropenic Fevers

A brief introduction to neutropenic fevers. They are a common cause of mortality in cancer patients. Quick and appropriate treatment can reduce mortality.  
YouTube
over 7 years ago
Www.bmj
1
7

Worldwide maternal mortality rate falls by 45% in 13 years

The number of women dying in labour has nearly halved since 1990 but a lack of data is hampering efforts to reduce maternal mortality, a report from the World Health Organization has said.1  
bmj.com
over 7 years ago
Www.bmj
1
4

Frequent arguments are linked to premature death, Danish study says

Arguing with family, friends, or neighbours, particularly if you are a man and out of work, increases the risk of premature death, a study has shown.1  
bmj.com
over 7 years ago
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1
12

Constant arguing 'increases premature death risk' - BBC News

Having frequent arguments with partners, friends or relatives can increase the risk of death in middle-age, say Danish researchers.  
BBC News
over 7 years ago
Www.bmj
1
4

Frequent arguments are linked to premature death, Danish study says

Arguing with family, friends, or neighbours, particularly if you are a man and out of work, increases the risk of premature death, a study has shown.1  
bmj.com
over 7 years ago
Www.bmj
1
30

Screening for lung cancer using low dose computed tomography

Screening for lung cancer with low dose computed tomography can reduce mortality from the disease by 20% in high risk smokers. This review covers the state of the art knowledge on several aspects of implementing a screening program. The most important are to identify people who are at high enough risk to warrant screening and the appropriate management of lung nodules found at screening. An accurate risk prediction model is more efficient than age and pack years of smoking alone at identifying those who will develop lung cancer and die from the disease. Algorithms are available for assessing people who screen positive to determine who needs additional imaging or invasive investigations. Concerns about low dose computed tomography screening include false positive results, overdiagnosis, radiation exposure, and costs. Further work is needed to define the frequency and duration of screening and to refine risk prediction models so that they can be used to assess the risk of lung cancer in special populations. Another important area is the use of computer vision software tools to facilitate high throughput interpretation of low dose computed tomography images so that costs can be reduced and the consistency of scan interpretation can be improved. Sufficient data are available to support the implementation of screening programs at the population level in stages that can be expanded when found to perform well to improve the outcome of patients with lung cancer.  
bmj.com
over 7 years ago
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1
17

Mortality and morbidity 15 years after hospital admission with mild head injury

Stream Mortality and morbidity 15 years after hospital admission with mild head injury by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 7 years ago