People with certain metabolic risk factors who are obese are two and a half times as likely to develop heart disease as healthy people of normal weight. But those who are obese without these other risk factors still have a 28% increased risk of heart disease compared with healthy people of normal weight.
This trial found that destroying nerves that take pain signals to the brain using heat (radiofrequency denervation) did not improve pain, function or a sense of “recovery”. The treatment was used alongside exercise and was a variation of the technique commonly used in the UK. In this large study, it was compared to exercise alone.
A system where all patients have a telephone call with their GP before an appointment decreased the number of face-to-face consultations but increased telephone consultations. There was an overall 8% increase in the time GPs spent consulting, though there was large variation across practices.
For adults with schizophrenia who continue to have symptoms despite treatment with the antipsychotic drug clozapine, adding amisulpride (another antipsychotic) was not shown to improve their chance of responding.
Older people who received comprehensive geriatric assessment when in hospital were slightly more likely to be living in their own homes one year later. Sixty percent were discharged to independent living compared with 56% receiving standard ward care. People who had received this proper assessment were also 20% less likely to be in a nursing home after three months or more.
People with ankylosing spondylitis showed improvement in their symptoms and their ability to perform day-to-day tasks when they did more exercise. Symptom and function scores improved by almost one point on a 10-point scale after 3 to 12 weeks of exercise.
Suicidality is prevalent worldwide, particularly in people who access mental health services. The quality of therapeutic alliance between people with mental health difficulties and staff has been associated with suicidality but only in community settings. Defeat and entrapment are correlated with suicidality and may mediate any relationship between alliance and suicidality. Therefore this exploratory study explored these relationships in people admitted to mental health wards. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
In older patients, psychiatric illnesses frequently exist in tandem with physical illnesses, requiring nursing care that is specific to these combined care needs. The impact of caring for these patients on the mental well-being of nursing staff is unknown. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
By way of a case story, two common presuppositions in the academic debate on conscientious objection in healthcare are challenged. First, the debate typically presupposes a sharp division between conscience-based refusals based on personal core moral beliefs and refusals based on professional (eg, medical) reasons. Only the former might involve the moral gravity to warrant accommodation. The case story challenges this division, and it is argued that just as much might sometimes be at stake morally in refusals based on professional reasons. The objector's moral integrity might be equally threatened in objections based on professional reasons as in objections based on personal beliefs. Second, the literature on conscientious objection typically presupposes that conflicts of conscience pertain to well-circumscribed and typical situations which can be identified as controversial without attention to individualising features of the concrete situation. However, the case shows that conflicts of conscience can sometimes be more particular, born from concrete features of the actual situation, and difficult, if not impossible, to predict before they arise. Guidelines should be updated to address such ‘situation-based’ conscientious refusals explicitly. To read the full article, log in using your NHS OpenAthens details.
Functional somatic symptoms (FSS), defined as physical symptoms that cannot be fully explained by organic pathology, are prevalent in youngsters worldwide. When severe, they can pose a major burden on the affected individual as well as on society. FSS seem to aggregate in families, and family variables may play a key role in symptom development and perpetuation. It may, therefore, be important to work with the family when managing FSS. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Intellectual disability research has concentrated on self-reported explicit attitudes with little focus on implicit attitudes. Such attitudes are evaluations which occur with or without conscious awareness, respectively. This investigation examined participants’ (N = 234) attitudes towards individuals with intellectual disabilities with reference to participants’ gender, age, level of education, frequency of contact and closeness. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Constipation can lead to serious health issues and death. This systematic review summarizes international research pertaining to the management of constipation in people with intellectual disability. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Children with mild/moderate intellectual disabilities are at greater risk for mental health problems, with socio-economic factors and adversity partly accounting for this. Fewer data are available for adolescents. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Education and training for doctors is too reliant on the goodwill and sacrifices made by senior colleagues who act as trainers, the General Medical Council (GMC) warns today.
To investigate how mentors form judgements and reach summative assessment decisions regarding student competence in practice. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To summarize the associations between weight stigma and physiological and psychological health for individuals who are overweight or obese. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Held in London on the 21 September 2017 this year’s diversity and inclusion conference explored the themes of diversity, collaboration and innovation.
In this podcast listen to three of the keynote speakers, Michael Bach, Amar Latif and Belinda Parmar; who each take one of the main themes from the conference and share their own perspective on it.
In April 2016, control of Greater Manchester’s £6 billion combined health and social care budget was handed over to local leaders as part of the first devolution deal of its kind. Since then, local NHS and local government leaders, clinicians and wider partners have been working together to develop services suited to the needs of the 2.8 million people who live in Greater Manchester.
Previous research estimates the lifetime prevalence of compulsive sexual behaviour (CSB) in individuals with Parkinson’s disease (PD) to be 2.7%. CSB has also been associated with male gender and earlier onset of PD.1 Although both dopamine agonists (DAs) and, to a lesser extent, levodopa have been associated with impulsive compulsive behaviours (ICBs),2 it is still unclear whether higher levodopa doses are a risk factor for the development of CSB in patients with PD. To read the full article, log in using your NHS OpenAthens details.
The National Health Service (NHS) is known to be a challenging place to work, with financial and performance targets placing increasing pressure on the organisation. This study aimed to investigate whether these pressures and threats might be detrimental to the quality of care and the compassion that the NHS strives to deliver. Quantitative data were collected via self-report questionnaires from healthcare professionals across 3 NHS trusts in England in order to measure Self-compassion; Compassion for Others; Perceived Organisational Threat; and Perceived Organisational Compassion. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Despite the fact that today most of the patients with psychological disturbances assume some form of psychotropic drug treatment, clinical psychologists may have little familiarity with psychopharmacology and are substantially unaware of subtle and yet pervasive potential effects of medications in clinical presentations. In their training, psychologists are generally exposed, at best, to some general principles of drug action. Standard psychopharmacology textbooks tend to omit the subtle psychological changes that may occur during psychotropic drug treatment. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
There is limited information on the occurrence of ‘sudden gains’ – recognized improvements of substantial magnitude occurring between individual sessions of treatment. This study explores changes in anxiety across sessions of CBT for youth anxiety disorders to determine whether evidence exists for sudden gains in this population. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Public Health England (PHE) has announced the 7 local authority areas that have been selected to take part in a randomised controlled trial of individual placement and support (IPS) for people in or dependent on either drugs, alcohol or both in community treatment services. [Includes Staffordshire]
Adolescence has been recognized as a critical period for mental health during which it is fundamental to the well-being of adolescents to provide early and appropriate mental health interventions. Self-image perceptions play a particularly relevant role during adolescence since individuals are extensively involved in reorganizing their identity and relationships. Although the self-image development implies adaptive outcomes for most adolescents, some age-related tasks can be difficult to deal with and lead to psychological suffering for a minority of them. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The Health Committee hears from senior officials, including Minister of State for Health, Philip Dunne MP, about the challenges facing the nursing workforce in England and the actions Government and arms-length bodies are taking to address these problems.
Children’s services provided by Shropshire Council have been rated as ‘good’ overall by Government inspectors Ofsted, following a four-week inspection in September and October this year.
PSHE is a programme of work taught across schools. The programme aims to give children the knowledge, skills and understanding they need to lead confident, healthy and independent lives, and to become informed, active and responsible citizens. Relationships and sex education (RSE), emotional health and mental health are taught as part of the PSHE programme, as is drug and alcohol education.
DynaMed Plus is one of the most sought after resources in EBM. As such we’re absolutely delighted to announce that DynaMed Plus content has been added to Trip. And, what’s even better, if you’re not a subscriber to DynaMed Plus you can get ten free ‘views’ per month.
With the inclusion of DynaMed Plus to Trip I felt it was time to update the graphic that attempts to convey what users search when they use Trip. It’s a tough ask and below is my attempt (slight update on a previous graphic). Comments welcome!!
Staff at Shropshire’s two acute hospitals provide excellent, friendly care for children and young people.
That is the finding of the latest Children and Young People’s Survey published by the Care Quality Commission (CQC).
An innovative CPFT service to support the mental health of women with gynaecological cancers at CUH Addenbrooke’s and Peterborough City Hospitals and funded by Macmillan has been launched today.
The comprehensive psychological service, one of the first of its kind in the country, includes group and 1:1 therapies, and direct access to specialist psychology and psychiatry support for those with more complex or severe mental health difficulties.
It has been developed by experts from CPFT’s Psychological Medicine Service, which provides psychiatric care to those in acute hospitals, and the gynaecological oncology department at Addenbrooke’s, part of Cambridge University Hospitals (CUH).
A study by researchers from Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) and the University of Chicago has found a possible link between problem gambling and increased caffeine consumption.
In a study published recently in Addictive Behaviours, CPFT’s Dr Samuel Chamberlain and Professor Jon Grant from the University of Chicago, studied caffeine consumption and impulsivity in 61 problem gamblers aged 18 to 29.
Staffordshire County Council has announced today its intention to reduce the budget for the local Healthwatch from £415,000 to £210,000 - a cut of 50%. This constitutes one of the largest ever proposed cuts to a Healthwatch service
The department is seeking views on the Knowledge and skills statement for adult social work supervisors, to make sure it covers the key skills and knowledge needed to support high quality, reflective social work practice.
The term “intellectual disability” is increasingly used to refer to people with learning disabilities in British learning disability policy, practice and research. This change is undoubtedly a reflection of the changing international context. The inclusion of the term “intellectual disability” has been particularly pronounced in countries such as the USA. By contrast, this change has been relatively silent in England. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Items include STPs, 'Inclusion nudges guidebook', 'Collective leadership and safety cultures', 'Executive level leadership and talent management in NHS Scotland' and more.
Library Search is the online catalogue and library account system for the Health Library and its partners. It includes the collections of:
Health Library for North Staffordshire
Library, Education and Resource Centre (LERC) at County (Stafford) hospital
Campus Library at Keele University
Carers play a vital role in supporting people who are frail, ill or disabled, but, in doing so, they often become vulnerable themselves. Find out four ways carers want to be better supported.
Blog post. After a traumatic experience, why do some people develop Post-Traumatic Stress Disorder (PTSD), while others don’t? Work to date has found evidence that various factors play a role, including a lack of social support and low levels of the neurotransmitter neuropeptide Y (due to its role in the body’s stress response). Into this mix come new findings, reported in Psychosomatic Medicine, that an individual’s complement of gut bacteria (their gut microbiome) may contribute to their vulnerability to trauma. The researchers are now investigating whether tweaking the gut microbiome could help to prevent or treat PTSD.
Blog post. Although psychotherapy is effective for many people, it doesn’t help everyone. In fact, in some cases it can do more harm than good. And while clinical researchers publish many studies into the outcomes of different therapeutic approaches, such as CBT or psychoanalytic psychotherapy, we actually know relatively little about the specific therapist behaviours that clients find beneficial or unwelcome.
A new study in the Journal of Clinical Psychology, although it involves only a small sample, has broken new ground by asking clients to provide detailed feedback on a second-by-second basis of their experience of a recent therapy session, and to explain their perspective on what took place. Intriguingly, the very same therapist behaviours were sometimes identified as helpful and at other times as a hindrance, showing just what a challenge it is to be a therapist.
Antipsychotics have serious metabolic side effects on blood glucose. However, the comparative influence of these drugs on blood glucose levels has not been comprehensively evaluated. We conducted a network meta-analysis to create a hierarchy of the side effects of 12 antipsychotic drugs on changes in blood glucose levels.
In the UK, crisis planning for mental health care should acknowledge the right to make an informed advance treatment refusal under the Mental Capacity Act 2005. Our aims were to estimate the demand for such treatment refusals within a sample of service users who had had a recent hospital admission for psychosis or bipolar disorder, and to examine the relationship between refusals, and service user characteristics.