In chronic kidney disease (CKD), hypertension is associated with poor outcomes at ages <70 years. At older ages, this association is unclear. We tested 10-year mortality and cardiovascular outcomes by clinical systolic blood pressure (SBP) in older CKD Stages 3 and 4 patients without diabetes or proteinuria.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3
To evaluate the effectiveness of educational interventions in improving medication adherence among adult patients diagnosed with hypertension, hyperlipidaemia, and/or diabetes.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
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Factors that influence the health of our blood vessels, such as smoking, high blood pressure, obesity and diabetes are linked to less healthy brains, according to new research part-funded by the MRC.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
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The study shows the big impact that factors like smoking, high blood pressure and diabetes can have on the chances of having a heart attack.
While the risk increases for women are bigger than for men, the risk increases for men are still substantial. The study underlines the importance of not smoking and of keeping blood pressure and diabetes under control, for both women and men.
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With the rise in pre-mature mortality rate from non-communicable disease (NCD), there is a need for evidence-based interventions. We evaluated existing systematic reviews on effectiveness of integration of healthcare services, in particular with focus on delivery of care designed to improve health and process outcomes in people with multi-morbidity, where at least one of the conditions was diabetes or hypertension.
Since 2016, the NHS has begun testing new services which integrate mental and physical treatments, as part of its Improving Access to Talking Therapies programme. People with long-term health issues like diabetes, heart problems or respiratory illness are now routinely given a ‘whole-person assessment’, focusing on what additional mental health care they may need to manage their condition.
More than 5,000 people are expected to benefit from a pilot project which will see five companies and eight areas of the country test drive a range of apps, gadgets, wristbands and other innovative digital products, which starts this month.
The new integrated service is to benefit people with low level mental health needs such as mild to moderate depression and anxiety disorders (panic disorder, agoraphobia, generalised anxiety disorder, social anxiety disorder, post-traumatic stress disorder, phobias, and obsessive compulsive disorder) in the context of Diabetes and respiratory conditions (COPD and Asthma).
Unfortunately SSOTP do not plan to take library services from the SSSFT library services during 2017/18. Sadly this means that we will be discontinuing this weekly bulletin. If you are an SSSFT member of staff subscribed to this bulletin, please reply to this email letting us know what areas of the update you are interested in and we can discuss the best way of keeping you updated in this area.
Unfortunately SSOTP do not plan to take library services from the SSSFT library services during 2017/18. Sadly this means that we will be discontinuing this weekly bulletin. If you are an SSSFT member of staff subscribed to this bulletin, please reply to this email letting us know what areas of the update you are interested in and we can discuss the best way of keeping you updated in this area.
We’ve just heard that SSOTP will not be renewing their agreement with SSSFT LKS for library services for this financial year. Because of this we will be reviewing our Be Aware bulletins. Sadly we won’t be accepting any new sign-ups from SSOTP staff and will be withdrawing some of the physical healthcare bulletins that we…
Conclusions: While telehealth-mediated self-management was not consistently superior to usual care, none of the reviews reported any negative effects, suggesting that telehealth is a safe option for delivery of self-management support, particularly in conditions such as heart failure and type 2 diabetes, where the evidence base is more developed.
We will plan a full update of the guideline.
An extension to the scope will be needed to incorporate the secondary care management of malignant hypertension, and update the recommendations on blood pressure management for adults with type 2 diabetes from NG28 Type 2 diabetes in adults.
Figures released today by NHS Digital provide information on the prevalence of 21 conditions, including heart disease, hypertension, dementia, diabetes, and depression.
Healthcare professionals in all settings increasingly encounter people with diabetes. Suboptimal control of diabetes may have harmful effects on multiple systems in the body and can result in life-changing and life-threatening complications. Therefore, it is crucial that all healthcare professionals have an understanding of diabetes. This article considers the increase in people developing diabetes worldwide. It defines type 1 and type 2 diabetes and discusses the associated pathophysiology and predisposing factors. The article outlines the basis for the development of the typical signs and symptoms associated with high blood glucose levels. Current guidelines for diagnosing a person with diabetes are considered. To read the full article, log in using your NHS OpenAthens details
Come and visit our first pop-up library at Severn Fields, Shrewsbury 19th July 11.00am-3.00pm. Join the library, borrow and return books, get help finding information and evidence, set up an Athens account, find out what the library can do for you and your team.
Based on NICE guidance and quality standards the potential indicators, now open for consultation, aim to improve healthcare by supporting both national frameworks and local quality improvement initiatives.
They are developed to be used by GP practices and CCGs for service development and improvement as well as for the Quality and Outcomes Framework (QOF) and the CCG Outcome Indicator Set (CCG OIS).
Conclusions The relative effect of DPP-4 inhibitors on the risk of heart failure in patients with type 2 diabetes is uncertain, given the relatively short follow-up and low quality of evidence. Both randomised controlled trials and observational studies, however, suggest that these drugs may increase the risk of hospital admission for heart failure in those patients with existing cardiovascular diseases or multiple risk factors for vascular diseases, compared with no use.
Conclusions In people with diabetes, RAS blockers are not superior to other antihypertensive drug classes such as thiazides, calcium channel blockers, and β blockers at reducing the risk of hard cardiovascular and renal endpoints.
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There were fewer heart attacks and strokes when people with cardiovascular conditions, diabetes or kidney disease followed lower blood pressure targets than usually recommended. This came at the expense of only a small increase in rates of severe low blood pressure.
NHSCC have launched a new publication Delivering a healthier future: How CCGs are leading the way on prevention and early diagnosis.
The report showcases a range of innovative case studies from across the country, which demonstrate the difference that clinically led commissioning is making, with the projects featured only made possible through the influence, expertise and local knowledge brought by frontline GPs and clinicians.
NICE – the National Institute for Health and Care Excellence – is consulting on potential new indicators for the NICE indicator menu. Indicators encourage health professionals to assess patients on a range of key health issues where diagnosis and treatment is supported by evidence-based guidelines. The aim is to tackle widespread public health challenges one patient at a time. Areas where indicators are being suggested include diabetes and stroke.
We're currently making some changes in the background of our email updates to solve some problems we've been having recently. During our testing phase this may automatically generate some alerts, which will show below, but you can ignore these! If all goes according to plan we will be resuming normal service in the next week…