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Development and validation of outcome prediction models for aneurysmal subarachnoid haemorrhage: the SAHIT multinational cohort study

Jue, 18/01/2018 - 17:21
AbstractObjectiveTo develop and validate a set of practical prediction tools that reliably estimate the outcome of subarachnoid haemorrhage from ruptured intracranial aneurysms (SAH).DesignCohort...

Concerns about composite reference standards in diagnostic research

Jue, 18/01/2018 - 17:10
Summary pointsComposite reference standards define a fixed, transparent rule to classify subjects into disease positive and disease negative groups based on existing imperfect testsThey are widely...

Hyperpigmentation in the skin folds

Jue, 18/01/2018 - 11:40
A 62 year old man presented with a one year history of asymptomatic hyperpigmentation of the flexural and intertriginous areas, especially in the groin (fig 1). He had thickened skin on his palms,...

Doctors do not feel protected when things go wrong

Mié, 17/01/2018 - 17:25
The appeal being brought by the General Medical Council to erase Hadiza Bawa-Garba from the register is inhumane, disproportionate, and will not protect the public against further incidents.1 It is...

Geoffrey Vivian Feldman

Mié, 17/01/2018 - 17:21
bmj;360/jan17_9/k228/FAF1faGeoffrey Vivian Feldman was house physician at Manchester Royal Infirmary and then served in the Royal Army Medical Corps. He was subsequently appointed supernumerary...

What would a “no deal” Brexit mean—and what does it tell us about those who want it?

Mié, 17/01/2018 - 17:16
bmj;360/jan17_8/k189/FAF1faThere can be no doubt that prime minister Theresa May’s recent cabinet reshuffle did not turn out as planned. The subsequent discussion, however, about who was in or out,...

Under pressure: meeting demand safely means knowing when to shout for help

Mar, 16/01/2018 - 17:11
At Milton Keynes University Hospital conditions are “slightly” improved after a Christmas surge. “We had a very challenging time between Christmas and New Year, historically a quiet time, with...

Smartphone GP consultation app cost CCG {pound}150 000 in first two months

Mar, 16/01/2018 - 16:51
High demand for a new service that allows patients to access GP consultations 24 hours a day on their smartphones is leading to increased hospital activity, NHS bosses have reported.The GP at Hand...

EMA calls for hydroxyethyl starch solutions to be taken off market

Mar, 16/01/2018 - 16:01
Hydroxyethyl starch (HES) solutions for infusion should be removed from the market across Europe because they carry “serious risks,” the European Medicines Agency (EMA) has said.Hydroxyethyl starch...

Jeremy Hunt’s new department: maȷor overhaul or window dressing?

Mar, 16/01/2018 - 15:11
When Jeremy Hunt emerged from Number 10 Downing Street on 8 January with not just his job intact but an expanded brief,1 many observers were surprised. With the NHS in the grip of a winter crisis, it...

GMC’s push for erasure of paediatrician is questionable

Mar, 16/01/2018 - 11:01
The General Medical Council’s High Court appeal for the erasure of Hadiza Bawa-Garba,1 is not aimed at improving patient care if it discourages duty of candour. It may also deter trainees from...

Trump administration allows states to deny Medicaid to unemployed people

Lun, 15/01/2018 - 17:11
Under new guidance from the Trump administration, US states will be able to deny coverage by Medicaid—the publicly funded health insurance programme for US residents living near the poverty line—to...

Conscientious objection in abortion care

Vie, 12/01/2018 - 16:22
Goldbeck-Wood eloquently outlines the value of conscientious reflection in abortion care for both woman and doctor.1 I share this belief, though arrive there from a position of conscientious...

Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes

Vie, 12/01/2018 - 16:11
Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes In this paper by Poole and colleagues (BMJ 2017;359:j5024, doi:10.1136/bmj.j5024) an error spotted in a...

Measuring the prevention of harm due to minimum alcohol pricing

Vie, 12/01/2018 - 15:26
Several years ago, the all party parliamentary group on alcohol extensively debated a minimum price for alcohol, with valuable input from Scottish policy makers. It reached a clear consensus that...

US is the most dangerous wealthy nation for a child to be born into, study concludes

Vie, 12/01/2018 - 13:56
High poverty rates, poor educational outcomes, and a weak social safety net have made the US the “most dangerous of wealthy nations for a child to be born into,” a new study concludes.1In the study,...

Young women with BRCA mutation can safely postpone radical surgery

Vie, 12/01/2018 - 13:41
Young women with breast cancer and a BRCA mutation do not need to rush to have a double mastectomy, after a large prospective study found that breast conservation with radiotherapy was a safe option...

Diplomatic impasse prevents cardiologists from attending conference in Qatar

Vie, 12/01/2018 - 13:30
Heart experts across the Gulf are being stopped from attending an international cardiology conference because of the Saudi Arabia led blockade of Qatar.More than 1000 of the world’s leading...

Authors’ reply to Sharvill and Beales

Jue, 11/01/2018 - 18:41
We thank Sharvill and Beales for drawing attention to gastroprotection for dyspepsia associated with dual antiplatelet therapy and a higher bleeding risk in elderly people, which we referred to in...

NHS weight management programme makes clinical difference in patients with type 2 diabetes

Jue, 11/01/2018 - 17:06
An inexpensive weight management programme delivered in the NHS has helped patients with type 2 diabetes achieve long term weight loss and improved glycaemic control, leading to a reduction in their...

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