Post 5: 4th November 2005
Links are given to online full text resources, all other materials can be obtained via the Fade Library, just mail your request to library.services@fade.nhs.uk
Latest Guidelines
NICE (2005) Guidance for midwives, health visitors, pharmacists and other primary care services to improve the nutrition of pregnant and breastfeeding mothers and children in low income households. London: NICE.
NICE Public Health guidance - in progress.
NICE (2005) Postnatal care - first consultation. London: NICE.
A clinical practice guideline on Postnatal care is being developed for use in the NHS in England and Wales. Registered stakeholders for the Postnatal care guideline are invited to comment on the provisional guideline recommendations via this website.
Latest Reports
Healthcare Commission (2005) Variations in the experiences of patients in England. London:Healthcare Commission.
Analysis that examines national variations in the experiences of patients, using a range of variables (for example, age, gender, ethnicity) based on the survey of patients undertaken during 2003/2004.
Kendall, Christine (2005) Essence of care eureka: Continence and bladder and bowel vare benchmark:Promoting community awareness of the Continence Service at North Warwickshire PCT. Nuneaton: North Warwickshire PCT Clinical Governance Support Team.
Summary of a project to improve awareness and access to continence services for Muslim women.
Institute of Innovation and Improvement (2005) Delivering quality and value: focus on - fractured neck of femur; primary hip and knee replacement; acute stroke; Caesarean section; short stay emergency care. London: DoH.
Initial discussion document that aims to help local health communities and organisations improve the quality and value of care for NHS patients. It is designed to build on the Productive Time Delivery Board’s Efficiency Map by focusing on Healthcare Resource Groups (HRGs) with the highest potential for improving the quality and value of clinical care.
Royal Pharmaceutical Society of Great Britain (2005) Clinical governance framework for pharmacist prescribers and organisations commissioning or participating in pharmacist prescribing. London:Royal Pharmaceutical Society of Great Britain.
The framework has been developed from two distinct perspectives: Firstly from an organisational perspective. This looks at the organisational components of clinical governance and what might need to be put in place within the organisation in order to support clinical governance of pharmacist prescribing. Secondly from the point of view of an individual pharmacist prescriber. This guideline provides some suggested indicators of good practice for pharmacist prescribing and examples of good clinical governance practice relating to prescribing.
King's Fund (2005) Public views on choices in health and health care: a qualitative study. London: King's Fund.
Presents the key findings from ten focus groups held in June and July 2005 to explore public views about choice in health and health care, and aims particularly to describe attitudes to choice among people living with a long-term condition. The findings show that people are supportive of government moves to increase patient choice but insist it can only be made a reality if they can call on advice from their family doctor, if they have more information and if there is more capacity in the system. It concludes with a discussion about the implications of findings for emerging policy. The findings will inform the design of a larger quantitative survey about choice, to be conducted towards the end of 2005.
Evidence from Journals
VITA: subtypes of mild cognitive impairment in a community-based cohort at the age of 75 years.
Jungwirth S., et al.
International Journal of Geriatric Psychiatry, 20(5), May 2005, pp.452-458.
Does arm length indicate cognitive and functional reserve?.
Jeong Seul-Ki, et al.
International Journal of Geriatric Psychiatry, 20(5), May 2005, pp.406-412.
Age of onset of drinking and the use of alcohol in adulthood: a follow-up study from age 8–42 for females and males.
Pitkanen T, Lyyra AL, Pulkkinen L.
Addiction 2005;100:652–61
Acute treatment of moderate to severe depression with hypericum extract WS 5570 (St John’s wort): randomised controlled double blind non-inferiority trial versus paroxetine.
Szegedi A, Kohnen R, Dienel A, et al.
BMJ 2005;330:503.
The effects of psychosocial methods on depressed, aggressive and apathetic behaviours of people with dementia: a systematic review.
Verkaik R, van Weert JCM, Francke AL.
Int J Geriatr Psychiatry 2005;20:301–14
A meta-analytic review of the efficacy of drug treatment in generalized anxiety disorder.
Mitte K, Noack P, Steil R, et al.
J Clin Psychopharmacol 2005;25:141–50
Methadone versus buprenorphine with contingency management or performance feedback for cocaine and opioid dependence.
Schottenfeld RS, Chawarski MC, Pakes JR, et al.
Am J Pyschiatry 2005;162:340–8
Cognitive behavioural therapy for carers of patients with Parkinson’s disease: a preliminary randomised controlled trial.
Secker DL, Brown RG.
J Neurol Neurosurg Psychiatry 2005;76:491–7
Double-blind 18-month trial of lithium versus divalproex maintenance treatment in pediatric bipolar disorder.
Findling RL, McNamara NK, Youngstrom EA, et al.
J Am Acad Child Adolesc Psychiatry 2005;44:409–17
The additive benefit of hypnosis and cognitive-behavioral therapy in treating acute stress disorder.
Bryant RA, Moulds ML, Guthrie RM, et al.
J Consult Clin Psychol 2005;73:334–40.
Disparities in antidepressant treatment in Medicaid elderly diagnosed with depression.
Strothers HS, Rust G, Minor P, et al.
J Am Geriatr Soc 2005;53:456–61
Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system.
Folsom DP, Hawthorne W, Lindamer L, et al.
Am J Psychiatry 2005;162:370–6.
Pregnancy outcome of women using atypical antipsychotic drugs: A prospective comparative study.
McKenna K, Koren G, Tetelbaum M, et al.
J Clin Psychiatry 2005;66:444–9.
Psychosocial and psychological interventions for prevention of postnatal depression: systematic review.
Dennis CL.
BMJ 2005;331:1–8.
A Randomized effectiveness trial of cognitive-behavioral therapy and medication for primary care panic disorder.
Roy-Byrne PP, Craske MG, Stein MB, et al.
Arch Gen Psychiatry 2005;62:290–8
IMPACT Investigators. Treatment of depression improves physical functioning in older adults.
Callahan CM, Kroenke K, Counsell SR, et al.
J Am Geriatr Soc 2005;53:367–73
The lifetime risk of suicide in schizophrenia: a reexamination.
Palmer BA, Pankratz VS, Bostwick JM.
Arch Gen Psychiatry 2005;62:247–53.
Selective serotonin reuptake inhibitor antidepressants and the risk of suicide: a controlled forensic database study of 14,857 suicides.
Isacsson G, Holmgren P, Ahlner J.
Acta Psychiatr Scand 2005;111:286–90.
Efficacy and tolerability of long-acting injectable naltrexone for alcohol dependence: a randomized controlled trial.
Garbutt JC, Kranzler HR, O’Malley SS, et al.
JAMA 2005;293:1617–25
Improving depression outcomes in older adults with comorbid medical illness.
Harpole LH, Williams JW, Olsen MK, et al.
Gen Hosp Psychiatry 2005;27:4–12.
Suicide after deliberate self-harm: a 4-year cohort study.
Cooper J, Kapur N, Webb R, et al.
Am J Psychiatry 2005;162:297–303
Major depressive disorder in Latin America: the relationship between depression severity, painful somatic symptoms, and quality of life.
Munoz RA, McBride ME, Brnabic AJM, et al.
J Affect Disord 2005;86:93–8.
Sentence completion test for depression (SCD): an idiographic measure of depressive thinking.
Barton S, Morley S, Bloxham G, et al.
Br J Clin Psychol 2005;44:29–46.
Suicide risk in relation to psychiatric hospitalization: evidence based on longitudinal registers.
Qin P, Nordentoft M.
Arch Gen Psychiatry 2005;62:427–32.
Relapse prevention in patients with bipolar disorder: cognitive therapy outcome after 2 years.
Lam DH, Hayward P, Watkins ER, et al.
Am J Psychiatry 2005;162:324–9
Incidence of delirium in older adults newly prescribed lithium or valproate: a population-based cohort study.
Shulman KI, Sykora K, Gill S, et al.
J Clin Psychiatry 2005;66:424–7
Trials
Latest Questions to the Primary Care Question Answering Service
Is there any evidence that live yoghurt works on antibiotic induced diarrhoea?
What is the evidence for skin cleansing before giving injections? sub-cut and IM
I often find that patients on thyroxine for hypothyroidism need to change the dose of thyroxine when they have their TSH levels measured at review. Is there any evidence showing why the dose of thyroxine needed to treat hypothyroidism seems to fluctuate frequently?
Could you please suggest treatment for ideopathic (not renal induced) periorbital oedema (eyelid edema)?
Which is the best alpha blocker for benign prostatic hypertrophy ?
Is there any evidence for the use of creon / pancreatic enzyme supplementation in chronic pancreatitis?
A patient on warfarin for AF and mitral valve disease asking what are the risks of bleeding with flu vaccination .Can he discount scare stories in sunday papers and proceed? What level of risk is known?
Patient on warfarin due flu jab this weeken showed me Sunday Telegraph article. Apparently clusters of adverse reactions linked to bleeding after immunisation, do have any advice?
What is the best management for a man aged 80 with carcinoid syndrome presenting with flushing and diarrhoea?
Does giving men who complain of a low libido and who have low testosterone levels increase the risk of them getting prostate cancer?
What is the best evidenced based treatment for restless leg syndrome, and are there any new treatment options?
A patient whose mother is being treated for Cancer of ovary was advised by the gynaecologist to ask me for a test (?Brax or Bracks) which would determine her susceptibility to this disease. I have not heard of it and would be grateful for any information.
What is the new GMS contract?
What treatments are available for stretch marks?
Does the use of NSAIDs affect the outcome of acute soft tissue injuries?
Information on use of pyridoxine to treat peripheral neuropathy in chemotherapy for cancer. e.g cisplatin Does it help?. Also information on risks of pyridoxne itself causing peripheral neuroapathy.- at what doses over what time?
Have any brief screening instruments been developed for initial assessment of patients referred by their GP to primary care mental health psycologists and counsellors which would assist in gaining a good knowledge of the patient's problem and the appropriate clinician to take the referral?
What is the management for adult females around 30 for recurrent UTI, around 6 per year? should they be referred?
What is the management of chronic sinusitis, not responding to antibiotics, steam inhalation and nasal steroid and anti-inflammatory spray? what else can I do, and what is the referral criteria?
In diabetes why is the big toe affected first with regard to loss of sensation?
How common is cancer of the breast in women under 40years ?
How long should Beta Blockers be continued after a myocardial infarction?
Is there any evidence to suggest that Asian families sometimes delay weaning their infants past the DoH recommended age of 6 months ? If so, is there any evidence to suggest why weaning is sometimes delayed ?
Is it recommended to use an alcohol swab before cheking blood sugar using a glucometer with a patient who states they have washed their hands?
If someone has had an achilles rupture on one side, does this mean he/she is at higher risk of rupturing the other side, independant of the precipitating cause ie squash player.
How do you work out a woman's 10-yr risk of breast cancer?
Does early detection of breast cancer reduce the risk of re-occurence?
How effective is counselling/psychotherapy versus usual GP care in the treatment of depression in adult patients in primary care?
Depressed patient prescribed antidepressants must be warned about discontinuation/withdrwawl symptoms according to NICE guideline. Why?
What is the evidence for longer term damage or detriment from steroid injections into a joint with OA? Are steroid injections to the shoulder contraindicated in the presence of tendon tear or rupture?
I am doing an audit on Annual Testing of Microalbuminuria in Diabetic patients. Could you please guide me regarding currant guidelines, standards,references and related literature.
Where should I refer a 21 year old patient who thinks she may have dyspraxia for an assessment? ie which specialty
Do you have any information on managing sexual dysfunction induced by antidepressant medication?
In pregnant women, does avoid nuts during pregnancy lead to lower risk of nut allergy in babies? Is there any other benefit of avoiding nuts?
What is the evidence that improved control of diabetes can lead to a deterioration in diabetic retinopathy?
What are the current D of H recomendations on who should be receive the pneumovax vacc?
Do patients >65 years on only Asprin 300 mg od (without any other risk factors for peptic ulceration) require gastroprotection with a PPI?
Does a negative pregnancy test exclude an ectopic pregnancy as cause for fossa pain?
Can people with abdominal aortic aneurysms take part in exercise programmes or cardic rehabilitation programmes
Is there any evidence that banning nuts from school is beneficial in preventing anaphylaxis?
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