Archive for the 'Cardio-respiratory' Category

Routine use of beta blockers in MI patients without heart failure is questioned

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Patients who have had a myocardial infarction (MI) but do not have heart failure or left ventricular systolic dysfunction do not seem to benefit from beta blockers, a large UK study published in the Journal of the American College of Cardiology has found

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Swimming, aerobics, and racquet sports are linked to lowest risk of cardiovascular death

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Swimming, racquet sports, and aerobics seem to be the best forms of exercise for reducing the risk of death from heart disease and stroke, research published in the British Journal of Sports Medicine has found.

The researchers said that the small number of events impaired the statistical power in some analyses. There were relatively few deaths from all causes among runners and football players, which may explain the wide confidence intervals. However, they concluded, “These findings demonstrate that participation in specific sports may have significant benefits for public health.”

Here’s why we need evidence

evidently-cochrane-logoEveryday nursing requires the appropriate use of evidence and this website  from Evidently Cochrane provides useful insights. The article about pressure ulcers illustrates why evidence is needed for everyday practice.

Evidence can be found from a variety of sources and with busy workloads and winter pressures coming, you may find it is hard to find time to search for reliable evidence.

Don’t worry – we can help you!

Your Library and Knowledge Service has skilled  outreach specialists who can help you, either by running an evidence  search or training you to do it effectively. So get ahead and get in touch with us if you are based at East Cheshire NHS Trust.

Overwhelmed by information?

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BMJ Infographics

Highlighted resource:

BMJ INFOGRAPHICS

These are great visual summaries of a variety of conditions, their management and treatments, and visual overviews of article recommendations. They are found attached to a variety of articles and editorials, and some of the key infographics are found on the infographics page. For example, the infographic of the NICE sepsis guidance or a visual guide to recognising past congenital heart surgery in adults.

New eBooks

The Library has recently purchased 13 new eBooks from the ‘Crash Course‘ series:

Visit http://ectlks.weebly.com/dawsonera.html to access all the eBooks from the DawsonEra collection or search our complete eBooks collection.

All the eBooks can be accessed with an NHS Athens username and password.

For more information please get in touch!

ecn-tr.stafflibrary@nhs.net

01625 661362

crashcoursetitlessept16

New books

NewBooksThe Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: ecn-tr.stafflibrary@nhs.net / 01625 66 1362.

 

New books

NewBooks

The Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: ecn-tr.stafflibrary@nhs.net / 01625 66 1362.

 

Deaths from heart disease in UK fall, but prevalence is unchanged

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Cardiovascular disease (CVD) mortality in the United Kingdom has decreased significantly over the past 30 years, but its prevalence has shown little change, and major differences exist in the burden of CVD among the four constituent countries and between men and women, a review has found.

internurse

internurse logo

The library currently has a free trial to the internurse and MAHcomplete e-journal collections.

Internurse is the UK’s largest collection of peer-reviewed nursing content, and home of the British Journal of Nursing. Internurse covers primary and secondary care settings as well as the whole spectrum of specialist nursing practice including cardiology, neuroscience, mental health, palliative care and wound care.

Access the collection with your East Cheshire NHS Athens account: Login to Athens. Select ‘MAG Online Library’ from the list of resources.

Internurse guide

If you would like to find out more or have any questions please phone us on 01625 661362 or send us an email.

Abrupt quitting is more likely to work than gradual reduction of cigarettes, study finds

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Quitting smoking abruptly is more likely to lead to sustained abstinence than reducing cigarette use gradually, a study published in the Annals of Internal Medicine has found.

Although most current guidelines recommend stopping smoking abruptly, many people take a gradual approach to giving up.

Eating peanuts in early years reduces allergy risk even with later abstinence

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Children at high risk for peanut allergy who are treated with early peanut exposure from infancy to age 5 remain at low risk even after avoiding eating peanuts for a year, shows a UK study that indicates long lasting benefit from early exposure.

Peanut allergy is a common and potentially life threatening food allergy. A study published last year found that sustained peanut consumption beginning in the first 11 months of life reduced the rate of peanut allergy at age 5

Caring Together Induction Pack: now available online

Caring Together Eastern CheshireThe new Caring Together Induction Pack is now available online.

The intention is to promote the pack to all new starters with health and social care organisations commissioning or providing services for the people of Eastern Cheshire. Organisations include third sector partners and providers of social housing.

For the avoidance of doubt, the pack is not relevant to employees involved exclusively in commissioning or providing services outside Eastern Cheshire. This pack is to be made available with immediate effect to new recruits, either salaried or voluntary.

At the end of every third month, a member of the Caring Together team will send managers a link to a brief online survey for new recruits to complete. This will enable them to measure awareness of the pack and the extent to which it is achieving its aim of improving understanding of Caring Together. Consultees will have the option to remain anonymous as the purpose of the survey is not to test individuals’ knowledge or pay attention to people who don’t answer all the questions correctly!

While the principal aim of the survey is to ensure that new starters are introduced to Caring Together as soon as practicable, the pack can also be shared with colleagues more widely. Reference copies of the pack are also available in the Staff Library (Top Floor, New Alderley House).

Many thanks to all in anticipation of your support for this important initiative to promote understanding of – and engagement in – our transformation programme.

Clinically silent myocardial scars are common in middle aged and older people, study finds

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Nearly 8% of middle aged and older people in the United States have myocardial scars suggestive of myocardial infarction, almost 80% of which have not been detected by electrocardiography or clinical evaluation, a study published in JAMA has found.

The researchers wrote, “The clinical significance of unrecognized myocardial scar remains to be defined, although prior myocardial scar has been noted pathologically in more than 70% of patients with sudden cardiac death but without prior known coronary artery disease.”

Genetics affect lung disease and smoking behaviour, study finds

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Researchers from the United Kingdom have identified genetic differences that affect the likelihood of whether a person will smoke and the predisposition of heavy smokers and non-smokers to poor lung health

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.

Young adults using e-cigarettes are more likely to progress to smoking, study shows

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Adolescents and young adults who use electronic cigarettes are more likely to progress to smoking tobacco cigarettes than those who do not, shows a small US study that researchers say supports regulations to limit sales and reduce the appeal of e-cigarettes to young people.

The study, published in JAMA Pediatrics, followed up a nationally representative sample of 694 teenagers and young adults aged 16 to 26 who had never smoked. Their attitudes showed that they were not susceptible to smoking cigarettes because they had responded “definitely no” when asked whether they would try a cigarette offered by a friend or whether they believed that they would smoke a cigarette within the next year.

Cognitive decline after heart surgery is uncommon, review finds

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Cognitive impairment after cardiovascular surgery is uncommon in older people, a systematic evidence review published in the Annals of Internal Medicine has concluded. However, the researchers said that the evidence was limited and that the individual study quality was low.

Debate surrounds the possible relation between cardiovascular interventions and subsequent cognitive outcomes in older patients. Some early studies reported a high prevalence of cognitive impairment after coronary artery bypass grafts (CABGs), for example, but later studies have suggested that any such decline predated the procedure.

Statins for people at low risk

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Statins are the UK’s most commonly prescribed drugs and are among the most widely prescribed drugs globally. Though their use in people at high risk of stroke and heart disease is uncontroversial, recent recommendations to treat much larger numbers of people at low risk have caused a storm of controversy. Most hotly debated are the nature and frequency of side effects of statins and whether arguably small gains in life expectancy are worth the risk.

Life-saving app scoops top prize at digital awards

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An online app that can help save the life of a person experiencing cardiac arrest won the top prize at the People Driven Digital unAwards, sponsored by the NHS Confederation, on 3 July.

The app, known as Lifesaver, acts as an interactive crisis simulator which uses live-action film to teach the user how to perform CPR and use an automated defibrillator.

Gene therapy trial for cystic fibrosis shows modest benefits

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A gene therapy trial has shown a small but notable health benefit in people with cystic fibrosis—proof of principle that, after a long wait, hopes of effective treatments for inherited diseases may one day be realised.

In a trial involving 136 cystic fibrosis patients aged over 12 who used nebulisers to inhale the correct gene wrapped in an envelope of fat, modest benefits were observed over a range of measurements when compared with patients inhaling a placebo. The main aim was to show that the treatment, given monthly for a year, would improve lung function measured by the volume of air the patients could expel in one second.

Liraglutide improves weight loss in people who are overweight or obese, study shows

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Liraglutide significantly reduces body weight and improves metabolic control in people who are obese or overweight and have dyslipidaemia or hypertension, a randomised trial reported in the New England Journal of Medicine has shown.

Smokers are more likely to quit as smoking prevalence decreases, study shows

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Smokers are more likely to reduce their smoking and try to quit as the proportion of people who smoke in a population decreases, an international study has found, suggesting that current smoking reduction strategies are working and questioning claims that electronic (e) cigarettes provide a harm reduction strategy for smokers who are unable to quit.

Experts call for tobacco industry to pay for smoking cessation work

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The tobacco industry should be forced to pay towards smoking cessation efforts in England as part of a new national tobacco control strategy, a multi-agency report has claimed.

Experts have called for a national annual levy on tobacco companies, fresh targets such as a drop in smoking rates to 5% by 2035, a new five year government tobacco strategy for England, and an increase to the tax escalator on tobacco products to 5% above the level of inflation.

Stand during working day to prevent health risks of sedentary jobs, says guidance

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People whose jobs are predominantly desk based should be encouraged to stand up and walk about for at least two hours during each working day, says the first UK guidance developed to reduce the health risks of prolonged sitting at work.

Growing evidence has shown links between a sedentary lifestyle and an increased risk of cardiovascular disease, diabetes, and some cancers. To help reduce this risk Public Health England and a UK community interest company, Active Working, asked an international group of experts in the field to review the available evidence and develop guidelines for employers to promote avoidance of prolonged periods of sedentary work


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