A substantial proportion of NHS hospital staff, including those in maternity services, encounter patients who have been trafficked, according to research published in BMJ Open. The study found that staff across various specialties lack knowledge on how best to respond to victims and feel inadequately prepared to provide appropriate care.
The Assisted Dying Bill aims to provide protection for terminally ill and mentally competent adults through judicial consent, but experts disagree on its safeguards. Jacky Davis argues that the bill will result in fewer suffering deaths, while Baroness Ilora Finlay warns of potential vulnerabilities among certain groups.
A large US study found that light to moderate drinking is associated with an increased risk of certain alcohol-related cancers in women, mainly breast cancer, and men who have ever smoked. Overall, the study suggests that women should not exceed one standard drink a day and men should not exceed two standard drinks a day.
Rings made of titanium are difficult to remove from swollen fingers due to their resistance to cutting methods. A new solution has been developed by plastic surgeons using bolt cutters, which work in under 30 seconds and can be performed solo without damaging the finger.
Research published in Archives of Disease in Childhood found the UK's child mortality rate is nearly double that of Sweden, with premature birth, congenital abnormalities, and infections being major causes. The study calls for a stronger focus on prevention to improve the UK's position on the European child mortality league table.
Experts argue that free internet access should be rolled out across NHS premises to enhance decision making and patient outcomes. However, others believe that diverting funds from front-line clinical services would be unethical and compromise patient care.
Despite claims by Susan Greenfield that intense internet use harms adolescent brains, experts warn that there is currently no evidence to support these claims. Research suggests that social networking sites can enhance friendships and relationships, while computer games do not lead to impulsiveness or aggression.
A study published in The BMJ found that trans fats are associated with a greater risk of death and coronary heart disease, but saturated fats are not. The study suggests that industrial trans fats may increase the risk of coronary heart disease and calls for a review of dietary guidelines.
NHS trusts under severe financial pressure are least likely to terminate expensive PFI contracts, warns expert. Alternative solutions, such as adjusting commissioner payments to compensate for capital costs, are considered more effective.
A new initiative to add price tags to medicines worth over £20 in England may have unintended consequences, warns an editorial in the Drug and Therapeutics Bulletin (DTB). The move could lead vulnerable patients to worry about being a burden on society, while others may view cheaper drugs as less important. Furthermore, the added cost ...
The BMJ will publish the Journal of Investigative Medicine (JIM), owned by the American Federation for Medical Research, starting in January 2016. JIM adds to the BMJ's portfolio of world-leading medical journals, covering the latest scientific developments in all medical research specialties.
A review of the available data concludes that there is very little evidence to recommend a low FODMAP diet as an effective treatment for irritable bowel syndrome symptoms. While some studies suggest potential benefits, such as changes in gut bacteria profiles, more research is needed to establish its efficacy and long-term effects.
A large observational study found that regular consumption of spicy foods is associated with a lower risk of death, particularly from cancer and heart disease. Participants who ate spicy foods almost every day had a 14% lower risk of death compared to those who consumed them less than once a week.
Research finds that men who become dads before age 25 have poorer health and die earlier than those who delay fatherhood. The study, published in the Journal of Epidemiology & Community Health, used a nationally representative sample of over 30,500 men to track their mortality rates from age 45 until death or age 54.
Analysis of 835 studies shows that even low weekly physical activity is associated with a 22% lowered risk of death. The most significant health benefits were found among those who increased their physical activity, particularly women.
A recent report by the King's Fund shows that increasing day surgery has led to improved patient outcomes and reduced NHS expenditure. By 2013, day case activity had increased from 7% in 1974 to nearly 35%, saving an estimated £2bn for the NHS.
Experts weigh in on whether a sugar tax can help combat obesity, with some arguing it's a necessary step to reduce consumption and others claiming it would be economically ineffective. A sugar tax on all products may stimulate reformulated products, while taxes on specific food categories could change diets and improve health.
BMJ has partnered with the European Society for Medical Oncology (ESMO) to publish a new open access cancer journal called ESMO Open. The journal will cover various aspects of cancer treatment and include study protocols and phase I clinical trials. It aims to provide rapid access to high-quality research on cancer care worldwide.
Research found that depression and personality disorders were the most common diagnoses among Belgian psychiatric patients requesting euthanasia. The study, published in BMJ Open, highlights the need for guidelines on 'unbearable suffering' and procedures for mentally ill patients seeking help to die.
Research published in Archives of Disease in Childhood found that premature birth is associated with a distinct personality profile characterized by introversion, neuroticism, and risk aversion. Adults born prematurely scored higher on these traits compared to those born at term, even after adjusting for lower intelligence.
Research published in BMJ Open found that successful aging is associated with harmful drinking among older adults. Analysis of over 9000 responses from the English Longitudinal Survey of Ageing showed that higher income, better health, and social activity levels are linked to increased risk of hazardous drinking.
A joint association between low birth weight and unhealthy lifestyle in adulthood increases the risk of type 2 diabetes. Research suggests that adopting a healthy lifestyle can prevent most cases of this condition.
A doctor argues that long sleeved white coats spread infection and lead to avoidable harm and cost to patients. He advocates for banning doctors and medical students from wearing white coats to reduce hospital acquired infections in India.
Doctors warn that commercial interests are driving the continued recommendation of calcium and vitamin D supplements for osteoporosis treatment, despite a lack of evidence showing their benefit. The authors argue that industry influence is fuelling enthusiasm for these supplements, which are highly profitable.
A recent study published in The BMJ found that regular consumption of sugary drinks is positively associated with type 2 diabetes, independent of obesity status. The study estimated that two million new-onset type 2 diabetes events in the US and 80,000 in the UK could be related to sugar sweetened beverage consumption over 10 years.
Peter Fisher argues that homeopathy is misunderstood and that some reviews have omitted key evidence, while Edzard Ernst claims that most independent systematic reviews have failed to show homeopathy's effectiveness due to methodological flaws.
A recent study published in The BMJ found that taking a combination of antidepressants and common painkillers increases the risk of bleeding. The researchers analyzed data from over four million patients and found a substantially increased bleeding risk with combined use of antidepressants and NSAIDs, especially in men.
Cystitis affects half of women at least once in their lifetime, causing 1% of UK GP consultations. Women should be allowed to access safe treatment, like nitrofurantoin, without a prescription to improve autonomy and reduce healthcare burden.
Research published in Veterinary Record found that one in four UK show dogs competing at Crufts was overweight, despite breed standards emphasizing ideal condition. The study suggests that widespread online exposure of show dog images may be normalizing canine obesity.
The UK government's 'beyond aid' approach to healthcare investments in developing countries has been criticized for its potential to exacerbate health inequities and poverty. A preliminary analysis found that large corporate hospital chains in emerging economies have received majority of the investment commitments.
A study published in The BMJ found an association between SSRI antidepressants and increased risk of birth defects in infants. Sertraline was the only SSRI not linked to higher risks, while fluoxetine and paroxetine were associated with heart wall defects and irregular skull shape, respectively
Research published in BMJ Quality & Safety found a heightened risk of death after hospital admission at weekends in several developed countries. Patients admitted for planned surgery were more likely to die within 30 days, with a 'Friday effect' observed in Dutch hospitals.
A new smartphone app, Alcohol Tracker, warns users if they exceed recommended daily/weekly alcohol units. The app provides built-in psychological therapies and helpline links to help users manage their drinking.
A study of nearly 18,000 women in the UK, Ireland, Australia, and New Zealand found that 20-80% drank during pregnancy, with higher rates among smokers. The prevalence of binge drinking was also common, particularly before pregnancy. Factors associated with lower risk included age, ethnicity, education level, and body weight.
A pharmacy professor argues that a two-tier system of prescription or non-prescription drugs would be simpler and less confusing for consumers. The current pharmacy medicine category has limited benefits and lacks evidence to support its value.
The BMJ has introduced a new policy requiring data sharing for all clinical trials, building on initial policies for drug and device trials. This move aims to promote transparency and reproducibility in research, as encouraged by initiatives from the US Institute of Medicine and World Health Organization.
Chronic lung disease guidelines are over-diagnosing COPD in older men and under-diagnosing it in young women, according to experts. The current guidelines may lead to adverse effects of inappropriate medication or incorrect treatment, resulting in poorer outcomes.
A study found that a small group of authors, including those employed by pharmaceutical companies, dominated diabetes research with an over-reliance on commercially sponsored studies. This raises concerns about the balance of power and conflict of interest in the field.
A recent study found that nearly a third of US adults own guns, with a higher prevalence among white married men over 55. Gun ownership is also linked to social gun culture, where family or friends also own guns or engage in activities involving firearms.
Research published in Injury Prevention found that license plate decals did not reduce crash rates among young drivers with learner permits in New Jersey. The study analyzed data from January 2006 to June 2012 and found no association between decal provision and crash rates, citing high compliance with passenger restrictions
Research suggests that SSRIs taken for menopausal symptoms may increase bone fracture risk in middle-aged women, with significant increases observed after several years of treatment. Shorter treatment lengths may be preferable to mitigate this risk.
Leading doctors and academics call for divestment from fossil fuel companies, citing the need to prevent runaway climate change and unprecedented harm to global health. The authors argue that shareholder engagement is ineffective in switching dependence on fossil fuels with renewables.
India's abortion law is criticized for its arbitrary 20-week cut-off, compelling women to continue pregnancies against their wishes. This can lead to physical and mental trauma, unsafe abortions, and related maternal mortality.
Recent changes to EU regulations have led to an increase in imported pets from Eastern Europe, where rabies is endemic, raising concerns about the effectiveness of current checks. The study found that many stray and rescue dogs had low antibody levels against rabies, suggesting potential risks for these animals.
Despite fewer legal barriers, women in developed countries still face significant inequities in abortion access due to inadequate service provision, moral opposition, and inadequate training. The review suggests improving access by increasing training, boosting service options, and making services more affordable or free.
A meta-analysis published in The BMJ found that women who experience a stillbirth have up to a fourfold increased risk of stillbirth in a second pregnancy. Pregnancies should be closely monitored, and antenatal interventions offered for women at high risk. Improved care and research are needed to address this major public health concern.
The BMJ investigation reveals a sharp divide within the public health community regarding e-cigarettes and 'harm reduction'. Experts debate the products' potential to help smokers quit and the tobacco industry's true intentions. Some argue for collaboration with the industry, while others fear it may be a Trojan horse.
The study found that Akkermansia muciniphila is associated with lower fasting blood glucose and insulin levels, as well as a smaller waist:hip ratio and reduced body fat cell volume. Those with higher abundance of the microbe showed stronger improvement in their metabolic profile after calorie restriction.
A small audit of clinical practice found that doctors often misdiagnose zinc deficiency and are unaware of the impact of excess zinc on the body. High doses of zinc supplements can disrupt copper uptake, leading to anaemia and neurological symptoms.
Research published in Tobacco Control found that including experimenters in e-cigarette prevalence studies can lead to inaccurate results. The study suggests setting a threshold of six days out of the past 30 for more accurate monitoring of population health trends. Current smokers were more likely to use e-cigarettes than former or ne...