More potassium, calcium and magnesium in the diet, reduces the risk of vascular dementia

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Dementia is a huge issue. As our population ages, the incidence of the disease is on the increase and attempts to prevent and treat the condition with drugs have not been as successful as we hoped. A lot of effort has gone into investigating ways in which lifestyle factors such as diet can impact on [read the full story…]

Review revisits old evidence linking vitamin D and dental caries and suggests there may be a benefit

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A link between vitamin D and dental caries was suggested back in the 1920s as it has an important role in calcium and phosphate metabolism.  The aim of this study was to review the available trial data on supplementation with vitamin D for dental caries prevention compared with no such supplementation, in any population. The [read the full story…]

Risk factors for suicide and accidental death. What can we learn from last episodes of self-harm?

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Self-destructive behaviour is often brought on by mental illness, poverty and other life problems. As individuals spiral down they sometimes come into contact with health and social care services. This may be a primary care visit, emergency treatment in hospital or simple cries for help to friends and family. Hindsight would show us that a [read the full story…]

Risk Factors for Patellofemoral Pain Syndrome

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When the keep-fit Elf was on holiday recently her replacement introduced us to a new exercise. We all enthusiastically participated in the ‘power lunges’ (more like wobbling really) but over the next few days the front of my knee hurt climbing stairs, kneeling or bending down. What was wrong? Would exercising make it worse? How [read the full story…]

Antidepressants and suicide risk: retrospective cohort study reports cautious findings

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Research has shown that antidepressant use can lead to a non-significant increase in the risk of suicidal thoughts and behaviour in people aged under 25 (Stone et al, BMJ 2009). This subject rightly received a large amount of media coverage a few years ago and it remains an area where new studies can add to [read the full story…]

Cognitive deficits, depression and education level all predict worklessness in bipolar disorder, says systematic review

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People with bipolar disorder have high levels of post 16 years education, but it’s estimated that only half of those living in Europe with the condition are in paid employment. This is a real concern because the illness typically affects young and middle-aged people who would normally be active in the workforce. Of course, living [read the full story…]

Benzodiazepines and dementia risk: another reason to caution against long-term use

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Benzodiazepines are an effective treatment for acute anxiety and transient insomnia, but guidelines advise that they should not be prescribed for longer than a few weeks as their long-term use can lead to dependency and falls in older people (amongst other things). The evidence appears compelling and yet benzodiazepines are still widely prescribed in the [read the full story…]

Can ADHD symptoms help predict early-onset substance use?

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The relationship between attention-deficit hyperactivity disorder (ADHD) and substance use in children is hotly debated. ADHD symptoms include inattention, hyperactivity/impulsivity and conduct disorders, and there’s considerable interest in finding out which of these predicts early substance use. If we have reliable evidence that answers this question we can make informed decisions about treating ADHD and [read the full story…]

Repeat offending significantly higher in people with personality disorders, according to new systematic review

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The excellent Time to Change initiative is quick to point out that people with mental health problems are more likely to be the victims of violence than the perpetrators. However, it remains the case that certain mental health conditions are more frequently associated with antisocial behaviour and violence than others. Personality disorders (PD) are one [read the full story…]

AMSTEL study finds that loneliness increases the risk of death in older men, but social isolation does not

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Some of the older elves in the woodland don’t join in with our social activities as much as they used to. The younger elves call them ‘cranky’ and laugh at them sitting alone in their tree houses. Personally I worry that they might be feeling lonely and I doubt that shutting themselves away from the [read the full story…]