NDLI: Use of weekly, low dose, high frequency ultrasound for hard to heal venous leg ulcers: the VenUS III randomised controlled trial

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More than half of infants in developing countries are breast fed for less than six months, report says.

Costs and cost effectiveness of different strategies for chlamydia screening and partner notification: an economic and mathematical modelling study

How the case against the MMR vaccine was fixed.

Wakefield's article linking MMR vaccine and autism was fraudulent.

Efficacy and safety of scorpion antivenom plus prazosin compared with prazosin alone for venomous scorpion (Mesobuthus tamulus) sting: randomised open label clinical trial

Research into scorpion stings.

Substance abuse atlas highlights gaps in provision of care.

Experts urge vaccination to try to control cholera outbreak in Haiti.

Frequency and reasons for outcome reporting bias in clinical trials: interviews with trialists

Hypothyroidism in a patient with non-alcoholic fatty liver disease

Beware the fortune tellers peddling genetic tests.

Health ministers may call for appraisal of unlicensed cancer drug for eye treatment.

Republicans act to repeal health reform as they take control of House of Representatives.

H1N1 vaccine is released in UK to meet demand for protection against flu

NHS quality accounts are failing to tell the whole story.

Australian doctors report high rates of job satisfaction.

Bremen doctors sign up to reduce drug use in ADHD patients.

Identifying and managing deprivation of liberty in adults in England and Wales.

Germany suspends decision to stop some hospitals treating very low birth weight babies.

Hospitals should offer bingo and art sessions, says BMA.

Secrets of the MMR scare . How the vaccine crisis was meant to make money.

Nail changes in a patient with leukaemia.

Employee ownership in the NHS. Transition to employee ownership.

Gout. Aspects of management.

Gout. Management in primary care.

Infective endocarditis. Time to monitor incidence after NICE guidance.

Rushing to clamp umbilical cord. More evidence is needed to inform practice.

Rushing to clamp umbilical cord. Until safety and benefit are proved, better not to rush.

Referrals to secondary care. NICE 'referral advice' recommendations database.

Orphan drugs. EU regulations.

Cardioverter defibrillators. Should not be implanted in isolation after infarction.

Cardiovascular safety of NSAIDs.

Cardiovascular safety of non-steroidal anti-inflammatory drugs: network meta-analysis

Ensuring safe and effective drugs: who can do what it takes?

Non-invasive prenatal assessment of trisomy 21 by multiplexed maternal plasma DNA sequencing: large scale validity study

Regulating research.

BMA warns against letting patients have access to their electronic records.

Haiti is faced with sudden rise in birth rate.

International response risks undermining Haiti's health system, warns relief agency.

Access to clinical trial data.

WHO unveils plan to stop artemisinin resistance 'dead in its tracks'.

Association of change in daily step count over five years with insulin sensitivity and adiposity: population based cohort study

Regulation and governance of clinical research in the UK.

Organ donors and transplantations decrease in Spain, the leading country in both.

Waiting times for tests show sharp rises since targets were relaxed.

Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients: Cochrane systematic review and meta-analysis

Pharmacists state ambition to expand their role in community health.

HFEA canvasses on whether to increase compensation to egg and sperm donors.

Ethics and effectiveness: rationing healthcare by thresholds of minimum effectiveness.

Community services for people who have had a stroke are 'patchy,' says watchdog.

New cancer strategy for England focuses on earlier diagnosis.

Cross-border healthcare in the European Union: clarifying patients’ rights

Decline in US abortion rate has stalled, report says.

Illinois assembly votes to abolish death penalty, but governor hesitates.

Transplantations fall in Israel as new law complicates procedures.

Brazil puts emergency medical plan into action.

Australia faces huge rebuild after devastating floods.

Cameron defends moving NHS 'from closed markets to open systems'.

New oral anticoagulants for thromboprophylaxis in patients having hip or knee arthroplasty.

Regulator drops cases against pharmacies offering homoeopathic malaria prophylaxis.

Secrets of the MMR scare. The Lancet's two days to bury bad news.

Headache, migraine, and structural brain lesions and function: population based Epidemiology of Vascular Ageing-MRI study

Assuring research integrity in the wake of Wakefield.

Travel websites should highlight malaria risks.

French drug reps. Say no to seeing sales reps.

The life imprisonment of Dr Binayak Sen.

The BMJ is on the iPad.

Too many referral forms?. Hail, universal referral form.

Denialism in public health. Beware SLEAZE tactics.

Point of credulity. Professor McLachlan's fraud.

Middle ear forceps. Likened to pike in German.

A French king's head. Was it Henri IV's head?

Phantom vibration syndrome. Sixty eight per cent of us hallucinate.

Cycling and health. Pernicious use of surrogate markers.

Thrombolysis in elderly people. Observational data insufficient to change treatment.

Overweening on weaning.

Doctor who received £1.2m from patient’s estate is struck off

Why do pharmacists sell homoeopathic remedies?

Early detection of complications after laparoscopic surgery: summary of a safety report from the National Patient Safety Agency.

Diagnosis and management of hereditary haemochromatosis.

Is research safe in their hands?

Planned alcohol pricing will have 'negligible impact' on health problems, say critics.

Finding the techniques to nudge the population to better health.

Joint hypermobility syndrome. (Journal: BMJ (British Medical Journal) Volume: 342)

Use of non-steroidal anti-inflammatory drugs and risk of Parkinson’s disease: nested case-control study

Doctors are reluctant to use telemedicine and misunderstand what patients want, says NHS Confederation report.

Head of inquiry into WHO’s handling of the H1N1 pandemic says he will present a “critical” report

Republicans win vote in House of Representatives to repeal health reform bill.

Healthcare in Turkey: from laggard to leader.

Monitoring adherence to drug treatment by using change in cholesterol concentration: secondary analysis of trial data

Islet transplantation in type 1 diabetes

Dr Lansley's monster.

New hygiene law aims to reduce infections in German hospitals.

Food and drink industry rejects claims of irresponsibility over obesity and alcoholism.

Going local: devolving national pay for performance programmes.

Palliative care in people with chronic obstructive pulmonary disease.

Living and dying with severe chronic obstructive pulmonary disease: multi-perspective longitudinal qualitative study

Guidance on assisted suicide is confusing and risky, Warnock tells commission.

Cochrane review questions evidence for statins for primary prevention in low risk groups.

European parliament agrees rules on cross border healthcare.

Primary prevention of cardiovascular disease.

Vaccination programme to protect children against pneumonia and diarrhoea needs more funds.

Hospital closures are inevitable under health reforms, conference hears.

Effects of vitamin D supplementation on bone density in healthy children: systematic review and meta-analysis

Vitamin D and bone health in children.

Competing interests: When do your politics become a competing interest?

Portrayal of caesarean section in Brazilian women’s magazines: 20 year review

Carbamazepine in pregnancy: Levetiracetam and lamotrigine are better options.

Embryology: New life for the HFEA?

Reference intakes of vitamin D: Need to be implemented in UK.

Treatment abroad: A long journey to healing.

Febrile neutropenia: national guidelines are urgently needed.

Assisted dying debate: Try another approach, BMJ.

Assisted dying debate: Put everything out in the open.

MMR scare: UCL's response.

Assisted dying debate: Let's get the words right too.

Assisted dying debate: What of virtue and integrity?

Piltdown—hoax or fraud?

Insulin manufacture: Marketing insulins.

Industry sponsored bias: NICE may be biased too.

Guns don’t kill crowds, people with semi-automatics do

Philadelphia doctor who ran 'baby charnel house' is charged with murder.

Hong Kong's murky skyline is linked with excess deaths.

WHO calls for action to restrict marketing of unhealthy foods and drinks to children.

Rich countries dominate cancer league table.

Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study

Judging nudging: can nudging improve population health?

One nudge forward, two steps back.

Management of generalised anxiety disorder in adults: summary of NICE guidance.

Personal view. Should the spectacle of surgery be sold to the highest bidder?

Health and social care bill.

Governments call on WHO to improve cholera control.

Families at risk of genetically high cholesterol are not being spotted, says royal college.

Greed isn't good.

An odd eruption.

Adverse outcomes from IVF.

Does poor health justify NHS reform?

High smoking rates in 1940s, 1950s and 1960s in US explain comparatively lower life expectancy of older Americans

Russians are unable to buy aspirin, paracetamol, and other basic drugs because of official bungle.

Last US manufacturer of drug used in executions stops production.

Experts express doubts that food and drink industries have the motives to improve health.

Outcomes of chest compression only CPR versus conventional CPR conducted by lay people in patients with out of hospital cardiopulmonary arrest witnessed by bystanders: nationwide population based observational study

Chest compression or conventional CPR after out of hospital cardiac arrest?

Legal action delays ban on tobacco displays in Scotland.

Influenza B is now predominant strain, as flu cases continue to fall.

US health department recovers \$4bn through antifraud action

Radiotherapy in UK is feared and underused.

Spain's tougher line on smoking in public places spreads to other countries.

Essential care after an inpatient fall: summary of a safety report from the National Patient Safety Agency.

Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation: nationwide cohort study

Anticoagulation in people with atrial fibrillation.

'Dangerous' locum surgeon is struck off medical register.

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis

FDA panel advice may require trials to prove safety of ECT.

Hong Kong schoolchildren get training to detect dementia in elderly relatives.

The assessment and management of rectal prolapse, rectal intussusception, rectocoele, and enterocoele in adults.

Definitely not acceptable: drug company sues journal over review.

MEPs criticise WHO over H1N1 pandemic advice

Germany pushes for more organ donation.

Bad medicine: cardiology.

One billion people are affected by global shortage of healthcare workers.

NHS drug budget. Flawed assumption in analysis.

Out of hospital cardiac arrest. Time for a national register.

Infective endocarditis. NICE calls for a register.

Access to clinical trial data. Data monitoring committees and selective outcome reporting.

Reduced access to database. A publicly available database accelerates academic production.

Flu questions and answers. Flu's impact on intensive care.

Research approval. The regulation killing health research in the UK.

Florida judge says entire health reform act is unconstitutional.

Gates and Cameron pledge new money to eradicate polio.

MPs support NHS reform as health bill passes first parliament debate.

An asthmatic child with a troublesome cough.

Well enough to work?

We should push for evidence based sentencing in criminal justice.

'Make the care of your patient your first concern'.

Heart heal thyself: a new direction for cardiac research.

Donor countries have responsibility to root out corruption in aid flows.

Telehealthcare for long term conditions.

Effect of training traditional birth attendants on neonatal mortality (Lufwanyama Neonatal Survival Project): randomised controlled study

Poor inpatient care for older people.

Is quality of care improving in the UK?

Enteroviruses and type 1 diabetes

Effectiveness of AS03 adjuvanted pandemic H1N1 vaccine: case-control evaluation based on sentinel surveillance system in Canada, autumn 2009

Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase

Enterovirus infection and type 1 diabetes mellitus: systematic review and meta-analysis of observational molecular studies

Audiovisual feedback and quality of CPR.

Does home oxygen benefit people with chronic heart failure?

Research to decrease areas of clinical uncertainty.

Effect of real-time feedback during cardiopulmonary resuscitation outside hospital: prospective, cluster-randomised trial

Pfizer closes Kent plant as it trims research spending by \$1bn a year

Number of UK women who will get breast cancer has risen to one in eight.

Switzerland is to fund complementary therapies for six years while effectiveness is evaluated.

US Republicans try to restrict health insurance cover for abortion.

Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension: randomised parallel design controlled trial

Measurement of blood pressure in primary care.

Strategy for intention to treat analysis in randomised trials with missing outcome data.

Improving cardiovascular health at population level: 39 community cluster randomised trial of Cardiovascular Health Awareness Program (CHAP)

US Senate doesn't repeal health reform, but states defy the act.

Safety agency calls for old syringe drivers to be phased out, after deaths.

New male doctors earned 17% more than female doctors in US in 2008

New patent rules boost profits while safe drugs elude the world's poor, says Oxfam.

Death row prisoners sue FDA for allowing unapproved execution drug to be imported.

List of 'wanted' US healthcare thieves is posted on the web.

International agencies call for end to female genital mutilation.

Researcher didn’t get ethical approval for 68 studies, investigators say

'Disruptive' doctors are often found to be perfectionists, agency reports.

Postmarketing studies of drug safety.

Pandemic influenza vaccines.

Paediatric ENT surgery. Grommets and cholesteatoma.

Publicity of NHS breast cancer screening programme is unfair.

Understating under-reporting

Laparoscopy complications. Apply safety rule of thumb.

Aviation and patient safety. Send in the marines?

Aviation and patient safety. We cannot go too far in the pursuit of patient safety.

MMR scare. Robust procedures for research conduct are needed.

MMR scare. In the wake of Wakefield.

MMR scare. Response from the UK Research Integrity Office.

MMR scare. The BMJ's measly editorial policies.

MMR scare. Are the GMC, news media, and BMJ the right tribunals?

GMC's revalidation plans don't tackle problem of poorly performing doctors, MPs say.

Neck lump in a young woman.

Private finance initiatives during NHS austerity.

Outcomes of kidney transplantation are better in Spain than the US, a study finds.

Payment by results may undermine services for drug users, warn specialists.

WHO backs further probes into possible link between H1N1 vaccine and narcolepsy in children

Improving patient safety through education.

Qualitative methods: an alternative view.

Withholding versus withdrawal of life support: is there an ethical difference?

Old drugs, new tricks.

Lactation wars.

Early life exposure to diagnostic radiation and ultrasound scans and risk of childhood cancer: case-control study

The protective effects of helmets in skiers and snowboarders.

Reduction of childhood mortality through millennium development goal 4

Interpretation of random effects meta-analyses

Treatment of breast infection.

Ireland has record fall in number of organ donations.

Four in 100 deaths worldwide are caused by alcohol, says WHO

Competition in the NHS in England.

Spanish government appeals against new law on generics in Galicia that is set to save €93m a year

Ruling prevents women taking second abortion pill at home.

Baby P doctor is allowed to remove herself from medical register.

When to wean. Infection more important than anaemia or allergy.

Joint hypermobility syndrome. Urinary incontinence as presenting feature.

Joint hypermobility syndrome. Implications for obstetric care.

Gun control. Australian and US gun deaths compared.

Nations with endemic malaria are urged to scrap taxes and tariffs on drugs and tests.

Peer support for patients with type 2 diabetes: cluster randomised controlled trial

In for the long haul.

When to wean. Analysis article on breast feeding was misleading.

Living and dying with COPD. End of life trajectories across conditions.

Living and dying with COPD. What happens in neurological disease.

COPD exacerbations. Anxious not to be breathless.

Joint hypermobility syndrome. Psychiatric manifestations.

C reactive protein and the risk of cardiovascular disease.

Trends in mortality from 1965 to 2008 across the English north-south divide: comparative observational study

Association between C reactive protein and coronary heart disease: mendelian randomisation analysis based on individual participant data

The north-south health divide

Doctors criticise proposed changes to the undergraduate medical curriculum in India.

Kidney donor is awarded £6.74m after “negligent and reckless” operation

'Harrowing accounts' show how NHS fails to meet basic standards of care of elderly people.

A pneumococcal vaccine is launched in Africa to cut child deaths.

Global initiative launches to speed up the discovery of new drugs.

Advocacy and concerted action are needed to tackle rising rates of malnutrition.

A boy with a painful arm.

Explaining the unexplainable.

Global HPV vaccination.

Medicine and the Media. How useful are lifetime risks of disease?

Statins for primary prevention of cardiovascular disease. (Journal: BMJ (British Medical Journal) Volume: 342)

Type 1 diabetes in children

Glucagon-like peptide-1 analogues for type 2 diabetes

The other Twitter revolution: how social media are helping to monitor the NHS reforms.

Circumcision in boys and girls: why the double standard?

Court of Protection is asked to impose sterilisation on woman with learning disabilities.

NICE consults on improving consent rates for organ donation.

Private health sector could face reduced business as NHS tightens its belt.

Agency aims to inform girls about contraception to promote development.

Pharmacological prevention of migraine.

Americans are living longer, but obesity and diabetes are rising.

New European guidelines on atrial fibrillation.

Generalised anxiety disorder. Recommendation on sertraline.

Assisted dying debate. Time to be neutral?

High blood pressure in young people and premature death.

A smarter way to practise.

Chronic disease to top agenda. Legislation trumps individual interventions.

Chronic disease to top agenda. Beware tobacco companies' spurious financial arguments.

Chronic disease to top agenda. Cardiorespiratory fitness is an important risk factor.

Anticoagulation in AF. Anticoagulation uptake remains poor in high risk patients.

Anticoagulation in AF. Stroke and dementia are also chronic diseases.

European Union clamps down on fake drugs.

Health services for prisoners.

Association of blood pressure in late adolescence with subsequent mortality: cohort study of Swedish male conscripts

Research regulation. Limits of anonymisation in NHS data systems.

Patent rules must not hinder access to cheap drugs in poor countries, experts say.

Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies

Association of alcohol consumption with selected cardiovascular disease outcomes: a systematic review and meta-analysis

Widening access to medical education for under-represented socioeconomic groups: population based cross sectional analysis of UK data, 2002-6

NICE publishes guidance to improve diagnosis of food allergy in children.

Shift to green world economy would help reduce death and disease, report finds.

New initiative to make systematic review protocols more transparent.

Libyan hospitals are overstretched treating thousands of victims of violent crackdown.

Pigmentation and confusion.

Accessible medical research.

Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies

Role of brain imaging in early parkinsonism.

Diagnosis, assessment, and management of harmful drinking and alcohol dependence: summary of NICE guidance.

Should 'legal highs' be regulated as medicinal products?

Diagnosis and assessment of food allergy in children and young people: summary of NICE guidance.

Minimum alcohol pricing in England.

Budget cutting US Republicans try to end funds for family planning and health reform.

How the media helped ban mephedrone.

Provision of acute stroke care and associated factors in a multiethnic population: prospective study with the South London Stroke Register

NHS launches legal action against makers of Gaviscon.

Recurrence after unprovoked venous thromboembolism.

Risk of recurrence after venous thromboembolism in men and women: patient level meta-analysis

Safer insertion of suprapubic catheters: summary of a safety report from the National Patient Safety Agency.

Food allergy. (Journal: BMJ (British Medical Journal) Volume: 342)

NHS reforms create threat to patient confidentiality.

Vaccine manufacturers cannot be sued over design defects, US Supreme Court rules.

The risks of radiation exposure related to diagnostic imaging and how to minimise them.

US Medicaid programme grows to cover 50 million low income people

Lost in translation: be aware of patients' lives.

All the world's knowledge.

Employers in China flout laws which ban the testing of employees for hepatitis B.

Governments need to invest more to deal with health risks of teenagers, says Unicef.

Humanitarian corridor set up in Egypt as Libyan casualties escalate.

Australia moves to combat the misuse of prescription opioids.

Improved survival at low lung function in cystic fibrosis: cohort study from 1990 to 2007

English law on assisted suicide needs updating, commission hears.

Leaders of US medicine speak out on health effects of climate change.

Australia makes a start on primary healthcare reform, at last.

Blood pressure measurement. Oscillometric devices are good in routine practice.

Free speech and duty. Sleeping dogs should have been left to lie.

Free speech and duty. Juniors needed support over MMC/MTAS.

Traits of 'disruptive doctors'. The sin is not perfectionism but poor leadership.

Old drugs, new tricks. Intravenous lipid emulsions in anaesthesia.

Use of skin lightening creams. Some clinical pointers to use.

Aviation in patient safety. UK surgery already applies aviation safety practice.

View from English pilot site of safer patients initiative.

View from Scottish pilot site of Safer Patients Initiative.

Is quality of care improving? What about value for money?

Is quality of care improving? Hospital safety and complexity.

Is quality of care improving? Improvement efforts need to be targeted at junior doctors.

Use of skin lightening creams. Survey in a UK general practice.

Use of skin lightening creams. Dangers from mercury.

Tobacco firms move to stop FDA banning menthol cigarettes.

Beer is no longer food for Russians.

Czech doctors win wage increases after three year campaign.

How doctors are re-engineering the immune system to fight HIV infection

One year cancer survival rates in England remain poor despite national strategies, report finds.

Association of active and passive smoking with risk of breast cancer among postmenopausal women: a prospective cohort study

Is breast cancer associated with tobacco smoking?

What's happening to waiting times?

Cannabis and the increased incidence and persistence of psychosis.

Continued cannabis use and risk of incidence and persistence of psychotic symptoms: 10 year follow-up cohort study

Weight loss and hyponatraemia.

New York bans smoking almost everywhere.

Bad medicine: gynaecological examinations.

After baby P: can GPs follow child protection guidance?

Online healthcare advertising needs regulation.

A new mental health strategy for England.

The rule of ignorance: a polemic on medicine, English health service policy, and history.

Should physicians routinely be involved in the care of elderly surgical patients? Yes.

Should physicians be routinely involved in the care of elderly surgical patients? No.

Atypical antipsychotic drugs.

Can we have a culture of patient safety without one of staff safety?

Investigating hyponatraemia.

Italian court edict over discharge rules causes controversy.

Telemedicine may cut emergency admissions for COPD.

US citizens report slightly less sexual activity than in 2002

Cystic fibrosis and survival in patients with advanced lung disease.

Improving child health services in the UK: insights from Europe and their implications for the NHS reforms.

Ethnicity and academic performance in the UK.

Ethnicity and academic performance in UK trained doctors and medical students: systematic review and meta-analysis

Quality of chronic disease care for older people in care homes and the community in a primary care pay for performance system: retrospective study

Research output on primary care in Australia, Canada, Germany, the Netherlands, the United Kingdom, and the United States: bibliometric analysis

Using bibliometrics to define the quality of primary care research.

Use of weekly, low dose, high frequency ultrasound for hard to heal venous leg ulcers: the VenUS III randomised controlled trial

All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study

Excess mortality in osteoarthritis.

Doctor who injected her sister with unlicensed drug is struck off register.

Avoid 50% dextrose

Hypoglycaemia unawareness.

Use of GLP-1 analogues needs great caution

Are GLP-1 analogues affordable?

Care of elderly people. Is there freedom of speech in the medical profession?

Local authority budget cuts and health inequalities

Spanish move away from Mediterranean diet.

German doctors are told to have an open attitude to placebos.

Talking therapies: can the centre hold?

UN recommends reparations fund to help those who were raped in Congo.

Prisoners' mental health could suffer if GPs fail to commission services, warn psychiatrists.

Atypical diabetic retinopathy.

A young woman with rigors and abdominal pain.

It's unethical for general practitioners to be commissioners.

The hunt for the mystery genes.

The management of abdominal aortic aneurysms.

Charity pays drug addicts to use long term contraception.

Europe provides €172m for research into innovative medicines

Impact of growth hormone therapy on adult height of children with idiopathic short stature: systematic review

Efficacy of drug treatments for generalised anxiety disorder: systematic review and meta-analysis

Drug treatment for generalised anxiety disorder.

Government delays in banning tobacco displays in England lead to frustration.

Illinois governor finally signs bill outlawing death penalty.

Correlation in restricted ranges of data.

Indian court says it may sanction euthanasia in the future.

Withholding medical care from detainees is widespread, says UN.

Adult atopic eczema.

Growth hormone in children with idiopathic short stature.

Adequacy of reporting monitoring regimens of risk factors for cardiovascular disease in clinical guidelines: systematic review

Early life radiation exposure. Withholding imaging in pregnancy may be hazardous.

Utility of lifetime risks. In defence of lifetime risk.

Mephedrone. Banned but still available on the internet.

Pre-eclampsia is a risk marker

Dementia as chronic disease. Rigorous health infrastructure is needed.

Best practice for statisticians in industry sponsored trials.

Prevention of pain from propofol injection.

Prevention of pain on injection of propofol: systematic review and meta-analysis

Malaria. (Journal: BMJ (British Medical Journal) Volume: 342)

French healthcare: the high cost of excellence.

Public health reforms won't mitigate the cuts.

Effect of statins on atrial fibrillation: collaborative meta-analysis of published and unpublished evidence from randomised controlled trials

How to minimise risk of acquiring tuberculosis when working in a high prevalence setting: a guide for healthcare workers.

Nine million Americans have lost health insurance in recession.

Inquiry into doping case by Freiburg sports medicine institute reveals possible plagiarism.

Poor countries should use flexibility in global trade agreement to improve access to antiretrovirals, says report.

Strengthening the reporting of genetic risk prediction studies: the GRIPS statement.

A painful right leg.

Comparative cardiovascular effects of thiazolidinediones: systematic review and meta-analysis of observational studies

What have we learnt from the rosiglitazone saga?

Commentary: the Dutch approach to unwarranted medical practice variation.

Randomised trial of glutamine, selenium, or both, to supplement parenteral nutrition for critically ill patients

Herbal medicines will need to be registered with drug regulator to be sold in UK.

Pituitary infarction: a potentially fatal cause of postoperative hyponatraemia and ocular palsy.

Pituitary apoplexy. (Journal: BMJ (British Medical Journal) Volume: 342)

Managing adult patients who need home parenteral nutrition.

Human rights group accuses US psychiatrists of unethical treatment of prisoners.

Dutch doctors face fine for prescribing pregnancy hormone as dieting aid.

Virtual hospital for HIV patients halves consultation times.

Databriefing. How satisfied are we with the NHS?

New proposals for reorganisation of healthcare staff in England.

Medicine and the Media. Panic about nuclear apocalypse overshadows Japan's real plight.

Reducing unwarranted variations in healthcare in the English NHS.

Death toll climbs and healthcare needs escalate in Japan.

Report shows low rate of cancer surgery in middle aged people.

Libya's health system struggles after exodus of foreign medical staff.

Salzburg statement on shared decision making.

How services for long term conditions could be reborn.

Poor nutrition is increasing rates of overweight in developing countries.

Biomedical approach cannot deal with India's public health problems, says health activist.

Cardiac surgeons call for more doctors to use outcome data to improve care.

Draft bill sets out how courts should weed out unreliable expert witnesses.

Increase in alcohol sales in Scotland is driven by low prices and rising affluence.

Why have working hour restrictions apparently not improved patient safety?

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients’ outcomes: systematic review

How the secretary of state for health proposes to abolish the NHS in England.

The production of generic drugs in India.

We need a simple test for prosopagnosia.

Drug Tales and Other Stories. Prescription charges: a tax on the English.

Systematic failures and alternatives to audit.

Test all patients in high prevalence areas for HIV, says NICE.

Bigger is better for primary care.

Inpatient management of diabetic foot problems: summary of NICE guidance.

Assessment and management of psychosis with coexisting substance misuse: summary of NICE guidance.

Results can be summarised in a simple figure

Gynaecological examinations. Good not bad medicine.

Old drugs, new tricks . Use of intravenous lipids in clinical toxicology.

Southeast London—the unspoken problem

GPs and child protection. Medical records should be shared by all.

GPs and child protection. Online conferencing might be the answer.

Government says no to lowering drink driving limit in UK.

US authorities face legal challenges over anaesthetics used in executions.

A 42 year old man with bilateral exophthalmos and weight loss

A man with hypophosphataemia.

King's Fund report on improving the quality of care in general practice.

Alcohol marketing to children.

Life threatening myelotoxicity secondary to azathioprine in a patient with atopic eczema and normal thiopurine methyltransferase activity.

More needs to be done to tackle the 'double cruelty' of HIV and TB in Africa, says government.

Protecting public health after major radiation emergencies.

Quality of care in frail older people: the fragile balance between receiving and giving.

China pushes ahead with ban on indoor smoking.

US institute points up inconsistencies between guidelines on same condition.

The influence of study characteristics on reporting of subgroup analyses in randomised controlled trials: systematic review

A glimpse of the future of healthcare at the seaside.

Response to drug resistant tuberculosis is insufficient and too slow.

Campaigners call for university to close down children's chiropractic clinic in Melbourne.

Wilmshurst faces new libel claim over comments on freedom of speech.

Clinically integrated systems: the future of NHS reform in England?

Investigation and management of unintentional weight loss in older adults.

Transitions to palliative care in acute hospitals in England: qualitative study

Widening access to medical school. Access schemes are not enough.

Widening access to medical school. Could proficiency in English be a factor?

Widening access to medical school. Ethnicity and academic performance.

Appeal to doctor-patient relationship is unprofessional and unethical

Unethical health reforms . The reforms are already working.

Unethical health reforms. This ethical argument seems irrelevant to the real world.

New drugs for hyponatraemia. Cost effectiveness of tolvaptan.

QOF exemptions and care homes. Exemptions should be encouraged in frail elderly people.

Exposure from fluoroscopy in theatre.

Medical radiation exposure. Assigning a cumulative 'risk score'.

Medical radiation exposure. Making the best use of clinical radiology.

Turkish healthcare reforms. Article was a gift to minister of health just before general election.

Turkish healthcare reforms. 'Transforming' our health by privatisation.

Perioperative epidural analgesia for major abdominal surgery for cancer and recurrence-free survival: randomised trial

Type of anaesthesia during cancer surgery and cancer recurrence.

College investigates whether Wakefield was guilty of scientific fraud.

US government is to promote 'wellness' among its employees.

Chronic diarrhoea in an elderly woman.

Statin treatment for primary prevention of vascular disease: whom to treat? Cost-effectiveness analysis

Randomised prostate cancer screening trial: 20 year follow-up

Rebound hypoxaemia after administration of oxygen in an acute exacerbation of chronic obstructive pulmonary disease.

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Can the government's proposals for NHS reform be made to work?

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Use of weekly, low dose, high frequency ultrasound for hard to heal venous leg ulcers: the VenUS III randomised controlled trial

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kang'ombe, Arthur R. Worthy, Gill Nelson, E. Andrea Torgerson, David Iglesias, Cynthia Cullum, Nicky Bland, J. Martin Soares, Marta O. Chuang, Ling-hsiang Watson, Judith M.
Spatial Coverage	Ireland
Description	Author Affiliation: Watson JM ( Department of Health Sciences, University of York, UK.);
Abstract	Objective To assess the clinical effectiveness of weekly delivery of low dose, high frequency therapeutic ultrasound in conjunction with standard care for hard to heal venous leg ulcers. Design Multicentre, pragmatic, two arm randomised controlled trial. Setting Community and district nurse led services, community leg ulcer clinics, and hospital outpatient leg ulcer clinics in 12 urban and rural settings (11 in the United Kingdom and one in the Republic of Ireland). Participants 337 patients with at least one venous leg ulcer of >6 months’ duration or >5 $cm^{2}$ area and an ankle brachial pressure index of ≥0.8. Interventions Weekly administration of low dose, high frequency ultrasound therapy (0.5 $W/cm^{2},$ 1 MHz, pulsed pattern of 1:4) for up to 12 weeks plus standard care compared with standard care alone. Main outcome measures Primary outcome was time to healing of the largest eligible leg ulcer. Secondary outcomes were proportion of patients healed by 12 months, percentage and absolute change in ulcer size, proportion of time participants were ulcer-free, health related quality of life, and adverse events. Results The two groups showed no significant difference in the time to healing of the reference leg ulcer (log rank test, P=0.61). After adjustment for baseline ulcer area, baseline ulcer duration, use of compression bandaging, and study centre, there was still no evidence of a difference in time to healing (hazard ratio 0.99 (95% confidence interval 0.70 to 1.40), P=0.97). The median time to healing of the reference leg ulcer was inestimable. There was no significant difference between groups in the proportion of participants with all ulcers healed by 12 months (72/168 in ultrasound group v 78/169 in standard care group, P=0.39 for Fisher’s exact test) nor in the change in ulcer size at four weeks by treatment group (model estimate 0.05 (95% CI –0.09 to 0.19)). There was no difference in time to complete healing of all ulcers (log rank test, P=0.61), with median time to healing of 328 days (95% CI 235 to inestimable) with standard care and 365 days (224 days to inestimable) with ultrasound. There was no evidence of a difference in rates of recurrence of healed ulcers (17/31 with ultrasound v 14/31 with standard care, P=0.68 for Fisher’s exact test). There was no difference between the two groups in health related quality of life, both for the physical component score (model estimate 0.69 (–1.79 to 3.08)) and the mental component score (model estimate –0.93 (–3.30 to 1.44)), but there were significantly more adverse events in the ultrasound group (model estimate 0.30 (0.01 to 0.60)). There was a significant relation between time to ulcer healing and baseline ulcer area (hazard ratio 0.64 (0.55 to 0.75)) and baseline ulcer duration (hazard ratio 0.59 (0.50 to 0.71)), with larger and older ulcers taking longer to heal. In addition, those centres with high recruitment rates had the highest healing rates. Conclusions Low dose, high frequency ultrasound administered weekly for 12 weeks during dressing changes in addition to standard care did not increase ulcer healing rates, affect quality of life, or reduce ulcer recurrence. Trial registration ISRCTN21175670 and National Research Register N0484162339
ISSN	09598138
e-ISSN	17561833
Journal	BMJ (British Medical Journal)
Volume Number	342
Language	English
Publisher	British Medical Journal Publishing Group
Publisher Date	2011-03-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	High-Intensity Focused Ultrasound Ablation Varicose Ulcer Therapy Adverse Effects Kaplan-Meier Estimate Secondary Prevention Physiopathology Wound Healing Physiology Multicenter Study Randomized Controlled Trial Medicine
Content Type	Text
Resource Type	Article

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