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 'guidelines,'. Tue, 04 May 2010 18:19:29 +0100 http://www.medworm.com/index.php?rid=3515511&cid=t_318781_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fno-more-case-requirements-for-invisalign-dentists%2F Big news this week… no more case requirements for Invisalign. The company posted FAQs that explain the policy change: “We are responding to our customers’ frustration and unhappiness with the proficiency program. Many customers were upset by the proficiency program, particularly the annual case requirement. The volume of complaint letters has tapered off, but the mood and frustration of our customers has not improved.” DentalBlogs invites you to weigh in on this new development with a comment! (Source: dental blog for dentists about dentistry) dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=3515511 Wed, 28 Apr 2010 18:21:15 +0100 3515511 http://www.medworm.com/index.php?rid=3456769&cid=t_318781_117_f&fid=38158&url=http%3A%2F%2Fwww.twitter.com%2Famacupuncturehttp%3A%2F%2Famericanacupuncture.blogspot.com%2F2010%2F04%2Fnew-end-of-life-icu-guidelines.html Discussion will include social work, a chaplain intervention, notifying a key family member from out of town to come in preparation for opium death, and organizing the nursing staff for the end of life protocols. If the doctor is forced to give a time limited trial of artificial nutrition and hydration, he must set a measure of success: We will see if mom feels stronger or can resume eating for the next two weeks. “ Just tolerating the feeding is not a good endpoint. The plan must be documented and spread around, to the healthcare team, so the entire team can work in an organized fashion.   The doctor, after writing the appropriate orders, must document the discussion in the medical records, and talk about the plan to the health care end-of-life team. Families ch... Dr. Needles Medical Blogs blogs http://www.medworm.com/rss/comments.php?id=3456769 Fri, 09 Apr 2010 19:13:00 +0100 3456769 http://www.medworm.com/index.php?rid=3456770&cid=t_318781_117_f&fid=38158&url=http%3A%2F%2Fwww.twitter.com%2Famacupuncturehttp%3A%2F%2Famericanacupuncture.blogspot.com%2F2010%2F04%2Fdoctors-train-to-be-salesmen-of-death.html As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.NEW END OF LIFE FEDERAL GUIDELINESDoctors   are now trained to impl... Dr. Needles Medical Blogs blogs http://www.medworm.com/rss/comments.php?id=3456770 Fri, 09 Apr 2010 17:41:00 +0100 3456770 http://www.medworm.com/index.php?rid=3429229&cid=t_318781_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F03%2F31%2Fgoogle-and-facebook-therapists-and-clients%2F With more and more therapists embracing social networking sites like Facebook and Twitter, the question arises — where do you draw the line in terms of boundaries with your patients? Where does a patient’s and therapist’s privacy end or begin on such sites? How do patients and therapists navigate this brave new world of connectedness and “friending”? Dana Scarton over at The Washington Post has the insightful article addressing this issue by talking to a number of therapists across the country. These therapists have had to deal with their own challenges with social networking sites and “researching” people online once it was brought into psychotherapy by a client or a client’s actions. Professional associations haven’t addressed this ki... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3429229 Wed, 31 Mar 2010 18:45:52 +0100 3429229 http://www.medworm.com/index.php?rid=3404023&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2010%2F03%2F25%2Fread-summaries-of-systematic-reviews%2F Wouldn’t it be nice if you could find all the systematic reviews pertaining to dentistry in one place?  You can! The American Dental Association (ADA)  Evidence Based Dentistry website includes a database of systematic reviews in oral health. The reviews may be found by searching the site or using the ADA’s drill down topic menu. Even [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=3404023 Thu, 25 Mar 2010 17:08:39 +0100 3404023 http://www.medworm.com/index.php?rid=3404019&cid=t_318781_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fdentist-marketing-federal-trade-commission-rules-for-testimonials%2F If your dental website, blog, print, radio, or other advertising features testimonials, be aware of the FTC guidelines that went into effect late last year. Not knowing the rules won’t save you from a potential $16K daily fine that could be imposed for every infraction. That packs a punch! For dentists, the first point of reference in advertising guidelines should always be the state board’s regulations. The Texas Dental Association, for instance, does not allow dentists to use testimonials in advertising. Other state dental boards regulate issues like statements of superiority, promising predictable results, and use of misleading statements. Once your advertisement or website passes through the state board’s filter of regulations, consult the FTC guidelines. New policies prohibit pr... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=3404019 Thu, 25 Mar 2010 13:59:21 +0100 3404019 http://www.medworm.com/index.php?rid=3385311&cid=t_318781_86_f&fid=38272&url=http%3A%2F%2Flaikaspoetnik.wordpress.com%2F2010%2F03%2F20%2Fan-evidence-pyramid-that-facilitates-the-finding-of-evidence%2F Earlier I described that there are so many search- and EBM-pyramids that it is confusing. I described  3 categories of pyramids: Search Pyramids Pyramids of EBM-sources Pyramids of EBM-levels (levels of evidence) In my courses where I train doctors and medical students how to find evidence quickly, I use a pyramid that is a mixture of 1. and 2. [...] (Source: Laika's MedLibLog) Laika's MedLibLog blogs http://www.medworm.com/rss/comments.php?id=3385311 Sat, 20 Mar 2010 15:27:17 +0100 3385311 http://www.medworm.com/index.php?rid=3339773&cid=t_318781_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2010%2F03%2F06%2Fdietary-factors-influence-ovarian-cancer-survival-rates%2F University of Illinois at Chicago researchers identify relationship between healthy eating and prolonged ovarian cancer survival A study published in the March 2010 issue of the Journal of the American Dietetic Association (JADA), is among the first to evaluate possible diet associations with ovarian cancer survival. Researchers from the University of Illinois at Chicago (UIC) determined [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=3339773 Sat, 06 Mar 2010 23:52:34 +0100 3339773 http://www.medworm.com/index.php?rid=3354280&cid=t_318781_87_f&fid=35060&url=http%3A%2F%2Fwww.healthnewsblog.com%2Fblog%2F304101 Discussions with your doctor should start at age 50 for those with average risk but higher risk groups should start discussion at age 40 to 45. The new guidelines say men with low PSA numbers can go for longer intervals between getting new tests. You can read the ACS's article about early detection of prostate cancer here. Permalink | Recent Headlines | News Feeds (Source: HealthNewsBlog.com) HealthNewsBlog.com blogs http://www.medworm.com/rss/comments.php?id=3354280 Thu, 04 Mar 2010 20:00:00 +0100 3354280 http://www.medworm.com/index.php?rid=3251398&cid=t_318781_150_f&fid=38374&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FePharmaSummit%2F%7E3%2FnfW_qVVBygs%2Fpharmas-new-home-lies-at-corner-of.html (Source: ePharma Summit) ePharma Summit blogs http://www.medworm.com/rss/comments.php?id=3251398 Mon, 08 Feb 2010 14:00:00 +0100 3251398 http://www.medworm.com/index.php?rid=3212566&cid=t_318781_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2010%2F01%2F26%2Ftwo-combination-treatment-regimens-added-to-updated-nccn-guidelines-for-ovarian-cancer%2F The National Comprehensive Cancer Network (NCCN) recently updated the NCCN Guidelines for Ovarian Cancer to include two additional combination treatment regimens for women with select types of recurring ovarian cancer. The National Comprehensive Cancer Network (NCCN) recently updated the NCCN Clinical Practice Guidelines for Oncology™ for Ovarian Cancer to reflect the addition of two preferred combination [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=3212566 Wed, 27 Jan 2010 04:44:49 +0100 3212566 http://www.medworm.com/index.php?rid=3167053&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F13%2Fmanagement-of-general-ophthalmic-services-budget%2F Title: Management of General Ophthalmic Services budget Skinny: Guidance detailing arrangements for managing the General Ophthalmic Services (GOS) budget following the decision announced in the 2010 NHS Operating Framework that responsibility for budgetary management of GOS will be devolved to PCTs from 1 April 2010. Publisher: DH Size of Publication: 3p. Published: 12/01/2010 Posted in Financial Management, Grey Literature, Ophthalmology, Primary Care Tagged: Financial Management, Guidelines, Ophthalmology, Primary Care, Primary Care Trusts (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3167053 Wed, 13 Jan 2010 13:59:10 +0100 3167053 http://www.medworm.com/index.php?rid=3163803&cid=t_318781_101_f&fid=38969&url=http%3A%2F%2Ftheemtspot.com%2F2010%2F01%2F12%2Fcpr-right-now%2F I helped teach CPR to our latest EMT class this past week. This class is always a good reminder of how fast emergency medicine changes. Here in their first week, the new students are beginning to hear our warnings. “You are going to hear about many different ways to perform this skill. Some are older methods than the ones we are teaching you today. Some are newer. Some things you are learning will quickly go away. New methods, new machines and new research are all in progress. That doesn’t mean what you are learning right now is wrong. It is an imperfect method. Prepare for change.” Some students get stressed over the idea that CPR isn’t a gold standard technique handed down unchanged for decades. I worry for their future. Like the banner says, “Medicine mov... The EMT Spot blogs http://www.medworm.com/rss/comments.php?id=3163803 Tue, 12 Jan 2010 16:32:22 +0100 3163803 http://www.medworm.com/index.php?rid=3153377&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2010%2F01%2F07%2Fcmaj_kt%2F This series began in 2009, when CMAJ was still an Open Access journal.  Link to free full text for Parts 1-5 below at http://tiny.cc/CMAJ_KT. Part 1: Straus SE, Tetroe J, Graham I. Defining knowledge translation. CMAJ 2009;181(3-4):165-8. Part 2: Brouwers M, Stacey D, O’Connor A. Knowledge creation: synthesis, tools and products. CMAJ 2009 Nov 2. [Epub ahead of print] Part 3: Kitson A, Straus SE. The knowledge-to-action cycle: Identifying the gaps.  CMAJ 2009 Nov 30. [Epub ahead of print] Part 4: Harrison MB, Légaré F, Graham ID, Fervers B. Adapting clinical practice guidelines to local context and assessing barriers to their use.  CMAJ 2009 Dec 7. [Epub ahead of print] Part 5: Wensing M, Bosch M, Grol R. Developing and selecting interventions for translating knowledge to acti... ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=3153377 Thu, 07 Jan 2010 22:03:34 +0100 3153377 http://www.medworm.com/index.php?rid=3149052&cid=t_318781_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2FQDm6axTmfiA%2F The following guest post on the subject of cervical cancer screening guidelines is written by Susan Wysocki, WHNP-BC, FAANP, president and CEO of the National Association of Nurse Practitioners in Women’s Health and Susan Scanlan, chair of the National Council of Women’s Organizations. The article below initially appeared on America Media Forum’s website. It’s not surprising that women are confused about the recently changed recommendations for cancer screening and prevention. New guidelines from the American College of Obstetricians and Gynecologists (ACOG) – the leading medical group that provides health care for women – say women should wait longer to begin cervical-cancer screening and that they should be screened less frequently. On the heels of si... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=3149052 Thu, 07 Jan 2010 14:01:10 +0100 3149052 http://www.medworm.com/index.php?rid=3142596&cid=t_318781_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F01%2Fscreen-hearts-not-boobs.html The recently-released USPSTF guidelines changed the recommendations to start mammogram screening for breast cancer in women from age 40 to age 50 based on extensive review of the costs, risks and benefits. As a result, when spun as “women’s care under siege,” the recommendation has become a potent political weapon.Ironically in Texas, a new law was just enacted that requires insurers to pay up to $200 to screen for coronary artery disease based on controversial "entrepreneurial guidelines" proposed by SHAPE, a group of cardiologists that includes the entrepreneurs themselves.So there you have it: how politics does preventative medicine...... completely anatomically, of course.-Wesh/t: Kevin, MDMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3142596 Mon, 04 Jan 2010 16:18:00 +0100 3142596 http://www.medworm.com/index.php?rid=3092645&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F16%2Fprioritising-need-in-the-context-of-putting-people-first-a-whole-system-approach-to-eligibility-for-social-care-consultation-report-on-revised-guidance-on-eligibility-criteria-for-adult-social-care%2F Title: Prioritising need in the context of Putting People First: A whole system approach to eligibility for social care: Consultation report on revised guidance on Eligibility Criteria for Adult Social Care, England 2009 Skinny: Revised guidance that following consultation will replace the 2003 Fair Access to Care Services guidance.  It aims to support fair and transparent implementation of eligibility criteria, within the new policy context of personalisation and prevention set out in Putting People First.  Publisher: DH Size of Publication: 20p. Published: 16/12/2009 Posted in Grey Literature, Integrated Care, NHS, Older People, Public Sector, Social Services Tagged: Consultations, Financial Management, Grey Literature, Guidelines, Social Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3092645 Wed, 16 Dec 2009 14:55:35 +0100 3092645 http://www.medworm.com/index.php?rid=3089209&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F15%2Fpandemic-h1n1-2009-influenza-clinical-management-guidelines-for-pregnancy%2F Title: Pandemic H1N1 2009 influenza: clinical management guidelines for pregnancy Skinny: Updates  provisional guidance for the clinical management of pregnant women with symptoms of influenza–like illness, severe influenza and complications, provided in 2007 by the British Infection Society, British Thoracic Society and Health Protection Agency in collaboration with the Department of Health. Publisher: DH Size of Publication: 27p. Published: 14/12/2009 Posted in Clinical Governance, Clinical Guidelines, Grey Literature, Influenza, Pandemic Tagged: Clinical Guidelines, Grey Literature, H1N1, Influenza, Pandemic (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3089209 Tue, 15 Dec 2009 15:00:52 +0100 3089209 http://www.medworm.com/index.php?rid=3089210&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F15%2Fpandemic-h1n1-2009-influenza-clinical-management-guidelines-for-adults-and-children-2%2F Title: Pandemic H1N1 2009 influenza: Clinical management guidelines for adults and children Skinny: Updates provisional guidance for the clinical management of adults and children with symptoms of influenza–like illness, severe influenza and complications, provided in 2007 by the British Infection Society, British Thoracic Society and Health Protection Agency in collaboration with the Department of Health. Publisher: DH Size of Publication: 25p. Published: 14/12/2009 Posted in Clinical Governance, Clinical Guidelines, Grey Literature, Influenza, Pandemic Tagged: Clinical Guidelines, Grey Literature, H1N1, Influenza, Pandemic (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3089210 Tue, 15 Dec 2009 14:30:59 +0100 3089210 http://www.medworm.com/index.php?rid=3084734&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F14%2Fheart-2009-vol-95-no-22%2F Contents page Fade Fave: Potential survival gains in the treatment of myocardial infarction Fade Skinny: Evaluates the potential impact of complete implementation of guideline recommendations in myocardial infarction (MI) care, and contrast this with new innovations. Finds that potential gains from improved clinical effectiveness in MI care are likely to compare favourably with benefits achieved though innovations, and should inform priorities in research and implementation strategies for improving MI outcomes. (NHS Athens is required to access this article online) Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Clinical Effectiveness, Current Awareness, E-Journals, Guidelines, Myocardial Infarction (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3084734 Mon, 14 Dec 2009 08:30:17 +0100 3084734 http://www.medworm.com/index.php?rid=3084777&cid=t_318781_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D840 The National Institute of Clinical Studies (NICS) has posted a new care bundle of documents to assist in the ED management of TIA and stroke. These documents can be found on their website at NICS (Source: Oz E Medicine - emergency medicine in Australia) Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=3084777 Sun, 13 Dec 2009 23:05:06 +0100 3084777 http://www.medworm.com/index.php?rid=3029822&cid=t_318781_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2009%2F11%2Frelaxed-guidelines-and-breast-cancer.html I'm glad Hadassah is encouraging women to start annual breast exams at 40 and not follow the new "relaxed" guidelines. "Relaxed" is what I would call "evidence-based," but never mind.The reason, shared with us by Allison Hoffman in Tablet's The Scroll, is that "Ashkenazi Jewish women are about five times likelier than everyone else to have the genetic abnormality that can lead to breast cancer." Perhaps Hadassah and the Susan G. Kornen Breast Cancer Foundation ("who has given Hadassah about $335,000 in grants for breast-cancer awareness") would care to explain to those Ashkenazi Jewish women why they are recommending annual breast exams that lead to unneeded biopsies and unjustified cancer diagnoses. Or maybe Ashkenazi Jewish women just don't care about those things? One wonders if we need... Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=3029822 Wed, 25 Nov 2009 18:31:00 +0100 3029822 http://www.medworm.com/index.php?rid=3019205&cid=t_318781_136_f&fid=38061&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FBreastCancerReconstructionBlog%2F%7E3%2F0lpNqFbIHA8%2Fmammogram-screening-for-breast-cancer.html The current mammogram screening recommendation put forward by the American Cancer Society is for yearly mammograms for all women aged 40 years and older. Women with a strong family history of breast cancer are urged to start mammogram screening from the age of 35. The U.S. Preventive Services Task Force (USPSTF), a government-appointed expert panel, recently made new recommendations for mammogram screening for breast cancer: Women between 40 and 49 years old should not be having routine screening mammograms.  Instead, they say that women should make an informed decision about screening mammography before 50, and weigh their potential risks and benefits with their doctors. Women who are 50 to 74 years old should be having a screening mammogram every other year (not yearly), because t... Breast Cancer Reconstruction Blog blogs http://www.medworm.com/rss/comments.php?id=3019205 Mon, 23 Nov 2009 03:39:52 +0100 3019205 http://www.medworm.com/index.php?rid=3012585&cid=t_318781_136_f&fid=36032&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Flife-with-breast-cancer%2Fpanel-recommendations-on-breast-cancer-not-popular%2F There is a lot of discussion about the newly released guidelines for mammogram screening for breast cancer. We got hundreds of comments on the last blog I wrote about these guidelines just after they were released Monday. They recommend that the age of women receiving annual mammograms should be moved to 50 from 40 and only done bi-annually. It seems we may not see these guidelines enacted. This turnabout from federal agencies came after a huge outcry. If you read through even a few of the comments posted to my blog on the issue, you can see why. These comments are about peoples’ lives. It is their story about their battle with breast cancer. Many wrote about sisters or mothers or wives who lost their life to the disease. It is apparent that breast cancer has impacted not just the one wi... Life with Breast Cancer blogs http://www.medworm.com/rss/comments.php?id=3012585 Fri, 20 Nov 2009 16:26:57 +0100 3012585 http://www.medworm.com/index.php?rid=3012509&cid=t_318781_117_f&fid=38158&url=http%3A%2F%2Fwww.drneedles.comhttp%3A%2F%2Famericanacupuncture.blogspot.com%2F2009%2F11%2Fbreast-exam-guidelines-confusing.html There's only so much a woman can do to protect herself against breast cancer. Science and medicine must figure out why some cancerous lesions kill women, and some don't. The panel never gave a list of other things women can do. It seems that HHS Secretary Sabelius,  is backing off from the new guidelines issued by her Task force on mammography.As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management,... Dr. Needles Medical Blogs blogs http://www.medworm.com/rss/comments.php?id=3012509 Fri, 20 Nov 2009 02:53:00 +0100 3012509 http://www.medworm.com/index.php?rid=3003871&cid=t_318781_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FE-Jk96eOPWk%2F Last week I asked whether Medicare’s Biggest Change in 40 Years is on the horizon. That post described and discussed implications of Medicare’s new direction for the medical home — the shelving of Medicare Medical Home Demonstration (MMHD) and the refocusing on the recently announced Multi-Payer Advanced Primary Care Initiative (MAPCI). In that post I touched briefly on the potential for MAPCI to create effective networks at multiple levels — contracting networks, health IT networks, social and collaborative care networks.  I’d like to expand a bit today… So, why is Medicare’s participation in MAPCI  and other regional collaboratives such a big deal? Here’s my hypothesis: Medicare’s non-participation (to-date) in regional payer/provider collaboratives has been a rate... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3003871 Wed, 18 Nov 2009 00:53:23 +0100 3003871 http://www.medworm.com/index.php?rid=2999778&cid=t_318781_136_f&fid=36032&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Flife-with-breast-cancer%2Flimiting-breast-cancer-screening-is-an-assault-against-women%2F There is no question more women than ever before are surviving breast cancer. This is happening because of early screening and better and more aggressive treatment. So I was absolutely shocked today to hear that the United States Preventive Services Task Force (a committee appointed by the U.S. Department of Health and Human Services) is now recommending that women do not get regular mammograms until their fifties and even then limit screening to every other year. In addition they are suggesting that breast self exams not be taught. ARE THEY CRAZY? There is no way to completely express my feelings about this. I was diagnosed with stage 3 breast cancer at the age of 44, and the tumor was discovered through self breast exam and confirmed through a mammogram. This was only 18 months since a p... Life with Breast Cancer blogs http://www.medworm.com/rss/comments.php?id=2999778 Tue, 17 Nov 2009 15:25:20 +0100 2999778 http://www.medworm.com/index.php?rid=2993732&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F11%2F15%2Fneonatal-services-toolkit%2F Title: Neonatal services toolkit – updated 12 November 2009 Skinny: New guidance to help the NHS improve the care provided for premature and sick babies and their families.  NHS staff from across England and members of Bliss (the baby charity) have helped to develop the toolkit, which provides evidence based guidance for all neonatal services.  Neonatal care should be more family-centred ensuring that the psychological as well as physical needs of babies and families are considered.  The toolkit created by and for the NHS provides guidance on how to improve services in the areas that really matter to parents including: Communication and inclusion in decision making Access to psychological and social support Improved access to and availability of specialised transfer services Safe... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2993732 Sun, 15 Nov 2009 07:42:06 +0100 2993732 http://www.medworm.com/index.php?rid=2950683&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F11%2F02%2Fpandemic-h1n1-2009-influenza-clinical-management-guidelines-for-adults-and-children%2F Title: Pandemic H1N1 2009 influenza: clinical management guidelines for adults and children Skinny: Updates provisional guidance for the clinical management of adults and children with symptoms of influenza–like illness, severe influenza and complications, provided in 2007 by the British Infection Society, British Thoracic Society and Health Protection Agency in collaboration with the Department of Health. Publisher: DH Size of Publication: 25p Published: 30/10/2009 Posted in Clinical Governance, Clinical Guidelines, Grey Literature, Influenza, NHS, Pandemic Tagged: Children, Clinical Guidelines, Grey Literature, H1N1, Influenza, Pandemic (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2950683 Mon, 02 Nov 2009 11:05:36 +0100 2950683 http://www.medworm.com/index.php?rid=2943931&cid=t_318781_117_f&fid=38158&url=http%3A%2F%2Fwww.drneedles.comhttp%3A%2F%2Famericanacupuncture.blogspot.com%2F2009%2F10%2Fdoctor-guidelines-now-orders.html As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.DOCTOR GUIDELINES NOW ORDERS It seems that new government guidelines are caus... Dr. Needles Medical Blogs blogs http://www.medworm.com/rss/comments.php?id=2943931 Fri, 30 Oct 2009 03:41:00 +0100 2943931 http://www.medworm.com/index.php?rid=2931130&cid=t_318781_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fdentist%25e2%2580%2599s-news-lots-of-info-on-swine-flu%2F As a doctor, your patients and employees trust you with their safety. The Swine Flu (H1N1) has everyone in a panic, and with good cause. Here’s a brief overview of the facts. The Facts about Swine Flu Swine Flu is common in pigs, and this is not the first outbreak in humans. In 1918, pigs and humans became ill at the same time, which created a question as to connection. In 1930, the flu was identified in pigs. Another outbreak occurred in 1976, and the nation experienced significant turmoil over deaths and a paralyzing disorder thought to be associated with the inoculations provided by the US government’s National Influenza Immunization Program. Until recently, most Swine Flu occurrences were of the H1N1 strain. However, in 1997, new variations were identified. Humans contract the dise... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=2931130 Tue, 27 Oct 2009 15:31:55 +0100 2931130 http://www.medworm.com/index.php?rid=2908545&cid=t_318781_86_f&fid=38272&url=http%3A%2F%2Flaikaspoetnik.wordpress.com%2F2009%2F10%2F19%2Fcochrane-colloquium-2009-better-working-relationship-between-cochrane-and-guideline-developers%2F Last week I attended the annual Cochrane Colloquium in Singapore. I will summarize some of the meetings. Here is a summary of an interesting (parallel) special session: Creating a closer working relationship between Cochrane and Guideline Developers. This session was brought together as a partnership between the Guidelines International Network (G-I-N) and The Cochrane Collaboration to [...] (Source: Laika's MedLibLog) Laika's MedLibLog blogs http://www.medworm.com/rss/comments.php?id=2908545 Mon, 19 Oct 2009 22:02:35 +0100 2908545 http://www.medworm.com/index.php?rid=2886464&cid=t_318781_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F10%2Frationer.html Every cardiac electrophysiologist has been there: a relatively young individual in their 50’s presents to the Emergency Room short of breath, sitting bolt upright in bed and is found to be in congestive heart failure. This is not their first admission; several others have come before and each with a common theme: a positive urinary screen for cocaine.The EKG shows left bundle branch block. Catheterizations occur, coronary disease absent or moderate, discussions held, patient recommended for defibrillator or biventricular pacing to improve their heart failure after medications have been ineffective for the past year. The person seems sincere – “No more drugs, doc, really” – a line uttered near the conclusion of every one of the patient’s prior hospitalizations, but this time, re... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=2886464 Mon, 12 Oct 2009 21:21:00 +0100 2886464 http://www.medworm.com/index.php?rid=2855835&cid=t_318781_150_f&fid=38374&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FePharmaSummit%2F%7E3%2F3jFQKJshbLo%2Ffda-to-hold-hearings-on-social-media.html (Source: ePharma Summit) ePharma Summit blogs http://www.medworm.com/rss/comments.php?id=2855835 Fri, 02 Oct 2009 18:43:00 +0100 2855835 http://www.medworm.com/index.php?rid=2855504&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F02%2Fguidance-for-the-pharmacological-management-of-substance-misuse-among-young-people%2F Title: Guidance for the pharmacological management of substance misuse among young people The Skinny: Document describing good practice on the best ways to manage substance dependence among young people, a clinically complex condition which to date has had no formal guidance. Publisher: DH Size of Publication: 99p Published: 02/10/2009 Posted in Clinical Guidelines, Drugs of Abuse, Grey Literature, NHS, Young People Tagged: Clinical Guidelines, Drugs of Abuse, Good Practice, Grey Literature, Young People (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2855504 Fri, 02 Oct 2009 15:50:24 +0100 2855504 http://www.medworm.com/index.php?rid=2855834&cid=t_318781_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2009%2F10%2Freminder-dtc-ads-ok-in-canada-not-in-us.html According to Marketing News, Pfizer Canada just launched a 15-second TV ad that promotes Viagra as "an antidote for couples that choose leisurely pastimes over physical intimacy... the spot from Taxi Canada shows a husband confessing that redecorating was ruining their lives: Things like seasonal themes, colour palettes and Feng Shui were getting in the way. 'So I tried Viagra, and my redecorating practically disappeared,' he says" (see "Pfizer Canada Launches Latest 'Confession' Ad"). Click here to see the video, then come back to find out why I am confused as to how this ad is allowed in Canada, but "outlawed" in the US.Pfizer's "redecorating-vs-sex" Viagra ad is what the FDA and drug industry call a "reminder ad." According to the FDA, "Reminder advertisements are identified as an exemp... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=2855834 Fri, 02 Oct 2009 11:16:00 +0100 2855834 http://www.medworm.com/index.php?rid=2828147&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F24%2Finterim-policy-on-prosecuting-assisted-suicide%2F Title: Interim policy for Prosecutors in Respect of Assisted Suicide Issued by the Director of Public Prosecutions The Skinny: Consultation with interim guidance on prosecution for cases of assisted suicide. The public interest factors in favour of prosecution identified in the interim policy include that: The victim was under 18 years of age; The victim’s capacity to reach an informed decision was adversely affected by a recognised mental illness or learning difficulty; The victim did not have a clear, settled and informed wish to commit suicide; for example, the victim’s history suggests that his or her wish to commit suicide was temporary or subject to change; The victim did not indicate unequivocally to the suspect that he or she wished to commit suicide; The victim did no... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2828147 Thu, 24 Sep 2009 04:55:33 +0100 2828147 http://www.medworm.com/index.php?rid=2798193&cid=t_318781_10_f&fid=37252&url=http%3A%2F%2Fbeckerinfo.net%2Fslch%2F%3Fp%3D171 (Source: SLCH Medical Library Blog) SLCH Medical Library Blog blogs http://www.medworm.com/rss/comments.php?id=2798193 Tue, 15 Sep 2009 22:43:14 +0100 2798193 http://www.medworm.com/index.php?rid=2774722&cid=t_318781_117_f&fid=38158&url=http%3A%2F%2Frpc.technorati.com%2Frpc%2Fpinghttp%3A%2F%2Famericanacupuncture.blogspot.com%2F2009%2F09%2Fsurgical-procedures-eliminated-by.html As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs. Visit http://www.americanacupuncture.com/ for more detailed information on healing.MEDICARE ELIMINATING UNN... Dr. Needles Medical Blogs blogs http://www.medworm.com/rss/comments.php?id=2774722 Tue, 08 Sep 2009 01:54:00 +0100 2774722 http://www.medworm.com/index.php?rid=2751845&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F01%2Fguidelines-for-the-clinical-management-of-people-refusing-food-in-immigration-removal-centres-and-prisons%2F Title: Guidelines for the clinical management of people refusing food in immigration removal centres and prisons The Skinny: Information, for health professionals in prisons and immigration removal centres, on the physical effects of food refusal, the most effective practical and clinical management of individuals refusing to eat and drink, legal aspects and the relevance of the Mental Capacity Act 2005. It also addresses the considerable dangers and risks associated with refeeding individuals who have been starving but who then decide to eat again. Publisher: DH Size of Publication: 51p Published: 28/08/2009 Posted in Clinical Governance, Clinical Guidelines, Diet, Ethics, Grey Literature, Legislation, Mental Health, Prison Health Services, Prisons Tagged: Asylum Seekers, Clinical Guide... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2751845 Tue, 01 Sep 2009 09:37:02 +0100 2751845 http://www.medworm.com/index.php?rid=2751903&cid=t_318781_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D7807 I think there are mixed signals about testing coming out from the MOH especially when there were earlier media reports about the Health Minister encouraging doctors to use the “rapid test”. The Star reported As the death toll from Influenza A (H1N1) rose to 38, the Government green-lighted the use of rapid test kits for private clinics and hospitals to conduct flu checks on the public. Health Minister Datuk Seri Liow Tiong Lai said private healthcare providers can use these kits to help cope with the large number of patients wanting to be checked, and for faster detection and containment of the pandemic. “Use of rapid test kits was discouraged in the private sector earlier when the H1N1 outbreak was still small and mostly imported. “Now that it has reached the community lev... Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=2751903 Sun, 30 Aug 2009 23:00:00 +0100 2751903 http://www.medworm.com/index.php?rid=2716192&cid=t_318781_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2009%2F08%2F19%2Fnccn-updates-infection-guidelines-to-include-information-about-h1n1-virus-swine-flu%2F NCCN [National Comprehensive Cancer Network] recently updated the NCCN Clinical Practice Guidelines in Oncology™ for the Prevention and Treatment of Cancer-Related Infections to include information about the H1N1 virus, also known as “swine flu”. The NCCN Guidelines provide specific recommendations on the prevention, diagnosis, and treatment of the major common and opportunistic infections that afflict [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=2716192 Wed, 19 Aug 2009 21:08:06 +0100 2716192 http://www.medworm.com/index.php?rid=2712371&cid=t_318781_151_f&fid=36896&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSuboxoneTalkZone%2F%7E3%2FkblC0707eEU%2F I receive monthly updates from Reckitt Benckiser in regards to best practices  using buprenorphine.  I figure that all of you should be as aware of the information as I am, so here it is (also see link below post).   Please note, in particular, the material on page 5 regarding dosing.  It is important for people on Suboxone to understand this material in particular– not only the information that your receptors are maximally occupied at standard maintenance doses, but that you will have the ‘need’ to take more when you are stressed, craving, or any number of other situations.  You do NOT want to respond to that ‘need’, though, by taking more Suboxone– doing so only reinforces all of the addictive thinking that we are trying to extinguish.  When you ... Suboxone Talk Zone blogs http://www.medworm.com/rss/comments.php?id=2712371 Tue, 18 Aug 2009 18:06:16 +0100 2712371 http://www.medworm.com/index.php?rid=2712042&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F18%2Fmulti-agency-practice-guidelines-handling-cases-of-forced-marriage%2F Title: Multi-agency practice guidelines: Handling Cases of Forced Marriage The Skinny: Revised set of multi-agency practice guidelines for frontline professionals (such as teachers, police officers, social and health care professionals, housing officers) to help them to work more closely together and to better identify and protect children and adults at risk of forced marriage. The revised guidelines replace the existing individual guidelines which were tailored for specific professionals  and now brings these together into one single document. Publisher: DH Size of Publication: 105p Published: 14/08/2009 Posted in Child Abuse, Children, Clinical Guideline, Grey Literature, Guidance, NHS, Social Services, Standards, Vulnerable People, Young People Tagged: Child Protection, Forced Marria... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2712042 Tue, 18 Aug 2009 14:47:44 +0100 2712042 http://www.medworm.com/index.php?rid=2709073&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F18%2Fguide-to-good-practice-in-clinical-perfusion%2F Title: Guide to good practice in clinical perfusion The Skinny: New guide to good practice in clinical perfusion has been developed in response to a critical incident in 2005 which led to the publication of the Gritten report. It provides a Quality Management System and a Framework for the Administration of Named Medicines to form the basis of patient-specific directions which are recorded in the patient’s notes and clinical perfusion record. This guidance and the recommended frameworks should assist in the assurance of safe and high quality clinical perfusion services provided by the NHS. Publisher: DH Size of Publication: 52p. Published: 22/07/2009 Posted in Acute Services, Cardiovascular Diseases, Circulatory Diseases, Clinical Guidelines, Grey Literature, Health and Safety, Heart Dis... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2709073 Tue, 18 Aug 2009 11:14:26 +0100 2709073 http://www.medworm.com/index.php?rid=2691434&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F11%2Fbritish-journal-of-hospital-medicine-2009-vol-70-no-8%2F Fade Fave: Managing alcohol withdrawal syndromes: the place of guidance Fade Skinny: According to this article alcohol misuse poses a significant problem in terms of morbidity, mortality and cost. The article goes on to discuss the reasons for poor guideline adherence and the current evidence base behind the formulation of these guidelines. (Print subscription held at Fade Library) Posted in Journals Tagged: Alcohol Abuse, Guidelines (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2691434 Tue, 11 Aug 2009 12:53:28 +0100 2691434 http://www.medworm.com/index.php?rid=2660827&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2009%2F07%2F31%2Fxylitol-and-dental-caries%2F Xylitol is a natural sugar alcohol found in some food products and used as a sugar substitute.  Studies strongly suggest that xylitol is non-cariogenic.  That is, xylitol decreases streptococcus mutans levels in plaque and saliva, thus reducing the incidence of dental caries. Despite these findings, there is little information on the amount of xylitol needed in [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=2660827 Fri, 31 Jul 2009 17:41:30 +0100 2660827 http://www.medworm.com/index.php?rid=2653839&cid=t_318781_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2FQ6VClekX2-M%2F In case of emergencies, people often wonder how it’s decided who gets what. In a situation such as the H1N1 pandemic, the question becomes, who gets vaccinated first and if there are limited stores of vaccines, who has priority? The Advisory Committee on Immunization Practices today issued its recommendations and vaccine guidelines for H1N1 vaccine . They target 5 groups: Pregnant women Health care and emergency services personnel Children and young adults to age 24 years Caregivers and caregiver contacts of children under 6 months old Otherwise healthy adults with certain chronic health conditions It’s estimated that these five groups cover half of the American population, about 159 million. However, there could come to pass a situation where there isn’t enough vaccine... A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=2653839 Wed, 29 Jul 2009 22:06:12 +0100 2653839 http://www.medworm.com/index.php?rid=2653691&cid=t_318781_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D7528 It is disturbing to see a report like this in The Star which headlines “Docs cannot refuse requests for swabs to be taken”. What is the reality of the situation? The H1N1 pandemic is here and soon, most of the flu cases will be H1N1. The good news is 90% are going to be mild and self-limiting. 90% of patients DO NOT require testing and need only symptomatic treatment. These mild cases do not require specific anti-viral treatment. It is beyond the resources of this country to perform testing on each and every patient with flu symptoms, and the healthcare system cannot simply perform tests just because patients demand it. In routine practice anyway, we do not perform confirmatory testing for most cases of flu. The MOH has already issued guidelines and from what I understand, tes... Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=2653691 Tue, 28 Jul 2009 23:00:00 +0100 2653691 http://www.medworm.com/index.php?rid=2605911&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F16%2Fhepatitis-c-out-of-control-an-audit-of-strategic-health-authority-hepatitis-c-governance%2F Title: Hepatitis C – Out of Control: An audit of Strategic Health Authority hepatitis C governance The Skinny: Audit from the Hepatitis C Trust that identifies that a large majority (70%) of Strategic Health Authorities (SHAs) in England are failing to oversee the Government’s strategy to tackle hepatitis C.  The result of the audit is that the Trust calls for: A national liver czar responsible for driving forward improvements in liver services, particularly hepatitis C. A national liver strategy to address the growing crisis of liver disease, with clearly defined actions for addressing hepatitis C. A robust governance structure for hepatitis C to oversee the monitoring, benchmarking and evaluation of actions by all levels of the NHS. These should be reported annually in the HPA ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2605911 Thu, 16 Jul 2009 11:18:07 +0100 2605911 http://www.medworm.com/index.php?rid=2576506&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F07%2Fpostgraduate-medical-journal-2009-vol-85-no-1005%2F content page Title: Prescribing antibiotics for sore throat: adherence to guidelines in patients admitted to hospital The Skinny: Finds that adherence to guidelines for prescribing antibiotics in patients with features of group A β-haemolytic streptococcal sore throat is poor. Recommends that information support may help to improve prescribing. (NHS Athens is required to access this article online) Posted in Current Awareness Tagged: Antibiotics, Athens Password, Current Awareness, E-Journals, Guidelines, Prescriptions, Streptococcal Infections (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2576506 Tue, 07 Jul 2009 12:19:36 +0100 2576506 http://www.medworm.com/index.php?rid=2570331&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F04%2Fnursing-times-2009-vol-105-no-25%2F This articles discusses the launch of 2 major end of life care documents, New core competencies and Principles for working with adults at the end of life. Contact the Library for a copy of this article Posted in Current Awareness, Journals Tagged: End of Life Care, Guidelines, Palliative Care, Patient Choice, Primary Care, Training (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2570331 Sat, 04 Jul 2009 13:28:57 +0100 2570331 http://www.medworm.com/index.php?rid=2477565&cid=t_318781_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D7223 Draco in the MMR Student forums was asking where to find protocols/clinical practice guidelines. The answer is these can be found in the MOH Website as well as the Academy of Medicine website For your convenience, here are “one-click” easy downloads for the protocols CPGS 2002-2007 (35 Mb) CPGS 2007-2008 (20 Mb) Related MMR post: Malaysian Clinical Practice Guidelines from the Malaysian Medical Resources Malaysian Clinical Practice Guidelines II (Source: Malaysian Medical Resources) Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=2477565 Mon, 15 Jun 2009 04:00:00 +0100 2477565 http://www.medworm.com/index.php?rid=2442142&cid=t_318781_123_f&fid=37052&url=http%3A%2F%2Fwww.youtube.com%2Fv%2FQg-QHKBn_Oc%26amp%3Bhl%3Den%26amp%3Bfs%3D1 Certainly, it’s a great idea to have all those evidence based policies and guidelines endorsed by the APP in the palm of hands! The AAP’s compilation of the latest guidelines and policies is available in the form of Mobipocket document. The PDA version of the Pediatric Clinical Practice Guidelines and Policies “9th edition” offers more than just the policies and statements, it includes some other very useful features. Turn your audio on and see the following video for more details. The addition of a bilirubin assessment tool, the vaccines scheduling, patient guidance, and some ICD codes makes this great evidence-based PDA reference a repository of the all tools that a pediatrician may need in practice. However, as mentioned in the video above, the app need to be a... The Pediatric PDA Blog blogs http://www.medworm.com/rss/comments.php?id=2442142 Fri, 29 May 2009 07:59:22 +0100 2442142 http://www.medworm.com/index.php?rid=2405097&cid=t_318781_87_f&fid=34872&url=http%3A%2F%2Fwww.blisstree.com%2Fhealthbolt%2Fcpr-works-best-with-more-compressions%2F How long ago did you first start learning CPR? Were your CPR instructors strict about the number of compressions and breathes to do? Did they stress the need for ‘x’ number of compressions followed by ‘x’ number of breathes? Did you have trouble finding the carotid pulse? Difficulty getting the breathes in? Well, you can relax. Things have really changed since the early days of CPR training. Why? Well, it turns out that the frequent stopping to breath air into the victim isn’t actually best action. Research has shown that even a second of pausing in compressions can cause a 1% reduction in the likelihood of getting the heartbeat to return. So if you haven’t updated your CPR knowledge lately, it might be time to do so. Start by checking out the new first aid guidelines that the ... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=2405097 Tue, 12 May 2009 21:44:21 +0100 2405097 http://www.medworm.com/index.php?rid=2406172&cid=t_318781_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2009%2F05%2Fend-all-pharma-freebies-to-physicians.html Has the time come for physicians to be forcibly weaned away from ALL pharma "freebies," including CME and drug samples? Or should the principle caveat doctor be emphasized?An editorial in today's issue of Archives of Internal Medicine (Arch Intern Med. 2009;169[9]:829-831), a medical journal published by the American Medical Association, entitled "Time for the Medical Profession to Act," argues that it is time to prohibit pharma companies from providing free gifts, free meals, free CME, and free samples to physicians.The author, Philip Greenland, MD, of the Feinberg School of Medicine (Northwesetrn University) points out that the new PhRMA Code on Interactions with Healthcare Professionals (see PMN Reprint #77-01) does not prohibit sponsorship of office-based or hospital-based meals, conti... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=2406172 Mon, 11 May 2009 21:00:00 +0100 2406172 http://www.medworm.com/index.php?rid=2399118&cid=t_318781_134_f&fid=34841&url=http%3A%2F%2Fwww.diabetesmine.com%2F2009%2F05%2Fstem-cell-research-and-diabetes-realizing-the-promise.html There are so many fascinating diabetes- and health-related events taking place all around the country; I wish I could go to them all!  But thankfully, sometimes I can cover them in absentia here at the ‘Mine with a little help from my friends. A guest post by Allison Blass Last week, I was invited to attend [...] (Source: Diabetes Mine) Diabetes Mine blogs http://www.medworm.com/rss/comments.php?id=2399118 Thu, 07 May 2009 13:00:44 +0100 2399118 http://www.medworm.com/index.php?rid=2390063&cid=t_318781_117_f&fid=38158&url=http%3A%2F%2Famericanacupuncture.blogspot.com%2F2009%2F05%2Fnew-stem-cell-guidelines-and.html As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs. Visit http;//www.americanacupuncture.com/ for more detailed information on healing.CHANGES IN STEM CELL RES... Dr. Needles Medical Blogs blogs http://www.medworm.com/rss/comments.php?id=2390063 Mon, 04 May 2009 16:59:00 +0100 2390063 http://www.medworm.com/index.php?rid=2381180&cid=t_318781_167_f&fid=38271&url=http%3A%2F%2Frebeccascritchfield.wordpress.com%2F2009%2F04%2F30%2Fdo-the-dietary-guidelines-for-americans-have-a-pr-problem%2F I know I should be blogging about swine flu - isn’t everyone? But instead… let’s talk about the USDA Dietary Guidelines… they will be revised for 2010 (mandated by law every 5 years). No, it is not nutrition experts trying to stay in business… it’s a government thang… I was just reading a post by Janet Helm, a fellow RD at Nutrition Unplugged, and it inspired me to write a comment. Basically, I think the guidelines have a PR problem and no matter what they say that is “different” or new, they won’t see real change, unless they think about how people will actually use the guidelines and integrate that into real life. Here’s my comment: My personal feeling is that many people are “desensitized” to the Dietary Guidelin... Balanced Health and Nutrition Rebecca Scritchfield's Blog blogs http://www.medworm.com/rss/comments.php?id=2381180 Thu, 30 Apr 2009 12:47:21 +0100 2381180 http://www.medworm.com/index.php?rid=2347913&cid=t_318781_87_f&fid=34825&url=http%3A%2F%2Fwww.wesleyjsmith.com%2Fblog%2F2009%2F04%2Fpretense-about-limited-nature-of.html The NIH has released its proposed rules regarding funding for ESCR in the wake of the Obama revocation of the Bush funding restrictions. The media pretends that they contain firm ethical limits. From the story:The guidelines restrict funding of work on cells made using certain more experimental methods, such as creating stem cells from a human egg only, a process called parthenogenesis, and a cloning technique called somatic cell nuclear transfer.They also would prohibit funding of work on embryos created specifically for research purposes, with the aim of keeping the money going to work using cells taken from embryos that parents donated after they decided not to try to use fertility clinic embryos to create a pregnancy.They also lay out guidance to make sure parents know and agree to how... Secondhand Smoke blogs http://www.medworm.com/rss/comments.php?id=2347913 Fri, 17 Apr 2009 18:23:00 +0100 2347913 http://www.medworm.com/index.php?rid=2306940&cid=t_318781_87_f&fid=34825&url=http%3A%2F%2Fwww.wesleyjsmith.com%2Fblog%2F2009%2F04%2Fbelgian-euthanasia-of-woman-on-hunger.html I will say it until I am blue in the face, and then I will keep saying it: Euthanasia guidelines are not really there to be followed and actually protect the vulnerable. They are there to give the illusion of control.Consider: In Belgium, which has Dutch-style euthanasia, an elderly woman wanted euthanasia but didn't qualify under the law. She got it anyway after a hunger strike. From Derek Humphry's blog: A 93-year-old Belgian woman has died after going on a 10-day hunger strike last month to force doctors to help her die, her family said. Amelie Van Esbeen, born in 1916, was surrounded by family members at a home where she lived for the past five years...Van Esbeen ended her hunger strike on March 24 and made a written euthanasia request which was accepted by a different doctor who helpe... Secondhand Smoke blogs http://www.medworm.com/rss/comments.php?id=2306940 Tue, 07 Apr 2009 03:40:00 +0100 2306940 http://www.medworm.com/index.php?rid=2301613&cid=t_318781_150_f&fid=38374&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FePharmaSummit%2F%7E3%2F2S9lVsHtQNM%2Ffbi-dips-its-toe-in-e-pharma-pool.html In an effort to combat the prevalence of unlicensed pharmacies, the FBI has released a PSA that will help consumers to understand what constitutes a good online pharmacy. According to Behind Online Pharma:The most useful aspect of the FBI’s PSA is the how-to approach for buying legit drugs.Legitimate pharmacies:• Require a prescription from a licensed doctor, usually by mail (if they accept a fax copy, they will always call your doctor to verify the prescription)• Make you submit a detailed medical history• Clearly state their payment, privacy, and shipping fees on their sites; and• Use secure or encrypted website connections for transactions. (Source: ePharma Summit) ePharma Summit blogs http://www.medworm.com/rss/comments.php?id=2301613 Mon, 30 Mar 2009 18:11:00 +0100 2301613 http://www.medworm.com/index.php?rid=3416382&cid=t_318781_155_f&fid=38410&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FOncopathology%2F%7E3%2FgGyg63GPUug%2Fguideline-for-optimization-of.html Guideline for Optimization of Pathological Quality Performance for Radical Prostatectomy in Prostate Cancer Management:CANCER CARE ONTARIO,CANADA GUIDE LINES.Pathological Questions1. What are the recommended procedures for handling the RP specimen in the operatingroom and for handling and processing the RP specimen (with or without lymph nodes)in the pathology lab?2. What diagnostic and prognostic elements should be included in the pathology report,what format should be used, and what reporting elements should be included?Answers:(1)Handling of the Radical Prostatectomy Specimen in the Operating Room• Frozen section analysis of the radical prostatectomy specimen (RPS) for margin status is not recommended.• For routine handling, the RPS should be fixed in 10% neutral buffered formalin o... Oncopathology blogs http://www.medworm.com/rss/comments.php?id=3416382 Wed, 11 Mar 2009 18:34:00 +0100 3416382 http://www.medworm.com/index.php?rid=3408669&cid=t_318781_155_f&fid=38410&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FOncopathology%2F%7E3%2FmppNbGBRSnI%2Fguideline-for-optimization-of.html Guideline for Optimization of Pathological Quality Performance for Radical Prostatectomy in Prostate Cancer Management:CANCER CARE ONTARIO,CANADA GUIDE LINES.Pathological Questions1. What are the recommended procedures for handling the RP specimen in the operatingroom and for handling and processing the RP specimen (with or without lymph nodes)in the pathology lab?2. What diagnostic and prognostic elements should be included in the pathology report,what format should be used, and what reporting elements should be included?Answers:(1)Handling of the Radical Prostatectomy Specimen in the Operating Room• Frozen section analysis of the radical prostatectomy specimen (RPS) for margin status is not recommended.• For routine handling, the RPS should be fixed in 10% neutral buffered formalin o... Oncopathology blogs http://www.medworm.com/rss/comments.php?id=3408669 Wed, 11 Mar 2009 18:34:00 +0100 3408669 http://www.medworm.com/index.php?rid=2349793&cid=t_318781_155_f&fid=38410&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FOncopathology%2F%7E3%2FvHJQqb1KLII%2Fguideline-for-optimization-of.html Guideline for Optimization of Pathological Quality Performance for Radical Prostatectomy in Prostate Cancer Management:CANCER CARE ONTARIO,CANADA GUIDE LINES.Pathological Questions1. What are the recommended procedures for handling the RP specimen in the operatingroom and for handling and processing the RP specimen (with or without lymph nodes)in the pathology lab?2. What diagnostic and prognostic elements should be included in the pathology report,what format should be used, and what reporting elements should be included?Answers:(1)Handling of the Radical Prostatectomy Specimen in the Operating Room• Frozen section analysis of the radical prostatectomy specimen (RPS) for margin status is not recommended.• For routine handling, the RPS should be fixed in 10% neutral buffered formalin o... Oncopathology blogs http://www.medworm.com/rss/comments.php?id=2349793 Wed, 11 Mar 2009 18:34:00 +0100 2349793 http://www.medworm.com/index.php?rid=2259632&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2009%2F03%2F10%2Fada-launches-center-for-evidence-based-dentistry-web-site%2F I am excited to announce the all new Evidence-Based Dentistry web site from the American Dental Association, prepared by dentists for dentists and their patients.  This site provides access to the most current and clinically relevant information. Nicely organized by three categories, the site brings together: A Database of systematic reviews—Organized by topic, currently over 1300 reviews, [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=2259632 Tue, 10 Mar 2009 17:45:59 +0100 2259632 http://www.medworm.com/index.php?rid=2243025&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2009%2F03%2F06%2Fstem-cells-for-dentin-bone-and-salivary-regeneration%2F Are you interested in learning more about the use of stem cells for dental therapies? Dentaltown, an ADA recognized continuing education provider, is offering  a self-instructional program titled “Stem Cells: Emerging Medical and Dental Therapies for the Dental Professional“.    There is no fee for the class and continuing education credits are available. Additional resources include: A list [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=2243025 Fri, 06 Mar 2009 17:05:13 +0100 2243025 http://www.medworm.com/index.php?rid=2200701&cid=t_318781_137_f&fid=35357&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAlzheimersNotes%2F%7E3%2F3IYYh9X9ss0%2F Mixing medications, forgetting what to take when, or having insufficient knowledge about why one is taking a specific prescription becomes a challenge with Alzheimer’s patients and sometimes their caregivers.  If you have questions about prescription use, perhaps you’ll find these guidelines helpful: Guidelines for Managing Medications and Prescriptions at AgingCare.com Do you have suggestions on helping the Alzheimer’s patient in your family manage meds?  What works for you and them? (Amazon image) Tags: Alzheimer's medications, Alzheimer's Notes, Alzheimer's patients, caregivers, Caregiving, managing medications, Mary Emma Allen, medication guidelines, medications, prescription guidelines, prescriptionsShare This (Source: Alzheimer's Notes) Alzheimer's Notes blogs http://www.medworm.com/rss/comments.php?id=2200701 Thu, 19 Feb 2009 20:19:37 +0100 2200701 http://www.medworm.com/index.php?rid=2194572&cid=t_318781_86_f&fid=34445&url=http%3A%2F%2Fwomenshealthnews.wordpress.com%2F2009%2F02%2F17%2Fat-our-bodies-our-blog-guidelines-on-herpes-in-pregnancy%2F Yesterday at Our Bodies Our Blog, I posted a summary of guidelines from the Society of Obstetricians and Gynaecologists of Canada on herpes in pregnancy, including discussion of c-sections. Also, Christine has the winners of our Our Bodies, Ourselves: Pregnancy & Birth giveaway. Thanks to everyone who entered by commenting - I hope we’ll see you commenting at OBOB more often! Posted in Birth, Free Stuff, Infectious Diseases, Pregnancy (Source: Women's Health News) Women's Health News blogs http://www.medworm.com/rss/comments.php?id=2194572 Tue, 17 Feb 2009 14:57:00 +0100 2194572 http://www.medworm.com/index.php?rid=2192076&cid=t_318781_10_f&fid=37252&url=http%3A%2F%2Fbeckerinfo.net%2Fslch%2F2009%2F02%2F16%2Fpeanut-product-recall-information%2F http://www.accessdata.fda.gov/scripts/peanutbutterrecall/index.cfm (Source: SLCH Medical Library Blog) SLCH Medical Library Blog blogs http://www.medworm.com/rss/comments.php?id=2192076 Mon, 16 Feb 2009 14:52:51 +0100 2192076 http://www.medworm.com/index.php?rid=2774812&cid=t_318781_130_f&fid=38947&url=http%3A%2F%2Frealpt.blogspot.com%2F2009%2F02%2Fstop-madness-low-back-pain-and-routine.html Lancet recently published a systemic review looking at routine imaging for Low Back Pain (LBP) without "red flags" that would suggest serious underlying conditions (eg, myelopathy, cancer, fracture, etc). While the results aren't surprising to the majority of conservative musculoskeletal practitioners, they do need to be publicized to the general public just as much as the silly studies that show "acupuncture" being effective treatment fot LBP. The authors conclude:Lumbar imaging for low back pain without indications of serious underlying conditions does not improve clinical outcomes," they conclude. "Therefore, clinicians should refrain from routine, immediate lumbar imaging in patients with acute or subacute low back pain and without features suggesting a serious underlying conditionHowe... Evidence Based Rehab blogs http://www.medworm.com/rss/comments.php?id=2774812 Mon, 09 Feb 2009 12:00:00 +0100 2774812 http://www.medworm.com/index.php?rid=2158029&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2009%2F02%2F04%2Fdoes-treating-gum-disease-reduce-the-incidence-of-preterm-birth%2F Previous research has suggested a link between periodontal disease and premature birth.  Consequently, pregnant woman have been encouraged to undergo periodontal treatment to reduce these risks. However, recent studies conducted at the Univeristy of North Carolina’s School of Dentistry revealed no significant differences in pregnancy outcomes when study participants received treatment, as compared to those participants [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=2158029 Wed, 04 Feb 2009 15:45:37 +0100 2158029 http://www.medworm.com/index.php?rid=2156278&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2009%2F02%2F03%2Fpractice-guidelines%2F The following publications are available free online from CACHE’s Open Access Library: Nuckols TK, Lim YW, Wynn BO, Mattke S, MacLean CH, Harber P, Brook RH, Wallace P, Garland RH, Asch S. Rigorous development does not ensure that guidelines are acceptable to a panel of knowledgeable providers. J Gen Intern Med 2008 Jan;23(1):37-44. Davis D, Goldman J, Palda VA. Canadian Medical Association handbook on clinical practice guidelines. Ottawa: Canadian Medical Association, 2007. Palda VA, Davis D, Goldman J. A guide to the Canadian Medical Association handbook on clinical practice guidelines. CMAJ 2007 Nov 6;177(10):1221-6. Improving the use of research evidence in guideline development. 2006 These reviews published in the journal Health Research Policy and Systems were prepared as backgro... ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=2156278 Tue, 03 Feb 2009 20:39:20 +0100 2156278 http://www.medworm.com/index.php?rid=2156354&cid=t_318781_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fdon%25e2%2580%2599t-compromise-your-dental-license-with-marketing-mistakes%2F You read it in advertisements, hear it at seminars, see it used by dental product manufacturers: “Predictable Results.” These two words are buzzing around the industry and have been for some time. “Predictable dentistry” is better for patient and doctor, right? In theory, yes. However, some agencies may consider “predictable dentistry” false and misleading. If your practice’s website or print marketing states that a product or service can offer predictable results, you could get in big trouble! What does “big trouble” mean? In most cases, the agency with the issue will contact you by mail requesting that you change your marketing. Compliance is mandatory. “Predictable dentistry” is just one example of a problematic phrase. WhatYou Need to Know about Dental Ma... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=2156354 Tue, 03 Feb 2009 15:12:58 +0100 2156354 http://www.medworm.com/index.php?rid=2138951&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2009%2F01%2F27%2Flearn-about-the-link-between-heart-disease-and-oral-health%2F February is American Heart Month.  What does this have to do with dentistry?  Come to find out, alot! Research suggests a significant link between oral and cardiovascular health. In particular, periodontal health seems to play a major role.  Read what the American Academy of Periodontology has to say about periodontal disease and the heart. You may also [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=2138951 Wed, 28 Jan 2009 15:21:20 +0100 2138951 http://www.medworm.com/index.php?rid=2128934&cid=t_318781_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D5997 Someone got his copy in the mail Of course if you contributed in some way you get a certificate too - that’s MOH style As LT pointed out, the CPG is actually available for download from the MOH site (PDF format, 2.5 MB). I agree with LT that the MOH website is quite difficult to navigate. I couldn’t find the CPG for download myself! What the webmaster should have done is to highlight the CPG links and in fact should have included it as a link in the DG’s press statement Related MMR post: Dengue: a real or phoney war? CPG for Management of Dengue Infections in Adults ~ 2nd Edition from the Malaysian Medical Resources Dengue CPG II (Source: Malaysian Medical Resources) Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=2128934 Fri, 23 Jan 2009 05:00:00 +0100 2128934 http://www.medworm.com/index.php?rid=2035604&cid=t_318781_135_f&fid=35262&url=http%3A%2F%2Fsurvivinghiv.blogspot.com%2F2008%2F12%2Fhappy-about-my-membership-in-dhhs-hiv.html (Source: Nelson Vergel's HIV Blog) Nelson Vergel's HIV Blog blogs http://www.medworm.com/rss/comments.php?id=2035604 Sun, 14 Dec 2008 02:49:00 +0100 2035604 http://www.medworm.com/index.php?rid=2033161&cid=t_318781_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2008%2F12%2Frevised-dtc-guidelines-do-little-to.html According to a story in AdvertisingAge, PhRMA's revisions of its DTC Guidelines are getting "less-than-encouraging reviews from some key legislators" (see "PhRMA Guideline Revisions Don't Go Far Enough for Legislators")."On the one hand, PhRMA has taken our committee's concerns seriously by revising parts of their DTC code," said Rep. Bart Stupak, chairman of the committee's oversight and investigations panel. "On the other hand, some of these changes are merely a rewording of prior policy that does nothing to increase consumer protection."If the revisions were meant to APPEASE the legislators, then the endeavor failed and it appears that the pharmaceutical industry is in for some major policy changes in 2009. What's in store from Congress will be the focus of the article "The Changing Pol... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=2033161 Thu, 11 Dec 2008 13:08:00 +0100 2033161 http://www.medworm.com/index.php?rid=2027045&cid=t_318781_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2008%2F12%2Fnew-phrma-dtc-guidelines-ignore.html According to a press release issued today, the Pharmaceutical Research and Manufacturers of America (PhRMA) Board of Directors has adopted measures to strengthen the PhRMA Guiding Principles on Direct to Consumer Advertisements about Prescription Medicines.What's missing is any mention of a moratorium on DTC advertising for new drugs.At the recent "DTC in the Era of Consumer Choice" conference hosted by DTC Perspectives magazine, Hugh O'Neil, VP and Head of Market Access at Sanofi-Aventis, stated that PhRMA's members are likely to agree on a DTC advertising moratorium for newly approved drugs (see "An Experiment: Ban All DTC Broadcast Advertising for One Year"). O'Neil said there was a debate about the exact length of the moratorium -- whether it should be 6 months, one year, or longer. Mo... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=2027045 Wed, 10 Dec 2008 15:27:00 +0100 2027045 http://www.medworm.com/index.php?rid=2027242&cid=t_318781_134_f&fid=35187&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FDiabetesDaily%2F%7E3%2F479511664%2Ftake-five-low-carb-diets.php In our Take Five series, we seek out five opinions on a hot topic. Who's right? You decide!Is a low carbohydrate diet the best strategy for managing type 1 diabetes? The American Diabetes Association Standards of Medical Care in Diabetes... (Source: Diabetes Daily) Diabetes Daily blogs http://www.medworm.com/rss/comments.php?id=2027242 Tue, 09 Dec 2008 13:00:00 +0100 2027242 http://www.medworm.com/index.php?rid=1990572&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F11%2F26%2Fdefinitely-not-the-fifth-largest-city-in-france-new-nice-guidelines%2F Attention deficit hyperactivity disorder (ADHD) Osteoporosis- primary prevention Osteoporosis - secondary prevention Lung cancer (non-small cell) – erlotinib Electrically-stimulated intravesical chemotherapy for superficial bladder cancer Laparoscopic prostatectomy for benign prostatic obstruction Transabdominal artificial bowel sphincter implantation for faecal incontinence Posted in Clinical Governance, Clinical Guidelines, NHS   Tagged: Bladder Cancer, Clinical Guidelines, Drug Therapy, Faecal Incontinence, Hyperactivity, Lung Cancer, Osteoporosis, Surgery    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1990572 Wed, 26 Nov 2008 07:15:04 +0100 1990572 http://www.medworm.com/index.php?rid=1985835&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2008%2F11%2F24%2Fpit-and-fissure-sealants-recent-clinical-recommendations%2F The National Guidelines Clearinghouse issued the current release of Evidence-based clinical recommendations for the use of pit-and-fissure sealants. The guideline includes recommendations on caries prevention, noncavitated carious lesions and resin-based versus glass ionomer cement.  Supporting evidence and methodology are also included. The complete summary may be found here. Posted in Cavities, Dental Guidelines, Evidence Based Dentistry, Pediatric Dentistry, [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=1985835 Mon, 24 Nov 2008 15:52:49 +0100 1985835 http://www.medworm.com/index.php?rid=1977423&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2008%2F11%2F19%2Fsmoking-and-oral-health%2F Great American Smokeout Day is Thursday, November 20 For more than 32 years on the third Thursday of November, the American Cancer Society has helped and inspired Americans to quit smoking. Below is a list of resources to share with your patients, friends and family, to better understand the dangers of smoking and oral [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=1977423 Wed, 19 Nov 2008 21:10:40 +0100 1977423 http://www.medworm.com/index.php?rid=1970866&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2008%2F11%2F17%2Fpreterm-birth-and-oral-health%2F The March of Dimes is celebrating Prematurity Awareness throughout the month of November. The goal of this event is to draw attention to premature birth, which affects more than 530,000 babies each year in the United States. In the first of what will be an annual Premature Birth Report Card, the nation received a D and not [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=1970866 Mon, 17 Nov 2008 16:23:55 +0100 1970866 http://www.medworm.com/index.php?rid=1933537&cid=t_318781_147_f&fid=38117&url=http%3A%2F%2Fwww.engageinhealth.com%2F2008%2F11%2Fdietary_guidance_meets_healthy.html The first meeting of the 2010 Dietary Guidelines Advisory Committee (DGAC) took place last week and a few of my Edelman colleagues were in attendance. The Dietary Guidelines form the basis for most of the government’s nutrition policy, feeding programs and education – including MyPyramid – and they are revised every five years. The DGAC’s mandate has traditionally been to review the body of nutrition science and provide a report to USDA and HHS with conclusive statements of the science. But notably, this year’s committee members seem to be taking a broader view. Instead of taking a “reductionist” approach, as one of the committee chairs noted, the DGAC is looking at a more comprehensive approach to meal patterns that takes into account behavior. The obesity crisis in Ameri... The Health Engagement Blog blogs http://www.medworm.com/rss/comments.php?id=1933537 Tue, 04 Nov 2008 23:06:54 +0100 1933537 http://www.medworm.com/index.php?rid=1901320&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F24%2Flatest-nice-guidelines%2F Surgical site infection Mental health and older people Chronic pain - spinal cord stimulation Posted in Evidence Based Practice   Tagged: Clinical Guidelines, Evidence Based Practice    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1901320 Fri, 24 Oct 2008 07:30:53 +0100 1901320 http://www.medworm.com/index.php?rid=1901506&cid=t_318781_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2008%2F10%2Fallergan-doesnt-comply-with-phrma.html Allergan, the specialty pharma company BEST known for its marketing of BOTOX, was voted the "Most Admired Specialty Company" in the Eighth Annual Med Ad News Most Admired Companies contest/poll/popularity contest.Allergan achieved this distinction among Med Ad News readers who were polled by the publication despite the fact that the company does not abide by PhRMA's DTC Guidelines that prohibit "reminder ads." Reminder ads mention the pharmaceutical brand name but not the indication or medical condition it treats (see definition here).ALL BOTOX direct-to-consumer print and TV ads are reminder ads, which are free to imply outlandish benefits -- such as "freedom of expression" (see "Botox BS Piled Higher and Deeper") -- without any counterbalancing risk information as required by FDA regulat... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=1901506 Thu, 23 Oct 2008 11:09:00 +0100 1901506 http://www.medworm.com/index.php?rid=1891914&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F20%2Ftreatment-of-heart-attack-national-guidance-final-report-of-the-national-infarct-angioplasty-project-niap%2F Prefaced in the weekends media, the National Infarct Angioplasty Project (NIAP) is a feasibility study looking at how far primary angioplasty can be rolled out as the main treatment for heart attack in place of clot-busting drugs.  Treatment of heart attack national guidance: final report of the National Infarct Angioplasty Project (NIAP) concludes, it is feasible to roll out primary angioplasty for the majority of England within acceptable treatment times and is being published to encourage best practice. Posted in Grey Literature, Heart Diseases, NHS, Surgery   Tagged: Angioplasty, Clinical Guidelines, Grey Literature, Heart Diseases, Myocardial Infarction, NHS, Surgery    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1891914 Mon, 20 Oct 2008 14:12:53 +0100 1891914 http://www.medworm.com/index.php?rid=1844713&cid=t_318781_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D4744 The American College of Physicians has issued new guidelines for the treatment of patients with low bone density or osteoporosis. You can access the free full text article here Among the recommendations: * Clinicians should offer pharmacotherapy to women and men who have osteoporosis or have experienced fragility fractures. * Doctors should consider treatment for adults at risk for osteoporosis, especially those who have T scores between –1.5 and –2.5, are older than age 62, or are receiving glucocorticoids. * Doctors should assess the potential benefits and risks of each drug option in each patient before deciding on treatment. The table from the paper summarises the risks and benefits of the drugs nicely (click for bigger image) a New Guidelines for Pharmacologic Treatment of Low B... Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=1844713 Wed, 01 Oct 2008 04:00:00 +0100 1844713 http://www.medworm.com/index.php?rid=1830856&cid=t_318781_125_f&fid=37825&url=http%3A%2F%2Fbibbynews.wordpress.com%2F2008%2F09%2F26%2Foral-health-care-for-mom-and-baby%2F The National Maternal and Oral Health Resource Center has published three new documents related to pregnancy and oral health, and oral health for babies. The first, Access to Oral Health Care During the Perinatal Period, is a policy brief that provides an overview of barriers to addressing women’s oral health needs during the perinatal period. Evidence [...] (Source: Bibby Library News and Tips) Bibby Library News and Tips blogs http://www.medworm.com/rss/comments.php?id=1830856 Fri, 26 Sep 2008 19:55:57 +0100 1830856 http://www.medworm.com/index.php?rid=1825429&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F09%2F24%2Fnice-to-meet-you-to-meet-you-latest-nice-guidance%2F Attention deficit hyperactivity disorder (ADHD) Chronic Kidney Disease Identifying and supporting people most at risk of dying prematurely Venous Thromboembolism - dabigatran Influenza (prophylaxis) - zanamivir, amantadine and oseltamivir Autologous pancreatic islet cell transplantation for improved glycaemic control after pancreatectomy Balloon catheter dilation of paranasal sinus ostia for chronic sinusitis Posted in NHS, Quality   Tagged: Clinical Guidelines, Diabetes, Drug Therapy, Hyperactivity, Influenza, Kidney Diseases, Mortality, Surgery, Thromboembolism, Transplantation Services    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1825429 Wed, 24 Sep 2008 10:50:16 +0100 1825429 http://www.medworm.com/index.php?rid=1815619&cid=t_318781_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F400405909%2F “Why can’t we all just get along?”  Rodney King The Megatrend: Collaborative Care Management Networks (CCMNs) It’s been quite a while since I spotted a new Disease Management Megatrend, but here’s one that’s long overdue: Collaborative Care Management Networks will be necessary to achieve optimal care coordination. The trend in a nutshell:  payers (and others) are recognizing that optimal care coordination will require collaboration among health care stakeholders. This CANNOT be achieved with yesterday’s proprietary IT and business models. CCMNs will share many — perhaps all — of the following elements: (...)Read the rest of Megatrend Spotting: Collaborative Care Management Networks (528 words) © | Permalink | No comment | Want more on these topic... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1815619 Tue, 23 Sep 2008 03:35:31 +0100 1815619 http://www.medworm.com/index.php?rid=1779521&cid=t_318781_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2F-8B6qsfRaDA%2F Do you think that school lunches are healthy? I remember growing up- pizza, sloppy joe, burger and fries… Now there is baked chicken, spaghetti and meat sauce, tuna on wheat, peanut butter celery and a salad and veggie on every tray. Much better then what I remember. Do you think school lunches are heart healthy? When my eldest started school I packed her lunch out of fear of ‘what the heck would she get on a school lunch tray’? Now with my older two at school- they buy lunch about 50% of the time. To be totally honest, I think the lunches are priced way to high at over $3 a lunch but I go with it. My kids always, and I mean always, get the tuna on wheat with celery and carrot sticks and milk or peanut butter with sunflowers on bread with fruit and a salad- yes they are b... A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=1779521 Tue, 09 Sep 2008 17:02:17 +0100 1779521 http://www.medworm.com/index.php?rid=1713892&cid=t_318781_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2008%2F08%2Fguidelines-in-whose-interest-withdrawal.html In 2006, we posted about striking allegations that guidelines used in the state of Texas and elsewhere for management of adult psychiatric patients, the Texas Medication Algorithm Project, (TMAP) were influenced by payments by pharmaceutical companies to the state, and to the people developing the guidelines.Now the Dallas Morning News has reported that a parallel set of guidelines for the management of pediatric psychiatric patients has been put on hold amid more allegations that these two have been so influenced.A state mental health plan naming the preferred psychiatric drugs for children has been quietly put on hold over fears drug companies may have given researchers consulting contracts, speakers fees or other perks to help get their products on the list.The Children's Medication Alg... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=1713892 Mon, 18 Aug 2008 21:22:00 +0100 1713892 http://www.medworm.com/index.php?rid=1713846&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F08%2F18%2Fliverpool-care-pathway-lcp-guidelines-for-lcp-drug-prescribing-in-advanced-chronic-kidney-disease%2F National LCP Renal Symptom Control Guidelines are prescribing guidelines to ensure best practice in the care of kidney patients during the last weeks or days of their lives. Part of the LCP programme to extend LCP to kidney disease. The guidelines were developed by an expert project group, overseen by the LCP Renal Steering Group, and have been endorsed by the Department of Health, the Renal Association and the British Renal Society. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1713846 Mon, 18 Aug 2008 15:44:24 +0100 1713846 http://www.medworm.com/index.php?rid=1711717&cid=t_318781_132_f&fid=35016&url=http%3A%2F%2Fpeanutbutter.wordpress.com%2F2008%2F08%2F18%2Fmiape-gel-informatics-is-now-available-for-public-comment%2F PSI logo The MIAPE: Gel Informatics module formalised by the Proteomics Standards Initiative (PSI) now available for Public Comment on the PSI Web site. Typically alot of this information will be contained in the image analysis software, so we would especially encourage software vendors to review the document. The public comment period enables the wider community to provide feedback on a proposed standard before it is formally accepted, and thus is an important step in the standardisation process. This message is to encourage you to contribute to the standards development activity by commenting on the material that is available online. We invite both positive and negative comments. If negative comments are being made, these could be on the relevance, clarity, correctness, appropriateness, ... peanutbutter blogs http://www.medworm.com/rss/comments.php?id=1711717 Mon, 18 Aug 2008 08:22:07 +0100 1711717 http://www.medworm.com/index.php?rid=1708996&cid=t_318781_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2008%2F08%2Fmore-questions-about-conflicts-of.html Two years ago, we posted about questions whether the "Surviving Sepsis" campaign was driven by marketing as well as science. Then, we discussed a commentary in the New England Journal of Medicine which asserted that the campaign was part of an effort by Eli Lilly & Co to market Xigris (recombinant human activated protein C, or rhAPC, also known as drotrecogin alfa [activated]) for the treatment of sepsis.(1)The Wall Street Journal just published an article questioning another aspect of that campaign. In 2001 a clinical trial in the New England Journal of Medicine by Rivers et al reported favorable results for early goal-directed therapy in the treatment of sepsis.(2) This therapy incorporated continuous monitoring of oxygen in the blood using a special central venous catheter capable ... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=1708996 Sat, 16 Aug 2008 21:04:00 +0100 1708996 http://www.medworm.com/index.php?rid=1697298&cid=t_318781_10_f&fid=37252&url=http%3A%2F%2Fbeckerinfo.net%2Fslch%2F2008%2F08%2F11%2Fguidelines-for-antibiotics-in-respiratory-tract-infections-free-online%2F In an effort to reduce unnecessary antibiotic prescriptions, NICE (National Institute for Health and Clinical Excellence for England and Whales) just released the most updated guidelines for “Respiratory tract infections – antibiotic prescribing Prescribing of antibiotics for self-limiting respiratory tract infections in adults and children in primary care.” The most recent issue of BMJ has published a summary of the guidelines (BMJ 2008;337:a437). The guidelines are available for free online for health practitioners and there is also a consumer health booklet to help patients understand the new guidelines. The consumer health booklet does a great job explaining what respiratory tract infections are, how they are usually viruses which cannot be cleared up by antibiotics, the ... SLCH Medical Library Blog blogs http://www.medworm.com/rss/comments.php?id=1697298 Mon, 11 Aug 2008 14:20:25 +0100 1697298 http://www.medworm.com/index.php?rid=1688925&cid=t_318781_132_f&fid=35016&url=http%3A%2F%2Fpeanutbutter.wordpress.com%2F2008%2F08%2F07%2Fdouble-standards-in-nature-biotechnology%2F OK, So that is a relatively inflammatory and controversial headline, edging on the side of tabloid sensationalism. What is refers to is probably a situation that I may never find myself in again, which is in this months edition of Nature Biotechnology I am an author on two, biological standards related publications. The first is a letter advertising the PSI’s MIAPE Guidelines for reporting the use of gel electrophoresis in proteomics. This letter is also accompanied by letters referring to the  MIAPE guidelines for Mass Spectrometry, Mass Spectrometry Informatics and protein modification data. The second is a paper on the Minimum Information about a Biomedical or Biological Investigations (MIBBI) registry entitled Promoting coherent minimum reporting guidelines for biological and bi... peanutbutter blogs http://www.medworm.com/rss/comments.php?id=1688925 Thu, 07 Aug 2008 20:46:08 +0100 1688925 http://www.medworm.com/index.php?rid=1688932&cid=t_318781_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fits-only-your-dental-license-partnering-with-the-right-marketing-companies-to-save-your-skin%2F Marketing and advertising in the dental field has come a long, long way since the days when a Yellow Page ad was not allowed. While ADA and state dental board advertising guidelines have loosened, regulations still exist. For instance, you can’t make statements of superiority comparing yourself to other dentists with phrases like “the best.” You also can’t make claims about dentistry being “painless” or “pain-free” or that outcomes are “predictable.” Be careful about claiming to be a specialist, as well. Just because you do children’s dentistry, you’re not a children’s dentist/pedodontists. In some states, the phrase “sleep dentistry” is against the rules; the California board does not like “ora... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=1688932 Thu, 07 Aug 2008 13:22:44 +0100 1688932 http://www.medworm.com/index.php?rid=1637915&cid=t_318781_85_f&fid=36195&url=http%3A%2F%2Fhealth.tesstermulo.com%2F%3Fp%3D469 Most people have the preconception that cerebrovascular disease or stroke only occurs in the elderly, or in the middle-aged adults.  However, even with lack of clinical studies, it is documented that children can also have this disease.  I do not have the local statistics but, in the U.K., there are 5 out of 100,00 children who gets CVD every year.  Not as common as people dying from complications of hypertension or diabetes, but still the fact is that children can also get this disease.  I’ve personally seen one during my internship and the patient was just 3-years old, with a weakness in one side of the body as the beginning symptom, her parents having noted that she wasn’t able to play like her usual.  She was able to survive the stroke, but I haven’t seen her in ... Prudence, M.D. blogs http://www.medworm.com/rss/comments.php?id=1637915 Sat, 19 Jul 2008 02:22:08 +0100 1637915 http://www.medworm.com/index.php?rid=1632575&cid=t_318781_10_f&fid=37252&url=http%3A%2F%2Fbeckerinfo.net%2Fslch%2F2008%2F07%2F16%2Fbright-futures-guidelines-free-online%2F Bright Futures from the AAP (American Academy of Pediatrics) are available for free online. From the AAP website… The centerpiece of the Bright Futures program, the guidelines, provide child health promotion information and guidance for health professionals from pediatricians to public health officials to school nurses. The Bright Futures Guidelines can help you be prepared for visits with parents and children. Organized for quick, easy access to the information you want. (Source: SLCH Medical Library Blog) SLCH Medical Library Blog blogs http://www.medworm.com/rss/comments.php?id=1632575 Wed, 16 Jul 2008 17:34:36 +0100 1632575 http://www.medworm.com/index.php?rid=1618126&cid=t_318781_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2F334620734%2F Do you think that school lunches are healthy? I remember growing up- pizza, sloppy joe, burger and fries… Now there is baked chicken, spaghetti and meat sauce, tuna on wheat, peanut butter celery and a salad and veggie on every tray. Much better then what I remember. Do you think school lunches are heart healthy? When my eldest started school I packed her lunch out of fear of ‘what the heck would she get on a school lunch tray’? Now with my older two at school- they buy lunch about 50% of the time. To be totally honest, I think the lunches are priced way to high at over $3 a lunch but I go with it. My kids always, and I mean always, get the tuna on wheat with celery and carrot sticks and milk or peanut butter with sunflowers on bread with fruit and a salad- yes they are b... A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=1618126 Sun, 13 Jul 2008 19:49:26 +0100 1618126 http://www.medworm.com/index.php?rid=1606938&cid=t_318781_150_f&fid=36939&url=http%3A%2F%2Fscientific-misconduct.blogspot.com%2F2008%2F07%2Fwe-promise-to-be-honest-at-university.html Biomedical researchers at the University of Toronto are starting to sign a new honesty oath - See report in the Globe, also published in the Journal Science last week.Now why should I have a problem with this?Those behind this initiative (Karen Davis and Ori Rotstein) presumably have good intentions.Unlike doctors, scientists don't have an ancient moral code like the Hippocratic oath.But graduate students beginning their careers in medical research at the University of Toronto now have their own solemn ceremony in which they pledge to conduct themselves in an ethical fashion.Karen Davis, graduate co-ordinator at the Institute of Medical Science, says the new vow stems, in part, from the growing recognition of the potential for academic misconduct, which includes fraud, plagiarism and the s... Scientific Misconduct Blog blogs http://www.medworm.com/rss/comments.php?id=1606938 Wed, 09 Jul 2008 15:31:00 +0100 1606938 http://www.medworm.com/index.php?rid=1575342&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F07%2F04%2Fnhs-identity-scheme-for-dental-practices-providing-nhs-dentistry-response-to-the-consultation%2F NHS Identity Scheme For Dental Practices “Providing NHS Dentistry”: Response to the Consultation looks at responses to consultation on using NHS branding to advertise dental services. The consensus is that the NHS logo is a key part of advertising services. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1575342 Fri, 04 Jul 2008 07:44:22 +0100 1575342 http://www.medworm.com/index.php?rid=1568692&cid=t_318781_10_f&fid=37252&url=http%3A%2F%2Fbeckerinfo.net%2Fslch%2F2008%2F06%2F09%2Fsummertime-in-st-louis%2F We had a longer spring then usual with bearable temperatures and a surprising lack of humidity - ah - it was so nice! But it is now officially summertime in St. Louis with the telltale signs… daily temperatures in the 90’s and higher and the kind of humidity that feels like a impenetrable wall. According to the CDC, “Those at greatest risk for heat-related illness include infants and children up to four years of age…” So check out these resources to update yourself on how to handle the extreme heat of summertime in St. Louis… CDC:Frequently Asked Questions (FAQ) About Extreme Heat NYT: A Common Symptom of Heat Illness: Denial Child Care Weather Watch: When is it okay to play outside and for how long? Check out this great chart from the Iowa Department of... SLCH Medical Library Blog blogs http://www.medworm.com/rss/comments.php?id=1568692 Tue, 01 Jul 2008 19:46:04 +0100 1568692 http://www.medworm.com/index.php?rid=1546568&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F26%2F714%2F from the Myocardial Ischaemia National Audit Project (MINAP) finds that MINAP has collected data for eight years (2000–2008), and since it started has accumulated data on over 607,000 patients. It now receives data from all but one hospital that admit heart attack patients in England and Wales. Increased survival from heart attacks has occurred against a background of faster thrombolytic treatment in hospital, the introduction of pre-hospital thrombolysis and primary angioplasty and the improved use of secondary prevention medication. While there is variation between hospitals, most patients with heart attack are treated sooner after calling for professional help than in 2006/7. The use of secondary prevention medication has continued to exceed the national standards. The early... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1546568 Thu, 26 Jun 2008 09:32:42 +0100 1546568 http://www.medworm.com/index.php?rid=1543004&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F25%2Ftwice-as-nice-im-in-paradise-latest-nice-guidelines%2F Lumbar infusion test for the investigation of normal pressure hydrocephalus (IP) Implantation of multifocal (non-accommodative) intraocular lenses during cataract surgery (IP) Stent insertion for bleeding oesophageal varices (IP) Transcatheter aortic valve implantation for aortic stenosis (IP) Surgical repair of vaginal wall prolapse using mesh (IP) Rimonabant for the treatment of overweight and obese patients (TA) Head and neck cancer - cetuximab (TA) Psoriasis- adaliumamb (TA) (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1543004 Wed, 25 Jun 2008 06:58:39 +0100 1543004 http://www.medworm.com/index.php?rid=1500809&cid=t_318781_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F305743074%2F Professor Philip E. Bourne has been writing a series of “Ten Rules” editorials in PLoS Computational Biology for almost three years now. He is the Editor-in-Chief of the mentioned open-access scientific journal, who came up with this idea after giving a presentation on getting published to a group of students. Since then a total of 9 such articles were published, written by him alone or with a little help from his fellow colleagues. These articles are basically lists of ten simple rules, with some additional explanation, on various subjects mostly aimed at young researchers. Rules which professor Bourne and his coauthors propose are a product of rich personal experience and are written in a honest, concise and simple manner. I am listing all the rules here, sorted by the publ... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1500809 Fri, 06 Jun 2008 02:46:52 +0100 1500809 http://www.medworm.com/index.php?rid=1494233&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F05%2Fclinical-guidelines-for-immunoglobulin-use%2F , 2nd ed. aim to ensure best practice in the use of IVIg across all indications, based on available evidence and expert opinion. This supports the DH-initiated National Demand Management Progamme for Immunoglobulin to provide guidance on appropriate use, to manage demand and to ensure supply for patients for whom immunoglobulin is life-saving. Also reaching it’s second edition is the Demand management plan for immunoglobulin use, 2nd ed. which provides guidance on appropriate use, to manage demand and to ensure supply for patients for whom immunoglobulin is life-saving. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1494233 Thu, 05 Jun 2008 13:36:23 +0100 1494233 http://www.medworm.com/index.php?rid=1568694&cid=t_318781_10_f&fid=37252&url=http%3A%2F%2Fbeckerinfo.net%2Fslch%2F2008%2F06%2F02%2Faace-calls-for-new-standards-for-safer-insulin-pump-use%2F From the AACE (American Association of Clinical Endocrinologists) Patient Safety Exchange… AACE Calls For New Standards for Safer Insulin Pump Use 2008-05-24 15:56:18 By: Richard Hellman, MD, FACP, FACE JACKSONVILLE, FL - “The American Association of Clinical Endocrinologists applauds the FDA’s efforts to protect the safety of children and adolescents who are using insulin pumps,” said Dr. Richard Hellman, the Association’s President. In the May edition of Pediatrics, Dr. Judith Cope, a physician at the FDA, provided new data that shows there is a serious problem regarding patient safety in insulin pump use. She reported data on 1594 injuries and 13 deaths in children and adolescents collected over 10 years. 82% of the cases resulted in hospitalization. The ... SLCH Medical Library Blog blogs http://www.medworm.com/rss/comments.php?id=1568694 Mon, 02 Jun 2008 13:49:29 +0100 1568694 http://www.medworm.com/index.php?rid=1472375&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F05%2F28%2Fnicely-nicely-latest-guidance-from-nice%2F Anaemia (cancer-treatment induced) - epoetin (alfa & beta) & darbepoetin (TA) Adalimumab, etanercept and infliximab for ankylosing spondylitis Type 2 Diabetes (review) (CG) Lipid Modification (CG) Canaloplasty for primary open angle glaucoma (IP) Endoaortic balloon occlusion for cardiac surgery (IP) Single incision mid-urethral tape insertion for stress urinary incontinence in women (IP) Workplace physical activity (PH) (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1472375 Wed, 28 May 2008 11:19:59 +0100 1472375 http://www.medworm.com/index.php?rid=1467912&cid=t_318781_137_f&fid=35357&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAlzheimersNotes%2F%7E3%2F298226177%2F AlzheimersNotes.com Are there any caregivers or Alzheimer’s patients who are quilters?  I’m sponsoring a drawing over at my Quilting and Patchwork blog for a quilting booklet, Bonnie Leman’s How to Make a Quilt - 25 Easy Lessons for Beginners. Click on the title above for guidelines for the drawing. Also, if you are a quilter, you might like to let us know in the comments below.  Share with us your projects. Then other caregivers can find a common bond.  Quilting and fabric art can be very relaxing in times of stress.  Sharing with others encourages us in our projects. (c)2008 Mary Emma Allen Tags: Alzheimer's Notes, Alzheimer's patients, Alzheimers, Alzheimers-disease, caregivers, contest, contest guidelines, Mary Emma Allen, quilter, Quilting and Patchwork, Quilt... Alzheimer's Notes blogs http://www.medworm.com/rss/comments.php?id=1467912 Mon, 26 May 2008 08:00:26 +0100 1467912 http://www.medworm.com/index.php?rid=1466015&cid=t_318781_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2008%2F05%2Fblogscan-guidelines-for-aprotinin.html On the GoozNews blog, anonymous blogger "PM" discussed a set of guidelines written last year on the prevention of operative bleeding. The guidelines endorsed aprotinin to reduce bleeding despite concerns raised in a 2006 New England Journal of Medicine article. Subsequently, several studies showing increased risks of mortality for patients receiving the drug, and it is now off the market. PM wondered whether these guidelines enthusiasm related to the financial ties that a majority of authors reported with Bayer, the company that made aprotinin? (Source: Health Care Renewal) Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=1466015 Fri, 23 May 2008 18:52:00 +0100 1466015 http://www.medworm.com/index.php?rid=1432637&cid=t_318781_93_f&fid=36200&url=http%3A%2F%2Fblog.jammedph.com%2Fblogging-guidelines-know-the-do%25e2%2580%2599s-and-don%25e2%2580%2599ts%2F Some basic guidelines on blogging, if you use a service blogger.com they have their own terms and conditions for posting content. You can’t just post anything, so always read the t&c’s. If you don’t follow their rules, your blog will probably get deleted. If you host a blog on your own hosting account, using software like WordPress. You have full control over the content you post, so your blog won’t get deleted. What are the DOs and DON’Ts of blogging? First the DOs: • Do put pictures and multimedia sources to enhance the content. Could either be a vlog, photoblog, etc. • Do base your posts with a good category structure to make it easy to find content for a particular topic. • Do put paragraphs and sub-ideas. It’s not entertaining to read one block of manuscript. Dig... Jammed: Full into Capacity blogs http://www.medworm.com/rss/comments.php?id=1432637 Fri, 09 May 2008 12:30:59 +0100 1432637 http://www.medworm.com/index.php?rid=1429315&cid=t_318781_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F286169422%2F Five years after the HHS Office of Inspector General issued its compliance guidance for pharma, 92 percent of drugmakers surveyed say the guidelines “significantly impacted” the structure of their medical affairs teams - for instance, have since shifted medical science liasons and thought-leader development teams away from commercial development. Meanwhile, 8 percent indicate the guidelines had caused a complete overhaul, according to Cutting Edge Information. And none of the 14 drugmakers that responded - a group that included Bayer, Glaxo and Novartis - believes the guidelines failed to have a serious impact. (Source: Pharmalot) Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1429315 Thu, 08 May 2008 16:00:55 +0100 1429315 http://www.medworm.com/index.php?rid=1424073&cid=t_318781_107_f&fid=36585&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FHighlightHEALTH%2F%7E3%2F284387299%2F This article was published on Highlight HEALTH. Related articlesHEALTH Highlights - September 30th, 2007HEALTH Highlights - August 9th, 2007Health Highlights - March 3rd, 2008Searching for Health Information Online DangerousHEALTH Highlights - January 14, 2008 (Source: Highlight HEALTH) Highlight HEALTH blogs http://www.medworm.com/rss/comments.php?id=1424073 Tue, 06 May 2008 17:28:47 +0100 1424073 http://www.medworm.com/index.php?rid=1419133&cid=t_318781_151_f&fid=35823&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAddictionInbox%2F%7E3%2F282967311%2Ften-things-to-know-about-addiction.html From "Rethinking Substance Abuse."In the closing chapter of their 2006 book, "Rethinking Substance Abuse,” editors William R. Miller and Kathleen M. Carroll attempt to sum up what has been learned about the science of addiction. Their useful contribution, entitled Drawing the Science Together, offers "Ten Principles" that are designed to synthesize the welter of recent scientific research on addiction and help make sense of what we know.In vastly truncated form, they are as follows:1. Drug Use is Chosen Behavior At least in the beginning, people choose to take drugs, as one of the behavioral options available to them.2. Drug Problems Emerge Gradually "Dependence emerges over time, as the person's life becomes increasingly centered on drug use," the authors write. "The diagnostic crite... Addiction Inbox blogs http://www.medworm.com/rss/comments.php?id=1419133 Sat, 03 May 2008 22:12:00 +0100 1419133 http://www.medworm.com/index.php?rid=1407104&cid=t_318781_154_f&fid=35773&url=http%3A%2F%2Fblog.openmedicine.ca%2Fnode%2F155 Open Medicine <http://www.openmedicine.ca/> published an important article this weekend entitled "The EQUATOR Network: Enhancing the quality and transparency of health research through the use of reporting guidelines". This is a new initiative out of the United Kingdom that seeks to improve the reliability of medical publications by promoting transparent and accurate reporting of health research. One of the Canadian authors, Dr. John Hooey, discusses EQUATOR on his blog: "EQUATOR - under the leadership of Doug Altman at the University of Oxford - has set about to create a global resource for health researchers by identifying guidelines for research design that have already been developed [and] by providing resources to scientists attempting to establish design stan... Open Medicine Blog - blogs http://www.medworm.com/rss/comments.php?id=1407104 Tue, 29 Apr 2008 21:03:02 +0100 1407104 http://www.medworm.com/index.php?rid=1392474&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F04%2F23%2Fnice-nice-baby-latest-clinical-guidelines-from-nice%2F Allogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus Intraoperative red blood cell salvage during radical prostatectomy or radical cystectomy Interstitial photodynamic therapy for malignant parotid tumours Perioperative hypothermia (inadvertent) Ulcerative colitis - infliximab Abatacept for the treatment of rheumatoid arthritis (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1392474 Wed, 23 Apr 2008 07:52:45 +0100 1392474 http://www.medworm.com/index.php?rid=1353863&cid=t_318781_132_f&fid=35016&url=http%3A%2F%2Fpeanutbutter.wordpress.com%2F2008%2F04%2F07%2Fthe-first-mibbi-workshop-day-2%2F The second day of the MIBBI workshop was more “free flowing” compared to the first day. During the second day we focussed on the process of MIBBI, house-keeping, infrastructure and the website. The main focus of the day was discussing what it means to be registered on the MIBBI site and be a member of the Foundry. As a straw man, rather than starting from scratch, we used the OBO foundry principles to see if they could be applied to reporting check-lists, and came up with a draft set of principles. A full “official” report of the workshop should be forthcoming. As a break from the rigorous standards development and process of reporting check-lists we went to a local restaurant and experienced anarchy when it came to understanding the menu. The meal itself was brilli... peanutbutter blogs http://www.medworm.com/rss/comments.php?id=1353863 Mon, 07 Apr 2008 15:04:16 +0100 1353863 http://www.medworm.com/index.php?rid=1352084&cid=t_318781_131_f&fid=34976&url=http%3A%2F%2Ftalk.dnadirect.com%2F2008%2F04%2F04%2Fdna-direct-replies-to-science-a-case-study-of-personalized-medicine%2F Yet again, I’m frustrated by people confusing web access to genetic services with “direct-to-consumer” testing. Today in Science, Katsanis et al. lump DNA Direct’s gold standard services with what journalists at Newsweek are calling “snake oil.” Contrary to the article published in Science that is being quoted in other news sources, DNA Direct is a healthcare [...] (Source: DNA Direct Talk) DNA Direct Talk blogs http://www.medworm.com/rss/comments.php?id=1352084 Fri, 04 Apr 2008 20:20:29 +0100 1352084 http://www.medworm.com/index.php?rid=1340519&cid=t_318781_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F04%2Fcrippen-diaries-2008-april-1.html What do you want to do when you grow up...April 2008 (1)A rather surely teenage boy, David, came in for the first appointment of the day. He was in school uniform and had a mate with him. David is 14. I asked him what the problem was, and he said, “I’ve been getting gut pains for a month and my mum said I should get down the doctor.”Mum was not with him. David said “she can’t come with me, she has to go to work.” This is a one parent family. David has an older brother, who I rarely seen. Dad is long gone, and is never mentioned. Gut pains for a month in 14 year old are unlikely to be anything serious, but David needed examining, including a check to make sure his testes were down, and possibly (unlikely) even a rectal examination. This happens more and more commonly. Should one... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1340519 Tue, 01 Apr 2008 11:23:00 +0100 1340519 http://www.medworm.com/index.php?rid=1329932&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F27%2Fsearch-20-tipping-you-the-red-spot-3-guidelines-and-care-pathways%2F If you are looking for a national or international clinical guideline, a protocol or a care pathway it’s worth remembering that Search 2.0 will search the National Library of Guidelines for guidelines published by NICE and professional bodies, both in the UK and around the world. The Content National Library of Guidelines (includes NICE Guidance) - The National Library of Guidelines (the resource formerly known as the Guidelines Finder) indexes over 2000 selected care guidelines available in fulltext format online. These are mainly fom the UK but there are some international guidelines included. NICE Guidance (only) -National guidance on the promotion of good health and the prevention and treatment of ill-health, produced by the Nat... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1329932 Thu, 27 Mar 2008 08:31:56 +0100 1329932 http://www.medworm.com/index.php?rid=1329003&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F26%2Ftwice-as-nice-latest-nice-guidance%2F Antenatal care Diabetes in pregnancy Prophylaxis for Infective Endocarditis Maternal and child nutrition Mental wellbeing of children in primary education Sleep apnoea hypopnea syndrome (obstructive) - continuous positive airway pressure Asthma (in adults) - corticosteroids Intraoperative nerve monitoring during thyroid surgery Suburethral sling insertion for stress urinary incontinence in men (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1329003 Wed, 26 Mar 2008 15:53:16 +0100 1329003 http://www.medworm.com/index.php?rid=1281072&cid=t_318781_87_f&fid=36050&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FBreastfeeding123%2F%7E3%2F246198104%2F Olympic sprinter Marion Jones is due to report to federal prison by March 11. Many of you shared your opinions about her prison sentence and the impact on her breastfed infant. Breastfeeding may be taken into account as a factor in federal sentencing proceedings, and I was disappointed that it seemed not to weigh into the judge’s decision in that case. A news story out of Australia made me think more about taking breastfeeding into account in prison sentencing. A woman stabbed her mother three times during an argument and was originally sentenced to two-and-a-half years in jail to be suspended after three months. The Courier Mail reports: However, the court was re-convened when it was discovered Chong was breast feeding her seventh child who could not go with Chong on the government... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=1281072 Wed, 05 Mar 2008 16:05:41 +0100 1281072 http://www.medworm.com/index.php?rid=1275952&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2008%2F03%2F03%2Fguidelines_musculoskeletal_complaints%2F    This series of practice guidelines has been published in the Journal of Manipulative and Physiological Therapeutics [full text by subscription]: Bussières AE, Peterson C, Taylor JA. Diagnostic imaging practice guidelines for musculoskeletal complaints in adults — an evidence-based approach. Introduction. J Manipulative Physiol Ther 2007 Nov-Dec;30(9):617-83. Imaging technology can improve patient outcomes by allowing greater precision in diagnosing and treating patients. However, there is evidence that overuse, underuse, and misuse of imaging services occur. The purpose of this project was to develop evidence-based diagnostic imaging practice guidelines for musculoskeletal complaints for use by doctors of chiropractic and other primary health care professionals. Bussières AE,... ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=1275952 Mon, 03 Mar 2008 21:54:44 +0100 1275952 http://www.medworm.com/index.php?rid=1266524&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F29%2Fsafe-births-everybodys-business-an-independent-inquiry-into-the-safety-of-maternity-services-in-england%2F Safe Births: Everybody’s business: An independent inquiry into the safety of maternity services in England from the Kings’s Fund makes the following recommendations: Teams themselves should: agree safety-focused objectives identify clear roles and responsibilities utilise clear communication standards and protocols Safety should be placed at the heart of shared objectives for maternity services in quality joint working The Royal College of Midwives (RCM) and Royal College of Obstetricians and Regular reviews of demand and staffing should be conducted with an emphasis on deliveringthe right skill mix todeliver safe services Trust boards and managers should regularly receive information employment levels, skill mix and deployment achieved across all shift. Simple and effectiv... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1266524 Fri, 29 Feb 2008 04:14:09 +0100 1266524 http://www.medworm.com/index.php?rid=1261579&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F27%2Fwouldnt-it-be-nice-if-a-bird-of-paradise-landed-at-my-feet%2F Latest guidance from NICE. Prostate cancer Osteoarthritis Ventilation tubes (grommets) in children with OME Irritable bowel syndrome Liposuction for chronic lymphoedema Laparoscopic mobilisation of the greater omentum for use in breast reconstruction Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal metastases Psychosis (first onset) - neuroimaging Follicular non-hodgkins lymphoma (recurrent or refractory stage III or IV) - rituximab Community engagement Smoking cessation (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1261579 Wed, 27 Feb 2008 13:39:36 +0100 1261579 http://www.medworm.com/index.php?rid=1250109&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F22%2Fguidance-on-nominating-a-consultee-for-research-involving-adults-who-lack-capacity-to-consent%2F   establishes how to identify an appropriate consultee for the purposes of section 32 of the Mental Capacity Act 2005.  Researchers are required by the Act to take reasonable steps to identify a person who, as a result of an existing relationship with the person who lacks capacity, can advise the researcher about that person’s participation in the project. Where no such person can be identified, the Act requires another person who can provide this advice to be appointed in accordance with guidance. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1250109 Fri, 22 Feb 2008 13:05:34 +0100 1250109 http://www.medworm.com/index.php?rid=1247800&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F21%2Fcks-not-dfs%2F Updated from Prodigy to new CKS Format: Anaemia - iron deficiency Immunizations - childhood Leg ulcer - venous Opioid dependence Palliative cancer care - constipation Clinical summaries of the Topic Reviews issued in February 2008 please follow the links below: Clinical summary: Iron deficiency anaemia – assessment Clinical summary: Iron deficiency anaemia - management Clinical summary: Immunizations childhood programme Clinical summary: Immunizations childhood – children up to 1 year of age Clinical summary: Immunizations childhood – children 1-2 years of age Clinical summary: Immunizations childhood – children 2-10 years of age Clinical summary: Immunizations childhood – children over 10 years of age Clinical summary: Immunizations childhood – additional immunizations Clin... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1247800 Thu, 21 Feb 2008 17:26:50 +0100 1247800 http://www.medworm.com/index.php?rid=1222284&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F11%2Fsmashy-and-nicey-consultations-from-nice%2F Consultations from NICE seeking views on a clinical practice guideline developments for: Familial hypercholesterolaemia: consultation Lipid modification: Consultation on section 4.3 - Cardiovascular risk assessment and requesting views on the use of erlotinib to treat small-cell cancer. Lung cancer (non-small cell) - erlotinib (appraisal consultation) (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1222284 Mon, 11 Feb 2008 16:54:42 +0100 1222284 http://www.medworm.com/index.php?rid=1173048&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F23%2Fphysical-activity-and-environment%2F Guidance offering evidence-based recommendations on how to improve the physical environment to encourage physical activity. It demonstrates the importance of such improvements and the need to evaluate how they impact on the public’s health PH008 Physical activity and environment: Quick reference guide PH008 Physical activity and environment: Guidance 2008/004 New NICE public health guidance on creating environments to encourage physical activity PH008 Physical activity and environment: Costing report (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1173048 Wed, 23 Jan 2008 20:47:56 +0100 1173048 http://www.medworm.com/index.php?rid=1169549&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F23%2Fnot-naughty-but-nice-latest-nice-guidelines%2F Interventions in medicines reconcilliation at the point of admission Physical activity and environment Psoriasis - infliximab Ultrasound guided catheterisation of the epidural space Arteriovenous extracorporeal membrane carbon dioxide removal Mesothelioma - Pemetrexed (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1169549 Wed, 23 Jan 2008 09:25:03 +0100 1169549 http://www.medworm.com/index.php?rid=1140905&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F10%2Fthe-house-of-commons-health-committee-national-institute-for-health-and-clinical-excellence-first-report-of-session-2007%25e2%2580%259308-volume-i-report-together-with-formal-minutes%2F The report identifies the following problems Topic selection. Only a few selected medical technologies are chosen as suitable for assessment as technology appraisals. There is also far too little emphasis on disinvestment. Here we found NICE’s responses to our questions disingenuous. While few older treatments may do no good at all, many will not be cost-effective; The wider benefits of treatment to society, for example to carers, are not included in NICE’s economic evaluations; NICE often does not have all the information it needs to make a full assessment. It does not have access to all the information the Medicines and Healthcare products Regulatory Agency (MHRA) uses and clinical trials are usually designed without NICE’s work on cost-effectiveness in mind; Experts are no... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1140905 Thu, 10 Jan 2008 09:00:42 +0100 1140905 http://www.medworm.com/index.php?rid=1123739&cid=t_318781_134_f&fid=36049&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FDiabetesNotes%2F%7E3%2F209305480%2F A bigger and better diet may be only a prick away. Your nutritional needs could easily be detected by a small blood sample much like a fingerstick. By analyzing the unique metabolic changes in an individual’s body, researchers hope to develop more personalized dietary guidelines for improving health and fighting diseases such as diabetes and heart disease. Amen to that! Metabolomics, an emerging field whose practitioners study how foods affect metabolism, may provide new tools and data for customizing today’s one-size-fits-all dietary guidelines for an individual’s own body, the article notes. By being able to monitor the hundreds of compounds in a totally objective way, we would allow practitioners to determine exactly what works for each individual patient and also ser... Diabetes Notes blogs http://www.medworm.com/rss/comments.php?id=1123739 Tue, 01 Jan 2008 07:01:29 +0100 1123739 http://www.medworm.com/index.php?rid=1088656&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F12%2F12%2Fsquare-leg-square-root-square-egg-new-fruit-nice-suit-nice-latest-guidance%2F Latest Nice Guidelines are: Interventions in medicines reconcilliation at the point of admission (PSP) Atopic eczema in children (CG) Thoracoscopic aortopexy for severe primary tracheomalacia (IP) Circumferential epithelial radiofrequency ablation for Barrett’s oesophagus (IP) Thoracoscopically-assisted mitral valve surgery (IP) Hybrid procedure for interim management of hypoplastic left heart syndrome in newborns (IP) Thoracoscopic excision of mediastinal parathyroid tumours (IP) Endoscopic saphenous vein harvest for coronary artery bypass graft (IP) Apologies for the title which will only make sense if you are familiar with the work of the Jazz Butcher but a pun is always worthwhile. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1088656 Wed, 12 Dec 2007 10:57:49 +0100 1088656 http://www.medworm.com/index.php?rid=1082056&cid=t_318781_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2007%2F12%2Fintellectual-bias-new-bogey-man.html On the Hooked: Ethics, Medicine and Pharma blog, Dr Howard Brody discussed a new accusation leveled against those who may criticize relationships among academics and researchers and pharmaceutical, biotechnology and device companies. Dr Brody started by notingBecause those of us who are advocating serious reforms in the medicine-Pharma relationship are finally starting to be heard, we now threaten the industry sufficiently to make us worth powder and shot for a counter-attack.The latest counter-attack seems to be to accuse those advocating reform of the dread "intellectual bias." This charge surfaced in a response to a letter to the editor in Critical Care Medicine.(1) The letter disagreed with recommendations in guidelines written by the Surviving Sepsis Campaign, and discussed commercial... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=1082056 Sun, 09 Dec 2007 19:08:00 +0100 1082056 http://www.medworm.com/index.php?rid=1079672&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F12%2F07%2Fnational-library-for-health-stroke-specialist-library%2F The Stroke Specialist Library is being developed to provide high quality, evidence-based information on all of aspects of Stroke. This site is aimed at health professionals with an interest in Stroke. Using the traditional NLH hub approach with information divided into Guidance & Pathways, Evidence, Reference, Education/CPD and Patient Information the Library offers information on the following topics. Ischaemic Stroke General / Overviews Causes / Risk Factors Diagnosis Disease Management Prevention Patient Information Rehabilitation Haemorrhagic Stroke General / Overviews Causes / Risk Factors Diagnosis Disease Management Rehabilitation Prevention Patient Information Subarachnoid Haemorrhage General / Overviews Causes / Risk Factors Diagnosis Disease Management Rehabilitation Pre... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1079672 Fri, 07 Dec 2007 14:48:38 +0100 1079672 http://www.medworm.com/index.php?rid=1057307&cid=t_318781_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2007%2F11%2F28%2Fvirginia-tinkers-with-involuntary-commitment-rules-while-rome-burns%2F In the wake of the Virginia Tech murders earlier this year, Virginia’s legislators are looking at whether to make it easier to commit people who are a danger to themselves or others. This is a complete and utter deflection of the problem that states like Virginia actually face — a decline in support and funding of comprehensive, public mental health services. Virginia lawmakers are basically tinkering with the wording of their laws while Rome burns around them. The Washington Post has the story in yesterday’s edition entitled, Commitment Rule Is Key To Changing The System. It should be noted that Cho, the person who committed the Virginia Tech murders was, in fact, detained for overnight observation and was examined and found not to be a danger to himself or others back ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1057307 Wed, 28 Nov 2007 21:32:03 +0100 1057307 http://www.medworm.com/index.php?rid=1055601&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F11%2F28%2Fnice-isnt-just-a-place-in-the-south-of-france%2F Alcohol and schools intervention Asthma (in children) - corticosteroids Hypercholesterolemia - ezetimibe Asthma (for severe persistant allergic) - omalizumab Grenz rays therapy for inflammatory skin conditions Percutaneous Pulmonary valve implantation for right ventricular outflow tract dysfunction Mini/Micro screw implantation for orthodontic anchora ge Laparoscopic techniques for hysterectomy Soft palate implants for simple snoring Soft palate implants for obstructive sleep apnoea Transcranial magnetic stimulation for severe depression (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1055601 Wed, 28 Nov 2007 11:26:40 +0100 1055601 http://www.medworm.com/index.php?rid=1049831&cid=t_318781_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F11%2F26%2Fclinical-guidelines-intravenous-immunoglobulin%2F provide guidance on appropriate use of immunoglobulin products and a framework for the promotion of evidence based clinical practice to help improve consistency in patient care. The guidelines support the Demand management plan for immunoglobulin use use makes recommendations on appropriate indications for immunoglobulin and the processes to be implemented by Trusts or SHAs to ensure that immunoglobulin is used appropriately by means of local Immunoglobulin Assessment Panels. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1049831 Mon, 26 Nov 2007 13:19:20 +0100 1049831 http://www.medworm.com/index.php?rid=1047540&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2007%2F11%2F23%2Fguidelinerigour%2F CONCLUSION: Despite very rigorous development methods compared with guidelines assessed in prior studies, experts felt that these guidelines omitted common clinical situations and contained much content of uncertain validity. Guideline acceptability should be independently and formally evaluated before dissemination. Guidelines examined: American Academy of Orthopaedic Surgeons. Guidelines and support documents for hip pain, knee injury, knee osteoarthritis, low back pain/sciatica, shoulder pain and wrist pain. 2001–2003. American College of Occupational and Environmental Medicine. Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery in Workers, Second Edition. Beverly Farms, Massachusetts; 2004. Intracorp. Intracorp Opti... ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=1047540 Fri, 23 Nov 2007 20:23:18 +0100 1047540 http://www.medworm.com/index.php?rid=1009320&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2007%2F11%2F06%2Fcma_cpg%2F   A guide to the CMA Handbook on Clinical Practice Guidelines (published in July 2007) has just been published in the November 6, 2007 issue of CMAJ: A guide to the Canadian Medical Association Handbook on Clinical Practice Guidelines From the Canadian Medical Association CMA  Infobase Web site: The Canadian Medical Association (CMA) published its new Handbook on Clinical Practice Guidelines to promote systematic development and effective implementation of clinical practice guidelines. This document provides updated guidance on how to use clinical practice guidelines to achieve optimal outcomes of patient care. Among its key audience are health care practitioners, administrators, policy-maker, groups, organizations and societies involved in guideline development, adaptation and/or imple... ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=1009320 Wed, 07 Nov 2007 00:24:02 +0100 1009320 http://www.medworm.com/index.php?rid=979086&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2007%2F10%2F25%2Fwhiplashguideline%2F    A new clinical practice guideline on whiplash disorders is now available for review, and feedback is invited: Evidence-Based Treatment of Adult Whiplash Associated Disorder Grades 1-4 of the Cervical Spine        Clinical Practice Guideline Feedback    Feedback must be received by November 29th, 2007. From the Canadian Chiropractic Association Web site: On behalf of the Canadian Chiropractic Association and the Canadian Federation of Chiropractic Regulatory and Educational Accreditation Boards, you are encouraged to review this draft of the Guideline and provide your feedback. Once you have reviewed the documents, you are invited to submit your feedback to any of the 28 stakeholder organizations involved in the Guideline development process. Click on the link that appears at ... ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=979086 Thu, 25 Oct 2007 20:18:18 +0100 979086 http://www.medworm.com/index.php?rid=979087&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2007%2F10%2F25%2Febmradiography%2F Conclusions: The results suggest a strong adherence to radiography guidelines for patients with a new episode of low back pain who presented to chiropractic teaching clinics. Although a high proportion of patients had red flags, radiography utilization was lower than rates reported in previous studies suggesting that adherence to guidelines may help prevent unnecessary radiography. (Source: ANNE T-V's BLOG) ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=979087 Thu, 25 Oct 2007 18:49:20 +0100 979087 http://www.medworm.com/index.php?rid=952078&cid=t_318781_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2007%2F10%2Fuk-superbug-row-echoes-of-us-problems.html Here is a story from the UK which shows that that country too suffers from some of the problems with the leadership of health care organizations which plague the US. (I comment on this with some trepidation, lest I have misunderstood the UK context. UK readers are invited to comment and correct me, if needed.)The background is that several UK hospitals have been having increasing problems with hospital-acquired infections such as those due to C. difficile. A recent report cited particular problems run by the Maidstone and Tunbridge Wells NHS Trust. As reported by the Telegraph,The hospitals had filthy wards and vulnerable elderly patients were told to soil their beds because nurses were too busy to help them.Targets and financial problems within the health service led to staff shortages an... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=952078 Mon, 15 Oct 2007 20:38:00 +0100 952078 http://www.medworm.com/index.php?rid=918831&cid=t_318781_90_f&fid=0&url=http%3A%2F%2Fannietv600.wordpress.com%2F2007%2F10%2F02%2Flbp-guidelines%2F    From the October 2, 2007  issue of the Annals of Internal Medicine: Roger Chou, Amir Qaseem, Vincenza Snow, Donald Casey, J. Thomas Cross,Jr, Paul Shekelle, Douglas K. Owens for the Clinical Efficacy Assessment Subcommittee of the American College of Physicians and the American College of Physicians/American Pain Society Low Back Pain Guidelines Panel. Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 2007;147 478-491. Open Access Roger Chou and Laurie Hoyt Huffman. Nonpharmacologic Therapies for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline. Ann Intern Med 2007;147 492-50... ANNE T-V's BLOG blogs http://www.medworm.com/rss/comments.php?id=918831 Tue, 02 Oct 2007 11:31:30 +0100 918831 http://www.medworm.com/index.php?rid=874773&cid=t_318781_117_f&fid=36186&url=http%3A%2F%2Fwww.mdguide.net%2Fdiseases%2Fasthma-treatment.html Asthma Medications Preventers treat airway inflammation. They are the first-line defence and need to be taken every day to prevent attacks. Typical preventers are Becotide, Pulmicort, Intal, Intal Forte, Becloforte, Aldecin, Tilade and Flixotide.Relievers treat airway narrowing. They are rescue medications usually given by inhaler when symptoms occur. These typically include Ventolin, Bricanyl, Berotec, Aldecin, Respolin, Atrovent, Asmol, Respax and Serevent. Managing asthma Any asthmatic condition should be referred to your doctor for advice.Your doctor or pharmacist will assist you with a six-step management plan which is aimed at abolishing symptoms, maximising lung function and achieving the best quality of life. The plan will:1. Assess the severity of the asthma2. Achieve the best... Medical Guide blogs http://www.medworm.com/rss/comments.php?id=874773 Sat, 15 Sep 2007 12:04:48 +0100 874773 http://www.medworm.com/index.php?rid=870470&cid=t_318781_133_f&fid=35129&url=http%3A%2F%2Fwhitterer-autism.blogspot.com%2F2007%2F09%2Flack-of-qualifications.html There are many problems, sorry ‘issues’, associated with autism. The primary issue is a serious lack of qualifications in parents. Whilst the averagely pregnant person isn’t qualified for parentdom, neither is the average parent qualified for autism. This mismatch may have a profound impact upon the overall well being of a family. Whilst there is a lot of hub bub about early intervention for an autistic child, very little is heard about early intervention for the parents. For myself, I can confirm that I was very ill equipped in the autism department. Of all the many useful and fascinating pieces of information I had stored away, very few of them had any relevance to autism. As we all now know, getting a jump on autism, would be tricky because of the variety pack nature of the condit... Whitterer on Autism blogs http://www.medworm.com/rss/comments.php?id=870470 Thu, 13 Sep 2007 20:52:00 +0100 870470