My watch knows when I’m anhedonic: wearable technology and social functioning in older adults with depression

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Dave Steele explores a recent literature review about the impact and measurement of social dysfunction in late life depression, which focuses on how wearable technology can be used to measure and support social functioning in older adults.

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Step wise caries removal sustained pulp vitality up to 5 years

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This well designed trial compares the impact on pulp vitality of step wise verses traditional caries removal. after 5 years. THe findings suggest significantly improved outcomes with the step wise approach.

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The future of mental health care: time for a social perspective?

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#UCLJournalClub students worked collaboratively on this blog, which summarises a recent personal view in The Lancet Psychiatry about possible scenarios for the future of mental health care.

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Psychotropic medication: finding ways forward for adults with intellectual disabilities #RSMpsychotropics

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Rory Sheehan and Angela Hassiotis discuss how to optimise psychotropic medication for people with intellectual disabilities; the theme of their #RSMpsychotropics conference taking place in London today.

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Chlorhexidine gel and alveolar osteitis

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This review of the effectiveness of chlorhexidine gel for the prevention of alveolar osteitis (AO) included 10 trials published since 2010. The findings suggest a 57% reduction in incidence of AO similar to other reviews of this topic.

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Inlay-retained fixed dental prosthesis have acceptable 3-yr survival rate suggests review

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This review of inlay-retained fixed dental prosthesis included 11 small mainly observational studies. The studies suggest a 3-yr survival rate of 92.6% (95% CI: 85.8-97.6%) and 5-yr survival rate of 87.9% (95% CI: 77.4-96.1%). However because of the low quality of the available studies and the wide range of inlay designs, framework materials, surface treatments and cement systems used means that the results should be interpreted cautiously.

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Ethics of digital technology for mental health: is this the end of the digital dilettante?

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Mark Brown writes his debut Mental Elf blog about a recent paper that explores the ethical perspectives of recommending digital technology for mental health.

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Mindfulness for young people: to meta-analyse or not to meta-analyse?

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Sarah McDonald and André Tomlin consider another meta-analysis of mindfulness in young people, which finds “small effect sizes on a range of outcomes”. They conclude that we badly need more RCTs that reliably evaluate the effectiveness, safety and cost effectiveness of mindfulness in young people.

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Endodontics or extraction and implant for the pulpally involved tooth?

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45 studies are included in this review of endodontic treatment or implants for the pulpally involved tooth. The studies are are observational with few comparative studies and while they summarise success rates for various treatments they should be interpreted cautiously. High quality comparative studies are needed as well as agreement on common reporting outcomes.

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