Archive for the 'Medical specialties' 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

General practice opening hours to be scrutinised

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From October general practices in England will be financially penalised if they close during core working hours during the week, the chief executive of NHS England has said.

Simon Stevens told MPs on the House of Commons Public Accounts Committee that changes to the GP contract, which will be introduced in October, will allow NHS England to scrutinise GP opening hours more closely and take action where necessary.

Update on Diabetic Foot Disease and more!

NICE_weightRead the latest articles in the current issue of Diabetic Medicine, including – New horizons in the understanding of the causes and management of diabetic foot disease report from the 2017 Diabetes UK Annual Professional Conference Symposium.

Log in with your NHS OpenAthens password to access full text articles.

Recent article authored by MDGH staff

Read the recent article, “ABCDE2…expose the eye”  (a case report concerning a blunt instrument injury) published by staff from the Departments of Ophthalmology at Aintree University Hospital and  Macclesfield District General Hospital.

To read the full article here , log in with your East Cheshire NHS Trust Athens account.

 

Digital hub cuts care home referrals to GPs by more than a third

headphonespcA recent news article in the BMJ highlights a telemedicine service run by a Yorkshire NHS trust which has reduced care home referrals to GPs by 40% and ambulance calls by almost 30%.

Staff in care homes  are linked to a digital hub at Airedale NHS Foundation Trust in Keighley and can seek advice 24 hours a day about the health of any of their residents. The service is run by a team of senior nurses who have online access to GP patient records and can consult doctors at the trust if they need to.

Access the full article here using your NHS Athens log in.

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

Does health literacy matter?

 

Health Literacy is defined by World Health Organisation (2015) as “The personal characteristics and social resources needed for individuals and communities to access, understand, appraise and use information and services to make decisions about health.”

This interesting news article, from NHS England, discusses its merits, the importance of health literacy and better health. Read the article here

Delivering high quality, effective, compassionate care: developing the right people with the right skills and right values

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Outlines  the government’s objectives for Health Education England to provide health care education and training for 2016-2017.

This document here  reflects strategic objectives around workforce planning, health education and training and development. The mandate looks at how the healthcare workforce can be developed to improve care for patients through education and training.

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.

 

NICE recommends dropping two drugs from Cancer Drugs Fund

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Two drugs currently provided under the Cancer Drugs Fund (CDF) should cease to be available because they are not cost effective, the National Institute for Health and Care Excellence (NICE) has concluded.

Everolimus for breast cancer (Afinitor, Novartis) and ibrutinib for mantle cell lymphoma (Imbruvica, Janssen) do not meet the grade, says NICE in draft guidance now open for consultation.Nice_logo

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.

General practice should be recognised as speciality in UK, leaders argue

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General practice leaders have called on the government and the General Medical Council to correct the “anachronistic anomaly” whereby GP postgraduate training remains unrecognised as a medical specialty in the United Kingdom.

In a joint statement,

GP leaders from the BMA and the Royal College of General Practitioners (RCGP) from across the four UK nations said that this recognition was “long overdue” given the rigorous training and examination that GPs undergo.

Improved GP retainer scheme with increased funding is launched

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NHS England has announced a range of improvements to its GP retainer scheme, including increased funding for GPs and practices. The scheme provides financial incentives and development support to encourage GPs who might otherwise leave the profession to remain in general practice.

NHS England said that, from 1 July 2016, it would increase the money for practices employing a retained GP and the annual payment towards professional expenses for GPs in the scheme.

More people than ever receiving psychological therapies and recovering

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More people than ever are receiving psychological therapies and April saw the highest recovery rates so far in the history of the programme, end of year data has shown.

The number of people referred for treatment from January to March (Q4) increased to 367,689 by around 17,000 from 350,505 in Q3. The 15 per cent access target was exceeded hitting a new high of 16.8 per cent.

Working with substance use: online resources

The Working with Substance Use online resources are for health and social care professionals. The main aim of these resources is to provide you with a basic understanding of a number of substance-related topics to inform and develop your practice.

They include presentations, film clips from experts (both service users and professionals), animations, individual and group exercises, and practice scenarios to help apply your learning. They also offer suggestions for future study and personal development.

You can find them at https://workingwithsubstanceuse.wordpress.com/

9 out of 10 strokes preventable

A large international case control study has found that 9 out of 10 strokes could be preventable. The study has been published in the Lancet  and emanates from the international INTERSTROKE investigations study. There is a a write up of the facts behind the headlines here where the 10 main risk factors are discussed.

Stress is unlikely to increase breast cancer risk, study finds

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A large prospective study, published in Breast Cancer Research, has found no association between breast cancer risk and stress levels or adverse life events.1 Women with breast cancer have often attributed their cancer to psychological stress, although the scientific evidence for this has been inconclusive.

The Generations study, set up by Breast Cancer Now, the United Kingdom’s largest breast cancer research charity, included 106 000 women in the UK.

New books available

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.

Library books 2

Latest Bulletins Published!

The Library & Knowledge Service has published the latest bulletins to keep you up to date.

The bulletins for Critical Care  can be accessed here

The bulletin for Breast surgery can be found here

There are many ways we can help you keep up to date when you are working in East Cheshire NHS Trust. Other updates and news can be found on the library website here or if you can’t find what you need contact us and we will see how we can help.

Breast Surgery Bulletin published

The latest edition of our Breast Surgery Bulletin has just been published! You can read it here

Oral antifungal is associated with increased risk of miscarriage

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Use of the oral antifungal drug fluconazole during pregnancy was associated with an increased risk of miscarriage in an analysis of 1.4 million pregnancies in Denmark published in JAMA.

Vaginal candidiasis is common during pregnancy. Although intravaginal formulations of topical azole antifungals are the first line treatment for pregnant women, oral fluconazole is often used in cases of recurrence or severe symptoms or when topical treatment has failed.


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