The BMJ Pub Date : 2025-10-02 DOI: 10.1136/bmj.r2068

Caroline Dale, Louise Kenny, Ranee Thakar, Shakila Thangaratinam, Reecha Sofat

{"title":"Paracetamol and pregnancy: the real story is a lack of funding for women’s health research","authors":"Caroline Dale, Louise Kenny, Ranee Thakar, Shakila Thangaratinam, Reecha Sofat","doi":"10.1136/bmj.r2068","DOIUrl":"https://doi.org/10.1136/bmj.r2068","url":null,"abstract":"Pregnant women are often excluded from clinical trials, leaving an evidence gap and enabling unsubstantiated claims, write Caroline Dale and colleagues On 22 September, US president Donald Trump, accompanied by his health secretary Robert F Kennedy Jr, advised against using Tylenol (paracetamol) during pregnancy.1 They inaccurately linked it to an increased risk of neurodevelopmental disorders, including autism and attention deficit hyperactivity disorder (ADHD) in children exposed during pregnancy. In the United Kingdom, the Science Media Centre brought forward a wide range of leading clinicians and scientists from pharmacology, obstetrics and gynaecology, and neuroscience, all of whom provided clear, robust, and evidence based reassurance on the safety of paracetamol in pregnancy.2 Health agencies and regulators worldwide, including the UK’s Medicines and Health products Regulatory Agency, the European Medicines Agency, and Australia’s Therapeutic Goods Administration, have unequivocally refuted a causal link between the use of paracetamol during pregnancy and childhood neurodevelopmental problems.345 Still, those of us working at the clinical interface were already bracing ourselves …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145203506","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

Trust GPs to manage ADHD 信任全科医生来管理多动症

The BMJ Pub Date : 2025-10-02 DOI: 10.1136/bmj.r2057

Stuart Kyle

引用次数: 0

Why can’t we do anything about delirium? 为什么我们对精神错乱无能为力？

The BMJ Pub Date : 2025-10-02 DOI: 10.1136/bmj.r2003

Chris Stokel-Walker

{"title":"Why can’t we do anything about delirium?","authors":"Chris Stokel-Walker","doi":"10.1136/bmj.r2003","DOIUrl":"https://doi.org/10.1136/bmj.r2003","url":null,"abstract":"Tens of thousands of NHS patients will develop delirium—and an alarming proportion die after the illness. Yet few people talk about it. Chris Stokel-Walker explores why My grandad had always said he was bulletproof, and I believed him. In his 92 years of life he had rarely been ill. In his late 80s he shrugged off a knee replacement like it was nothing, and recuperated incredibly quickly after an unexpected fall in his 90s led to an emergency hip replacement. He wasn’t blighted with the illnesses and health problems that affected his peers. Until he was. My grandad is one of the many people who have developed delirium, an often encountered but little spoken about condition that can change lives—or end them. Delirium is a state of sudden, acute confusion that is brought about by illness, infection, or changes to the patient’s environment. Some 1-2% of patients in primary care experience the condition,1 as do 8% of care home residents.2 In emergency departments 10% of attendees have it, rising to 25% of patients who have a hip fracture.3 For adults aged 18-65 a delirium diagnosis is associated with at least a doubling of 30 day mortality risk.4 One in four patients who score highest on a test designed to diagnose delirium die during hospital admission.4 Yet while official data from NHS England suggest that annually 71 000 people in UK hospitals have delirium,5 researchers say that’s a drastic undercount because of its lack of diagnosis.6 Some 55% of delirium diagnoses are missed among patients in emergency departments.7 “It’s something I wrestle with,” says Alasdair MacLullich, professor of geriatric medicine at the University of Edinburgh. “Why is something so common and so serious neglected on an …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145203832","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

Israel inflicts 17 "brutal attacks" on healthcare in Gaza City in just two weeks, UN reports. 据联合国报道，以色列在短短两周内对加沙城的医疗设施发动了17次“野蛮袭击”。

The BMJ Pub Date : 2025-10-02 DOI: 10.1136/bmj.r2078

Elisabeth Mahase

引用次数: 0

David Oliver: League tables are no solution to the problems in NHS hospitals 大卫·奥利弗：排名表并不能解决NHS医院的问题

The BMJ Pub Date : 2025-10-02 DOI: 10.1136/bmj.r2060

David Oliver

引用次数: 0

GPs warn that new online access rules are unsustainable and unsafe as BMA enters dispute with government. 全科医生警告说，随着BMA与政府陷入纠纷，新的在线访问规则是不可持续和不安全的。

The BMJ Pub Date : 2025-10-02 DOI: 10.1136/bmj.r2083

Jacqui Wise