Initial drug treatment in Parkinson’s disease

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Parkinson’s disease is a progressive neurodegenerative disorder characterised by tremor, rigidity, bradykinesia, and a wide spectrum of non-motor symptoms including sleep disorders, hyposmia, bladder and bowel dysfunction, fatigue, dementia, and other neuropsychiatric symptoms.

Although the disease has no cure, available treatments effectively control motor symptoms and improve quality of life. Several drug classes are licensed for use as monotherapy in early Parkinson’s disease and adjuvant therapy in later disease

The 2015 NHS Atlas of Variation in Healthcare – published

england map The latest NHS Atlas of Variation in Healthcare has just been published, with 102 maps detailing widespread variation in the quality, cost, activity and health outcome of healthcare in the English NHS. The indicators focus on a variety of services.

The Atlas is a collaboration with NHS England, Public Health England and NHS Right Care and can be accessed here
(Previous versions of the atlas are also available online.)

Recently highlighted in the media, information about the Atlas and its themes can be found here

You can read the recent Public Health England Press Release about the atlas here
The NHS Confederation also commented (see link)  on the usefulness of the Atlas which provides intelligence and highlights variations in care across regions.

T’ai chi benefits some patients with chronic conditions, review concludes

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T’ai chi can improve physical performance of patients with certain chronic conditions without exacerbating their pain or making them breathless, concludes a systematic review and meta-analysis published in the British Journal of Sports Medicine.

The Chinese martial art t’ai chi consists of slow, gentle, and flowing movements that involve strengthening, balance, postural alignment, mind concentration, relaxation, and breath control.