Archive for the 'News' Category

The safety of antidepressants in pregnancy

Maternal antidepressants are implicated in ADHD, but so is maternal depression

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The safety of antidepressants in pregnancy is controversial, partly because of profound methodological difficulties in separating the fetal effects of antidepressants from those related to maternal depression (confounding by indication). One central concern is the potential impact of these drugs on fetal brain development. Such effects may be subtle and possibly only detectable years after exposure, such as an increased susceptibility to (multifactorial) neurodevelopmental conditions.

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

Sepsis should be treated within one hour, says NICE

 

People with life threatening symptoms of sepsis should be reviewed and treated within an hour, the National Institute for Health and Care Excellence (NICE) has recommended. Read the news article here  and see the new draft quality standard along with guidance recently published.

All emergency departments must have GP led triage by October

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Every hospital in England must have a “comprehensive” GP led triage system in emergency departments by October 2017 in a bid to avoid a repeat of the winter crisis that gripped the service this year, NHS leaders have said.

The requirement is one of several “concrete changes” demanded by NHS England’s chief executive, Simon Stevens, and the chief executive of NHS Improvement, Jim Mackey, in a letter sent after the chancellor Philip Hammond’s budget pledge to give the NHS an extra £100m (€115m; $120m) in 2017‑18 to spend on easing pressures in accident and emergency departments.

NICE recommends ixekizumab for persistent severe plaque psoriasis

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The National Institute for Health and Care Excellence (NICE), in its final draft guidance issued this week, has recommended ixekizumab, an antibody that inhibits interleukin-17A, as an option for treating adults with severe plaque psoriasis that doesn’t respond to standard therapies.

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.

Out now- Breast Surgery Bulletin

The latest Breast Surgery update can be found here

New! Critical Care Bulletin

The library has published  latest Critical Care Bulletin here

Library Printer Scheduled Downtime

The library printer/copier machine (2nd Floor New Alderley House) is scheduled to be upgraded with new software on the 12th and 13th January 2017. Therefore, during these dates, the printer/copier facilities will be unavailable and there will be no printing facilities available from the library computers.

Anaemia is associated with hearing loss in adults

Iron deficiency anaemia (IDA) has been found to be associated with hearing loss in adults by a study published in JAMA Otolaryngology – Head and Neck Surgery.

Using the electronic medical records of 305 339 adults aged between 21 and 90 years, researchers at Pennsylvania State University College of Medicine examined the association between IDA and sensorineural hearing loss (when there is damage to the cochlea or to the nerve pathways from the inner ear to the brain) and conductive hearing loss (hearing loss because of problems with the bones of the middle ear). IDA was determined by low haemoglobin and ferritin levels for age and sex.

Solanezumab and the amyloid hypothesis for Alzheimer’s disease

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Solanezumab’s failure is a wake-up call to look elsewhere for an answer to dementia

Is the amyloid cascade hypothesis of Alzheimer’s disease too big to fail? It proposes that brain deposition of β amyloid protein is the critical early event in the pathogenesis of Alzheimer’s disease and has been the centrepiece of dementia research for decades. The hypothesis suggests that removing β amyloid will reverse or prevent the clinical expression of dementia. However, in all phase III clinical trials to date, treatments targeting β amyloid have failed to improve cognitive outcomes despite reducing brain β amyloid.

End of life care for infants, children and young people with life limiting conditions: summary of NICE guidance

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Children and young people can have a wide range of life limiting conditions and may sometimes live with such conditions for many years. This guideline recommends that end of life care be managed as a long term process that begins at the time of diagnosis of a life limiting condition and entails planning for the future. Sometimes it may begin before the child’s birth. It is part of the overall care of the child or young person and runs in parallel with other active treatments for the underlying condition itself. Finally, it includes those aspects related to the care of the dying.

Many children receive no discharge plan after admission for severe asthma

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Children admitted to hospital with severe asthma attacks generally receive “very effective and efficient” treatment and care, but more attention must be given to asthma education and review at discharge to help prevent future attacks and readmission, says a national audit by the British Thoracic Society.

The society’s National Paediatric Asthma Audit, published on 29 November, reviewed data on more than 5500 children over the age of 1 admitted with severe asthma attacks to 153 UK hospitals in November 2015 and found that most aspects of discharge from hospital were less than optimal.

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.”

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.

The digital patient: transforming primary care?

patientsin_controlA report from the Nuffield Trust, an independent health charity, looks at the evidence available on digital technology and its impact on patients in primary care and the NHS. You can access commentary, background information and the report here

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.

Our latest Breast Surgery Bulletin is published!

Catch up on some of the most recent published articles from selected journals. The bulletin can be accessed  here

New! Critical Care Bulletin

Catch up on the latest articles from selected journals. Our latest Critical Care Bulletin has just been published here

Falls prevention – October’s update published

The latest monthly update on Falls prevention has been published.

View the current research at: https://fallspreventionnwpctl.wordpress.com/

 

Interruption to ICT services Wed/Thur, 16/17 November between 2200 and 1000

Please note, due to essential maintenance work on the trust’s IT systems, library computers will be unavailable at these times. See the message below for further details.

‘In order to progress the server 2003 replacement project, Midlands and Lancashire Commissioning Support Unit IT Services will be carrying out essential maintenance work overnight on Wednesday 16th November from 22:00 until 10:00 on Thursday 17th November.

This will mean that between 10pm on Wednesday 16th November and 10am on Thursday 17th November, ALL of the trust’s IT systems will not be available and you will not have access to any IT systems during this time.  This will affect ALL clinical and administrative applications including Extramed Cris, Pathology, Radiology, PAS and shared drives.’

Please contact Lynda Cotterill, Library Services Manager, on 01625 663923 if you have any questions about library computers.

Cranberry capsules do not reduce urinary tract infections in older women, study finds

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Taking cranberry capsules did not reduce urinary tract infections (UTIs) in older women living in nursing homes, a US randomised trial has shown.

UTIs are very common among nursing home residents: bacteriuria is detected in 25-50% of women living in nursing homes, and pyuria is present in 90% of these. Cranberry products have been of interest in preventing UTIs in this group of people, to reduce unnecessary use of antibiotics.

Women are unaware of pregnancy risks linked with sodium valproate

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Doctors are being asked to make sure that women and girls with epilepsy know about the risks of taking sodium valproate during pregnancy, after a survey found that half of those questioned were unaware that it could harm the fetus.

The charities Epilepsy Action, Epilepsy Society, and Young Epilepsy conducted a survey earlier this year, in conjunction with the Medicines and Healthcare Products Regulatory Agency (MHRA), of 2788 women aged 16 to 50 with epilepsy.

Overwhelmed by information?

cas-poster

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.


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