Intermediate Care pathways for musculoskeletal conditions – are they working?

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In this blog, Lesley Dawson considers a systematic review examining musculoskeletal Intermediate Care pathways to evaluate their effectiveness, outcomes and identify gaps in evidence.

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Dental screening: a role for hygiene-therapists?

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This study compared the diagnostic accuracy of dental screening by hygiene-therapists with dentists. The results show that they could be used to screen for caries and periodontal disease. This could allow for a change in the traditional model of dental care seen in the UK.

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How do we make a diagnosis? Screening tools for anxiety disorders

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Josephine Neale blogs about a systematic review of screening tools for anxiety disorders, which concludes that the GAD-7 and PHQ instruments are appropriate for use in primary care.

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Teenagers who have been concussed are three times more likely to have depression, although no one knows why

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Depression in teenagers is a significant problem, with serious and potentially fatal consequences. Estimates of how many teenagers have depression at any one time vary between countries, but overall about 4-5% of mid to late teens worldwide are thought to experience clinical depression every year (Thapar et al, 2012). Much of the current knowledge of [read the full story…]

Screening for mental health problems in the adult prison population

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On 14th May 2010, when Kenneth Clarke returned to the Ministry of Justice, the prison population in England and Wales was 85,009. When he had previously been Home Secretary in 1992-93, the average prison population had been 44,628 (Prison Briefing 2010). This represents a 90% increase in a period when crime rates were generally falling. The [read the full story…]

Limited evidence to decide whether visual screening reduces the death rate for oral cancer

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Yesterday we looked at a review of the effectiveness of oral examination to detect potentially malignant disorders and mouth cancer today we are looking the latest version of the Cochrane review on screening programmes for the detection and prevention of oral cancer. The overall aim of this review was to assess the effectiveness of current [read the full story…]

Financial incentives don’t increase depression screening for patients with chronic illness

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The lines between physical health and mental health are blurred in lots of ways, and one example is the fact that people with chronic physical conditions are also more likely to suffer from depression. As well as adding to their burden of illness, there’s also some evidence that those patients with comorbid depression have worse [read the full story…]

WEAVE RCT: GP training, but not screening, may benefit women who have experienced intimate partner violence

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Behaviour within an intimate relationship which causes psychological, physical or sexual harm to either party is known as intimate partner violence (IPV). This violence is perpetrated by both men and women, but significant injuries are more commonly sustained by women. Consequently, IPV is a major public health concern as it contributes majorly to mortality in [read the full story…]

Primary care interventions for alcohol misuse: US Preventative Services Task Force recommendations

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Alcohol misuse is recognised as one of the major health care issues in the US. Specifically, alcohol misuse is ranked third in causes of preventable deaths (after tobacco and obesity) affecting 30% of the population. Alcohol dependence has 4% prevalence in the US, but hazardous drinking patterns are believed to be evident in 21% of [read the full story…]