Latest news from Eyes on Evidence

 Issue 51 – July 2013
This month in Eyes on Evidence
General health checks in adults

A Cochrane review suggests that general health checks are not associated with reductions in mortality or morbidity.

Hand eczema in healthcare workers 

A randomised controlled trial indicates that accurate diagnosis of hand eczema and a preventive education intervention in healthcare workers may improve symptoms and quality of life.
A systematic review suggests a lack of clear evidence for a relationship between negative mood and the premenstrual phase in the general population.
Adherence to a warfarin dosing algorithm by clinicians treating people with atrial fibrillation may be associated with improved coagulation control and clinical outcomes.
A retrospective observational study indicates that although short-term trends indicate a decline, longer-term data for 1971 to 2011 show a small increase in new medicine launches.
We highlight 2 new examples from the QIPP collection demonstrating how NHS organisations have implemented new local practices that have both cut costs and improved quality.
NICE has recently published Evidence Updates on:
  • Depression in children and young people
  • Surgical site infection

Stayin’ alive, stayin’ alive

Looks interesting

Oxford Critical Care Journal Club Group

Duration of resuscitation efforts and subsequent survival after in-hospital cardiac arrest

Zachary D. Goldberger, MD, MS, Paul S. Chan, MD, MSc, Robert A. Berg, MD, Steven L. Kronick, MD, MS, Colin R. Cooke, MD, MSc, Mingrui Lu, MPH, Mousumi Banerjee, PhD, Rodney A. Hayward, MD, Harlan M. Krumholz, MD SM, and Brahmajee K. Nallamothu, MD, MPH for the American Heart Association’s Get With the Guidelines®-Resuscitation (formerly, the National Registry of Cardiopulmonary Resuscitation) Investigators

Published in final edited form as:
Lancet. 2012 October 27; 380(9852): 1473–1481. doi:10.1016/S0140-6736(12)60862-9.

From Tobster:
Hi all,

Journal club this Friday deal with when to call time on resuscitation – does this tell us that we should be flogging the proverbial for better outcomes overall, or is it that, if we anticipate a better outcome, we’re more likely to resuscitate for longer? The paper is attached.

Cheers

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July topics from AQuA

These workspaces were published in the last month:

Improving outcomes for Diabetes

Type 2 diabetes is responsible for 85-95% of all diabetes in high-income countries and may account for an even higher percentage in low- and middle-income countries Up to 60% or more of type 2 diabetes is preventable by changing diet, increasing p…

Safety Seminars – Part of the AQuA Master Class Series

AQuA’s ongoing drive to support and promote patient safety in the North West.

Social Care

Benchmarking data for Social Care

Best Practice topics for July

Extract from BMJ Best Practice, looking this month, at Sickle Cell Anaemia

Sickle cell anaemia is a disease of red blood cells caused by an autosomal-recessive single gene defect in the beta chain of haemoglobin.  The characteristic crescent-shaped haemoglobin can disrupt blood flow and break. There is a predisposition for obstruction of small blood capillaries, causing painful crises, organ damage, and increased vulnerability to severe infections. Infants are screened, with findings confirmed by haemoglobin electrophoresis, FBC, reticulocyte count, and peripheral blood smear. Treatment goals include fluid replacement therapy, pain management, and symptom control.

and related conditions

Athens account required

Latest BMJ Learning modules

 

 

 

 What would you do?

You see a 36 year old man who had been slightly unwell for about a week, and then had a sudden episode of vertigo. The episode started for no apparent reason and went on for several days. What is the most likely diagnosis? And what should you do? If you are not sure, then this module will help. Click on the link to complete it today. 

Vertigo: an update on diagnosis and management

Also available are these modules on neurology. They give an important update on a range of common dilemmas.

Dystonia: a guide to assessment and management

Parkinson’s disease: non-motor symptoms

Bell’s palsy: diagnosis and treatment

Parkinson’s disease – initial assessment and referral

Cluster headache: a guide to diagnosis and management

Books on the move!

Amongst this huge pile of books, the counselling, learning disability and evidence based medicine sections are waiting to be relocated.

DSCF0572

It’s all part of the plan to consolidate the resources in the library, making it more convenient for readers to find what they need.  As soon as the bookshelves have been moved, normal service will be resumed!