MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'athens'. Sat, 03 Sep 2011 02:30:28 +0100 http://www.medworm.com/index.php?rid=4794816&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F05%2F06%2Fjournal-of-the-american-medical-association-2011%2F This article reports on a systematic review and meta-analysis of randomised controlled clinical trials (RCTs) assessing associations of structured exercise training regimens (aerobic, resistance, or both) and physical activity advice with or without dietary cointervention on change in haemoglobin A1c (HbA1c) in type 2 diabetes patients. The article concludes that structured exercise training that consists of aerobic exercise, resistance training, or both combined is associated with HbA1c reduction in patients with type 2 diabetes. Structured exercise training of more than 150 minutes per week is associated with greater HbA1c declines than that of 150 minutes or less per week. Physical activity advice is associated with lower HbA1c, but only when combined with dietary advice. Filed under: A... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4794816 Fri, 06 May 2011 12:53:30 +0100 4794816 http://www.medworm.com/index.php?rid=4794817&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F05%2F06%2Fjournal-of-the-american-medical-association-2011-vol-305-no-16%2F This article aims to  evaluate the association between low health literacy and all-cause mortality and hospitalisation among outpatients with heart failure. The article concludes that among patients with heart failure in an integrated managed care organisation, low health literacy was significantly associated with higher all-cause mortality. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of the article. Filed under: Athens Password, E-Journals, Journals Tagged: Health Care Assessment, Heart Failure, Mortality, Outcome, Patient Education (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4794817 Fri, 06 May 2011 12:14:05 +0100 4794817 http://www.medworm.com/index.php?rid=4794818&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F05%2F06%2Fjournal-of-the-american-medical-association-2011-vol-305-no-15%2F The objective of this study was to  develop and validate predictive models for progression of Chronic Kidney Disease (CKD). The article concludes that a model using routinely obtained laboratory tests can accurately predict progression to kidney failure in patients with CKD stages 3 to 5. An NHS Athens password is required to access this article online, alternatively contact the Library to obtain a copy. Filed under: Athens Password, E-Journals, Journals Tagged: Albuminuria, Chronic Kidney Failure, Creatinine, Disease Progression, Glomerular Filtration Rate, Kidney Diseases, Laboratory Techniques and Procedures, Models, Prognosis, Risk Assessment, Statistical (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4794818 Fri, 06 May 2011 11:24:24 +0100 4794818 http://www.medworm.com/index.php?rid=4758702&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-13%2F This article is a case-cohort study examining the association of maximum prescribed daily opioid dose and dosing schedule (“as needed,” regularly scheduled, or both) with risk of opioid overdose death among patients with cancer, chronic pain, acute pain, and substance use disorders. The study concludes that among patients receiving opioid prescriptions for pain, higher opioid doses were associated with increased risk of opioid overdose death. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Adolescent, Adverse, Analgesia, Drug Prescriptions, Drug Reaction, Hydrocone, Methadone, Mortality, Opioid, Opioid-Related Disorders, Overdose, Pain, Patient S... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758702 Wed, 27 Apr 2011 13:50:06 +0100 4758702 http://www.medworm.com/index.php?rid=4758703&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-12%2F The objective of this study is to test the efficacy of hydrocortisone therapy in trauma patients. The study concludes that in intubated trauma patients, the use of an intravenous stress-dose of hydrocortisone, compared with placebo, resulted in a decreased risk of hospital-acquired pneumonia. An NHS Athens password is required to access this article, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Cross Infection, Hydrocortisone, Intensive Care Units, Intubation, Patient Safety, Pneumonia, Randomised Controlled Trials, Trauma, Wounds and Injuries (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758703 Wed, 27 Apr 2011 11:50:27 +0100 4758703 http://www.medworm.com/index.php?rid=4758705&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-9%2F Journal of the American Medical Association 2011 v.305(9) Contents Fade Fave: Perinatal Care for Incarcerated Patients: A 25-Year-Old Woman Pregnant in Jail Fade Skinny:Although incarceration during pregnancy is both stressful and dehumanizing, most studies paradoxically document better outcomes for pregnancies managed behind bars than for women of similar socioeconomic status whose pregnancies are managed in the community. Using the case of Ms A as a springboard for discussion, the issues, benefits, and challenges of caring for an incarcerated pregnant woman are addressed, as is the importance of family planning services to those about to be released. Filed under: Athens Password, Current Awareness, E-Journals, Journals, Ooops Missed Category! Tagged: Pregnancy, Prison Health, Prisoners,... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758705 Wed, 27 Apr 2011 11:13:26 +0100 4758705 http://www.medworm.com/index.php?rid=4758706&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-8%2F This study examines the accuracy and outcomes of mammography screening in women with a personal history of breast cancer (PHBC) relative to screening of similar women without PHBC. The article concludes that mammography screening in PHBC women detects early-stage second breast cancers but has lower sensitivity and higher interval cancer rate, despite more evaluation and higher underlying cancer rate, relative to that in non-PHBC women. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals, Journals Tagged: Breast Cancer, Breast Neoplasms, Early Diagnosis, Mammography (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758706 Wed, 27 Apr 2011 11:04:13 +0100 4758706 http://www.medworm.com/index.php?rid=4758707&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-7%2F This study aimed to describe the inpatient resource utilisation, clinical characteristics, and admission reasons of patients recurrently readmitted to children’s hospitals in the United States. The article concludes that among a group of paediatric hospitals, 18.8% of admissions and 23.2% of inpatient charges were accounted for by the 2.9% of patients with frequent recurrent admissions. Many of these patients were rehospitalised recurrently for a problem in the same organ system. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of the article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Asthma, Child, Children's Health, Chronic Diseases, Health Economics, Patient Readmission (Source: Fade ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758707 Wed, 27 Apr 2011 10:54:03 +0100 4758707 http://www.medworm.com/index.php?rid=4758708&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-6%2F This article evaluates and examines the eligibility of live kidney donors and their short- and long-term risks are discussed. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy. Filed under: Athens Password, E-Journals, Journals Tagged: Donor Selection, Ethics, Informed Consent, Kidney Failure, Organ Donation, Organ Transplantation, Patient Safety, Surgical Procedures (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758708 Wed, 27 Apr 2011 10:43:11 +0100 4758708 http://www.medworm.com/index.php?rid=4758709&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-5%2F The objective of this study is to perform a systematic review and meta-analysis of published randomised controlled trials (RCTs) to determine the overall risk of fatal adverse effects (FAEs) associated with bevacizumab, an angiogenesis inhibitor, used in conjunction with chemotherapy. The article concludes that in a meta-analysis of RCTs, bevacizumab in combination with chemotherapy or biological therapy, compared with chemotherapy alone, was associated with increased treatment-related mortality. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Bevacizumab, Cancer, Drug Therapy, Fatal Adverse Effects, Randomised Controlled Trials (Sourc... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758709 Wed, 27 Apr 2011 10:26:16 +0100 4758709 http://www.medworm.com/index.php?rid=4704583&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F11%2Feducation-for-primary-care-2011-volume-22-no-2%2F Education for Primary Care 2011 Vol. 22(2) Contents Page Fade Fave: A new approach to teaching undergraduates about occupational health issues Fade Skinny: This paper describes the outcomes of an innovative teaching session in occupational medicine within community medicine. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, Journals, Ooops Missed Category! Tagged: Occupational Health, Undergraduate Education (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4704583 Mon, 11 Apr 2011 14:50:03 +0100 4704583 http://www.medworm.com/index.php?rid=4684209&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F05%2Fdiversity-in-health-and-care-2011-vol-8-no-1%2F Diversity in Health and Care 2011 (Vol. 8 No.1) Contents Page Fade fave: Independent domestic violence advocates: persceptions of service users Fade skinny: This paper draws on the findings of a qualitative evaluation that examines user perceptions of the services provided by an Independent Domestic Violence Advocate (IDVA) to victims of domestic violence in one rural local authority area in the UK. Service users described being reluctant to report experiences of domestic violence but, having done so, finding the involvement of the IDVA invaluable in being able to provide them with the independent advice, information and emotional support that they would not otherwise have received. To access this article online requires an NHS Athens password. To register for an Athens password follow thi... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4684209 Tue, 05 Apr 2011 15:28:46 +0100 4684209 http://www.medworm.com/index.php?rid=4600488&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F03%2F15%2Fquality-in-primary-care-2010-vol-18-no-6%2F Quality in Primary Care 2010 v. 18(6) Contents Page Fade Fave:Physician-community health worker partnering to support diabetes self-management in primary care Fade Skinny: The role of community health workers (CHWs) has expanded from outreach and education to working within a clinical team in a primary care setting. The aim of this study is to improve self-management among patients with type 2 diabetes incorporating CHWs as members of a clinical team. The article concludes that Physician-CHW partnership had a positive impact on patients’ self-management skills and clinical outcomes. Patients and physicians also had higher satisfaction with overall care. With appropriate training, CHWs can collaborate as team members with primary care providers and with non-medical providers to impro... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4600488 Tue, 15 Mar 2011 11:47:51 +0100 4600488 http://www.medworm.com/index.php?rid=4455224&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F01%2F26%2Fjournal-of-the-medical-association-2010-vol-304-no-3%2F The objective of this article is to determine the efficacy and tolerability of 10 to 20 mg/d escitalopram, a selective serotonin reuptake inhibitor, in alleviating the frequency, severity, and bother of menopausal hot flushes. The article concludes that among healthy women, the use of escitalopram (10-20 mg/d) compared with placebo resulted in fewer and less severe menopausal hot flushes at 8 weeks of follow-up. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals Tagged: Antidepressants, Menopausal Symptoms, Selective Serotonin Reuptake Inhibitor, SSRI, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4455224 Wed, 26 Jan 2011 12:21:24 +0100 4455224 http://www.medworm.com/index.php?rid=4455225&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F01%2F26%2Fjournal-of-the-american-medical-association-2010-vol-304-no-4-2%2F This article examines the association between admission to stroke centres for acute ischemic stroke and mortality. Among patients with acute ischemic stroke, admission to a designated stroke centre was associated with modestly lower mortality and more frequent use of thrombolytic therapy. An NHS Athens password is required to access this article online. Alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals Tagged: Mortality, Stroke, Thrombolytic Treatment, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4455225 Wed, 26 Jan 2011 11:57:01 +0100 4455225 http://www.medworm.com/index.php?rid=4313961&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F01%2F05%2Fjournal-of-the-american-medical-association-2011-vol-305-no-1%2F This article aims to evaluate the relationship between gait speed and survival in geriatric patients. Pooled analysis of 9 cohort studies (collected between 1986 and 2000) measured the survival rates and life expectancy in geriatric patients. Predicted survival based on age, sex, and gait speed was as accurate as predicted based on age, sex, use of mobility aids, and self-reported function or as age, sex, chronic conditions, smoking history, blood pressure, body mass index, and hospitalisation. The article concludes that in this pooled analysis of individual data from 9 selected cohorts, gait speed was associated with survival in older adults. An NHS Athens password is required to access this article online alternatively contact the Library for a copy of the article. Fi... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4313961 Wed, 05 Jan 2011 09:45:28 +0100 4313961 http://www.medworm.com/index.php?rid=4313962&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F01%2F05%2Fdiversity-and-health-care-2010-vol-7-no-4%2F Diversity and Health Care 2010 Vol. 7 No. 4 Contents Page Fade Fave: A comparative study of traditional postpartum practices and rituals in the UK and Taiwan Fade Skinny: This paper discusses a study comparing postpartum practices and rituals in women in the UK and Taiwan, with 3 months of delivering. Ritual practices followed in both countries consist of those associated with choosing and predicting the gender of the baby, food fads, taboos and the use of herbs during the postnatal period. The most helpful person reported during the postnatal period is the mothers’ husband or partner. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals, Oo... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4313962 Wed, 05 Jan 2011 09:02:49 +0100 4313962 http://www.medworm.com/index.php?rid=4281275&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F12%2F22%2Fjournal-of-the-american-medical-association-2010-vol-304-no-24%2F This article evaluates lymphoedema onset after a 1-year weight lifting intervention vs no exercise (control) among survivors at risk for breast cancer–related lymphoedema (BCRL). The article concludes that in breast cancer survivors at risk for lymphoedema, a programme of slowly progressive weight lifting compared with no exercise did not result in increased incidence of lymphoedema. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals, Journals, Ooops Missed Category! Tagged: Breast Cancer, Exercise Therapy, Lymphoedema, Randomised Controlled Trials, United States, Weight Lifting (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4281275 Wed, 22 Dec 2010 11:25:02 +0100 4281275 http://www.medworm.com/index.php?rid=4265601&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F12%2F16%2Fjournal-of-the-american-medical-association-2010-vol-304-no-23%2F Contents Fade fave: Maintaining a High Physical Activity Level Over 20 Years and Weight Gain Fade skinny: This paper aims to evaluate the relationship between habitual activity levels and changes in body mass index (BMI) and waist circumference over 20 years. A prospective longitudinal study with 20 years of follow-up was carried out 1985-1986 to 2005-2006 of average annual changes in BMI and waist circumference of 3554 men and women aged 18 to 30 years at baseline. The article concludes that maintaining high activity levels through young adulthood may lessen weight gain as young adults transition to middle age, particularly in women. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy. &nbs... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4265601 Thu, 16 Dec 2010 10:44:42 +0100 4265601 http://www.medworm.com/index.php?rid=4265602&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F12%2F16%2Feducation-of-primary-care-2010-vol-21-no-6%2F This article summarises the findings of a literature review exploring consultations in primary care where language barriers affect the consultation. Findings suggest that there are limitations to current consultation models and educational interventions to improve consultations across language barriers and suggests future solutions to those problems. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals, Journals, Primary Care Tagged: Consultation, Interpreting, Language Barriers, Primary Care, Socio-cultural Linguistics (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4265602 Thu, 16 Dec 2010 10:29:49 +0100 4265602 http://www.medworm.com/index.php?rid=4265603&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F12%2F16%2Fjournal-of-the-american-medical-association-2010-vol-304-no-22%2F The objective of this study is to determine whether integrating smoking cessation treatment into mental health care for veterans with post-traumatic stress disorder (PTSD) improves long-term smoking abstinence rates. An NHS Athens is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals, Journals (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4265603 Thu, 16 Dec 2010 09:02:28 +0100 4265603 http://www.medworm.com/index.php?rid=4241680&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F12%2F08%2Fquality-in-primary-care-2010-vol-18-no-5%2F This article examines the impact of the recent policy in Great Britain allowing patients to buy over-the-counter 10mg dose of cholesterol -lowering drug, meeting the needs of individuals at moderate risk of heart disease. The article concludes that the aim of addressing the treatment gap among those individuals who are moderately at risk by offering OTC statins has not been achieved 2 years after the policy implementation. An NHS Athens password is required to access this article, alternatively contact the Library for a copy. Filed under: Athens Password, E-Journals, Journals, Ooops Missed Category!, Primary Care, Quality Tagged: Hyperlipidaemia, Self-medication, Statins (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4241680 Wed, 08 Dec 2010 12:58:17 +0100 4241680 http://www.medworm.com/index.php?rid=4241681&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F12%2F08%2Fjournal-of-the-american-medical-association-2010-vol-304-no-21%2F Contents Page Fade Fave: Toward an Outcomes-Based Health Care System: A View From the United Kingdom Fade Skinny: In a comprehensive, publicly funded system like the United Kingdom’s National Health Service (NHS) there is an overriding imperative to deliver maximum health benefit per pound spent. Quality, effectiveness, and efficiency are the goals. Following a decade of above-inflation increases in NHS funding, the urgent need to reduce the United Kingdom’s national debt means the NHS is entering a sustained period of flat or declining funding, while demand for services continues to increase (from technological progress, an aging population, increasing expectations, and population growth). Striving for value therefore becomes an ethical imp... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4241681 Wed, 08 Dec 2010 12:14:42 +0100 4241681 http://www.medworm.com/index.php?rid=4196994&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F11%2F24%2Fjournal-of-the-american-medical-association-2010-vol-304-no-20%2F This article aims to examine the benefits of aerobic training alone, resistance training alone, and a combination of both on haemoglobin A1c (HbA 1c) in individuals with type 2 diabetes. The article concludes among patients with type 2 diabetes mellitus, a combination of aerobic and resistance training compared with the nonexercise control group improved HbA 1c levels. This was not achieved by aerobic or resistance training alone. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of the article. Filed under: Athens Password, E-Journals, Journals, Ooops Missed Category! Tagged: Diabetes, Exercise Therapy (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4196994 Wed, 24 Nov 2010 13:57:10 +0100 4196994 http://www.medworm.com/index.php?rid=4183248&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F11%2F19%2Fjournal-of-the-american-medical-association-2010-vol-304-no-19%2F This article describes a systematic review on AOM diagnosis, treatment, and the association of heptavalent pneumococcal conjugate vaccine (PCV7) use with AOM microbiology. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals, Journals Tagged: Antibiotics, Children, Otitis Media, Vaccination (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4183248 Fri, 19 Nov 2010 10:36:33 +0100 4183248 http://www.medworm.com/index.php?rid=4151684&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F11%2F10%2Fjournal-of-the-american-medical-association-2010-vol-304-no-17%2F This article looks at the care of an older woman whose case cannot be managed effectively through the customary approach of diagnosing and treating her individual diseases. This article identifies 4 proactive, continuous processes that can substantially improve the primary care of community-dwelling older patients who have multiple chronic conditions: comprehensive assessment, evidence-based care planning and monitoring, promotion of patients’ and (family caregivers’) active engagement in care, and coordination of professionals in care of the patient—all tailored to the patient’s goals and preferences. Three models of chronic care that include these processes and that appear to improve some aspects of the effectiveness and the efficiency of complex primary care are describ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4151684 Wed, 10 Nov 2010 09:56:23 +0100 4151684 http://www.medworm.com/index.php?rid=4151685&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F11%2F10%2Fjournal-of-the-american-medical-association-2010-vol-304-no-18%2F This study aims to determine incidence and risk of severe obesity in adulthood by adolescent weight status. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, E-Journals, Journals Tagged: Adolescence, Adulthood, Morbidity, Obesity, Prevalence, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4151685 Wed, 10 Nov 2010 09:15:48 +0100 4151685 http://www.medworm.com/index.php?rid=4118789&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F27%2Fjournal-of-the-american-medical-association-2010-vol-304-no-13%2F This article investigates the survival of patients with out-of-hospital cardiac arrest using compression-only CPR (COCPR) compared with conventional CPR. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals, Ooops Missed Category! Tagged: Cardio-Pulmonary Resuscitation, Compression-Only CPR, CPR, Mortality (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4118789 Wed, 27 Oct 2010 13:45:32 +0100 4118789 http://www.medworm.com/index.php?rid=4118790&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F27%2Fjournal-of-the-american-medical-association-2010-vol-304-no-15%2F This article aims to determine the effects of therapy with oestrogen plus progestin on cumulative breasted cancer incidence and mortality after an average follow up of 11 years. The article concludes that oestrogen plus progestin was associated with greater breast cancer incidence, and the cancers are more commonly node-positive. Breast cancer mortality also appears to be increased with combined use of oestrogen plus progestin. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Breast Cancer, Hormonal Therapy, Morbidity, Mortality (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4118790 Wed, 27 Oct 2010 13:20:52 +0100 4118790 http://www.medworm.com/index.php?rid=4118791&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F27%2Fjournal-of-the-american-medical-association-2010-vol-304-no-16%2F The objective of this study was to test whether a free prepared meal and incentivised structured weight loss program promotes greater weight loss and weight loss maintenance at 2 years compared with usual care. The article concludes that compared with usual care, this structured weight loss program resulted in greater weight loss over 2 years. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Incentives, Randomised Controlled Trials, United States, Weight Loss, Women (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4118791 Wed, 27 Oct 2010 13:01:15 +0100 4118791 http://www.medworm.com/index.php?rid=4082017&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Farchives-of-dermatology-2010-vol-146-no-10%2F The objectives of this article are to promote a better understanding of a group of biases that influence therapeutic decision making by physicians/dermatologists and to raise the awareness that these biases contribute to a research-practice gap that has an impact on physicians and treatment solutions. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Bias, Current Awareness, Dermatology, E-Journals, Evidence (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082017 Tue, 19 Oct 2010 09:48:25 +0100 4082017 http://www.medworm.com/index.php?rid=4082018&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Ftobacco-control-2010-vol-19-no-5%2F This study highlights the importance of understanding the meaning of smoking in different social contexts so future tobacco control interventions can be developed to reduce health and social inequalities. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Health Inequalities, Legislation, Smoking, Tobacco (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082018 Tue, 19 Oct 2010 09:37:36 +0100 4082018 http://www.medworm.com/index.php?rid=4082019&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Fsexually-transmitted-infections-2010-vol-86-no-5%2F content page Fade Fave: Condoms and developmental contexts in younger adolescent boys Fade Skinny: Our findings of existing negative perceptions of condoms, the importance of families in learning about condoms and the developmental need to test and try on condoms before use have implications for adolescent STI prevention programmes. (NHS Athens is required to access this article online) Filed under: Athens Password, Currently Watching, E-Journals, Journals Tagged: adolescents, Athens Password, Condom use, Current Awareness, E-Journals (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082019 Tue, 19 Oct 2010 09:25:25 +0100 4082019 http://www.medworm.com/index.php?rid=4082020&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Fjournal-of-telemedicine-and-telecare-2010-vol-16-no-7%2F content page Fade Fave: How serious are the symptoms of callers to a telephone triage call centre? Fade Skinny: Adverse events such as deaths following telephone triage calls are rare, suggesting that the process is basically safe. However, if calls tend to concern mostly minor illnesses, then adverse events following calls would be uncommon even if the triage process itself was flawed. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Telehealth, Telemedicine, Telephone-delivered Care, Triage (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082020 Tue, 19 Oct 2010 09:06:37 +0100 4082020 http://www.medworm.com/index.php?rid=4082021&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Fjournal-of-medical-ethics-2009-vol-36-no-10%2F content page Fade Fave: Decapitation and the definition of death Fade Skinny: Although established in the law and current practice, the determination of death according to neurological criteria continues to be controversial. Some scholars have advocated return to the traditional circulatory and respiratory criteria for determining death because individuals diagnosed as ‘brain dead’ display an extensive range of integrated biological functioning with the aid of mechanical ventilation. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, Death & Dying, E-Journals, Journals (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082021 Tue, 19 Oct 2010 08:59:50 +0100 4082021 http://www.medworm.com/index.php?rid=4082022&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Femergency-medicine-journal-2010-vol-27-no-10%2F Emergency Medicine Journal 2009 (Vol. 27, No. 10) content page Fade Fave: Simulation training improves ability to manage medical emergencies Fade Skinny: In the case of an emergency, fast and structured patient management is crucial for a patient’s outcome. Every physician and graduate medical student should possess basic knowledge of emergency care and the skills to manage common emergencies. This study determines the effect of a simulation-based curriculum in emergency medicine on students’ abilities to manage emergency situations. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Emergency Se... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082022 Tue, 19 Oct 2010 08:40:53 +0100 4082022 http://www.medworm.com/index.php?rid=4082023&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Fbritish-journal-of-ophthalmology-2010-vol-94-no-10%2F British Journal of Ophthalmology 2009 (Vol. 94, No.10) content page Fade Fave: Determination of a gene and environment risk model for age-related macular degeneration Fade Skinny: They have recently identified an association between age-related macular degeneration (AMD) and genetic variants in the serpin peptidase inhibitor, clade G, member 1 (SERPING1) gene. In the current study we interrogated the genomic region in linkage disequilibrium (LD) with the SERPING1 gene, and modelled the contribution to disease of known genetic and environmental AMD risk factors. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Age-Related Macular Degeneration, Athens Password, Current Awareness, E-Journals, Genetics (Source:... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082023 Tue, 19 Oct 2010 08:29:20 +0100 4082023 http://www.medworm.com/index.php?rid=4082024&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F19%2Farchives-of-pediatrics-and-adolescent-medicine-2010-vol-164-no-10%2F content page Fade Fave: The Effect of Perceived and Structural Neighborhood Conditions on Adolescents’ Physical Activity and Sedentary Behaviors Fade Skinny: Obesity continues to be a growing public health concern in the United States. Physical activity and sedentary behaviors are among the key behavioral targets of efforts to address this public health concern. Owing to a recognition of the multifaceted causes of the obesity epidemic, there has been an increased focus on understanding contextual effects on obesity, physical activity, and sedentary behaviors among children and adolescents. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: adolescents, Athens Password, Current Awareness, E-Journals, Ne... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4082024 Tue, 19 Oct 2010 08:04:07 +0100 4082024 http://www.medworm.com/index.php?rid=4077201&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F18%2Farchives-of-ophthalmology-2010-vol-128-no-10%2F The objective of this research was to examine associations between therapies for age-related macular degeneration and risks of all-cause mortality, incident myocardial infarction, bleeding, and incident stroke. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Age-Related Macular Degeneration, Athens Password, Current Awareness, E-Journals, Journals (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4077201 Mon, 18 Oct 2010 14:16:56 +0100 4077201 http://www.medworm.com/index.php?rid=4077202&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F18%2Farchives-of-general-psychiatry-2010-vol-67-no-10%2F content page Fade Fave: A Meta-analysis of Depression During Pregnancy and the Risk of Preterm Birth, Low Birth Weight, and Intrauterine Growth Restriction Fade Skinny: Women with depression during pregnancy are at increased risk for PTB and LBW, although the magnitude of the effect varies as a function of depression measurement, country location, and US socioeconomic status. An important implication of these findings is that antenatal depression should be identified through universal screening and treated. NHS Athens is required to access this article online Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, Depression, E-Journals, Pregnancy (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4077202 Mon, 18 Oct 2010 14:06:11 +0100 4077202 http://www.medworm.com/index.php?rid=4060542&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F10%2F12%2Fjournal-of-the-american-medical-asociation-2010-vol-304-no-13%2F This article investigates the survival of patients with out-of-hospital cardiac arrest using compression-only CPR (COCPR) compared with conventional CPR.  The study design was a 5-year prospective observational study of survival in patients at least 18 years old with out-of-hospital cardiac arrest. The study concludes that among patients with out-of-hospital cardiac arrest, layperson compression-only CPR was associated with increased survival compared with conventional CPR and no bystander CPR in this setting with public endorsement of chest compression–only CPR. An NHS password is required to access this article online, alternatively contact the Library for a copy of the article. Filed under: Athens Password, Current Awareness, E-Journals, Journals, Ooops Missed Category! (Source: Fade... Fade Library blogs http://www.medworm.com/rss/comments.php?id=4060542 Tue, 12 Oct 2010 08:09:14 +0100 4060542 http://www.medworm.com/index.php?rid=3993813&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F09%2F22%2Fjournal-of-the-american-medical-association-2010-vol-304-no-12%2F This article determines the value of self-management counselling plus heart failure education, compared with heart failure education alone, for the primary end point of death or heart failure hospitalization. An NHS Athens password is required to access this article, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Heart Failure, Patient Counselling, Patient Education, Randomised Controlled Trials (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3993813 Wed, 22 Sep 2010 06:24:52 +0100 3993813 http://www.medworm.com/index.php?rid=3993814&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F09%2F22%2Fjournal-of-the-american-medical-association-2010-vol-304-no-11%2F This article examines whether recent experience with clinical problems provokes availability bias (overestimation of the likelihood of a diagnosis based on the ease with which it comes to mind) resulting in diagnostic errors and whether reflection (structured reanalysis of the case findings) counteracts this bias. An NHS Athens is required to access this article, alternatively contact the Library for a copy. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Bias, Diagnostic Errors, Professional Education, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3993814 Wed, 22 Sep 2010 06:24:34 +0100 3993814 http://www.medworm.com/index.php?rid=3993815&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F09%2F22%2Fjournal-of-the-american-medical-association-2010-vol-304-no-10%2F This article compares clinical features and outcomes for 2009 H1N1, seasonal H1N1, and H3N2 influenza in a population-based cohort. In this population, individuals with 2009 H1N1 infection were younger than those with H3N2. The risk of most serious complications was not elevated in adults or children with 2009 H1N1 compared with recent seasonal strains. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Clinical Characteristics, H1N1, H3N2, Influenza (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3993815 Wed, 22 Sep 2010 06:24:13 +0100 3993815 http://www.medworm.com/index.php?rid=3924838&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F09%2F01%2Fjournal-of-the-american-medical-association-2010-vol-304-no-9%2F The objective of this study is to test a nonpharmacologic intervention realigning environmental demands with patient capabilities. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Ageing, Carers, Dementia, Interventions (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3924838 Wed, 01 Sep 2010 15:19:14 +0100 3924838 http://www.medworm.com/index.php?rid=3920777&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F08%2F31%2Fjournal-of-the-american-medical-association-2010-vol-304-no-6%2F Contents Page Fade Fave: A 29-Year-Old Woman With Flu-like Symptoms: Review of Influenza Diagnosis and Treatment Fade Skinny: Using the case of Ms R, a 29-year-old woman who presented with acute onset of respiratory symptoms and was evaluated for influenza,considerations regarding symptoms and signs, evaluation, treatment, and prevention of influenza are discussed. Symptoms of influenza can be similar to those of other respiratory viruses, making diagnosis challenging. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of the article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Diagnostics, Influenza, Symptoms (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3920777 Tue, 31 Aug 2010 12:57:36 +0100 3920777 http://www.medworm.com/index.php?rid=3920778&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F08%2F31%2Fjournal-of-the-american-medical-association-2010-vol-304-no-5%2F This article aims to determine the efficacy of brief interventions addressing violence and alcohol use among adolescents presenting to an urban Emergency Department. All patients underwent a computerized baseline assessment and were randomized to a control group that received a brochure (n = 235) or a 35-minute brief intervention delivered by either a computer (n = 237) or therapist (n = 254) in the ED, with follow-up assessments at 3 and 6 months. The article concludes that among adolescents identified in the ED with self-reported alcohol use and aggression, a brief intervention resulted in a decrease in the prevalence of self-reported aggression and alcohol consequences. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy o... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3920778 Tue, 31 Aug 2010 12:47:25 +0100 3920778 http://www.medworm.com/index.php?rid=3920779&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F08%2F31%2Fjournal-of-the-american-medical-association-2010-vol-304-no-4%2F This article aims to assess complication rates of different bariatric procedures and variability in rates of serious complications across hospitals and according to procedure volume and center of excellence (COE) status. An NHS Athens password is required to access this article online, alternatively contact the Library fro a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Bariatric Surgery, Complications, Perioperative Safety, Safety, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3920779 Tue, 31 Aug 2010 12:24:00 +0100 3920779 http://www.medworm.com/index.php?rid=3993816&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F08%2F31%2Fjournal-of-the-american-medical-association-2010%2F This article aims to test cognitive behavioural therapy for ADHD in adults treated with medication but who still have clinically significant symptoms. The article concludes that among adults with persistent ADHD symptoms treated with medication, the use of cognitive behavioral therapy compared with relaxation with educational support resulted in improved ADHD symptoms, which were maintained at 12 months. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of the article. Filed under: Athens Password, Current Awareness, E-Journals, Journals, Ooops Missed Category! Tagged: ADHD, CBT, Cognitive Behavioural Therapy, Relaxation Therapy (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3993816 Tue, 31 Aug 2010 11:55:24 +0100 3993816 http://www.medworm.com/index.php?rid=3920781&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F08%2F31%2Fjournal-of-the-american-medical-association-2010%2F This article aims to test cognitive behavioural therapy for ADHD in adults treated with medication but who still have clinically significant symptoms. The article concludes that among adults with persistent ADHD symptoms treated with medication, the use of cognitive behavioral therapy compared with relaxation with educational support resulted in improved ADHD symptoms, which were maintained at 12 months. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of the article. Filed under: Athens Password, Current Awareness, E-Journals, Journals, Ooops Missed Category! Tagged: ADHD, CBT, Cognitive Behavioural Therapy, Relaxation Therapy (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3920781 Tue, 31 Aug 2010 11:55:24 +0100 3920781 http://www.medworm.com/index.php?rid=3750004&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F14%2Fjournal-of-the-american-medical-association-2010-vol-304-no-1%2F This article systematically reviews the accuracy of brief instruments for identifying patients with limited literacy. The article concludes that several single-item questions, including use of a surrogate reader and confidence with medical forms, were moderately effective for quickly identifying patients with limited literacy. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Communication, Equality, Health Outcomes, Inequalities, Literacy, Social Inclusion, Social Inequality, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3750004 Wed, 14 Jul 2010 07:28:39 +0100 3750004 http://www.medworm.com/index.php?rid=3736995&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F08%2Fpostgraduate-medical-journal-2010-vol-86-no-1014%2F Contents page Fade Fave: Fear of dying in an ethnically diverse society: cross-sectional studies of people aged 65+ in Britain Fade Skinny:Examines fears about dying in an ethnically diverse population sample, and a more homogeneous population sample, aged 65 and over. Finds that enabling older people to express fears about dying is likely to be important when planning supportive end-of-life care. Practitioners should not assume that fears about dying are the same in different social groups, or that extensive family support is protective against such anxiety. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, End of Life Care, Palliateive Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3736995 Thu, 08 Jul 2010 14:32:57 +0100 3736995 http://www.medworm.com/index.php?rid=3736996&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F08%2Fpostgraduate-medical-journal-2010-vol-86-no-1013%2F Contents page Fade Fave: Improving end of life care for nursing home residents: an analysis of hospital mortality and readmission rates Fade Skinny:Considers survival and readmission rates of nursing home patients admitted acutely to general medicine and finds survival rates in nursing home residents admitted to an acute medical unit are low. The article suggests measures to reduce inappropriate admissions and facilitate improved end of life care. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, End of Life Care, Hospital Admissions, Palliative Care, Residential Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3736996 Thu, 08 Jul 2010 14:28:40 +0100 3736996 http://www.medworm.com/index.php?rid=3736997&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F08%2Fpostgraduate-medical-journal-2010-vol-85-no-1012%2F Contents page Fade Fave: Doctors’ views of attitudes towards peer medical error Fade Skinny: Evaluates doctors’ attitudes towards handling medical errors made by their peers. It finds the most acceptable approach to dealing with a peer’s medical error is to report it to the responsible doctor and encourage them to disclose it to the patient. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Clinical Governance, Current Awareness, E-Journals (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3736997 Thu, 08 Jul 2010 14:11:18 +0100 3736997 http://www.medworm.com/index.php?rid=3736998&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F08%2Fpostgraduate-medical-journal-2010-vol-85-no-1011%2F Contents page Fade Fave: Smoking cessation: the potential role of risk assessment tools as motivational triggers Fade Skinny: Utilising tests of lung function and/or genetic susceptibility personalises the risk and have been reported to achieve 1 year quit rates of 25%. This is comparable to quit rates achieved among healthy motivated smokers using smoking cessation drug therapy. This paper reviews existing evidence and proposes that identifying those smokers at increased risk of an adverse smoking related disease may be a useful motivational tool, and enhance existing public health strategies directed at smoking cessation. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Ooops Missed Category! Tagged: Athens Password, Cur... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3736998 Thu, 08 Jul 2010 13:57:31 +0100 3736998 http://www.medworm.com/index.php?rid=3737000&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F08%2Fpostgraduate-medical-journal-2009-vol-85-no-1010%2F Contents page Fade Fave: An overview of the management of morbid obesity Fade Skinny: Tackling obesity is now a priority for most healthcare providers. Managing such patients can be complex, emotional, time consuming and often frustrating. Obesity surgery, in its various forms, has revolutionised this struggle. With appropriate selection of patients, adequate resources and a multidisciplinary team involvement, obesity can now effectively be “cured”.E-Journals,Athens Password (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Obesity, Surgery (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3737000 Thu, 08 Jul 2010 13:06:32 +0100 3737000 http://www.medworm.com/index.php?rid=3718334&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F01%2Fheart-2010-vol-96-no-13%2F Heart 2010 (Vol. 96 No. 13) Contents page Fade Fave: Electrical and mechanical dyssynchrony for prediction of cardiac events in patients with systolic heart failure Fade Skinny: Evaluates whether mechanical dyssynchrony has an additional benefit over QRS duration in predicting cardiac events in patients with systolic heart failure. Finds tissue Doppler imaging-derived mechanical dyssynchrony is an important prognosticator and independently associated with QRS duration in predicting adverse events in patients with systolic heart failure. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, Diagnosis, E-Journals, Heart Failure (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3718334 Thu, 01 Jul 2010 14:05:32 +0100 3718334 http://www.medworm.com/index.php?rid=3718335&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F01%2Fheart-2010-vol-96-no-12%2F Heart 2010 (Vol. 96 No. 12) Contents page Fade Fave: Individualising the risks of statins in men and women in England and Wales: population-based cohort study Fade Skinny: Aims to derive and validate risk algorithms so that the risks of four clinical outcomes associated with statin use can be estimated for individual patients. It acheives this in the case of acute renal failure, moderate/serious myopathy and cataract but not in the case of an algorithm to predict liver dysfunction. The algorithms developed could be used to identify patients at increased risk of these adverse effects enabling patients to be monitored more closely. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Algorithm, Athens Password, Current... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3718335 Thu, 01 Jul 2010 13:13:22 +0100 3718335 http://www.medworm.com/index.php?rid=3710510&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F30%2Fjournal-of-the-american-medical-association-2010-vol-303-no-24%2F The objective of this article is to examine the relationship between adiposity, changes in adiposity, and risk of incident type 2 diabetes in adults 65 years of age and older. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Adiposity, Older People, Overweight, Type 2 Diabetes (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3710510 Wed, 30 Jun 2010 06:43:15 +0100 3710510 http://www.medworm.com/index.php?rid=3706609&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F28%2Fmedical-humanities-2009-vol-36-no-1%2F content page Fade Fave: Portraits of care: medical research through portraiture Fade Skinny: The Portraits of Care study used portraiture to investigate ideas about care and care giving at the intersection of art and medicine. The study employed mixed methods involving both qualitative and quantitative research techniques. All aspects of the study were approved by the Institutional Review Board. The study included 26 patient and 20 caregiver subjects. Patient subjects were drawn from across the lifespan and included healthy and ill patients. Caregiver subjects included professional and familial caregivers (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Art, Athens Password, Current Awareness, E-Journa... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3706609 Mon, 28 Jun 2010 12:37:35 +0100 3706609 http://www.medworm.com/index.php?rid=3706610&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F28%2Fsexually-transmitted-infections-2010-vol-86-no-3%2F content page Fade Fave: The implementation of chlamydia screening: a cross-sectional study in the South East of England Fade Skinny: Testing of males focused on institutional settings where there is a low yield of positives, and limited capacity for expansion. By contrast, the testing of females, especially in urban environments, was mainly through established healthcare services. Future strategies should prioritise increasing male testing in healthcare settings. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Chlamydia, Chlamydia Infections, Current Awareness, E-Journals, Screening (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3706610 Mon, 28 Jun 2010 12:07:47 +0100 3706610 http://www.medworm.com/index.php?rid=3706611&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F28%2Fsexually-transmitted-infections-2010-vol-86-no-2%2F content page Fade Fave: Utilising the internet to test for sexually transmitted infections: results of a survey and accuracy testing Fade Skinny: The internet STI testing sites were difficult to contact and demonstrated unwillingness to answer consumer-specific questions. Test accuracy varied, with home tests having poor accuracy and mail-in specimens demonstrating high accuracy. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Internet, Sexual Health, Sexually Transmitted Infections (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3706611 Mon, 28 Jun 2010 12:01:15 +0100 3706611 http://www.medworm.com/index.php?rid=3706612&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F28%2Ftobacco-control-2010-vol-19-no-3%2F content page Fade Fave: Exposure to smoking in movies among British adolescents 2001–2006 Fade Skinny: Because there is a dose-response relation between the amount of on-screen exposure to smoking and the likelihood that adolescents will begin smoking, the fact that there is substantially higher exposure to smoking in youth-rated films in the UK than in the USA suggests that the fraction of all youth smoking because of films in the UK is probably larger than in the USA. (NHS Athens is required to access this article online) Filed under: Ooops Missed Category! Tagged: adolescents, Athens Password, Current Awareness, E-Journals, Smoking, Smoking Cessation, Young Adults (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3706612 Mon, 28 Jun 2010 11:28:26 +0100 3706612 http://www.medworm.com/index.php?rid=3706613&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F28%2Ftobacco-control-2010-vol-19-no-2%2F content page Fade Fave: Quit attempts in response to smoke-free legislation in England Fade Skinny: England’s smoke-free legislation was associated with a significant temporary increase in the percentage of smokers attempting to stop, equivalent to over 300 000 additional smokers trying to quit. As a prompt to quitting the ban appears to have been equally effective across all social grades. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Legislation, Smoking, Smoking Cessation (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3706613 Mon, 28 Jun 2010 11:17:22 +0100 3706613 http://www.medworm.com/index.php?rid=3676623&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F18%2Fjournal-of-the-american-medical-association-2010-vol-303-no-21%2F This article discusses the case of Mrs. F an 83 year old patient and presents an evidence-based discussion of available incontinence treatments. An NHS Athens password is required to access this article online. alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, E-Journals, Journals, Ooops Missed Category! Tagged: Genito-urinary Medicine, Geriatrics, Incontinence, Older People (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3676623 Fri, 18 Jun 2010 09:02:45 +0100 3676623 http://www.medworm.com/index.php?rid=3671622&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F17%2Fjournal-of-the-american-medical-association-2010-vol-303-no-23%2F This article discusses the rudimentary science of measuring quality and setting a threshold for acceptable care. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Athens Password, Current Awareness, Journals Tagged: Measurement, Performance Measurement, Quality, Quality of Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3671622 Thu, 17 Jun 2010 15:18:24 +0100 3671622 http://www.medworm.com/index.php?rid=3644708&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F09%2Fjournal-of-nursing-research-2010-vol-18-no-2%2F This study considers the relationship between academic success and the two variables of learning abilities or styles and emotional social intelligence. Finds no actual relationship exists or that emotional social intelligence may be confounded with factors such as professional and cultural values. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Emotional Intelligence, Nurse Education (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3644708 Wed, 09 Jun 2010 08:01:36 +0100 3644708 http://www.medworm.com/index.php?rid=3644709&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F09%2Fjournal-of-nursing-research-2010-vol-18-no-1%2F Journal of Nursing Research 2010 (Vol. 18 No. 1) contents page Fade Fave: Effects of Yoga on Sleep Quality and Depression in Elders in Assisted Living Facilities Fade Skinny: Article that recommends that yoga exercise be incorporated as an activity program in assisted living facilities or in other long-term care facilities to improve sleep quality and decrease depression in institutionalized elders. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Older People, Physical Activity, Residential Care, Sleep, Yoga (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3644709 Wed, 09 Jun 2010 08:00:28 +0100 3644709 http://www.medworm.com/index.php?rid=3644713&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F09%2Farchives-of-surgery-2010-vol-145-no-5%2F contents page Fade Fave: Diagnosis of Necrotizing Soft Tissue Infections by Computed Tomography Fade Skinny: Hypothesizes that computed tomography (CT) scanning is sensitive and specific for the diagnosis of necrotizing soft tissue infections (NSTIs). Finds that a negative CT result reliably excludes the diagnosis of NSTI. A positive CT result correctly identifies the disease with a high likelihood. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Computed Tomography, Current Awareness, Diagnosis, E-Journals, Necrotizing Soft Tissue Infections (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3644713 Wed, 09 Jun 2010 06:38:42 +0100 3644713 http://www.medworm.com/index.php?rid=3644714&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F09%2Farchives-of-surgery-2010-vol-145-no-4%2F contents page Fade Fave: A Randomized Controlled Trial to Assess the Effect of Audiotaped Consultations on the Quality of Informed Consent in Cardiac Surgery Fade Skinny: Evaluates the effect of audiotaping outpatient consultations on informed consent for cardiac surgery. Finds that providing an audiotaped recording of the consultation before cardiac surgery appears to improve patients’ knowledge and perceptions of control of their health status and to reduce anxiety and depression. (NHS Athens is required to access this article online) Filed under: Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Ethics, Patient Consent to Treatment (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3644714 Wed, 09 Jun 2010 06:32:05 +0100 3644714 http://www.medworm.com/index.php?rid=3644715&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F09%2Farchives-of-surgery-2010-vol-145-no-3%2F contents page Fade Fave: Effect of Chlorhexidine Whole-Body Bathing on Hospital-Acquired Infections Among Trauma Patients Fade Skinny: Aims to demonstrate whether daily bathing with cloths impregnated with 2% chlorhexidine gluconate will decrease colonization of resistant bacteria and reduce the rates of health care–associated infections in critically injured patients. Finds daily bathing of trauma patients with cloths impregnated with 2% chlorhexidine gluconate is associated with a decreased rate of colonization by MRSA and Acinetobacter and lower rates of catheter-related bloodstream infection and MRSA VAP. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Hospital ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3644715 Wed, 09 Jun 2010 06:27:55 +0100 3644715 http://www.medworm.com/index.php?rid=3640946&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fjournal-of-medical-biography-2009-vol-18-no-2%2F content page Fade Fave: John Reissberg Wolfe (1823–1904): a plastic surgeon in Garibaldi’s Army Fade Skinny: Looks at the appointment as military surgeon to Garibaldi’s army during the Italian Risorgimento of John Wolfe.  An original and unpublished letter related to his Italian experience gives evidence of the colourful personality of this Hungarian-born Scottish-trained surgeon. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Biography, Current Awareness, E-Journals, History, Plastic Surgery (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640946 Tue, 08 Jun 2010 15:36:54 +0100 3640946 http://www.medworm.com/index.php?rid=3640947&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fjournal-of-medical-biography-2009-vol-18-no-1%2F content page Fade Fave: Victorian medical politics: the fate of Dr Alfred Stephens (1821–90) Fade Skinny: Dr Alfred Stephens was the co-founder of the Liverpool Children’s Infirmary. The institution was funded initially by Matthew Gregson (1800–76) and later by public subscription. Opened in 1851, it was the second Children’s Hospital in England. He later perceived that the free treatment of children at the Infirmary affected his income and he redirected patients to his practice. This led to confrontation with his colleagues and the Board of the Infirmary, and good relations were never restored. His name has not been commemorated nor his charitable work remembered. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Jo... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640947 Tue, 08 Jun 2010 15:22:10 +0100 3640947 http://www.medworm.com/index.php?rid=3640953&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fjournal-of-medical-screening-2010-volume-17-no-1%2F JJournal of Medical Screening 2010 (Volume 17 No 1) Contents Page Fade Fave: Endorsement by the primary care practitioner consistently improves participation in screening for colorectal cancer: a longitudinal analysis Fade Skinny:Investigates the effect of general practice (GP) and general practitioner (GPR) endorsement for faecal occult blood test (FOBT)-based screening on maintenance of participation in screening over four successive screening rounds. It finds that associating a GPR or medical practice of recent contact with an invitation to screen achieves better participation and re-participation than does an invitation from a centralized screening unit. Furthermore, enhanced participation can be achieved by practice endorsement alone without requiring actual GPR involvement. (NHS Athe... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640953 Tue, 08 Jun 2010 13:16:28 +0100 3640953 http://www.medworm.com/index.php?rid=3640954&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fphlebology-2009-vol-25-no-3%2F Contents page Fade Fave: The use and abuse of hypothesis tests: how to present P values Fade Skinny: Highlights some of the key issues involved in performing and interpreting hypothesis tests. Describes the general approach taken in performing a hypothesis test with a focus on how to state the null and alternative hypothesis, and why two-sided tests are usually more appropriate than one-sided tests. (NHS Athens is required to access this article online) Filed under: Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Evidence Based Practice, Research (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640954 Tue, 08 Jun 2010 12:49:31 +0100 3640954 http://www.medworm.com/index.php?rid=3640955&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fphlebology-2010-vol-25-no-2%2F Phlebology 2009 (Vol. 25 No. 2) Contents page Fade Fave: The treatment of varicose veins: an investigation of patient preferences and expectations Fade Skinny: Investigates the factors considered important by patients when contemplating treatment of their varicose veins. Finds only a minority of patients referred with varicose veins were aware of endovenous treatments or felt adequately informed to express a treatment preference prior to consultation. Over half of patients expressed a preference for local anaesthetic therapy and a preference for a single visit treatment, although most would be strongly influenced by the opinion of their vascular surgeon and not influenced by media advertising. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awar... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640955 Tue, 08 Jun 2010 12:45:50 +0100 3640955 http://www.medworm.com/index.php?rid=3640956&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fphlebology-2009-vol-25-no-1%2F Contents page Fade Fave: Seasonal variations in the onset and healing rates of venous leg ulcers Fade Skinny: Aims to assess the chronobiological features of venous ulcers. Finds a significantly higher frequency of ulcer onset during the warmer part of the year (April–October), and onset showed strong seasonality and circannual fluctuations in their onset and healing rates are exhibited. Hypothetically, in addition to exacerbation of chronic venous insufficiency, seasonal variations in immune system activity might potentially be responsible for this phenomenon. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Leg Ulcers (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640956 Tue, 08 Jun 2010 10:11:49 +0100 3640956 http://www.medworm.com/index.php?rid=3640957&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fannals-of-clinical-biochemistry-2010-volume-47-number-3%2F Contents Page Title: Reflex and reflective testing: efficiency and effectiveness of adding on laboratory tests Fade Skinny: Studies the efficiency (number of tests that needs to be added to make a diagnosis) and effectiveness (number of diagnoses) of reflex and reflective testing in selected biochemical scenarios. Finds that near-maximal efficiency of reflex testing can be achieved, depending on the reflex and diagnostic thresholds applied. Reflective and reflex testing are complementary activities, the clinical utility of which depends on the initiators used. (Requires NHS Athens Password) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, Diagnosis, E-Journals, Reflective Testing, Reflex Testing, Testing (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640957 Tue, 08 Jun 2010 10:00:37 +0100 3640957 http://www.medworm.com/index.php?rid=3640958&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fannals-of-clinical-biochemistry-2010-volume-47-number-2%2F Contents Page Title: Biochemical risk factors for stone formation in a Scottish paediatric hospital population Fade Skinny: Tests the hypothesis that Scottish paediatric stone-formers have higher excretion of urinary stone promoters (calcium/oxalate/urate) and/or lower excretion of stone inhibitors (citrate/GAGs) than children with isolated haematuria and controls. Finds that Scottish paediatric stone-formers had lower urinary citrate excretion and higher urinary calcium excretion, calcium:citrate ratio and promoter:inhibitor ratio compared with controls. Urinary calcium excretion and promoter:inhibitor ratio was also higher than children with isolated haematuria. Nevertheless, marked overlap between the stone-former and haematuria groups for promoter:inhibitor and calcium:citrate ratios ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640958 Tue, 08 Jun 2010 09:53:30 +0100 3640958 http://www.medworm.com/index.php?rid=3635693&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fheart-2010-vol-96-no-11%2F Contents page Fade Fave: Cardiorespiratory and immune response to physical activity following exposure to a typical smoking environment Fade Skinny: Randomised single-blind crossover experiment to assess the cardiorespiratory and immune response to physical activity following passive smoking (PS). Concludes that 1 hour of PS at bar/restaurant levels adversely affects the response to moderate physical activity in healthy non-smokers for at least 3 hours following PS. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Current Awareness, E-Journals, Passive Smoking, Physical Activity, Smoking (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635693 Mon, 07 Jun 2010 10:25:09 +0100 3635693 http://www.medworm.com/index.php?rid=3635694&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fheart-2010-vol-96-no-10%2F Contents page Fade Fave: Heart failure: Cells as biologics for cardiac repair in ischaemic heart failure Fade Skinny: Considers the rationale for stem cell based regenerative medicine applied to the treatment of heart diseases. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Genetics, Heart Diseases, Stem Cells (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635694 Mon, 07 Jun 2010 10:06:54 +0100 3635694 http://www.medworm.com/index.php?rid=3635695&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fheart-2010-vol-96-no-9%2F Contents page Fade Fave: Advances in antiplatelet treatment for acute coronary syndromes Fade Skinny: Recent publications of TRITON-TIMI (prasugrel) as well as PLATO (ticagrelor) have introduced new and potent antiplatelet agents, but at the same time have left clinicians with multiple choices without clear directions regarding the most appropriate use of these agents. Finds both prasugrel and ticagrelor are potent antiplatelet agents with improved ischaemic benefits in comparison with clopidogrel. The improved benefit, however, comes at the price of increased bleeding. As such, careful patient selection and balancing of benefit-risk is warranted to optimise their use in clinical practice. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awarene... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635695 Mon, 07 Jun 2010 09:50:59 +0100 3635695 http://www.medworm.com/index.php?rid=3635696&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fgut-2010-volume-59-number-6%2F Contents Page Fade Fave: Accuracy of the diagnosis of GORD by questionnaire, physicians and a trial of proton pump inhibitor treatment: the Diamond Study Fade Skinny: Aims to to determine the accuracy of the diagnosis of gastro-oesophageal reflux disease (GORD) by the Reflux Disease Questionnaire (RDQ), family practitioners, gastroenterologists and a test of esomeprazole therapy. Finds that RDQ, family practitioners and gastroenterologists have moderate and similar accuracy for diagnosis of GORD. Symptom response to a 2 week course of 40 mg of esomeprazole does not add diagnostic precision. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, Journals Tagged: Athens Password, Current Awareness, Diagnosis, E-Journals, Gastro-oesophageal R... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635696 Mon, 07 Jun 2010 09:43:11 +0100 3635696 http://www.medworm.com/index.php?rid=3635697&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fgut-2010-volume-59-number-5%2F Contents Page Fade Fave: Guidelines for colorectal cancer screening and surveillance in moderate and high risk groups (update from 2002) Fade Skinny: Provides updated guidance on the appropriateness, method and frequency of screening for people at moderate and high risk from colorectal cancer. This guidance provides some new recommendations for those with inflammatory bowel disease and for those at moderate risk resulting from a family history of colorectal cancer. (NHS Athens is required to access this article online) Filed under: Athens Password, E-Journals Tagged: Athens Password, Colorectal Cancer, Current Awareness, E-Journals, Mass Screening (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635697 Mon, 07 Jun 2010 09:38:42 +0100 3635697 http://www.medworm.com/index.php?rid=3635698&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fgut-2010-volume-59-number-4%2F Contents Page Fade Fave: The position of the acid pocket as a major risk factor for acidic reflux in healthy subjects and patients with GORD Fade Skinny: Aims to assess whether the localisation of the postprandial acid pocket and its interaction with a hiatal hernia (HH) play a role in the occurrence of acidic reflux during transient lower oesophageal sphincter relaxations (TLOSRs). Finds that the position of the acid pocket is largely determined by the presence of a HH. Entrapment of the pocket above the diaphragm, is a major risk factor underlying the increased occurrence of acidic reflux during a TLOSR in patients with gastro-oesophageal reflux disease (GORD). (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Ath... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635698 Mon, 07 Jun 2010 09:33:04 +0100 3635698 http://www.medworm.com/index.php?rid=3635699&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fheart-2010-vol-96-no-8%2F Heart 2010 (Vol. 96 No. 8) Contents page Fade Fave: The effect of optimal medical therapy on 1-year mortality after acute myocardial infarction Fade Skinny: Assesses whether the benefits of combining spirin, β-blockers, statins, renin angiotensin system (RAS) blockers and thienopyridines (termed optimal medical therapy, OMT), will result in a reduction of mortality in clinical practice. Finds that OMT over 1 year was associated with a significantly lower mortality of patients with acute myocardial infarction in clinical practice. However OMT is provided to less than half of eligible patients leaving room for substantial improvement. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awarene... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635699 Mon, 07 Jun 2010 09:27:28 +0100 3635699 http://www.medworm.com/index.php?rid=3635700&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fheart-2010-vol-96-no-7%2F This article reviews the clinical classification of Pulmonary Hypertension (PH), which has been recently updated and summarises established approaches to evaluate PH and the currently recommended treatments for PAH. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Grey Literature Tagged: Athens Password, Classification, Current Awareness, E-Journals, Hypertension (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635700 Mon, 07 Jun 2010 09:22:55 +0100 3635700 http://www.medworm.com/index.php?rid=3635701&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fheart-2010-vol-96-no-6%2F Heart 2010 (Vol. 96 No. 6) Contents page Fade Fave: Lipid re-screening: what is the best measure and interval? Fade Skinny: Aims to estimate the long-term true change variation (‘signal’) and short-term within-person variation (‘noise’) of the different lipid measures and evaluate the best measure and the optimal interval for lipid re-screening. Finds that the signal-to-noise ratios of standard single lipid measures (TC, LDL and HDL) are weak over 3 years and decisions based on these measures are potentially misleading. The ratios, TC/HDL and LDL/HDL, seem to be better measures for monitoring assessments. The lipid re-screening interval should be >3 years for those not taking cholesterol-lowering drugs. (NHS Athens is required to access this article online) Filed under: Athen... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635701 Mon, 07 Jun 2010 09:04:50 +0100 3635701 http://www.medworm.com/index.php?rid=3629579&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F04%2Fgut-2010-volume-59-number-3%2F Contents Page Fade Fave: The efficacy of probiotics in the treatment of irritable bowel syndrome: a systematic review Fade Skinny: Systematic review on the efficacy of probiotics in the treatment of irritable bowel syndrome that concludes that the appear to be efficacious in IBS, but the magnitude of benefit and the most effective species and strain are uncertain. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, E-Journals, Irritable Bowel Syndrome, Probiotics, Systematic Reviews (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3629579 Fri, 04 Jun 2010 10:37:31 +0100 3629579 http://www.medworm.com/index.php?rid=3629580&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F04%2Fgut-2010-volume-59-number-2%2F Contents Page Fade Fave: Disease-related expression of the IL6/STAT3/SOCS3 signalling pathway in ulcerative colitis and ulcerative colitis-related carcinogenesis Fade Skinny: Investigates the expression of IL6/phosphorylated STAT3 (p-STAT3)/suppressor of cytokine signalling 3 (SOCS3) in biopsy specimens from patients with ulcerative colitis (UC) and UC-related colorectal cancer (CRC) progression. Demonstrates the importance of IL6/p-STAT3 in patients with inflammation-induced CRC. Moreover, SOCS3 may be involved in UC pathogenesis and the absence of SOCS3 seems critical for CRC progression. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Cancer, E-Journals, Ulcerative Colitis (Source: Fade Library... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3629580 Fri, 04 Jun 2010 10:31:04 +0100 3629580 http://www.medworm.com/index.php?rid=3629581&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F04%2Fheart-2010-vol-96-no-5%2F Contents page Fade Fave: Walking speed and subclinical atherosclerosis in healthy older adults: the Whitehall II study Fade Skinny: Short-distance walking speed is associated with metabolic risk and subclinical atherosclerosis in older adults without overt CVD. These data suggest that a non-aerobically challenging walking test reflects the presence of underlying vascular disease. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Cardiovascular Disease, Current Awareness, Diagnosis, E-Journals, Older People, Physical Activity (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3629581 Fri, 04 Jun 2010 09:51:41 +0100 3629581 http://www.medworm.com/index.php?rid=3629582&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F04%2Fheart-2010-vol-96-no-4%2F Heart 2010 (Vol. 96 No. 4) Contents page Fade Fave: Prevention of cardiovascular disease: why do we neglect the most potent intervention? Fade Skinny: Article questioning why physical activity is not a serious prescription option for the primary prevention of cardiovascular disease. This despite a large volume of evidence supporting its cardioprotective properties and its other numerous established health benefits. Ulimately it suggests the collateral health benefits of physical activity prescription support its use as standard option in preventive health care. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Heart, Physical Activity (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3629582 Fri, 04 Jun 2010 09:42:34 +0100 3629582 http://www.medworm.com/index.php?rid=3629583&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F03%2Fbritish-journal-of-healthcare-management-2010-volume-16-issue-4%2F British Journal of Healthcare Management 2010 (Volume 16 Issue 4) Contents Page Fade Fave: Appreciative inquiry in health care Fade Skinny: Literature review covering 1990 to 2009 describing the application of appreciative inquiry in health care. Offers a brief description of the theoretical foundations and the process of appreciative inquiry, the studies and projects uncovered in the review are presented. The limits and advantages of using appreciative inquiry to promote organisational change in health care are discussed. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, NHS, Quality Tagged: Appreciative Inquiry, Athens Password, Current Awareness, E-Journals, Management, Performance Management (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3629583 Thu, 03 Jun 2010 15:42:31 +0100 3629583 http://www.medworm.com/index.php?rid=3625447&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F03%2Fbritish-journal-of-healthcare-management-2010-volume-16-issue-3%2F British Journal of Healthcare Management 2010 (Volume 16 Issue 3) Contents Page Fade Fave: Appreciative inquiry: more than just a fad? Fade Skinny: Anecdotal data on the benefits of appreciative inquiry as a performance management tool suggest that future empirical investigation is warranted. Without such data gathering, appreciative inquiry risks becoming another management fad that promises much, but ultimately fails to deliver. (NHS Athens is required to access this article online) Filed under: Athens Password, Change, Current Awareness, E-Journals, Journals, Management, NHS Tagged: Appreciative Inquiry, Athens Password, Current Awareness, E-Journals, Management, Performance Management (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3625447 Thu, 03 Jun 2010 14:46:31 +0100 3625447 http://www.medworm.com/index.php?rid=3625448&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F03%2Fquality-in-primary-care-2010-volume-182%2F This article identifies the need to align it to the objective of reducing health inequalities. Additional research is needed to understand whether the QOF ensures that those who are the most difficult to reach and those whose need of care is greatest are getting access to high quality primary care and whether in turn it will succeed in reducing health inequalities. Requires an NHS Athens Password for full text access. Filed under: Athens Password, E-Journals, Equity, Primary Care, Public Health, Quality Tagged: Athens Password, Current Awareness, E-Journals, Equity, Outcomes, Primary Care, Public Health, QOF, Quality, Quality and Outcomes Framework (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3625448 Thu, 03 Jun 2010 14:17:36 +0100 3625448 http://www.medworm.com/index.php?rid=3415980&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Ftobacco-control-2009-vol-19-no-1%2F content page Fade Fave: Tobacco coverage in print media: the use of timing and themes by tobacco control supporters and opposition before a failed tobacco tax initiative Fade Skinny: The media have a critical role in promoting public health goals and presenting health issues which influences formation of health policies. Tobacco control advocates must consider public opinion, opposition pressure, timing and themes in tobacco-related media coverage when promoting policy change. (NHS Athens is required to access this article online) Filed under: Athens Password, Currently Watching, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Mass Media, Tobacco (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415980 Mon, 29 Mar 2010 15:19:43 +0100 3415980 http://www.medworm.com/index.php?rid=3415981&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fsexually-transmitted-infections-2009-vol-86-no-1-2%2F Sexually Transmitted Infections 2010 (Vol. 86, No. 1 content page Fade Fave: Does it fit okay? Problems with condom use as a function of self-reported poor fit Fade Skinny: Men and their female sex partners may benefit from public health efforts designed to promote the improved fit of condoms. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Condom use, Current Awareness, E-Journals, Sexual Health (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415981 Mon, 29 Mar 2010 13:52:30 +0100 3415981 http://www.medworm.com/index.php?rid=3415982&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fbmj-2010-vol-340-no-7748%2F Contents page Fade Fave: Sunbed use in children aged 11-17 in England: face to face quota sampling surveys in the National Prevalence Study and Six Cities Study Fade Skinny: Sunbed use by children is widespread in England, is often inadequately supervised, and is a health risk. National legislation is needed to control sunbed outlets. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Children, Current Awareness, E-Journals, Health Risk Assessment, Sunbeds (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415982 Mon, 29 Mar 2010 12:56:32 +0100 3415982 http://www.medworm.com/index.php?rid=3415983&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fbmj-2010-vol-340-no-7747%2F Contents page Fade Fave: Effect of body mass index and alcohol consumption on liver disease: analysis of data from two prospective cohort studies Fade Skinny: Raised BMI and alcohol consumption are both related to liver disease, with evidence of a supra-additive interaction between the two. The occurrence of both factors in the same populations should inform health promotion and public health policies. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Alcohol, Athens Password, Body Mass Index, Current Awareness, E-Journals, Liver Diseases (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415983 Mon, 29 Mar 2010 12:22:53 +0100 3415983 http://www.medworm.com/index.php?rid=3415985&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fjournal-of-medical-ethics-2009-vol-36-no-2%2F content page Fade Fave: Are patients receiving enough information about healthcare rationing? A qualitative study Fade Skinny: Clinical professionals need to understand patients’ need for detailed information when it comes to rationing, and to understand that they are the main gateway for this to be provided. However, disclosure could be distressing for both patients and professionals, and thus the most sensitive and acceptable ways to make this information available requires further investigation. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Healthcare, Information, Rationing (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415985 Mon, 29 Mar 2010 11:39:25 +0100 3415985 http://www.medworm.com/index.php?rid=3415986&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fjournal-of-medical-ethics-2009-vol-36-no-1%2F content page Fade Fave: Rights, respect for dignity and end-of-life care: time for a change in the concept of informed consent Fade Skinny: The current concepts of autonomy, surrogate autonomy and informed consent often lead to futile and expensive care at the ends of life. They may impinge on the dignity of the patient as well as subject society to unwarranted expense. In order to provide affordable healthcare for all, these concepts are in need of modification (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, End of Life Care, Informed Consent (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415986 Mon, 29 Mar 2010 11:20:25 +0100 3415986 http://www.medworm.com/index.php?rid=3415987&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Femergency-medicine-journal-2009-vol-27-no-2%2F Emergency Medicine Journal 2009 (Vol. 27, No. 2) content page Fade Fave: Improving medical students’ understanding of prehospital care through a fourth year emergency medicine clerkship Fade Skinny: They found medical students developed a significantly improved understanding of prehospital care. Without extraordinary effort, academic emergency departments could easily include a significant experience and education within fourth-year EM clerkships (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Medical Students, Prehospital Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415987 Mon, 29 Mar 2010 11:01:28 +0100 3415987 http://www.medworm.com/index.php?rid=3415988&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Femergency-medicine-journal-2009-vol-27-no-1%2F Emergency Medicine Journal 2009 (Vol. 27, No. 1) content page Fade Fave: How have changes to out-of-hours primary care services since 2004 affected emergency department attendances at a UK District General Hospital? A longitudinal study Fade Skinny: The changes to the provision of out-of-hours primary care have been associated with an increase in patients with non-traumatic attendances presenting to our emergency department. This effect is most marked outside of office hours. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Accident and Emergency Departments, Athens Password, Current Awareness, E-Journals, Out of Hours, Primary Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415988 Mon, 29 Mar 2010 10:54:02 +0100 3415988 http://www.medworm.com/index.php?rid=3415989&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fbritish-journal-of-ophthalmology-2009-vol-94-no-2%2F British Journal of Ophthalmology 2009 (Vol. 94, No.2) content page Fade Fave: Corneal tattooing (keratopigmentation (KTP)) with new mineral micronised pigments to restore cosmetic appearance in severely impaired eyes Fade Skinny: KTP achieves good cosmetic results and is associated with high patient satisfaction, avoiding extensive and mutilating reconstructive surgery. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Corneal, Current Awareness, E-Journals, Eye Diseases (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415989 Mon, 29 Mar 2010 10:39:02 +0100 3415989 http://www.medworm.com/index.php?rid=3415990&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fbritish-journal-of-ophthalmology-2009-vol-94-no-1%2F British Journal of Ophthalmology 2010 (Vol. 94, No.1) content page Fade Fave: The effect of socio-economic deprivation on severity of glaucoma at presentation Fade Skinny: Age and socio-economic deprivation were associated with severity of glaucoma at presentation, with patients from areas of higher socio-economic deprivation presenting with more advanced glaucoma. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Glaucoma, Socioeconomic Factors (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415990 Mon, 29 Mar 2010 10:25:34 +0100 3415990 http://www.medworm.com/index.php?rid=3390710&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F22%2Farchives-of-pediatrics-and-adolescent-medicine-2010-vol-164-no-2%2F content page Fade Fave: Effectiveness of a School-Based Physical Activity Injury Prevention Program Fade Skinny: The health benefits of regular physical activity (PA) in children are widely known and include a decrease in cardiovascular risk factors, enhanced bone health, and reduction of the risk of obesity and type 2 diabetes mellitus Participation in PA, however, also increases the risk of adverse effects, such as injuries, and with the current focus on a physically active lifestyle, increasing numbers of PA injuries can be expected. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Athletic Injuries, Current Awareness, E-Journals, Physical Activity (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3390710 Mon, 22 Mar 2010 11:27:42 +0100 3390710 http://www.medworm.com/index.php?rid=3390711&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F22%2Farchives-of-ophthalmology-2010-vol-128-no-2%2F This study uses longitudinal data from 2003 to 2007 on persons 40 years and older with glaucoma or suspected glaucoma enrolled in a large managed care network. Cox regression analysis was performed to estimate the hazard of death associated with the use of various glaucoma medication classes and combinations thereof. Multivariable models were adjusted for demographic characteristics and comorbid medical conditions. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Glaucoma, Mortality (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3390711 Mon, 22 Mar 2010 11:11:58 +0100 3390711 http://www.medworm.com/index.php?rid=3390712&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F22%2Farchives-of-general-psychiatry-2010-vol-67-no-2%2F content page Fade Fave: Limited Attentional Bias for Faces in Toddlers With Autism Spectrum Disorders Fade Skinny: Toddlers with autism spectrum disorders (ASD) exhibit poor face recognition and atypical scanning patterns in response to faces. It is not clear if face-processing deficits are also expressed on an attentional level. Typical individuals require more effort to shift their attention from faces compared with other objects. This increased disengagement cost is thought to reflect deeper processing of these socially relevant stimuli. NHS Athens is required to access this article online Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Autism, Current Awareness, E-Journals (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3390712 Mon, 22 Mar 2010 10:51:23 +0100 3390712 http://www.medworm.com/index.php?rid=3390713&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F22%2Farchives-of-dermatology-2010-vol-146-no-2%2F Contents page Fade Fave: Cystic Fibrosis Presenting With Dermatitis Fade Skinny: Given the frequent delay in diagnosis, as well as the increased morbidity and mortality associated with protein-energy malnutrition in these patients, it is important to consider cystic fibrosis as a possible diagnosis in any infant presenting with a rash and other signs of malnutrition. The relative contribution of specific nutritional deficiencies and the degree to which they influence and interact with each other in producing the dermatitis remain unclear, although they may all affect a common underlying metabolic pathway. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, CF, Current Awareness, Cystic Fibro... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3390713 Mon, 22 Mar 2010 10:42:09 +0100 3390713 http://www.medworm.com/index.php?rid=3366140&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F15%2Farchives-of-internal-medicine-2010-vol-170-no-4%2F contents page Fade Fave: Hospital Cost of Care, Quality of Care, and Readmission Rates: Penny Wise and Pound Foolish? Fade Skinny: Hospitals face increasing pressure to lower cost of care while improving quality of care. It is unclear if efforts to reduce hospital cost of care will adversely affect quality of care or increase downstream inpatient cost of care. Finds the associations are inconsistent between hospitals’ cost of care and quality of care and between hospitals’ cost of care and mortality rates. Most evidence did not support the “penny wise and pound foolish” hypothesis that low-cost hospitals discharge patients earlier but have higher readmission rates and greater downstream inpatient cost of care. (NHS Athens is required to access this article online) ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3366140 Mon, 15 Mar 2010 07:47:48 +0100 3366140 http://www.medworm.com/index.php?rid=3366141&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F15%2Farchives-of-internal-medicine-2010-vol-170-no-3%2F This article finds that Global CHD risk information seems to improve the accuracy of risk perception and may increase intent to initiate CHD prevention among individuals at moderate to high risk. The effect of global risk presentation on more distal outcomes is less clear and seems to be related to the intensity of accompanying interventions. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Ooops Missed Category! Tagged: Athens Password, Current Awareness, E-Journals, Heart Diseases, Patient Information (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3366141 Mon, 15 Mar 2010 07:36:05 +0100 3366141 http://www.medworm.com/index.php?rid=3366142&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F15%2Farchives-of-internal-medicine-2010-vol-170-no-2%2F contents page Fade Fave: Tackling Obesity: Is Primary Care Up to the Challenge? Fade Skinny: Obesity is underrecognized and undertreated in the primary care (PC) setting. Survey studies conducted among patients and physicians uniformly demonstrate that physicians are failing to adequately identify the overweight and mildly obese patient, although there is greater recognition for the moderately to severely obese patient, particularly when accompanied by comorbid conditions. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, E-Journals, Obesity, Primary Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3366142 Mon, 15 Mar 2010 07:35:29 +0100 3366142 http://www.medworm.com/index.php?rid=3358920&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fhealth-service-journal-2010-11th-march%2F Fade Fade: NHS managers demand power to fire GPs Fade Skinny: Managers are calling for the power to “fire” GPs and to get rid of small practices to make the huge spending cuts needed in coming years. (Print subscription held at Fade Library) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, GPs, NHS (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358920 Fri, 12 Mar 2010 13:27:52 +0100 3358920 http://www.medworm.com/index.php?rid=3358921&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbmj-2010-vol-340-no-7746%2F Contents page Fade Fave: Virgin gets slice of England’s primary care services Fade Skinny: Two publicly quoted independent sector healthcare providers became entirely private companies last week, as Richard Branson’s Virgin took over Assura’s medical division, and Care UK negotiated a management buyout with the private equity group Bridgepoint. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Primary Care Trusts, Private Sector (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358921 Fri, 12 Mar 2010 13:15:03 +0100 3358921 http://www.medworm.com/index.php?rid=3358922&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbmj-2010-vol-340-no-7745%2F Contents page Fade Fave: Parent initiated prednisolone for acute asthma in children of school age: randomised controlled crossover trial Fade Skinny: A short course of oral prednisolone initiated by parents when their child experiences an episode of acute asthma may reduce asthma symptoms, health resource use, and school absenteeism. However, the modest benefits of this strategy must be balanced against potential side effects of repeated short courses of an oral corticosteroid. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Asthma, Athens Password, Children, Current Awareness, E-Journals, Prednisolone (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358922 Fri, 12 Mar 2010 12:35:37 +0100 3358922 http://www.medworm.com/index.php?rid=3358923&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbmj-2010-vol-340-no-7744%2F Contents page Fade Fave: New figures show big discrepancies in GPs’ funding Fade Skinny: Figures released by a London primary care trust, as a result of a request made under the Freedom of Information Act, show huge differences in funding between general practices. The highest paid practices in Camden, north London, earn more than twice as much per patient as the lowest paid, with the figure for the base contract per patient ranging from as low as £57.72 (65; $90) to as high as £145.34. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, FoI, Funding, GPs (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358923 Fri, 12 Mar 2010 12:23:13 +0100 3358923 http://www.medworm.com/index.php?rid=3358924&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbmj-2010-vol-340-no-7743%2F Contents page Fade Fave: Presentation, pattern, and natural course of severe symptoms, and role of antibiotics and antibiotic resistance among patients presenting with suspected uncomplicated urinary tract infection in primary care: observational study Fade Skinny: To assess the natural course and the important predictors of severe symptoms in urinary tract infection and the effect of antibiotics and antibiotic resistance. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Antibiotic Resistance, Antibiotics, Athens Password, Current Awareness, E-Journals, Primary Care Trusts, Urinary Tract Infection (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358924 Fri, 12 Mar 2010 12:15:17 +0100 3358924 http://www.medworm.com/index.php?rid=3358925&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbmj-2010-vol-340-no-7742%2F Contents page Fade Fave: Primary care trusts are told to tighten regulation of out of hours services Fade Skinny: The government has introduced a raft of measures to make primary care trusts in England more accountable for the out of hours services they commission, including checking doctors’ clinical and language skills, after a review found “totally unacceptable” differences in the way trusts currently implement regulations. (NHS Athens is required to access this article online) Filed under: Athens Password, Currently Watching, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Out of Hours, Primary Care Trusts (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358925 Fri, 12 Mar 2010 11:57:48 +0100 3358925 http://www.medworm.com/index.php?rid=3358926&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbmj-2010-vol-340-no-7741%2F Contents page Fade Fave: Author calls for UK to set up tribunal for assisted suicide Fade Skinny: One of the United Kingdom’s best selling authors has called for an assisted suicide tribunal to which people could apply for permission to end their lives at a time of their own choosing. The call by Terry Pratchett, who has early onset Alzheimer’s disease, came as the BBC released the findings of a poll showing that nearly three in four people believe that a friend or relative should be able to assist a terminally ill loved one to commit suicide without fear of prosecution. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals, Ooops Missed Category! Tagged: Assisted Suicide, Athens Password, Current Awareness, E-Jour... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358926 Fri, 12 Mar 2010 10:59:46 +0100 3358926 http://www.medworm.com/index.php?rid=3358927&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fjournal-of-evaluation-in-clinical-practice-2010-vol-16-no-1%2F contents page Fade Fave: Motivational interviewing-based health coaching as a chronic care intervention Fade Skinny: Evaluates the impact of motivational interviewing-based health coaching on a chronically ill group of participants compared with non-participants. Specifically, measures that could be directly attributed to a health coaching intervention on chronic illness were assessed. The results support motivational interviewing-based health coaching as an effective chronic care management intervention in impacting outcome measures that could also serve well as a proxy in the absence of other clinical or cost indices. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Chronic Diseases, Coaching, Cur... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358927 Fri, 12 Mar 2010 07:28:21 +0100 3358927 http://www.medworm.com/index.php?rid=3358928&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbritish-journal-of-healthcare-management-2010-volume-16-issue-2%2F Contents Page Fade Fave: Organisational leadership development for less Fade Skinny: Outlines the argument for the strategic development of internal coaching capacity within NHS trust and social care contexts. This is in anticipation of the likely impact of reduced public sector spending on health and social care budgets, and the consequences of this on organisational leadership development activity in the future. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Coaching, Current Awareness, E-Journals, Education, Financial Management, NHS, Organisational Leadership, Training (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358928 Fri, 12 Mar 2010 07:13:00 +0100 3358928 http://www.medworm.com/index.php?rid=3358929&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Farchives-of-neurology-2010-vol-66-no-3%2F Archives of Neurology 2010 (Vol. 67 No. 3) contents page Fade Fave: Increased Melanoma Risk in Parkinson Disease: A Prospective Clinicopathological Study Fade Skinny: Evaluates the possible association of Parkinson disease (PD) and melanoma in North America. It finds melanoma prevalence appears to be higher in patients with PD than in the general population. Despite difficulties in comparing other databases with this study population, the study supports increased melanoma screening in patients with PD. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Mass Screening, Melanoma, Neurology, Parkinsons Disease (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358929 Fri, 12 Mar 2010 07:06:51 +0100 3358929 http://www.medworm.com/index.php?rid=3358930&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Farchives-of-neurology-2009-vol-66-no-2%2F Archives of Neurology 2009 (Vol. 67 No. 2) contents page Fade Fave: Hypertension, Executive Dysfunction, and Progression to Dementia: The Canadian Study of Health and Aging Fade Skinny: Midlife hypertension has long been established as a risk factor for dementia, but the role of late-life hypertension remains unclear. Aims to identify the role of hypertension in cognitive deterioration among older subjects with cognitive impairment, no dementia. It finds hypertension predicts progression to dementia in older subjects with executive dysfunction but not memory dysfunction. Control of hypertension could prevent progression to dementia in one-third of the subjects with cognitive impairment, no dementia. (NHS Athens is required to access this article online) Filed under: Athens Password, Curren... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358930 Fri, 12 Mar 2010 07:00:04 +0100 3358930 http://www.medworm.com/index.php?rid=3358931&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2F9190%2F This article finds that while revisional bariatric surgery is associated with higher risk of perioperative complications compared with the primary procedures, it appears to be safe and effective when performed in experienced centers. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Bariatric Surgery, Complications, Current Awareness, E-Journals, Surgery (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358931 Fri, 12 Mar 2010 06:53:08 +0100 3358931 http://www.medworm.com/index.php?rid=3294541&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F21%2Fjournal-of-the-american-medical-association-2010-vol-303-no-7%2F This article evaluates change in prevalence of obesity and other chronic conditions in US children, including incidence, remission, and prevalence. AN NHS Athens password is required to access this article online Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Adolescence, adolescents, Children, Chronic Conditions, Obesity, Prevalence, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3294541 Sun, 21 Feb 2010 20:22:04 +0100 3294541 http://www.medworm.com/index.php?rid=3279925&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F17%2Fbmj-2010-vol-340-no-7740%2F content page Fade Fave: Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis Fade Skinny: Coronary heart disease is a major cause of mortality and morbidity. Although mortality from coronary heart disease has decreased in many developed countries in recent decades, morbidity is increasing as a result of improved diagnosis and more successful treatment of acute illness, which has resulted in an increase in the number of people who survive myocardial infarction. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Coronary Heart Disease, Current Awareness, E-Journals, Health Centres, Home Healthcare, Rehabilitation (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3279925 Wed, 17 Feb 2010 15:31:08 +0100 3279925 http://www.medworm.com/index.php?rid=3279926&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F17%2Fbmj-2010-vol-340-no-7739%2F content page Fade Fave: Quality of life three years after diagnosis of localised prostate cancer: population based cohort study Fade Skinny: Survival after diagnosis of prostate cancer has increased substantially in the past two decades. Five year relative survival for localised prostate cancer is almost 100% in Australia and the United States. Observational studies show that different treatment options offer nearly equal survival rates therefore, quality of life after treatment should be a major consideration in treatment decision making. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Cancer, Current Awareness, E-Journals, Prostate Cancer, Quality of Life (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3279926 Wed, 17 Feb 2010 15:14:50 +0100 3279926 http://www.medworm.com/index.php?rid=3254402&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F09%2Fbritish-journal-of-healthcare-management-2010-volume-16-issue-1%2F Contents Page Fade Fave: Involving local people to improve services Fade Skinny: Presents a model for stakeholder engagement being launched by NHS Bournemouth and Poole, who are keen to ensure that local people have the chance to become engaged at a variety of different levels, and in ways and at times that suit them. The model aims to create more opportunities for people, which will then encourage people to take a shared responsibility in their own health, the health of others, and in the provision of improved, more efficient and effective, value-for-money health services. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Stakeholder Engagement (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3254402 Tue, 09 Feb 2010 07:00:41 +0100 3254402 http://www.medworm.com/index.php?rid=3246854&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F06%2Foccupational-and-environmental-medicine-2010-volume-67-number-2%2F Fade Fave: Respiratory health effects of ultrafine and fine particle exposure in cyclists Fade Skinny: Study to investigate the acute respiratory health effects of air pollution related to commuting by bicycle. Finds substantial differences in ultrafine particle number and soot exposure between two urban cycling routes. Exposure to ultrafine particles and soot during cycling was weakly associated with increased exhaled NO, indicative of airway inflammation, and decrements in lung function 6 hours after exposure. A limitation of the study was the relatively small sample size. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, Cycling, E-Journals, Pollution, Respiratory Medicine (Sour... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3246854 Sat, 06 Feb 2010 11:23:07 +0100 3246854 http://www.medworm.com/index.php?rid=3246855&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F06%2Fjournal-of-medical-screening-2009-volume-16-no-4%2F Contents Page Fade Fave: Perceived barriers to flexible sigmoidoscopy screening for colorectal cancer among UK ethnic minority groups: a qualitative study Fade Skinny: Evidence from existing UK screening programmes indicates disparities in uptake rates between UK ethnic minorities and the white majority population. Looks at beliefs about bowel cancer, perceived barriers to the test and ideas about ways to increase uptake. Finds most barriers were shared by all ethnic groups but health educators should supplement approaches designed for the majority to incorporate the specific needs of individual minority groups to ensure equitable access. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Colorectal C... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3246855 Sat, 06 Feb 2010 08:50:04 +0100 3246855 http://www.medworm.com/index.php?rid=3246856&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F06%2Fheart-2009-vol-96-no-3%2F Heart 2010 (Vol. 96 No. 3) Contents page Fade Fave: Comparison of mass and targeted screening strategies for cardiovascular risk: simulation of the effectiveness, cost-effectiveness and coverage using a cross-sectional survey of 3921 people Fade Skinny: Suggests that cardiovascular primary prevention should be targeted at those with the highest global risk. This studies aim was to compare mass and targeted screening strategies in terms of effectiveness, cost effectiveness and coverage. It finds targeted screening strategies are less costly than mass screening, and can identify up to 84% of high-risk individuals. Additional resources required for mass screening may not be justified. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-J... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3246856 Sat, 06 Feb 2010 08:12:42 +0100 3246856 http://www.medworm.com/index.php?rid=3246857&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F06%2Fheart-2009-vol-96-no-2-2%2F Heart 2010 (Vol. 96 No. 2) Contents page Fade Fave: Preoperative 6-minute walk test adds prognostic information to Euroscore in patients undergoing aortic valve replacement Fade Skinny: Investigates the additive prognostic value of the 6-minute walk test (6MWT) to Euroscore in patients with severe aortic stenosis undergoing aortic valve replacement (AVR). It finds that the 6MWT is safe and feasible to carry out in patients with severe aortic stenosis before AVR, and provides potentially important functional and prognostic information to clinical assessment and the Euroscore risk score. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Cardiology, Current Awareness, E-Journals, Physical Activity, Prognosis, Surgery (S... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3246857 Sat, 06 Feb 2010 07:57:50 +0100 3246857 http://www.medworm.com/index.php?rid=3246858&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F06%2Fannals-of-rheumatic-diseases-2010-vol-69-no-2%2F contents page Fade Fave: Postpartum onset of rheumatoid arthritis and other chronic arthritides: results from a patient register linked to a medical birth registry Fade Skinny: Identifies proportions of incident cases with onset 0–24 months after delivery were not different between rheumatoid arthritis (RA) and rheumatoid arthritis (OCA). A peak in incidence during 0–24 months was seen in the RA group, both when considering all pregnancies and only the first pregnancy. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals Tagged: Arthritis, Athens Passsword, Current Awareness, E-Journals, Pregnancy, Rheumatology, Womans Health (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3246858 Sat, 06 Feb 2010 07:32:14 +0100 3246858 http://www.medworm.com/index.php?rid=3231422&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F02%2Fjournal-of-the-american-medical-association-2010-vol-303-no-4%2F  Contents Fade Fave: An 86-year-old women with cardiac cachexia contemplating the end of her life: Review of hospice care Fade Skinny: An 86-year-old women with progressive congestive heart failure and multiple chronic conditions who is experiencing worsening function and quality if life despite maximum medical therapies, seeks advice regarding control over the circumstances of the end of her life by suicide or under hospice care. An NHS Athens password is required to access this article online Filed under: Athens Password, Current Awareness, Journals Tagged: Burden of Care, Chronic Conditions, End of Life Care, Hospices, Suicide (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3231422 Tue, 02 Feb 2010 08:16:47 +0100 3231422 http://www.medworm.com/index.php?rid=3216525&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F28%2Fjournal-of-telemedicine-and-telecare-2010-vol-16-no-1%2F content page Fade Fave: Patient use and compliance with medical advice delivered by a web-based triage system in primary care Fade Skinny: We studied a web-based triage system which was accessible to the general public in the Netherlands. In a retrospective analysis we investigated the type of complaints that were submitted and the kind of advice provided. Over a period of 15 months, 13,133 different people began using the web-based triage system and 3812 patients went right through the triage process to the end. The most frequent complaints were common cold symptoms, such as cough and a sore throat (22%), itch problems (13%), urinary complaints (12%), diarrhoea (10%), headache (8%) and lower back pain (8%). (NHS Athens is required to access this article online) Posted in Athens Password,... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3216525 Thu, 28 Jan 2010 13:05:13 +0100 3216525 http://www.medworm.com/index.php?rid=3216526&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F28%2Farchives-of-dermatology-2010-vol-146-no-1%2F Contents page Fade Fave: In Vitro and In Vivo Laser Treatments of Tattoos Fade Skinny: Through the years, many different methods of tattoo removal have been explored. Older techniques involve removal of the outer skin layers using mechanical (dermabrasion and salabrasion), chemical, or thermal (cryosurgery and cauterization) methods. Progress in laser technology offers alternative treatments to patients with cutaneous discolorations, including senile lentigos and tattoos. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Laser Treatments, Tattoos (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3216526 Thu, 28 Jan 2010 12:37:44 +0100 3216526 http://www.medworm.com/index.php?rid=3189091&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F20%2Farchives-of-surgery-2009-vol-145-no-1%2F contents page Fade Fave: Decision Modeling to Estimate the Impact of Gastric Bypass Surgery on Life Expectancy for the Treatment of Morbid Obesity Fade Skinny: Aims to create a decision analytic model to estimate the balance between treatment risks and benefits for patients with morbid obesity.  Finds that for the average morbidly obese patient, gastric bypass improves life expectancy. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Bariatric Surgery, Current Awareness, Decision Making, E-Journals, Models (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3189091 Wed, 20 Jan 2010 15:54:02 +0100 3189091 http://www.medworm.com/index.php?rid=3185279&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F19%2Fjournal-of-evaluation-in-clinical-practice-2009-vol-15-no-6%2F contents page Fade Fave: ‘We hold these truths to be self-evident’: deconstructing ‘evidence-based’ medical practice Fade Skinny: Evidence-based medicine (EBM) claims to be based on ‘evidence’, rather than ‘intuition’. Argues that EBM’s strict distinction between admissible evidence (based on RCTs) and other supposedly inadmissible evidence is not itself based on evidence, but rather, on intuition. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Evidence Based Practice (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3185279 Tue, 19 Jan 2010 11:47:19 +0100 3185279 http://www.medworm.com/index.php?rid=3185282&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F19%2Fjournal-of-evaluation-in-clinical-practice-2009-vol-15-no-5%2F contents page Fade Fave: Do pathways lead to better organized care processes? Fade Skinny: Assess differences in the perception of health professionals in their evaluation of care processes; to assess whether care processes supported by clinical pathways perform better than those not supported by clinical pathways; and to assess the sensitivity and specificity of clinical pathways in predicting well-organized care processes.  Finds clinical pathways have a positive impact on the organization of care processes and continuous evaluation is essential. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Care Pathways, Current Awareness, E-Journals, Quality (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3185282 Tue, 19 Jan 2010 11:06:14 +0100 3185282 http://www.medworm.com/index.php?rid=3182139&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F18%2Fclinical-risk-2010-vol-16-no-1%2F content page Fade Fave: Medical student fitness to practise hearings: ensuring procedural fairness Fade Skinny: Medical schools are responsible for determining the fitness to practise of individual medical students. The General Medical Council (GMC) does not have any direct authority to deal with or advise on individual cases of undergraduate student fitness to practise or disciplinary issues. Each medical school or its associated university must have its own procedures to consider the fitness to practise of medical students, and this has resulted in local variations. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Medical Education (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3182139 Mon, 18 Jan 2010 11:51:33 +0100 3182139 http://www.medworm.com/index.php?rid=3182140&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F18%2Fbmj-2010-vol-340-no-7738%2F content page Fade Fave: Doctors told to declare all income or risk investigation and high penalties Fade Skinny: Doctors in the United Kingdom who have not declared some of their earnings have until the end of March to register with the tax office or risk investigation, public shaming, high penalties, and public prosecution. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, Doctors, E-Journals, Income (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3182140 Mon, 18 Jan 2010 10:56:47 +0100 3182140 http://www.medworm.com/index.php?rid=3182141&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F18%2Fbmj-2010-vol-340-no-7737%2F content page Fade Fave: Topical intranasal corticosteroids in 4-11 year old children with persistent bilateral otitis media with effusion in primary care: double blind randomised placebo controlled trial Fade Skinny: Otitis media with effusion, a collection of fluid behind the ear drum without inflammatory signs, is often called “glue ear” when present for six weeks. It is an increasingly common presentation in primary care and is probably the most common reason for surgery in children. Otitis media with effusion can lead to significant hearing loss, especially when both ears are affected, and has an important impact on children’s lives and development. (NHS Athens is required to access this article online Posted in Athens Password, Current Awareness, E-Journals, Journals Ta... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3182141 Mon, 18 Jan 2010 10:47:12 +0100 3182141 http://www.medworm.com/index.php?rid=3182142&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F18%2Fbmj-2010-vol-340-no-7736%2F content page Fade Fave: Reporting patient safety incidents to be mandatory for English trusts from April 2010 Fade Skinny: From April 2010 it will be mandatory for NHS trusts in England to report all patient safety incidents to the National Patient Safety Agency, bringing an end to the current voluntary system. (NHS Athens is required to access this article online Posted in Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, NHS Trusts, Patient Safety (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3182142 Mon, 18 Jan 2010 10:36:40 +0100 3182142 http://www.medworm.com/index.php?rid=3167058&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F13%2Farchives-of-neurology-2009-vol-67-no-1%2F contents page Fade Fave: Infectious Burden and Risk of Stroke: The Northern Manhattan Study Fade Skinny: Considers the association between a composite measure of serological test results for common infections (Chlamydia pneumoniae, Helicobacter pylori, cytomegalovirus, and herpes simplex virus 1 and 2) and stroke risk in a prospective cohort study. It shows a quantitative weighted index of infectious burden was associated with risk of first stroke in this cohort but this requires further research to confirm these findings. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Infectious Diseases, Neurology, Stroke (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3167058 Wed, 13 Jan 2010 11:04:40 +0100 3167058 http://www.medworm.com/index.php?rid=3167059&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F13%2Farchives-of-internal-medicine-2009-vol-170-no-1%2F contents page Fade Fave: Improving Prescription Drug Warnings to Promote Patient Comprehension Fade Skinny: Evaluates whether the use of “enhanced print” drug warnings could improve patient comprehension beyond a current standard. It finds simple, explicit language on warning labels can increase patient understanding; the addition of appropriate icons is particularly useful for adults with lower literacy skills. Evidence-based standards are needed to promote patient-centered prescription labeling practices. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, Drug Therapy, E-Journals, Patient Information (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3167059 Wed, 13 Jan 2010 10:55:58 +0100 3167059 http://www.medworm.com/index.php?rid=3167062&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F13%2Fheart-2009-vol-96-no-2%2F Heart 2010 (Vol. 96 No. 2) Contents page Fade Fave: Epidemiology: Anthropometric assessment of abdominal obesity and coronary heart disease risk in men: the PRIME study Fade Skinny: Study to compare the associations of waist-to-height ratio, waist girth, waist-to-hip ratio or body mass index (BMI) with incidence of coronary events.  It finds in middle-aged European men, waist-to-height ratio identifies coronary risk more strongly than waist circumference, waist-to-hip ratio or BMI, though the difference is marginal. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, Epidemiology, Heart Diseases, Obesity (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3167062 Wed, 13 Jan 2010 09:55:56 +0100 3167062 http://www.medworm.com/index.php?rid=3163724&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F12%2Finformatics-in-primary-care-2009-vol-17-no-3%2F content page Fade Fave: use of electronic patient record (EPR) system data for emergency care, quality improvement and research – things not to take for granted Fade Skinny: This issue continues the discussion within our journal about how we can legitimise the use of the routinely collected data for research. We have some of the best long-term computer records in the world – which are potentially goldmines for research. However, we are currently working through how to codify this process. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Books, Journals Tagged: Athens Password, Current Awareness, E-Journals, electronic patient records, Emergency Care, Quality, Research (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3163724 Tue, 12 Jan 2010 13:50:22 +0100 3163724 http://www.medworm.com/index.php?rid=3163725&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F12%2Finternational-journal-of-clinical-leadership-2009-vol-16-no-3%2F This article aims to highlight the current opportunities in leadership and management skills development, and to add to the argument for further integration of this into medical training. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, Doctors, E-Journals, Leadership (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3163725 Tue, 12 Jan 2010 13:38:00 +0100 3163725 http://www.medworm.com/index.php?rid=3163726&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F12%2Finternational-journal-of-clinical-leadership-2008-vol-16-no-2%2F content page Fade Fave: Developing patient improvement programmes in an NHS trust Fade Skinny: The challenges to providers to develop high-quality services for their customers have never been greater. In the UK, the Darzi Review has focused the attention of clinicians and managers on the need to sustain and improve quality. This paper examines these challenges and considers how the Southampton University Hospitals NHS Trust anticipated and responded to them by creating an innovative patient improvement framework linking patient experience, outcomes and safety with its corporate strategies. The paper then reflects on the shared learning from and results of this approach for clinicians and managers. (NHS Athens is required to access this article online) Posted in Athens Password, Current Aw... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3163726 Tue, 12 Jan 2010 13:32:32 +0100 3163726 http://www.medworm.com/index.php?rid=3163727&cid=t_128459_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F12%2Farchives-of-ophthalmology-2010-vol-128-no-1%2F contents page Fade Fave: Simulating Vision With and Without Macular Disease Fade Skinny: A normal view of the world has been simulated for millennia as a clear image over an entire scene: on the sides of caves, in art, and currently in photography and electronic media. Indeed, this is a valid representation insofar as an individual with normal vision can scan the world to examine each detail with clarity, wherever it may be. In this scheme of representation, macular disease is typically simulated as a hazy or gray spot in the center of a picture, and many variations of this approach have been used for physician and patient education. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals, Journals Tagged: Age-Related Macular Degene... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3163727 Tue, 12 Jan 2010 13:16:53 +0100 3163727