No blood pressure lowering agents prolong survival in diabetes and kidney disease, review shows

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No blood pressure lowering agents used either alone or in combination prolong survival in adults with diabetes and kidney disease, a meta-analysis published in the Lancet has found.

Researchers analysed 157 studies comparing blood pressure lowering agents in a total of 43 256 patients with diabetic kidney disease, mostly type 2 diabetes and chronic kidney disease

Relaxing in the library … is much appreciated

Today’s ‘Relax in the Library’ event was very well attended. The purpose was to encourage staff and students to think about their blood pressure, have it measured (before and after relaxation therapy) and get to know more about what those all important numbers mean – 120/80.

Visitors could choose from a mixture of services – head, neck, shoulder or foot massage whilst others chose instruction on ‘the Alexander Technique’.

Leigh Haslam from Occupational Health took over a quiet corner at the rear of the Library and was kept busy recording peoples’ BP.  It was very interesting to note that there was 100% improvement after relaxation.

DSCF0821Feedback was very positive “Excellent. Enjoyed the head massage which lowered my blood pressure”.

A big ‘thank you’ to all the therapists, (Diana Grant, Tracy Mills, Jenny Fox-Eades, Gillian Pierce, Leigh Haslam and to Lynda Cotterill for providing a range of tasty, healthy snacks.

Don’t worry if you missed today’s event, there may be others in the future plus we stock a selection of books on Hypertension, useful leaflets and published research findings on how you can look after yourself through lifestyle, exercise and diet.

 

Keep calm and mind your Blood Pressure

relax_BPPlease join us in the Staff Library, 2nd floor of New Alderley House, on Monday 18 August when the importance of blood pressure (BP) is the theme of the day.  As well as BP checks and advice there will be the opportunity to experience 15 minute massage therapy taster sessions.  You can choose from:

Alexander Technique – Head or Neck Massage – Foot Massages

Don’t miss out – put the date in your diary: 18 August 10:00-2:00pm

 

 

Eyes on Evidence: April edition

This month in Eyes on Evidence

E-cigarette awareness and use to quit smoking
A survey suggests that awareness and use of e-cigarettes has increased over the past few years, but a randomised controlled trial indicates that the products are only modestly effective at helping people to quit smoking.

Beta-2 agonists and exercise-induced asthma
A Cochrane review has assessed the effects of short and long-acting beta-2 agonists for the prevention of exercise-induced asthma in adults and children; the majority of included studies assessed the effect of a single dose of a beta-2 agonist. The Medicines and Healthcare Products Regulatory Agency has previously issued advice recommending that long-acting beta-2 agonists should not be prescribed for the relief of exercise-induced asthma symptoms in the absence of regular inhaled corticosteroids.

Blood pressure control with home telemonitoring and pharmacist management
A US-based cluster randomised trial indicates that home telemonitoring with pharmacist medication management provides better blood pressure control than usual primary care, even once telemonitoring has finished.

Risk factors for congenital abnormalities
A prospective study of a UK multi-ethnic birth cohort suggests that consanguinity is a major risk factor for congenital abnormalities, in particular in children of parents of Pakistani origin.

Antidepressant use late in pregnancy and risk of postpartum haemorrhage
A cohort study of women with low income in the USA suggests that use of antidepressants near delivery is associated with an increased risk of postpartum haemorrhage.

CT scans in childhood or adolescence and risk of cancer
A population-based cohort study in Australia suggests that people who undergo CT scans in childhood or adolescence are at increased risk of developing solid, lymphoid and haematopoietic cancers.

Evidence Updates
NICE has recently published an Evidence Update on:
Alcohol-use disorders: preventing harmful drinking

News from NICE

NICE recommends blood pressure device that can help prevent strokes

A new device that allows GPs and practice nurses to detect pulse irregularities and pick up cases of atrial fibrillation whilst measuring blood pressure has been recommended by NICE.   Atrial fibrillation (AF) causes the heart to beat with an irregular rhythm. It can be difficult to detect and subsequently diagnose as it is often asymptomatic and can be intermittent.

People with AF are at increased risk of developing blood clots and subsequent stroke, with 423,000 people aged 65 and over expected to have AF, of whom some will be will living with the condition yet are undiagnosed.

In its medical technology guidance on WatchBP Home A, NICE says the device reliably detects AF and may increase the rate of detection when used in primary care. This will consequently allow for preventative treatment to be given and to reduce the incidence of AF-related stroke.

Statement of collaboration between NICE and Public Heath England
NICE and Public Health England agreed to collaborate on future work.
February 8, 2013
Dementia, stroke and cancer among potential indicators for latest CCG Outcomes Indicator Set
Dementia, stroke, cancer, and end-of-life care are among 32 new indicators put forward for inclusion in the Clinical Commissioning Group Outcomes Indicator Set (CCG OIS).
February 4, 2013
Have your say on NICE’s social care work 
The Department of Health has launched a 12 week consultation to gather views on the topics for NICE’s new quality standards and guidance for social care.
February 1, 2013

March news from BMJ

Editorial content from The BMJ
Kim Eva Dickson and Mickey Chopra
Dae Hyun Kim
Chris Ham
Mike Peters and Jenny King
Cathy James
Simon Eaton, Alf Collins, Angela Coulter, Glyn Elwyn, Natalie Grazin, and Sue Roberts
Adam Timmis

 

Bruce Neal

 

Andrew D Oxman

 

Featured article

Anne Gulland