Vitamin B12 deficiency: NICE guideline summary | The BMJ
2024年6月13日 · Vitamin B 12 deficiency is associated with a range of symptoms and signs, resulting in substantial variation in patient presentation. While epidemiological data are limited, cross sectional studies from the UK and US suggest a prevalence of 3% in people aged 20-39, increasing with age up to about 20% in people aged 85 and over.1 2 Complications of vitamin …
Advances in management of heart failure | The BMJ
2024年4月10日 · Survival. Survival following a diagnosis of heart failure is poor and is highly influenced by age. In the UK, survival approaches 80% at five years for people aged 45-64 but is closer to 20% at five years for those aged ≥85.7 Fortunately, survival rates have improved since 2000, particularly among younger patients.7 Although overall survival is an important outcome, …
Food and mood: how do diet and nutrition affect mental wellbeing?
2020年6月29日 · Poor nutrition may be a causal factor in the experience of low mood, and improving diet may help to protect not only the physical health but also the mental health of the population, say Joseph Firth and colleagues ### Key messages Depression and anxiety are the most common mental health conditions worldwide, making them a leading cause of disability.1 …
Recognition, diagnosis, and early management of suspected sepsis ...
2024年6月18日 · Sepsis is defined as life threatening organ dysfunction caused by a dysregulated host response to infection.1 In 2016, the National Institute for Health and Care Excellence (NICE) first published guidance on recognising, diagnosing, and managing suspected sepsis. In May 2022, a statement published by the Academy of Medical Royal Colleges2 (and endorsed by …
Impact of vaping on respiratory health | The BMJ
2022年7月18日 · Widespread uptake of vaping has signaled a sea change in the future of nicotine consumption. Vaping has grown in popularity over the past decade, in part propelled by innovations in vape pen design and nicotine flavoring. Teens and young adults have seen the biggest uptake in use of vape pens, which have superseded conventional cigarettes as the …
The future of the NHS depends on its workforce | The BMJ
2024年3月27日 · The future of the NHS depends on the people who work in it, so workforce stewardship should be a key priority Achieving a high quality, sustainable NHS is currently challenged by major workforce problems. Staff are the most significant element of NHS expenditure1 and its most important asset in providing care for NHS patients, but stewardship …
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Essential tremor: diagnosis and management - The BMJ
2019年8月5日 · Essential tremor is one of the most common movement disorders in adults and can affect both children and adults. An updated consensus statement in 2018 redefined essential tremor as an isolated action tremor present in bilateral upper extremities for at least three years. Tremor may also be present in other locations, commonly the neck or the vocal cords. Patients …
Chronic pain: definitions and diagnosis | The BMJ
2023年6月27日 · Pain related diseases are the leading cause of disability and disease burden worldwide. 1 2 Chronic pain affects between a third and half of the population globally, 3 4 5 and high impact chronic pain—defined as pain experienced on most days or every day in the previous three months that causes restriction in at least one activity—has been found to affect 4.8% of …
Quality improvement into practice | The BMJ
2020年3月31日 · Box 1 Definitions of quality improvement. Improvement in patient outcomes, system performance, and professional development that results from a combined, multidisciplinary approach in how change is delivered.3 The delivery of healthcare with improved outcomes and lower cost through continuous redesigning of work processes and systems.4 …