Archive for the ‘Medicine’ Category

MMR

Friday, April 19th, 2013

“The MMR vaccine was introduced to induce immunity less painfully than three separate injections at the same time, sooner than at three separate encounters, and more efficiently than either.

By increasing the time until immunised, spacing the components inevitably increases opportunities for infection with at least two of the diseases for the individual and their contacts. ”

http://www.ganfyd.org/index.php?title=MMR_vaccine

In case your Trust has lost this …

Tuesday, April 16th, 2013

in the 15 years or so since it was published…

The guidance saying hospitals should build sick notage into their discharge procedures is now in the National archive.

I’m wondering if the vanished PCT stuff will find its way there, or if a veil will be drawn across that.

Measles MMR and Homoeopathy

Sunday, April 14th, 2013

http://newsthump.com/2011/05/27/why-are-all-my-children-getting-measles-ask-homeopathy-fans/

Some concepts can be conveyed to some people by some variety of humour sometimes. The situation in Swansea deserves some bilious humour, and is likely to shade into mordant humour. Someone who made a mistake will claim it was someone else’s fault, and quacks tend not to be insured.

Culture News

Wednesday, April 3rd, 2013

Iain Banks mortally ill.

This is a pity, for more reasons than my wanting him to carry on writing until I stop reading.

How did NICE arrive at the HT guidance they gave?

Sunday, March 10th, 2013

NICE HT guidance replaced by http://guidance.nice.org.uk/CG127 in 2011

and

http://www.bmj.com/content/344/bmj.d8218?sso= which makes much sense leave the question of on what basis NICE came to the conclusions in their advice to be answered.

Meanwhile, in other news, an actual trial of the Mediterranean diet did not prevent cardiovascular disease. http://www.nejm.org/doi/full/10.1056/NEJMoa1200303?query=featured_home&#t=articleDiscussion

Clowns

Thursday, February 28th, 2013

From their website

“Important communication regarding the FP 2013 allocation process

Published: 26/02/2013

We regret to inform FP2013 applicants that the Medical Schools Council (MSC) has brought to the attention of the UK Foundation Programme Office (UKFPO) a potential error in the scanning process of the Situational Judgement Test answer sheets that may have affected the scores for some applicants.

Due to the nature of the potential issue, the UKFPO has made the decision to manually remark all the affected answer sheets. It is possible that some SJT scores will be increased as a consequence of the manual check, and if this is the case, the UKFPO may have to re-run the allocation algorithm.

Please be assured that the decision to re-run the algorithm will not be taken lightly, but if any discrepancy in scores is detected, then it will be the fairest and most transparent way of ensuring that any applicants who received a lower mark because of this error are awarded the marks they deserve.

All those who sat the SJT received their results at 9am on the 25th of February. The outcome of the allocation to UoA may now be subject to change.

The UKFPO and MSC do not underestimate the anxiety that this may cause, and are working collaboratively to resolve this issue as quickly as possible. The UKFPO will keep those involved in the application process well informed throughout this procedure, and it is hoped that if the allocation algorithm needs to be re-run, applicants will be notified of the outcome by the end of next week at the latest.

The machine-marked SJT is a well-established method of assessment and it does not affect the validity or reliability of the assessment. The UKFPO would also like to inform all concerned that this issue has been caused by an off-line process and not by the Foundation Programme Application System (FPAS).

This is the first round of an important project to improve selection to the Foundation Programme and the UKFPO and MSC are taking the lessons learned from this incident extremely seriously to make the process stronger in the future.

Fair Trade and Anti-vaccinationists

Thursday, February 7th, 2013

So, in New South Wales the fair trading body requires the Australian antivaccination network to adopt a name that is suitably indicative of what it is about. Seems sensible. Their current name omits the anit, which would cause confusion for anyone who read little else or believed the rubbish they turn out. They are against vaccination, for anything, but their specific current trouble arose from a complaint by the parents of a 4 week old child who died of Whooping Cough, which the AaVN are against vaccination for.

http://www.theaustralian.com.au/news/breaking-news/anti-vaccine-group-ordered-to-change-name/story-fn3dxiwe-1226537406620 most Australians are pretty sensible, and their public bodies are admirably robust. And it is a nice place.

How small a part of this building is instantly recognizable?

Prefatory to Francis: good hospitals are run by doctors.

Tuesday, February 5th, 2013

“In 2011 Dr Amanda Goodall from the Cass Business School published, in the journal Social Science & Medicine, her findings of a strong positive association between the ranked quality of a hospital and whether the CEO was a physician. This paper at long last nails the myth that doctors do not make good managers. Medical and other health professionals should urgently be restored to the highest levels in hospital management if the problems to be revealed by Robert Francis, QC, are to be dealt with in a radical manner.
Sir Miles Irving ”
http://www.thetimes.co.uk/tto/opinion/letters/article3677766.ece via a colleague on DNUK

The TImes, behind its paywall, also has an article by Tallis
http://www.thetimes.co.uk/tto/opinion/columnists/article3677878.ece

CCG:Lewisham:Tattersall:dud

Monday, January 21st, 2013

http://m.guardian.co.uk/commentisfree/2013/jan/21/gps-sham-ccgs-local-commissioning nicely put.

In Devon though the enthusiasm of the GPs for the structures and aims of the next 5 year plan is total.

Timing of BP tablets. Better in evening than morning.

Saturday, January 19th, 2013

http://spoonfulsugar.wordpress.com/2012/12/27/snippets-2/ Good point.

Useful. I have for a long time suggested people divide multiple drugs between evening and morning, for HT, and felt that the early morning “aargh time to get up I’m late I’m late” surge in BP is likely to be a problem.

Some people take their tablets when their eyes open, others seem to potter around for an hour before getting round to it, and I suppose designing a study to demonstrate that the latter have more trouble is now made more difficult by recognising they ought to take them on going to bed.

The first sign of failing BP regulation is a loss, I’m told, of the night-time drop in BP, and this may perhaps oppose that.