Guideline: Nonsurgical treatment of chronic periodontitis

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This new systematic review from the ADA includes 72 RCTs on nonsurgical treatment approaches for chronic periodontitis. The systematic review provides the basis for a new clinical practice guideline.

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NICE challenging behaviour guidelines stress person centred proactive support but barriers to achievement still exist

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NICE guidelines on supporting people with learning disabilities and challenging behaviour have now been published. Here we look at the main recommendations and reflect on how likely they are to improve practice.

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CBTp and medication in the treatment of psychosis: summarising the best evidence

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Clive Adams presents a summary of the latest evidence for CBTp and medication in the treatment of psychosis. This blog was published alongside Clive’s talk at the Understanding Psychosis and Schizophrenia conference in Bath on 11 June 2015

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When to see a child and adolescent psychiatrist: recent RCPsych guidance

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Emily Stapley summarises the recent Royal College of Psychiatrists guidance on child and adolescent psychiatry, which sets out the standards to which child and adolescent psychiatrists work.

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What is the best management approach for patellofemoral pain?

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In this blog, Lesley Dawson considers a mixed methods study, which combined findings from high-quality systematic reviews with clinical reasoning from international clinical experts to produce a best practice guide for clinicians managing patients with patellofemoral pain.

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Psychosis and schizophrenia in adults: new quality standard from NICE

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Consultant Psychiatrist Samei Huda provides a personal critique of the new NICE quality standard on psychosis and schizophrenia in adults. Read his thoughts and join the discussion!

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Oral health improvement in care homes

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This cluster randomised controlled trial looked at changes in knowledge and attitudes in care homes following the introduction of an oral health care protocol. Significant improvements in knowledge were seen but no changes in attitudes.

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Prosthetic joints: prophylactic antibiotics not recommended before dental procedures

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The latest recommendation from the ADA indicates that prophylactic antibiotics are not needed for patients with prosthetic joints undergoing dental treatments. The finding are based on 4 case-controlled trials that are considered to provide moderate evidence of no association.

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NICE multimorbidity guidance almost excluded people with learning disabilities

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The NICE scoping guidelines on multimorbidity now thankfully include people with learning disabilities. However, the original scoping draft specifically excluded them, despite NHS England and the Department of Health commenting on the first draft.

Here, Pauline Heslop, one of the authors of the Confidential Inquiry report and a key campaigner to get people with learning disabilities included in the scope, talks about some the issues this raises.

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Commissioning to address mental health ethnic inequalities

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Caroline De Brun highlights the new guidance for commissioners of mental health services for people from black and minority ethnic communities, produced by the Joint Commissioning Panel for Mental Health.

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