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When I use a word . . . Drug stock-outs 当我用一个词…药品缺货
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1088
Jeffrey K Aronson
{"title":"When I use a word . . . Drug stock-outs","authors":"Jeffrey K Aronson","doi":"10.1136/bmj.r1088","DOIUrl":"https://doi.org/10.1136/bmj.r1088","url":null,"abstract":"A deficiency in the availability of a pharmaceutical product is usually known as a shortage. However, the term “stock-out” has also been used to describe a deficiency that occurs locally. It is sometimes hard to determine when a stock-out becomes a shortage, and that may be why stock-outs have been less well studied than shortages. In addition, because they are local, stock-outs may be thought by some to be less important than shortages. However, the causes of stock-outs may be different from the causes of shortages and they are as important to those who are affected as shortages are, even though there are fewer of them. Two years ago colleagues and I published two papers detailing various aspects of drug shortages.12 We covered definitions of the relevant terms, causes of shortages, the harms they can cause, and potential solutions. To do this, we looked for published definitions, of which we found 79. We also searched PubMed, Medline, and EMBASE to the end of 2022, initially using the term “shortage*.” However, this resulted in many thousands of hits, and we therefore restricted our search to the use of the term in titles of papers, of which we found about 6700. My most recent search has extended this to nearly 8000. In principle “shortage” is not hard to define. The Oxford English Dictionary ( OED ) does it succinctly: “Deficiency in quantity; the amount by which a sum of money, a supply of goods, or the like, is deficient.”3 However, when it comes to defining a drug shortage, problems arise. First there is the question of extent, and specifically …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measles: 31 US states affected as WHO warns of global rise. 麻疹:世卫组织警告全球上升,美国31个州受到影响。
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1083
Luke Taylor
{"title":"Measles: 31 US states affected as WHO warns of global rise.","authors":"Luke Taylor","doi":"10.1136/bmj.r1083","DOIUrl":"https://doi.org/10.1136/bmj.r1083","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"22 1","pages":"r1083"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral disease must be central in policies to improve global health 口腔疾病必须成为改善全球健康政策的核心
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1070
Habib Benzian, Dympna Kavanaugh, Sudeshni Naidoo, Manu Raj Mathur
{"title":"Oral disease must be central in policies to improve global health","authors":"Habib Benzian, Dympna Kavanaugh, Sudeshni Naidoo, Manu Raj Mathur","doi":"10.1136/bmj.r1070","DOIUrl":"https://doi.org/10.1136/bmj.r1070","url":null,"abstract":"Strategies are outdated and siloed, driving long term health harms Oral diseases affect almost one in two people worldwide1 and negatively affect quality of life, resulting in substantial financial and social burden across all countries. But in the global health policy discourse they remain largely ignored. Oral diseases were not mentioned in the recently released zero draft of the political declaration for the 2025 United Nations high level meeting on non-communicable diseases (NCDs).2 This omission has deep roots. Dentistry and medicine evolved as separate professions, creating educational and institutional silos that left oral health seen as specialised but not integral to overall health or health systems.3 In 2021, the World Health Assembly, the decision making body of all 193 World Health Organization (WHO) member states, adopted a resolution on oral health after 14 years of silence.4 A global oral health status report, the global strategy on oral health, and the development of a global action plan followed.56 In 2024, more than 100 countries endorsed the Bangkok declaration on universal health coverage for …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"140 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Right anterior axillary dimpling 右腋窝前凹陷
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj-2024-083924
Jiahao Meng, Xiong Li, Shuguang Gao
{"title":"Right anterior axillary dimpling","authors":"Jiahao Meng, Xiong Li, Shuguang Gao","doi":"10.1136/bmj-2024-083924","DOIUrl":"https://doi.org/10.1136/bmj-2024-083924","url":null,"abstract":"A man in his 30s, who had been training at a gym for the past six years, presented to the emergency department three days after experiencing a sudden “pop” sound during bench press training, followed by weakness and pain in his right arm. He reported that he had used heavy weights (100 kg). His medical history was unremarkable, with no history of taking steroid drugs. On examination, the patient’s vital signs were stable. Physical findings revealed slight bruising on the right upper arm, mild swelling and tenderness across the right chest, and dimpling on the right chest wall near the anterior axilla (fig 1). Notably, the right nipple was positioned lower than the left. The right shoulder had normal range of motion, but weakened adduction and internal rotation. Strength and sensation in the patient’s forearm and hand were intact. Fig1 General appearance of patient’s chest, …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Defence or aid, or defence and aid? Both are necessary for national security 防御还是援助,还是防御和援助?两者对于国家安全都是必要的
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1084
Kent Buse, Martin McKee
{"title":"Defence or aid, or defence and aid? Both are necessary for national security","authors":"Kent Buse, Martin McKee","doi":"10.1136/bmj.r1084","DOIUrl":"https://doi.org/10.1136/bmj.r1084","url":null,"abstract":"The Labour government has announced plans to further reduce international development assistance and increase the UK’s defence spending. Kent Buse and Martin McKee ask, where is the logic in this? The phrase “imitation is the sincerest form of flattery” is often attributed, probably incorrectly, to Oscar Wilde (it was certainly used by an English cleric some decades earlier).1 Regardless of who came up with it, if Wilde were still alive he might have coined an equally clever and caustic turn of phrase about the relationship between Keir Starmer, UK prime minister, and Donald Trump, US president. No sooner had Trump announced “liberation day,” imposing a raft of increased tariffs on countries including the UK, Starmer moved rapidly to secure a non-binding “deal” that would alleviate some of the consequences. The online press conference at which it was announced, with much mutual congratulation, confirmed the closeness of the two leaders.2 This has also become apparent as Starmer has adopted many aspects of Trump’s rhetoric on other topics, such as immigration, or imposed severe cuts to spending on aid. This policy mimicry will have devastating consequences, not just for millions of people dependent on UK aid but also for Britain’s standing in the world. The need to invest in defence has been …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Most doctors in England are offered 4% pay rise. 在英国,大多数医生都有4%的加薪。
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1075
Jacqui Wise
{"title":"Most doctors in England are offered 4% pay rise.","authors":"Jacqui Wise","doi":"10.1136/bmj.r1075","DOIUrl":"https://doi.org/10.1136/bmj.r1075","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"60 1","pages":"r1075"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New targets needed to reduce infant death rates after slow progress, say charities. 慈善机构表示,在进展缓慢之后,需要制定新的目标来降低婴儿死亡率。
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1073
Adrian O'Dowd
{"title":"New targets needed to reduce infant death rates after slow progress, say charities.","authors":"Adrian O'Dowd","doi":"10.1136/bmj.r1073","DOIUrl":"https://doi.org/10.1136/bmj.r1073","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"133 1","pages":"r1073"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tackling medicines shortages: a complex problem requiring collaborative action 解决药品短缺:一个需要合作行动的复杂问题
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1017
Alwyn Fortune, Claire Anderson, Fraz A. Mir
{"title":"Tackling medicines shortages: a complex problem requiring collaborative action","authors":"Alwyn Fortune, Claire Anderson, Fraz A. Mir","doi":"10.1136/bmj.r1017","DOIUrl":"https://doi.org/10.1136/bmj.r1017","url":null,"abstract":"Medicines shortages are on the rise globally and look set to be further exacerbated by US President Donald Trump’s trade war.12345 This will come as no surprise to patients whose treatment has been disrupted, or to healthcare professionals who spend hours trying to source medicines. The Royal Pharmaceutical Society (RPS), supported by charities, patient groups, and supply chain representatives, recently released a report6 urging the UK government to create a national strategy to tackle this serious issue. Charities working with patients have been sounding the alarm about drug shortages for some time. Epilepsy Action reported five times as many calls on the issue in 2024 compared to the previous year.7 In 2024, Healthwatch found that out of 1650 patients, 42% had problems sourcing medicines in the past 12 months.8 Patients and charities have also pointed out that communication and timely information about stock availability is lacking. Shortages are widespread, forcing patients to explore multiple avenues to source medicines, including potentially …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
David Michael Rapley 大卫·迈克尔·拉普利
The BMJ Pub Date : 2025-05-23 DOI: 10.1136/bmj.r1043
Alasdair Northrop
{"title":"David Michael Rapley","authors":"Alasdair Northrop","doi":"10.1136/bmj.r1043","DOIUrl":"https://doi.org/10.1136/bmj.r1043","url":null,"abstract":"David was born in Dulwich but brought up in Leamington Spa. His mother was a health visitor and his father a public health inspector, and they encouraged him to follow a career in medicine. After attending Leamington College for Boys he went to Birmingham Medical School, qualifying in 1980. When he was 21 he was diagnosed with Hodgkin’s lymphoma and underwent seven months of treatment, including an operation to remove cancerous lymph glands and his spleen, as well as chemotherapy. Despite that he continued his studies without a break and during his career it meant …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternity safety: where does the withdrawal of national service development funding leave us? 产妇安全:国家服务发展资金的撤出将我们置于何处?
The BMJ Pub Date : 2025-05-22 DOI: 10.1136/bmj.r1041
Marian Knight
{"title":"Maternity safety: where does the withdrawal of national service development funding leave us?","authors":"Marian Knight","doi":"10.1136/bmj.r1041","DOIUrl":"https://doi.org/10.1136/bmj.r1041","url":null,"abstract":"Funded maternity safety initiatives must be evaluated using robust data to improve maternity care, writes Marian Knight National guidance for Integrated Care Boards (ICBs) has recently been changed to remove ringfencing of funding for several national service developments.1 The change is intended to reduce the burden of demands on ICBs from NHS England, enabling ICBs greater freedom to spend their budget according to local priorities.3 The funding for maternity safety initiatives set out in the “Three year delivery plan for maternity and neonatal services” (published by the NHS in March 2023) is included in the change.2 Maternity safety remains a headline focus in the NHS England documentation,3 but the new analysis of the updated guidance has led to concerns being raised by professional and third sector organisations about the potential implications of the removal of ringfenced funding for women and families, including possible exacerbation of inequalities in outcomes.4 In the context of …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"135 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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