Aylar: Temmuz 2023

NHS trusts and integrated care boards have been told by NHS England to review their policies for handling cases of sexual assault, harassment, and abuse of staff and patients and to consider adopting dedicated policies on sexual safety.The action followed

CoronersThe office of coroner in England dates from the end of the 12th century,1 having been established by Richard I in the so-called Articles of Eyre of 1194, an eyre being a court of itinerant justices. Coroners were originally officers

At the 2023 Women Deliver Conference on July 17, an event that seeks to champion gender equality, the UN Women Executive Director, Sima Bahous, said “Our hopes and aspirations for a brighter, more sustainable, more equal, and more peaceful planet

Repeated or last minute cancellations of planned NHS appointments are having a catastrophic effect on patients’ health and are widening health inequalities, Healthwatch England has warned.1The watchdog said that last minute cancellations can lead to patients getting sicker and can

bmj;382/jul26_17/p1728/FAF1faKnown as “Big Gordon” by colleagues—not least on account of his stature (he was 2 m tall)—Gordon McInnes, who has died suddenly aged 77, was a huge figure in the areas of hypertension, stroke prevention, and clinical pharmacology. At a

Preterm birth (delivery before 37 weeks of gestation) is a significant risk factor for maternal and perinatal mortality. Despite intensive efforts to develop preventive and treatment interventions intended to delay delivery until term, preterm birth continues to be one of

Cancer is the UK’s leading cause of death,1 and, as Mathew notes, the UK’s record compares unfavourably with those of other high income countries.2 Mathew is concerned that thresholds for two week wait referrals in the NHS have evolved without

Canada had one of the lowest rates of covid-19 cases and deaths per population than most in the G10 group of industrialised countries.1 But overall rates ignore underlying health inequalities—a consistent feature of the covid-19 pandemic across countries, within and

On the first day of their two day strike on 20 and 21 July, consultants in England put the blame for the crisis in the profession and the NHS squarely at the door of the government.The failure of senior doctors’

Respiratory syncytial virus (RSV) is the most common cause of serious respiratory infection in infants. Reinfections occur commonly, including in older adults. For six decades, effective vaccines remained elusive. Stabilization of the prefusion conformation of the RSV glycoprotein F was

60 years ago, the first newborn screening test for phenylketonuria, a rare inherited metabolic disease, was developed. The heel prick test, devised by Robert Guthrie, enabled babies with the condition to be identified soon after birth and begin a diet

There were 101 977 acute inpatient and outpatient appointments cancelled during the latest round of strike action by junior doctors in England, NHS data1 show.Overall, more than three quarters of a million (754 555) appointments across acute, mental health, ambulance,

The Department of Health and Social Care was guilty of “panic buying” personal protective equipment (PPE) during the covid pandemic, with insufficient checks made on private companies it was handing contracts to, a parliamentary select committee has concluded.The Commons Public

Screening for lipid disorders in children and adolescents can identify 2 types of lipid disorders: primary lipid disorders, which typically are monogenic, rare, and severe, and the more common secondary lipid disorders that often result from other disease processes or

We agree with Abbasi that this is a “dangerous moment for science,”1 and are worried that a “bystander effect” is worsening research misconduct. The organisations that could help are largely walking by. Publishers expect institutions to prevent poor quality and

Medical impartiality is a well established principle but the impartial practice of medicine has brought clinicians into conflict with the authorities in Iran. The current crisis in Iranian healthcare and protests began in September 2022, following the killing of Mahsa

Thomas Horner (“Tom”), born in Belfast, was one of five children. His childhood was shaped by the Great Depression, with his father managing a linen export company and having to move to the nearby Gilnahirk countryside to reduce the family

The latest WHO European Region report, published on July 5, estimates that 97% of the region’s population is exposed to air pollution levels exceeding WHO guideline limits. Ambient and household air pollutions were linked to 723 000 premature deaths in 2019

The argument is simple enough. Ensuring that research is registered in advance, the findings reported quickly, and the data and code shared readily is in the best interests of science and the public good. Ultimately, the public pays for the

Health leaders have welcomed a 7% fall in the number of vacant posts for adult social care in the past year in England, but they warned of “profound challenges” still ahead in filling the 152 000 posts currently empty.New figures

In 1984, the US Food and Drug Administration (FDA) approved nicotine gum as the first pharmacotherapy for cigarette smoking cessation. Other types of nicotine replacement therapy have followed (nicotine lozenges, transdermal patches, inhaler, and a nasal spray), and in 1997,

Last week, the tragic and avoidable death of a young woman was discussed in parliament.1 The patient had presented to her general practice with, reportedly, obvious symptoms of a deep vein thrombosis and a pulmonary embolus. This diagnosis was not

The World Health Organization has fired seven people, including at director level, for sexual misconduct in six months as the body attempts to reform after a number of scandals.In 2021 an independent commission published its report on WHO’s links to

Lynch and Largent discuss the contribution of patients—current and future—to regulatory approvals for promising new medicines, but they overlook a key point: the independence of the patients who represent the consumer voice.1 European drug companies invest heavily in patients’ groups.

The current model for academic leadership places unique demands on scientists with highly active research programs. A complimentary model with a dedicated scientific director could remove this strain and allow a greater institutional investment in the community via a partnership.

Loneliness is not new, but it does seem to be gaining attention as a social and health concern. The UK and Japan appointed ministers of loneliness in 2018 and 2021, respectively. The US Surgeon General recently called loneliness a public

When the analysis is done on the new workforce plan for England’s NHS, the verdict might not be the rosy one that was presented to the world one week ago. The plan is full of ideas and solutions—more doctors, more

GPs should offer all patients presenting with signs of colorectal cancer a faecal immunochemical test (FIT) to reduce the waiting times for a colonoscopy, the National Institute for Health and Care Excellence (NICE) has recommended in draft guidance.1The current NICE

Delivering the NHS workforce plan depends on implementing major reforms which will challenge professional and organisational power.The NHS Long Term Workforce Plan for England1 makes bold assumptions about productivity improvements, moving care out of hospital, getting better at prevention and

Listen to the JAMA Editor’s Audio Summary for an overview and discussion of the important articles appearing in this week’s issue of JAMA.

NHS urgent and emergency care is under intolerable strain. This strain is increasingly causing harm to patients.1 Timely and high quality patient care is often not being delivered due to overcrowding driven by workforce and capacity constraints.23 While the covid-19