m Concacaf ‘Hex’ may be adjusted By jamaica-gleaner.com Published On :: Fri, 08 May 2020 00:07:16 -0500 OTTAWA, Canada (CMC): The Confederation of North, Central American and Caribbean Association Football’s (Concacaf) hexagonal round of qualifying for the 2022 FIFA World Cup in Qatar may have to be scrapped because of the disruption the COVID-19... Full Article
m Female athletes need more recognition – Clayton By jamaica-gleaner.com Published On :: Fri, 08 May 2020 00:23:08 -0500 National 400m hurdles champion Rushell Clayton is concerned about what she says are inequalities between men and women in track and field. Clayton was speaking at a Women in Sports Conference in Kingston recently and discussed issues of inequality... Full Article
m KC denies Vascianna rumours By jamaica-gleaner.com Published On :: Fri, 08 May 2020 00:10:13 -0500 KINGSTON COLLEGE (KC) principal Dave Myrie has refuted claims that St Jago High School sprint hurdler Vashaun Vascianna will be joining the school this September. The Gleaner understands that Vascianna, who broke the Class Two boys’ 110m hurdles... Full Article
m Windies players lack commitment – Benjamin By jamaica-gleaner.com Published On :: Sat, 09 May 2020 00:13:16 -0500 BRIDGETOWN, Barbados (CMC): Former Windies fast bowler Kenny Benjamin says that cricket in the Caribbean is suffering from players’ lack of loyalty and commitment and that intervention is required to save the sport. The Antiguan called for coaches... Full Article
m Late Lattimore described as ‘crowd-pleaser’ By jamaica-gleaner.com Published On :: Sat, 09 May 2020 00:15:50 -0500 Former national footballer Arthur Lattimore passed away after a long battle with throat cancer. Lattimore, who represented Jamaica’s football team throughout the 1970s, died at his home in Florida, leaving behind five children, grandchildren, and... Full Article
m Great leap backwards - austerity measures are hitting the vulnerable hardest By feeds.bmj.com Published On :: Wed, 10 Dec 2014 17:19:43 +0000 The UK’s austerity programme has disproportionately affected children and people with disabilities, says David Taylor-Robinson, a senior clinical lecturer in public health at the University of Liverpool. He joins us to discuss why the evidence shows the vulnerable are hit hardest by the cuts to public services, despite the UN conventions on... Full Article
m Musical (operating) theatre By feeds.bmj.com Published On :: Fri, 12 Dec 2014 16:15:02 +0000 One hundred years ago, Pennsylvanian surgeon Evan Kane penned a brief letter to JAMA in which he declared himself a rigorous proponent of the “benefic [sic] effects of the phonograph within the operating room.” Now David Bosenquet, a surgeon from University Hospital of Wales in Cardiff has written a Christmas editorial about the evidence for the... Full Article
m Men are idiots By feeds.bmj.com Published On :: Mon, 15 Dec 2014 16:02:30 +0000 Winners of the Darwin Award must eliminate themselves from the gene pool in such an idiotic manner that their action ensures one less idiot will survive. Ben and Dennis Lendrem, and colleagues, have reviewed the data on winners of the Darwin Award over a 20 year period and they join us to discuss why men are idiots, and why their team is not the... Full Article
m Grumpy old doctors By feeds.bmj.com Published On :: Thu, 18 Dec 2014 12:57:46 +0000 Those who rise to the top in medicine see themselves as hardworking extroverts with a caring nature, suggests an unscientific analysis of the answers given by contributors to BMJ Confidential. But ask about their pet hates and another, less nurturing, side emerges. We gathered 6 former confidentialists in The BMJ studio to moan over mince... Full Article
m Operating theatre time, where does it all go? By feeds.bmj.com Published On :: Fri, 19 Dec 2014 15:45:21 +0000 Waiting times in theatre can be a source of friction – but is the delay due to mandatory anaesthetic faff around time (MAFAT), or AWOL surgeons? Elizabeth Travis, and orthopaedic house officer in New Zealand and colleagues, have been trying to create and evidence base to argue the toss, and she joins me now to discuss her study, Operating... Full Article
m Rabies in animals By feeds.bmj.com Published On :: Fri, 16 Jan 2015 17:42:59 +0000 Rabies is the archytypical zoonotic disease, and only by vaccination in animals will we prevent infections in people. In two podcasts linked to our latest clinical review "The prevention and management of rabies" we'll be discussing how we can get there. In this podcast Sarah Cleaveland, professor of comparative epidemiology at the University of... Full Article
m Managing multimorbidity in primary care By feeds.bmj.com Published On :: Fri, 23 Jan 2015 11:56:24 +0000 Multimorbidity presents a number of different challenges, for the patients living with the conditions, but also for the health professionals caring for them in systems that often are not designed with these more complex needs in mind. Emma Wallace, general practice lecturer, and Susan Smith, a professor of general practice at the Royal College of... Full Article
m Management of cancer induced bone pain By feeds.bmj.com Published On :: Fri, 30 Jan 2015 17:07:05 +0000 Bone pain is the most common type of pain from cancer and is present in around one third of patients with bone metastases, currently, improvements in cancer treatments mean that many patients are living with metastatic cancer for several years. Christopher Kane, NIHR academic clinical fellow in palliative medicine at Leeds University School of... Full Article
m Patient spotlight - Doing it for themselves By feeds.bmj.com Published On :: Tue, 10 Feb 2015 11:45:45 +0000 In our accompanying roundtable discussion,we hear views from a group of patients and clinicians based largely in the UK on the actions required to advance progress towards providing patient centred care. To extend the conversation we talked to members of the BMJ's international patient advisory panel and other patient advocates - and what... Full Article
m Mark Folman GP - time pressure and patient care By feeds.bmj.com Published On :: Fri, 13 Feb 2015 16:17:24 +0000 Mark Folman, a GP in Nottinghamshire, is concerned that more and more work, with more and more patients, means less time with those who really need him. BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on... Full Article
m Michelle Sinclair GP - surgery buildings are not up to scratch By feeds.bmj.com Published On :: Fri, 13 Feb 2015 16:17:25 +0000 Michelle Sinclar, a GP in Hampshire who is concerned that GP premises aren't fit for purpose and limit her ability to provide fully rounded patient care. BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on... Full Article
m Jackie Applebee GP - the funding formula is hurting deprived practices By feeds.bmj.com Published On :: Fri, 13 Feb 2015 16:27:24 +0000 Jackie Applebee is a GP in Tower Hamlets in London, and is concerned that the way the GP funding formula is working doesn't take account of the earlier health needs of people in deprived areas. For more about the Tower Hamlets Save Our Surgery campaign, visit their facebook page https://www.facebook.com/SaveOurGPsurgeries BMJ Voices is a... Full Article
m Overdiagnosis in breast cancer - 45 years to become a mainstream idea By feeds.bmj.com Published On :: Wed, 04 Mar 2015 10:34:35 +0000 In this podcast Alexandra Barratt, professor of public health at the University of Sydney, discusses how questions about overdiagnosis in breast cancer screening programmes were first raised 45 years ago, and why it has taken so long for the concept to become mainstream. Read her full analysis: http://www.bmj.com/content/350/bmj.h867 Full Article
m Nuffield summit - Bastiaan Bloem on parkinsons.net By feeds.bmj.com Published On :: Thu, 05 Mar 2015 16:22:29 +0000 Bastiaan Bloem, consultant neurologist at Radboud University Nijmegen Medical Centre, Netherlands, discussing his revolutionary approach to patient centred care. Read more from the summit: http://www.bmj.com/content/350/bmj.h1172 Full Article
m Has the balance of screening for AAA tipped towards harm? By feeds.bmj.com Published On :: Fri, 06 Mar 2015 16:32:30 +0000 Abdominal aortic aneurysms (AAA) are usually asymptomatic until they rupture, which is fatal in more than 80% of cases. Screening aims to detect the aneurysm before it ruptures, enabling preventive surgery and hence reducing morbidity and mortality. However, preventive surgery has a mortality of 3.9-4.5%. As the prevalence of risk factors, ie... Full Article
m Obioma Ezekobe GP - patients need to be educated about resources By feeds.bmj.com Published On :: Wed, 11 Mar 2015 14:55:55 +0000 Obioma Ezekobe is a GP in an urgent care centre in Central Middlesex Hospital. She believes that the public need to be educated about the use of NHS resources, and be taught when it is appropriate to seek care. If you would like to contribute to this collection, please email a brief audio recording to voices@bmj.com or phone +44 (20) 3058 7427... Full Article
m Thrombolysis in acute ischaemic stroke - time for a rethink? By feeds.bmj.com Published On :: Wed, 18 Mar 2015 16:39:30 +0000 In the US the licence, or marketing authorisation, for alteplase is limited to 0-3 hours after onset of stroke, but some other countries - including the UK and Australia - have extended the licence to 4.5 hours. In an analysis article on thebmj.com Brian Alper, vice president of evidence based medicine research and development at Dynamed, and... Full Article
m Health apps for well people - problematic or panacea? By feeds.bmj.com Published On :: Wed, 15 Apr 2015 15:41:40 +0000 Some apps have the potential to encourage healthier habits and are accessible to most people, argues Iltifat Husain, but Des Spence notes the lack of any evidence of effectiveness and the potential for encouraging unnecessary anxiety. Read more about in our head to head "Can healthy people benefit from health apps?" -... Full Article
m The BMJ requires data sharing on request for all trials By feeds.bmj.com Published On :: Fri, 22 May 2015 13:22:11 +0000 The movement to make data from clinical trials widely accessible has achieved enormous success, and it is now time for medical journals to play their part. From 1 July The BMJ will extend its requirements for data sharing to apply to all submitted clinical trials, not just those that test drugs or devices. The BMJ's Elizabeth Loder explains what... Full Article
m Time to target older women for cervical cancer screening? By feeds.bmj.com Published On :: Tue, 23 Jun 2015 12:45:31 +0000 Cervical screening programmes in many countries stop at around the age of 65 and much of the focus is often on younger women. However, comparatively little attention has been given to older women despite the fact that they account for about a fifth of cases each year and half of deaths. In this podcast Susan Sherman, a senior lecturer in... Full Article
m Should doctors recommend homeopathy? By feeds.bmj.com Published On :: Tue, 14 Jul 2015 15:16:20 +0000 A recent review by the Australian National Health and Medical Research Council concluded that “there are no health conditions for which there is reliable evidence that homeopathy is effective”, but Europe currently spends €1bn annually on such remedies - often at the recommendation of doctors. So a recent head to head debate in The BMJ asks,... Full Article
m Tackling racism in the NHS By feeds.bmj.com Published On :: Thu, 23 Jul 2015 10:45:44 +0000 For decades research has shown that discrimination, harassment, and exclusion are pervasive experiences for staff from black and minority ethnic (BME) backgrounds in the National Health Service. In this podcast, the authors of a recent analysis article in The BMJ talk about the evidence for discrimination, what the NHS has done and is doing, and... Full Article
m The system can abuse older people too By feeds.bmj.com Published On :: Fri, 24 Jul 2015 16:20:08 +0000 Elder abuse is often the result of the organisation of health systems rather than the fault of individuals, argue Jolanda Lindenberg and Rudi Westendorp, two authors of a recent analysis paper. They call for system abuse to be acknowledged and addressed by incorporating older people’s views when designing health services. Read the full... Full Article
m Diagnosis and treatment of hepatic encephalopathy By feeds.bmj.com Published On :: Fri, 14 Aug 2015 16:41:46 +0000 Hepatic encephalopathy constitutes a spectrum of neuropsychiatric abnormalities, beginning with subtle psychomotor changes and progressing to confusion with asterixis, somnolence, and then coma, arising in patients with impaired liver function. In this podcast, Tim Cross, a consultant hepatologist from the Royal Liverpool University Hospital,... Full Article
m They drained 92L from me - diagnosis and management of pleural effusion By feeds.bmj.com Published On :: Thu, 10 Sep 2015 10:56:11 +0000 Pleural effusions are common, with an estimated 1-1.5 million new cases in the United States and 200 000-250 000 in the United Kingdom each year. Rahul Bhatnagar, academic clinical lecturer at the University of Bristol, describes how pleural effusions may be investigated and treated in the community and secondary care, with a particular focus on... Full Article
m Is place of death important to patients? By feeds.bmj.com Published On :: Mon, 12 Oct 2015 13:41:39 +0000 The current orthodoxy is that home is the best and preferred place of death for most people, but in this podcast, Kristian Pollock a sociologist from Nottingham University questions these assumptions and calls for greater attention to improving the experience of dying in hospital and elsewhere. Read the full... Full Article
m Europe's impending syrup tsunami By feeds.bmj.com Published On :: Thu, 29 Oct 2015 10:41:58 +0000 Europe's common agricultural policy (CAP) on sugar is due to change, and Emilie Aguirre, from the UKCRC Centre for Diet and Activity Research at the University of Cambridge, argues that an influx of cheap high fructose corn syrup (HFCS, isoglucose) into the European market will have a negative effect on on the health of the continent. Read the... Full Article
m This house believes that medicine is the best career in the world. By feeds.bmj.com Published On :: Mon, 02 Nov 2015 12:36:55 +0000 Medicine has long been a rewarding career, but doctors say the profession needs to overcome the frustrations of working in the NHS to ensure it remains so. During the Big Debate at BMJ Live in London last week six speakers argued for and against the motion, “This house believes that medicine is the best career in the world.” After presentations... Full Article
m Unexpected findings, with uncertain implications, in research imaging By feeds.bmj.com Published On :: Fri, 13 Nov 2015 16:20:27 +0000 When healthy volunteers are scanned as part of a research project, unexpected findings, with uncertain implications, can be thrown up. Joanna Wardlaw, professor of applied neuroimaging and honorary consultant neuroradiologist at the University of Edinburgh, joins us to discuss how her group deals with these incidental findings, and what... Full Article
m The evidence on doctors strikes and patient harm By feeds.bmj.com Published On :: Fri, 27 Nov 2015 12:23:35 +0000 Doctors considering strike action may worry about the effect on patients. David Metcalfe and colleagues examine the evidence and find that “patients do not come to serious harm during industrial action provided that provisions are made for emergency care.” Read the full analysis: http://www.bmj.com/content/351/bmj.h6231 Full Article
m The diagnosis and treatment of post-traumatic stress disorder By feeds.bmj.com Published On :: Fri, 27 Nov 2015 12:33:17 +0000 PTSD may develop after exposure to exceptionally threatening or horrifying events. About 3% of the adult population has PTSD at any one time, and more than 50% in survivors of rape. In this podcast Jonathan Bisson, professor of psychiatry at the School of Medicine in Cardiff joins us to talk about the evidence for diagnosis and treatment, and... Full Article
m The more you see, the more you eat By feeds.bmj.com Published On :: Thu, 03 Dec 2015 15:34:38 +0000 Larger portions of food increase consumption. Theresa Marteau, director of the Behaviour and Health Research Unit at the University of Cambridge, joins us to discuss how government action to tackle portion size and packaging could help reset our appetites and make us thinner. Read the full analysis: http://www.bmj.com/content/351/bmj.h5863 Full Article
m Diagnosing COPD in primary care By feeds.bmj.com Published On :: Fri, 04 Dec 2015 10:04:39 +0000 Francesca Conway, from the Department of Primary Care and Public Health at Imperial College London is co-author of an article on diagnosis of COPD. She joins us to discuss the major guideline recommendations, and highlights where they concur and where they differ. Read the full article: http://www.bmj.com/content/351/bmj.h6171 Full Article
m Junior doctors second strike - from the picket line By feeds.bmj.com Published On :: Wed, 10 Feb 2016 17:13:29 +0000 This week, junior doctors in England have taken industrial action for the second time in as many months after failing to reach agreement with the government over their proposed new contract. Tom Moberley and Abi Rimmer, from BMJ Careers, went to the picket lines at Northwick Park Hospital, and University Hospital Lewisham to talk to the doctors,... Full Article
m "We're pulling the rug out from under the feet of [GPs]" By feeds.bmj.com Published On :: Mon, 14 Mar 2016 10:30:37 +0000 Gareth Iacobucci talks to Candace Imison, director of policy at The Nuffield Trust, about the problems facing GPs, and how primary care could be changed. "5 minutes with... Candace Imison": http://www.bmj.com/content/352/bmj.i1378 Full Article
m "I thought I was the worst person with type I..." - Self management of diabetes By feeds.bmj.com Published On :: Mon, 14 Mar 2016 11:20:56 +0000 Nick Oliver, consultant diabetologist at Imperial Healthcare NHS Trust and Philippa Cooper, who has type I diabetes, join us to explain how structured education works for patients, and give tips on self management. Read the full review: http://www.bmj.com/content/352/bmj.i998 Full Article
m Should doctors boycott working in Australia’s immigration detention centres? By feeds.bmj.com Published On :: Thu, 24 Mar 2016 16:48:30 +0000 However well intentioned, working in detention centres amounts to complicity in torture, says David Berger, a district medical officer in emergency medicine at Broome Hospital in Australia. However, Steven Miles, chair in bioethics at the University of Minnesota thinks that they play an important role in telling the world about conditions in... Full Article
m Médecins Sans Frontières's Dunkirk spirit By feeds.bmj.com Published On :: Thu, 31 Mar 2016 13:50:50 +0000 As France has moved in recent weeks to clear camps where migrants stay while trying to cross illegally into Britain, Médecins Sans Frontières has just opened a new one. Sophie Arie talks to Caroline Gollé, medical coordinator at the Médecins Sans Frontières La Linière camp. Read more about the camp: http://www.bmj.com/content/352/bmj.i1696 Full Article
m The pattern of damage caused by Zika virus in the brains of 23 foetuses By feeds.bmj.com Published On :: Thu, 14 Apr 2016 17:47:57 +0000 In February World Health Organization (WHO) declared the microcephaly epidemic in South America an international public health emergency. Today, the US Centers for Disease Control and Prevention, the CDC, has confirmed that it’s is Zika virus which is causing that microcephaly. The outbreak was originally spotted in Recife, in Brazil, and it’s... Full Article
m BMJ roundtable: How to fix out of hours care By feeds.bmj.com Published On :: Wed, 27 Apr 2016 14:39:06 +0000 The BMJ recently held a discussion between experts in the fields of general practice, emergency medicine, and paediatrics about the state of out of hours care in the UK, and crucially offered their vision for a better service. Are children a special case, can urgent care ‘hubs’ be a silver bullet, is NHS 111 up to the job of triaging patients,... Full Article
m Medical error—the third leading cause of death in the US By feeds.bmj.com Published On :: Wed, 04 May 2016 09:29:03 +0000 Medical error is not included on death certificates or in rankings of cause of death. Martin Makary, professor of surgery at Johns Hopkins University School of Medicine, joins us to explain why we don't measure medical error, and why it is so important that we start. Read the full analysis: http://www.bmj.com/content/353/bmj.i2139 Full Article
m The science of improvement By feeds.bmj.com Published On :: Fri, 06 May 2016 15:50:16 +0000 Or, the one where Fiona Moss and Don Berwick tells us what they think quality improvement is. Fiona Moss is dean, Royal Society of Medicine, and Don Berwick is president emeritus and senior fellow, Institute for Healthcare Improvement. Don's talk and the interview with Fiona were both recorded at the International Forum on Quality and Safety in... Full Article
m "The information we get can be harmfull"; Informed consent is not a panacea By feeds.bmj.com Published On :: Mon, 09 May 2016 17:01:43 +0000 Providing information to enable informed choices about healthcare sounds immediately appealing to most of us. But Minna Johansson, GP trainee and PhD student at the University of Gothenburg, argues that preventive medicine and expanding disease definitions have changed the ethical premises of informed choice and our good intentions may... Full Article
m "Women deliver, and not only babies" By feeds.bmj.com Published On :: Mon, 16 May 2016 10:34:24 +0000 Katja Iversen, CEO of Women Deliver, joins Rebecca Coombes to explain why the UN sustainable development goals are unachievable if we don't empower women and girls to take control of their health, wellbeing, and reproductive rights. http://womendeliver.org/ Full Article
m Women and the Zika Virus By feeds.bmj.com Published On :: Wed, 25 May 2016 11:01:18 +0000 Interviews from the Women deliver conference in Copenhagen. Donna McCarraher, director of reproductive, maternal, newborn and child health at FHI 360, explains why women should be at the centre of efforts to mitigate the effect of Zika Virus in Brazil. Full Article