{"title":"YouTube videos promote positive images of alcohol, finds study.","authors":"Susan Mayor","doi":"10.1136/bmj.j4365","DOIUrl":"https://doi.org/10.1136/bmj.j4365","url":null,"abstract":"YouTube videos featuring alcohol products that are popular with underage drinkers attract large numbers of viewers and often associate drinking with fun and attractive characters, a new study has found.1\u0000\u0000Researchers analysed the content and use of 137 YouTube videos published between 2006 and 2013 that featured alcohol brands popular with underage drinkers, ranging from beer to vodka.\u0000\u0000“Although many studies have investigated the effect of alcohol advertisements on Facebook, Twitter and Instagram, little research has been done on video sharing platforms such as YouTube,” wrote the researchers, led by Brian Primack, director of the University of …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4365"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35376236","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}
{"title":"An older woman with spontaneous bruising.","authors":"Muhajir Mohamed, Ajay Prakash","doi":"10.1136/bmj.j3863","DOIUrl":"https://doi.org/10.1136/bmj.j3863","url":null,"abstract":"An 85 year old woman attended the emergency department with large bruises on her right forearm and left leg, which had appeared four days earlier. She had not sustained any injuries to account for the bruising. There was no bleeding from any other sites. Her only medical history was hypertension. Her medications included amlodipine and calcium supplements and she wasn’t taking aspirin, anticoagulants, or any over-the-counter medications. On examination there were extensive subcutaneous haematomas on the right forearm extending up to the upper arm and on the left leg extending up to the thigh (fig 1, 2⇓). Initial investigations showed low haemoglobin of 95 g/L with a normal platelet count (369 × 109/L). Coagulation assays showed markedly elevated activated partial thromboplastin time of 74 seconds (reference range 25 to 35 seconds). Prothrombin time was normal (12.2 seconds, reference range: 11 to 13 seconds), however, and fibrinogen assay was within normal limits (3.8 g/L, reference range 1.5 to 4.0 g/L). Mixing studies with 1 part of patient’s plasma and 1 part of pooled normal plasma (1:1 mix) showed no correction of elevated activated partial thromboplastin time. Further tests were performed to determine the reason for the elevated activated partial thromboplastin time. Factor assays revealed very low level of factor VIII (<1 IU/dL, reference range 50 – 150 IU/dL), and factors IX, XI, and XII were within normal ranges.\u0000\u0000\u0000\u0000Fig 1 Large subcutaneous haematoma in the right forearm extending to the upper arm\u0000\u0000\u0000\u0000\u0000\u0000Fig 2 Extensive subcutaneous haematoma in the left foot …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j3863"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j3863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35377346","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}
{"title":"How should we manage women with unexplained chronic pelvic pain in light of uncertainty about the effectiveness of gabapentin?","authors":"James M N Duffy","doi":"10.1136/bmj.j3624","DOIUrl":"10.1136/bmj.j3624","url":null,"abstract":"","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j3624"},"PeriodicalIF":0.0,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35376233","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}
Andrew W Horne, Katy Vincent, Roman Cregg, Jane Daniels
{"title":"Is gabapentin effective for women with unexplained chronic pelvic pain?","authors":"Andrew W Horne, Katy Vincent, Roman Cregg, Jane Daniels","doi":"10.1136/bmj.j3520","DOIUrl":"10.1136/bmj.j3520","url":null,"abstract":"","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j3520"},"PeriodicalIF":0.0,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35429927","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}
{"title":"CQC rates 90% of general practices as good or better.","authors":"Gareth Iacobucci","doi":"10.1136/bmj.j4391","DOIUrl":"https://doi.org/10.1136/bmj.j4391","url":null,"abstract":"Ninety per cent of general practices in England have been rated as “good” or “outstanding” by the Care Quality Commission, making it the highest performing sector that the organisation regulates.\u0000\u0000In a report the CQC describes as the most detailed analysis to date of the quality and safety of general practice in England, the regulator found that at the end of its first full inspection programme—in which many general practices had been re-inspected—4% were rated “outstanding,” 86% as “good,” 8% as “requires improvement,” and 2% as “inadequate.”1\u0000\u0000This was an improvement from the first set of ratings awarded to general practices before any re-inspections took place, when 4% …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4391"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4391","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35427622","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}
{"title":"Doctors can withdraw artificial feeding without court approval in some cases, judge rules.","authors":"Clare Dyer","doi":"10.1136/bmj.j4397","DOIUrl":"https://doi.org/10.1136/bmj.j4397","url":null,"abstract":"Cases in which doctors and the family of a patient in a permanent vegetative or minimally conscious state agree that artificial feeding should be withdrawn need no longer go to court, a High Court judge has declared in a landmark ruling.1\u0000\u0000Mr Justice Peter Jackson ruled that a decision to withdraw clinically assisted nutrition and hydration in such cases, taken in accordance with professional guidance, will be lawful and that doctors who withdraw the treatment without going to court will be protected under the provisions of the Mental Capacity Act.\u0000\u0000The ruling came in the case of a woman with Huntington’s disease, who was dependent on clinically assisted nutrition and hydration since 2003. Neither the …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4397"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35376227","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}
{"title":"Just 3% of patients with long term conditions have a written care plan, study finds.","authors":"Abi Rimmer","doi":"10.1136/bmj.j4396","DOIUrl":"https://doi.org/10.1136/bmj.j4396","url":null,"abstract":"Just 3% of patients with long term conditions have a written care plan and large numbers of people are not as involved in their healthcare decisions as they want to be, a study has found.\u0000\u0000A study by National Voices, a coalition of over 160 health and care charities, collated patient and service user reported data from 19 England-wide surveys.\u0000\u0000It found that just over half (54%) of the 808 332 respondents to the 2017 General Practice Patient Survey identified themselves as having one or more long term conditions and, of these, 3% said they had a written care …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4396"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4396","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35427630","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}
{"title":"One in 10 parents with child in neonatal care don't see consultant in 24 hours, audit finds.","authors":"Zosia Kmietowicz","doi":"10.1136/bmj.j4392","DOIUrl":"https://doi.org/10.1136/bmj.j4392","url":null,"abstract":"The care delivered in 2016 to around 95 000 babies admitted to UK neonatal units was better than in 2015, but continuing variation in practice meant that babies in some parts of the country were much less likely to get the care they needed, an audit has found.1\u0000\u0000Results of the National Neonatal Audit Programme, published by the Royal College of Paediatrics and Child Health, showed that among preterm babies 94% (8597) had timely screening for retinopathy of prematurity in England, Scotland, and Wales in 2016. In the Shropshire, Staffordshire, and Black Country neonatal network this outcome improved from 87% in 2015 to 98% in 2016. …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4392"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35427620","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}
{"title":"Simon Wessely: \"Every time we have a mental health awareness week my spirits sink\".","authors":"Sophie Arie","doi":"10.1136/bmj.j4305","DOIUrl":"https://doi.org/10.1136/bmj.j4305","url":null,"abstract":"The first psychiatrist president of the Royal Society of Medicine is worried that over-awareness of mental ill health will sink an under-resourced service","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4305"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35429933","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}
Beverley J Shea, Barnaby C Reeves, George Wells, Micere Thuku, Candyce Hamel, Julian Moran, David Moher, Peter Tugwell, Vivian Welch, Elizabeth Kristjansson, David A Henry
{"title":"AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both.","authors":"Beverley J Shea, Barnaby C Reeves, George Wells, Micere Thuku, Candyce Hamel, Julian Moran, David Moher, Peter Tugwell, Vivian Welch, Elizabeth Kristjansson, David A Henry","doi":"10.1136/bmj.j4008","DOIUrl":"https://doi.org/10.1136/bmj.j4008","url":null,"abstract":"","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4008"},"PeriodicalIF":105.7,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35427623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}