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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
Www.bmj
1
53

Bariatric surgery for obesity and metabolic conditions in adults

This review summarizes recent evidence related to the safety, efficacy, and metabolic outcomes of bariatric surgery to guide clinical decision making. Several short term randomized controlled trials have demonstrated the effectiveness of bariatric procedures for inducing weight loss and initial remission of type 2 diabetes. Observational studies have linked bariatric procedures with long term improvements in body weight, type 2 diabetes, survival, cardiovascular events, incident cancer, and quality of life. Perioperative mortality for the average patient is low but varies greatly across subgroups. The incidence of major complications after surgery also varies widely, and emerging data show that some procedures are associated with a greater risk of substance misuse disorders, suicide, and nutritional deficiencies. More research is needed to enable long term outcomes to be compared across various procedures and subpopulations, and to identify those most likely to benefit from surgical intervention. Given uncertainties about the balance between the risks and benefits of bariatric surgery in the long term, the decision to undergo surgery should be based on a high quality shared decision making process.  
bmj.com
about 7 years ago
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1
14

How can closing stroke units improve survival rates? | Richard P Grant

Richard P Grant: According to a paper published in the BMJ, the future just got a little brighter for victims of stroke – and London is leading the way  
the Guardian
about 7 years ago
Preview
1
31

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
about 7 years ago
Preview
1
13

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
about 7 years ago
Preview
1
20

Global child health: Why kernicterus is still a major cause of death and disability

Stream Global child health: Why kernicterus is still a major cause of death and disability by BMJ talk medicine from desktop or your mobile device  
SoundCloud
about 7 years ago
Preview
1
19

Global child health: Why kernicterus is still a major cause of death and disability

Stream Global child health: Why kernicterus is still a major cause of death and disability by BMJ talk medicine from desktop or your mobile device  
SoundCloud
about 7 years ago
Static.www.bmj
1
24

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 7 years ago
Www.bmj
1
7

People with diabetes have one third higher mortality risk than general population, audit shows | The BMJ

The risk of death is one third higher among people with diabetes in England and Wales than in those without diabetes, the National Diabetes Audit has said, adding that this is due to complications resulting from poor diabetes control. - currently located behind a paywall. Your institution may have access through Athens/Elservier or similar.  
bmj.com
over 6 years ago
Www.bmj
1
14

Most common cause of death in England and Wales in 2013 was heart disease in men and dementia in women

The leading cause of death among men in England and Wales in 2013 was ischaemic heart disease, accounting for 15.4% of deaths, while among women it was dementia and Alzheimer’s disease, which caused 12.2% of deaths, show the latest statistics.1 Dementia and Alzheimer’s disease overtook heart disease as the leading cause of death among women in 2012.  
bmj.com
over 6 years ago
Www.bmj
1
11

Investigating the relationship between quality of primary care and premature mortality in England: a spatial whole-population study

Objectives To quantify the relationship between a national primary care pay-for-performance programme, the UK’s Quality and Outcomes Framework (QOF), and all-cause and cause-specific premature mortality linked closely with conditions included in the framework.  
bmj.com
over 6 years ago
Www.bmj
1
15

Surgical team in India calls for mandatory enforcement of WHO safety checklist

A team of gastrointestinal surgeons in India has called for mandatory enforcement of the World Health Organization’s surgical safety checklist across the country, after implementing it in their own department and observing lower postoperative complications and mortality.  
bmj.com
over 6 years ago
Www.bmj
1
9

Investigating the relationship between quality of primary care and premature mortality in England: a spatial whole-population study

Objectives To quantify the relationship between a national primary care pay-for-performance programme, the UK’s Quality and Outcomes Framework (QOF), and all-cause and cause-specific premature mortality linked closely with conditions included in the framework.  
bmj.com
over 6 years ago
Www.bmj
1
11

Under-reporting and case fatality estimates for emerging epidemics

Using the example of Ebola, this article highlights the problems of using population level data to estimate case fatality rates in epidemics  
bmj.com
over 6 years ago
Www.bmj
1
14

Outbreak of swine flu in India is no worse than seasonal flu, say specialists

The outbreak of H1N1 influenza in India this year, which has killed 875 people since 1 January, is not yet a major concern because the incidence and mortality are no different from those caused by seasonal flu in developed countries such as the United States, infectious disease specialists have told The BMJ.  
bmj.com
over 6 years ago
Static.www.bmj
1
44

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 6 years ago
Www.bmj
1
13

Most common cause of death in England and Wales in 2013 was heart disease in men and dementia in women

The leading cause of death among men in England and Wales in 2013 was ischaemic heart disease, accounting for 15.4% of deaths, while among women it was dementia and Alzheimer’s disease, which caused 12.2% of deaths, show the latest statistics.1 Dementia and Alzheimer’s disease overtook heart disease as the leading cause of death among women in 2012.  
bmj.com
over 6 years ago
Www.bmj
1
15

Surgical team in India calls for mandatory enforcement of WHO safety checklist

A team of gastrointestinal surgeons in India has called for mandatory enforcement of the World Health Organization’s surgical safety checklist across the country, after implementing it in their own department and observing lower postoperative complications and mortality.  
bmj.com
over 6 years ago