Podcast archive

Bias in clinical guidelines, and giving birth at home

Despite repeated calls to prohibit or limit conflicts of interests among authors and sponsors of clinical guidelines, the problem persists. Jeanne Lenzer explains what's going wrong.

And is giving birth at home as safe for the mother as giving birth in hospital? New research from the Netherlands suggests that it is, and that risk assessment is key.

See also:

Why we can’t trust clinical guidelines

Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study

14/06/2013 52:53

Corporations as vectors of disease

This month the UK parliament has been looking at the big accountancy firms' involvement in drafting tax laws. Conversely, the Department of Health has hidden the involvement of tobacco lobbyists in proposed plain packaging legislation.

Jeff Collin, professor of global health policy at the University of Edinburgh, argues that this culture of industry participation is worrying, but the lack of transparency by government is even worse.

Also this week, what day of the week is safest for surgery? Paul Aylin, a clinical reader in epidemiology and public health at Imperial College London, explains his research.

See also

Corporate involvement in public health policy is being obscured

Day of week of procedure and 30 day mortality for elective surgery: retrospective analysis of hospital episode statistics

31/05/2013 59:11

Think then scan, don't scan then think

Until now, the increased risk of cancer from CT scans has been modelled from the data gathered from survivors of the Hiroshima and Nagasaki bombings. However, new BMJ research, based on a large Australian cohort, offers new evidence to support the modelling. John Matthews, from the university of Melbourne, joins us to explain what they found.

Also this week, social media is relatively new – but did you realise that doctors had been using social networks to improve health for centuries? Enrico Coiera, director of the Centre for Health Informatics at the University of New South Wales, explains more, and how in the digital age we might try and use virtual networks to do the same job on a larger scale.

See also:

Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence

Social networks, social media, and social diseases

24/05/2013 20:24

Vulnerable adults, and the road to cycle safety

In a drive to improve safety, many cyclists now wear helmets. But how useful is legislation that mandates their use when compared with all the other safety initiatives available? Jessica Dennis, a PhD candidate from the Dalla Lana School of Public Health at the University of Toronto, tells us about her research into accident trends.

Also this week, doctors play a key role in spotting when a vulnerable person is experiencing abuse, but it can be difficult to know how to tackle the issue. A clinical review sets out some advice. We're joined by the authors, Billy Boland, consultant psychiatrist and lead doctor for safeguarding adults, and Jemima Burnage, head of social work and safeguarding, at Hertfordshire Partnership NHS Foundation Trust in the UK.

See also:

Helmet legislation and admissions to hospital for cycling related head injuries in Canadian provinces and territories

Safeguarding adults at risk of harm

17/05/2013 51:27

The BMJ Awards: Medical Team of the Year

The BMJ Awards were held last Thursday. Fiona Godlee, the BMJ's editor in chief, announced that the Britain Nepal Otology Service (BRINOS) was named Medical Team of the Year.

BRINOS (brinos.org.uk) started out in 1988 by setting up joint British and Nepalese surgical camps to treat ear disease among patients living outside the reach of hospitals in the capital of Kathmandu. A national survey in 1991 found that among the 19m people in Nepal, 2.7m were deaf and 1.5m had abnormal ear drums indicative of ear disease. BRINOS has performed more than 4000 major ear operations at 49 surgical day camps since its first expedition in 1989. Furthermore, there have been many anecdotal stories of improved education and employment opportunities in social isolation after surgery. The organisation expanded in 2000 to introduce community ear assistants, who are specially trained in the diagnosis and treatment of ear disease and dispense hearing aids passed on from the NHS.

To see more from the night, as well as find out who won our other 13 awards visit awards.bmj.com

15/05/2013 40:38

Suspected heart failure

Mabel Chew, practice editor at the BMJ, talks to Tushar Kotecha, a cardiology specialist registrar at Charing Cross Hospital in London, about when to suspect heart failure, and how to diagnose the condition.

See also:

Investigating suspected heart failure

03/05/2013 27:57

Dying patients in hospital, e-patients online

Patients are increasingly going online to find and discuss information about their condition. What are they getting on the web that they’re not getting from clinicians, and how is this changing healthcare?

Also, how to care for a dying patient in hospital.

See also:

Caring for a dying patient in hospital

BMJ Learning's module on the Liverpool Care Pathway (free for the next month)

How the e-patient community helped save my life: an essay by Dave deBronkart

rawarrior.com

cancergrace.org

29/04/2013 47:40

Warts and all

This week, we discuss how Australia’s national human papillomavirus (HPV) vaccination programme has caused a dramatic drop in genital warts. Does this foretell elimination of all disease caused by HPV in the country?

And some advice on how to diagnose and manage pulmonary hypertension.

See also

Genital warts in young Australians five years into national human papillomavirus vaccination programme: national surveillance data

Pulmonary hypertension: diagnosis and management

19/04/2013 38:47

Dealing with delirium

Delirium is often missed in primary and secondary care. Edison Vidal, assistant professor in internal medicine at the Universidade Estadual Paulista, Brazil, advises on diagnosing and managing the condition.

Rheumatoid arthritis, non-biological drug treatments, or both, might suppress tumour surveillance and in theory increase the risk of melanoma. Pauline Raaschou, consultant in clinical pharmacology at the Karolinska Institutet, Sweden, explains what she found while investigating the association.

See also

Delirium in older adults

Rheumatoid arthritis, anti-tumour necrosis factor therapy, and risk of malignant melanoma: nationwide population based prospective cohort study from Sweden

15/04/2013 52:58

Tackling hypertension in India

The World Health Organization has chosen hypertension as the public health threat it will focus on for the next year. The problem is particularly pressing in India, and Anita Jain, the BMJ's India editor, spoke to François Decaillet, Coordinator for Health Programs, WHO India, about what needs to be done to tackle hypertension in the country's population.

See also

Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials

Effect of lower sodium intake on health: systematic review and meta-analyses

08/04/2013 11:19

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