British Medical Journal

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David Oliver: Local shouldn’t be a dirty word

Mar, 09/01/2018 - 16:51
As the NHS approaches its 70th birthday, politicians’ desire for central control is as strong as ever. With NHS funding at around 9% of GDP1 and over a million state employees on the service’s...

Sixty seconds on . . . marijuana smoke

Mar, 09/01/2018 - 16:16
It’s high time we talked about thisVery funny. An editorial in JAMA Internal Medicine1 agrees and calls for the dangers of secondhand exposure to marijuana smoke to be taken as seriously as the...

Pfizer abandons research into Alzheimer’s and Parkinson’s diseases

Mar, 09/01/2018 - 16:11
The drug giant Pfizer has announced that it is pulling out of early stage research into Alzheimer’s and Parkinson’s diseases, with the loss of 300 jobs.Its money can be more productively invested...

Arguments against prolonged training placements

Mar, 09/01/2018 - 10:36
Although I agree with Baddeley that a “residency model” has many upsides and that the proposal “warrants a debate,”1 there are far more than the two arguments given (of being stuck in a “failing”...

Emergency doctors “disappointed” over exclusion from winter pressure panel

Lun, 08/01/2018 - 08:45
Emergency medicine doctors have expressed surprise and disappointment that the NHS’s winter pressure panel does not include representatives from the Royal College of Emergency Medicine (RCEM).NHS...

Big tobacco’s new year’s resolution to quit smoking

Vie, 05/01/2018 - 18:21
The tobacco giant Philip Morris International (PMI) wants to “give up cigarettes” in the UK, it claimed in full page advertisements in three newspapers on 2 January. “Every year, many smokers give...

GPs forced to turn away patients because of winter pressures

Vie, 05/01/2018 - 17:35
GPs are being forced to turn away patients because they do not have the capacity to safely treat the number of people seeking care this winter, doctors have warned.General practice leaders said that...

Trivalent flu vaccine won’t protect against influenza B strain predominantly circulating

Vie, 05/01/2018 - 17:21
Public Health England has warned that the trivalent flu vaccine most commonly administered in general practice will not protect against the strain of influenza B that appears to be predominately...

German doctors’ leader condemns support for refugee age tests

Vie, 05/01/2018 - 14:20
The president of the German Medical Association has spoken out against growing political support for mandatory medical tests on refugees who do not possess identification documents but say they are...

Reporting flu vaccine science

Vie, 05/01/2018 - 12:06
When reporting on medical studies, the popular press has a habit of sensationalising. So the muted response to a recent research paper reporting increased risk of miscarriage with influenza vaccines...

Incidence of type 1 diabetes in China, 2010-13: population based study

Jue, 04/01/2018 - 01:05
AbstractObjectiveTo estimate the incidence of type 1 diabetes in all age groups in China during 2010-13.DesignPopulation based, registry study using data from multiple independent...

Statistical methods to compare functional outcomes in randomized controlled trials with high mortality

Mié, 03/01/2018 - 18:26
Summary points In randomized controlled trials of seriously ill patients, functional outcomes (eg, cognition, physical function, and quality of life) are increasingly being measured and compared...

Effect of adoption of neoadjuvant chemotherapy for advanced ovarian cancer on all cause mortality: quasi-experimental study

Mié, 03/01/2018 - 18:11
AbstractObjectiveTo estimate the causal effect of increased use of neoadjuvant chemotherapy (NACT) on all cause mortality in advanced epithelial ovarian cancer.DesignQuasi-experimental fuzzy...

NHS cancels planned surgery and outpatient appointments in response to winter crisis

Mié, 03/01/2018 - 15:46
Hospitals have been advised by NHS England to defer outpatient appointments and day case surgery and extend an existing deferral on non-urgent surgery until the end of January in a bid to ease...

Indian government promises independent review of medical regulation reform bill

Mié, 03/01/2018 - 12:36
Doctors on strike in India were told to return to work on 2 January, after the government agreed to refer for independent review a new bill that aims to reform medical education and regulation.Nearly...

Five minutes with . . . David Hinchcliffe

Mié, 03/01/2018 - 11:06
“We have been running the intergenerational project at Downshall Primary School in Ilford, Essex, since the beginning of November. Three mornings a week, a group of older adults go into reception...

Mammography screening reduces breast cancer deaths in Ireland, study finds

Vie, 29/12/2017 - 17:06
Deaths from breast cancer were 9% lower in women living in a region of Ireland with a mammography screening programme compared with women of the same age living in a part of the country that...

Improving treatment of asthma attacks in children

Vie, 29/12/2017 - 14:46
An acute asthma attack is frightening and serious. The common term for these attacks—“exacerbation,” defined as the worsening of a disease or an increase in its symptoms—undervalues an event that is...

The BMJ charity appeal Christmas 2017: help Medecins Sans Frontieres’ volunteer doctors help the Rohingya people

Vie, 29/12/2017 - 11:21
“Médecins Sans Frontières make it possible for you to do your job as a doctor, as well as you can, in the most difficult circumstances imaginable,” says Ian Cross, a retired Leicester GP and one of...

“Drunk tanks” are studied over festive period to see if they ease pressure on emergency departments

Vie, 29/12/2017 - 01:05
NHS England is to study how hospitals and ambulance services cope over Christmas and New Year in cities that have “drunk tanks”—where revellers who have overindulged can be treated away from...

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