Results: 3058

For: Populations and settings

Trial found that patients preferred dentures made using silicone impressions

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While oral health has improved in many countries there is still a continuing demand for non-implant prosthodontic treatment.   The aim of this trial was to whether there is a patient preference for dentures produced from alginate or silicone impressions Edentulous adults aged 18 or over who required new complete dentures were invited to participate. Those [read the full story…]

What should we prescribe for neuropsychiatric symptoms in Alzheimer’s disease?

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Psychiatrist Andrés Fonseca considers how his clinical practice should change, after reading a systematic review and meta-analysis of drug treatment for neuropsychiatric symptoms in Alzheimer’s disease

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Kinship care may be a viable out-of-home placement option for maltreated children, but more research is needed

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Lisa Burscheidt reports on a recent Cochrane review that looks at the effects of kinship care versus traditional foster care for the safety, permanency and well-being of children removed from the home for maltreatment.

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Improving access to primary care risks fuelling demand unless a system-wide view taken, says Nuffield Trust

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This new report, based on a workshop in March 2014, sets out to inform the development of 20 pilots (in England) of the Prime Minister’s Challenge Fund, to improve access to primary care.   The report focuses on the debate around unintended consequences of extending (e.g. longer opening hours) or broadening (e.g. phone or online consultations) access – will [read the full story…]

New manual for cognitive behavioural treatment in people with learning disabilities published online

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Cognitive behavioural therapy (CBT) is used in mainstream services and the evidence for its effectiveness is growing. For people with learning disabilities, there is a growing evidence base for in relation to psychological interventions more generally, although much of the much of the research on CBT has come from forensic secure units. CBT Randomised controlled [read the full story…]

Antipsychotics and mood stabilisers may reduce violent crime

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John Baker reports on the first population based report of the positive effects of antipsychotic medication and mood stabilisers on reducing the risk of a conviction for violent crime, published in the Lancet in May.

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Mindfulness based stress reduction for parents also impacted on child behaviour

Stress associated with being the parent of a child with learning disabilities is well documented. Mencap’s Breaking Point campaign has highlighted this very clearly. Their survey of families found more than 9 out of 10 family carers reported high levels of stress with over half of family carers either having given up, or considering giving [read the full story…]

Positive mental health for people with learning disabilities is aim of new report

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There is evidence that the people with learning disabilities have a higher prevalence of mental health issues than those in the general population. The rate of dementia is higher and people with Down syndrome are at particularly high risk of developing dementia, with a much earlier age of onset. The most recent guide for commissioners [read the full story…]

Limited evidence to make recommendations about initial archwires or specific archwire sequences for orthodontic treatment

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The aim of this review was to assess the effectiveness, efficiency, and potential side effects of the various archwires used during fixed appliance orthodontic treatment. Searches were conducted in Medline, Cochrane Library, Biomed Central, BBO including LILACS, Ind Med, Sceilo, Clinical trials.gov, Conference paper Index, Digital Dissertations, German National Library of Medicine (ZB MED), Google [read the full story…]

Challenges in respecting autonomy in end-of-life care of people with learning disabilities

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Autonomy is defined as the freedom to determine one’s own actions or behaviour. It is a value at the heart of health and social care support and those supporting people with learning disabilities are constantly striving to maintain and indeed increase the autonomy of those they provide help to. The authors of this Netherlands based [read the full story…]