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Overseas trained doctors may have to do volunteer community work under new migration rules. 根据新的移民规定，海外培训的医生可能不得不做志愿者社区工作。
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2090
Adrian O'Dowd
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引用次数: 0
Covid-19: Lack of surveillance leaves UK in dark as hospital admissions rise, experts warn. 新冠肺炎：专家警告称，随着入院人数的增加，缺乏监测使英国陷入黑暗。
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2095
Kate Bowie
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引用次数: 0
Sixty seconds on . . . type 5 diabetes. 六十秒后……5型糖尿病。
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2092
Luke Taylor
{"title":"Sixty seconds on . . . type 5 diabetes.","authors":"Luke Taylor","doi":"10.1136/bmj.r2092","DOIUrl":"https://doi.org/10.1136/bmj.r2092","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"197 1","pages":"r2092"},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215619","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
Tylenol, vaccines, and autism: the medical mayhem of the MAGA methodologists 泰诺、疫苗和自闭症：MAGA方法学家的医学混乱
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2084
Kamran Abbasi
{"title":"Tylenol, vaccines, and autism: the medical mayhem of the MAGA methodologists","authors":"Kamran Abbasi","doi":"10.1136/bmj.r2084","DOIUrl":"https://doi.org/10.1136/bmj.r2084","url":null,"abstract":"Are the MAGA methodologists out of control? The chief methodologists of the Make America Great Again cult are Donald Trump and Robert F Kennedy Jr—and, as with everything that Trump reigns over, the willing and unwilling complicity of professionals, institutions, and the MAGA media is a given. This is problematic enough when evidence tells us that depriving people of their liberties and eroding democracy will harm health and wellbeing (doi:10.1136/bmj.m4040 doi:10.1136/bmj.m4088).12 Yet the MAGA methodologists are unchecked: their hubris extends to believing that they know best about science and medicine. The credo of MAGA methodologists is to create a health crisis based on data that are unavailable and may not exist; misleading appraisals of the science; single studies that are preliminary, misinterpreted, or half remembered; and general amplification of misinformation. They are overlords of social media, giving them global reach to complement their …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145209968","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
Why older people are still excluded from health research—and what can be done 为什么老年人仍然被排除在健康研究之外——我们能做些什么
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2048
Kate Bowie
{"title":"Why older people are still excluded from health research—and what can be done","authors":"Kate Bowie","doi":"10.1136/bmj.r2048","DOIUrl":"https://doi.org/10.1136/bmj.r2048","url":null,"abstract":"People over the age of 75 are routinely being left out of clinical studies, and resulting gaps in the data are harming them. Kate Bowie reports On 11 August a coalition of more than 40 UK health research funders and charities issued a rallying call for more older people to be included in research.1 People aged over 75 are “disproportionally under-represented” in medical research in comparison with their burden of disease, undermining the usefulness and accuracy of findings, they warned. The call was unprecedented, but the coalition thought it necessary to draw attention to the issue because the UK population is ageing rapidly. By 2050 more than 19 million people—around one in four—will be aged 65 or over.2 Yet health research has not kept pace with this shift. Data for the past five years from the National Institute for Health and Care Research show that only 15.2% of recorded participants (173 280 of 1.14 million) were over the age of 75 at recruitment—a relatively small number given that around 75% of 75 year olds in the UK have more than one long term condition, a proportion that rises with age.1 The studies that included these patients mainly looked at cancer (29% (941 of 3247 studies)), cardiovascular disease (10% (339)), musculoskeletal and orthopaedics (6% (191)), dementia and neurodegeneration (6% (188)), and respiratory conditions (6% (185)). The relatively small numbers mean this group is often left out of research that directly affects their care. “This exclusion can lead to gaps in evidence, less effective treatments, and care that isn’t properly tailored to those who use services the most,” said England’s chief medical officer, Chris Whitty. So why are they currently excluded—and what can be done to increase recruitment? Although the UK’s Equality Act determines that discrimination on the basis of …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"214 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145209967","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
Women were physically harmed after gynaecologist took "shortcuts," report finds. 报告发现，在妇科医生走“捷径”后，妇女受到了身体伤害。
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2087
Clare Dyer
{"title":"Women were physically harmed after gynaecologist took \"shortcuts,\" report finds.","authors":"Clare Dyer","doi":"10.1136/bmj.r2087","DOIUrl":"https://doi.org/10.1136/bmj.r2087","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"42 1","pages":"r2087"},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215618","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
QOF creates incentives for embellishment and puts substantial demands on primary care QOF为美化创造了动机，并对初级保健提出了大量要求
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2063
Edoardo Cervoni
{"title":"QOF creates incentives for embellishment and puts substantial demands on primary care","authors":"Edoardo Cervoni","doi":"10.1136/bmj.r2063","DOIUrl":"https://doi.org/10.1136/bmj.r2063","url":null,"abstract":"As a UK general practitioner (GP) in 2002, when the Quality and Outcomes Framework (QOF) was introduced, I anticipated that it would enhance quality of care by incentivising structured chronic disease management. But Ho and colleagues’ systematic review aligns with my experience that its impact on care quality has been limited.1 The observed short term improvements in quality, often reversed when the incentive was …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145209963","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
No supply, no survival: why patients must be involved in global trade decisions 没有供应，就没有生存：为什么患者必须参与全球贸易决策
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2086
Linxi Mytkolli
{"title":"No supply, no survival: why patients must be involved in global trade decisions","authors":"Linxi Mytkolli","doi":"10.1136/bmj.r2086","DOIUrl":"https://doi.org/10.1136/bmj.r2086","url":null,"abstract":"Tariffs and price hikes are putting access to medical devices at risk Every 10 days I insert a glucose sensor into my skin; every three days I change the site for my insulin pump. These US made devices are how I manage my diabetes, and how I stay alive. But they are not exempt from broad trade tariffs, and like many other essential medical technologies they are now caught in an increasingly fragile global supply chain. People living with disabilities and long term conditions are quietly paying the price for opaque trade policies. Whether it’s steel tariffs delaying infusion sets for diabetes, aluminium costs impacting the production of mobility aids, or electronics disruptions affecting hearing aids, the story is the same: lives are being placed at risk by decisions made far from the people they affect.123 Steel based infusion sets, …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145210015","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
Performative doubt and the fight for public trust 表演性怀疑和争取公众信任的斗争
The BMJ Pub Date : 2025-10-03 DOI: 10.1136/bmj.r2077
Lucinda Hiam
{"title":"Performative doubt and the fight for public trust","authors":"Lucinda Hiam","doi":"10.1136/bmj.r2077","DOIUrl":"https://doi.org/10.1136/bmj.r2077","url":null,"abstract":"Writing from the US, Lucinda Hiam argues that public health must acknowledge uncertainty transparently, while unflinchingly confronting bad faith political figures who peddle lies and exploit mistrust In an interview during the final weeks of the Brexit campaign in June 2016, then Lord Chancellor Michael Gove famously said: “I think the people of this country have had enough of experts [from organizations with acronyms] saying they know what is best and getting it consistently wrong.”1 Nearly a decade later, US Secretary of Health and Human Services Robert F Kennedy Jr echoed this sentiment in an interview in August 2025, saying that “trusting the experts is not a feature of science or democracy, it’s a feature of totalitarianism and of religion.”2 This framing undermines valid scrutiny: science is organized skepticism, not blind trust. Yet these attacks land because they exploit genuine grievances with medicine and public institutions alongside manufactured suspicion. What we face is not ordinary doubt, but the deliberate weaponization of perceived uncertainty …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145209961","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
"Unprecedented" US government shutdown could force mass furlough of health workers. “前所未有”的美国政府关闭可能迫使卫生工作者大规模休假。
The BMJ Pub Date : 2025-10-02 DOI: 10.1136/bmj.r2073
Luke Taylor
{"title":"\"Unprecedented\" US government shutdown could force mass furlough of health workers.","authors":"Luke Taylor","doi":"10.1136/bmj.r2073","DOIUrl":"https://doi.org/10.1136/bmj.r2073","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"62 1","pages":"r2073"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145209221","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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