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Www.bmj
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Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis

Data sources PubMed, ISI Web of Science (Science Citation Index Expanded), Embase, Pascal, Cochrane Library, LILACS, and MedCarib, along with published surveys reporting prevalence of sunbed use at national level in Europe.  
bmj.com
almost 5 years ago
Foo20151013 2023 1fflsju?1444774064
4
2741

My Grandfather's Complimentary Medicine - The secret to a healthy old age?

Complimentary medicine (CAM) is controversial, especially when it is offered by the NHS! You only have to read the recent health section of the Telegraph to see Max Pemberton and James LeFanu exchanging strong opinions. Most of the ‘therapies’ available on the market have little to no evidence base to support their use and yet, I believe that it has an important role to play in modern medicine. I believe that CAM is useful not because of any voodoo magic water or because the soul of a tiger lives on in the dust of one of its claws but because modern medicine hasn’t tested EVERYTHING yet and because EVERY DOCTOR should be allowed to use a sugar pill or magic water to ease the anguish of the worried well every now and again. The placebo effect is powerful and could be used to help a lot of patients as well as save the NHS a lot of money. I visited my grandfather for a cup of coffee today. As old people tend to do we discussed his life, his life lessons and his health . My grandfather is 80-something years old and worked as a collier underground for about 25 years before rising up through the ranks of management. In his entire life he has been to hospital twice: Once to have his tonsils removed and once to have a TKR – total knee replacement. My granddad maintains that the secret of his good health is good food, plenty of exercise, keeping his mind active and 1 dried Ivy berry every month! He takes the dried ivy berries because a gypsie once told his father that doing so would prevent infection of open wounds; common injuries in those working under ground. It is my granddad’s firm belief that the ivy berries have kept him healthy over the past 60 years, despite significant drinking and a 40 year pack history! My grandfather is the only person I know who takes this quite bizarre and potentially dangerous CAM, but he has done so for over half a century now and has suffered no adverse effects (that we can tell anyway)! This has led me to think about the origin of medicine and the evolution of modern medicine from ancient treatments: Long ago medicine meant ‘take this berry and see what happens’. Today, medicine means ‘take this drug (or several drugs) and see what happens, except we’ll write it down if it all goes wrong’. Just as evidence for modern therapies have been established, is there any known evidence for the ivy berry and what else is it used for? My grandfather gave me a second piece of practical advice this afternoon, in relation to the treatment of open wounds: To stop bleeding cover the wound in a bundle of spiders web. You can collect webs by wrapping them up with a stick, then slide the bundle of webs off the stick onto the wound and hold it in place. If the wound is quite deep then cover the wound in ground white pepper. I have no idea whether these two tips actually work but they reminded me of ‘QuickClot’ (http://www.z-medica.com/healthcare/About-Us/QuikClot-Product-History.aspx) a powder that the British Army currently issues to all its frontline troops for the treatment of wounds. The powder is poured into the wound and it forms a synthetic clot reducing blood loss. This technology has been a life-saver in Afghanistan but is relatively expensive. Supposing that crushed white pepper has similar properties, wouldn’t that be cheaper? While I appreciate that the two are unlikely to have the same level of efficacy, I am merely suggesting that we do not necessarily dismiss old layman’s practices without a little investigation. I intend to go and do a few searches on pubmed and google but just thought I’d put this in the public domain and see if anyone has any corroborating stories. If your grandparents have any rather strange but potentially useful health tips I’d be interested in hearing them. You never know they may just be the treatments of the future!  
jacob matthews
over 6 years ago
Foo20151013 2023 xyj9qx?1444774087
2
627

The NEW Birmingham Students Medical Leadership Society

Who are we? This society has been formed by a core group of clinical year medical students at the University of Birmingham. We are hoping that lots more healthcare students at UoB will join us soon. This society is open to any student who has a keen interest in healthcare management – Nurse, physio, BMedSc, Medical student, Business student, dentist and pharmacist are all welcome. Why do we exist? Healthcare has become more complex. To ensure that patient’s receive the most effective treatments then healthcare services need to be organised effectively. This might be your role one day and you won’t receive any formal training in management theory or on team working and leadership skills from the University – knowledge that is essential to providing the best care for our patients. Studies have shown that clinicians who have received management training and who take an active role in managing the departments they belong to have achieved significantly decreased complication and mortality rates. What do we plan to do? 1) Raise awareness amongst healthcare students about the opportunities to be involved in healthcare management in their future careers. 2) The society hopes to act as an intermediary between healthcare students keen to make contacts with likeminded individuals in other course and years. We intend to have regular social events that allow everyone to practice their essential networking skills while at discussions over coffee, nights out, games of golf or away day visits to conferences and organisational visits. 3) The society will be holding lectures given by eminent professionals from all areas of healthcare management – The NHS, DoH, Armed forces, private organisations, think tanks, consultancy firms and leading researchers. 4) The society aims to help students foster essential leadership and team working skills that will be required in their future professional roles. These skills will be developed informally and during seminars and workshops. These skills will then be put to the test in high stress situations like Paintballing, laser tag and outdoor activities. 5) The final main aim of this society is to help students make contacts with clinicians and researchers who are working on improving healthcare systems and who need healthcare students to help with research. We hope to develop a network of contacts who are willing to provide research and audit opportunities to keen students. Are you interested in joining the Birmingham Students Medical Leadership Society? Then please email the committee at: med.leadership.soc.uob@gmail.com Or join us on Facebook: https://www.facebook.com/groups/676838225676202/ Or come find us at the MedSoc Freshers fair in September. The Student medical leadership society (SMiLeS) useful resources!!! Why is it important? student BMJ 2012;345:e5319 http://www.leadingsystemsnetwork.com/pdf/Management_Matters.pdf http://www.bmj.com/rapid-response/2011/11/02/improving-performance-nhs http://www.bmj.com/content/345/bmj.e5015 http://www.ncbi.nlm.nih.gov/pubmed/?term=healthcare+reform Undergrad oppurtunities http://www.diagnosisltd.co.uk/ http://www.ihi.org/offerings/ihiopenschool/Pages/default.aspx http://www3.imperial.ac.uk/business-school/programmes/msc-health-management?gclid=CPTQy6bCwLgCFS3HtAodZ1sAtQ http://medicalleadership.net/committee/ http://www.lead-in.co.uk/ http://www.ihi.org/offerings/IHIOpenSchool/Chapters/Pages/SQLA.aspx Foundation year opportunities http://www.stfs.org.uk/faculty/leadership Future career opportunities http://www.leadership.londondeanery.ac.uk/home/fellowships%20in%20clinical%20education http://www.nuffieldtrust.org.uk/get-involved/harkness-fellowship Higher Education http://www.surrey.ac.uk/postgraduate/courses/business/healthcaremanagement/ http://www.open.ac.uk/health-and-social-care/main/study-us/leadership http://www.manchester.ac.uk/postgraduate/taughtdegrees/courses/atoz/course/?code=05855 http://www.brunel.ac.uk/bbs/mba/mba-specialisations/healthcare-management http://www.birmingham.ac.uk/students/courses/postgraduate/taught/social-policy/health-care-policy-management.aspx http://www.birmingham.ac.uk/schools/social-policy/departments/health-services-management-centre/index.aspx Free Learning/ Relevant organisations http://www.qficonsulting.com/healthcare/qfi-healthcare http://www.tocthinkers.com/ http://www.tocthinkers.com/2012/05/qa-performance-improvement-for-healthcare-leading-change-with-lean-six-sigma-and-constraints-managem.html http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/theory_of_constraints.html http://www.dbrmfg.co.nz https://www.google.co.uk/search?q=theory+of+constraints&rlz=1C1CHMC_enGB501GB502&oq=Theory+of+con&aqs=chrome.0.0j69i57j5j69i65j0j69i62.4977j0&sourceid=chrome&ie=UTF-8 http://en.wikipedia.org/wiki/Theory_of_constraints http://www.york.ac.uk/che/ http://www.ihm.org.uk/ Relevant Journals http://www.bmj.com/highwire/filestream/342359/field_highwire_article_pdf/0/bmj.c5072.full.pdf www.civitas.org.uk/doctors/index.php http://www.bmj.com/highwire/filestream/342359/field_highwire_article_pdf/0/bmj.c5072.full.pdf http://www.hsj.co.uk/# http://www.bjhcm.co.uk/ book list http://www.amazon.co.uk/Performance-Improvement-Healthcare-Constraints-ebook/dp/B005RWFOSE/ref=sr_1_1?ie=UTF8&qid=1374945477&sr=8-1&keywords=Performance+Improvement+for+Healthcare http://www.amazon.co.uk/s/ref=nb_sb_ss_i_0_6?url=search-alias%3Ddigital-text&field-keywords=goldratt&sprefix=Goldra%2Cdigital-text%2C142&rh=i%3Adigital-text%2Ck%3Agoldratt Final Summary Did you know that you may not just work for the NHS, but also help to run it? The new Medical Leadership Society aims to foster leadership skills in healthcare students through talks from NHS leaders, the DoH and even the Armed Forces. We provide a way for you to learn about being a leader and influencing policies in the NHS, and our talks and events will serve as an excellent platform for you to start making influential contacts within areas that interest you. You’ll also practice those leadership skills in an array of activities, including paintballing and laser tag!  
jacob matthews
over 6 years ago
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13

Ioannidis, 2005: Why most published research findings are false - INTENSIVE

Ioannidis JP. Why most published research findings are false. PLoS Med. 2005 Aug;2(8):e124. Epub 2005 Aug 30. PubMed PMID: 16060722; PubMed Central PMCID: PMC1182327.  
intensiveblog.com
over 4 years ago
3478593
2
33

Cancer - National Library of Medicine - PubMed Health

A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can also spread to other parts of the body.  
ncbi.nlm.nih.gov
over 4 years ago
Preview
0
21

The Association Between Nutritional Adequacy and Long-Term Outcomes in Critically Ill Patients Requiring Prolonged Mechanical Ventilation: A Multic... - PubMed - NCBI

Crit Care Med. 2015 Aug;43(8):1569-79. doi: 10.1097/CCM.0000000000001000. Multicenter Study; Research Support, Non-U.S. Gov't  
tinyurl.com
over 4 years ago
Podcast art for itunes 600 600 2011 version
0
21

does-central-line-position-matter-can.html

To avoid misplacement of the central line we used the very simple technic discribed by Bedel et al http://www.ncbi.nlm.nih.gov/pubmed/24052186Subclavian view show intracardiac positionning of the guidewire before insertion of the catheter. We believe this to be a better approch for your [b] point.  
pulmcrit.org
over 4 years ago
Preview
2
45

Ethical issues and addiction. - PubMed - NCBI

The epidemic of substance abuse continues to pose a significant challenge to clinicians nationwide. Although there is a tendency to simply associate drug abuse with poverty, the problem affects every social stratum gender and race; and pregnant women are no exception. Caring for pregnant, substance-using women and their infants presents complex legal and ethical issues. Debate is ongoing about whether criminal penalties should be imposed on women based solely on their use of alcohol and other drugs during pregnancy. Furthermore, controversies persist about the rights and wishes of pregnant women versus the interests of their fetuses. For health professionals, conflict arises when the pregnant woman chooses behaviors that have the potential to harm the developing fetus. The ethical dilemma arises from competing autonomy-based and beneficence-based obligations to the maternal-fetal dyad. This chapter explores the ethics-based conflicts in the delivery of health care to drug abusing pregnant women.  
ncbi.nlm.nih.gov
over 4 years ago
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1
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Informed dissent: can we handle internet medicine? - PubMed - NCBI

Evid Based Med. 2015 Oct;20(5):190. doi: 10.1136/ebmed-2015-110255. Epub 2015 Aug 10. Letter; Research Support, Non-U.S. Gov't  
ncbi.nlm.nih.gov
over 4 years ago
Www.bmj
0
0

Treatment strategies for coronary in-stent restenosis: systematic review and hierarchical Bayesian network meta-analysis of 24 randomised trials and 4880 patients

Methods In a hierarchical Bayesian network meta-analysis, PubMed, Embase, Scopus, Cochrane Library, Web of Science, ScienceDirect, and major scientific websites were screened up to 10 August 2015. Randomised controlled trials of patients with any type of coronary in-stent restenosis (either of bare metal stents or drug eluting stents; and either first or recurrent instances) were included. Trials including multiple treatments at the same time in the same group or comparing variants of the same intervention were excluded. Primary endpoints were target lesion revascularisation and late lumen loss, both at six to 12 months. The main analysis was complemented by network subanalyses, standard pairwise comparisons, and subgroup and sensitivity analyses.  
feeds.bmj.com
about 4 years ago
Preview
0
0

Treatment strategies for coronary in-stent restenosis: systematic review and hierarchical Bayesian network meta-analysis of 24 randomised trials and 4880 patients

Methods In a hierarchical Bayesian network meta-analysis, PubMed, Embase, Scopus, Cochrane Library, Web of Science, ScienceDirect, and major scientific websites were screened up to 10 August 2015. Randomised controlled trials of patients with any type of coronary in-stent restenosis (either of bare metal stents or drug eluting stents; and either first or recurrent instances) were included. Trials including multiple treatments at the same time in the same group or comparing variants of the same intervention were excluded. Primary endpoints were target lesion revascularisation and late lumen loss, both at six to 12 months. The main analysis was complemented by network subanalyses, standard pairwise comparisons, and subgroup and sensitivity analyses.  
feeds.bmj.com
about 4 years ago
Preview
0
2

Treatment strategies for coronary in-stent restenosis: systematic review and hierarchical Bayesian network meta-analysis of 24 randomised trials and 4880 patients

Methods In a hierarchical Bayesian network meta-analysis, PubMed, Embase, Scopus, Cochrane Library, Web of Science, ScienceDirect, and major scientific websites were screened up to 10 August 2015. Randomised controlled trials of patients with any type of coronary in-stent restenosis (either of bare metal stents or drug eluting stents; and either first or recurrent instances) were included. Trials including multiple treatments at the same time in the same group or comparing variants of the same intervention were excluded. Primary endpoints were target lesion revascularisation and late lumen loss, both at six to 12 months. The main analysis was complemented by network subanalyses, standard pairwise comparisons, and subgroup and sensitivity analyses.  
feeds.bmj.com
about 4 years ago
Preview
0
1

Treatment strategies for coronary in-stent restenosis: systematic review and hierarchical Bayesian network meta-analysis of 24 randomised trials and 4880 patients

Methods In a hierarchical Bayesian network meta-analysis, PubMed, Embase, Scopus, Cochrane Library, Web of Science, ScienceDirect, and major scientific websites were screened up to 10 August 2015. Randomised controlled trials of patients with any type of coronary in-stent restenosis (either of bare metal stents or drug eluting stents; and either first or recurrent instances) were included. Trials including multiple treatments at the same time in the same group or comparing variants of the same intervention were excluded. Primary endpoints were target lesion revascularisation and late lumen loss, both at six to 12 months. The main analysis was complemented by network subanalyses, standard pairwise comparisons, and subgroup and sensitivity analyses.  
feeds.bmj.com
about 4 years ago
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0
1

Emergency Medicine Literature of Note: Hypertonic Saline No Help for Bronchiolitis

50 years ago, this was published: http://www.ncbi.nlm.nih.gov/pubmed/14261972 Despite 5 decades of flogging the topic, we're pretty much back where they started.  
emlitofnote.com
almost 4 years ago
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0
8

Fragility Index (Walsh et al, 2014) - INTENSIVE

Walsh M, Srinathan SK, McAuley DF, et al. The statistical significance of randomized controlled trial results is frequently fragile: a case for a Fragility Index. Journal of clinical epidemiology. 67(6):622-8. 2014. [pubmed]  
intensiveblog.com
over 3 years ago
Preview
1
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MedSubscriber PubMed Delivered to Inbox

Get PubMed article alerts delivered to your inbox. Setup your search perameters, add alert, done!  
medsubscriber.com
over 3 years ago
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0
2

PubMed Asked to Add Conflict-of-Interest Info to Abstracts

Many researchers do not go past the abstract to find out whether study authors have financial interests that may slant their findings, a bevy of scientists, physicians, and US senators said.  
medscape.com
over 3 years ago
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PubMed is urged to include competing interest information in abstracts

Five United States senators and a group of scientists and physicians have called on the US National Library of Medicine to require journals to include information about authors’ competing interests in the abstracts of articles submitted to PubMed, the library’s online database of biomedical literature.  
feeds.bmj.com
over 3 years ago