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Mashup Score: 32Summary of WHO infection prevention and control guideline for Ebola and Marburg disease: a call for evidence based practice - 27 day(s) ago
Outbreaks of Ebola and Marburg disease have continued to occur since the Zaire ebolavirus outbreak in West Africa 2014-16. In response, the World Health Organisation (WHO) published a new infection prevention and control (IPC) guideline for both diseases in August 2023,1 which replaces those issued in 2014 and 2016.234 This article summarises the process involved in developing the updated guideline and includes an infographic (fig 1) to highlight key IPC recommendations from the guideline, following the patient care pathway from the community to a healthcare facility to discharge. The full guideline is available as a downloadable PDF on both the WHO website (Infection prevention and control guideline for Ebola and Marburg disease, August 2023, who.int) and the web based MAGICapp platform. Fig 1 Key infection prevention and control measures in the World Health Organisation guideline for Ebola and Marburg disease ### What you need to know Consistently and rigorously applied IPC measures
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 31Summary of WHO infection prevention and control guideline for Ebola and Marburg disease: a call for evidence based practice - 1 month(s) ago
Outbreaks of Ebola and Marburg disease have continued to occur since the Zaire ebolavirus outbreak in West Africa 2014-16. In response, the World Health Organisation (WHO) published a new infection prevention and control (IPC) guideline for both diseases in August 2023,1 which replaces those issued in 2014 and 2016.234 This article summarises the process involved in developing the updated guideline and includes an infographic (fig 1) to highlight key IPC recommendations from the guideline, following the patient care pathway from the community to a healthcare facility to discharge. The full guideline is available as a downloadable PDF on both the WHO website (Infection prevention and control guideline for Ebola and Marburg disease, August 2023, who.int) and the web based MAGICapp platform. Fig 1 Key infection prevention and control measures in the World Health Organisation guideline for Ebola and Marburg disease ### What you need to know Consistently and rigorously applied IPC measures
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 102Intrapartum care–updated summary of NICE guidance - 2 month(s) ago
### What you need to know In 2021, there were around 650 000 births in England and Wales.1 Most of these births were the result of a straightforward pregnancy, where labour occurred spontaneously at term (37-42 weeks) and the woman gave birth to a single baby without complications. The advice and care that women receive around where to plan their place of birth, pain relief during labour, and management of labour affect their overall experience, and could impact both their mental and physical health and the health of their babies. The National Institute for Health and Care Excellence (NICE) first published guidelines on intrapartum care for healthy women and babies in 2014, and these were updated in 2017. This article summarises a selection of new and updated recommendations, and focuses on those where new evidence has emerged that has led to a change in advice and recommendations involving shared decision making between the woman and the healthcare professional. The recommendations in
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 101Intrapartum care–updated summary of NICE guidance - 2 month(s) ago
### What you need to know In 2021, there were around 650 000 births in England and Wales.1 Most of these births were the result of a straightforward pregnancy, where labour occurred spontaneously at term (37-42 weeks) and the woman gave birth to a single baby without complications. The advice and care that women receive around where to plan their place of birth, pain relief during labour, and management of labour affect their overall experience, and could impact both their mental and physical health and the health of their babies. The National Institute for Health and Care Excellence (NICE) first published guidelines on intrapartum care for healthy women and babies in 2014, and these were updated in 2017. This article summarises a selection of new and updated recommendations, and focuses on those where new evidence has emerged that has led to a change in advice and recommendations involving shared decision making between the woman and the healthcare professional. The recommendations in
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 101Intrapartum care–updated summary of NICE guidance - 2 month(s) ago
### What you need to know In 2021, there were around 650 000 births in England and Wales.1 Most of these births were the result of a straightforward pregnancy, where labour occurred spontaneously at term (37-42 weeks) and the woman gave birth to a single baby without complications. The advice and care that women receive around where to plan their place of birth, pain relief during labour, and management of labour affect their overall experience, and could impact both their mental and physical health and the health of their babies. The National Institute for Health and Care Excellence (NICE) first published guidelines on intrapartum care for healthy women and babies in 2014, and these were updated in 2017. This article summarises a selection of new and updated recommendations, and focuses on those where new evidence has emerged that has led to a change in advice and recommendations involving shared decision making between the woman and the healthcare professional. The recommendations in
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 97Intrapartum care–updated summary of NICE guidance - 2 month(s) ago
### What you need to know In 2021, there were around 650 000 births in England and Wales.1 Most of these births were the result of a straightforward pregnancy, where labour occurred spontaneously at term (37-42 weeks) and the woman gave birth to a single baby without complications. The advice and care that women receive around where to plan their place of birth, pain relief during labour, and management of labour affect their overall experience, and could impact both their mental and physical health and the health of their babies. The National Institute for Health and Care Excellence (NICE) first published guidelines on intrapartum care for healthy women and babies in 2014, and these were updated in 2017. This article summarises a selection of new and updated recommendations, and focuses on those where new evidence has emerged that has led to a change in advice and recommendations involving shared decision making between the woman and the healthcare professional. The recommendations in
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 76
### What you need to know Otitis media with effusion (OME), commonly known as glue ear, is the presence of fluid in the middle ear in the absence of infection. It differs from acute otitis media, which is an infective condition and often presents with ear pain and discharge. Across the United States and Europe, up to 80% of children are affected by OME by 4 years of age, but prevalence declines beyond 6 years of age.1 Although OME does not always impact on hearing and many cases of OME resolve within 3 months, OME is the most common cause of temporary and fluctuating hearing impairment in childhood and can have a major impact on children. The National Institute for Health and Care Excellence (NICE) guideline covering otitis media with effusion in under 12s was first published in 2008.2 This article summarises the 2023 guideline, focusing on updated recommendations relevant to primary care. NICE recommendations are based on systematic reviews of best available evidence and explicit cons
Source: www.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 2Association between changes in carbohydrate intake and long term weight changes: prospective cohort study - 6 month(s) ago
Objective To comprehensively examine the associations between changes in carbohydrate intake and weight change at four year intervals. Design Prospective cohort study. Setting Nurses’ Health Study (1986-2010), Nurses’ Health Study II (1991-2015), and Health Professionals Follow-Up Study (1986-2014). Participants 136 432 men and women aged 65 years or younger and free of diabetes, cancer, cardiovascular disease, respiratory disease, neurodegenerative disorders, gastric conditions, chronic kidney disease, and systemic lupus erythematosus before baseline. Main outcome measure Weight change within a four year period. Results The final analyses included 46 722 women in the Nurses’ Health Study, 67 186 women in the Nurses’ Health Study II, and 22 524 men in the Health Professionals Follow-up Study. On average, participants gained 1.5 kg (5th to 95th centile −6.8 to 10.0) every four years, amounting to 8.8 kg on average over 24 years. Among men and women, increases in glycemic index and glyce
Source: www.bmj.comCategories: General Medicine Journals and Societies, Latest HeadlinesTweet
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Mashup Score: 6“Silent scandal” of missing lung diagnostics in England’s most deprived areas—where respiratory disease is most prevalent - 6 month(s) ago
Lung conditions are the third biggest killer in the UK, yet The BMJ finds a postcode lottery for access to crucial diagnostic services that most impacts the areas with the highest burden. Sally Howard reports The BMJ has found that patients in some of the most deprived areas of the UK, where respiratory conditions including chronic obstructive pulmonary disease (COPD) and asthma are twice as prevalent,1 have limited or no access to crucial respiratory diagnostics. GPs in some of the worst affected areas say the fact they have no means of referring patients for tests, including spirometry and fractional exhaled nitric oxide (FeNO) analysis, is “troubling” and “a silent scandal”—despite NHS England trumpeting its rollout of “one stop shop” community diagnostic centres (CDCs),2 some of which will be run by private providers.3 London GP (and BMJ columnist) Rammya Mathew says COPD is a “known disease of deprivation and a key focus of Core20PLUS5”—the NHS England initiative launched in 2021
Source: www.bmj.comCategories: General Medicine Journals and Societies, Latest HeadlinesTweet
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Mashup Score: 23
Objective To systematically review the proportions of infants with early exposure to antenatal corticosteroids but born at term or late preterm, and short term and long term outcomes. Design Systematic review and meta-analyses. Data sources Eight databases searched from 1 January 2000 to 1 February 2023, reflecting recent perinatal care, and references of screened articles. Eligibility criteria for selecting studies Randomised controlled trials and population based cohort studies with data on infants with early exposure to antenatal corticosteroids (<34 weeks) but born at term (≥37 weeks), late preterm (34-36 weeks), or term/late preterm combined. Data extraction and synthesis Two reviewers independently screened titles, abstracts, and full text articles and assessed risk of bias (Cochrane risk of bias tool for randomised controlled trials and Newcastle-Ottawa scale for population based studies). Reviewers extracted data on populations, exposure to antenatal corticosteroids, and outcom
Source: www.bmj.comCategories: General Medicine Journals and Societies, Latest HeadlinesTweet
Outbreaks of Ebola and Marburg disease continue to occur. This article summarises the key recommendations from a @WHO infection prevention and control guideline for both diseases. Includes a #BMJInfographic with the key points https://t.co/l6O7etPFgh https://t.co/DeT0Eq17Ic