Toolkit for improving care for frail older people

This is the third in a series of acute care toolkits which aims to improve the care of the frail older patient.

The toolkit, produced in collaboration with the British Geriatrics Society, recommends procedures for both initial assessment on admission and later comprehensive geriatric assessment.

via NHS Networks at

Knight, S: Collaboration on autonomic symptoms are common and are associated with overall symptom burden and disease activity in primary Sjögren’s syndrome

Susan Knight, Deborah Symmons, Beverley Jones (Macclesfield District General Hospital & Arthritis Research UK Epidemiology Unit, Manchester) collaborated on this recently published study.

Ann Rheum Dis doi:10.1136/annrheumdis-2011-201009

  • Clinical and epidemiological research

Autonomic symptoms are common and are associated with overall symptom burden and disease activity in primary Sjögren’s syndrome

Julia L Newton James Frith Danielle Powell et al published online first 5 May 2012

Objectives To determine the prevalence of autonomic dysfunction (dysautonomia) among patients with primary Sjögren’s syndrome (PSS) and the relationships between dysautonomia and other clinical features of PSS.

Mahto, M; Response to “Comparative performance of culture ..”

Sex Transm Infect 2012;88:27-31 doi:10.1136/sextrans-2011-050075

  • Original article

Comparative performance of culture using swabs transported in Amies medium and the Aptima Combo 2 nucleic acid amplification test in detection of Neisseria gonorrhoeae from genital and extra-genital sites: a retrospective study

  1. Lindsey Harryman1,  Sara Scofield1,  John Macleod2,  David Carrington3,  O Martin Williams3Arnold Fernandes4,  Paddy Horner1,2
  • Accepted 6 October 2011
  • Published Online First 27 October 2011
Response by Mrinalini Mahto [Full text]

Sex Transm Infect published online December 1, 2011

Eyes on Evidence update: Cancer

Vitamin E supplementation and prostate cancer risk
SELECT trial finds no reduction and suggests an increase in risk of prostate cancer with either selenium or vitamin E supplements.

Health professionals express a need for more training to deal with third party interpreting for cancer patients.
There is insufficient evidence to support the use of combination therapy to treat chronic kidney disease.

The evidence base continues to build, suggesting that daily aspirin can be used to prevent cancer.

Details of a new resource available via NHS Evidence search.
Links to four recently published Evidence Updates.

Research portal required to make publicly funded research freely available

BMJ 2012; 344 doi: 10.1136/bmj.e3184 (Published 3 May 2012)

Cite this as: BMJ 2012;344:e3184

Nigel Hawkes

The government has enlisted Jimmy Wales, co-founder of Wikipedia, to help realise plans to make all publicly funded research accessible free of charge.

David Willetts, the minister for universities and science, announced the appointment in an article in the Guardian today ( and was due to elaborate on it later in a speech to the Publishers Association.

Last December in its innovation and research strategy for growth the government promised that open access was its aim, and it set up a working group chaired by Janet Finch, former vice chancellor of Keele University, to consider implementation. She is expected to report next month.

“Giving people the right to roam freely over publicly funded research will usher in a new era of academic discovery and collaboration,” wrote Willetts in his Guardian article. “The challenge is how we get there without ruining the value added by academic publishers.”

via UK government to provide a research portal to make publicly funded research freely available to all | BMJ.

UK figures show increase in prostate cancer diagnoses and falling death rate | BMJ

Athens account required

BMJ 2012; 344 doi: 10.1136/bmj.e3252 (Published 8 May 2012)

Cite this as: BMJ 2012;344:e3252

Susan Mayor

The latest figures show that the number of men in the United Kingdom receiving a diagnosis of prostate cancer has risen to more than 40 000 a year, mainly because of greater use of prostate specific antigen (PSA) testing.

Cancer Research UK reported that 40 841 cases of prostate cancer were recorded in 2009, the most recent year for which incidence figures are available. The data were collected by regional cancer registries in England and the three national cancer registries in Wales, Scotland, and Northern Ireland.

via Latest UK figures show increase in prostate cancer diagnoses and falling death rate | BMJ.