a KC denies Vascianna rumours By jamaica-gleaner.com Published On :: Fri, 08 May 2020 00:10:13 -0500 KINGSTON COLLEGE (KC) principal Dave Myrie has refuted claims that St Jago High School sprint hurdler Vashaun Vascianna will be joining the school this September. The Gleaner understands that Vascianna, who broke the Class Two boys’ 110m hurdles... Full Article
a PLCA eyes July RSPL restart By jamaica-gleaner.com Published On :: Fri, 08 May 2020 00:24:45 -0500 Premier League Clubs Association (PLCA) vice-chairman Carvel Stewart says that the Red Stripe Premier League (RSPL) could return in July at the earliest. The nation’s top flight has been on hiatus since March, with four games left in the regular... Full Article
a Nadal asks Djokovic to consider vaccines By jamaica-gleaner.com Published On :: Sat, 09 May 2020 00:14:02 -0500 MADRID, Spain (AP): Rafael Nadal says Novak Djokovic will need to be vaccinated to keep playing if the governing bodies of tennis make coronavirus shots obligatory once they become available. Nadal told the Spanish newspaper La Voz de Galicia this... Full Article
a Windies players lack commitment – Benjamin By jamaica-gleaner.com Published On :: Sat, 09 May 2020 00:13:16 -0500 BRIDGETOWN, Barbados (CMC): Former Windies fast bowler Kenny Benjamin says that cricket in the Caribbean is suffering from players’ lack of loyalty and commitment and that intervention is required to save the sport. The Antiguan called for coaches... Full Article
a Late Lattimore described as ‘crowd-pleaser’ By jamaica-gleaner.com Published On :: Sat, 09 May 2020 00:15:50 -0500 Former national footballer Arthur Lattimore passed away after a long battle with throat cancer. Lattimore, who represented Jamaica’s football team throughout the 1970s, died at his home in Florida, leaving behind five children, grandchildren, and... Full Article
a Hexed - JFF finds possible World Cup Qualifying structure changes ‘disadvantageous’ By jamaica-gleaner.com Published On :: Sat, 09 May 2020 00:14:49 -0500 Jamaica Football Federation (JFF) general secretary Dalton Wint says that any potential changes to the Concacaf hexagonal round for the FIFA World Cup qualifiers could present challenges to the nation’s aim of qualifying for Qatar 2022. Wint’s... Full Article
a Great leap backwards - austerity measures are hitting the vulnerable hardest By feeds.bmj.com Published On :: Wed, 10 Dec 2014 17:19:43 +0000 The UK’s austerity programme has disproportionately affected children and people with disabilities, says David Taylor-Robinson, a senior clinical lecturer in public health at the University of Liverpool. He joins us to discuss why the evidence shows the vulnerable are hit hardest by the cuts to public services, despite the UN conventions on... Full Article
a Musical (operating) theatre By feeds.bmj.com Published On :: Fri, 12 Dec 2014 16:15:02 +0000 One hundred years ago, Pennsylvanian surgeon Evan Kane penned a brief letter to JAMA in which he declared himself a rigorous proponent of the “benefic [sic] effects of the phonograph within the operating room.” Now David Bosenquet, a surgeon from University Hospital of Wales in Cardiff has written a Christmas editorial about the evidence for the... Full Article
a Men are idiots By feeds.bmj.com Published On :: Mon, 15 Dec 2014 16:02:30 +0000 Winners of the Darwin Award must eliminate themselves from the gene pool in such an idiotic manner that their action ensures one less idiot will survive. Ben and Dennis Lendrem, and colleagues, have reviewed the data on winners of the Darwin Award over a 20 year period and they join us to discuss why men are idiots, and why their team is not the... Full Article
a Operating theatre time, where does it all go? By feeds.bmj.com Published On :: Fri, 19 Dec 2014 15:45:21 +0000 Waiting times in theatre can be a source of friction – but is the delay due to mandatory anaesthetic faff around time (MAFAT), or AWOL surgeons? Elizabeth Travis, and orthopaedic house officer in New Zealand and colleagues, have been trying to create and evidence base to argue the toss, and she joins me now to discuss her study, Operating... Full Article
a Is the Hep C screening expansion justified? By feeds.bmj.com Published On :: Wed, 14 Jan 2015 11:56:33 +0000 Until recently, hepatitis C screening was offered to people at increased risk of infection - such as intravenous drug users - but now, the US Centers for Disease Control and Prevention has recommended screening all people born between 1945 and 1965. Kenny Lin, associate professor of family medicine at Georgetown University in Washington, DC, and... Full Article
a Rabies in animals By feeds.bmj.com Published On :: Fri, 16 Jan 2015 17:42:59 +0000 Rabies is the archytypical zoonotic disease, and only by vaccination in animals will we prevent infections in people. In two podcasts linked to our latest clinical review "The prevention and management of rabies" we'll be discussing how we can get there. In this podcast Sarah Cleaveland, professor of comparative epidemiology at the University of... Full Article
a Managing multimorbidity in primary care By feeds.bmj.com Published On :: Fri, 23 Jan 2015 11:56:24 +0000 Multimorbidity presents a number of different challenges, for the patients living with the conditions, but also for the health professionals caring for them in systems that often are not designed with these more complex needs in mind. Emma Wallace, general practice lecturer, and Susan Smith, a professor of general practice at the Royal College of... Full Article
a Cash for referrals By feeds.bmj.com Published On :: Thu, 29 Jan 2015 15:50:36 +0000 Private hospital chains have been “buying” referrals by offering clinicians lucrative packages, including free facilities in sought after locations. And the doctors’ regulator is turning a blind eye to those who are tempted, Reporter Jonathan Gornall joins us to discuss the investigation. Read the full... Full Article
a Management of cancer induced bone pain By feeds.bmj.com Published On :: Fri, 30 Jan 2015 17:07:05 +0000 Bone pain is the most common type of pain from cancer and is present in around one third of patients with bone metastases, currently, improvements in cancer treatments mean that many patients are living with metastatic cancer for several years. Christopher Kane, NIHR academic clinical fellow in palliative medicine at Leeds University School of... Full Article
a International donations to the Ebola virus outbreak: too little, too late? By feeds.bmj.com Published On :: Wed, 04 Feb 2015 11:19:32 +0000 Karen Grépin, assistant professor of global health policy at New York University, has been examining the pledges made by the international community to help fight the ebola virus outbreak - was it really too little, too late? Read her full analysis: http://www.bmj.com/content/350/bmj.h376 Full Article
a Patient spotlight - Doing it for themselves By feeds.bmj.com Published On :: Tue, 10 Feb 2015 11:45:45 +0000 In our accompanying roundtable discussion,we hear views from a group of patients and clinicians based largely in the UK on the actions required to advance progress towards providing patient centred care. To extend the conversation we talked to members of the BMJ's international patient advisory panel and other patient advocates - and what... Full Article
a Patient spotlight - How can we get better at providing patient centred care? By feeds.bmj.com Published On :: Tue, 10 Feb 2015 12:04:46 +0000 Participants in our discussion on person centred care in January agreed that a change in culture and better use of technology could benefit both patients and doctors. At the roundtable: Fiona Godlee (chair), editor in chief, The BMJ Tessa Richards, senior editor, patient partnership, The BMJ Rosamund Snow, patient editor, The BMJ Navjoyt Ladher,... Full Article
a Mark Folman GP - time pressure and patient care By feeds.bmj.com Published On :: Fri, 13 Feb 2015 16:17:24 +0000 Mark Folman, a GP in Nottinghamshire, is concerned that more and more work, with more and more patients, means less time with those who really need him. BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on... Full Article
a Michelle Sinclair GP - surgery buildings are not up to scratch By feeds.bmj.com Published On :: Fri, 13 Feb 2015 16:17:25 +0000 Michelle Sinclar, a GP in Hampshire who is concerned that GP premises aren't fit for purpose and limit her ability to provide fully rounded patient care. BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on... Full Article
a Jackie Applebee GP - the funding formula is hurting deprived practices By feeds.bmj.com Published On :: Fri, 13 Feb 2015 16:27:24 +0000 Jackie Applebee is a GP in Tower Hamlets in London, and is concerned that the way the GP funding formula is working doesn't take account of the earlier health needs of people in deprived areas. For more about the Tower Hamlets Save Our Surgery campaign, visit their facebook page https://www.facebook.com/SaveOurGPsurgeries BMJ Voices is a... Full Article
a Overdiagnosis in breast cancer - 45 years to become a mainstream idea By feeds.bmj.com Published On :: Wed, 04 Mar 2015 10:34:35 +0000 In this podcast Alexandra Barratt, professor of public health at the University of Sydney, discusses how questions about overdiagnosis in breast cancer screening programmes were first raised 45 years ago, and why it has taken so long for the concept to become mainstream. Read her full analysis: http://www.bmj.com/content/350/bmj.h867 Full Article
a Nuffield summit - Bastiaan Bloem on parkinsons.net By feeds.bmj.com Published On :: Thu, 05 Mar 2015 16:22:29 +0000 Bastiaan Bloem, consultant neurologist at Radboud University Nijmegen Medical Centre, Netherlands, discussing his revolutionary approach to patient centred care. Read more from the summit: http://www.bmj.com/content/350/bmj.h1172 Full Article
a Has the balance of screening for AAA tipped towards harm? By feeds.bmj.com Published On :: Fri, 06 Mar 2015 16:32:30 +0000 Abdominal aortic aneurysms (AAA) are usually asymptomatic until they rupture, which is fatal in more than 80% of cases. Screening aims to detect the aneurysm before it ruptures, enabling preventive surgery and hence reducing morbidity and mortality. However, preventive surgery has a mortality of 3.9-4.5%. As the prevalence of risk factors, ie... Full Article
a Patrick Keating GP - under pressure to increase list size By feeds.bmj.com Published On :: Wed, 11 Mar 2015 14:55:51 +0000 BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on thebmj.com. Patrick Keating, a GP from Enfield, is concerned that small practices are under pressure to increase list size, but aren't able to muster resources to... Full Article
a Obioma Ezekobe GP - patients need to be educated about resources By feeds.bmj.com Published On :: Wed, 11 Mar 2015 14:55:55 +0000 Obioma Ezekobe is a GP in an urgent care centre in Central Middlesex Hospital. She believes that the public need to be educated about the use of NHS resources, and be taught when it is appropriate to seek care. If you would like to contribute to this collection, please email a brief audio recording to voices@bmj.com or phone +44 (20) 3058 7427... Full Article
a Katherine Henderson A and E consultant - lack of ward beds is hitting A and E the hardest By feeds.bmj.com Published On :: Wed, 11 Mar 2015 14:55:57 +0000 Katherine Henderson is the clinical lead of the emergency department at St Thomas's hospital in London. She worries that lack of ward space is having a domino effect throughout A and E and is the cause of increased waiting time for both patients and ambulances. If you would like to contribute to this collection, please email a brief audio... Full Article
a Thrombolysis in acute ischaemic stroke - time for a rethink? By feeds.bmj.com Published On :: Wed, 18 Mar 2015 16:39:30 +0000 In the US the licence, or marketing authorisation, for alteplase is limited to 0-3 hours after onset of stroke, but some other countries - including the UK and Australia - have extended the licence to 4.5 hours. In an analysis article on thebmj.com Brian Alper, vice president of evidence based medicine research and development at Dynamed, and... Full Article
a Health apps for well people - problematic or panacea? By feeds.bmj.com Published On :: Wed, 15 Apr 2015 15:41:40 +0000 Some apps have the potential to encourage healthier habits and are accessible to most people, argues Iltifat Husain, but Des Spence notes the lack of any evidence of effectiveness and the potential for encouraging unnecessary anxiety. Read more about in our head to head "Can healthy people benefit from health apps?" -... Full Article
a The health debate - the analysis By feeds.bmj.com Published On :: Thu, 23 Apr 2015 13:46:52 +0000 The future of health and social care looks certain to be a defining issue in the forthcoming UK general election. Social care has been subject to deep public spending cuts, raising concerns about the sustainability of services in the future. Whoever wins the next election will need to grapple with providing joined up health and social care... Full Article
a The BMJ requires data sharing on request for all trials By feeds.bmj.com Published On :: Fri, 22 May 2015 13:22:11 +0000 The movement to make data from clinical trials widely accessible has achieved enormous success, and it is now time for medical journals to play their part. From 1 July The BMJ will extend its requirements for data sharing to apply to all submitted clinical trials, not just those that test drugs or devices. The BMJ's Elizabeth Loder explains what... Full Article
a QOF, what is it good for? By feeds.bmj.com Published On :: Mon, 15 Jun 2015 12:58:46 +0000 Martin McShane, medical director of long term conditions at NHS England, questions the validity of the Quality and Outcomes Framework and suggests how it should change in the future. Read the related article: http://www.bmj.com/content/350/bmj.h2540 Full Article
a Time to target older women for cervical cancer screening? By feeds.bmj.com Published On :: Tue, 23 Jun 2015 12:45:31 +0000 Cervical screening programmes in many countries stop at around the age of 65 and much of the focus is often on younger women. However, comparatively little attention has been given to older women despite the fact that they account for about a fifth of cases each year and half of deaths. In this podcast Susan Sherman, a senior lecturer in... Full Article
a GI bleeding, slow to diagnose, slow to treat By feeds.bmj.com Published On :: Fri, 03 Jul 2015 15:16:13 +0000 The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has been examining the treatment of acute GI bleeds in England's NHS. Two of the authors, Martin Sinclair, consultant surgeon, and Simon McPherson, consultant vascular radiologist, join us to talk about their findings. Read the full... Full Article
a Should doctors recommend homeopathy? By feeds.bmj.com Published On :: Tue, 14 Jul 2015 15:16:20 +0000 A recent review by the Australian National Health and Medical Research Council concluded that “there are no health conditions for which there is reliable evidence that homeopathy is effective”, but Europe currently spends €1bn annually on such remedies - often at the recommendation of doctors. So a recent head to head debate in The BMJ asks,... Full Article
a Tackling racism in the NHS By feeds.bmj.com Published On :: Thu, 23 Jul 2015 10:45:44 +0000 For decades research has shown that discrimination, harassment, and exclusion are pervasive experiences for staff from black and minority ethnic (BME) backgrounds in the National Health Service. In this podcast, the authors of a recent analysis article in The BMJ talk about the evidence for discrimination, what the NHS has done and is doing, and... Full Article
a The system can abuse older people too By feeds.bmj.com Published On :: Fri, 24 Jul 2015 16:20:08 +0000 Elder abuse is often the result of the organisation of health systems rather than the fault of individuals, argue Jolanda Lindenberg and Rudi Westendorp, two authors of a recent analysis paper. They call for system abuse to be acknowledged and addressed by incorporating older people’s views when designing health services. Read the full... Full Article
a Diagnosis and treatment of hepatic encephalopathy By feeds.bmj.com Published On :: Fri, 14 Aug 2015 16:41:46 +0000 Hepatic encephalopathy constitutes a spectrum of neuropsychiatric abnormalities, beginning with subtle psychomotor changes and progressing to confusion with asterixis, somnolence, and then coma, arising in patients with impaired liver function. In this podcast, Tim Cross, a consultant hepatologist from the Royal Liverpool University Hospital,... Full Article
a They drained 92L from me - diagnosis and management of pleural effusion By feeds.bmj.com Published On :: Thu, 10 Sep 2015 10:56:11 +0000 Pleural effusions are common, with an estimated 1-1.5 million new cases in the United States and 200 000-250 000 in the United Kingdom each year. Rahul Bhatnagar, academic clinical lecturer at the University of Bristol, describes how pleural effusions may be investigated and treated in the community and secondary care, with a particular focus on... Full Article
a How scientific are US dietary guidelines? By feeds.bmj.com Published On :: Fri, 25 Sep 2015 09:56:34 +0000 They have a big impact on the diet of American citizens, and those of most Western nations, so why does the expert advice underpinning US government dietary guidelines not take account of all the relevant scientific evidence asks Nina Teicholz. Read the full investigation: http://www.bmj.com/content/351/bmj.h4962 Full Article
a What it's like to receive cardiac rehabilitation By feeds.bmj.com Published On :: Sat, 26 Sep 2015 14:09:05 +0000 With improved survival and and ageing population, the number of people living with coronary heart disease in the UK has increased to an estimated 2.3 million. There is increasing evidence that cardiac rehabilitation benefits these patients, and as such it has been included in international clinical guidelines. In this podcast, we're joined by... Full Article
a Why do the Scottish do fewer knee arthroscopies? By feeds.bmj.com Published On :: Sat, 26 Sep 2015 15:34:27 +0000 The “correct” rates of discretional interventions are difficult to define. However, David Hamilton and Colin Howie point out that discrepancies in usage of knee arthroscopy within the UK suggest the organisation of the care pathway may be an important determinant Read their full analysis: http://www.bmj.com/content/351/bmj.h4720 Full Article
a Is place of death important to patients? By feeds.bmj.com Published On :: Mon, 12 Oct 2015 13:41:39 +0000 The current orthodoxy is that home is the best and preferred place of death for most people, but in this podcast, Kristian Pollock a sociologist from Nottingham University questions these assumptions and calls for greater attention to improving the experience of dying in hospital and elsewhere. Read the full... Full Article
a Europe's impending syrup tsunami By feeds.bmj.com Published On :: Thu, 29 Oct 2015 10:41:58 +0000 Europe's common agricultural policy (CAP) on sugar is due to change, and Emilie Aguirre, from the UKCRC Centre for Diet and Activity Research at the University of Cambridge, argues that an influx of cheap high fructose corn syrup (HFCS, isoglucose) into the European market will have a negative effect on on the health of the continent. Read the... Full Article
a This house believes that medicine is the best career in the world. By feeds.bmj.com Published On :: Mon, 02 Nov 2015 12:36:55 +0000 Medicine has long been a rewarding career, but doctors say the profession needs to overcome the frustrations of working in the NHS to ensure it remains so. During the Big Debate at BMJ Live in London last week six speakers argued for and against the motion, “This house believes that medicine is the best career in the world.” After presentations... Full Article
a Unexpected findings, with uncertain implications, in research imaging By feeds.bmj.com Published On :: Fri, 13 Nov 2015 16:20:27 +0000 When healthy volunteers are scanned as part of a research project, unexpected findings, with uncertain implications, can be thrown up. Joanna Wardlaw, professor of applied neuroimaging and honorary consultant neuroradiologist at the University of Edinburgh, joins us to discuss how her group deals with these incidental findings, and what... Full Article
a The evidence on doctors strikes and patient harm By feeds.bmj.com Published On :: Fri, 27 Nov 2015 12:23:35 +0000 Doctors considering strike action may worry about the effect on patients. David Metcalfe and colleagues examine the evidence and find that “patients do not come to serious harm during industrial action provided that provisions are made for emergency care.” Read the full analysis: http://www.bmj.com/content/351/bmj.h6231 Full Article
a The diagnosis and treatment of post-traumatic stress disorder By feeds.bmj.com Published On :: Fri, 27 Nov 2015 12:33:17 +0000 PTSD may develop after exposure to exceptionally threatening or horrifying events. About 3% of the adult population has PTSD at any one time, and more than 50% in survivors of rape. In this podcast Jonathan Bisson, professor of psychiatry at the School of Medicine in Cardiff joins us to talk about the evidence for diagnosis and treatment, and... Full Article
a Sarah Wollaston - obesity, not a sugary drinks tax, is regressive By feeds.bmj.com Published On :: Wed, 02 Dec 2015 11:28:11 +0000 The UK Parliament's Health Select Committee's recent report on childhood obesity says 1 in 5 children are obese by the time they leave school. The committee calls for legislation to turn the tide by taxing sugary drinks, a pre-watershed ban on junk food advertising, and investment in public health. We joined Sarah Wollaston, conservative MP for... Full Article
a The more you see, the more you eat By feeds.bmj.com Published On :: Thu, 03 Dec 2015 15:34:38 +0000 Larger portions of food increase consumption. Theresa Marteau, director of the Behaviour and Health Research Unit at the University of Cambridge, joins us to discuss how government action to tackle portion size and packaging could help reset our appetites and make us thinner. Read the full analysis: http://www.bmj.com/content/351/bmj.h5863 Full Article