Lucas, Amanda; Midwives; 2012

Hitting performance targets.
Citation: Midwives, Jan 2012, vol. 15, no. 6, p. 44-45, 1479-2915 (2012)
Author(s): Lucas, Amanda
Source: BNI
Full Text: Available from ProQuest in Midwives  (Athens details required)
Available from EBSCOhost in Midwives


Marketing in maternity.
Citation: Midwives, Jan 2012, vol. 15, no. 3, p. 42-43, 1479-2915 (2012)
Author(s): Lucas, Amanda
Source: BNI
Full Text: Available from ProQuest in Midwives
Available from EBSCOhost in Midwives

Donnelly TD; Macfarlane RJ; Nagy MT; Ralte P; Waseem M; The Open Orthopaedics Journal 2013

Fractures of the clavicle: an overview.

Citation: The open orthopaedics journal, 2013, vol./is. 7/(329-33), 1874-3250 (2013)
Author(s):  Donnelly TD; Macfarlane RJ; Nagy MT; Ralte P; Waseem M

Abstract: Fractures of the clavicle are a common injury and most often occur in younger individuals. For the most part, they have been historically treated conservatively with acceptable results. However, over recent years, more and more research is showing that operative treatment may decrease the rates of fracture complications and increase functional outcomes. This article first describes the classification of clavicle fractures and then reviews the literature over the past decades to form a conclusion regarding the
appropriate management. A thorough literature review was performed on assessment of fractures of the clavicle, their classification and the outcomes following conservative treatment. Further literature was gathered regarding the surgical treatment of these fractures, including the methods of fixation and the surgical approaches used. Both conservative and surgical treatments were then compared and contrasted. The majority of recent data suggests that operative treatment may be more appropriate as it improves
functional outcome and reduces the risk of complications such as non-union. This is particularly evident in mid shaft fractures, although more high grade evidence is needed to fully recommend this, especially regarding certain fractures of the medial and lateral clavicle.

Full Text: Available from National Library of Medicine, The  Open Orthopaedics Journal


BMJ Clinical Updates

Four newly updated reviews have recently been published, including Retinal detachment, Sore throat, Fungal toenail infection and Nausea and vomiting in early pregnancy. To view these and all of our recently updated reviews, click here.

Below you can find overviews of our two selected reviews;
Fungal toenails and Dystonia.  Dystonia, usually a lifelong condition, with persistent pain and disability. A large spectrum of drug, surgical and physical treatments are available for the treatment of dystonia but use of these in practice can be inconsistent. The latest BMJ Clinical Evidence systematic review highlights the evidence base for the treatment of dystonia and where further research is required.

The Spring 2014 : The End of Life Journal is now online

The Spring 2014 issue of the free journal for nurses caring for dying people at home, in hospitals and care homes is now available online.  This issue is mobile-friendly making it easier to read on your mobile device or tablet.

Articles include






Health Management News

Independent Working Time Regulations Taskforce

The implementation of the Working Time Directive, and its impact on the NHS and health professionals
This report finds that the implementation of the European Working Time Directive (EWTD) in the NHS has had an adverse impact on the training in certain medical specialities, including surgeons and doctors working in acute medicine. The report was commissioned by the government in response to concerns it had about the impact of the directive on patient care and doctors’ learning. The taskforce found that although some groups of doctors are able to receive the training they need within the 48-hour week, this is very challenging for others.