Showing posts with label medicines. Show all posts
Showing posts with label medicines. Show all posts

Friday, 27 April 2018

Things in the library 27 April...

Things about honey...
A recent Cochrane review evaluated the effectiveness of honey for acute cough in children in ambulatory settings. They concluded that honey probably relieves cough symptoms to a greater extent than no treatment, diphenhydramine, and placebo, but may make little or no difference compared to dextromethorphan. Honey probably reduces cough duration better than placebo and salbutamol. There was no strong evidence for or against using honey. Most of the children received treatment for one night, which is a limitation to the results of this review. There was no difference in occurrence of adverse events between the honey and control arms.

Things about pre-conception...
Parental environmental factors, including diet, body composition, metabolism, and stress, affect the health and chronic disease risk of people throughout their lives, as captured in the Developmental Origins of Health and Disease concept. Research across the epidemiological, clinical, and basic science fields has identified the period around conception as being crucial for the processes mediating parental influences on the health of the next generation. During this time, from the maturation of gametes through to early embryonic development, parental lifestyle can adversely influence long-term risks of offspring cardiovascular, metabolic, immune, and neurological morbidities, often termed developmental programming. This is discussed in an article in the Lancet and calls for a major re-examination of public health policy to protect against future disease risk through societal advice on, and greater provision of, preconception care, as also promoted in the two accompanying reviews in this Series. Although a focus on parental risk factors during the preconception period, such as smoking and excess alcohol intake, is wise and well established, new drives to prepare nutritionally for pregnancy are crucial, including healthy body composition, physical activity, and diet for both parents.

Things about medicines...
The King's fund have published a briefing looking at how much the health service spends in total on medicines, both generics and branded medicines, based on publicly available data. In recent years, spending on branded medicines has been constrained by the Pharmaceutical Price Regulation Scheme a new instalment of which is currently under negotiation. They also explore policies used to try to control growth in costs and the choices policy-makers are likely to face in the future.






Things about pints...
Pint of Science festival returns to Sheffield from Monday 14 - Wednesday 16 May, featuring talks by colleagues from across the University. Taking place in six of the city’s best-loved pubs, the festival promises a fascinating insight into the research of our University’s world-leading scientists.
Some events sell out quickly as they are in small venues - tickets just £4.



Things about clinical research...

To celebrate International Clinical Trials Day, on Friday 18th May the NIHR Sheffield Clinical Research Facility at RHH is opening its doors to the public for a tour of the facility. Led by one of their experienced research nurses, you will have the chance to meet their diverse team and ask any burning questions you have about clinical research. There’ll be an opportunity to try out some research activities with their research therapists, and learn more about the varied, exciting and innovative work taking place in the STH Trust. Free but you need to register.

Things to make...
Still without cooking facilities at my house (though the end is in sight) but when I have an oven again I rather fancy these Apricot, honey & pistachio flapjacks . Perhaps the honey will help with my cough....though that probably has more to do with all the plaster dust!


Friday, 7 October 2016

Things in the library 7th October...

Things about medicines for children...
NHS England has launched a 30 day public consultation on a clinical commissioning policy proposition for commissioning medicines in children.  There has already been extensive engagement on this national policy, it has been developed with the support and input of lead clinicians and patient and public representatives. This approach has helped ensure that the views of key stakeholders have informed and influenced the development of this policy to date. They now wish to test them further with wider groups of stakeholders.


Things about acute paediatric services...
The RCPCH is developing a set of service level measures designed to support acute paediatric services to monitor the effects of service change at a local level, and to facilitate quality improvement. They are doing this:

  • To enable and support child health services to monitor the effect of service interventions at a local level.
  • To provide a strong evidence base for the development and revision of service standards, such as the Facing the Future suite of standards.
  • To identify and share examples of best practice, to aid the improvement of child health outcomes across the four UK nations

The future of the NHS?...
Good Governance (GGI) has published ‘The Future of the NHS’ that critically examines and provides some context to the direction in which the NHS is headed – consuming more and more public money to provide an increasingly worse service. With commentary from eminent colleagues including former secretaries of state for health, the publication Sir William Wells, presented his concerns at a seminar hosted by GGI in Westminster.


Things about TB...
Public health England have published their 2016 report (presenting data to end of 2015)





Mental health of Girls...
Girlguiding has published a report on the mental well-being of girls. Key findings include: girls of all ages face compounding pressures across all areas of their lives including sexist pressures; girls tend to dismiss or play down the issues they face and feel they should be able to cope alone. Recommendations include: all decision-makers need to listen to girls’ voices and engage them in the decisions that affect their lives; schools should take a zero-tolerance approach to sexual harassment; Personal, Social, Health and Economic Education (PSHE) should be a statutory entitlement for all young people.

Things about numbers...
"Numbers needed to mislead, meta-analysis and muddled thinking" a lecture  at ScHARR by Honorary Professor Stephen Senn FRSE on Wednesday 26 October 2016 at 17.15 - 18.00pm Lecture Theatre 4, The Diamond. 
Free - book tickets here  Professor Senn says "The ardent espousal by the evidence based medicine movement of numbers needed to treat (NNT) as a way of making difficult statistical concepts simple and concrete, has had the unintended consequence of sowing confusion. Many users, including many in the evidence based movement themselves, have interpreted these statistics as indicating what proportion of patients benefit from treatment. I shall explain this, with the example of a recent Cochrane Collaboration meta-analysis of paracetamol against placebo in trials of tension headache for which the plain language summary is plain wrong" 

Things about childhood obesity...
Public Health England outline their priority for reducing the proportion of overweight children leaving primary school in their Childhood Obesity Plan

Things about understanding sustainability and transformation plans ...
STPs are place-based, multi-year plans that are built around the needs of local areas and their populations, rather than the activities of individual organisations. In the NHS shared planning guidance 2015, NHS England asked every local health and care system in England to come together to create their own ambitious local STP to accelerate the aims of the Five Year Forward View, including addressing the funding gap, improving service quality and enhancing population health and wellbeing.
This briefing discusses the policy context, development to date, the timetable for further development and implementation, as well as the key messages from local political, commissioning and provider leaders on how the STP process could most helpfully develop in the coming months.

Something warm and comforting...
Seeing as the weather is feeling more nippy we thought this looks a nice weekend eat - Melting meatball macaroni....mmmm must be nearly lunchtime now!