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Www.bmj
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131

Vitamin D: some perspective please

Vitamin D deficiency has been associated with an ever expanding list of diseases, and with this has come almost tonic-like claims for vitamin D supplementation. In observational studies, low vitamin D status has been associated with increased risk of multiple sclerosis, type 1 and type 2 diabetes, cardiovascular disease, colon cancer, breast cancer, autoimmunity, and allergy.1 The UK government has advised that all pregnant women, and children under 5 years, should take 400 IU vitamin D daily; a recent news story, however, reported a survey conducted by a charity which suggested that only 26% of pregnant women and 46% of healthcare professionals are aware of these guidelines.2 The most recent musculoskeletal trend seems to be the attribution of childhood problems such as Blount’s disease and slipped femoral epiphyses to vitamin D deficiency and the incorrect conflation of rickets with low serum calcidiol (25-hydroxyvitamin D3) concentrations.3 So are health professionals causing ill health through their lack of awareness and advocacy of vitamin D supplementation?  
bmj.com
over 7 years ago
Www.bmj
1
36

PSA screening for prostate cancer

Few healthcare issues have generated as much controversy as prostate specific antigen (PSA) based screening for prostate cancer.1 2 Enthusiasm for such screening is high in part because a seemingly simple blood test can lead to early detection and treatment of a common and potentially lethal disease. Screening has resulted in a noticeable increase in incidence of prostate cancer and near universal active treatment for screen detected disease. However, recent science shows that screening for prostate cancer, as with all screening strategies, is a complex process and double-edged sword. This provides the background for the linked paper by Carlsson and colleagues (doi:10.1136/bmj.g2296).3 Though some men may benefit from screening, many more are harmed by testing and the cascade of diagnostic and treatment related events that follow. Further, men and society bear the financial costs of this screening cascade.  
bmj.com
over 7 years ago
Www.bmj
1
15

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
1
10

Young women most at risk are least likely to be offered HPV vaccine

Young women most at risk of developing cervical cancer are the least likely to have been offered the human papillomavirus (HPV) vaccine or to have completed the course, according to a survey of women attending sexual health services in England.  
bmj.com
over 7 years ago
Www.bmj
1
9

Zanamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments

Data sources Clinical study reports, trial registries, electronic databases, regulatory archives, and correspondence with manufacturers.  
bmj.com
over 7 years ago
Www.bmj
1
26

PSA screening for prostate cancer

Few healthcare issues have generated as much controversy as prostate specific antigen (PSA) based screening for prostate cancer.1 2 Enthusiasm for such screening is high in part because a seemingly simple blood test can lead to early detection and treatment of a common and potentially lethal disease. Screening has resulted in a noticeable increase in incidence of prostate cancer and near universal active treatment for screen detected disease. However, recent science shows that screening for prostate cancer, as with all screening strategies, is a complex process and double-edged sword. This provides the background for the linked paper by Carlsson and colleagues (doi:10.1136/bmj.g2296).3 Though some men may benefit from screening, many more are harmed by testing and the cascade of diagnostic and treatment related events that follow. Further, men and society bear the financial costs of this screening cascade.  
bmj.com
over 7 years ago
Www.bmj
1
18

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
1
25

Jeremy Hunt interferes too much in day to day running of NHS, stakeholders say

England’s Department of Health must be prepared to loosen its grip on the management of the NHS and allow new organisations the freedom to perform their roles, a new survey has found.  
bmj.com
over 7 years ago
Www.bmj
1
34

Use of e-cigarettes in UK has tripled in two years, finds survey

The use of electronic cigarettes in the United Kingdom has tripled in the past two years, with 2.1 million people regularly using the devices in 2014, up from 700 000 in 2012, a survey for the antismoking charity Action on Smoking and Health (ASH) has found.  
bmj.com
over 7 years ago
Preview
1
22

Care home residents 'doped up', survey finds - BBC News

Large quantities of anti-psychotic drugs are being given to people with learning disabilities who are resident in hospitals or care homes.  
BBC News
over 7 years ago
1
1
22

WHO | Many countries lack capacity to prevent and treat hearing loss

Many of the countries who responded to a new WHO survey lack the capacity to prevent and care for hearing loss, according to a report published on International Ear Care Day, 3 March.  
who.int
over 7 years ago
12
1
17

WHO | Good hand hygiene by health workers protects patients from drug resistant infections

On Hand Hygiene Day (5 May), WHO urges health workers to practice good hand hygiene when caring for patients, to protect them from contracting infections in health facilities. Initial results from a new WHO global survey confirm that these infections are often resistant to the antibiotics used to treat them.  
www.who.int
over 7 years ago
Preview
1
30

Public satisfaction with hospital emergency departments drops in Britain

Public satisfaction with hospital emergency departments is at its lowest level since 2008, the latest British Social Attitudes survey has shown.1 However, satisfaction with how the NHS is run was unchanged at 60%. Before 2004 the public’s overall satisfaction with the NHS fluctuated between 34% and 46%, and it then rose steadily to an all time high of 70% in 2010, reflecting higher NHS funding and shorter waiting times. But in 2011 satisfaction dropped sharply to …  
www.bmj.com
over 7 years ago
Preview
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
Preview
1
14

The third National Survey of Sexual Attitudes and Lifestyles in the UK

Stream The third National Survey of Sexual Attitudes and Lifestyles in the UK by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 7 years ago
Preview
1
21

Death discussions 'taboo' for many in UK, survey finds - BBC News

Discussing dying and making end of life plans remain taboo for many Britons, a survey finds.  
BBC News
over 7 years ago
Preview
1
17

Clinical trials: units of randomisation

Researchers evaluated the efficacy of a short course of oral prednisolone for acute asthma in children of school age. A randomised double blind placebo controlled crossover trial study design was used. The intervention was parent initiated treatment with the corticosteroid prednisolone (1 mg/kg/day) or placebo when an episode of acute asthma occurred. For each episode, treatment with prednisolone or placebo was chosen at random. Participants were 230 children aged 5-12 years with a history of recurrent episodes of acute asthma. Each child could contribute a maximum of eight episodes of acute asthma to the data collection over a three year study period.1  
bmj.com
over 7 years ago
Preview
1
16

How is the NHS performing? April 2014

Our eleventh Quarterly Monitoring Report features survey results from finance directors and interactive charts on selected NHS performance data.  
kingsfund.org.uk
over 7 years ago
Preview
1
17

Non-publication and delayed publication of randomized trials on vaccines: survey

Objective To evaluate the extent of non-publication or delayed publication of registered randomized trials on vaccines, and to investigate potential determinants of delay to publication.  
bmj.com
over 7 years ago