To review both mental and physical health consequences of bullying for healthcare employees.. 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.
People with chronic conditions are missing out on the benefits of physical activity, researchers found. To read the full article, log in using your MPFT NHS OpenAthens details.
Smokers are up to four times more likely to give up smoking with stop smoking services than if they try to stop smoking unaided (West, 2013). Stop smoking services offer trained personnel such as smoking cessation advisors, or trained nurses and pharmacists to support people to stop smoking. To read the full article, log in using your MPFT NHS OpenAthens details.
With No Smoking Day taking place on 13 March and people increasingly wanting to manage their own health, it may be the ideal time to encourage patients in your caseload to kick the habit. Tobacco is the leading cause of chronic illness and preventable death worldwide (Ryan et al, 2019), and the risk of heart attacks is doubled in people who smoke compared to that in non-smokers (British Heart Foundation, 2019). Nurses in the community can play a central role in supporting patients to quit smoking and improve their health outcomes. To read the full article, log in using your MPFT NHS OpenAthens details.
Shift patterns and limited food choices present barriers, but these strategies can help. To read the full article, log in using your MPFT NHS OpenAthens details.
Journal of Occupational Health Psychology Vol. 24, Iss. 1, (Feb 2019): 108-126. DOI:10.1037/ocp0000146
This meta-analytic review responds to promises in the research literature and public domain about the benefits of workplace mindfulness training. It synthesizes randomized controlled trial evidence from workplace-delivered training for changes in mindfulness, stress, mental health, well-being, and work performance outcomes.. To read the full article, log in using your NHS OpenAthens details.
Journal of Occupational Health Psychology Vol. 24, Iss. 1, (Feb 2019): 163-179. DOI:10.1037/ocp0000096
The return on investment of employer wellness programs has been heavily debated in recent years, yet existing research has failed to adequately assess the psychological factors that motivate program participation and how participation relates to organizationally relevant employee attitudes and behaviors. Using data over a 3-year period, we found beliefs about the value of employee wellness programs and perceived organizational support (POS) for wellness to be linked to wellness program participation through the mediation of intention to participate in the wellness program.. To read the full article, log in using your NHS OpenAthens details.
Journal of Occupational Health Psychology Vol. 24, Iss. 1, (Feb 2019): 198-212. DOI:10.1037/ocp0000097
Mental disorders contribute to high rates of sickness absence (SA) and impaired work functioning. The aim of the present study was to evaluate the efficacy of 3 interventions targeting SA of workers.. To read the full article, log in using your NHS OpenAthens details.
Journal of Occupational Health Psychology Vol. 24, Iss. 1, (Feb 2019): 20-35. DOI:10.1037/ocp0000110
Addressing the stigma of mental illness and its effect in the workplace is a contemporary issue in occupational health. The role of leaders is a vital but relatively unexplored dimension of this phenomenon. This study examined the effectiveness and application of an online intervention to reduce depression-related stigma in organizational leaders.. To read the full article, log in using your NHS OpenAthens details.
This study shows under laboratory conditions the difference that a 30-minute walk can make to someone who has been otherwise sedentary for much of the day.
It's interesting that, especially for women, there was an added effect if they also got up and walked around every half hour, avoiding the effects of lengthy periods of sitting.
It's the sort of programme people who spend a lot of time sitting down could adopt in their daily lives – for example, a half-hour walk in the morning, then getting up to make a cup of tea or just walk around every half hour.
You can read the full NHS staff learners' mental wellbeing report and the executive summary on our dedicated web page, where we have collated our free tools and resources against some of the recommendations to help you implement the new advice in the report.
There are a number of recent studies that demonstrate dementia as being preventable in around 30% of all cases, through the control of modifiable risk factors, such as obesity, diabetes, alcohol consumption, high blood pressure and smoking (e.g. Livingston et al, 2017). Frankish and Horton (2017) estimate that delaying the onset of dementia by just 1 year could reduce its prevalence by 11% by 2050. To read the full article, log in using your MPFT NHS OpenAthens details.
Conclusions: The results of this RCT suggest that mindfulness-based resilience training delivered in an internet format can create improvements in adaptive resilience and related resources among high-risk workers, such as first responders. Despite a number of limitations, the results of this study suggest that the RAW Mindfulness Program is an effective, scalable, and practical means of delivering online resilience training in high-risk workplace settings. To the best of our knowledge, this is the first time a mindfulness-based RTP delivered entirely via the internet has been tested in the workplace.
While fish and chips can be a delicious treat, big portions of deep-fried food can mean it delivers far more calories in one meal than most of us need – or even want. This study suggests that it is possible to offer a smaller portion, using standardised boxes to control portion size, without causing problems for shops or upsetting customers. This may also have the benefit on cutting down on excess packaging and reducing food waste.
However, this was a small study, carried out in a real-world setting to find out whether the intervention was possible.
Views and Reviews. As healthcare providers, it’s easy to forget to look after ourselves at work. We know that taking breaks and eating and drinking regularly is a critical component of being “optimised,” helping to sustain our energy, concentration, and performance, and reduce the risk of human error. Yet, for many, the realities of working in busy, modern hospitals get in the way. To read the full article, log in using your NHS OpenAthens details.
There is a clear public health need to reduce office workers’ sedentary behaviors (SBs), especially in the workplace. Digital technologies are increasingly being deployed in the workplace to measure and modify office workers’ SBs. However, knowledge of the range and nature of research on this topic is limited; it also remains unclear to what extent digital interventions have exploited the technological possibilities.
When leaders seek to create a healthy working environment for their employees, often the focus will be on improving physical wellbeing, such as using office furniture that supports the body effectively or encouraging the use of laptop/screen stands to prevent neck pain. However, it is crucial that leaders seek to create a working environment that also takes care of the mental health of employees. To read the full article, log in using your NHS OpenAthens details.
Open access. Smoking has played a significant role in the historical culture of mental healthcare settings. Mental health professionals (MHPs) often hold dismissive attitudes regarding the importance of smoking cessation in the context of mental healthcare. In 2007, English mental health inpatient buildings were required by law to become smoke-free, and healthcare trusts have more recently begun to implement comprehensive policies (i.e. smoke-free grounds and buildings) and staff training in response to national guidance. It is therefore important to explore MHPs practice around smoking, smoking cessation, and smoke-free policy adherence. This study aimed to explore these issues by using the COM-B (capability, opportunity, motivation, behaviour) model to systematically identify barriers to, and facilitators for, MHPs addressing smoking with their patients.
E-cigarettes are almost twice as effective as nicotine replacement treatments, such as patches and gum, at helping smokers to quit, according to a new clinical trial.
Our latest blog from University Hospitals Bristol NHS Foundation Trust explains why they are linking healthy, safety and wellbeing in their organisation.
The blog shares examples of their joint working initiatives and talks about how working together has had a positive impact and given a boost to their overall wellbeing offer to their workforce.
Working Well is Greater Manchester’s whole population approach to health, skills and employment. Based on personalised support and a new ecosystem of work, health and skills, it is on track to significantly exceed its target of supporting 20% of clients into work.
Conclusions: Our findings support the use of the internet and Facebook as an important potential avenue for reaching mothers with information relevant to their own health, child health, child diet, and active play. However, further research is required to understand the best avenues for engaging fathers with information on healthy family lifestyle behaviors to support this important role in their child’s life.
Subacute sclerosing panencephalitis (SSPE) is a preventable condition reported in 6.5 to 11 per 100 000 cases of measles, and highest in children who contracted measles infection when they were less than 5 years of age. Children residing in areas with poor vaccination coverage and high prevalence of human immunodeficiency virus are at increased risk of developing SSPE. SSPE is life‐threatening in most affected children. This report documents current data relating to the clinical phenotype, epidemiology, and understanding of SSPE, inclusive of preventive interventions.. 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.
The overall message would still seem to be that it's better for children to have a balance and perhaps limited used of screen time combined with other activities like play, reading, interaction with others and physical activity.
An estimated 34,000 incidences of eight life-threatening conditions, including Type 2 diabetes, stroke, breast cancer and depression, would be prevented in seven major cities between 2017 and 2040, if cycling increased at rates like those seen since the millennium in London.
East Sussex Healthcare NHS Trust offer health checks for staff to help reduce sickness absence and prevent ill health.
The checks are a part of the trusts health and wellbeing programme. Working in partnership with East Sussex County Council, over a thousand staff at the trust received a NHS health check. 64 per cent of surveyed staff had undertaken a lifestyle change, with a further 15 per cent intending to make a change.
For decades, researchers have called for the systematic inclusion of non‐consumption outcomes, such as alcohol‐related consequences and, temptation/craving, in addition to consumption outcomes (e.g., percent days abstinent) to evaluate alcohol use disorder (AUD) treatment efficacy. However, FDA guidelines for alcohol medications development suggest non‐consumption outcomes may be insensitive to changes that occur within AUD treatment trial assessment windows, though this has never been directly tested. We aimed to measure the predictive value of diagnostically‐related, non‐consumption measures of AUD treatment effects.. To read the full article, log in using your MPFT NHS OpenAthens details.
Free access. Commentary to: How should we set consumption thresholds for low risk drinking guidelines? Achieving objectivity and transparency using evidence, expert judgement and pragmatism.
Probiotics, usually in the form of live Lactobacillus species, have become popular as both a treatment and a preventative agent for a wide variety of childhood conditions. For example, there is evidence that they work in antibiotic-related diarrhoea, necrotising enterocolitis and possibly infantile colic. So if the diarrhoea that occurs in straightforward viral gastroenteritis is partly due to an altered intestinal microbiome, would you expect them to help this as well? You might, but two robust new studies suggest that they don’t.. To read the full article, log in using your NHS OpenAthens details.
Traveller’s diarrhoea (TD) is one of the most frequent illnesses affecting children returning from tropical countries. The purpose of this study was to assess the distribution of pathogens associated with TD in children using a multiplex PCR assay on stool samples.. To read the full article, log in using your NHS OpenAthens details.
This release focuses on findings about loneliness collected through the survey. It provides additional demographic breakdowns and looks at estimated levels of loneliness against other key survey measures.
This document provides a guide to developing key performance indicators for child and family weight management services. Use these KPIs in line with the service guide.
Smoking has a significant negative effect on patients' health status. The Department of Health (DH) recently announced a Tobacco Control Plan, which sets out the government's strategy for reducing smoking rates and increasing patients' access to smoking cessation services. This article examines the main points of the Tobacco Control Plan, as well as detailing how community nurses can use the plan to improve their own interactions with patients who smoke, as well as designing effective smoking cessation services. To read the full article, log in using your MPFT NHS OpenAthens details.
Lower urinary tract symptoms are common in female nurses and midwives. There is limited understanding of the relationship between urinary symptoms, bladder health practices and work.. 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.
Open access. E‐cigarettes (EC) and nicotine replacement therapy (NRT) are less harmful than smoking, but misperceptions of relative harm are common. Aims were to (1) assess nicotine knowledge and perceptions of: harm of EC and NRT relative to smoking, addictiveness of EC relative to smoking, and change in harm to user if smoking replaced with EC; (2) define associations of these perceptions with respondent characteristics including nicotine knowledge; and (3) explore perceived main harms of EC and whether these differ by vaping status.
Open access. It is useful, for theoretical and practical reasons, to be able to specify functions for continuous abstinence over time in smoking cessation attempts. This study aimed to find the best fitting models of mean proportion abstinent with different smoking cessation pharmacotherapies up to 52 weeks from the quit date.
Most e‐cigarette users who also smoke combustible cigarettes (dual users) begin vaping to quit smoking, yet only a subset succeeds. We hypothesized that reinforcing characteristics of e‐cigarettes (Vaping Reinforcement) would positively predict smoking cessation propensity (SCP) among dual users.. 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.
BPS Blog post by Christian Jarrett. If you're a regular runner and wondering whether it's worth progressing to taking part in organised races, these findings suggest it's worth a try.
BPS If you’re planning to take off weight in the new year and it suddenly seems like food is everywhere – and is especially enticing – that’s probably your mind playing a particularly unhelpful trick on you. Thinking about food, even in terms of trying to avoid it, can actually make it more likely that you’ll notice food in your environment, especially if you’re already overweight or obese.
That’s according to a recent study in the International Journal of Obesity that compared how overweight and healthy weight people pay attention to food. Food cues – sights, smells, advertisements and social contexts like parties – are everywhere these days, so understanding why some people find it harder to ignore them could be key to designing weight loss programmes.
Open access. Although currently available evidence suggests that physical exercise can be beneficial for depressed patients and might be comparable to antidepressant treatment, the best way of implementing this recommendation in clinical practice is not known. This study therefore aims to ascertain the non-inferiority of supervised physical exercise to antidepressant drug treatment, in terms of reducing depressive symptoms among patients presenting with clinical criteria of a depressive episode (ICD-10), across a follow-up period of 6 months.
Open access. Physical activity (PA) is associated with a diverse range of health benefits. International guidelines suggest that children should be participating in a minimum of 60 min of moderate to vigorous intensity PA per day to achieve these benefits. However, current guidelines are intended for healthy children, and thus may not be applicable to children with a chronic disease. Specifically, the dose of PA and disease specific exercise considerations are not included in these guidelines, leaving such children with few, if any, evidence-based informed suggestions pertaining to PA. Thus, the purpose of this narrative review was to consider current literature in the area of exercise as medicine and provide practical applications for exercise in five prevalent pediatric chronic diseases: respiratory, congenital heart, metabolic, systemic inflammatory/autoimmune, and cancer.
Open access. The number of older adults with different ethnic and socioeconomic background is steadily increasing. There is a need for community-based health promotion interventions for older adults that are responsive to ethnic and socioeconomic diversity among target populations. The aim of this study is to explore encounters between older adults living in disadvantaged areas and health care professionals in the context of community-based health promotion.
To examine subjective and psychophysiological responses to appetitive cues during an alcohol cue reactivity task, and its relation to alcoholic liver disease and assess whether executive functioning is associated with appropriate regulation of cue-elicited responses in individuals with severe alcohol use disorder (AUD).. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The messages the public receive concerning research on alcohol and health are confusing. One-day research tells us that moderate drinking is acceptable and that abstaining from alcohol altogether can lead to health problems such as dementia [1]. The following week, the latest research says that there are no safe levels of alcohol consumption [2]. Syntheses of research evidence, usually meta-analyses, suggest that there are harmful effects of drinking in older age; the apparent protective effects of moderate consumption may be due to misclassification bias, with previously heavy drinkers stopping drinking and being classified as non-drinkers [3, 4]. Unsafe and risky patterns of alcohol consumption have tended to be associated with binge drinking teens and young adults. We have only recently begun to pay attention to the drinking patterns of those in the middle and older age groups. Reports state that it is now older adults who are most at risk of unhealthy patterns of drinking. Specific public health interventions are needed to address this group [5, 6].. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
We are all the descendants of people who for hundreds of millennia spent their days doing primarily one thing— assuring their food needs were met. Because they were successful, we are here reading this. Yet, to this day, dietary issues ranging from nutritional deficiencies to overeating remain a contributor to global morbidity and mortality. Trials done to establish a healthy diet are mainly observational, use food diaries, and have led to some erroneous recommendations that assume that the same diet is right for all people. But new tools and findings have changed the landscape for nutritional science and underscored the need to better individualise nutritional guidance.
There are thousands of consumer apps on diet and nutrition.
. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Previous systematic reviews and meta-analyses explaining the relationship between carbohydrate quality and health have usually examined a single marker and a limited number of clinical outcomes. We aimed to more precisely quantify the predictive potential of several markers, to determine which markers are most useful, and to establish an evidence base for quantitative recommendations for intakes of dietary fibre.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
This article explains how physical health fits into the overall well-being of a person and why people with a mental illness are more likely than the rest of the population to experience poor physical health. It represents the first article in a series on body and mind, well-being and how physical and mental health issues interact as focal points for the work of mental health nurses. To read the full article, log in using your MPFT NHS OpenAthens details.
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)
Objective To explore young adults’ perceptions and experiences of smoking and their smoking trajectories in the context of their social and occupational histories and transitions, in a country with advanced tobacco control. Open Access Article
Implications for practice and research
> Nurses play a vital role in reducing the risk of individuals with hypertension developing cardiovascular disease (CVD). Tai Chi, a traditional Chinese exercise intervention, appears to provide a potentially effective form of physical activity for these individuals.
> Future research of the effect of Tai Chi, a complex form of nursing intervention, should place more emphasis on objective exercise activity measures (accelerometers and pedometers). To read the full article, log in using your NHS OpenAthens details.
Government regulations of nicotine vaping products (NVP) have evolved rapidly over the past decade. The impact of NVP regulatory environment and vaping on cigarette demand is unknown. The current study aims to investigate whether or not respondents' reported cigarette demand, as measured by a hypothetical cigarette purchase task, varies with 1) smoking status, 2) vaping status, or 3) NVP regulatory environment (country used as proxy).. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To assess (1) how far smoking patterns, depression and smoking‐related beliefs and intentions predict vaping uptake, current vaping and vaping frequency among daily smokers; and (2) how far the aforementioned predictors and baseline vaping frequency predict current vaping among those who reported ever vaped.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Smoking cessation medications are effective but often underutilised because of costs and side effects. Cytisine is a plant‐based smoking cessation medication with over 50 years of use in Central and Eastern Europe. While cytisine has been found to be well‐tolerated and more effective than nicotine replacement therapy, direct comparison with varenicline have not been conducted. This study evaluates the effectiveness, safety and cost‐effectiveness of cytisine compared with varenicline.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To examine smoking prevalence, motivation and attempts to stop smoking, markers of cigarette addiction, and success in quit attempts of people living in social housing in England compared with other housing tenures.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The report concludes that there are reasons to be optimistic but that greater effort to improve the health environment is required – it should be easier to take the healthy option.
Public Health England (PHE) has released a new film showing the devastating harms that come from smoking, and how this can be avoided by switching to an e-cigarette or using another type of quit aid.
NHS England chief executive Simon Stevens has today backed a scheme that lets overweight football fans train at their club’s stadium, encouraging them to get fit and live a healthier, more active life.
Five clubs from the English Football League Trust are already taking part in the Football Fans in Training (FFIT) programme, first run in Scotland – which sees overweight men coached for 12 weeks at their team’s home ground.
Clubs put on a three-month programme of exercise and sports and give advice on healthy eating.
The study adds to evidence that exercise is a good way to keep blood pressure under control. However, the researchers found no studies that directly compared medicines with exercise programmes, meaning the results rely on indirect comparisons between groups of people that may have been quite different. This makes it harder to rely on the results.
The study suggests that removing temptation, in the form of small packs of sweets and crisps, while we are waiting in a queue, can make a big difference to how likely we are to buy these foods.
That's perhaps not surprising, as people may be more likely to pick up snack food on impulse, rather than plan to buy it, especially if bored and restless children are asking for it. The study shows encouraging results, especially for the reduction of buying "eat on the go" snacks.
However, the study has limitations that mean we can't be sure how effective the policies are. We don't know whether the policies themselves are directly responsible for the change in shopping habits – other outside influences could be partly responsible.
This review examines current UK trends in cycling and the emergence of e-bikes.
It considers:
attitudes and behaviours to cycling
different users of bicycles
the rise of e-bikes globally
the implications to 2040
This review examines the trends in walking as a mode of transport.
It considers:
the available data around walking
the factors affecting walking
good examples of walking domestically and internationally
the future prospects for walking
Local authorities (upper tier and unitary) are responsible for improving the health of their local population and reducing health inequalities.
In the financial year ending 2020, local authorities will receive a £3.134 billion public health grant for their public health duties for all ages.
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
Minimum Unit Pricing (MUP) for alcohol was introduced in Scotland on 1 May 2018 and is now on the policy agenda in other devolved administrations and at Westminster. Previous research has explored the arguments deployed for and against MUP, but the congruence between actors in the MUP debate has not been sufficiently examined. This study identified and mapped the discourse coalitions that emerged in the UK MUP debate through an analysis of actors’ use of arguments in media coverage of the policy debates.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Debate exists about whether health professionals (HPs) should advise smokers to use nicotine vaping products (NVPs) to quit smoking. The objectives were to examine in four countries: (1) prevalence of HP discussions and recommendation to use an NVP; (2) who initiated NVP discussions; (3) the type of HP advice received about NVPs; and (4) smoker's characteristics related to receiving advice about NVPs.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To describe the methods of the 2016 International Tobacco Control (ITC) Four Country Smoking and Vaping (4CV) Survey, conducted in 2016 in Australia (AU), Canada (CA), England (EN), and the United States (US).. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The long term population health impact of nicotine vaping products (NVPs) use among smokers is unknown and subject to a range of plausible assumptions about the use and health consequences of NVPs. While NVPs use may substitute for cigarette smoking and thereby aid in quitting cigarette use, it is also possible that smokers who would have otherwise quit would instead delay quitting cigarettes. We aimed to develop a cohort‐specific simulation model of the impact of NVPs on smoking cessation by adult smokers and resulting premature deaths (PD) and life‐years lost (LYL).. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Tobacco companies claimed that standardized packaging, phased in/introduced May 2016–May 2017, would reduce prices and increase consumption. We: (1) describe changes in price‐per‐cigarette and price‐per‐gram during, and after, the introduction of standardized packaging; (2) describe price changes by cigarette price segment; and (3) analyse price changes by stage of implementation.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Geographic differences in rates of alcohol use disorder suggest that environmental factors and gene‐environment interactions are likely to play an important role in its genesis. We aimed to examine whether living in a community with more alcohol outlets would facilitate the expression of the genetic propensity to develop alcohol problems.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To estimate the prevalence and co‐occurrence of health‐related behaviours among nurses in Scotland relative to other healthcare workers and those in non‐healthcare occupations.. 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.
In the November 2018 and January 2019 issues of the British Journal of Sports Medicine (BJSM), Dr Davenport and colleagues have published a series of 12 systematic reviews on outcomes related to exercise throughout pregnancy. In this most substantive evaluation of this literature to date, the authors appraised over 27 000 manuscripts and abstracts. The results of their systematic review form the basis of the 2019 Canadian Guideline for Physical Activity throughout Pregnancy. To read the full article, log in using your NHS OpenAthens details.
You cannot outrun a bad diet has become a rallying phrase for diet-centric approaches to counteracting obesity and poor metabolic health. The phrase is, in our view, often taken to mean that you simply cannot do enough exercise to successfully lose or manage weight over time. Nonetheless, all weight loss paradigms run through energy balance,1 and the concept that you cannot outrun a bad diet is, in our view, inaccurate.
To read the full article, log in using your NHS OpenAthens details.
Drink driving is an important risk factor for road traffic accidents (RTAs), which cause high levels of morbidity and mortality globally. Lowering the permitted blood alcohol concentration (BAC) for drivers is a common public health intervention that is enacted in countries and jurisdictions across the world. In Scotland, on Dec 5, 2014, the BAC limit for drivers was reduced from 0·08 g/dL to 0·05 g/dL. We therefore aimed to evaluate the effects of this change on RTAs and alcohol consumption.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Persons with severe mental disorders (SMDs) experience dramatically reduced life expectancy compared with the general population. We consider the role of digital technologies for addressing this serious public health concern. In this clinical review, we apply the multilevel risk model recently introduced by the WHO to conceptualise how digital technology can support efforts to reduce excess mortality risk at the individual, health system and social determinants of health levels. In particular, digital technologies show promise for targeting preventable physical health conditions in persons with SMDs.. To read the full article, log in using your NHS OpenAthens details.
To compare the odds of depression in obese and overweight children with that in normal-weight children in the community.. To read the full article, log in using your NHS OpenAthens details.
Open access. Anaphylaxis is a serious systemic allergic reaction that is rapid in onset and may cause death. Despite numerous national and international guidelines and consensus statements, common misconceptions still persist in terms of diagnosis and appropriate management, both among healthcare professionals and patient/carers. We address some of these misconceptions and highlight the optimal approach for patients who experience potentially life-threatening allergic reactions.
A myth is a widely held but false belief. If it is repeated often by enough people, those who know the truth may start to doubt themselves. Indeed, George Orwell said that myths which are believed in tend to become true. Our department has repeatedly been told by parents that drinking milk increases mucus production from the lungs, and so they stop their child having milk. This is particularly so in patients with conditions associated with excess mucus, for example, cystic fibrosis and primary ciliary dyskinesia, but also includes children with infant wheeze or asthma. Indeed, many people believe milk should be avoided with any respiratory illness, even a common cold.. To read the full article, log in using your NHS OpenAthens details.