-
Mashup Score: 13
Rates of cancer are now rising in Americans under 50, and particularly among women, a report from the American Cancer Society has said.12 While overall cancer mortality in the US continues to decline, “future gains are threatened by rampant racial inequalities and a growing burden of disease in middle aged and young adults, especially women,” the society’s annual report says. About 80 000 young people aged 20 to 39 are diagnosed with cancer every year in the US and cancer is the fifth leading cause of death in this age group.3 The society predicted that this year there will be over …
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
-
Mashup Score: 2A change in voice - 8 hour(s) ago
### What you need to know A 45 year old man presents to his general practitioner with a three month history of hoarse voice. The onset was over a short time and was predated by five days of coryzal symptoms. He has no past medical history, takes no regular medications, and smokes 10 cigarettes a day. A change in voice, or dysphonia, describes a perceived alteration in vocal function and can include changes in voice clarity, pitch, loudness, and fatigueability. This term is preferred to vocal hoarseness, which refers to a change in the clarity of the voice only. Dysphonia can have a substantial impact on social and professional quality of life leading to anxiety, depression, social isolation, and inability to work or attend education.1 Dysphonia is common, and in one large retrospective analysis of US insurance claims data, prevalence was 1% of people aged up to 65 years old, with a lifetime incidence of about 30%.2 Clinical assessment of the dysphonic patient can be challenging for a c
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
A change in voice, or dysphonia, describes a perceived alteration in vocal function. This article outlines the clinical features of benign disease and features that warrant onward referral Includes #BMJInfographic https://t.co/9PL2WeV8Ax https://t.co/5Rs24vmIah
-
-
Mashup Score: 1Scarlett McNally: Surgical hubs need to be ringfenced within hospitals to prevent patients being left behind - 9 hour(s) ago
The new plan to improve NHS elective care includes creating and expanding surgical hubs.1 As a surgeon, I feel conflicted. It’s positive if patients with treatable conditions can move forward from the waiting list. But we need to do this with great care to avoid negatively affecting the rest of the NHS, especially for patients deemed ineligible or due to the diversion of staff, training capacity, and funding from existing NHS sites.2 We already have over 100 surgical hubs, some delivering 11-20% more efficiency.3 Hubs tend to take patients with few other conditions and relatively low operative risk, whereas patients with more underlying medical conditions and higher risk must wait for a site with medical back-up for their operation. It’s important to consider that half of the patients having procedures are over 604— of whom 63% have multiple comorbidities5 and …
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
The new plan to improve #NHS elective care includes creating and expanding surgical hubs. Surgical hubs need to be ringfenced within hospitals to avoid negatively affecting the rest of the NHS, writes @scarlettmcnally https://t.co/ZcEoDKkCAv
-
-
Mashup Score: 4
Increasing numbers of doctors are struggling at work, while the support available to them is at risk. Emma Wilkinson investigates When Anne Noble, a GP in Sheffield, contacted NHS Practitioner Health she was feeling hopeless and couldn’t see a way out. Working as a partner in a deprived area for 10 years had taken its toll. Every consultation was complex and emotionally challenging. She was experiencing moral injury (box 1) and feeling overwhelmed at how little she could help. Box 1 ### Moral distress and moral injury The BMA defines moral distress as “where institutional and resource constraints create a sense of unease among doctors from being conflicted about the quality of care they can give.”12 Moral injury, the union says, can arise where sustained moral distress leads to impaired function or longer term psychological harm. Moral injury can produce profound guilt, shame, and in some cases a sense of betrayal, anger, and profound “moral disorientation.” It’s also been linked to se
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
“It was a recipe for distress and burnout." Increasing numbers of doctors are struggling at work, while the support available to them is at risk. @Emmajourno investigates https://t.co/Ffg0G6imqi
-
-
Mashup Score: 6Helen Salisbury: Electronic prescribing in hospitals is well overdue - 11 hour(s) ago
When I started in general practice we’d already made the switch to an electronic patient record. We still pulled the paper notes before each surgery—even though the chances of finding a relevant previous entry and being able to read the handwriting were slim—and laboratory results arrived on slips of paper to be stuck in the notes. These were soon replaced by electronic messages, which arrived more quickly and were less likely to be lost. The last element to go paperless was prescribing: even seven years ago I was still signing stacks of paper prescriptions, ready to be collected by the patient or the pharmacy. Although we can still …
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
"Electronic prescribing will reduce friction and improve efficiency across the NHS. It really should be a priority in 2025." Electronic prescribing in hospitals is well overdue, writes Helen Salisbury https://t.co/vpB2y62VL9
-
-
Mashup Score: 6Physician associates: GMC case to go ahead amid new allegations of online abuse of PAs - 12 hour(s) ago
A legal challenge to a refusal by the UK General Medical Council to draw up guidance on safe and lawful practice for physician associates and anaesthesia associates is to be heard in the High Court within the next four months, after a judge gave permission for the case to go ahead and ruled that it should be expedited. Anaesthetists United, a doctors’ advocacy body, is bringing the case together with Marion and Brendan Chesterton, the parents of Emily Chesterton, who died aged 30 from a blood clot on her lungs after two appointments with a physician associate who she thought was a GP. The GMC …
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
A legal challenge to a refusal by the UK General Medical Council to draw up guidance on safe and lawful practice for physician associates and anaesthesia associates is to be heard in the High Court within the next four months https://t.co/jiuy1783zl
-
-
Mashup Score: 6Sacrificing patient care for prevention: distortion of the role of general practice - 13 hour(s) ago
Expansion of preventive clinical recommendations in primary care has had the unintended consequence of destabilising this foundation of the healthcare system, argue Minna Johansson and colleagues For thousands of years, clinicians cared exclusively for people who were sick. Only over the past five decades has primary care’s focus been increasingly redirected towards risk, not symptoms.1 The change to medical prevention was ushered in during the late 1960s, when diuretic treatment of diastolic blood pressures of 115-129 mm Hg was found to prevent cardiovascular events with a number needed to treat (NNT) of 6 people a year.234 This beneficial intervention was targeted at a high risk population. However, today primary care is increasingly asked to prevent disease in lower risk populations that, at times, compose the majority of the population. Lower baseline risk leads to higher numbers of patients needed to screen and treat—ranging from the hundreds to infinity.5 Although the principle o
Source: www.bmj.comCategories: General Medicine News, Hem/OncsTweet-
Expansion of preventive clinical recommendations in primary care has had the unintended consequence of destabilising this foundation of the healthcare system https://t.co/N9Ez8EaE1i via @minnajohansson1 & @RichardLehman1 et al Should be a must-read by all policy makers IMO… https://t.co/j6ofg21spH
-
-
Mashup Score: 20The US withdrawal from the WHO: a global health crisis in the making - 14 hour(s) ago
In a major blow to global health, the US administration has announced plans to withdraw from the World Health Organization. Kent Buse and colleagues propose urgent actions for the international community to mitigate the damage. When the previous Trump administration announced its withdrawal from the World Health Organization (WHO), the decision sent shockwaves throughout the world.1 While that decision was reversed by the incoming Biden administration, Trump has done it again. And this time around, he has sufficient time to complete the 12 month withdrawal process. This severing of ties between the world’s largest economy and its foremost public health body represents a major setback for health diplomacy, scientific collaboration, and funding. The repercussions will ripple across borders, leaving WHO weaker and the US isolated when global health challenges demand unity. For decades, WHO has stood as a beacon of international cooperation, coordinating outbreak responses, fostering scien
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
In a major blow to global health, the US administration has announced plans to withdraw from the World Health Organization @WHO. @kentbuse and colleagues propose urgent actions for the international community to mitigate the damage https://t.co/ehExy6O9jJ
-
-
Mashup Score: 12Sacrificing patient care for prevention: distortion of the role of general practice - 16 hour(s) ago
Expansion of preventive clinical recommendations in primary care has had the unintended consequence of destabilising this foundation of the healthcare system, argue Minna Johansson and colleagues For thousands of years, clinicians cared exclusively for people who were sick. Only over the past five decades has primary care’s focus been increasingly redirected towards risk, not symptoms.1 The change to medical prevention was ushered in during the late 1960s, when diuretic treatment of diastolic blood pressures of 115-129 mm Hg was found to prevent cardiovascular events with a number needed to treat (NNT) of 6 people a year.234 This beneficial intervention was targeted at a high risk population. However, today primary care is increasingly asked to prevent disease in lower risk populations that, at times, compose the majority of the population. Lower baseline risk leads to higher numbers of patients needed to screen and treat—ranging from the hundreds to infinity.5 Although the principle o
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet-
The exponential expansion of preventive medicine over recent decades is a major contributor to the primary care crisis in many high income countries, say @minnajohansson1 et al. Responsibility for primary disease prevention should return to public health https://t.co/vlxJOAwzc7
-
-
Mashup Score: 1Out-of-area mental health placements: we must increase resources for severe mental illness and capacity for inpatient care - 1 day(s) ago
The Health Services Safety Investigations Body (HSSIB) report1 on out-of-area mental health inpatient placements provides a welcome spotlight on the problem.2 Psychiatrists have, however, repeatedly raised concerns since the Royal College of Psychiatrists set up the Commission on Acute Adult Inpatient Care in …
Source: www.bmj.comCategories: General Medicine News, Hem/OncsTweet-
Out-of-area mental health placements: we must increase resources for severe mental illness and capacity for inpatient care in @NHSEngland https://t.co/g7rhun4UIY via @lennycornwall
-
Rates of cancer are now rising in Americans under 50, and particularly among women, a report from the American Cancer Society has said https://t.co/XqzTIHZyhz