Library looking good

Relocating 4 large bookshelves closer to the main library area, allows users to browse more freely and concentrates similar resources more closely together. Now that the huge piles of displaced books are safely back on the shelves, you can see what an improvement has been made.


Next time you visit the library make sure you take note of the newly established study space – suitable for small groups or individuals.

Opioid prescribing for cancer pain

Opioid prescribing for cancer pain during the last 3 months of life: associated factors and 9-year trends in a nationwide United Kingdom cohort study

Posted: 10 Dec 2012 12:00 AM PST

Source: Journal of Clinical Oncology

Purpose: To determine time trends and characteristics associated with opioid analgesic prescribing to patients with cancer who are approaching the end of life.

Patients and Methods: This population-based cohort study used data on 29,825 patients diagnosed with five common cancers – lung (34.2%), colorectal (19.9%), female breast (21.6%), prostate (19.1%) and head and neck (5.2%) – in the United Kingdom General Practice Research Database (GPRD) who died between 2000 and 2008.  Opioid prescription rates in the last 3 months of life were described.  Characteristics associated with opioid prescribing were investigated by using generalised estimation equation models. Results: In the last 3 months of life, 43.6% (95% CI, 43.0% to 44.2%) of patients received at least one prescription of opioids: morphine (33.4%; 95% CI, 32.8% to 33.9%), diamorphine (11.6%; 95% CI, 11.2% to 11.9%) and fentanyl family (10.2%; 95% CI, 9.8% to 10.5%).  Over time, prescription rates …

Cohort study: Diabetes, metformin, and breast cancer incidence among postmenopausal women

Cohort study: Diabetes, metformin, and breast cancer incidence among postmenopausal women

Source: JCO

There is emerging evidence suggesting that metformin may reduce breast cancer incidence, but reports are mixed and few provide information on tumour characteristics. This study used data from the Women’s Health Initiative (WHI) clinical trials to examine relationships among diabetes, metformin use, and breast cancer in postmenopausal women.   The WHI clinical trials program involves more than 68,019 postmenopausal women who were observed prospectively; 11,290 had diabetes at study entry or developed it during follow-up, and 3,273 developed invasive breast cancer after study entry.   The researchers found that compared with that in women without diabetes, breast cancer incidence in women with diabetes differed by diabetes medication type (P = 0.04). Women with diabetes receiving medications other than metformin had a slightly higher but not statistically significant incidence of breast cancer (hazard ratio [HR], 1.16; 95% CI, 0.93 to 1.45), and women with …

The Better Weight-Better Sleep Study: A Pilot Intervention in Primary Care.

Citation: American Journal of Health Behavior, 01 May 2012, vol./is. 36/3(319-334), 10873244
Author(s): Logue, Everett E., Bourguet, Claire C., Palmieri, Patrick A., Scott, Edward D., Matthews, Beth A., Dudley, Patricia, Chipman, Katie J.
Language: English


 To explore the feasibility of integrating sleep management interventions with dietary and exercise interventions for obesity in a 12-week randomized trial.

Methods: We randomized 49 overweight or obese adult patients either to a better weight (BW) cognitive behavioral intervention, or to a combination of the BW intervention and a better sleep intervention, better weight-better sleep (BWBS). Results: The BWBS group lost weight faster (P=.04), and coping self-efficacy accelerated (P=.01).

Conclusions: These preliminary results merit replication in a larger primary care-based trial with a longer continuous intervention and followup period.
Publication type: journal article
Source: CINAHL
Full text: Available in fulltext at EBSCOhost

Trusts can improve care by engaging their staff better, says think tank | BMJ

A UK health think tank says it has produced “compelling evidence” that NHS organisations are safer, more effective, and financially stronger when they “engage” properly with doctors and other staff.

Studies show that performance improves across a range of measures, the King’s Fund says, with fewer errors, lower infection and mortality rates, higher staff motivation, and better experiences for patients.

Chris Ham, the fund’s chief executive, said it was clear that the NHS should give greater priority to involving doctors and other clinicians in decision making and encouraging medical leadership.

via Trusts can improve care by engaging their staff better, says think tank | BMJ.

‘Clean your hands’ study

British Medical Journal (BMJ)

Evaluation of the national Cleanyourhands campaign to reduce Staphylococcus aureus bacteraemia and Clostridium difficile infection in hospitals in England and Wales by improved hand hygiene

This study evaluates the impact of the ‘Clean your hands’ campaign on rates of hospital procurement of alcohol hand rub and soap; reports trends in selected healthcare associated infections; and investigates the association between infections and procurement.