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# BMJ Group

Helping doctors make better decisions

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## Posts

- [UK-US trade deal will mean the NHS has to divert billions from other NHS services to pay more for new medicines](https://bmjgroup.com/uk-us-trade-deal-will-mean-the-nhs-has-to-divert-billions-from-other-nhs-services-to-pay-more-for-new-medicines/) - The detrimental impact on NHS care by divesting from these services could lead to 229,000 deaths by 2036 – more deaths than the covid-19 pandemic Around £45bn in NHS funding will be diverted from other NHS care by 2036 to pay more for new medicines under the UK-US trade deal agreed last December unless more
- [Mechanical restraint linked to small increased short term blood clot risk in psychiatric hospitals](https://bmjgroup.com/mechanical-restraint-linked-to-small-increased-short-term-blood-clot-risk-in-psychiatric-hospitals/) - Absolute risk is low, but findings support ongoing efforts to reduce use and duration of mechanical restraint where feasible Mechanical restraint is associated with a small increased short term risk of blood clots among inpatients at psychiatric hospitals, finds a Danish study published by The BMJ today. Although the absolute risk remains very low, the researchers say
- [High-dose IV vitamin C may lower risks of death and sepsis in trauma patients](https://bmjgroup.com/high-dose-iv-vitamin-c-may-lower-risks-of-death-and-sepsis-in-trauma-patients/) - Biologically plausible, but more rigorous research needed before it can be recommended High doses of intravenous (IV) vitamin C may lower the risks of death and sepsis in trauma patients, as well as shortening hospital stay, suggests a review of the available evidence published online in the journal BMJ Military Health. Although its effects are
- [Higher vitamin A levels linked to better lung function in kids and adults with asthma](https://bmjgroup.com/higher-vitamin-a-levels-linked-to-better-lung-function-in-kids-and-adults-with-asthma/) - Vitamin D shows similar benefits in adults with asthma, including slower biological ageing Higher levels of circulating vitamin A are linked to better lung function in children and adults with asthma, while vitamin D shows similar benefits in adults, including slower biological ageing, finds the first study of its kind, published online in the respiratory
- [Lower thresholds for help seeking and/or changes in diagnostic practice may explain rise in young people’s service use for mental health issues](https://bmjgroup.com/lower-thresholds-for-help-seeking-and-or-changes-in-diagnostic-practice-may-explain-rise-in-young-peoples-service-use-for-mental-health-issues/) - Rather than increase in worsening psychological ill health, Norwegian study suggests Strongest rise seen for symptoms of anxiety and depression, not actual disorders Lower thresholds for seeking medical help and/or changes in diagnostic practice, rather than a true increase in worsening psychological ill health, may help to explain the rise in young people’s primary care
- [Little evidence that Australia’s under-16 social media restrictions have curbed use among adolescents](https://bmjgroup.com/little-evidence-that-australias-under-16-social-media-restrictions-have-curbed-use-among-adolescents/) - Longer term evaluation needed, but current age verification checks are “suboptimal” and being bypassed by many under 16s, warn researchers There is little evidence that Australia's Social Media Minimum Age Act has led to any immediate reductions in social media use by under 16s, finds an early analysis of survey data published by The BMJ today. While the researchers acknowledge that
- [10-year death risk 21 times higher for first time mums who face care proceedings ](https://bmjgroup.com/10-year-death-risk-21-times-higher-for-first-time-mums-who-face-care-proceedings/) - Most deaths related to suicide, homicide, drugs/alcohol, and unintentional injury Earlier and better support key to improving health and curbing need for court cases First time mums in England who face care proceedings are 21 times more likely to die within 10 years of the birth than mums of the same age who don’t experience
- [Hourly movement breaks feasible and effective for mitigating sedentary harms](https://bmjgroup.com/hourly-movement-breaks-feasible-and-effective-for-mitigating-sedentary-harms/) - They boost mood, lessen fatigue, and don’t undermine work performance Findings indicate potential for public health strategy and inclusion in existing guidelines Hourly movement breaks of just 5 minutes each seem to offer the best balance between feasibility and effectiveness for mitigating the health harms of prolonged sitting, suggests a large study carried out under
- [BMJ Best Practice selected by Google DeepMind for clinical AI evaluation](https://bmjgroup.com/bmj-best-practice-selected-by-google-deepmind-for-clinical-ai-evaluation/) - BMJ Best Practice was selected as one of only two core clinical guideline resources used in the study, alongside NICE guidance.
- [Vitamin D supplement ‘overdosing’ is possible and harmful, warn doctors](https://bmjgroup.com/vitamin-d-supplement-overdosing-is-possible-and-harmful-warn-doctors/) - ‘Hypervitaminosis D’ on the rise and linked to wide range of potentially serious health issues ‘Overdosing’ on vitamin D supplements is both possible and harmful, warn doctors in the journal BMJ Case Reports after they treated a man who needed hospital admission for his excessive vitamin D intake. ‘Hypervitaminosis D’, as the condition is formerly
- [Nearly 3000 NHS patients a day are treated in corridors, official data show](https://bmjgroup.com/nearly-3000-nhs-patients-a-day-are-treated-in-corridors-official-data-show/) - Read the full article
- [Trump: ADA president elect resigns after US doctors are ejected from diabetes meeting](https://bmjgroup.com/trump-ada-president-elect-resigns-after-us-doctors-are-ejected-from-diabetes-meeting/) - Read the full article
- [Ebola: Outbreak cases are “tip of iceberg,” says Africa CDC official at centre of epidemic](https://bmjgroup.com/ebola-outbreak-cases-are-tip-of-iceberg-says-africa-cdc-official-at-centre-of-epidemic/) - Read the full article
- [Wegovy weight loss pill gets UK approval](https://bmjgroup.com/wegovy-weight-loss-pill-gets-uk-approval/) - Read the full article
- [Meningitis B: UK launches vaccine programme to protect students after fatal outbreaks](https://bmjgroup.com/meningitis-b-uk-launches-vaccine-programme-to-protect-students-after-fatal-outbreaks/) - Read the full article
- [Health secretary urges NHS to take “right risks” with AI, but says he “cannot go further” on resident doctors pay](https://bmjgroup.com/health-secretary-urges-nhs-to-take-right-risks-with-ai-but-says-he-cannot-go-further-on-resident-doctors-pay/) - Read the full article
- [NHS trusts have failed to account for over £400m to train future doctors](https://bmjgroup.com/nhs-trusts-have-failed-to-account-for-over-400m-to-train-future-doctors/) - Concerns that money is being used to prop up frontline care Medical leaders urge trusts to stop treating universities like a “cash cow” Hundreds of millions of pounds given to NHS trusts for educating future doctors is falling into a “black hole” and the majority of trusts have failed to explain how they are spending
- [Massage gun use on/around the eyes risks major retinal injury, doctors warn](https://bmjgroup.com/massage-gun-use-on-around-the-eyes-risks-major-retinal-injury-doctors-warn/) - Clear manufacturer warnings warranted amid rising popularity of these devices, they urge Using a massage gun on or around the eyes risks major tearing and bruising to the retina—the light sensitive tissue at the back of the eye—doctors warn in the online journal BMJ Case Reports after treating a young man who had used one of these
- [Bending forwards and walking a lot at work may raise miscarriage risk in early pregnancy](https://bmjgroup.com/bending-forwards-and-walking-a-lot-at-work-may-raise-miscarriage-risk-in-early-pregnancy/) - Each additional hour of bending forwards linked to 36% heightened risk Bending forwards, and to a lesser extent, walking a lot at work in early pregnancy, may raise the risk of miscarriage, finds a large study of more than 470,000 Danish women, published online in the journal Occupational & Environmental Medicine. Each additional hour of bending forwards,
- [Sitting too much and moving too little linked to heightened pre-eclampsia risk](https://bmjgroup.com/sitting-too-much-and-moving-too-little-linked-to-heightened-pre-eclampsia-risk/) - Risk rose sharply with 10+ hours/day of sedentary time and under 5 hours of movement Sitting too much and moving too little are linked to a heightened risk of serious pregnancy-related high blood pressure disorders, such as pre-eclampsia and eclampsia, finds a study of daily movement behaviours, published online in the British Journal of Sports Medicine.
- [School spending cuts linked to poorer GCSE grades among 16 year olds in England](https://bmjgroup.com/school-spending-cuts-linked-to-poorer-gcse-grades-among-16-year-olds-in-england/) - Impact more noticeable in areas of socioeconomic disadvantage Policy reform to bridge historical funding gap didn’t staunch declining attainment School spending cuts are linked to poorer GCSE grades achieved by 16 year olds in England, finds an analysis of local authority spend on each pupil between 2014-15 and 2022-23, and published online in the Journal of
- [BMJ Research Forum 2026: India | Call for abstracts](https://bmjgroup.com/bmj-research-forum-call-for-abstracts-india/) - Showcase research that drives meaningful change in healthcare
- [New BMJ Collection with TDR on inclusive internationalism: driving more equitable and collaborative partnerships](https://bmjgroup.com/new-bmj-collection-with-tdr-inclusive-internationalism/) - Our new collection is out now >> Calls for inclusivity in global health research are intensifying. Awareness of the importance of creating more equitable and collaborative international partnerships is increasing. The decolonisation of global health research entails ensuring that diverse voices, especially from low and middle income countries, are shaping all stages of the process. This
- [Genetic variants involved in rapid immune response linked to earlier breast cancer onset in BRCA1 carriers](https://bmjgroup.com/genetic-variants-involved-in-rapid-immune-response-linked-to-earlier-breast-cancer-onset-in-brca1-carriers/) - Strongest association found for genes involved in natural killer cell activation Findings suggest need for more refined, personalised risk prediction models Damaging variants in genes involved in a rapid immune response (innate immunity) are significantly linked to earlier breast cancer onset in carriers of the harmful BRCA1 genetic mutation, reveal preliminary findings published online in
- [BMJ Group and University of Cambridge Professional and Continuing Education partner to strengthen data literacy in healthcare](https://bmjgroup.com/bmj-group-and-university-of-cambridge-professional-and-continuing-education-partner-to-strengthen-data-literacy-in-healthcare/) - 27 April 2026—BMJ Group and the University of Cambridge Professional and Continuing Education (PACE) have partnered to deliver postgraduate-level healthcare data science courses. The courses support clinicians to analyse health data and strengthen evidence based decision making. The collaboration will see selected University of Cambridge courses hosted on BMJ Learning, BMJ Group's online learning platform
- [Higher dietary soy and legume intake linked to lower high blood pressure risk](https://bmjgroup.com/higher-dietary-soy-and-legume-intake-linked-to-lower-high-blood-pressure-risk/) - Optimal daily amount may be about 170 g of legumes and 60-80 g of soy, evidence suggests A higher dietary intake of soy and legumes is linked to a lower risk of high blood pressure, finds a pooled data analysis of the available evidence, published in the open access journal BMJ Nutrition Prevention & Health. And
- [Mental health of children affected by armed conflict: experts call for global commitment and funding](https://bmjgroup.com/mental-health-of-children-affected-by-armed-conflict-experts-call-for-global-commitment-and-funding/) - New BMJ Collection calls for evidence based and sustainable mental health support in conflict settings A new collection on Child Mental Health in Conflict Settings published by The BMJ, in partnership with the World Innovation Summit for Health (WISH), calls for evidence based, scalable, sustainable, and long term interventions to be integrated into existing health,
- [Addressing inequality in post-partum haemorrhage](https://bmjgroup.com/addressing-inequality-in-post-partum-haemorrhage/) - A sustained reduction in a high-risk populationIn February 2020, The BMJ highlighted racial discrimination and health inequalities in a special ‘Racism in medicine‘ issue¹ that helped catalyse the creation of the NHS – Race and Health Observatory.² In response to persistent ethnic inequalities in maternal and neonatal outcomes, the NHS – Race and Health Observatory,
- [Low dose atropine eye drops safe and effective for short-sightedness in UK children](https://bmjgroup.com/low-dose-atropine-eye-drops-safe-and-effective-for-short-sightedness-in-uk-children/) - Trial results will help inform policymakers in the UK, say researchers Low concentration atropine eye drops are a safe and effective treatment for short-sightedness (myopia) in UK children, although the effects are small, suggests a clinical trial published by The BMJ today. The researchers say the drops led to small but significant reductions in myopia progression compared with
- [Changes to the heart linked to marathon running vary by age, sex, and training level](https://bmjgroup.com/changes-to-the-heart-linked-to-marathon-running-vary-by-age-sex-and-training-level/) - But unclear if these represent normal physiological responses or long term (mal)adaptations Changes to the heart linked to marathon running vary by age, sex, and training level, finds a synthesis of the available data, published in the open access journal BMJ Open Sport & Exercise Medicine. But it’s not clear if these changes represent normal physiological
- [Routine exposure to harmful levels of formaldehyde risking health of thousands of NHS staff](https://bmjgroup.com/routine-exposure-to-harmful-levels-of-formaldehyde-risking-health-of-thousands-of-nhs-staff/) - Levels of this carcinogen regularly top 8 hour EU limit in 70% of NHS pathology departments Urgent regulatory intervention now warranted, say researchers Routine exposure to harmful levels of the human tissue preservative formaldehyde are risking the health of thousands of NHS staff working in pathology departments across the UK, due to poor monitoring and
- [Moderate screen time in first 3 days after concussion linked to teens’ faster recovery](https://bmjgroup.com/moderate-screen-time-in-first-3-days-after-concussion-linked-to-teens-faster-recovery/) - Average 141 mins/day may speed up symptom resolution by 35% Rather than total avoidance, balanced level of use may be helpful, say researchers Moderate screen time in the first 3 days after concussion is linked to faster recovery, with an average 141 minutes of daily use speeding up symptom resolution by 35%, finds a study
- [Revealing the hidden risks of slush ice drinks in children](https://bmjgroup.com/revealing-the-hidden-risks-of-slush-ice-drinks-in-children/) - From clinical observation to food safety policy Research published in Archives of Disease in Childhood identified a serious and previously underrecognised risk associated with slush ice drinks marketed to children, directly influencing food safety guidance and regulatory discussions across the UK, Ireland, Germany, and the European Union. The study, ‘Glycerol intoxication syndrome in young children, following
- [Acting against racism for a healthier, more equal, world](https://bmjgroup.com/acting-against-racism-for-a-healthier-more-equal-world/) - A sustained reduction in a high-risk populationIn February 2020, The BMJ highlighted the racial discrimination and health inequalities experienced by both patients and doctors in a special ‘Racism in medicine‘ campaigning issue. Its huge success contributed to the launch of the NHS – Race and Health Observatory in May 2021. Guest-edited by Victor Adebowale, chair,
- [From research to legislation: improving allergy safety in schools](https://bmjgroup.com/economic-modelling-of-providing-spare-adrenaline-autoinjectors-to-all-schools-to-improve-the-management-of-anaphylaxis-impact/) - Archives of Disease in Childhood - Strengthening the case for Benedict’s Law through evidence and advocacy - BMJ Group impact study
- [From Monash Health to Martha's Rule: recognising deterioration earlier by partnering with families](https://bmjgroup.com/recognising-deterioration-earlier-by-partnering-with-families/) - How connections made at the International Forum accelerated international changeIn 2020, Australia’s largest public health service, Monash Health, began work to improve recognition of paediatric deterioration by partnering more closely with parents and families. A co-design process with consumers and clinicians resulted in a single proactive question asked alongside routine vital signs: “Are you worried - How connections made at the International Forum accelerated international changeIn 2020, Australia’s largest public health service, Monash Health, began work to improve recognition of paediatric deterioration by partnering more closely with parents and families. A co-design process with consumers and clinicians resulted in a single proactive question asked alongside routine vital signs: “Are you worried
- [Progress in reducing child and adolescent mortality slowed since 2015](https://bmjgroup.com/progress-in-reducing-child-and-adolescent-mortality-slowed-since-2015/) - As many as 9.4 million people (including 2.5 million children under 5) could die by 2030, say experts Renewed commitment and sustained investment critical to prevent unfolding tragedy Global progress in reducing preventable deaths among newborn babies, children, and adolescents has slowed substantially since 2015, and many countries risk missing international child survival targets by
- [Building an Aboriginal allied health workforce to enhance culturally responsive care](https://bmjgroup.com/building-an-aboriginal-allied-health-workforce-to-enhance-culturally-responsive-care/) - Creating clear professional pathways for Aboriginal students through paid placements and ongoing cultural mentorshipThe Central Adelaide Local Health Network (CALHN) SEED Allied Health Aboriginal Cadetship supports Aboriginal students into professional allied health roles, strengthening Aboriginal and Torres Strait Islander representation across the workforce. The programme responds to a longstanding societal barrier which leads to Aboriginal
- [Geopolitics of global health: New BMJ collection](https://bmjgroup.com/geopolitics-of-global-health-new-bmj-collection/) - Geopolitics of global healthGlobal health is increasingly shaped by geopolitical forces rather than solely by scientific or epidemiological priorities. As power dynamics shift, traditional systems of multilateralism are under threat, creating uncertainty but possibilities for the future of global health governance. These changes demand new ways of thinking about cooperation, accountability, and equity in health,
- [Healthcare professionals in the House of Lords join calls to bring the assisted dying bill back](https://bmjgroup.com/healthcare-professionals-in-the-house-of-lords-join-calls-to-bring-the-assisted-dying-bill-back/) - The debate must continue until parliament reaches a decision, they argue Eight peers of the House of Lords with nursing and medical backgrounds are urging MPs to continue to support urgent law reform on assisted dying after the Terminally Ill Adults (End of Life) Bill failed to reach a vote in the House of Lords
- [90-120 weekly minutes of strength training may be optimal for lowering death risk](https://bmjgroup.com/90-120-weekly-minutes-of-strength-training-may-be-optimal-for-lowering-death-risk/) - Specifically tied to significantly lower risks of cardiovascular and neurological disease deaths Effects amplified by aerobic exercise, but no further risk reduction above 120 minutes Clocking up 90 to 120 weekly minutes of strength (resistance) training may be the sweet spot for lowering the risk of death, suggests a 30 year study, published online in
- [GLP-1 agonists linked to significantly lower long term risk of knee replacement](https://bmjgroup.com/glp-1-agonists-linked-to-significantly-lower-long-term-risk-of-knee-replacement/) - Greatest effect seen with sustained use and newer agents semaglutide and tirzepatide GLP-1 receptor agonist drugs, used for the treatment of diabetes, and more recently, weight loss, are associated with a significantly lower long term risk of knee replacement surgery as a result of osteoarthritis, finds an analysis of medical records data, published in the
- [Substantial variations in referrals for advanced heart failure therapies across UK and Ireland](https://bmjgroup.com/substantial-variations-in-referrals-for-advanced-heart-failure-therapies-across-uk-and-ireland/) - No obvious link to geographical location or social deprivation to explain variations Women less likely to be referred for life prolonging therapies than men Substantial variations in referrals for advanced heart failure therapies are apparent across the UK and Ireland, with no obvious link to geographical location or social deprivation to explain the findings, reveals
- [Patient partnership shaping national approaches to indoor air quality](https://bmjgroup.com/patient-partnership-shaping-national-approaches-to-indoor-air-quality/) - Patricia Ripoll, founder of the VISIBLE Foundation in Spain and patient advisor to BMJ Group, has spent more than a decade advancing patient involvement across healthcare. Through the foundation, she leads more than 15 projects supporting patient co-design across health systems, innovation, and policy. Her work highlights the cost of not involving patients. She has
- [Regular guava juice consumption may help lower women’s anaemia risk](https://bmjgroup.com/regular-guava-juice-consumption-may-help-lower-womens-anaemia-risk/) - Iron supplements + guava juice combo more effective than supplements alone for boosting haemoglobin levels Might be worth including it in dietary counselling for anaemia prevention, say researchers Regular guava juice consumption may prove a readily accessible and affordable addition to helping lower the risk of anaemia in women in low and middle income countries,
- [Research to Publication | From frontline questions to published evidence](https://bmjgroup.com/research-to-publication-impact/) - Many clinicians identify problems in care but lack the time, training, or confidence to turn those insights into publishable research. BMJ Research to Publication helps doctors and healthcare researchers strengthen study design, reporting, and publication skills so that frontline evidence can reach wider clinical and policy audiences. Across key international regions including the Middle East,
- [Stimulating international research dialogue on SGLT2 inhibitors and immune risk](https://bmjgroup.com/stimulating-international-research-dialogue-on-sglt2-inhibitors-and-immune-risk/) - The BMJ research: sodium-glucose cotransporter-2 inhibitors and risk of autoimmune rheumatic diseasesIn October 2025, The BMJ published the first nationwide population based cohort study to examine the association between sodium-glucose cotransporter-2 (SGLT2) inhibitors and risk of autoimmune rheumatic diseases (ARDs). Drawing on data from more than 2 million adults in South Korea, the study compared
- [‘Renaissance era’ diagnosis of scurvy in today's bariatric population](https://bmjgroup.com/renaissance-era-diagnosis-of-scurvy-in-todays-bariatric-population/) - BMJ Case Reports: spotlight on nutritional safetyThe BMJ Case Report, “Scurvy – a re-emerging disease with the rising cost of living and number of bariatric surgical procedures”, arose when a man in his early fifties presented to Sir Charles Gairdner Hospital in Western Australia with a painful rash on his legs, haematuria, and anaemia. Investigations BMJ Case Reports: spotlight on nutritional safety
- [Healthcare is facing a moral emergency, argue experts](https://bmjgroup.com/healthcare-is-facing-a-moral-emergency-argue-experts/) - Time to restore kindness and compassion in healthcare to improve patient and staff well-being Healthcare has lost its human, moral, and relational foundations and must reconnect with its core values to improve both patient and staff well-being, argue experts in The BMJ today. Despite unprecedented advances in diagnostic precision, therapeutic capability, and computational power, a deep paradox
- [Calcium and vitamin D supplements offer little to no meaningful benefit on fracture and fall prevention](https://bmjgroup.com/calcium-and-vitamin-d-supplements-offer-little-to-no-meaningful-benefit-on-fracture-and-fall-prevention/) - Recommendations for calcium and vitamin D supplementation should be re-evaluated, suggest researchers Calcium, vitamin D, or combined supplements offer little to no clinically meaningful benefit on fracture and fall prevention in most older people, finds an in-depth review of the latest evidence published by The BMJ today. Almost a third of people aged 65 and older fall
- [Cost of emergency hospital admissions for mental health problems in young people almost quadruples over a decade](https://bmjgroup.com/cost-of-emergency-hospital-admissions-for-mental-health-problems-in-young-people-almost-quadruples-over-a-decade/) - Growing financial strain on the NHS due to longer stays in hospital Eating disorders and self-harm most common reasons for emergency admissions The total cost of emergency admissions for mental health among children and young people in England rose from £22.5 million in 2012/13 to £87.3 million in 2021/22, finds research published online in the
- [Low vitamin D levels linked to more pain after breast cancer surgery](https://bmjgroup.com/low-vitamin-d-levels-linked-to-more-pain-after-breast-cancer-surgery/) - Patients with vitamin D deficiency may benefit from supplements before operations Vitamin D deficiency is associated with more moderate to severe pain following breast cancer surgery and an increased consumption of opioid drugs, finds research published online in the journal Regional Anesthesia & Pain Medicine. Breast cancer patients with low levels of vitamin D (below 30
- [560-610 minutes of exercise a week needed for substantial heart benefits](https://bmjgroup.com/560-610-minutes-of-exercise-a-week-needed-for-substantial-heart-benefits/) - Current exercise guidelines are too low, suggest researchers Less fit individuals need to do more exercise to get the same benefits Adults should aim to do between 560 and 610 minutes a week of moderate to vigorous physical activity to achieve a substantial reduction in the risk of heart attacks and stroke, suggest the findings
- [How publishing in BMJ Open Quality & attending the International Forum on Quality and Safety helped advance a system-wide project](https://bmjgroup.com/how-publishing-in-bmj-open-quality-attending-the-international-forum-on-quality-and-safety-helped-advance-a-system-wide-project/) - How publishing in BMJ Open Quality and attending the International Forum on Quality and Safety helped advance a system-wide project
- [New drug approval pathway benefits industry over patients, argues expert](https://bmjgroup.com/new-drug-approval-pathway-benefits-industry-over-patients-argues-expert/) - Approval mechanisms must be grounded in patient need and population health A new UK drug approval pathway, designed to speed up the availability of new medicines, benefits industry over patients and the NHS, argues an expert in The BMJ today. The pathway aligns regulatory review by the Medicines and Healthcare products Regulatory Agency (MHRA) with the National
- [Tranexamic acid prevents severe bleeding in caesarean births](https://bmjgroup.com/tranexamic-acid-prevents-severe-bleeding-in-caesarean-births/) - New trial adds high quality evidence on benefits of tranexamic acid for high-risk women Giving tranexamic acid to women with placenta praevia (when the placenta covers the cervical opening) undergoing caesarean birth leads to a significant yet modest reduction in severe bleeding after delivery with no evidence of an increase in serious adverse events, finds a
- [BMJ Group expands open access reach with new Read and Publish agreements](https://bmjgroup.com/bmj-group-expands-open-access-reach-with-new-read-and-publish-agreements-for-2025/) - Through Read and Publish agreements with institutions, BMJ Group ensures that researchers' work reaches a broader audience.
- [BMJ Group expands its open access offering globally with new partnerships](https://bmjgroup.com/bmj-group-expands-its-open-access-offering-globally-with-new-partnerships/) - Multiple open access partnerships in Italy, Turkey, and the Netherlands solidify BMJ’s commitment to global knowledge dissemination June 2024—Leading global healthcare knowledge provider, BMJ, continues to expand its open access (OA) footprint worldwide through new Read and Publish (R&P) agreements. These partnerships signify ongoing efforts to enhance access to cutting-edge research and promote knowledge sharing for
- [Autism spectrum disorder in a child may be linked to mother’s job](https://bmjgroup.com/autism-spectrum-disorder-in-a-child-may-be-linked-to-mothers-job/) - Mothers who work in occupations with high exposure to toxic chemicals more likely to have a child with autism spectrum disorder High stress at work also linked to odds of an autism diagnosis in offspring Association was seen for occupations held up to one year before conception Mothers who work in jobs where they are
- [Combined exercise and HIIT linked to significant falls in blood pressure over 24 H](https://bmjgroup.com/combined-exercise-and-hiit-linked-to-significant-falls-in-blood-pressure-over-24-h/) - But aerobic exercise most consistently linked to drop in high blood pressure at any time Evidence for non-conventional training such as recreational sport or pilates is more limited, pooled data analysis shows Aerobic and resistance training combined, and high intensity interval training (HIIT), are associated with significant reductions in blood pressure over 24 hours, finds
- [Transforming kidney transplant trials](https://bmjgroup.com/transforming-kidney-transplant-trials/) - The first universal algorithm for predicting the risk of kidney transplant loss, named iBox, has been developed, validated and made public by teams from Europe and the US.
- [Mix of different types of physical activity may be best for longer life](https://bmjgroup.com/mix-of-different-types-of-physical-activity-may-be-best-for-longer-life/) - Variety rather than total quantity alone linked to lower risk of early death, research suggests But associations not linear, suggesting possible optimal threshold effect Regularly doing a mix of different types of physical activity may be best for prolonging the lifespan, but the associations aren’t linear, pointing to a possible optimal threshold effect, suggests research
- [Duplicate medical records linked to 5-fold heightened risk of inpatient death](https://bmjgroup.com/duplicate-medical-records-linked-to-5-fold-heightened-risk-of-inpatient-death/) - And 3-fold increased risk of intensive care need, US study indicates Improvements needed in data integrity and health information management, say researchers Patients with duplicate medical records are 5 times more likely to die after being admitted to hospital and 3 times more likely to require intensive care than those with a single medical record,
- [Health impacts of eating disorders complex and long-lasting](https://bmjgroup.com/health-impacts-of-eating-disorders-complex-and-long-lasting/) - Risks highest within first 12 months, but remain high for years afterwards Findings highlight need for integrated health service provision and continued monitoring The health impacts of eating disorders, such as anorexia, bulimia, and binge eating, are not only complex, affecting many different organ systems, but long-lasting, finds a large tracking study, published in the
- [Facing the future, fueling the NHS](https://bmjgroup.com/facing-the-future-fueling-the-nhs/) - Hospital to community Analogue to digitalSickness to preventionQuality & safetyWorkforceInnovationFacing the future, fueling the NHSHow BMJ Group is helping deliver the NHS 10-year health plan The UK’s National Health Service (NHS) 10 year health plan (Fit for the Future), published in July 2025, is the blueprint for transforming England’s health service. It focuses on three BMJ Group's evidence, education, and innovation are helping deliver the NHS 10 year health plan (Fit for the Future). See the proof in real world case studies.
- [Little awareness of medical + psychological complexities of steroid cream withdrawal](https://bmjgroup.com/little-awareness-of-medical-psychological-complexities-of-steroid-cream-withdrawal/) - Condition often poorly recognised, diagnosed, managed and researched, say report authors This has prompted unfounded fears, particularly on social media, that all steroids are harmful There is little awareness, particularly among clinicians, of the medical and psychological complexities of ‘topical steroid withdrawal’—the body’s adverse response to the prolonged use of these powerful creams to treat
- [Heavy energy drink intake may pose serious stroke risk, doctors warn](https://bmjgroup.com/heavy-energy-drink-intake-may-pose-serious-stroke-risk-doctors-warn/) - Fit man in his 50s who drank 8 cans daily developed extremely high blood pressure Tighter regulation of sales and advertising of these drinks needed, urge report authors Downing several strong energy drinks every day may pose a serious stroke risk, doctors have warned in the journal BMJ Case Reports, after treating an otherwise fit and healthy
- [One in ten people without coeliac disease or wheat allergy report sensitivity to gluten or wheat](https://bmjgroup.com/one-in-ten-people-without-coeliac-disease-or-wheat-allergy-report-sensitivity-to-gluten-or-wheat/) - Self-reported gluten/wheat sensitivity is more common in women and people with irritable bowel syndrome, anxiety and depression Around one in ten people worldwide report gastrointestinal and other symptoms such as fatigue and headache after eating foods containing gluten or wheat despite not having a diagnosis of either coeliac disease or wheat allergy, finds a large
- [Pre-pregnancy parental overweight/obesity linked to next generation’s heightened fatty liver disease risk](https://bmjgroup.com/pre-pregnancy-parental-overweight-obesity-linked-to-next-generations-heightened-fatty-liver-disease-risk/) - Young adult risk more than 3 times higher if both mum and dad carrying excess weight Odds largely influenced by cumulative excess weight (BMI) in childhood Pre-pregnancy parental overweight and obesity is linked to the next generation’s heightened risk of developing fatty liver disease, a potential precursor to cirrhosis and liver failure, suggests research published online
- [New brain stimulation technique improves short term social skills in children with autism](https://bmjgroup.com/new-brain-stimulation-technique-improves-short-term-social-skills-in-children-with-autism/) - Accelerated continuous theta burst stimulation (a-cTBS) may be a “viable and scalable therapeutic option” say researchers A new non-invasive brain stimulation technique known as accelerated continuous theta burst stimulation (a-cTBS) improves social communication at one month follow up and has a favourable safety profile in children with autism, finds a trial from China published by The
- [International Forum turns 30 | Read our special supplement](https://bmjgroup.com/international-forum-a-30-year-journey-of-learning-and-improvement/) - Reflections from the past 30 years of the International Forum on Quality and Safety in Healthcare, featuring global leaders in improvement.
- [Humanising health: conflict, equity, and resilience](https://bmjgroup.com/humanising-health-conflict-equity-and-resilience/) - PodcastsAnalysisOpinionRecordingsMeeting reportWorld Health Innovation Summit (WISH) 2024 BMJ Group partnered with the Qatar Foundation to support the World Health Innovation Summit (WISH) 2024, a leading global health event that brings together policymakers, researchers, and healthcare professionals. Under the theme “Humanising Health: Conflict, Equity, and Resilience,” the summit explored how health systems can address inequality, respond
- [The BMJ Commission on the Future of Academic Medicine](https://bmjgroup.com/the-bmj-commission-on-the-future-of-academic-medicine/) - Academic medicine brings together science, humanities, social science, health, and social care to improve the health and wellbeing of people and the planet in an equitable manner. For decades, its role has been to train doctors who have led on generating research and provide services to improve health outcomes in a growing global population. But
- [BMJ Group unveils 2025 impact report, spotlighting global health influence and policy reach](https://bmjgroup.com/bmj-group-unveils-2025-impact-report-spotlighting-global-health-influence-and-policy-reach/) - September – October 2025—BMJ Group has published its 2025 impact report, underlining the healthcare knowledge provider’s growing influence on health systems, clinical practice, and global policy. As a signatory to the San Francisco Declaration on Research Assessment (DORA), BMJ Group promotes a more rounded picture of research quality and impact. Alongside the Journal Impact Factor,
- [Prisoners in England at 41-67 times greater risk of avoidable healthcare harms than general public](https://bmjgroup.com/prisoners-in-england-at-41-67-times-greater-risk-of-avoidable-healthcare-harms-than-general-public/) - Estimates suggest between 3000-3700 such cases every year Stark disparity underscores urgent need for government and policy action, say researchers Prisoners in England are 41 to 67 times more likely to experience avoidable harms as a result of poor healthcare than the general public, suggest the findings of a case note review of medical records, published
- [Review finds no direct link between aluminium adjuvanted vaccines and serious or long term health conditions](https://bmjgroup.com/review-finds-no-direct-link-between-aluminium-adjuvanted-vaccines-and-serious-or-long-term-health-conditions/) - Findings align with existing safety data, supporting continued use of aluminium-adjuvanted vaccines in immunisation programmes. Current evidence does not support direct (causal) associations between aluminium adjuvanted vaccines and serious or long term health outcomes, including autism, diabetes and asthma, finds a review of the latest data published by The BMJ today. Small amounts of aluminium salts (adjuvants)
- [Nerve pain drug gabapentin linked to increased dementia, cognitive impairment risks](https://bmjgroup.com/nerve-pain-drug-gabapentin-linked-to-increased-dementia-cognitive-impairment-risks/) - Six or more prescriptions associated with, respectively, 29% and 85% heightened risks And risks more than doubled in 18-64 year olds, shows large medical record study Receiving six or more prescriptions of the drug gabapentin for low back pain is associated with significantly increased risks of developing dementia and mild cognitive impairment (MCI)–29% and 85%,
- [Co-designing safer emergency care](https://bmjgroup.com/co-designing-safer-emergency-care/) - From international learning to local changeSandra Brownlea, staff specialist in the emergency department at Royal Darwin Hospital in Australia, identified inequitable and culturally unsafe care for frequent emergency department attenders, particularly Aboriginal and Torres Strait Islander patients. Social complexity was often addressed through a biomedical lens, leaving patients exposed to stigma and systemic racism. In
- [Improving cultural safety and communication for Indigenous people in hospitals: a consumer-defined approach](https://bmjgroup.com/improving-cultural-safety-and-communication-for-indigenous-people-in-hospitals-a-consumer-defined-approach/) - Spotlight on the Communicate study: Northern Territory HealthIn the hospitals of the Northern Territory state of Australia, Aboriginal and Torres Strait Islander people experience poorer outcomes and higher rates of self-discharge than non-Indigenous patients. These disparities reflect the ongoing effects of colonisation, structural racism and communication barriers within health systems.* The Communicate study was established
- [Connecting communities to inspire change](https://bmjgroup.com/connecting-communities-to-inspire-change/) - From sandpit to system-wide impactIn December 2022, the inaugural BMJ Research Forum brought together 300 participants at the British Medical Association in London, UK. It was there that they were introduced to the Sandpit Methodology: a structured, intensive, multi-day collaborative workshop approach for generating interdisciplinary research ideas. One attendee from UCLPartners adopted the approach and
- [Sedatives in pregnancy not linked to psychiatric disorders in children](https://bmjgroup.com/sedatives-in-pregnancy-not-linked-to-psychiatric-disorders-in-children/) - Findings offer reassurance to clinicians and pregnant women, say researchers A large South Korean study published by The BMJ today finds no increased risk of psychiatric or neurodevelopmental disorders, such as ADHD and autism, in children whose mothers used sedative drugs (benzodiazepines or Z-hypnotics) during pregnancy. Benzodiazepines and Z-hypnotics are used to alleviate anxiety and insomnia, which
- [AI model detects very early normally ‘invisible’ tissue changes of pancreatic cancer](https://bmjgroup.com/ai-model-detects-very-early-normally-invisible-tissue-changes-of-pancreatic-cancer/) - Offers potential to shift diagnosis to early stage, treatable disease, say researchers More accurate than radiologists, but it requires testing in high risk patients before clinical use An AI model (REDMOD) can pick up the very early subtle tissue changes of pancreatic ductal adenocarcinoma, the most common form of pancreatic cancer, which conventional imaging and
- [Bowel and ovarian cancer cases rising among younger adults in England](https://bmjgroup.com/bowel-and-ovarian-cancer-cases-rising-among-younger-adults-in-england/) - Rates of several other cancers also rising faster in younger than in older adults Excess weight is key contributor, but unlikely to fully explain this trend, say researchers Cases of several cancers are rising in England among both younger and older adults, but rates of bowel and ovarian cancer are rising only among younger adults
- [From systematic reviews to global guidance](https://bmjgroup.com/from-systematic-reviews-to-global-guidance/) - How BMJ Global Health underpinned WHO and UNICEF’s first community hand hygiene guidelinesIn October 2025, BMJ Global Health published an open access supplement, The evidence to establish global guidelines on hand hygiene in community settings. The collection brings together five systematic reviews and forms the evidence base for the World Health Organization (WHO) and UNICEF’s
- [Should doctors comment on a president’s mental health?](https://bmjgroup.com/should-doctors-comment-on-a-presidents-mental-health/) - As the oldest person elected president of the United States, Donald Trump has long faced questions about his health. But is it appropriate for doctors to comment publicly on a president’s mental health? In an opinion article published by The BMJ today, David Nicholl and Trisha Greenhalgh examine the ethical tensions involved. While heads of
- [The BMJ reveals 13,000 patients waited over three days in England’s A&E departments last year](https://bmjgroup.com/the-bmj-reveals-13000-patients-waited-over-three-days-in-englands-ae-departments-last-year/) - Extreme A&E waits causing patient harm, say experts, with some saying they’d rather die at home Exclusive data published by The BMJ today show that 13,386 patients in England waited at least three days for A&E treatment last year, part of almost 500,000 who spent over 24 hours stuck in NHS emergency departments - before
- [Improving early home environment linked to lasting health and social gains](https://bmjgroup.com/improving-early-home-environment-linked-to-lasting-health-and-social-gains/) - Findings lend support to the lasting impact of improving early life conditions A large Swedish study published in The BMJ today suggests that an improved early home environment can have lasting positive effects across generations. Children of parents with psychiatric or behavioural issues who were adopted before age 10 into families with better home environments,
- [Widely used food preservative implicated in recent uptick in UK suicide deaths](https://bmjgroup.com/widely-used-food-preservative-implicated-in-recent-uptick-in-uk-suicide-deaths/) - Disproportionately high number of cases among Gen Z, Millennials, and males Urgent public health need to review unrestricted access to this source of preventable deaths A chemical widely used in food preservation is implicated in an uptick in recent UK deaths by suicide, with a disproportionately high number of cases among young people and boys/men,
- [Average age of young fatal stab victims now 14, national data indicate](https://bmjgroup.com/average-age-of-young-fatal-stab-victims-now-14-national-data-indicate/) - Those of Black ethnicity 13 times more likely to be stabbed than their White peers Children living in the most deprived areas 7 times more likely to die of their wounds Experience of domestic abuse, violence, and adversity before death is common The average age of a young fatal stab victim is now 14, indicates
- [UK Women’s Health Strategy signals shift from listening to action, with women shaping care design](https://bmjgroup.com/bringing-evidence-together-with-practical-solutions/) - At BMJ Group, we brought this evidence together with practical solutions, covered in our transforming women’s health through innovation collection.
- [Timing exercise to match body clock chronotype may lower cardiovascular disease risk](https://bmjgroup.com/timing-exercise-to-match-body-clock-chronotype-may-lower-cardiovascular-disease-risk/) - Alignment with ‘eveningness’ or ‘morningness’ lowered risk factors and boosted sleep quality more effectively than mismatched timing Include chronotype assessment in exercise prescriptions, suggest the researchers Timing exercise to match body clock chronotype—the natural predisposition to morning or evening alertness—may lower cardiovascular disease risk among those who are already vulnerable, suggests research published in the
- [For women with primary progressive multiple sclerosis, could Roche’s best selling drug be doing more harm than good?](https://bmjgroup.com/for-women-with-primary-progressive-multiple-sclerosis-could-roches-best-selling-drug-be-doing-more-harm-than-good/) - Investigation explores how an $80,000 a year drug was approved for primary progressive form of MS despite concerns over its safety and effectiveness The US Food and Drug Administration (FDA) is reviewing a petition to revoke the approval of Roche’s top-selling drug ocrelizumab (Ocrevus) for treating primary progressive multiple sclerosis (PPMS) - a form of
- [Bulk of journal’s guest edited special issue content retracted](https://bmjgroup.com/bulk-of-journals-guest-edited-special-issue-content-retracted/) - Bulk of journal’s guest edited special issue content retracted Publication process had been compromised in 7 of the 8 papers in the collection BMJ Group has retracted most of the content belonging to a guest edited special issue published in 2019 in the Journal of Medical Genetics. Investigations revealed that the review process for 7 of the 8
- [Substantial amount of medical information provided by popular chatbots inaccurate and incomplete](https://bmjgroup.com/substantial-amount-of-medical-information-provided-by-popular-chatbots-inaccurate-and-incomplete/) - Half of answers to evidence based questions “somewhat” or “highly” problematic Public education and oversight needed to avoid amplifying misinformation, urge researchers A substantial amount of medical information provided by 5 popular chatbots is inaccurate and incomplete, with half of the answers to clear evidence based questions “somewhat” or “highly” problematic, show the results of
- [Extend vaccination opportunities and involve community members in communicating about vaccines to boost uptake, say researchers](https://bmjgroup.com/extend-vaccination-opportunities-and-involve-community-members-in-communicating-about-vaccines-to-boost-uptake-say-researchers/) - Findings highlight the most effective components across different populations and contexts Extending vaccination opportunities, involving community members alongside healthcare professionals in communicating about vaccines, and providing financial incentives are among the most effective ways to increase vaccine uptake, finds an analysis of international trial evidence published by The BMJ today. The researchers say the findings
- [Buprenorphine is a safe treatment for opioid addiction in pregnancy](https://bmjgroup.com/buprenorphine-is-a-safe-treatment-for-opioid-addiction-in-pregnancy/) - Buprenorphine showed a similar to slightly lower risk of developmental disorders in children compared with methadone, researchers say Children born to mothers who used buprenorphine for opioid addiction during pregnancy do not have a greater risk of neurodevelopmental disorders, such as ADHD and autism, compared with children whose mothers took methadone, finds a large US
- [BMJ Group appoints Niels Peter Thomas as CEO, BMJ Publishing](https://bmjgroup.com/bmj-group-appoints-niels-peter-thomas-as-ceo-bmj-publishing/) - LONDON – BMJ Group is pleased to announce the appointment of Niels Peter Thomas as CEO, BMJ Publishing, effective 15 April 2026. Niels will lead all global publishing activities for the healthcare knowledge provider. This includes the world-renowned journal The BMJ, and nearly 70 speciality journals, alongside the Group’s Events, Careers, and Learning businesses. He will
- [Trial assesses safety and effectiveness of two new TB vaccines](https://bmjgroup.com/trial-assesses-safety-and-effectiveness-of-two-new-tb-vaccines/) - Two new vaccines to prevent tuberculosis (TB) are safe for use in adults and children, but they do not offer protection against all forms of TB, finds a large trial from India published by The BMJ today. TB remains a major global public health concern. In 2023, an estimated 10.8 million people worldwide were reported to have
- [Quitting tobacco could give major economic uplift to 20 million + households in India](https://bmjgroup.com/quitting-tobacco-could-give-major-economic-uplift-to-20-million-households-in-india/) - Greatest impact among rural and poorest households, but 7 million middle income families would also benefit, estimates suggest Quitting tobacco could give a major economic uplift to the incomes of more than 20 million households in India, suggests an economic analysis published in the open access journal BMJ Global Health. While the greatest impact would
- [Combatting misinformation and empowering patient decisions](https://bmjgroup.com/combatting-misinformation-and-empowering-patient-decisions/) - The impact of BMJ Best Practice in IrelandIn a world flooded with misinformation and unreliable health advice, trusted medical information has never been more critical. Misinformation risks patient safety, reduces vaccine uptake, delays treatment, and erodes the trust essential to effective healthcare. According to the World Health Organization, poor quality or incorrect health information increases
- [Exposing hidden influence in infant feeding advice](https://bmjgroup.com/exposing-hidden-influence-in-infant-feeding-advice/) - BMJ Investigations is our dedicated unit of specialist reporters who expose practices that risk public health and undermine trust in healthcare. Through rigorous, evidence-led reporting, the unit shines a light on issues that matter to patients, clinicians and policymakers alike. Over the past decade, our investigative journalism has unearthed research fraud and misconduct, prompted improvements
- [Practical lessons for publishers](https://bmjgroup.com/practical-lessons-for-publishers/) - Putting patients firstFor decades, research publishing followed a fixed script. Researchers investigated. Publishers validated, polished and shared their findings. Patients, if mentioned, were the subjects of the research, not contributors to it. That model is shifting. Across the publishing industry, there’s growing recognition that people with lived experience of illness, disability or care are more
- [Elevating medical education and research across Latin America](https://bmjgroup.com/elevating-medical-education-and-research-across-latin-america/) - At the Universidad Nacional Autónoma de México (UNAM), tomorrow’s doctors are learning to think critically, act decisively, and publish research with global impact. By embedding BMJ Group’s evidence based tools directly into teaching, clinical rotations, and research training, UNAM is reshaping medical education and strengthening healthcare outcomes across Latin America. UNAM is Latin America’s largest
- [Lack of soap most reported barrier to effective hand hygiene in shared community spaces](https://bmjgroup.com/lack-of-soap-most-reported-barrier-to-effective-hand-hygiene-in-shared-community-spaces/) - Efforts to improve handwashing don’t always include basics of access to soap + water Lack of hand hygiene causes annual 740,000 deaths from diarrhoea or respiratory infections But despite global recognition of its importance governments slow to act on hand hygiene A lack of soap is the most often reported barrier to effective hand hygiene—key
- [Championing the rights and health of street and working children](https://bmjgroup.com/championing-the-rights-and-health-of-street-and-working-children/) - BMJ Paediatrics Open and editorial leadershipMillions of children live and work on the streets, facing violence, exploitation, and exclusion. Led by Professor Shanti Raman, a consultant paediatrician and children’s rights advocate, the global Street and Working Children (SWC) Working Group develops practical tools and advocacy resources to improve the health, wellbeing, and rights of street
- [How Ugandan research shaped covid-19 treatment](https://bmjgroup.com/local-solutions-global-impact/) - Expanding access to research in low and middle-income countriesFor over 20 years, BMJ Group has championed underrepresented voices in research. Since introducing full article processing charge (APC) waivers in 2022, we’ve granted 70% more waivers to authors from low and middle-income countries (LMICs) compared to the three years before the policy began. In the past
- [Ian Mulvany spills the beans on where he is with AI right now - Genies, Bottles, and Capex](https://bmjgroup.com/where-i-am-with-ai-right-now-genies-bottles-and-capex/) - Expert insights with Ian MulvanyMy bias In this post, I want to pull together my current thinking about AI. I want to cover a few different threads, so bear with me. I am enamoured with technology. There is something here in GenAI and LLMs. I like them. I use them a lot. I have a
- [Have a story to tell?](https://bmjgroup.com/yourimpact/) - Share how BMJ Group helped you make a differenceWhether you used a BMJ journal, event, or tool to improve care, advance research, or influence policy, we would like to hear your story. Your experience could be featured on bmjgroup.com or in our next impact report. Share your story×Share your story Step 1 of 3 33%
- [From International Forum fellows to advisory panel](https://bmjgroup.com/the-next-generation-advisory-panel-impact-study/) - Supporting early-career voices in improvement workThe next generation advisory panel (NGAP) ensures that the perspectives of early-career healthcare professionals inform the planning and delivery of the International Forum on Quality and Safety in Healthcare. The panel advises on programme development and provides strategic direction on how the International Forum can better reflect and involve those
- [Improving allied health decision making to reduce readmissions](https://bmjgroup.com/improving-allied-health-decision-making-to-reduce-readmissions/) - Stories from the International Forum, with Lauren Nichols, a senior occupational therapist at St Vincent’s Hospital, Melbourne and Western Health.
- [Can BMJ Best Practice help tackle the challenges raised in the Darzi Review?](https://bmjgroup.com/can-bmj-best-practice-help-tackle-the-challenges-raised-in-the-darzi-review/) - The Darzi Review focuses on identifying critical gaps and challenges in the UK health system, particularly in the areas of comorbidities, cardiovascular care, and emergency medicine. It highlights issues such as the increasing complexity of managing multiple long-term conditions, delays in urgent cardiac care for STEMI patients, and the lack of physical health support in
- [Advancing health priorities in China through BMJ Collections](https://bmjgroup.com/advancing-health-priorities-in-china-through-bmj-collections/) - In 2024, The BMJ launched two impactful Collections to help advance health priorities in China. These Collections focused on two pressing health issues: women's health and chronic disease management. Both were launched at high profile academic and policy events, receiving significant attention from healthcare professionals, researchers, and the public. This study showcases the impactful efforts
- [From one kitchen to a movement: new additions to important collection](https://bmjgroup.com/from-one-kitchen-to-a-movement/) - New features added to Latin America’s global leadership in health Collection From one kitchen to a movement—Fascinating new The BMJ feature by Rodrigo de Oliveira Andrade on solidarity kitchens in Sao Paulo - a grassroots food assistance programme that grew out of covid-19 aiming to counter obesity and other diseases of poverty: Solidarity kitchens: how
- [Advocating for safer pharmaceutical marketing](https://bmjgroup.com/advocating-for-safer-pharmaceutical-marketing/) - How patient voices can drive meaningful changeNearly 90% of teens and young adults who use social media say they use it to find information about their healthcare. However, as pharmaceutical marketers have shifted more and more of their budgets towards selling their products on social media, especially via paid influencers, the US Food and Drug
- [Driving global health research through BMJ collections](https://bmjgroup.com/driving-global-health-research/) - Five minutes with Dr Azeem Majeed, Professor and Head of Primary Care & Public Health at Imperial College London, on his publishing experience with BMJ.
- [Advancing global healthcare resilience](https://bmjgroup.com/insights-from-a-bmj-collection-publication/) - Dr Derek Cocker credits publishing in The BMJ for amplifying his research’s impact, facilitating global conversations, and forging collaborations.
- [Guiding global conversations in vaccine hesitancy](https://bmjgroup.com/guiding-global-conversations-in-vaccine-hesitancy/) - - Guiding global conversations in vaccine hesitancyHeidi Larson, Lady Piot, is a professor of anthropology, risk and decision science and the founding director of the Vaccine Confidence Project, a research group dedicated to monitoring and mapping vaccine confidence and developing interventions to build trust. She is the author of Stuck: How Vaccine Rumors Start and Why
- [Innovative device tackles racial bias in health monitoring, ensuring accurate readings for all skin tones](https://bmjgroup.com/innovative-device-tackles-racial-bias-in-health-monitoring-ensuring-accurate-readings-for-all-skin-tones/) - Original research published in BMJ Innovations introduces a pioneering non-invasive device that corrects racial bias in haemoglobin and pulse oximetry measurements. Using green light and a proprietary algorithm to account for skin pigment, the Green Light Oximeter delivers accurate readings across all skin tones and age groups. Designed for use at home, in clinics, and
- [BMJ Group awarded government contract to work as part of the NIHR to lead  public partnerships and research impact initiative](https://bmjgroup.com/bmj-group-awarded-government-contract-to-work-as-part-of-the-nihr-to-lead-public-partnerships-and-research-impact-initiative/) - Global healthcare knowledge provider BMJ Group has been selected by the Department of Health and Social Care (DHSC) to lead and coordinate the National Institute for Health and Care Research (NIHR)’s Public Partnerships and Maximising Research Impact activities. Starting 1 April 2025, BMJ Group will spearhead a mission to amplify the relevance, reach, and real-world
- [Fostering transparency and quality in systematic reviews](https://bmjgroup.com/fostering-transparency-and-quality-in-systematic-reviews/) - Spotlight on The BMJ and Maastricht University PhD programme Launched in 2020, the joint The BMJ and Maastricht University PhD programme recruits one PhD student annually to contribute to vital research in the responsible conduct of publishing scientific research. It now proudly supports three students tackling diverse topics such as systematic review search strategies, librarian
- [BMJ Group joins RADIANT to drive safe and effective digital health innovation](https://bmjgroup.com/bmj-group-joins-radiant-to-drive-safe-and-effective-digital-health-innovation/) - BMJ Group is pleased to be part of RADIANT, a newly established Centre of Excellence in Regulatory Science and Innovation (CERSI) for Transformative Digital Health and AI. Funded by UK Research and Innovation (UKRI), RADIANT will tackle regulatory challenges in digital health, ensuring AI-driven healthcare innovations are safe, trusted, and sustainable. Led by Brunel University
- [Adolescent girls in South Asia face an “alarming state of health and nutrition” experts warn](https://bmjgroup.com/adolescent-girls-in-south-asia-face-an-alarming-state-of-health-and-nutrition-experts-warn/) - Join the launch event – 9.30am Tuesday 4 March New BMJ collection calls for bold action to empower girls and advance gender equality to achieve lasting change Adolescent girls across South Asia face an alarming state of health and nutrition from persistent undernutrition and anaemia alongside a rapid rise in overweight and obesity, warn experts
- [Doctors rely on BMJ Best Practice to provide evidence-based care](https://bmjgroup.com/doctors-rely-on-bmj-best-practice-to-provide-evidence-based-care/) - There has been much discourse about the features and impact of clinical decision support. However, until recently, there has been less evidence on how healthcare professionals use decision support to provide evidence-based care or on the potential cost savings that could emerge from its use. A new study attempted to fill this gap by asking healthcare
- [Transforming healthcare in India: driving disruptive innovation for better patient experience in secondary and tertiary care](https://bmjgroup.com/transforming-healthcare-in-india-driving-disruptive-innovation-for-better-patient-experience-in-secondary-and-tertiary-care/) - Specialist roundtable on disruptive innovation in secondary and tertiary care in India Our partnerships and events team regularly host roundtables that bring together international experts to outline, discuss and direct the conversation toward overcoming common clinical challenges. We delivered a specialist roundtable in New Delhi with senior leaders to explore “how disruptive innovation of secondary
- ["Adaptability will be key to navigating new challenges" for the academic media sector, says Anca Babor, Director of Customer and Markets, Publishing, and Events](https://bmjgroup.com/adaptability-will-be-key-to-navigating-new-challenges-for-the-academic-media-sector-says-anca-babor-director-of-customer-and-markets-publishing-and-events/) - The academic media landscape is evolving, driven by digital platforms that speed research dissemination but amplify concerns over misinformation. Institutions and publishers must now prioritise digital excellence and peer reviewed content to safeguard academic and scholarly research integrity. Generative artificial intelligence (AI) offers great potential to enhance research workflows and expand accessibility, but it also
- [BMJ Investigations Unit empowers councils to challenge fast food planning decisions](https://bmjgroup.com/11004-2/) - An exclusive BMJ investigation has uncovered how McDonald’s is systematically undermining councils’ efforts to block new outlets—particularly in deprived areas of England, where rates of childhood obesity are alarmingly high. Based on freedom of information requests to the Planning Inspectorate, The BMJ found that McDonald’s has lodged 14 planning appeals in the past five years—and
- [2025 Racism in Medicine: are we making any progress?](https://bmjgroup.com/2025-racism-in-medicine/) - Since 2020, we have published landmark collections and ongoing coverage of racism in medicine. The BMJ highlighted the racial discrimination and health inequalities experienced by patients and doctors in a special campaigning issue. As the first journal publication solely focused on calling for action against racism in medicine, The BMJ directly contributed to the launch
- [Over 130 health journals call for renewed WHO mandate on health effects of nuclear war](https://bmjgroup.com/over-130-health-journals-call-for-renewed-who-mandate-on-health-effects-of-nuclear-war/) - End nuclear weapons, before they end us, warn experts BMJ Group has joined health journals across the world to publish an editorial urging governments to restore a World Health Organization (WHO) mandate to address the health consequences of nuclear weapons and war - and support a new UN study on the effects of nuclear war. Authors include
- [Why an intersectional gender approach matters for social innovations in health 🌍](https://bmjgroup.com/why-an-intersectional-gender-approach-matters-for-social-innovations-in-health-🌍/) - Health challenges go beyond clinical interventions—social, cultural, and political factors deeply influence outcomes. Recognising how gender intersects with socio-economic factors is crucial for achieving health equity. The latest collection in BMJ Innovations, produced in partnership with TDR, explores innovations to ensure interventions are inclusive and responsive to marginalised groups in low- and middle-income countries. 🔑
- [Flour fortification with folic acid](https://bmjgroup.com/flour-fortification-with-folic-acid-a-landmark-decision-for-public-health/) - The UK government announced transformative policy to prevent neural tube defects (NTDs) in newborns.
- [Building a powerful advocacy voice](https://bmjgroup.com/building-a-powerful-advocacy-voice/) - A powerful blend of professional expertise, personal experience, and a growing public platform has marked Dr Seema Haider's journey into advocacy.
- [Enabling systemic change through evidence-based practice](https://bmjgroup.com/enabling-systemic-change-through-evidence-based-practice/) - How working with BMJ Group is helping Cyprus translate evidence into everyday practiceThe Cyprus Ministry of Health’s launch of the National Centre for Clinical Evidence and Quality in Healthcare (NCCE) marks a milestone in national healthcare reform. BMJ Group is a trusted strategic partner in this transformation, contributing evidence-based tools, clinical expertise, and a collaborative
- [Driving global consensus on Alzheimer's disease imaging](https://bmjgroup.com/case-study-template/) - BMJ China and West China Hospital’s Alzheimer’s disease imaging roundtable, December 2024 BMJ Group contributes to the progress of health research, policy, and practice through trusted editorial leadership and a vast global network of experts. We run over 20 roundtables, 100+ webinars, dozens of regional and global panel discussions, and large-scale forums yearly. These clinically
- [BMJ Group report reveals digital health expectation gap, with healthcare professionals left waiting for productivity gains](https://bmjgroup.com/bmj-report-reveals-digital-health-expectation-gap-with-healthcare-professionals-left-waiting-for-productivity-gains/) - Digital health promise not yet realised, says BMJ Future Health Commission reportA new report from the BMJ Future Health Commission, a joint initiative between global healthcare knowledge provider BMJ Group and independent assurance and risk management provider DNV, shows that healthcare professionals (HCPs) feel digital health technologies fail to help them deliver more care with
- [Global health at a crossroads: BMJ articles inform debate as world leaders meet at the UN](https://bmjgroup.com/global-health-at-a-crossroads-bmj-articles-inform-debate-as-world-leaders-meet-at-the-un/) - 🌐 As world leaders and health experts convene and make commitments at the UN’s annual meeting, General Assembly of the United Nations, The BMJ has published several articles to inform needed action and international cooperation on health. Several obstacles (and opportunities) are on the path: Rebecca Root reports on how USAID de-funding has given way
- [Raising awareness of a rare but serious risk linked to menstrual cup use](https://bmjgroup.com/raising-awareness-of-a-rare-but-serious-risk-linked-to-menstrual-cup-use/) - When Dr Clara Maarup Prip, a urologist and gynaecologist at Aarhus University Hospital, Denmark, encountered a rare case of kidney swelling (ureterohydronephrosis) caused by a menstrual cup, it was unlike anything she had seen before. The menstrual cup had been compressing the ureter where it enters the bladder, leading to a serious but rare complication.
- [The NHS is reaching a crisis point in consultant recruitment, new BMJ Careers report warns](https://bmjgroup.com/the-nhs-is-reaching-a-crisis-point-in-consultant-recruitment-new-bmj-careers-report-warns/) - 1 in 3 consultant jobs unfilled in some parts of the NHS, data shows £674m spent on locums in 2024/5 with negative effects on staff morale and patient care The NHS is reaching a crisis point in consultant recruitment as 1 in 3 consultant posts lie vacant in some parts of the UK and recruiting
- [Varied voices: How to make research more inclusive and diverse through public involvement](https://bmjgroup.com/varied-voices-how-to-make-research-more-inclusive-and-diverse-through-public-involvement/) - A free online course to show health professionals how EDI can improve the quality and impact of research. Register today >>
- [Public health advice on safety of glycerol-containing slush ice drinks likely needs revising](https://bmjgroup.com/public-health-advice-on-safety-of-glycerol-containing-slush-ice-drinks-likely-needs-revising/) - Detailed review of 21 cases of acutely ill children linked to these products prompts concerns Public health advice on the safe consumption of glycerol-containing slush ice drinks, also known as slushees, may need revising, conclude researchers after carrying out a detailed review of the medical notes of 21 children who became acutely unwell shortly after
- [The more siblings you have the easier it may be to cope with parental death in midlife](https://bmjgroup.com/the-more-siblings-you-have-the-easier-it-may-be-to-cope-with-parental-death-in-midlife/) - Mental health drug purchases lower among those with more siblings after mother’s death Having more brothers and sisters may make it easier to cope with the death of a parent, in midlife, particularly when it’s the mother who dies, suggests research published online in the Journal of Epidemiology & Community Health. Fewer mental health drugs
- [The BMJ retracts stem cell trial amid ongoing data integrity and reliability concerns](https://bmjgroup.com/stem-cell-therapy-linked-to-lower-risk-of-heart-failure-after-a-heart-attack/) - The BMJ retracts stem cell trial amid ongoing data integrity and reliability concerns The BMJ has retracted a clinical trial published on 29 October 2025: Prevention of acute myocardial infarction induced heart failure by intracoronary infusion of mesenchymal stem cells: phase 3 randomised clinical trial (PREVENT-TAHA8). The decision follows an investigation by BMJ Group's content integrity team
- [Shisha smoking continues to be overlooked as a public health issue](https://bmjgroup.com/shisha-smoking-continues-to-be-overlooked-as-a-public-health-issue/) - Upcoming law changes alongside increased awareness and culturally competent support is needed, say experts Shisha smoking continues to be overlooked as a public health issue in the UK, argue experts in The BMJ today. This could change with the advent of the Tobacco and Vapes Bill, legislation currently making its way through Parliament, but only, they say,
- [Doubt cast on effectiveness of widely used ‘KT-tape’ for joint/muscle pain + mobility](https://bmjgroup.com/doubt-cast-on-effectiveness-of-widely-used-kt-tape-for-joint-muscle-pain-mobility/) - May confer immediate to short term benefits, but current evidence “very uncertain" This, plus potential skin irritation, may limit its use in clinical practice, conclude researchers Kinesio taping, or ‘KT tape’ as it’s usually known—widely used to ease joint/muscle pain and boost range of movement—may not be all that effective, suggests a pooled data analysis
- [The US is driving a public health emergency of international concern](https://bmjgroup.com/the-us-is-driving-a-public-health-emergency-of-international-concern/) - Experts call for global collaboration to mitigate the harms of US policy changes The Trump administration’s decision to halt most US foreign aid and development work constitutes a public health emergency of international concern (PHEIC) under international law, argue experts in The BMJ today. Matthew Herder and colleagues warn that these policies pose a grave threat to global health,
- [11% rise in maternal deaths in US aid-dependent countries under Republican administrations](https://bmjgroup.com/11-rise-in-maternal-deaths-in-us-aid-dependent-countries-under-republican-administrations/) - Equivalent to 45 extra deaths per 100,000 live births, data analysis indicates Erodes fifth of fall in global maternal deaths achieved since 1985, say researchers Maternal deaths rise by around 11% in countries that rely on US aid following a switch from a Democratic to a Republican administration, suggest the findings of a data analysis
- [Preparing a home cooked meal at least once a week may cut older people’s dementia risk by 30%](https://bmjgroup.com/preparing-a-home-cooked-meal-at-least-once-a-week-may-cut-older-peoples-dementia-risk-by-30/) - This risk may be 70% lower in novice cooks with few culinary skills, study suggests Preparing a home cooked meal at least once a week may cut older people’s risk of dementia by 30%, suggests research published online in the Journal of Epidemiology & Community Health. And this risk may be 70% lower in older novice
- [AI assisted tool linked to improved stroke care and outcomes](https://bmjgroup.com/ai-assisted-tool-linked-to-improved-stroke-care-and-outcomes/) - Offers a more efficient and scalable method for improving stroke care and prognosis, say researchers A clinical decision support tool that uses artificial intelligence (AI) to analyse scans after a stroke alongside treatment recommendations is associated with better quality care and long term outcomes for patients compared with usual care, finds a study from China
- [Detection of bowel cancer marker in wastewater may offer new early warning system](https://bmjgroup.com/detection-of-bowel-cancer-marker-in-wastewater-may-offer-new-early-warning-system/) - Could help target areas for cost-effective, practical community screening, say researchers Detection of a bowel cancer marker (CDH1) in wastewater may offer a new community level early warning system for the disease, suggests a proof of concept study published online in the Journal of Epidemiology & Community Health. Wastewater surveillance could complement traditional screening methods and
- [Mediterranean-blood pressure lowering diet (MIND) may slow structural brain ageing](https://bmjgroup.com/mediterranean-blood-pressure-lowering-diet-mind-may-slow-structural-brain-ageing/) - Associated with less tissue loss, especially grey matter—brain’s information processing hub The combined Mediterranean and blood pressure lowering diet (MIND) may slow the structural changes related to brain ageing, finds research published online in the Journal of Neurology Neurosurgery & Psychiatry. This diet is associated with less tissue loss over time, especially grey matter—the brain’s information
- [Cosmetic procedures need tighter regulation to reduce harm, argue experts](https://bmjgroup.com/cosmetic-procedures-need-tighter-regulation-to-reduce-harm-argue-experts/) - Consistent regulation alongside public education and advertising controls essential to safeguard patients and reduce cosmetic tourism The rise in invasive cosmetic procedures demands tighter regulation, better consumer protection, and greater awareness to protect patient safety and reduce cosmetic tourism, argue experts in The BMJ today. The global market for cosmetic procedures is growing rapidly and is projected
- [Further evidence of developmental risks linked to epilepsy drugs in pregnancy](https://bmjgroup.com/further-evidence-of-developmental-risks-linked-to-epilepsy-drugs-in-pregnancy/) - Study adds weight to previously reported risks and calls for monitoring of new antiseizure drugs Findings published by The BMJ today reinforce previous research linking use of the antiseizure drug valproate during pregnancy to neurodevelopmental disorders such as ADHD and autism in children, and indicate no substantial risk for several other antiseizure drugs including levetiracetam and lamotrigine.
- [First degree female relatives’ suicidal intentions may influence women’s suicide risk](https://bmjgroup.com/first-degree-female-relatives-suicidal-intentions-may-influence-womens-suicide-risk/) - Sex specific effects of shared familial environment and other social factors may be key Genetic factors only partly explain observed sex difference in suicidal behaviours A woman’s suicide risk may be influenced by the suicidal intention of her female first degree relatives, with sex specific effects of a shared familial environment and possibly other social
- [Specific gut bacteria species (R inulinivorans) linked to muscle strength](https://bmjgroup.com/specific-gut-bacteria-species-r-inulinivorans-linked-to-muscle-strength/) - Converts muscle fibres to ‘fast-twitch’ (type II), designed for short intensive movement Holds promise as nutraceutical for treating age-related muscle wasting, say researchers A species of gut bacteria called Roseburia inulinivorans is specifically associated with human muscle strength and improved muscular performance in mice, finds research published online in the journal Gut. R inulinivorans changes certain metabolic processes in
- [Wegovy may have highest ‘eye stroke’ and sight loss risk of semaglutide GLP-1 agonists](https://bmjgroup.com/wegovy-may-have-highest-eye-stroke-and-sight-loss-risk-of-semaglutide-glp-1-agonists/) - Odds of ischaemic optic neuropathy nearly 5 times higher than among users of Ozempic And 3 times higher in men than in women, analysis of unintended side effect reports shows Wegovy, a GLP-1 agonist for weight loss, may carry the highest risk of ‘eye stroke’ (ischaemic optic neuropathy) and sudden sight loss of the semaglutide
- [Councils face industry legal threats for campaigns warning against wood burning stoves ](https://bmjgroup.com/councils-face-industry-legal-threats-for-campaigns-warning-against-wood-burning-stoves/) - As the UK government considers health warnings for new stoves, investigation reveals industry pressure on councils to shut down clean air campaigns As the UK government considers adding health warnings to new wood burning stoves, as part of a public consultation on solid fuel burning, councils in England are being threatened with legal action for running public
- [Research4Life marks 25 years of expanding who gets to participate in global research](https://bmjgroup.com/research4life-marks-25-years/) - Geneva, March 4, 2025 – What began as a bold response to a call from the United Nations has grown into one of the most enduring public-private partnerships for research equity. For 25 years, Research4Life has expanded access to trusted academic and professional resources – transforming who gets to participate in global research. Launched in 2001
- [7 hours 18 mins may be optimal sleep length for avoiding type 2 diabetes precursor](https://bmjgroup.com/7-hours-18-mins-may-be-optimal-sleep-length-for-avoiding-type-2-diabetes-precursor/) - Weekend catch-ups linked to heightened risk of insulin resistance in those sleeping more Sleeping for 7 hours and 18 minutes every night may be the sweet spot for warding off the risk of insulin resistance—the precursor to type 2 diabetes—suggests a large observational study published in the open access journal BMJ Open Diabetes Research & Care.
- [GLP-1 diabetes drugs linked to reduced risk of addiction and substance-related death](https://bmjgroup.com/glp-1-diabetes-drugs-linked-to-reduced-risk-of-addiction-and-substance-related-death/) - Findings suggest a potential role in both prevention and treatment of various substance use disorders, say researchers Glucagon-like peptide-1 (GLP-1) receptor agonists used to treat type 2 diabetes and obesity may also help to lower the risk of addiction to a range of substances including alcohol, cannabis, cocaine, nicotine, and opioids, finds a large US
- [Around 6 deaths a year linked to clubbing in the UK](https://bmjgroup.com/around-6-deaths-a-year-linked-to-clubbing-in-the-uk/) - Physical assault or too much ‘ecstasy’ primary causes, finds 15 year retrospective study Around 6 deaths a year are linked to clubbing in the UK, finds a 15 year retrospective study published online in Emergency Medicine Journal. Physical assault, including stabbings and head trauma, or too much ecstasy (MDMA) are the primary causes, the findings indicate.
- [Pollen exposure linked to poorer exam results taken at the end of secondary school](https://bmjgroup.com/pollen-exposure-linked-to-poorer-exam-results-taken-at-the-end-of-secondary-school/) - Effects strongest for subjects involving maths, including physics and chemistry Recognition needed of this and its potential impact on future prospects, say researchers Pollen exposure is linked to poorer exam results taken at the end of secondary (high) school (matriculation), with the effects especially noticeable in subjects involving maths, including physics and chemistry, finds research
- [Many post-authorisation studies fail to comply with public disclosure rules ](https://bmjgroup.com/many-post-authorisation-studies-fail-to-comply-with-public-disclosure-rules/) - Better adherence is required for greater research transparency, say researchers Many post-authorisation studies registered with the European Medicines Agency (EMA) fail to comply with legal requirements and recommendations to make their findings public, finds a study published by The BMJ today. Post-authorisation studies (PAS) are carried out after a medicine is approved to collect further “real-world” data
- [HPV vaccination provides “sustained protection” against cervical cancer ](https://bmjgroup.com/hpv-vaccination-provides-sustained-protection-against-cervical-cancer/) - No indication of waning protection up to 18 years after vaccination, findings show Human papillomavirus (HPV) vaccination is associated with a significantly reduced risk of invasive cervical cancer, with no indication of waning protection up to 18 years after vaccination, finds a study from Sweden published by The BMJ today. HPV is one of the most common sexually transmitted infections and
- [The BMJ teams up with top paediatric journals to enhance trial conduct and reporting ](https://bmjgroup.com/the-bmj-teams-up-with-top-paediatric-journals-to-enhance-trial-conduct-and-reporting/) - The BMJ has teamed up with leading paediatric journals, JAMA Pediatrics and The Lancet Child & Adolescent Health, to co-publish two papers that will enhance trial conduct and reporting to improve the health of young patients and their families. The papers provide essential checklist items for researchers to include in clinical trial protocols and reports aimed at enhancing the usefulness,
- [Obstructive sleep apnoea may cost UK + US economies billions in lost productivity](https://bmjgroup.com/obstructive-sleep-apnoea-may-cost-uk-us-economies-billions-in-lost-productivity/) - Around 1 in 5 adults in both countries may have the condition, analysis suggests Time to test workplace screening in those most at risk of harm from daytime sleepiness Untreated obstructive sleep apnoea may be costing the UK and US economies billions of pounds/dollars in lost productivity every year, with a considerable proportion of working
- [Chronic shortage of family doctors in England, reveals BMJ analysis](https://bmjgroup.com/chronic-shortage-of-family-doctors-in-england-reveals-bmj-analysis/) - GP leaders warn of a “troubling picture” of general practice under growing strain, yet many newly qualified doctors are unable to find work Four fifths of England’s integrated care boards (ICBs) - responsible for planning health services for their local population - would need to at least double their number of general practitioners to meet
- [Menopausal hormone therapy not linked to increased risk of death](https://bmjgroup.com/menopausal-hormone-therapy-not-linked-to-increased-risk-of-death/) - Findings in line with guidelines recommending hormone therapy for women who have recently begun menopause with moderate to severe symptoms and no contraindications Menopausal hormone therapy (commonly known as hormone replacement therapy or HRT) is not associated with an increased risk of death, finds a Danish study of over 800,000 women published by The BMJ today. The findings support
- [Effectiveness of exercise to ease osteoarthritis symptoms likely minimal and transient](https://bmjgroup.com/effectiveness-of-exercise-to-ease-osteoarthritis-symptoms-likely-minimal-and-transient/) - Findings of evidence overview question its universal promotion as first line treatment The effectiveness of exercise therapy to ease the symptoms of osteoarthritis is likely minimal, short lived, and probably no better than no treatment at all, suggests an overarching (umbrella) systematic review and pooled data analysis of the available evidence, published in the open
- [School restrictive smartphone policies may save a small amount of money by reducing staff costs](https://bmjgroup.com/school-restrictive-smartphone-policies-may-save-a-small-amount-of-money-by-reducing-staff-costs/) - But they make little difference to pupils’ mental wellbeing and quality of life School restrictive smartphone policies may save a small amount of money for schools, primarily by reducing the amount of time staff spend on managing phone-related behaviours, but they make little difference to pupils’ quality of life or mental wellbeing, finds a health
- [Aerobic exercise may be most effective for relieving depression/anxiety symptoms](https://bmjgroup.com/aerobic-exercise-may-be-most-effective-for-relieving-depression-anxiety-symptoms/) - Supervised group exercise may be best for depression; shorter lower intensity exercise may be best for anxiety But all forms of exercise as good as, or better than, medication/talking therapies Aerobic exercise, such as running, swimming, and dancing, may be most effective for relieving the symptoms of depression and anxiety, finds an overarching (umbrella) review and
- [Legalisation of cannabis + retail sales linked to rise in its use and co-use of tobacco](https://bmjgroup.com/legalisation-of-cannabis-retail-sales-linked-to-rise-in-its-use-and-co-use-of-tobacco/) - Patterns evident in higher risk groups and those with historically lower levels of cannabis use The legalisation of cannabis and the start of retail sales of the drug in the US are linked to both a rise in its recreational use and concurrent use of tobacco, as well as a fall in sole tobacco use,
- [Testing menstrual blood for HPV could be “robust alternative” to cervical screening](https://bmjgroup.com/testing-menstrual-blood-for-hpv-could-be-robust-alternative-to-cervical-screening/) - Could offer a practical way to expand access to screening, say researchers Testing menstrual blood for human papillomavirus (HPV) could be a “robust alternative or replacement” for current cervical cancer screening by a clinician, finds a study from China published by The BMJ today. The researchers say using menstrual blood for HPV testing is convenient and non-invasive,
- [Rates of autism in girls and boys may be more equal than previously thought](https://bmjgroup.com/rates-of-autism-in-girls-and-boys-may-be-more-equal-than-previously-thought/) - Study raises questions around why female individuals are diagnosed later than males Autism has long been viewed as a condition that predominantly affects male individuals, but a study from Sweden published by The BMJ shows that autism may actually occur at comparable rates among male and female individuals. The results show a clear female catch-up effect during
- [Physical fitness of transgender and cisgender women is comparable, current evidence suggests](https://bmjgroup.com/physical-fitness-of-transgender-and-cisgender-women-is-comparable-current-evidence-suggests/) - Despite greater muscle mass of transgender women 1-3 years after hormone therapy Evidence is of variable quality, but doesn’t back inherent athletic advantage theories Transgender women might have more muscle mass than cisgender women 1 to 3 years after hormone therapy, but their physical fitness is comparable, finds a pooled data analysis of the available
- [Air ambulance pre-hospital care may make surviving critical injury more likely](https://bmjgroup.com/air-ambulance-pre-hospital-care-may-make-surviving-critical-injury-more-likely/) - Associated with saving 5 more lives than expected out of every 100 seriously injured people Air ambulance pre-hospital care (HEMS) may make surviving critical injury more likely as it’s associated with saving 5 more lives than would be expected in every 100 major trauma cases, suggests an analysis of survival data for one regional service
- [Significant gaps persist in regional UK access to 24/7 air ambulance services](https://bmjgroup.com/significant-gaps-persist-in-regional-uk-access-to-24-7-air-ambulance-services/) - And availability of advanced interventions, including provision of blood products, still variable Despite significant improvements in the availability of 24/7 emergency air ambulance services (HEMS) across the UK since 2009, persistent regional gaps remain, finds research published online in Emergency Medicine Journal. And the provision of advanced potentially life saving interventions, such as blood transfusion and
- [Expert warning over hidden health effects of US trade tariffs](https://bmjgroup.com/warning-over-hidden-health-effects-of-us-trade-tariffs/) - The US government’s assertive use of import tariffs means the health implications of trade policy can no longer be sidelined, say experts Greater attention must be paid to both the direct and indirect health effects of trade tariffs including access to medicines, food costs, and employment conditions, warn experts in The BMJ today. Courtney McNamara at Newcastle
- [Telesurgery as reliable as standard robotic surgery for some urological procedures](https://bmjgroup.com/telesurgery-as-reliable-as-standard-robotic-surgery-for-some-urological-procedures/) - Findings provide an evidence base for larger-scale trials, say researchers Telesurgery (operating on a patient remotely using a surgical robot via a secure telecommunication link) appears to be as reliable as standard robotic surgery (when the surgeon and patient are in the same room) for two common urological procedures, suggests a randomised controlled trial from China
- [Major US tobacco brands flouting platform + federal policies to restrict young people’s access to their content on Instagram](https://bmjgroup.com/major-us-tobacco-brands-flouting-platform-federal-policies-to-restrict-young-peoples-access-to-their-content-on-instagram/) - Violations include lax/missing age verification, sponsorship disclosure, and health warnings Leading US tobacco brands are flouting platform and federal marketing policies designed to restrict young people’s access to their content on the popular social media platform Instagram, indicates research published online in the journal Tobacco Control. Violations include lax or missing age verification, disclosure on brand-influencer
- [Sleeping without pillows may lower harmful high internal eye pressure in people with glaucoma](https://bmjgroup.com/sleeping-without-pillows-may-lower-harmful-high-internal-eye-pressure-in-people-with-glaucoma/) - Stacked pillows alter neck position which may compress jugular vein, suggest researchers Sleeping without pillows may help lower high internal eye pressure, build-up of which causes optic nerve damage and glaucoma—the leading cause of irreversible blindness worldwide–in people with the condition, suggests preliminary research, published online in the British Journal of Ophthalmology. Stacked pillows alter neck
- [Natural ovulation as effective as hormones before IVF embryo transfer](https://bmjgroup.com/natural-ovulation-as-effective-as-hormones-before-ivf-embryo-transfer/) - And carries a lower risk of complications for the mother Natural ovulation before frozen embryo transfer is as effective as hormone treatment for achieving a healthy baby by vitro fertilisation (IVF), finds a clinical trial from China published by The BMJ today. Natural ovulation is also linked to a lower risk of several complications for the mother, such
- [Non-monetary “honour-based” incentives linked to increased blood donations](https://bmjgroup.com/non-monetary-honour-based-incentives-linked-to-increased-blood-donations/) - Findings from China show promise and could be applied in other countries to tackle blood shortages, suggest researchers Offering non-monetary incentives such as free access to outpatient consultations to frequent blood donors is linked to an increase in donations without compromising blood safety, finds a study from China published by The BMJ today. The researchers say their
- [Long term use of anti-acid drugs may not increase stomach cancer risk](https://bmjgroup.com/long-term-use-of-anti-acid-drugs-may-not-increase-stomach-cancer-risk/) - Finding should offer relief for patients needing long term proton pump inhibitor therapy, say researchers The long term use of proton pump inhibitors (PPIs), a class of drugs widely used to treat acid reflux and ulcers, may not be linked to any increased risk of developing gastric (stomach) cancer, finds a study of Nordic health
- [Type 2 diabetes prevention could more than halve carbon footprint linked to disease complications](https://bmjgroup.com/type-2-diabetes-prevention-could-more-than-halve-carbon-footprint-linked-to-disease-complications/) - And good disease management could cut greenhouse gas emissions by 21% Preventing high blood glucose (pre-diabetes) from turning into type 2 diabetes with lifestyle changes could more than halve the carbon footprint associated with treating the complications of the disease, suggests a modelling study, published in the open access journal BMJ Open. And effective management of
- [UK glaucoma cases higher than expected and projected to reach 1.6 million+ by 2060](https://bmjgroup.com/uk-glaucoma-cases-higher-than-expected-and-projected-to-reach-1-6-million-by-2060/) - Equivalent to 60% rise, which outpaces 28% population increase in those aged 40+ Eye health services will need to expand to meet demand, highlight the researchers The number of people over 40 in the UK living with glaucoma—the leading cause of irreversible blindness worldwide—is already higher than expected and is projected to surge to more
- [Empowering social mobility through our work experience programme](https://bmjgroup.com/empowering-social-mobility-through-our-work-experience-programme/) - Our vision of creating a healthier world is evident in our collaborative efforts to design and implement projects that enhance community wellbeing. We strive to make a difference across all the communities we serve worldwide. A key focus for us is empowering future generations by providing new opportunities. This year, we took action to address
- [Precautionary approach to alcohol-free and low alcohol drinks needed to protect public health, say experts](https://bmjgroup.com/precautionary-approach-to-alcohol-free-and-low-alcohol-drinks-needed-to-protect-public-health-say-experts/) - Alcohol-free and low alcohol (“nolo”) drinks have the potential to improve public health, but experts in The BMJ today call for a precautionary approach that maximises potential benefits (eg. increased substitution of alcoholic drinks with nolo alternatives) while minimising risks (eg. preventing encroachment of nolo drinks into alcohol-free spaces). Sales of alcohol-free and low alcohol drinks have
- [Home fingertip oxygen monitors less accurate for people with darker skin tones](https://bmjgroup.com/home-fingertip-oxygen-monitors-less-accurate-for-people-with-darker-skin-tones/) - Largest study on this topic suggests that measurement errors lead to potential delays in care and contribute to health disparities Fingertip monitors known as pulse oximeters that can be used at home to detect low blood oxygen levels (hypoxaemia) give higher readings for patients with darker than lighter skin tones, finds the largest study on
- [Six weeks in a cast no less effective than surgery for unstable ankle fractures](https://bmjgroup.com/six-weeks-in-a-cast-no-less-effective-than-surgery-for-unstable-ankle-fractures/) - Cast also carries fewer treatment related harms than surgery, say researchers Wearing a cast for six weeks appears to be no less effective than surgery for healing unstable ankle fractures and carries fewer treatment related harms, finds a clinical trial from Finland published by The BMJ today. Around two thirds of all ankle fractures involve a break in the
- [Female sex and higher education linked to escalating prevalence of obesity and overweight in Africa](https://bmjgroup.com/female-sex-and-higher-education-linked-to-escalating-prevalence-of-obesity-and-overweight-in-africa/) - Women’s odds of obesity nearly 5 times higher than men’s in the region And obesity 3 times more likely in those with tertiary level education Female sex and higher education are significantly linked to the escalating prevalence of obesity and overweight in Africa, finds one of the largest and most detailed analyses of body weight
- [Phone apps nearly 3 times as good as no/basic support for quitting smoking long term](https://bmjgroup.com/phone-apps-nearly-3-times-as-good-as-no-basic-support-for-quitting-smoking-long-term/) - If high quality clinical trials confirm lasting benefits and key features, apps could become cornerstone of global tobacco control efforts, suggest researchers Smartphone apps—particularly those based on psychological theories—are 3 times as effective as no/minimal support at helping people who smoke stub out their tobacco use long term, suggests a pooled data analysis of the
- [Postoperative complications of medical tourism may cost NHS up to £20,000/patient](https://bmjgroup.com/postoperative-complications-of-medical-tourism-may-cost-nhs-up-to-20000-patient/) - But data on use, frequency, and consequences for NHS incomplete and haphazard Currently impossible to fully understand risks of opting for surgery abroad, warn researchers The postoperative complications of medical tourism may be costing the NHS up to £20,000 per patient, suggest the findings of a rapid review of the available data, published in the
- [Breastfeeding may lower mums’ later life depression/anxiety risks for up to 10 years after pregnancy](https://bmjgroup.com/breastfeeding-may-lower-mums-later-life-depression-anxiety-risks-for-up-to-10-years-after-pregnancy/) - Associations apparent for any, exclusive, and cumulative (at least 1 year) breastfeeding Breastfeeding may lower mothers’ later life risks of depression and anxiety for up to 10 years after pregnancy, suggest the findings of a small observational study, published in the open access journal BMJ Open. The observed associations were apparent for any, exclusive, and cumulative
- [Mental trauma succeeds 1 in 7 dog related injuries, claims data suggest](https://bmjgroup.com/mental-trauma-succeeds-1-in-7-dog-related-injuries-claims-data-suggest/) - Time off work and/or loss of earnings reported in over half of cases Explore mandatory lead use in certain public spaces to boost public safety, urge researchers Mental trauma, including specific phobias and post traumatic stress disorder (PTSD), succeeds 1 in 7 dog related injuries, while over half of cases result in the need for
- [Higher intake of food preservatives linked to increased cancer risk](https://bmjgroup.com/higher-intake-of-food-preservatives-linked-to-increased-cancer-risk/) - Findings may have important public health implications given the ubiquitous use of these additives, say researchers Higher intake of food preservatives, widely used in industrially processed foods and beverages to extend shelf-life, is associated with a modestly increased risk of cancer, finds a study from France published by The BMJ today. While further research is needed to
- [Stopping weight loss drugs linked to weight regain and reversal of heart health markers](https://bmjgroup.com/stopping-weight-loss-drugs-linked-to-weight-regain-and-reversal-of-heart-health-markers/) - Average regain is 0.4kg/month and all weight lost likely to be regained in under 2 years Weight regain faster after stopping weight loss drugs than after dietary weight loss programmes Stopping weight loss drugs is followed by weight regain and reversal of beneficial effects on heart and metabolic health markers such as high cholesterol and
- [Low daily alcohol intake linked to 50% heightened mouth cancer risk in India](https://bmjgroup.com/low-daily-alcohol-intake-linked-to-50-heightened-mouth-cancer-risk-in-india/) - Greatest risk associated with frequent consumption of locally brewed alcohol Additive effect of chewing tobacco likely accounts for 60%+ of cases nationwide Even a low daily intake of alcohol—-just 9 g or around one standard drink—is linked to a 50% heightened risk of mouth (buccal mucosa) cancer in India, with the greatest risk associated with
- [Where medicine meets melody – how lullabies help babies and parents in intensive care](https://bmjgroup.com/where-medicine-meets-melody-how-lullabies-help-babies-and-parents-in-intensive-care/) - Music provides respite from an uncertain and stressful situation, says expert Playing soothing live music in intensive care units not only helps parents bond with their baby but also provides a moment’s respite from an uncertain and stressful situation, says a senior doctor in the Christmas issue of The BMJ. In 2025, Music in Hospitals &
- [AI images of doctors can exaggerate and reinforce existing stereotypes](https://bmjgroup.com/ai-images-of-doctors-can-exaggerate-and-reinforce-existing-stereotypes/) - Images do not align with medical workforce statistics and may reinforce prejudice against certain doctors AI generated images of doctors have the potential to exaggerate and reinforce existing stereotypes relating to sex, gender, race, and ethnicity, suggests a small analysis in the Christmas issue of The BMJ. Sati Heer-Stavert, GP and associate clinical professor at the University of
- [Autumn clock change linked to reduction in certain health conditions](https://bmjgroup.com/autumn-clock-change-linked-to-reduction-in-certain-health-conditions/) - Study contributes to ongoing debate about England’s clock change policy The week after the autumn clock change is associated with a reduction in demand for NHS services for sleep disorders, cardiovascular disease, anxiety, depression, and psychiatric conditions in England, finds a study in the Christmas issue of The BMJ. However, there is little evidence that the
- [Eight in 10 trusts caring for emergency department patients in corridors, finds BMJ investigation](https://bmjgroup.com/eight-in-10-trusts-caring-for-emergency-department-patients-in-corridors-finds-bmj-investigation/) - Half a million patients being cared for in temporary spaces, which evidence suggests is becoming a permanent fixture in many hospitals Most (79%) of NHS trusts in England are treating patients in corridors or makeshift areas in emergency departments including “fit to sit” rooms, x-ray waiting areas, and in one case a café, finds an
- [Living in substandard housing linked to kids’ missed schooling and poor grades](https://bmjgroup.com/living-in-substandard-housing-linked-to-kids-missed-schooling-and-poor-grades/) - Improving their living conditions may benefit both health and exam results, say researchers Children living in substandard housing in England miss 15 more school days and achieve worse test scores in English and maths than their peers living in better quality housing, suggests research published online in the Journal of Epidemiology & Community Health. Improving their
- [Concurrent frailty + depression likely boost dementia risk in older people](https://bmjgroup.com/concurrent-frailty-depression-likely-boost-dementia-risk-in-older-people/) - Interaction of these 2 factors contributes 17% of overall risk, study findings suggest Concurrent physical frailty and depression likely boost the risk of dementia in older people, with the interaction of these 2 factors alone contributing around 17% of the overall risk, suggest the findings of a large international study, published in the open access
- [Biomedical authors often call a reference “recent” — even when it is decades old, analysis shows](https://bmjgroup.com/biomedical-authors-often-call-a-reference-recent-even-when-it-is-decades-old-analysis-shows/) - Almost 1 in 5 “recent” references in biomedical articles are at least 10 years old, suggesting the term is less a measure of time than a narrative device, say researchers Authors in biomedical journals frequently describe cited evidence as “recent,” yet the actual age of the references behind these phrases has rarely been measured. To
- [Concern over growing use of AI chatbots to stave off loneliness](https://bmjgroup.com/concern-over-growing-use-of-ai-chatbots-to-stave-off-loneliness/) - Experts warn of a generation learning to form emotional bonds with entities that lack the capacity for empathy and care AI chatbot systems, such as ChatGPT, Claude, and Copilot, are used increasingly as confidants of choice, but turning to AI chatbots for companionship and emotional support is a cause for concern, especially in younger people,
- [Diversity language in US medical research agency grants declined 25% since 2024](https://bmjgroup.com/diversity-language-in-us-medical-research-agency-grants-declined-25-since-2024/) - Analysis agrees with news report findings that suggest greater scrutiny of research pertaining to diversity, equity, and other topics of political interest Words reflecting diversity language have appeared less frequently in grants awarded by the National Institutes of Health (NIH) since the 2024 US presidential election, with a 25% relative decrease between January 2024 and
- [Nearly 1 in 5 UK emergency department patients cared for in corridors/waiting rooms](https://bmjgroup.com/nearly-1-in-5-uk-emergency-department-patients-cared-for-in-corridors-waiting-rooms/) - Almost all emergency departments routinely deploying this approach At any one time, nearly 1 in 5 emergency department patients in the UK is being cared for in corridors, waiting rooms, and other non-standard ‘overflow’ spaces—an approach known as escalation area care—suggest the results of a large observational study, published online in Emergency Medicine Journal. Almost all
- [Telling women as part of mammography screening that they have dense breasts may have unintended effects](https://bmjgroup.com/telling-women-as-part-of-mammography-screening-that-they-have-dense-breasts-may-have-unintended-effects/) - Leaves some women anxious and confused about their breast health and may increase demand on health services, say researchers Recommendations introduced in Australia and being considered in the UK to tell women if they have dense breasts as part of their screening results may have unintended effects and increase demand on health services, finds a clinical
- [Concern over harmful medical advice from social media influencers](https://bmjgroup.com/concern-over-harmful-medical-advice-from-social-media-influencers/) - Experts call for coordinated action by governments and platforms to protect the public Biased or misleading medical advice shared by social media influencers can cause harm and requires coordinated action by governments and platforms to protect the public, argue experts in The BMJ today. Social media influencers are a growing source of medical advice, say Raffael Heiss
- [Eating disorders in mums-to-be linked to heightened risk of asthma and wheezing in their kids](https://bmjgroup.com/eating-disorders-in-mums-to-be-linked-to-heightened-risk-of-asthma-and-wheezing-in-their-kids/) - No significant variation in risk by type of disorder or timing of child’s exposure Include dedicated support for these disorders in maternal healthcare, say researchers Eating disorders in mums-to-be are linked to a heightened risk of asthma and wheezing in their children, irrespective of the type of disorder, presence of co-existing depression/anxiety, or the timing
- [Overreliance on AI risks eroding new and future doctors’ critical thinking while reinforcing existing bias](https://bmjgroup.com/overreliance-on-ai-risks-eroding-new-and-future-doctors-critical-thinking-while-reinforcing-existing-bias/) - Tools already widely used amid few institutional policies and regulatory guidance Medical education must adjust curricula + training to mitigate risks, warn experts Overreliance on generative AI risks eroding new and future doctors’ critical thinking skills, while potentially reinforcing existing data bias and inequity, warns an editorial published in the online journal BMJ Evidence Based Medicine.
- [Gender-specific supportive environment key to cutting female athletes’ injury risks](https://bmjgroup.com/gender-specific-supportive-environment-key-to-cutting-female-athletes-injury-risks/) - Among other things, this should be free of body shaming, idealised body types, and gendered norms, says the world’s first Consensus Statement on this topic Creating a safe, gender-specific, supportive environment—one that is free of body shaming and idealised female forms, for example—is key to minimising female athletes’ future risks of injury and protecting their
- [Tai chi as good as talking therapy for managing chronic insomnia](https://bmjgroup.com/tai-chi-as-good-as-talking-therapy-for-managing-chronic-insomnia/) - Results support use of tai chi for long term management of chronic insomnia in over 50s Tai chi, a form of mind-body exercise widely practiced in Chinese communities, has similar benefits to talking therapy for middle aged and older people with chronic insomnia, finds a trial from Hong Kong published by The BMJ today. These results support the use of
- [Daily coffee drinking may slow biological ageing of people with major mental illness](https://bmjgroup.com/daily-coffee-drinking-may-slow-biological-ageing-of-people-with-major-mental-illness/) - Major psychiatric disorders associated with shorter telomeres, indicative of cellular ageing 3-4 cups linked to longer telomeres, equal to 5 extra ‘biological’ years, say researchers But no such effects observed beyond this daily amount Drinking a maximum of 3-4 cups of coffee a day may slow the ‘biological’ ageing of people with severe mental illness,
- [Fame itself may be critical factor in shortening singers’ lives](https://bmjgroup.com/fame-itself-may-be-critical-factor-in-shortening-singers-lives/) - European/US stars seem to die around 4 years earlier than those not in the limelight Effects of fame comparable to certain other health risks, suggest the researchers Fame itself may be a critical factor in shortening singers’ lives beyond the hazards of the job—at least those in the UK/Europe and North America—suggests research published online
- [Missing first screening appointment linked to higher risk of breast cancer death](https://bmjgroup.com/missing-first-screening-appointment-linked-to-higher-risk-of-breast-cancer-death/) - 25/11/2025: Expressions of concern placed on research paper and linked editorial on attendance at first breast screening appointment and breast cancer death Expressions of concern have been placed on the research paper and linked editorial after concerns that messaging in key areas of these articles may not be sufficiently supported by the data presented BMJ
- [High prevalence of artificial skin lightening in under 5s, Nigerian survey suggests](https://bmjgroup.com/high-prevalence-of-artificial-skin-lightening-in-under-5s-nigerian-survey-suggests/) - 80% of respondents’ children exposed to skin bleaching products were under 2 years old Aesthetic preferences trumped knowledge of health risks, responses indicated A significant proportion of under 5s in Nigeria may be being exposed to skin lightning products, if the results of a semi-urban community survey are indicative, suggests research published in the open
- [Two thirds of women experience too much or too little weight gain in pregnancy](https://bmjgroup.com/two-thirds-of-women-experience-too-much-or-too-little-weight-gain-in-pregnancy/) - New findings may help inform global standards for healthy growth and weight gain in pregnancy and highlight the need for more support for healthy pregnancy Around two-thirds (68%) of pregnancies have weight gain that is more or less than recommended and that is associated with complications such as preterm birth, large birth weight, and admission
- [Thousands of NHS doctors trapped in insecure “gig economy” contracts](https://bmjgroup.com/thousands-of-nhs-doctors-trapped-in-insecure-gig-economy-contracts/) - Almost 9 in 10 trusts use contracts that deny doctors training and fair pay progression Experts warn that the NHS is effectively “behaving like a gig economy employer” Thousands of locally employed doctors (LEDs) - many of them international graduates and from ethnic minority backgrounds - are trapped on insecure NHS contracts with no access
- [AI is a ‘third party’ in the consultation room, say experts](https://bmjgroup.com/ai-is-a-third-party-in-the-consultation-room-say-experts/) - New BMJ series explores how AI is reshaping traditional doctor-patient interactions and considers its implications for healthcare AI is fast becoming a third party in the consultation room, reshaping the traditional two way doctor-patient relationship with important ethical and practical implications, say experts in The BMJ today. A new BMJ series provides insights into this technological shift, introducing the concept of
- [E-cigarettes compromise children’s human rights](https://bmjgroup.com/e-cigarettes-compromise-childrens-human-rights/) - Experts argue for an approach to regulation that puts children’s best interests first Exposing children to e-cigarettes compromises their human rights. These products should be regulated in a way that puts children’s best interests first and protects them from the harms associated with nicotine consumption in all its forms, argue experts in The BMJ today. Children are
- [Extending anti-clotting treatment linked to lower rates of new clots](https://bmjgroup.com/extending-anti-clotting-treatment-linked-to-lower-rates-of-new-clots/) - Continued use leads to overall “net clinical benefit” say researchers Extending anti-clotting drugs beyond the initial treatment period of at least 90 days after a first blood clot is linked to lower rates of new clots developing compared with stopping treatment, finds a US study published by The BMJ today. Extended treatment was also linked to higher
- [Food stamp expansion in 2021 reduced odds of needy US kids going hungry](https://bmjgroup.com/food-stamp-expansion-in-2021-reduced-odds-of-needy-us-kids-going-hungry/) - Effects particularly strong in Hispanic-American and large households, study indicates The 15% expansion of food stamp payments under the supplemental nutrition assistance program, or SNAP for short, during the COVID-19 pandemic, reduced the odds of needy children going hungry, especially in Hispanic-American and large households, finds research to be published online in the Journal of Epidemiology
- [Existing evidence does not clearly link paracetamol use during pregnancy with autism or ADHD in children](https://bmjgroup.com/existing-evidence-does-not-clearly-link-paracetamol-use-during-pregnancy-with-autism-or-adhd-in-children/) - Confidence in previous study findings is low to critically low Women should be advised to take paracetamol when needed to treat pain and fever in pregnancy, say researchers Existing evidence does not clearly link paracetamol (acetaminophen) use during pregnancy with autism or ADHD in children, finds an in-depth evidence review published by The BMJ today, in direct
- [Climate change and conflict pose a serious health threat, warn experts](https://bmjgroup.com/climate-change-and-conflict-pose-a-serious-health-threat-warn-experts/) - Strengthening health systems key to reducing vulnerability and supporting climate adaptation The combined impact of climate change and conflict “can produce synergistic effects, leading to more severe and complex outcomes,” warn experts in The BMJ’s climate issue today. From 1995 to 2015, more than 10 million child deaths were attributed to conflict, while women of reproductive age
- [Medical evidence crucial in holding polluters accountable for harming health](https://bmjgroup.com/medical-evidence-crucial-in-holding-polluters-accountable-for-harming-health/) - Advances in attribution science are opening up new routes for climate justice Health professionals everywhere should play their part in this process Medical and scientific evidence is proving invaluable in holding public authorities accountable for the impact of unlawful air pollution on people’s health, say experts in The BMJ’s climate issue today. Gaia Lisi and Rupert Stuart-Smith at
- [Experts warn of wider health impact of tropical cyclones in a warming climate](https://bmjgroup.com/experts-warn-of-wider-health-impact-of-tropical-cyclones-in-a-warming-climate/) - Highest risk of death seen in deprived communities Better evidence needed to guide disaster response plans, say researchers Beyond direct injuries, exposure to tropical cyclones is associated with higher risks of death across a range of causes including kidney, heart and lung diseases, neuropsychiatric conditions, and diabetes, finds a study published in The BMJ’s climate issue today.
- [Curb sales of SUVs to reduce harms to health and the environment, say experts](https://bmjgroup.com/curb-sales-of-suvs-to-reduce-harms-to-health-and-the-environment-say-experts/) - Health professionals must support the health and environmental case for policy action Action is needed locally, nationally, and internationally to curb sales of new Sports Utility Vehicles (SUVs) to reduce their potential harms to health and the environment, say experts in The BMJ’s climate issue today. Their call comes as Cardiff looks set to be the first city in
- [Greenness linked to fewer hospital stays for mental health conditions](https://bmjgroup.com/greenness-linked-to-fewer-hospital-stays-for-mental-health-conditions/) - Study provides broader understanding of the mental health benefits of green space Higher levels of greenness are associated with lower risks of hospital admissions for mental disorders, finds an analysis of data from seven countries over two decades, published in The BMJ’s climate issue today. The results suggest that this protective effect increases with greater exposure to
- [Significant variations in survival times of early onset dementia by clinical subtype](https://bmjgroup.com/significant-variations-in-survival-times-of-early-onset-dementia-by-clinical-subtype/) - But sex, age, family history, co-existing conditions not specific risk factors Impact on risk of death from any cause even greater than it is in others of same age The survival rates of people with early onset dementia—diagnosed before the age of 65—vary considerably by clinical type, but sex, age, family history and co-existing conditions
- [Voting behaviour in elections strongly linked to future risk of death](https://bmjgroup.com/voting-behaviour-in-elections-strongly-linked-to-future-risk-of-death/) - Likely stronger determinant of health than education, suggest researchers Voting behaviour in elections is strongly linked to the future risk of death, and is likely a stronger determinant of health than education—considered a key influence on health—suggests research published online in the Journal of Epidemiology & Community Health. Over the past several years, voting in national
- [Antibiotics linked to lower risk of complications after obstetric tear](https://bmjgroup.com/antibiotics-linked-to-lower-risk-of-complications-after-obstetric-tear/) - Trial identifies possible benefits for some women, which must be balanced against potential harms from antibiotics Giving antibiotics to women within 24 hours of an obstetric tear during childbirth is associated with a reduced risk of larger/clinically relevant wound complications, find the results of a clinical trial from Denmark published by The BMJ today. The researchers say
- [World Health Organization’s priorities shaped by its reliance on grants from donor organisations such as the Gates Foundation](https://bmjgroup.com/world-health-organizations-priorities-shaped-by-its-reliance-on-grants-from-donor-organisations-such-as-the-gates-foundation/) - Over half of Gates Foundation grants to WHO have targeted polio and vaccination; but key WHO priorities like non-communicable diseases and strengthening health systems remain underfunded The World Health Organization’s (WHO’s) priorities are being skewed by its increasing reliance on donations from organisations such as the Gates Foundation (previously known as the Bill and Melinda
- [Teenagers and young adults who use cannabis have a higher risk of progressing to regular tobacco use](https://bmjgroup.com/teenagers-and-young-adults-who-use-cannabis-have-a-higher-risk-of-progressing-to-regular-tobacco-use/) - Cannabis is estimated to be responsible for around 13% of new regular tobacco use Teens and young adults who use cannabis are more likely to become regular tobacco users – even if they haven’t previously tried tobacco – compared to similar people who do not use cannabis, suggests a US study published online in the journal Tobacco Control. Around 13%
- [China's data revolution offers lessons for global health, find experts](https://bmjgroup.com/chinas-data-revolution-offers-lessons-for-global-health-find-experts/) - International collaboration key to unlocking China’s research potential, says new BMJ Collection A new BMJ Collection, Enhancing cohort studies in China and internationally, explores how large scale, well designed research from China can strengthen global understanding of population health, ageing, and chronic disease. China’s vast population and rapid social change make it a “living laboratory”
- [Early life sugar restriction linked to lasting heart benefits in adulthood](https://bmjgroup.com/early-life-sugar-restriction-linked-to-lasting-heart-benefits-in-adulthood/) - Findings support advice to minimise added sugars in pregnancy and infant diets Restricted sugar intake during early life is linked to lower risks of several heart conditions in adulthood, including heart attack, heart failure, and stroke, finds a study published by The BMJ today using data from the end of UK sugar rationing in 1953. The greatest
- [Less than half of schoolkids at risk of food anaphylaxis in England prescribed adrenaline ‘antidote’](https://bmjgroup.com/less-than-half-of-schoolkids-at-risk-of-food-anaphylaxis-in-england-prescribed-adrenaline-antidote/) - Yet UK and European drug regulators specify access to 2 adrenaline devices at all times Giving ‘spare’ devices to all schools would be safer and save local health bodies £millions Less than half of schoolchildren in England who are at risk of a serious and potentially life-threatening allergic reaction (anaphylaxis) to food were prescribed the
- [Number of steps taken matters more for better health in older women than the frequency](https://bmjgroup.com/number-of-steps-taken-matters-more-for-better-health-in-older-women-than-the-frequency/) - 4000 steps once/twice weekly is associated with 26% lower risk of death rising to 40% if done on 3 days of the week But it’s daily step count rather than number of days that matters, findings suggest Clocking up at least 4000 daily steps on just 1 or 2 days per week is linked to
- [BMJ Group launches global call to close the women's health gap and transform innovation](https://bmjgroup.com/bmj-collection-on-womens-health-innovation/) - New BMJ Collection, in partnership with the Gates Foundation, exposes persistent inequities in women’s health and charts a path for change Women’s health is not a niche issue. It is fundamental to global health and prosperity. Women outlive men, yet spend 25% more time in poor health, facing conditions that affect them disproportionately or uniquely. Corporate announcement: New ”BMJ Collection on women's health innovation” examines how equitable innovation can transform women’s health.
- [Imposter study participants risk undermining patient care, warn experts](https://bmjgroup.com/imposter-study-participants-risk-undermining-patient-care-warn-experts/) - Safeguards are needed to protect evidence-based practice Imposter participants threaten the integrity of health research and, by extension, the policies and clinical decisions built on it, warn experts in The BMJ today. Eileen Morrow and colleagues at the University of Oxford say the research community “must acknowledge the problem and dedicate resources to testing and implementing safeguards .. to ensure that
- [SGLT-2 diabetes drugs linked to lower risk of autoimmune diseases ](https://bmjgroup.com/sglt-2-diabetes-drugs-linked-to-lower-risk-of-autoimmune-diseases/) - Replication in other populations and settings needed to confirm and extend these observations, say researchers Sodium-glucose cotransporter-2 (SGLT-2) inhibitors used to treat type 2 diabetes are associated with an 11% lower risk of autoimmune rheumatic diseases, such as rheumatoid arthritis and lupus, compared with another group of diabetes drugs called sulfonylureas, finds a study from
- [Walking, cycling and swimming likely best exercise for knee osteoarthritis](https://bmjgroup.com/walking-cycling-and-swimming-likely-best-exercise-for-knee-osteoarthritis/) - Experts suggest regular aerobic exercise to improve function and reduce pain For patients with knee osteoarthritis, aerobic activities such as walking, cycling, or swimming are likely to be the best exercise for improving pain, function, gait performance, and quality of life, finds a study published by The BMJ today. While other exercises may offer complementary benefits to
- [Ditch ‘shrink it and pink it’ approach to women’s running shoes, manufacturers urged](https://bmjgroup.com/ditch-shrink-it-and-pink-it-approach-to-womens-running-shoes-manufacturers-urged/) - Women’s foot anatomy, biomechanics, life stages completely different from men’s Female-based designs might boost women’s comfort, injury prevention, and performance Sports footwear manufacturers need to ditch the ‘shrink it and pink it’ approach to women’s running shoes, because this is failing to differentiate their distinct anatomical and biomechanical needs across the life course from those
- [Loneliness and social isolation linked to heightened risk of death in those with cancer](https://bmjgroup.com/loneliness-and-social-isolation-linked-to-heightened-risk-of-death-in-those-with-cancer/) - Also associated with increased risk of death from any cause in those with the disease Loneliness and social isolation are linked to a heightened risk of death from cancer as well as from all causes among those with the disease, finds a pooled data analysis of the available research published online in the open access
- [Poorer health linked to more votes for Reform UK, 2024 voting patterns suggest](https://bmjgroup.com/poorer-health-linked-to-more-votes-for-reform-uk-2024-voting-patterns-suggest/) - Policy-makers across political spectrum should step up efforts to tackle health inequalities Poorer health is linked to a higher proportion of votes for the populist right wing political party, Reform UK, indicates an analysis of the 2024 general election voting patterns in England, published online in the open access journal BMJ Open Respiratory Research. The findings
- [Prostate testing may not target those most likely to benefit, warn experts](https://bmjgroup.com/prostate-testing-may-not-target-those-most-likely-to-benefit-warn-experts/) - Findings reflect lack of consistent guidance and raise concerns about overtesting Current prostate specific antigen (PSA) testing “may not effectively target testing to those most likely to benefit, raising concerns about overtesting” warn researchers from the University of Oxford in a study of over 10 million men across England published by The BMJ today. Despite UK recommendations to
- [Exercise snacks may boost cardiorespiratory fitness of physically inactive adults](https://bmjgroup.com/exercise-snacks-may-boost-cardiorespiratory-fitness-of-physically-inactive-adults/) - Adherence is high and exercise snacks can counter perceived lack of time and motivation Exercise snacks—intentional short bursts of physical activity—may be an effective way of boosting the cardiorespiratory fitness of physically inactive adults, finds a synthesis of the available research, published online in the British Journal of Sports Medicine. Adherence to exercise snacking throughout the
- [Calorie labelling linked to 2% average reduction in energy content of menu items](https://bmjgroup.com/calorie-labelling-linked-to-2-average-reduction-in-energy-content-of-menu-items/) - Changes primarily due to swapping in slightly lower calorie items, rather than reformulation Likely to have “moderate to limited” impact on population health, conclude researchers Calorie labelling, which became law in April 2022 in England, is associated with only a small (2%) average reduction in the energy content of food that is available away from
- [Widely prescribed opioid painkiller tramadol not that effective for easing chronic pain](https://bmjgroup.com/widely-prescribed-opioid-painkiller-tramadol-not-that-effective-for-easing-chronic-pain/) - While it likely increases the risk of serious side effects, including heart disease Potential harms probably outweigh benefits, and use should be minimised, say researchers The strong opioid painkiller, tramadol, is not that effective at easing chronic pain for which it’s widely prescribed, finds a pooled data analysis of the available research, published online in BMJ
- [Retracted: Apple cider vinegar aids weight management in obesity, small clinical trial suggests](https://bmjgroup.com/apple-cider-vinegar-aids-weight-management-in-obesity-small-clinical-trial-suggests/) - Please note that this research paper has been retracted. Journalists and others should no longer reference or use the study findings in future reporting. The retraction was prompted by concerns raised about the quality of the work, including the approach to statistical analysis of the data; implausible statistical values; the reliability of the raw data;
- [Scurvy may be re-emerging amid cost of living crisis and rise of weight loss surgery](https://bmjgroup.com/scurvy-may-be-re-emerging-amid-cost-of-living-crisis-and-rise-of-weight-loss-surgery/) - Condition caused by vitamin C deficiency first linked to sailors during Renaissance era The scourge of scurvy, which is caused by vitamin C deficiency, may be re-emerging amid the cost of living crisis and the rise in weight loss (bariatric) surgery, suggest doctors in the journal BMJ Case Reports after treating a middle-aged man with the condition.
- [Early medical abortion at home up to 12 weeks is safe, effective, and comparable to hospital care](https://bmjgroup.com/early-medical-abortion-at-home-up-to-12-weeks-is-safe-effective-and-comparable-to-hospital-care/) - Time to change law to enable women in all parts of UK and Europe to choose this option Early medical abortion at home up to 12 weeks of pregnancy is safe, effective, and comparable to hospital care, finds a 5 year review of cases in Scotland, where this timeframe is legally permitted, and published online
- [Countries with highest reported levels of hearing loss have lowest use of hearing aids](https://bmjgroup.com/countries-with-highest-reported-levels-of-hearing-loss-have-lowest-use-of-hearing-aids/) - Men more likely than women to report difficulties, although gender divide narrows with age Countries with the highest reported levels of hearing loss also have the lowest reported use of hearing aids, finds international research published in the open access journal BMJ Global Health. And men are generally more likely than women to report difficulties with
- [Medical opposition to capital punishment is needed as executions surge](https://bmjgroup.com/medical-opposition-to-capital-punishment-is-needed-as-executions-surge/) - Doctors must refuse to participate and speak out against the practice, says expert The healthcare community has an important role in opposing the death penalty, argues an expert in The BMJ today. Bharat Malkani, reader in law at Cardiff University, says doctors must refuse to participate in the execution process and speak out against a practice that
- [Commercial sunbeds should be banned in the UK, say experts](https://bmjgroup.com/commercial-sunbeds-should-be-banned-in-the-uk-say-experts/) - Despite regulation, sunbeds remain popular with young people and are adding to the national skin cancer burden Commercial sunbeds should be banned in the UK, argue experts in The BMJ today. Using sunbeds causes melanoma and other skin cancers, particularly among young people, yet existing sunbed legislation is ineffective and there is little evidence that stricter rules
- [Medicaid work requirements have not boosted insurance coverage or employment](https://bmjgroup.com/medicaid-work-requirements-have-not-boosted-insurance-coverage-or-employment/) - Findings from Georgia suggest program goals have not yet been met The introduction of work requirements for certain adults enrolled in the US health insurance program Medicaid has so far failed to boost insurance coverage or employment rates, finds a study published by The BMJ today. It shows that health insurance coverage and employment did not increase
- [International healthcare workers report on war related injuries among civilians in Gaza](https://bmjgroup.com/international-healthcare-workers-report-on-war-related-injuries-among-civilians-in-gaza/) - Findings suggest patterns of harm that exceed those reported in previous modern-day conflicts and provide critical insights to tailor humanitarian response A British led study published by The BMJ today provides detailed data on the pattern and severity of traumatic injuries and medical conditions seen by international healthcare workers deployed to Gaza during the ongoing military invasion.
- [BMJ Group retracts trial on apple cider vinegar and weight loss](https://bmjgroup.com/bmj-group-retracts-trial-on-apple-cider-vinegar-and-weight-loss/) - Journalists and others should no longer reference or use the study findings in future reporting BMJ Group has retracted research suggesting that small daily quantities of apple cider vinegar might help people who are overweight or obese to lose weight. The small clinical trial was published in the open access journal BMJ Nutrition, Prevention & Health in
- [Significant rise in use of low/alcohol-free drinks among ‘risky’ UK drinkers in past 5 years](https://bmjgroup.com/significant-rise-in-use-of-low-alcohol-free-drinks-among-risky-uk-drinkers-in-past-5-years/) - Use rose by 9% in serious attempts to cut down and by 13% in any attempt to curb intake Trends especially noticeable among over 65s, women, and relatively well off There’s been a significant rise in the use of low and alcohol-free drinks to curb alcohol intake among ‘risky drinkers’ over the past 5 years
- [Drinking any amount of alcohol likely increases dementia risk](https://bmjgroup.com/drinking-any-amount-of-alcohol-likely-increases-dementia-risk/) - Even light drinking is unlikely to be protective; risk rises in tandem with quantity consumed Drinking any amount of alcohol likely increases the risk of dementia, suggests the largest combined observational and genetic study to date, published online in BMJ Evidence Based Medicine. Even light drinking—generally thought to be protective, based on observational studies—is unlikely to
- [6 in 10 US music fans say they have been sexually harassed/assaulted at a live gig, survey suggests](https://bmjgroup.com/6-in-10-us-music-fans-say-they-have-been-sexually-harassed-assaulted-at-a-live-gig-survey-suggests/) - Women more than twice as likely as men to be affected, responses show Various barriers prevented most respondents from reporting the incident Six out of 10 music fans say they have been sexually harassed or assaulted at a live gig in the US, suggest the results of a survey, published online in the journal Injury Prevention.
- [Process for dealing with sexual misconduct by doctors requires major reform](https://bmjgroup.com/process-for-dealing-with-sexual-misconduct-by-doctors-requires-major-reform/) - Sanctions are inconsistent and overly reliant on subjective evidence, say experts The current process for managing sexual misconduct perpetrated by doctors in the UK requires major reform, say experts in The BMJ today. Mei Nortley and colleagues argue that sanctioning of doctors is inconsistent and overly reliant on subjective evidence and they call for a dedicated, evidence
- [A third of licensed GPs in England not working in NHS general practice](https://bmjgroup.com/a-third-of-licensed-gps-in-england-not-working-in-nhs-general-practice/) - Number of patients per GP in NHS general practice has risen by 15% in last 10 years By end of 2024, there were twice as many NHS patients for each full time equivalent NHS GP than for each NHS consultant Despite rising patient demand and commitments to strengthen primary care, one in three GPs with
- [Bout of cystitis may signal presence of urogenital cancers in middle-aged adults](https://bmjgroup.com/bout-of-cystitis-may-signal-presence-of-urogenital-cancers-in-middle-aged-adults/) - Risks especially high within 3 months of infection but last for several years Men seem to be at greater risk than women, findings indicate A bout of the common bladder infection, cystitis, may signal the presence of urogenital cancers—which affect parts of the body involved in reproduction and excretion—in middle aged adults, suggests research published
- [AI algorithm based on routine mammogram + age can predict women’s major cardiovascular disease risk](https://bmjgroup.com/ai-algorithm-based-on-routine-mammogram-age-can-predict-womens-major-cardiovascular-disease-risk/) - As good as standard risk assessment methods and uses existing health infrastructure Mammography may offer a cost-effective ‘two for one’ effective screening option An AI algorithm based only on routine mammogram images plus age can predict a woman’s risk of major cardiovascular disease as well as standard risk assessment methods, finds research published online in
- [Large social and economic inequalities persist among UK doctors](https://bmjgroup.com/large-social-and-economic-inequalities-persist-among-uk-doctors/) - Professional background linked to 6-fold greater likelihood of becoming a doctor than working class background Greater efforts needed to boost social mobility of medical school applicants, say researchers Large social and economic inequalities persist among UK doctors, with those from a professional background 6 times more likely to become a medical practitioner than those from
- [Odds of dementia strongly linked to number of co-existing mental health disorders](https://bmjgroup.com/odds-of-dementia-strongly-linked-to-number-of-co-existing-mental-health-disorders/) - Increasing from twice as high for one disorder to 11 times as high for four or more In particular, concurrent mood + anxiety disorder linked to odds of up to 90% for dementia The odds of developing dementia are strongly linked to the number of co-existing mental health disorders, rising from twice as high for
- [Less than half of England has access to Mounjaro on the NHS months after roll-out](https://bmjgroup.com/less-than-half-of-england-has-access-to-mounjaro-on-the-nhs-months-after-roll-out/) - Over 200,000 patients may be eligible for treatment in the first three years, but some commissioners are already considering tighter prescribing criteria or rationing Figures confirm the fear that the roll out is not fit for purpose, says expert Less than half of England has access to tirzepatide (Mounjaro) through their GP, despite the NHS
- [People with learning disabilities seem to progress faster to severe type 2 diabetes](https://bmjgroup.com/people-with-learning-disabilities-seem-to-progress-faster-to-severe-type-2-diabetes/) - And are at heightened risk of death despite having better overall blood glucose control People with learning disabilities progress faster to severe type 2 diabetes and are at greater risk of dying from their condition than people without these disabilities, suggests research published in the open access journal BMJ Open Diabetes Research & Control. This is
- [Dad’s childhood passive smoking may confer lifelong poor lung health onto his kids](https://bmjgroup.com/dads-childhood-passive-smoking-may-confer-lifelong-poor-lung-health-onto-his-kids/) - They run risk of COPD, heightened further if they are childhood passive smokers themselves Findings highlight intergenerational harms of smoking, say researchers A father’s exposure to passive smoking as a child may impair the lifelong lung function of his children, putting them at risk of COPD—a risk that is heightened further if they are childhood
- [Opportunities and threats in academic media](https://bmjgroup.com/opportunities-and-threats-in-academic-media/) - Why safeguarding quality matters more than everThe academic publishing landscape is changing, driven by digital platforms that speed dissemination but also raise concerns about misinformation. Institutions and publishers must prioritise digital excellence and peer reviewed content to safeguard research integrity. Generative artificial intelligence (AI) has potential to improve research workflows and expand access, but it
- [Experts urge the medical profession to confront the global arms industry](https://bmjgroup.com/experts-urge-the-medical-profession-to-confront-the-global-arms-industry/) - New series uncovers the role of the arms trade in health and calls for more scrutiny of its health-harming activities and its unhealthy relationship with governments As the UK and other NATO nations dramatically increase defence spending to counter growing global aggressions, one under-recognised aspect of security debates is the role of the arms industry.
- [Risk of a second cancer after early breast cancer is low](https://bmjgroup.com/risk-of-a-second-cancer-after-early-breast-cancer-is-low/) - Findings are reassuring for patients and should be shared widely For women diagnosed with early breast cancer, the long-term risk of developing a second primary cancer is low (around 2-3% greater than women in the general population), finds a study published by The BMJ today. The researchers say this information can help reassure many breast cancer survivors
- [Most US neurologists prescribing MS drugs have received pharma industry cash](https://bmjgroup.com/most-us-neurologists-prescribing-ms-drugs-have-received-pharma-industry-cash/) - Higher volume prescribers more likely to receive payments; and recipients more likely to prescribe that company’s drugs, especially if payments were larger, sustained, and recent Nearly 80% of US neurologists prescribing drugs for multiple sclerosis (MS) received at least one pharma industry payment, with higher volume prescribers more likely to be beneficiaries, finds a 5
- [Individuals should be held to account for environmental damage, say experts](https://bmjgroup.com/individuals-should-be-held-to-account-for-environmental-damage-say-experts/) - And the UK should take the lead by adopting its own legislation Individuals should be held accountable for “ecocide,” the most serious acts of environmental destruction, argue experts in The BMJ today. And they say the UK should take on a leadership role by adopting legislation of its own to criminalise ecocide and inspiring other nations to
- [Menopause misinformation is harming care, warn experts](https://bmjgroup.com/menopause-misinformation-is-harming-care-warn-experts/) - Commercial hormone testing is unnecessary and does not improve care Symptoms should be prioritised ahead of testing Many direct to consumer menopause services are unnecessary and do not improve care, warn experts in The BMJ today. They argue that the sharp rise in commercial services for women seeking relief for menopausal symptoms raises concerns about the reliability
- [Companies may be misleading parents with “outrageous claims” about banking baby teeth](https://bmjgroup.com/companies-may-be-misleading-parents-with-outrageous-claims-about-banking-baby-teeth/) - Experts alarmed by “outrageous” treatment claims for autism and diabetes Several claims to be reviewed by Advertising Standards Agency Parents are spending thousands of pounds to bank stem cells from their children’s milk teeth – but the recipient companies’ claims about their future medical value are unproven and potentially misleading, reveals an investigation by The BMJ, published
- [Diet rich in omega-3 fatty acids may help ward off short sightedness in children](https://bmjgroup.com/diet-rich-in-omega-3-fatty-acids-may-help-ward-off-short-sightedness-in-children/) - On the other hand, high intake of saturated fats may boost risk of eye condition A diet rich in omega-3 fatty acids, found predominantly in fish oils, may help ward off the development of short sightedness (myopia) in children, while a high intake of saturated fats, found in foods such as butter, palm oil, and
- [Youth vaping consistently linked to subsequent smoking, marijuana and alcohol use](https://bmjgroup.com/youth-vaping-consistently-linked-to-subsequent-smoking-marijuana-and-alcohol-use/) - As well as heightened risks of asthma, cough, injuries and mental ill health + possibly pneumonia, bronchitis, headaches, migraines, dizziness, low sperm count, poor oral health Vaping among teens and young people is consistently linked to subsequent smoking, marijuana and alcohol use, finds an overarching (umbrella) review of systematic reviews of the evidence, published online
- [Medical pros of electroconvulsive therapy (ECT) exaggerated while cons downplayed, survey findings suggest](https://bmjgroup.com/medical-pros-of-electroconvulsive-therapy-ect-exaggerated-while-cons-downplayed-survey-findings-suggest/) - Patients nearly 4 times more likely to recall being told of short rather than long-term memory loss and 6 times more likely to recall being told ECT can be life saving rather than about potential heart problems The medical pros of electroconvulsive therapy (ECT) are being exaggerated while the risks are being downplayed, suggest the
- [Experts recommend SGLT-2 and GLP-1 diabetes drugs only for adults at moderate to higher risk of heart and kidney problems](https://bmjgroup.com/experts-recommend-sglt-2-and-glp-1-diabetes-drugs-only-for-adults-at-moderate-to-higher-risk-of-heart-and-kidney-problems/) - Recommendations account for varied patient risk profiles and focus on weight loss effects, particularly of drugs of interest to adults with concomitant obesity SGLT-2 inhibitor and GLP-1 receptor agonist drugs should be used in all or almost all adults with type 2 diabetes at higher risk of cardiovascular and kidney complications, and in the majority
- [ADHD medication linked to reduced risk of suicide, drug abuse, transport accidents and criminal behaviour](https://bmjgroup.com/adhd-medication-linked-to-reduced-risk-of-suicide-drug-abuse-transport-accidents-and-criminal-behaviour/) - Findings should help inform clinical practice and the debate on ADHD drug treatment Drug treatment for people with newly diagnosed attention deficit hyperactivity disorder (ADHD) is associated with significantly reduced risks of suicidal behaviours, substance misuse, transport accidents, and criminality, finds a study published by The BMJ today. The researchers say this is the first study of
- [Patients still view doctor’s white coat as symbol of professionalism and trust](https://bmjgroup.com/patients-still-view-doctors-white-coat-as-symbol-of-professionalism-and-trust/) - But women doctors in this attire are often misidentified as nurses or medical assistants And preferences for doctors’ dress strongly influenced by clinical context/medical specialty Patients are still more likely to trust doctors and consider them more professional when they wear white coats, although women doctors in this attire are often misidentified as nurses or
- [Reciprocal links likely between certain groups of gut bacteria and insomnia risk](https://bmjgroup.com/reciprocal-links-likely-between-certain-groups-of-gut-bacteria-and-insomnia-risk/) - Certain types may boost or lower risk; and insomnia may alter abundance of certain types There seem to be reciprocal links between certain groups of gut bacteria and the risk of insomnia, suggests a Mendelian randomisation study, published in the open access journal General Psychiatry. Certain types of bacteria seem to boost or lower the risk
- [Taste and price, not calories, key drivers for online takeaway orders, survey suggests](https://bmjgroup.com/taste-and-price-not-calories-key-drivers-for-online-takeaway-orders-survey-suggests/) - These orders tend to be favoured by younger adults and those living with obesity Limited impact of calorie labelling calls for extra strategies to promote healthier food choices Taste and price, rather than calorie content, seem to be the key considerations for those ordering takeaways online, despite calorie labelling legislation designed to help consumers make
- [Showing real-world impact through policy documents and clinical guidelines citations](https://bmjgroup.com/showing-real-world-impact-through-policy-documents-and-clinical-guidelines-citations/) - BMJ Group is positioned as one of the top ten most influential publishers on health and social care policy
- [Three weekly servings of French fries linked to higher diabetes risk](https://bmjgroup.com/three-weekly-servings-of-french-fries-linked-to-higher-diabetes-risk/) - But similar amounts of boiled, baked and mashed potatoes are not associated with a substantially increased risk, say researchers Eating three servings of French fries a week is associated with a 20% increased risk of developing type 2 diabetes, but eating similar amounts of potatoes cooked in other ways - boiled, baked or mashed -
- [New term for systematic, deliberate attacks on healthcare as acts of war: ‘healthocide’](https://bmjgroup.com/new-term-for-systematic-deliberate-attacks-on-healthcare-as-acts-of-war-healthocide/) - Call out weaponisation of health and healthcare, medical practitioners urged Silence implies complicity in direct contravention of humanitarian law and medical ethics The deliberate destruction of health services and systems as an act of war should be termed ‘healthocide’ and medical practitioners should call out and stand firm against this weaponisation of healthcare, insists a
- [Childhood verbal abuse shows similar impact to adult mental health as physical abuse](https://bmjgroup.com/childhood-verbal-abuse-shows-similar-impact-to-adult-mental-health-as-physical-abuse/) - While often not immediately obvious, its effects may be no less damaging or protracted Prevalence of verbal abuse has risen substantially while that of physical abuse has halved Experiencing childhood verbal abuse shows a similar impact to adult mental health as physical abuse, suggests a large intergenerational study, published in the open access journal BMJ Open.
- [‘Solastalgia’ might help explain effects of climate change on mental health](https://bmjgroup.com/solastalgia-might-help-explain-effects-of-climate-change-on-mental-health/) - It’s caused by environmental change and is linked to depression, anxiety, and PTSD ‘Solastalgia’ might help explain the negative effects of climate change on mental health, suggests a review of the available research, published in the open access journal BMJ Mental Health. Solastalgia is caused by changes to the home or surrounding environment and is associated
- [Exercise rehab lessens severity, frequency + recurrence of irregular heart rhythm (AF)](https://bmjgroup.com/exercise-rehab-lessens-severity-frequency-recurrence-of-irregular-heart-rhythm-af/) - As well as improving general exercise capacity and mental health, finds pooled data analysis Exercise-based cardiac rehabilitation lessens the severity, frequency, and recurrence of the most common form of irregular heart rhythm, atrial fibrillation, or AF for short, finds a pooled data analysis of the available research, published online in the British Journal of Sports Medicine.
- [Higher ultra processed food intake linked to increased lung cancer risk](https://bmjgroup.com/higher-ultra-processed-food-intake-linked-to-increased-lung-cancer-risk/) - Further research warranted, but limiting consumption may help curb global toll of the disease A higher intake of ultra processed food (UPF) is linked to an increased risk of lung cancer, suggests research published online in the respiratory journal Thorax. Further research is warranted in different population groups, but limiting consumption of these foods may help
- [UK teens who currently vape as likely to start smoking as their peers in the 1970s](https://bmjgroup.com/uk-teens-who-currently-vape-as-likely-to-start-smoking-as-their-peers-in-the-1970s/) - Likelihood of smoking 1.5% among teens who don’t vape, but 33% among those who do UK teens who currently vape are as likely to take up smoking as their peers in the 1970s, despite a substantial fall in the prevalence of teenage smoking over the past 50 years, suggests a long term intergenerational study published
- [Many high street health tests are unfit-for-purpose and need greater regulation, warn experts](https://bmjgroup.com/many-high-street-health-tests-are-unfit-for-purpose-and-need-greater-regulation-warn-experts/) - Studies highlight issues over accuracy and suitability for public use Many self-tests available on the UK high street are unfit-for-purpose and need much greater regulation to ensure they are safe and reliable, conclude two studies published by The BMJ today. The findings show that most self-tests lack essential information about who should use them, how to interpret
- [GLP-1 diabetes drugs likely trump metformin for curbing dementia risk in type 2 diabetes](https://bmjgroup.com/glp-1-diabetes-drugs-likely-trump-metformin-for-curbing-dementia-risk-in-type-2-diabetes/) - Findings suggest future guidelines prioritise drugs with dual blood glucose and neuroprotective effects GLP-1 receptor agonists, a class of drug used to treat type 2 diabetes, likely trump the widely prescribed metformin for curbing dementia risk in people with the condition, finds the largest study of its kind, published in the open access journal BMJ Open
- [Annual UK cost of mental health disorder PTSD likely tops £40 billion](https://bmjgroup.com/annual-uk-cost-of-mental-health-disorder-ptsd-likely-tops-40-billion/) - But figures based on 2020-21 data and don’t include all indirect costs Societal and financial impacts of increasingly common condition “gravely” undervalued The annual UK cost of the mental health disorder PTSD is likely to top £40 billion, but the figures are based on 2020-1 prevalence rates—the most recently available—and don’t include many indirect costs,
- [Near tripling in US reported lidocaine local anaesthetic poisonings/deaths over past decade](https://bmjgroup.com/near-tripling-in-us-reported-lidocaine-local-anaesthetic-poisonings-deaths-over-past-decade/) - Amid substantial fall in reports associated with other local anaesthetics Poisonings and deaths linked to the use of the local anaesthetic lidocaine have nearly tripled in the US over the past decade, finds an analysis of National Poison Data System (NPDS) reports, published online in the journal Regional Anesthesia & Pain Medicine This increase contrasts with
- [Medical tourism for bariatric/weight reduction surgery needs urgent regulation](https://bmjgroup.com/medical-tourism-for-bariatric-weight-reduction-surgery-needs-urgent-regulation/) - Especially as data show tourist numbers increasing despite advent of weight loss drugs Medical tourism for bariatric and weight reduction surgery needs urgent regulation to protect recipients’ health, especially as the data show that tourist numbers are increasing despite the advent of weight loss drugs, say experts in a commentary published online in BMJ Global Health.
- [Yoga, Tai Chi, walking and jogging may be best forms of exercise for insomnia](https://bmjgroup.com/yoga-tai-chi-walking-and-jogging-may-be-best-forms-of-exercise-for-insomnia/) - Findings back use of exercise as primary treatment strategy for poor sleep, say researchers Yoga, Tai Chi, walking and jogging may be the best forms of exercise to improve sleep quality and ease insomnia, suggest the findings of a comparative pooled data analysis published in the online journal BMJ Evidence Based Medicine. The findings back the
- [Children’s social care involvement common to nearly third of UK mums who died during perinatal period](https://bmjgroup.com/childrens-social-care-involvement-common-to-nearly-third-of-uk-mums-who-died-during-perinatal-period/) - They were at heightened risk of dying from psychiatric causes and being murdered Uncoordinated appointment schedules added to the many disadvantages they already faced Changes to maternity care practice and policy now urgently required, say researchers The involvement of children’s social care services was a common factor in nearly a third of UK maternal deaths
- [Being consistently physically active in adulthood linked to 30–40% lower risk of death](https://bmjgroup.com/being-consistently-physically-active-in-adulthood-linked-to-30-40-lower-risk-of-death/) - But upping physical activity level still linked to 20–25% lower risk of death from any cause Switching to a more active lifestyle at any point in adulthood may extend lifespan Being consistently physically active in adulthood is linked to a 30–40% lower risk of death from any cause in later life, while upping levels from
- [Healthy lifestyle linked to lower diverticulitis risk, irrespective of genetic susceptibility](https://bmjgroup.com/healthy-lifestyle-linked-to-lower-diverticulitis-risk-irrespective-of-genetic-susceptibility/) - High fibre, low red meat diet, no smoking, regular exercise, normal weight, all key Maintaining a healthy lifestyle—specifically, a diet rich in fibre but light on red/processed meat, regular exercise, not smoking, and sticking to a normal weight—is linked to a significantly lower risk of diverticulitis, finds a large long term study, published online in
- [Junk food ‘avoids advertising regulation’ with top level UK sports sponsorship](https://bmjgroup.com/junk-food-avoids-advertising-regulation-with-top-level-uk-sports-sponsorship/) - Brands including Cadbury, Walkers, Kellogg’s, and Coca-Cola have more than 90 ongoing partnerships with sporting stars, teams, and organisations Experts say junk food sponsorship of sports should be banned to protect children’s health Junk food firms have more than 90 current sponsorship deals within top UK sports amid growing concerns over their impact on public
- [Time to see lived experience in healthcare as expertise](https://bmjgroup.com/time-to-see-lived-experience-in-healthcare-as-expertise/) - New BMJ collection calls for global action to ensure patients, caregivers, and relatives are valued equally to other experts It’s time to see lived experience - knowledge gained by being a patient, caregiver, or relative - as essential expertise, to ensure that healthcare is relevant, responsive, effective, resilient, equitable, and fully inclusive, say experts in
- [Physician associates provide safe care for diagnosed patients when directly supervised by a doctor](https://bmjgroup.com/physician-associates-provide-safe-care-for-diagnosed-patients-when-directly-supervised-by-a-doctor/) - But allowing them to care for patients with undiagnosed conditions under indirect supervision may risk patients’ safety, finds a rapid review Physician associates provide safe and effective care when they work under the direct supervision of doctors and care for patients who have already been diagnosed, or when they undertake procedures for which they have
- [Mental health disorders, malaria, and heart disease most affected by covid pandemic](https://bmjgroup.com/mental-health-disorders-malaria-and-heart-disease-most-affected-by-covid-pandemic/) - Findings provide a roadmap to help strengthen health systems for future crises Disrupted care during the covid-19 pandemic led to sharp increases in other non-covid causes of illness and death, particularly mental health disorders, malaria in young children, and stroke and heart disease in older adults, finds a study published by The BMJ today. For example, new
- [Women 65+ still at heightened risk of cervical cancer caused by HPV](https://bmjgroup.com/women-65-still-at-heightened-risk-of-cervical-cancer-caused-by-hpv/) - But screening usually discontinued for them if previous smear tests normal Global incidence rising in this age group; rethink of guideline recommendations needed Women aged 65 and above are still at heightened risk of cervical cancer caused by human papillomavirus (HPV), suggest the findings of a large observational study published in the open access journal Gynecology
- [‘Inflammatory’ diet during pregnancy may raise child’s diabetes type 1 risk](https://bmjgroup.com/inflammatory-diet-during-pregnancy-may-raise-childs-diabetes-type-1-risk/) - Linked to 16% rise for each unit increase in dietary measure of inflammatory food intake A diet high in foods with the potential to promote low grade inflammation during pregnancy may raise that child’s risk of developing type 1 diabetes, suggests Danish research published online in the Journal of Epidemiology & Community Health. This dietary pattern
- [Racism and sexism are “alarmingly normalised” in the NHS](https://bmjgroup.com/racism-and-sexism-are-alarmingly-normalised-in-the-nhs/) - Evidence of impact of discrimination and inequalities is clear; what is needed now is action from government and NHS institutions, says the BMJ Commission on the Future of the NHS Racism and sexism are “alarmingly normalised” within the structures and person-to-person interactions across the NHS, and the NHS has delayed acknowledging and learning from the
- [Walking 25 mins enough to counter impact of bedrest on older inpatients](https://bmjgroup.com/walking-25-mins-enough-to-counter-impact-of-bedrest-on-older-inpatients/) - And daily 50 mins of slow walking or 40 mins of mix of physical activities, even better…. As little as 25 minutes a day of slow walking seems to be enough to counter the detrimental physical effects of bedrest on older hospital patients, finds a pooled data analysis of the available evidence, published online in
- [Correcting the record to enhance patient care](https://bmjgroup.com/correcting-the-record-to-enhance-patient-care/) - After identifying a methodological error, Dr Brian Nicholson and his team at the University of Oxford worked closely with The BMJ to retract and publish a new version of the study, Prioritising primary care patients with unexpected weight loss for cancer investigation: diagnostic accuracy study.
- [How evidence based policy can drive meaningful change](https://bmjgroup.com/how-evidence-based-policy-can-drive-meaningful-change/) - At BMJ Group, we prioritise making a tangible impact through our publications.
- [Higher rates of mass shootings in US states with more relaxed gun control laws](https://bmjgroup.com/higher-rates-of-mass-shootings-in-us-states-with-more-relaxed-gun-control-laws/) - Widening gap in deaths emerging between these states and those with more restrictive laws US states with more relaxed gun control laws and higher rates of gun ownership have higher rates of mass shootings, reveals a time trends analysis, published today in The BMJ. And the gap in the rate of mass shootings between these
- [Five things you should do as a journal editor to support social justice](https://bmjgroup.com/five-things-you-should-do-as-a-journal-editor-to-support-social-justice/) - How you can take small steps to support social justice Today, the world of science is not fair. We know that there are underrepresented groups in both science and publishing w1,w2 and inequalities are contributing to real disparities within our scientific communities. We believe it is time for all journal editors to take action. We all must put
- [Fewer than half of new drugs add substantial therapeutic value over existing treatments](https://bmjgroup.com/fewer-than-half-of-new-drugs-add-substantial-therapeutic-value-over-existing-treatments/) - Patients need better treatments, not just more of the same, says expert New drugs are often used not only for one disease (first approved indication) but also for other diseases (supplemental indications). But a study published by The BMJ today finds that less than half of approved first indications for new drugs in the US and Europe
- [End food and drink industry’s infiltration of UK children’s education, say experts](https://bmjgroup.com/end-food-and-drink-industrys-infiltration-of-uk-childrens-education-say-experts/) - Kellogg’s and Greggs have sponsored school breakfast clubs in the UK for more than two decades, reaching many thousands of primary school children Experts say tactics are highly problematic and require much greater scrutiny An investigation published by The BMJ today reveals widespread influence of food and drink brands in schools and nurseries – through breakfast clubs,
- [Doctors’ pay in England has declined by 25% since 2008](https://bmjgroup.com/doctors-pay-in-england-has-declined-by-25-since-2008/) - Independent analysis shows doctors’ salary erosion far outstrips other UK workers Doctors describe how they struggle to afford everyday essentials Trainee eye surgeon quit after worry over gas bill As doctors in England enter their 13th month of industrial action, an independent analysis of their pay confirms that the real terms value of their
- [Doctors and public health experts join calls for halt to AI R&D until it’s regulated](https://bmjgroup.com/doctors-and-public-health-experts-join-calls-for-halt-to-ai-rd-until-its-regulated/) - Certain types and applications pose “existential threat to humanity,” they warn An international group of doctors and public health experts have joined the clamour for a moratorium on AI research until the development and use of the technology are properly regulated. Despite its transformative potential for society, including in medicine and public health, certain types
- [Women still missing out on treatment for their No 1 killer—cardiovascular disease](https://bmjgroup.com/women-still-missing-out-on-treatment-for-their-no-1-killer-cardiovascular-disease/) - Despite major progress in disease management, they are underdiagnosed and undertreated Dedicated heart champions, hubs, and health strategy among key actions needed Women in the UK, and elsewhere, are still missing out on vital treatment for their No 1 killer—cardiovascular disease—despite significant progress in the medical management of heart disease and stroke, concludes a consensus
- [Vaping in early teens linked to persistent and heavier smoking](https://bmjgroup.com/vaping-in-early-teens-linked-to-persistent-and-heavier-smoking/) - Externally peer reviewed? Yes Evidence type: Observational Subjects: People E-cigarettes may ‘entrench’ early patterns of tobacco smoking, findings suggest Young teen smokers who also vape may be at heightened risk of persistent and heavier smoking in their late teens, reveal the combined findings of two nationally representative UK and US studies, published online in the
- [Universities and schools urged to ban alcohol industry-backed health advice](https://bmjgroup.com/universities-and-schools-urged-to-ban-alcohol-industry-backed-health-advice/) - Industry tied programmes provide information to schoolchildren as young as 9 Initiatives normalise drinking and downplay the long term health risks of alcohol, argue experts Public health experts are calling for a ban on alcohol industry funded education programmes in UK universities and schools, which they say normalise drinking and downplay the long term health
- [Tobacco related annual medical spend of US Minorities who smoke double that of White peers](https://bmjgroup.com/tobacco-related-annual-medical-spend-of-us-minorities-who-smoke-double-that-of-white-peers/) - Long term health risks also much higher despite lower smoking rates + more quit attempts Minority adults who smoke stand to benefit more from tobacco control policies The annual tobacco-related healthcare spend of US Minorities who smoke is double that of White adults who smoke, finds an analysis of national health and medical spend survey
- [Tobacco policy: making a stand](https://bmjgroup.com/tobacco-policy-making-a-stand/) - BMJ Group’s stringent tobacco policy exemplifies our long standing dedication to independent publishing.” Dr Helen Macdonald Publication ethics and content integrity editor Recognising the harmful impact of the tobacco industry—responsible for killing up to two-thirds of long-term users—we have excluded tobacco-sponsored research from our publications for over a decade. It’s important to note that while
- [Tobacco funded research still appearing in top medical journals](https://bmjgroup.com/tobacco-funded-research-still-appearing-in-top-medical-journals/) - Tobacco firms investing billions in medical products, leading to calls for journals to ban research by companies as well as their subsidiaries BMJ expands restrictions on authors’ links to tobacco industry Tobacco-funded research is still appearing in highly-cited medical journals – despite attempts by some to cut ties altogether, finds an investigation by The Investigative Desk and The
- [Time to treat the climate and nature crisis as one indivisible global health emergency](https://bmjgroup.com/time-to-treat-the-climate-and-nature-crisis-as-one-indivisible-global-health-emergency/) - Over 200 health journals urge the World Health Organization to declare the deadly climate change and nature crisis as a global health emergency Over 200 health journals across the world have come together to simultaneously publish an editorial calling on world leaders and health professionals to recognise that climate change and biodiversity loss are one
- [The BMJ Commission on the Future of the NHS](https://bmjgroup.com/the-bmj-commission-on-the-future-of-the-nhs-2/) - Convening healthcare leaders to reset national priorities In its 75th year, the NHS has never been in deeper crisis, and although the problems may seem insoluble, we believe that the central premise of the NHS – a health service free at the point of care for all the population – is worth fighting for. It
- [Strengthening health systems in Georgia](https://bmjgroup.com/strengthening-health-systems-in-georgia/) - BMJ Group formally launched the Clinical Decision Support (CDS) Training Initiative in Georgia.
- [Static isometric exercise, such as wall sits, best for lowering blood pressure](https://bmjgroup.com/static-isometric-exercise-such-as-wall-sits-best-for-lowering-blood-pressure/) - But squats, press-ups, high intensity interval training (HIIT), and ‘cardio’ also effective Review of current exercise guidelines for controlling blood pressure may now be warranted Static isometric exercises—the sort that involve engaging muscles without movement, such as wall sits and planks—are best for lowering blood pressure, finds a pooled data analysis of the available evidence
- [Spotlight on Latin America’s global leadership in health](https://bmjgroup.com/spotlight-on-latin-americas-global-leadership-in-health/) - Showcasing Brazil and regional health leadership and opportunities in a G20 presidency year Tuesday July 23, 2024 As Brazil takes the presidency of the #G20 in 2024, it marks the return of the summit to Latin America for the first time in six years. Much has changed and the covid-19 pandemic in particular has exposed
- [Sports medicine must up its game to break cycle of gender bias, urge doctors](https://bmjgroup.com/sports-medicine-must-up-its-game-to-break-cycle-of-gender-bias-urge-doctors/) - Dearth of women in all roles hindering advancement of specialty and ‘normalising’ inequity Sports and exercise medicine must up its game to break the cycle of gender bias in the specialty, urge an international group of doctors in an editorial in the open access journal BMJ Open Sport & Exercise Medicine. The dearth of women in
- [Special collection examining women’s health in China](https://bmjgroup.com/special-collection-examining-womens-health-in-china/) - The BMJ launches special collection examining women’s health in China Articles set out the successes and challenges for the country in an era of growing rights and falling fertility Women in China are now healthier than ever, but as the economy grows and China’s culture becomes more westernised, the country faces new challenges due to
- [Safety fears for England’s screening services if national oversight is lost](https://bmjgroup.com/safety-fears-for-englands-screening-services-if-national-oversight-is-lost/) - Devolving responsibility to local organisations would be a “retrograde” step, says former screening quality assurance lead NHS England “cutting corners to save money” warns site inspector Plans to devolve responsibility for the quality of England’s 11 national screening services could result in significant safety risks, experts tell The BMJ in an exclusive report today. Assistant news editor
- [Patients do better when surgeon averages 10 + annual shoulder ops](https://bmjgroup.com/patients-do-better-when-surgeon-averages-10-annual-shoulder-ops/) - Patients of higher volume surgeons experienced lower risks Patients treated by surgeons who average over 10 shoulder replacements a year have a lower risk of reoperation and serious complications, and a shorter hospital stay than those treated by surgeons who do fewer operations, finds a study published by The BMJ today. These findings build on similar evidence
- [NHS needs 32bn cash injection to recover shortfall and help tackle current crisis](https://bmjgroup.com/nhs-needs-32bn-cash-injection-to-recover-shortfall-and-help-tackle-current-crisis/) - Budget pledges are a start, but won’t make up significant funding gap, argue experts Waiting times, primary care, workforce and capital investment should be key priorities for extra funds The NHS needs an immediate cash injection of around £8.5bn a year over the next four years to make up a £32bn shortfall in funding and
- [Focusing on weight loss alone for obesity may do more harm than good](https://bmjgroup.com/focusing-on-weight-loss-alone-for-obesity-may-do-more-harm-than-good/) - A healthy lifestyle has important benefits, but weight alone might not give an adequate picture of someone’s health, say experts Focusing solely on achieving weight loss for people with a high body mass index (BMI) may do more harm than good, argue experts in The BMJ today. Dr Juan Franco and colleagues say, on average, people with
- [GP performance pay fails to drive lasting changes in quality of care](https://bmjgroup.com/gp-performance-pay-fails-to-drive-lasting-changes-in-quality-of-care/) - Financial incentives alone are no magic bullet to improve quality, say researchers Introducing performance related pay for UK general practices initially improved quality of care, but did not seem to provide lasting improvements beyond that expected by previous trends, finds a study published by The BMJ today. And initial gains in quality seemed to reverse when financial
- [Surgery plus speech therapy linked to improved language after stroke](https://bmjgroup.com/surgery-plus-speech-therapy-linked-to-improved-language-after-stroke/) - Trial suggests this is a superior treatment for chronic post-stroke aphasia Combining neck surgery with intensive speech therapy is associated with greater improvements in a person's ability to communicate after a stroke than intensive speech therapy alone, finds a clinical trial published by The BMJ today. The results show improvements immediately after surgery without any long-term severe
- [New study supports psilocybin’s potential as an antidepressant](https://bmjgroup.com/new-study-supports-psilocybins-potential-as-an-antidepressant/) - The BMJ Press Notice: Monday 10 February 2025 Correction to research paper: Efficacy of psilocybin for treating symptoms of depressionA correction has been made to a research paper published by The BMJ on 1 May 2024: Efficacy of psilocybin for treating symptoms of depression: systematic review and meta-analysis. Overall, the main messages of the study
- [New documents reveal patient safety concerns over strike day cover](https://bmjgroup.com/new-documents-reveal-patient-safety-concerns-over-strike-day-cover/) - Investigation sheds new light on process designed to keep patients safe during industrial action BMA says it takes concerns around patient safety “incredibly seriously” An investigation published by The BMJ today reveals new details of requests to recall striking junior doctors from picket lines for patient safety reasons. Documents show that while most trusts in
- [More than half of UK government nutrition advisors are paid by food companies](https://bmjgroup.com/more-than-half-of-uk-government-nutrition-advisors-are-paid-by-food-companies/) - 11 of 17 advisors have links with firms including Nestle, Tate and Lyle, and Unilever Campaigners say conflicts are detrimental to public health; others say ties are partly a result of a lack of money in relevant research More than half of the experts on the UK government’s nutrition advisory panel have links to the
- [BMJ TAG: making meaningful contributions to patient care](https://bmjgroup.com/making-meaningful-contributions-to-patient-care/) - In the last year, the BMJ Technology Assessment Group (BMJ-TAG) has played a key role in evaluating the safety and effectiveness of drugs for public use through the NHS, contributing to the development of high profile NICE guidance. In July 2023, rimegepant was recommended for use in the NHS by the National Institute for Health
- [Committee on ethics and artificial intelligence](https://bmjgroup.com/committee-on-ethics-and-artificial-intelligence/) - Our AI principlesAt BMJ Group, our Digital Health business area produces a range of digital resources for clinical decision support and medical education, such as BMJ Best Practice. We are witnessing a rapidly increasing interest in how our digital resources can be used in the context of machine learning and artificial intelligence. In response, we
- [Celebrating a decade of patient and public partnership](https://bmjgroup.com/celebrating-a-decade-of-patient-and-public-partnership/) - Improving healthcare and health systems We partner with patients and the public across all aspects of our work. Their insights bring a critical dimension to our work and thinking: partnerships with patients, carers, community support networks, and the public will create better evidence.” Dr Kamran Abbasi Editor in Chief, The BMJ Patient involvement in healthcare
- [“Cardio” exercise linked to much lower risk of flu or pneumonia death](https://bmjgroup.com/cardio-exercise-linked-to-much-lower-risk-of-flu-or-pneumonia-death/) - Effects seen even at less than recommended weekly amount, but there may be level above which these plateau Regular aerobic exercise, popularly known as “cardio,” is linked to a significantly lower risk of death from flu or pneumonia, even at weekly levels below those recommended, finds US research published online in the British Journal of Sports
- [Bridging knowledge gaps](https://bmjgroup.com/bridging-knowledge-gaps/) - The impact of BMJ Best Practice Comorbidities Manager on healthcareIn the UK, one in four adults has two or more medical conditions, and one in three adults in hospital has five or more conditions. In the US, 42% of people are dealing with two or more multiple chronic conditions, and 12% have at least five.
- [BMJ Innovations special supplement on social innovations for health](https://bmjgroup.com/bmj-innovations-special-supplement-on-social-innovations-for-health/) - Highlighting some of the most important research work, concepts, and practices in social innovations in health.
- [First research impact tool focused on health and social care launches](https://bmjgroup.com/bmj-impact-analytics-launch-first-research-impact-tool-focused-on-health-and-social-care/) - BMJ and Overton launch first research impact tool focused on health and social care BMJ and Overton collaborate to advance the real-world impact of health and medical research January 2023, London, UK – Today, leading healthcare knowledge provider BMJ, announces the launch of a new research impact tool, BMJ Impact Analytics, developed in collaboration with
- [BMJ Group adds five new titles to journal portfolio](https://bmjgroup.com/bmj-group-expands-journal-portfolio-with-five-new-titles/) - BMJ Group expands journal portfolio with five new titlesNew journals launched to address the diverse needs of the medical communities BMJ Group serves, supporting innovation in healthcare and fostering excellence in research London, December 2024— BMJ Group, a global healthcare knowledge provider, announces the launch of five new journals dedicated to advancing medical research in
- [BMJ Collection highlights research priorities for future health shocks](https://bmjgroup.com/bmj-collection-highlights-research-priorities-for-future-health-shocks/) - Leading researchers and clinicians address urgent research themes to mitigate the impact of future health crises: bmj.com/collections/future-shocks
- [BMJ Best Practice selected for Electronic Health Record (EHR) integration](https://bmjgroup.com/bmj-best-practice-selected-for-electronic-health-record-ehr-integration/) - BMJ Best Practice selected for Electronic Health Record (EHR) integration into Civica's Paris Electronic Patient Record (EPR) system at Tees Esk and Wear Valleys (TEWV) NHS Foundation Trust Healthcare professionals will have instant access to the latest clinical information within the patient workflow BMJ Group's clinical decision support tool, BMJ Best Practice, has been selected
- [BMJ Group partners with Medtronic to support hospital leaders in transforming care](https://bmjgroup.com/bmj-announces-partnership-with-medtronic-to-support-hospital-leaders-in-transforming-care/) - BMJ announces Medtronic as a headline sponsor of the International Forum on Quality and Safety in Copenhagen 2023 BMJ and Medtronic partnership will advance healthcare by connecting decision makers and industry leaders to share expertise, best practices, and innovation. 16 March 2023—BMJ has named Medtronic and its solutions arm Integrated Health Solutions (IHS) as a head
- [BMJ Group partners with Fondazione Internazionale Menarini](https://bmjgroup.com/bmj-announces-partnership-with-fondazione-internazionale-menarini/) - New partnership will ensure that clinicians will have access to quality medical education to learn and improve their daily practice in treating patients living with cancer February 2023 - Leading healthcare knowledge provider BMJ has unveiled its new partner webinar series with Fondazione Internazionale Menarini. The partner programme is a series of BMJ Masterclasses Oncology
- [Ban medical research with links to the fossil fuel industry, say experts](https://bmjgroup.com/ban-medical-research-with-links-to-the-fossil-fuel-industry-say-experts/) - Investigation reveals a case for stronger action against the influence of these health-harming companies on academic research Of the top five medical journals, only The BMJ bans fossil fuel-tied research An investigation published by The BMJ today reveals the extent of fossil fuel industry involvement in medical research, leading to fresh calls for academics and publishing companies
- [Alarm as FDA fast-tracks first antipsychotic for dementia agitation](https://bmjgroup.com/alarm-as-fda-fast-tracks-first-antipsychotic-for-dementia-agitation/) - Investigation raises serious questions about the harm-benefit balance of Rexulti Decision may reverse efforts to reduce use of antipsychotics in US care homes In trials, the antipsychotic drug brexpiprazole (Rexulti) failed to provide a clinically meaningful benefit and increased the risk of death. Yet the US Food and Drug Administration (FDA) has fast tracked its
- [UK annual cost of dog walkers’ hand/wrist injuries estimated to top £23 million](https://bmjgroup.com/uk-annual-cost-of-dog-walkers-hand-wrist-injuries-estimated-to-top-23-million/) - Women and over 65s seem to be most at risk due to being pulled along on the dog leash The annual cost of hand and wrist injuries among dog walkers in the UK is estimated to top £23 million, with women and the over 65s most at risk as a result of being pulled along
- [Emotional demands and confrontation in person-contact roles linked to heightened type 2 diabetes risk](https://bmjgroup.com/emotional-demands-and-confrontation-in-person-contact-roles-linked-to-heightened-type-2-diabetes-risk/) - Inadequate social support at work seems to amplify magnitude of these associations The emotional demands and confrontation inherent in person-contact roles, involving direct face to face or voice to voice interaction with external parties, are linked to a heightened risk of type 2 diabetes, suggests research published online in Occupational & Environmental Medicine. And inadequate social
- [Autoimmune disease linked to doubling in depression, anxiety, bipolar risks](https://bmjgroup.com/autoimmune-disease-linked-to-doubling-in-depression-anxiety-bipolar-risks/) - Risks higher in women than in men with the same condition Chronic exposure to systemic inflammation may explain associations, say researchers Living with an autoimmune disease is linked to a near doubling in the risk of persistent mental health issues, such as depression, generalised anxiety, and bipolar disorder, with these risks higher in women than
- [BMJ finds inaccuracies in key studies for AstraZeneca’s blockbuster heart drug ticagrelor](https://bmjgroup.com/bmj-finds-inaccuracies-in-key-studies-for-astrazenecas-blockbuster-heart-drug-ticagrelor/) - Investigation finds evidence of serious misreporting, raising fresh doubts over the approval and decade long use of ticagrelor In a follow up investigation into the multibillion dollar drug ticagrelor, The BMJ has uncovered fresh concerns, this time in key platelet studies used in its FDA approval. For more than a decade, ticagrelor (Brilinta in the US and
- [Intermittent fasting comparable to traditional diets for weight loss](https://bmjgroup.com/intermittent-fasting-comparable-to-traditional-diets-for-weight-loss/) - May also offer other health benefits, but longer trials are needed to confirm this Intermittent fasting diets appear to have similar benefits to traditional calorie-restricted diets for weight loss, suggests an analysis of trial evidence published by The BMJ today. Alternate day fasting also demonstrates greater benefits compared with both calorie restriction and other intermittent fasting approaches,
- [‘Virtual ward’ bed uses 4 times less carbon than traditional inpatient bed](https://bmjgroup.com/virtual-ward-bed-uses-4-times-less-carbon-than-traditional-inpatient-bed/) - These wards have the potential to reduce need to build more high-carbon impact hospitals A virtual ward bed uses 4 times less carbon than a traditional inpatient bed, so helping the NHS achieve its net zero target by 2045, finds the first study of its kind, published in the open access journal BMJ Innovations. And they
- [Cannabis use linked to doubling in risk of cardiovascular disease death](https://bmjgroup.com/cannabis-use-linked-to-doubling-in-risk-of-cardiovascular-disease-death/) - Treat it like tobacco: don’t criminialise it, discourage it, and protect bystanders, says editorial Cannabis use is linked to a doubling in the risk of dying from cardiovascular disease, with significantly heightened risks of having a stroke or acute coronary syndrome—sudden reduced or blocked blood flow to the heart—finds a pooled analysis of real world
- [Despite overall progress, low birthweight rates still high in certain Indian states](https://bmjgroup.com/despite-overall-progress-low-birthweight-rates-still-high-in-certain-indian-states/) - Uttar Pradesh, Bihar, Maharashtra, West Bengal account for almost half of all such births Despite overall progress in bringing down low birthweight numbers across India over the past 30 years, rates remain stubbornly high in certain states, with Uttar Pradesh, Bihar, Maharashtra, and West Bengal, accounting for almost half of all such births, finds research
- [Doctors urge FIFA to end deal with Coca-Cola ahead of Club World Cup](https://bmjgroup.com/doctors-urge-fifa-to-end-deal-with-coca-cola-ahead-of-club-world-cup/) - “We need to hold these corporate giants accountable for putting profits over public and planetary health,” they argue Football’s governing body FIFA should drop Coca-Cola as sponsors of the 2025 Club World Cup which begins this week, urge doctors in The BMJ today. Dr Chris van Tulleken at University College London and Professor Carlos Monteiro
- [Prolonged use of desogestrel pill linked to small increased brain tumour risk](https://bmjgroup.com/prolonged-use-of-desogestrel-pill-linked-to-small-increased-brain-tumour-risk/) - Although risk much lower than some other progestogens and disappeared one year after stopping treatment Taking the progestogen-only contraceptive pill desogestrel continuously for more than five years is associated with a small increased risk of developing a type of brain tumour called an intracranial meningioma, finds a study from France published by The BMJ today. However, the
- [Doctors raise concern over rise in recreational ketamine use](https://bmjgroup.com/doctors-raise-concern-over-rise-in-recreational-ketamine-use/) - More individuals are seeking treatment for ketamine addiction Greater awareness, research, and treatments are needed The rise in non-prescribed ketamine use across the UK in recent years is a cause for concern, say doctors in The BMJ today. Irene Guerrini at South London & Maudsley NHS Foundation Trust and colleagues warn that its low cost has made
- [Over half of doctors surveyed would consider assisted dying if they had advanced cancer or Alzheimer’s disease](https://bmjgroup.com/over-half-of-doctors-surveyed-would-consider-assisted-dying-if-they-had-advanced-cancer-or-alzheimers-disease/) - And they mostly prefer symptom relief at end of life rather than prolongation of life But preferences vary according to their jurisdiction’s legislation on assisted dying When it comes to advanced cancer or Alzheimer’s disease, over half of doctors would consider assisted dying for themselves, but preferences seem to vary according to their jurisdiction’s legislation
- [Urgent need to quantify role of fungal toxins in rising liver cancer rates in Ghana](https://bmjgroup.com/urgent-need-to-quantify-role-of-fungal-toxins-in-rising-liver-cancer-rates-in-ghana/) - ..to curb global toll taken by the disease, especially in the rest of Africa and Asia High levels of aflatoxin contamination in dietary staples of maize and peanuts With one of the highest rates of liver cancer in Africa, Ghana represents critical case study There’s an urgent need to quantify the role of fungal toxins
- [Gender pay gaps persist among leading science publishers](https://bmjgroup.com/gender-pay-gaps-persist-among-leading-science-publishers/) - Findings indicate how women are being undervalued by their employers, argue journal editors Despite promises to close the gender gap, leading science publishers have maintained large and persistent gender pay gaps favouring men since 2017, finds an analysis of eight years of data, published by PLOS Global Public Health today. Conducted by Jocalyn Clark, International
- [P2Y12 drugs may be better than aspirin to prevent heart attack and stroke in patients with coronary artery disease](https://bmjgroup.com/p2y12-drugs-may-be-better-than-aspirin-to-prevent-heart-attack-and-stroke-in-patients-with-coronary-artery-disease/) - Findings support use of P2Y12 therapy instead of aspirin for long term prevention Giving a P2Y12 inhibitor anti-clotting drug to patients with coronary artery disease is associated with lower rates of cardiovascular death, heart attack and stroke compared with traditional aspirin, with no increased risk of major bleeding, finds a study published by The BMJ today. P2Y12
- [Diabetes drug shows benefits for patients with liver disease](https://bmjgroup.com/diabetes-drug-shows-benefits-for-patients-with-liver-disease/) - Results support the potential for dapagliflozin to benefit these patients The sodium glucose cotransporter 2 (SGLT-2) inhibitor drug dapagliflozin, widely used to treat type 2 diabetes, also shows improvements for patients with progressive liver disease, finds a clinical trial from China published by The BMJ today. The results show that treatment with dapagliflozin improved metabolic dysfunction-associated steatohepatitis
- [Mum’s obesity linked to child’s heightened hospital admission risk for infection](https://bmjgroup.com/mums-obesity-linked-to-childs-heightened-hospital-admission-risk-for-infection/) - Findings highlight importance of healthy body weight before and after pregnancy Children born to mothers who are very obese with a BMI of 35 or higher are at heightened risk of being admitted to hospital for an infection, finds a long term study published in the open access journal BMJ Medicine. The findings highlight the importance of
- [Low calorie diets linked to heightened risk of depressive symptoms](https://bmjgroup.com/low-calorie-diets-linked-to-heightened-risk-of-depressive-symptoms/) - Men and the overweight may be especially vulnerable to effects of restrictive eating Following a low calorie diet is linked to a heightened risk of depressive symptoms, finds research published in the open access journal, BMJ Nutrition Prevention & Health. Men and those who are overweight may be especially vulnerable to the effects of restrictive eating,
- [Precision in practice](https://bmjgroup.com/precision-in-practice/) - How digital learning is saving lives in sportBMJ Learning has been a trusted provider of healthcare education for over 20 years, helping health professionals worldwide enhance their skills and improve patient outcomes. A 2018 study published in Heart, Performance of the BMJ Learning training modules for electrocardiogram interpretation in athletes, provides compelling evidence of this
- [Around 1 in 7 US adults who smoke may have some degree of disability](https://bmjgroup.com/around-1-in-7-us-adults-who-smoke-may-have-some-degree-of-disability/) - Prevalence twice as high among those still puffing away as those who have never smoked Figures suggest that 40% of 25 million adults experience some level of functional difficulty Around 1 in 7 of US adults who currently smoke may have some degree of disability, suggests the first study of its kind published online in
- [US general military service may lower, rather than heighten, depression risk](https://bmjgroup.com/us-general-military-service-may-lower-rather-than-heighten-depression-risk/) - Despite relatively high prevalence of condition among active duty and veteran personnel Potentially protective effects challenge some previous assumptions, suggest researchers General service in the US military may lower, rather than heighten, the risk of depression, despite the relatively high prevalence of the condition among active duty and veteran personnel, finds a large observational study
- [Leading doctors from India and Pakistan appeal for “brave first steps” towards peace](https://bmjgroup.com/leading-doctors-from-india-and-pakistan-appeal-for-brave-first-steps-towards-peace/) - Persistent conflict and threats of a nuclear conflagration are major impediments to development, they argue As India and Pakistan once again step closer to an open conflict, leading pediatricians and healthcare professionals from across the border have come together to urge both countries to take “brave first steps” towards peace. In The BMJ today, Zulfiqar Bhutta at
- [Cold sore viral infection implicated in development of Alzheimer’s disease](https://bmjgroup.com/cold-sore-viral-infection-implicated-in-development-of-alzheimers-disease/) - But people treated with antiviral therapy seem to be at lower risk, large US study finds Symptomatic infection with the virus responsible for cold sores around the mouth–herpes simplex 1, or HSV-1 for short—may have a key role in the development of Alzheimer’s disease, suggests a large pharma industry-funded US study published in the open
- [Standardising disposable vape devices may curb young people’s desire to try them](https://bmjgroup.com/standardising-disposable-vape-devices-may-curb-young-peoples-desire-to-try-them/) - But there is a risk it may lead to fewer people switching from smoking to vaping Standardising the colour and branding of disposable vaping devices may deter young people who have never smoked or vaped from trying them in the first place, suggests a comparative study, published online in the journal Tobacco Control. But a potential
- [Thousands of young children worldwide still swallowing magnets despite increased regs](https://bmjgroup.com/thousands-of-young-children-worldwide-still-swallowing-magnets-despite-increased-regs/) - Time to bolster restrictions and use better evidence to inform policy, say researchers Thousands of young children worldwide are still swallowing magnets despite an increase in regulations, finds a review of the available evidence, published online in the journal Injury Prevention. With US children among those seemingly most at risk, it’s time to bolster restrictions and
- [New US dementia cases in decline, but continued rise in people living with the condition](https://bmjgroup.com/new-us-dementia-cases-in-decline-but-continued-rise-in-people-living-with-the-condition/) - Rates highest among black beneficiaries and those living in more deprived neighborhoods New cases of dementia in the United States declined from 2015 to 2021, but the number of people living with the condition continued to rise due to population ageing, with nearly 2.9 million traditional Medicare beneficiaries (around 12%) living with a dementia diagnosis
- [Physical activity + organised sports participation may ward off childhood mental ill health](https://bmjgroup.com/physical-activity-organised-sports-participation-may-ward-off-childhood-mental-ill-health/) - But clear sex differences in protective effects, depending on condition, findings indicate Physical activity in early childhood, especially taking part in organised sports,may ward off several mental health disorders in later childhood and adolescence, suggests research published online in the British Journal of Sports Medicine. But there seem to be clear sex differences in the observed
- [Long working hours may alter brain structure, preliminary findings suggest](https://bmjgroup.com/long-working-hours-may-alter-brain-structure-preliminary-findings-suggest/) - Overwork may induce neuroadaptive changes that affect cognitive and and emotional health Long working hours may alter the structure of the brain, particularly the areas associated with emotional regulation and executive function, such as working memory and problem solving, suggest the findings of preliminary research, published online in Occupational & Environmental Medicine. Ultimately, overwork may induce
- [The impact of patient advocacy on peer review](https://bmjgroup.com/the-impact-of-patient-advocacy-on-peer-review/) - Liz Salmi and Dr Charlotte Blease are breaking new ground as co-authors of The Step-by-Step Guide to Peer Review for Patients and Novice Researchers, published in BMJ Health & Care Informatics. With this publication, they addressed the need for clear guidelines, tackled the challenges of measuring impact, and emphasised the importance of making resources accessible
- [Failure to focus on covid suppression led to avoidable UK deaths, says expert](https://bmjgroup.com/failure-to-focus-on-covid-suppression-led-to-avoidable-uk-deaths-says-expert/) - UK approach raises questions about medical and scientific advice Early in the covid-19 pandemic, the failure of UK government advisers to follow World Health Organization (WHO) advice and emerging evidence from East Asia that suppression could bring the virus under control quickly led to avoidable UK deaths, argues an expert in The BMJ today. Suppression aims to
- [BMJ Future Health and Learner+ partner to transform continuing professional development for health professionals](https://bmjgroup.com/bmj-future-health-and-learner-partner-to-transform-continuing-professional-development-for-health-professionals/) - Helping health professionals turn everyday learning into accredited continuing professional development reflections BMJ Group's comprehensive education programme, BMJ Future Health, has partnered with Learner+, the UK's first smart reflective platform, to transform continuing professional development (CPD) for health professionals. This collaboration makes capturing and converting everyday learning into structured CPD insights faster, easier, and more
- [Women non-smokers still around 50% more likely than men to develop COPD](https://bmjgroup.com/women-non-smokers-still-around-50-more-likely-than-men-to-develop-copd/) - Findings challenge idea that heightened vulnerability to cigarette smoke is to blame Women’ are around 50% more likely than men to develop COPD, the umbrella term for chronic lung conditions, such as emphysema and bronchitis, even if they have never smoked or smoked much less than their male counterparts, suggests observational research, published in the
- [Blood test for many cancers could potentially thwart progression to late stage in up to half of cases](https://bmjgroup.com/blood-test-for-many-cancers-could-potentially-thwart-progression-to-late-stage-in-up-to-half-of-cases/) - Adding this test to usual care yearly or every two years could improve patient outcomes A single blood test, designed to pick up chemical signals indicative of the presence of many different types of cancer, could potentially thwart progression to advanced disease while the malignancy is still at an early stage and amenable to treatment in
- [GP-led talking therapy eases PTSD symptoms after critical illness](https://bmjgroup.com/gp-led-talking-therapy-eases-ptsd-symptoms-after-critical-illness/) - Effects modest but intervention may bridge long waiting times between ICU discharge and access to specialist mental health services, say researchers A brief spell of talking therapy with a general practitioner reduces symptoms of post-traumatic stress disorder (PTSD) for survivors of critical illness, finds a trial from Germany published by The BMJ today. The effects of this
- [Exercise can counter detrimental effects of cancer treatment](https://bmjgroup.com/exercise-can-counter-detrimental-effects-of-cancer-treatment/) - t also boosts wellbeing and quality of life, suggests umbrella review of pooled data analyses Findings lend weight to its routine inclusion in cancer treatment protocols, say researchers Exercise can counter the detrimental effects of cancer treatment, such as heart and nerve damage and brain fog, suggests an overarching review of the existing pooled data
- [Too few ward nurses linked to longer hospital stay, readmission, and risk of death](https://bmjgroup.com/too-few-ward-nurses-linked-to-longer-hospital-stay-readmission-and-risk-of-death/) - Redressing balance saves around £5000 for each year of healthy life gained But not if temporary agency staff are used Employing too few permanent nurses on hospital wards is linked to longer inpatient stays, readmissions, patient deaths, and ultimately costs more in lives and money, finds a long term study published online in the journal BMJ
- [No-touch vein harvesting has meaningful benefits for heart bypass patients](https://bmjgroup.com/no-touch-vein-harvesting-has-meaningful-benefits-for-heart-bypass-patients/) - Findings support broader clinical adoption of no-touch technique to enhance long term patient health ‘No-touch’ vein harvesting significantly reduces the risk of graft failure up to three years after coronary artery bypass surgery compared with conventionally harvested vein grafts, finds a study from China published by The BMJ today. The no-touch technique also translates into meaningful clinical
- [Gabapentinoids unlikely to be directly linked to self-harm risk](https://bmjgroup.com/gabapentinoids-unlikely-to-be-directly-linked-to-self-harm-risk/) - But findings highlight need for close monitoring of patients throughout their treatment journey, say researchers Treatment with gabapentinoids - drugs such as gabapentin and pregabalin - is not directly associated with an increased risk of self-harm, finds a UK study published by The BMJ today. However, rates of self-harm were higher before and shortly after treatment, highlighting
- [China's malaria-free status offers crucial lessons for other areas](https://bmjgroup.com/chinas-malaria-free-status-offers-crucial-lessons-for-other-areas/) - Special BMJ collection explores China's path to elimination and how it may inform strategies elsewhere, but experts warn that funding declines would reverse hard won gains China’s success in achieving malaria-free status in 2021 offers crucial lessons for the global malaria fight, say experts in a special collection of articles published by The BMJ today. But they also warn
- [Start of US hunting season linked to increased firearm incidents, including violent crimes and suicide](https://bmjgroup.com/start-of-us-hunting-season-linked-to-increased-firearm-incidents-including-violent-crimes-and-suicide/) - Efforts to promote firearm safety at start of hunting season might help curb both hunting and non-hunting related firearm incidents, say researchers The start of deer hunting season in the US - when firearms and ammunition are more available in certain states - is associated with increases in both hunting and non-hunting related firearm incidents,
- [Symptoms of Ice cold feet + heaviness in legs strongly linked to varicose veins](https://bmjgroup.com/symptoms-of-ice-cold-feet-heaviness-in-legs-strongly-linked-to-varicose-veins/) - Hypersensitivity to cold often underestimated as subjective symptom, say researchers Hypersensitivity to the cold, especially ice cold feet, as well as a feeling of heaviness in the legs, are linked to the presence of varicose veins, finds a large study published in the open access journal Open Heart. Cold hypersensitivity is often underestimated as a subjective
- [Single mid-afternoon preventer inhaler dose may be best timing for asthma control](https://bmjgroup.com/single-mid-afternoon-preventer-inhaler-dose-may-be-best-timing-for-asthma-control/) - Better suppresses usual nocturnal worsening of asthma than dosing at other times May lead to better outcomes without increasing steroid-related side effects or costs A single daily preventer dose of inhaled corticosteroid (beclomethasone), taken mid afternoon, may be the best timing for effective asthma control as it suppresses the usual nocturnal worsening of symptoms more
- [Brisk walking pace + time spent at this speed may lower risk of heart rhythm abnormalities](https://bmjgroup.com/brisk-walking-pace-time-spent-at-this-speed-may-lower-risk-of-heart-rhythm-abnormalities/) - Findings independent of other known cardiovascular risk factors and strongest in women, under 60s, those who weren’t obese, and those with pre-existing health issues A brisk walking pace, and the amount of time spent at this speed, may lower the risk of heart rhythm abnormalities, such as atrial fibrillation, tachycardia (rapid heartbeat), and bradycardia (very
- [Academic medicine is in urgent need of a revolution, say experts](https://bmjgroup.com/academic-medicine-is-in-urgent-need-of-a-revolution-say-experts/) - The BMJ Commission on the Future of Academic Medicine sets out its vision to transform academic medicine and help improve population and planetary health Academic medicine is in urgent need of a revolution, say experts in the first report of The BMJ Commission on the Future of Academic Medicine as they set out principles for transforming academic
- [Relaxation techniques may help lower high blood pressure—at least in the short term](https://bmjgroup.com/relaxation-techniques-may-help-lower-high-blood-pressure-at-least-in-the-short-term/) - But longer term effects unclear and bias likely in much of the existing research Relaxation techniques may help lower high blood pressure—at least in the short term—but the longer term effects are unclear, finds a pooled data analysis of the existing research published in the open access journal BMJ Medicine. And the risk of bias in
- [Prescribing parkrun is a retrograde step, argues doctor](https://bmjgroup.com/prescribing-parkrun-is-a-retrograde-step-argues-doctor/) - General practitioners are now “prescribing" parkrun for their patients as part of a social prescribing initiative to promote preventative care. But in The BMJ today, Dr Margaret McCartney argues that turning parkrun into a prescription medicalises a walk in the park and is a retrograde step. Parkrun is an organised, timed, and free 5 km run, jog,
- [Bans on outdoor junk food ads derailed by industry lobbying](https://bmjgroup.com/bans-on-outdoor-junk-food-ads-derailed-by-industry-lobbying/) - Cash-strapped councils warned they would lose up to 30% of advertising income Experts call for a national ban on out-of-home junk food ads to protect public health Plans to ban junk food adverts from bus stops and billboards to protect public health are being stymied by advertising industry lobbying, reveals an investigation published by The BMJ today.
- [High prevalence of tooth and gum issues in teenage professional footballers in England](https://bmjgroup.com/high-prevalence-of-tooth-and-gum-issues-in-teenage-professional-footballers-in-england/) - Inadequate oral hygiene, poor diet, infrequent visits to the dentist, all contributory factors Good oral health essential for quality of life, long term health and sporting performance The prevalence of tooth and gum issues among teenage (academy) professional footballers in England is high, finds research published in the open access journal BMJ Open Sport & Exercise
- [Hearing loss linked to heightened heart failure risk](https://bmjgroup.com/hearing-loss-linked-to-heightened-heart-failure-risk/) - Distress caused by impairment seems to have key role in observed association Hearing loss is linked to a heightened risk of developing heart failure, with the psychological distress caused by the impairment taking a key role in the observed association, finds a large long term study, published online in the journal Heart. Hearing loss is increasingly
- [Almost one in ten people surveyed report having been harmed by the NHS in the last three years](https://bmjgroup.com/almost-one-in-ten-people-surveyed-report-having-been-harmed-by-the-nhs-in-the-last-three-years/) - In almost two-thirds of cases, treatment or care received was responsible, and in more than a third harm was due to lack of access to care Almost one in ten people in Great Britain experienced healthcare-related harm due to care or treatment they received from the National Health Service (NHS) or difficulties accessing care in
- [Thickening of the eye’s retina associated with greater risk and severity of postoperative delirium in older patients](https://bmjgroup.com/thickening-of-the-eyes-retina-associated-with-greater-risk-and-severity-of-postoperative-delirium-in-older-patients/) - Including a non-invasive eye test in the preoperative assessment for older patients might be a useful predictor of vulnerability to this debilitating postoperative complication, authors suggest Thickening of the macular layer of the eye’s retina is associated with a greater risk of postoperative delirium for older patients undergoing surgery under general anaesthetic, reveals a study
- [Low LDL cholesterol levels linked to reduced risk of dementia](https://bmjgroup.com/low-ldl-cholesterol-levels-linked-to-reduced-risk-of-dementia/) - Use of statins lowered risk of dementia even further in people with low LDL levels People with low levels of low-density lipoprotein cholesterol (LDL-C) in their blood have a lower risk of dementia, including lower risk of Alzheimer’s disease related dementia, shows a study published online today in the Journal of Neurology Neurosurgery & Psychiatry. Use of
- [Smartphone bans alone fail to equip children for healthy use of technology](https://bmjgroup.com/smartphone-bans-alone-fail-to-equip-children-for-healthy-use-of-technology/) - Focus should shift to a rights based approach, argue experts Banning smartphone and social media access alone fails to equip children for healthy use of technology, argues a group of international experts in The BMJ today. They say the focus should shift to a rights based approach, underpinned by age appropriate design and education, that protects children
- [New mums advised to do two hours of moderate to vigorous exercise a week](https://bmjgroup.com/new-mums-advised-to-do-two-hours-of-moderate-to-vigorous-exercise-a-week/) - Daily pelvic floor muscle training also strongly recommended Following this new guideline is likely to result in large improvements in maternal and infant health and well-being, say experts New mums should be strongly encouraged to begin clocking up at least two hours of moderate to vigorous intensity physical activity such as brisk walking and muscle
- [Open-label placebo appears to reduce premenstrual symptoms, study suggests](https://bmjgroup.com/open-label-placebo-appears-to-reduce-premenstrual-symptoms-study-suggests/) - Premenstrual syndrome (PMS) symptoms eased after taking open-label placebos and women had no substantial side effects Women affected by premenstrual syndrome (PMS) appear to experience less intense and debilitating symptoms after taking placebo pills even when told they do not contain any active medication, suggests a study published in the open-access journal BMJ Evidence-Based Medicine. PMS
- [Ultrasound during surgery to unblock arteries is a safe and effective way to lower stroke risk](https://bmjgroup.com/ultrasound-during-surgery-to-unblock-arteries-is-a-safe-and-effective-way-to-lower-stroke-risk/) - Technique has the potential to improve care for patients with carotid disease, say researchers Using ultrasound during surgery to unblock carotid arteries is a safe and effective way to significantly reduce the risk of stroke and death, finds a trial published by The BMJ today. The technique, called sonolysis, uses continuous ultrasound directly on the artery to
- [Increasing fruit, fibre, dairy and caffeine linked to lower risk of tinnitus](https://bmjgroup.com/increasing-fruit-fibre-dairy-and-caffeine-linked-to-lower-risk-of-tinnitus/) - But quality of evidence low and further studies needed to verify the relationship, say researchers Increased consumption of fruit, dietary fibre, dairy products and caffeine may be associated with a reduced risk of tinnitus (ringing in the ears), suggests an analysis of the available evidence, published in the open access journal BMJ Open. The researchers stress
- [Installing safety nets on Golden Gate Bridge linked to 73% decline in suicides](https://bmjgroup.com/installing-safety-nets-on-golden-gate-bridge-linked-to-73-decline-in-suicides/) - Findings highlight the importance of barriers to prevent suicides by jumping Early evidence indicates that the installation of safety nets on the Golden Gate Bridge in San Francisco has been successful in reducing the number of suicides at the bridge. The results, published online in the journal Injury Prevention, show a 73% decline in suicides in
- [Only around 1 in 10 common non-surgical and non-invasive treatments for back pain effective](https://bmjgroup.com/only-around-1-in-10-common-non-surgical-and-non-invasive-treatments-for-back-pain-effective/) - And pain relief only marginally better than placebo, pooled data analysis shows Only around 1 in 10 common non-surgical and non-invasive treatments for lower back pain is effective, suggests a pooled data analysis of the available research, published online in BMJ Evidence Based Medicine. And the pain relief they offer is only marginally better than that
- [BMJ Group increases its open access footprint with a wave of new Read and Publish agreements for 2024](https://bmjgroup.com/bmj-increases-its-open-access-footprint-with-a-wave-of-new-read-and-publish-agreements-for-2024/) - Multiple open access Partnerships solidify BMJ’s commitment to global knowledge dissemination February, 2024—Leading global healthcare knowledge provider, BMJ Group, marks the new year with a series of new Read and Publish (R&P) agreements, expanding its open access (OA) initiatives worldwide. These partnerships mark significant strides in facilitating greater access to cutting-edge research and supporting the
- [Over 1.2 million medical device side-effect reports not submitted within legal timeframe](https://bmjgroup.com/over-1-2-million-medical-device-side-effect-reports-not-submitted-within-legal-timeframe/) - Late adverse event reporting may prevent early detection of patient safety concerns, warn researchers Over 1.2 million medical device adverse event reports were not submitted to the US Food and Drug Administration (FDA) within the deadline set by federal regulations, finds an analysis of recent data published by The BMJ today. Of these late reports, more than
- [Yearly 18% rise in ADHD prescriptions in England since COVID-19 pandemic](https://bmjgroup.com/yearly-18-rise-in-adhd-prescriptions-in-england-since-covid-19-pandemic/) - Figures reflect growing public and professional awareness and potential impact of COVID-19 But wide regional variations point to inequalities in access to care, say researchers Prescriptions for attention deficit hyperactivity disorder (ADHD) in England have risen 18% year on year since the pandemic. This is higher than previously reported, and masks wide regional variations in
- [Water aerobics for more than 10 weeks can trim waist size and aid weight loss](https://bmjgroup.com/water-aerobics-for-more-than-10-weeks-can-trim-waist-size-and-aid-weight-loss/) - Particularly effective in women and middle aged + older adults, pooled data analysis shows Water/aqua aerobics for 10 or more weeks at a time can trim waist size and aid weight loss, finds a pooled data analysis of the available evidence, published in the open access journal BMJ Open. This type of exercise is particularly effective
- [openRxiv launch to sustain and expand preprint sharing in life and health sciences](https://bmjgroup.com/openrxiv-launch-to-sustain-and-expand-preprint-sharing-in-life-and-health-sciences/) - Davis, California, 11 March, 2025–openRxiv has officially launched as an independent nonprofit to oversee bioRxiv and medRxiv, the world's leading preprint servers for life and health sciences. openRxiv ensures that researchers worldwide can continue to share discoveries rapidly and openly. With a researcher-led governance model, openRxiv strengthens the foundation of preprint sharing, empowering scientists to
- [No evidence that substituting NHS doctors with physician associates is necessarily safe](https://bmjgroup.com/no-evidence-that-substituting-nhs-doctors-with-physician-associates-is-necessarily-safe/) - Evidence base on safety and effectiveness of physician associate and anaesthetic associate practice in the UK “sparse and of variable quality” Researchers say they can find no convincing evidence that physician associates add value in UK primary care or that anaesthetic associates add value in anaesthetics, and some evidence suggested that they do not. In
- [Cases of Parkinson’s disease set to reach 25 million worldwide by 2050](https://bmjgroup.com/cases-of-parkinsons-disease-set-to-reach-25-million-worldwide-by-2050/) - Substantial increase largely due to population ageing, say researchers By 2050, there will be 25.2 million people living with Parkinson’s disease worldwide (a 112% increase from 2021), largely due to population ageing, suggests a modelling study published by The BMJ today. Overall, the number of people living with Parkinson’s disease (all age prevalence) per 100,000 population is
- [Global 130%+ rise in postmenopausal osteoarthritis and associated disability over past 3 decades](https://bmjgroup.com/global-130-rise-in-postmenopausal-osteoarthritis-and-associated-disability-over-past-3-decades/) - Fastest growth in East Asia and high-income Asia Pacific countries Excess weight accounted for 20% of total years lived with resulting disability globally The global number of cases of osteoarthritis, as well the disability associated with the condition, have risen by more than 130% over the past 3 decades among women who have gone through
- [Resistance exercise may be best type for tackling insomnia in older age](https://bmjgroup.com/resistance-exercise-may-be-best-type-for-tackling-insomnia-in-older-age/) - Aerobic or mix of strength/aerobic/balance/flexibility exercise also effective Resistance or muscle strengthening exercise, using weights or the body itself, may be the best type of exercise for tackling insomnia in older age, suggests a pooled data analysis of the available research, published in the open access journal Family Medicine and Community Health. Aerobic exercise or a
- [Nearly 1 in 5 US college athletes reports abusive supervision by their coaches](https://bmjgroup.com/nearly-1-in-5-us-college-athletes-reports-abusive-supervision-by-their-coaches/) - Athletes with disabilities and those in team sports most at risk, survey reveals Nearly 1 in 5 college athletes reports some form of abusive supervision—defined as sustained hostile verbal and non-verbal behaviours—by their coaches, reveals an analysis of survey responses, involving National Collegiate Athletic Association (NCAA) athletes, and published online in the British Journal of Sports
- [GLP-1 diabetes drugs not linked to heightened suicidality risk](https://bmjgroup.com/glp-1-diabetes-drugs-not-linked-to-heightened-suicidality-risk/) - Despite previous concerns, findings provide reassurance about the psychiatric safety of these drugs, say researchers Use of GLP-1 receptor agonists to treat type 2 diabetes is not associated with an increased risk of suicidality compared with two other groups of diabetes drugs known as DPP-4 inhibitors and SGLT-2 inhibitors, finds a large study of UK
- [UK Armed Forces servicewomen face unique set of hurdles for abortion access/care](https://bmjgroup.com/uk-armed-forces-servicewomen-face-unique-set-of-hurdles-for-abortion-access-care/) - As well as stigma and judgmental attitudes from senior (usually male) colleagues More information and policy on abortion care needed for service personnel and clinicians UK Armed Forces servicewomen needing an abortion face a unique set of hurdles around access and care, as well as stigma and judgemental attitudes from senior (usually male) colleagues, indicates
- [Use of strong synthetic opioids during surgery linked to poor composite experience of pain](https://bmjgroup.com/use-of-strong-synthetic-opioids-during-surgery-linked-to-poor-composite-experience-of-pain/) - Findings highlight need to reassess intraoperative pain relief strategies, say researchers The use of powerful synthetic opioids, such as sufentanil and remifentanil, during surgery is linked to a subsequent poor ‘pain experience’---a composite of emotional, cognitive, and physical aspects of pain— suggests research published in the open access journal Regional Anesthesia & Pain Medicine. The findings
- [High dietary fish intake may slow disability progression in MS](https://bmjgroup.com/high-dietary-fish-intake-may-slow-disability-progression-in-ms/) - Anti-inflammatory, neuroprotective properties of nutrients found in fish may be key Findings underscore potential importance of diet in managing MS, say researchers A high dietary intake of lean and oily fish may slow the progression of disability in people with multiple sclerosis (MS), suggests a comparative population based study, published online in the Journal of Neurology
- [Common gynaecological disorders linked to raised heart and vascular disease risk](https://bmjgroup.com/common-gynaecological-disorders-linked-to-raised-heart-and-vascular-disease-risk/) - They include polycystic ovary syndrome, endometriosis, heavy or irregular periods Having one or more common gynaecological disorders, such as endometriosis or heavy or irregular periods, may be linked to a heightened risk of heart disease and conditions that affect blood flow to the brain (cerebrovascular disease), finds a pooled data analysis of the available evidence
- [Melatonin supplementation may help offset DNA damage linked to night shift work](https://bmjgroup.com/melatonin-supplementation-may-help-offset-dna-damage-linked-to-night-shift-work/) - Larger studies of varying doses and longer term effects now warranted, say researchers Melatonin supplementation may help offset the DNA damage associated with night shift work by boosting the body’s ability to repair it, suggest the findings of a small clinical trial published online in the journal Occupational & Environmental Medicine. Larger studies looking at varying
- [BRCA1 gene mutations may not be key to prostate cancer initiation, as previously thought](https://bmjgroup.com/brca1-gene-mutations-may-not-be-key-to-prostate-cancer-initiation-as-previously-thought/) - May be time to reassess use of PARP inhibitor drugs in these patients, say researchers Findings pave way for refining genetic testing and personalised treatment in prostate cancer Mutations in the BRCA1 gene that are either inherited (germline) or acquired (somatic) might not be key to the initiation of prostate cancer, as previously thought, suggests
- [Experts strongly recommend against spine injections for chronic back pain](https://bmjgroup.com/back-pain-recommendations/) - Commonly used injections offer little or no pain relief, says expert panel Findings question whether it’s reasonable to continue to offer these procedures outside of clinical trials Spine injections should not be given to adults with chronic back pain because they provide little or no pain relief compared with sham injections, say a panel of
- [Racism in medicine - are things getting better?](https://bmjgroup.com/racism-in-medicine-are-things-getting-better/) - There are signs of progress, but some argue that not enough has changed Five years on since The BMJ’s special issue on racism in medicine, and a global pandemic, the landscape is very different, but has racism in the NHS and UK medicine got better or worse? In 2020, a BMJ investigation found that UK medical schools
- [Around 1 in 5 UK medical students considers dropping out, study suggests](https://bmjgroup.com/around-1-in-5-uk-medical-students-considers-dropping-out-study-sug/) - Mental health issues rife and key contributor to intention to abandon medicine Around 1 in 5 UK medical students considers dropping out of medical school, with mental health issues a key contributor to their intention to abandon medicine, suggest the results of an observational study published in the open access journal BMJ Open. The shortage of
- [New study adds to evidence of stroke and heart attack risk with some hormonal contraceptives](https://bmjgroup.com/new-study-adds-to-evidence-of-stroke-and-heart-attack-risk-with-some-hormonal-contraceptives/) - Absolute risk remains low but should be considered when prescribing these products, say researchers Certain hormonal contraceptives are associated with a higher stroke and heart attack risk, finds a large study from Denmark in The BMJ today that draws on prescription records to give more precise estimates for different products than previous studies. The highest risk estimates
- [Position menstrual cups carefully to avoid possible kidney problems, doctors urge](https://bmjgroup.com/position-menstrual-cups-carefully-to-avoid-possible-kidney-problems-doctors-urge/) - Warning comes after lopsided placement blocked urine flow into the bladder A poorly positioned menstrual cup to capture monthly blood flow may lead to more serious complications than leakage alone, warn doctors in the journal BMJ Case Reports, after treating a young woman with uterohydronephrosis—a swollen kidney caused by blocked urine flow into the bladder. The
- [Poor childhood social and cognitive skills combo linked to teens’ poor exam results](https://bmjgroup.com/poor-childhood-social-and-cognitive-skills-combo-linked-to-teens-poor-exam-results/) - These children up to 4 times as likely not to pass 5 GCSEs as those without such issues These issues may account for around 17% of exam fails in 16 year olds, say researchers The combination of poorly developed social and cognitive skills during childhood is linked to poor exam results by the age of
- [McDonald’s thwarts council efforts to stop new branches by claiming it promotes ‘healthier lifestyles’](https://bmjgroup.com/mcdonalds-thwarts-council-efforts-to-stop-new-branches-by-claiming-it-promotes-healthier-lifestyles/) - Fast food giant deploys GP to support planning appeals and threatens local authorities with bills for legal costs Experts describe threat of a McDonalds’ appeal as a “David and Goliath”-style battle McDonald's is overturning council attempts to prevent new fast food outlets by claiming they will encourage healthier lifestyles, reveals an investigation published by The BMJ today.
- [Generally, things really do seem better in the morning, large study suggests](https://bmjgroup.com/generally-things-really-do-seem-better-in-the-morning-large-study-suggests/) - Clear time of day patterns in frame of mind: best early on; worst late at night Generally, things really do seem better in the morning, with clear differences in self-reported mental health and wellbeing across the day, suggest the findings of a large study published in the open access journal BMJ Mental Health. People generally wake
- [‘Good’ cholesterol may be linked to heightened glaucoma risk among over 55s](https://bmjgroup.com/good-cholesterol-may-be-linked-to-heightened-glaucoma-risk-among-over-55s/) - ….while paradoxically ‘bad’ cholesterol may be linked to a lower risk Findings challenge received wisdom about what may help and hinder eye health, say researchers ‘Good’ (HDL) cholesterol, usually considered to be beneficial for health, may be linked to a heightened risk of the serious eye condition, glaucoma—at least among the over 55s— suggest the
- [Women health sector leaders good for a nation’s wealth, health, innovation, ethics](https://bmjgroup.com/women-health-sector-leaders-good-for-a-nations-wealth-health-innovation-ethics/) - But major underused resource despite their unique and positive impact, say researchers More and sustained investment needed to maximise their potential and reap benefits Women health sector leaders are good for a nation’s wealth, health, innovation, and ethics, among other things, finds a review of the available evidence, published in the open access journal BMJ Global
- [Fresh embryo transfer may be better for women with low chance of IVF success](https://bmjgroup.com/fresh-embryo-transfer-may-be-better-for-women-with-low-chance-of-ivf-success/) - Findings do not support a freeze-all strategy in these women, say researchers Fresh embryo transfer may be a better option than use of frozen embryos for women with a low chance of having a healthy baby by vitro fertilisation (IVF), suggests a trial from China published by The BMJ today. The researchers say their findings do not
- [Almost all leading AI chatbots show signs of cognitive decline](https://bmjgroup.com/almost-all-leading-ai-chatbots-show-signs-of-cognitive-decline/) - Findings challenge assumption that AI will soon replace human doctors Almost all leading large language models or “chatbots” show signs of mild cognitive impairment in tests widely used to spot early signs of dementia, finds a study in the Christmas issue of The BMJ. The results also show that “older” versions of chatbots, like older patients,
- [Fizzy water might aid weight loss by boosting glucose uptake and metabolism](https://bmjgroup.com/fizzy-water-might-aid-weight-loss-by-boosting-glucose-uptake-and-metabolism/) - But effects so small, it can’t be relied on alone to shed the pounds, warns author Regular physical activity + healthy diet still key to slimming down and staying that way Fizzy water might aid weight loss by boosting blood glucose uptake and metabolism—the rate at which the body uses and converts energy—but the effects
- [Lack of essential vitamins and minerals common in people with type 2 diabetes](https://bmjgroup.com/lack-of-essential-vitamins-and-minerals-common-in-people-with-type-2-diabetes/) - Vitamin D most common ‘missing’ micronutrient; women at greater risk of ‘hidden hunger’ Micronutrient deficiency, whereby levels of vitamins and minerals essential for healthy bodily function are far too low, is common in people with type 2 diabetes, finds a pooled data analysis of the available evidence, published in the open access journal BMJ Nutrition Prevention
- [Cancer drugs linked to severe chronic peripheral nerve pain for 4 in every 10 patients](https://bmjgroup.com/cancer-drugs-linked-to-severe-chronic-peripheral-nerve-pain-for-4-in-every-10-patients/) - Platinum based drugs, taxanes, and lung cancer associated with highest pain prevalence Worldwide, cancer chemotherapy is linked to persistent severe peripheral nerve pain (neuropathy) for around 4 in every 10 patients treated with these drugs, suggests a pooled data analysis of the available evidence, published in the open access journal Regional Anesthesia & Pain Medicine. Notwithstanding
- [Likely 50-fold rise in prevalence of gender related distress from 2011-21 in England](https://bmjgroup.com/likely-50-fold-rise-in-prevalence-of-gender-related-distress-from-2011-21-in-england/) - But condition still uncommon, affecting fewer than 1 in 200 17-18 year olds, figures suggest Levels of anxiety, depression, and self-harm are high among recorded cases Accessing timely care live issue for young people and their families, second study shows The prevalence of psychological distress caused by a mismatch between birth sex and gender identity,
- [Major uncertainties remain about impact of treatment for gender related distress](https://bmjgroup.com/major-uncertainties-remain-about-impact-of-treatment-for-gender-related-distress/) - Syntheses of available evidence suggest it’s impossible to determine pros or cons Findings on puberty blockers and gender affirming therapy back those of Cass Review Major uncertainties remain about the impact of puberty blockers and gender affirming hormone therapy on children and young people with gender related distress (gender dysphoria), making it impossible to determine
- [Exercise and improved diet before surgery linked to fewer complications and enhanced recovery](https://bmjgroup.com/exercise-and-improved-diet-before-surgery-linked-to-fewer-complications-and-enhanced-recovery/) - Results show potentially meaningful effects, but are generally of low certainty Actively preparing for major surgery by exercising and improving diet (known as “prehabilitation”) is associated with fewer complications, less time in hospital, and improved recovery and quality of life in adults, finds an analysis of clinical trials published by The BMJ today. The researchers stress that
- [SGLT-2 drug plus moderate calorie restriction achieves higher diabetes remission](https://bmjgroup.com/sglt-2-drug-plus-moderate-calorie-restriction-achieves-higher-diabetes-remission/) - Study provides a practical strategy to achieve remission for adults with type 2 diabetes Adults with overweight or obesity and type 2 diabetes who are given the sodium glucose cotransporter 2 (SGLT-2) inhibitor drug dapagliflozin alongside moderate calorie restriction achieve much higher rates of remission compared with calorie restriction alone, finds a trial published by The
- [Childhood poverty and/or parental mental illness may double teens’ risk of violence and police contact](https://bmjgroup.com/childhood-poverty-and-or-parental-mental-illness-may-double-teens-risk-of-violence-and-police-contact/) - These kids more likely to carry/use weapons and get on wrong side of the law by age of 17 Factors may explain nearly third of UK teen weapon issues + quarter of police contact cases Living with persistent poverty and/or parental mental illness throughout childhood may double the risk of carrying and/or using a weapon
- [Muscular strength and good physical fitness linked to lower risk of death in people with cancer](https://bmjgroup.com/muscular-strength-and-good-physical-fitness-linked-to-lower-risk-of-death-in-people-with-cancer/) - Tailored exercise may prolong life in these patients, suggest researchers Muscular strength and good physical fitness are linked to a significantly lower risk of death from any cause in people with cancer, finds a pooled data analysis of the available evidence, published online in the British Journal of Sports Medicine. Tailored exercise to boost muscle strength
- [Certain HRT tablets linked to increased heart disease and blood clot risk](https://bmjgroup.com/certain-hrt-tablets-linked-to-increased-heart-disease-and-blood-clot-risk/) - Different hormone combinations and delivery methods have varying effects on heart health, say researchers Certain hormone replacement therapy (HRT) tablets containing both oestrogen and progestogen are associated with a higher risk of heart disease and rare but serious blood clots known as venous thromboembolism (VTE) in women around the age of menopause, finds a study
- [Small amounts of incidental vigorous physical exertion may almost halve major cardiovascular events risk in women](https://bmjgroup.com/small-amounts-of-incidental-vigorous-physical-exertion-may-almost-halve-major-cardiovascular-events-risk-in-women/) - Just 1.5-4 daily mins of brisk stair climbing or carrying heavy shopping count May help to stave off cardiovascular disease in those who don’t exercise regularly Short bursts of incidental vigorous physical exertion, lasting less than a minute each, may almost halve the risk of a major cardiovascular event, such as heart attack or heart
- [Talking therapy and rehabilitation probably improve long covid symptoms, but effects modest](https://bmjgroup.com/talking-therapy-and-rehabilitation-probably-improve-long-covid-symptoms-but-effects-modest/) - And no compelling evidence for other interventions including certain drugs, dietary supplements, inspiratory (breathing) muscle training or oxygen therapy Cognitive behavioural therapy (CBT) and a programme of physical and mental rehabilitation probably improve symptoms of long covid, but the effects are modest, finds a review of the latest evidence published by The BMJ today. Intermittent aerobic exercise
- [Specific long term condition combinations have major role in NHS ‘winter pressures’](https://bmjgroup.com/specific-long-term-condition-combinations-have-major-role-in-nhs-winter-pressures/) - Cardiovascular disease, cancer, kidney disease, diabetes quartet linked to 11-fold higher hospital admission risk Kidney disease + cardiovascular disease + dementia + osteoarthritis linked to 24-fold higher death risk Specific combinations of long term conditions have a major role in the additional pressures the NHS faces every winter, because they are associated with significantly higher
- [Tesco urged to drop an “unethical” in-store infant feeding advice service pilot](https://bmjgroup.com/tesco-urged-to-drop-an-unethical-in-store-infant-feeding-advice-service-pilot/) - Exclusive news report reveals how Danone-funded midwives are expected to wear branded uniforms and undergo training by the formula company UK supermarket giant Tesco is being urged to drop an “unethical” pilot of an in-store infant feeding advice service in which Danone-funded midwives are expected to wear branded uniforms and undergo training by the formula
- [UK needs a national strategy to tackle harms of alcohol, argue experts](https://bmjgroup.com/uk-needs-a-national-strategy-to-tackle-harms-of-alcohol-argue-experts/) - Record numbers of alcohol deaths in England prompt calls for increased and sustained health funding The UK needs an overarching national strategy to tackle alcohol related harms, argue experts in The BMJ today, as deaths from alcohol in England reach their highest level on record. Julia Sinclair at the University of Southampton and colleagues warn that successive
- [Concerns over maternity provision for pregnant women in UK prisons](https://bmjgroup.com/concerns-over-maternity-provision-for-pregnant-women-in-uk-prisons/) - Gaps in maternal health in prisons are due to barriers to healthcare provision, say experts Senior midwives and researchers with experience in criminal and social justice are among those calling for improved maternity provision for pregnant women in UK prisons. In an article published by The BMJ today, Laura Abbott and colleagues highlight gaps in clinical care
- [Shift to less reliable ‘natural’ contraception methods among abortion patients over past 5 years](https://bmjgroup.com/shift-to-less-reliable-natural-contraception-methods-among-abortion-patients-over-past-5-years/) - Use of the Pill/implants has given way to fertility awareness methods in England and Wales Trend corresponds to abortion rate rise, with implications for healthcare services, say researchers There has been a shift away from the use of more reliable hormonal methods of contraception to less reliable fertility awareness methods among women requesting abortion in
- [Vascular ‘fingerprint’ at the back of the eye can accurately predict stroke risk](https://bmjgroup.com/vascular-fingerprint-at-the-back-of-the-eye-can-accurately-predict-stroke-risk/) - Combined with age and sex, predictive power as good as that of traditional risk factors alone Practical, easily implementable approach for primary healthcare and low-resource settings A vascular ‘fingerprint’ on the light sensitive tissue layer at the back of the eye—the retina—can predict a person’s risk of stroke as accurately as traditional risk factors alone,
- [Tobacco advertising + sponsorship bans linked to 20% lower odds of smoking](https://bmjgroup.com/tobacco-advertising-sponsorship-bans-linked-to-20-lower-odds-of-smoking/) - And 37% lower risk of smoking uptake, indicating these bans’ influence on behaviour More countries should adopt these policies to save lives, urge researchers Implementing bans on the advertising, promotion, and sponsorship of tobacco products is linked to 20% lower odds of smoking, and 37% lower risk of taking up the habit, reveals a pooled
- [Study sheds more light on life expectancy after a dementia diagnosis](https://bmjgroup.com/study-sheds-more-light-on-life-expectancy-after-a-dementia-diagnosis/) - Survival ranges from 9 years at age 60 for women to 2 years at age 85 for men But predicting need for nursing home care remains complex The average life expectancy of people diagnosed with dementia ranges from 9 years at age 60 to 4.5 years at age 85 for women and from 6.5 to
- [Gender dysphoria is rising—and so is professional disagreement](https://bmjgroup.com/gender-dysphoria-is-rising-and-so-is-professional-disagreement-2/) - Gender dysphoria in young people is rising—and so is professional disagreement Is there an evidence-based standard of care in the US? More children and adolescents are identifying as transgender and offered medical treatment, especially in the US. But some providers and European authorities are urging caution because of a lack of strong evidence. In a new
- [Regular physical activity before cancer diagnosis may lower progression and death risks](https://bmjgroup.com/regular-physical-activity-before-cancer-diagnosis-may-lower-progression-and-death-risks/) - Even relatively low levels of physical activity may be advantageous, findings show Regular physical activity before a cancer diagnosis may lower the risks of both disease progression and death, suggests research published online in the British Journal of Sports Medicine. And even relatively low levels of physical activity may be advantageous, the findings indicate. There is
- [Basking too long in a sauna without adequate hydration may risk heat stroke, doctors warn](https://bmjgroup.com/basking-too-long-in-a-sauna-without-adequate-hydration-may-risk-heat-stroke-doctors-warn/) - Although rare, condition can be life threatening, even in absence of various risk factors Basking too long in a sauna may put bathers at risk of heat stroke, particularly if they haven’t drunk enough water beforehand, warn doctors in the journal BMJ Case Reports, after treating a woman whose condition required admission to hospital. Although relatively
- [“Cardio”exercise linked to much lower risk of flu or pneumonia death](https://bmjgroup.com/cardioexercise-linked-to-much-lower-risk-of-flu-or-pneumonia-death/) - Effects seen even at less than recommended weekly amount, but there may be level above which these plateau Regular aerobic exercise, popularly known as “cardio,” is linked to a significantly lower risk of death from flu or pneumonia, even at weekly levels below those recommended, finds US research published online in the British Journal of Sports Medicine. But
- [Housework linked to sharper memory and better falls protection in older adults](https://bmjgroup.com/housework-linked-to-sharper-memory-and-better-falls-protection-in-older-adults/) - Findings independent of other types of regular physical activity Housework is linked to sharper memory, attention span, and better leg strength, and by extension, greater protection against falls, in older adults, finds research published in the open access journal BMJ Open. The findings were independent of other regular recreational and workplace physical activities, and active commuting.
- [Air pollution linked to increased hospital admissions for mental/physical illness](https://bmjgroup.com/air-pollution-linked-to-increased-hospital-admissions-for-mental-physical-illness/) - Stricter environmental restrictions needed to curb impact in Scotland, conclude researchers Cumulative exposure to air pollution over several years is linked to a heightened risk of admission to hospital for mental/behavioural and physical illness, finds Scottish research published in the open access journal BMJ Open. Stricter environmental restrictions are needed to curb the impact on secondary
- [Women often told that severity of medical abortion pain no worse than period cramps](https://bmjgroup.com/women-often-told-that-severity-of-medical-abortion-pain-no-worse-than-period-cramps/) - Many women unprepared for pain intensity; more realistic info needed to inform choice Women opting for a medical abortion at home are often advised that the procedure is likely to be no more painful than period cramps, suggest the results of a survey, carried out by the British Pregnancy Advisory Service (BPAS), and published online
- [Fairy tales can help teach children about healthy sleep](https://bmjgroup.com/fairy-tales-can-help-teach-children-about-healthy-sleep/) - They offer opportunities to engage with children about healthy and disordered sleep, say researchers Some traditional fairy tales and classic children’s fiction that have soothed many a child to sleep may also provide accessible and engaging ways to discuss healthy sleep with children, suggest researchers in the Christmas issue of The BMJ. Megan Thomas and colleagues
- [Surgeons show greater dexterity in children’s buzz wire game than other hospital staff](https://bmjgroup.com/surgeons-show-greater-dexterity-in-childrens-buzz-wire-game-than-other-hospital-staff/) - But are also more likely to swear during the task Surgeons are quicker and more successful at completing a buzz wire game compared with other hospital staff, finds a study in the Christmas issue of The BMJ. However, surgeons are also more likely to swear during the task, while nurses and non-clinical staff show the highest
- [Cost stops 1 in 6 US adults with asthma from taking meds as prescribed, study suggests](https://bmjgroup.com/cost-stops-1-in-6-us-adults-with-asthma-from-taking-meds-as-prescribed-study-suggests/) - Linked to near doubling in asthma attack risk + 60% greater odds of emergency care visits Findings reinforce importance of healthcare policy in promoting equitable access Despite a fall in the number of people with asthma over the past decade who say that cost has stopped them taking their meds as prescribed, financial hardship still
- [Cutting early life exposure to parental smoking may lower MS risk in genetically prone](https://bmjgroup.com/cutting-early-life-exposure-to-parental-smoking-may-lower-ms-risk-in-genetically-prone/) - Interplay of genes + environment alter key aspects of brain structure at young age, boosting susceptibility Cutting early life exposure to parental smoking may lower the risk of developing MS (multiple sclerosis) in those who are genetically predisposed to the disease, finds research published online in the Journal of Neurology Neurosurgery & Psychiatry. The interplay of
- [US e-scooter/e-bike injuries have tripled since 2019, fuelled by alcohol/substance use](https://bmjgroup.com/us-e-scooter-e-bike-injuries-have-tripled-since-2019-fuelled-by-alcohol-substance-use/) - Odds of alcohol/substance use much higher among 10-17 year olds than older age groups The numbers of e-scooter and e-bike injuries have tripled in the US since 2019, fuelled by alcohol and substance use, finds a nationwide analysis of emergency department visits, published online in the journal Injury Prevention. And the odds of alcohol and substance
- [Alzheimer’s disease deaths lowest among taxi and ambulance drivers](https://bmjgroup.com/alzheimers-disease-deaths-lowest-among-taxi-and-ambulance-drivers/) - Findings raise possibility that frequent spatial processing tasks might offer some protection against Alzheimer’s disease Taxi drivers and ambulance drivers, whose jobs require frequent spatial and navigational processing, have the lowest levels of death due to Alzheimer’s disease compared with other occupations, finds a study in the Christmas issue of The BMJ. The findings are observational,
- [Disney princesses face hidden health risks, warn experts](https://bmjgroup.com/disney-princesses-face-hidden-health-risks-warn-experts/) - Disney must consider strategies to improve princesses’ wellbeing Although Disney princesses seem to live happily ever after, they face serious real world health hazards, warn experts in the Christmas issue of The BMJ. Sanne van Dijk and colleagues call on Disney to consider strategies such as mindfulness and personal protection measures to improve princesses’ wellbeing and
- [Coaching trainees just before a procedure could improve patient safety](https://bmjgroup.com/coaching-trainees-just-before-a-procedure-could-improve-patient-safety/) - “Just-in-time” training could improve clinical outcomes, particularly among inexperienced clinicians, say researchers Giving inexperienced clinicians a quick coaching session with an expert just before they carry out a procedure boosts their success rate and could improve patient safety, finds a study in the Christmas issue of The BMJ. Athletes and musicians often rehearse, warm up, or
- [Investigation raises new concerns over landmark trial for top selling anti-platelet drug](https://bmjgroup.com/investigation-raises-new-concerns-over-landmark-trial-for-top-selling-anti-platelet-drug/) - Ticagrelor costs the US over $750m a year, but a BMJ investigation raises fresh doubts over the trustworthiness of the major clinical trial that brought the drug to market An investigation published by The BMJ today raises new concerns over the landmark clinical trial (PLATO) that was used to gain worldwide approval for the anti-platelet drug ticagrelor
- [Study finds widening inequalities in child vaccination rates across England](https://bmjgroup.com/study-finds-widening-inequalities-in-child-vaccination-rates-across-england/) - Vaccine uptake “consistently lower” among children in areas of higher deprivation Number of children susceptible to measles at age 5 increased 20-fold in most deprived areas Inequalities in childhood vaccination are widening in England, with uptake rates of five key vaccines consistently lower in young children living in areas of higher deprivation from 2019 to
- [Around 1 in 5 of the world’s under 50s living with genital herpes (HSV)](https://bmjgroup.com/around-1-in-5-of-the-worlds-under-50s-living-with-genital-herpes-hsv/) - And 200 million +15-49 year olds probably had at least one symptomatic outbreak in 2020 Urgent need for vaccines to curb HSV spread and its health/financial toll, say researchers Around 1 in 5 of the world’s under 50s—846 million people—are living with genital herpes infection, suggest the latest global estimates, published online in the journal Sexually
- [Cardiorespiratory fitness linked to preservation of cognitive abilities in older age](https://bmjgroup.com/cardiorespiratory-fitness-linked-to-preservation-of-cognitive-abilities-in-older-age/) - Irrespective of key risk factors for cognitive decline, including age and APOE4 gene carriage Higher cardiorespiratory fitness in older age is linked to the preservation of several core aspects of cognitive ability that are vulnerable to age-related decline, finds research published online in the British Journal of Sports Medicine. And this association holds true irrespective of
- [Eating dark but not milk chocolate linked to reduced risk of type 2 diabetes](https://bmjgroup.com/eating-dark-but-not-milk-chocolate-linked-to-reduced-risk-of-type-2-diabetes/) - Clinical trials needed to confirm findings and help identify reasons for dark chocolate’s protective effect, say researchers Eating five servings of dark chocolate a week is associated with a reduction in the risk of type 2 diabetes, according to a long-term US study published by The BMJ today. Global rates of type 2 diabetes are set to
- [Concerns over potential harms of tests advertised directly to consumers](https://bmjgroup.com/concerns-over-potential-harms-of-tests-advertised-directly-to-consumers/) - Consumers are at risk of buying products that do more harm than good, say experts Better information and regulation are essential to protect consumers from potential harms of tests advertised directly to consumers, argue experts in The BMJ today. Emma Gram at the University of Copenhagen and colleagues warn that consumers are at risk of buying products
- [Health + financial toll of emerging mosquito-borne chikungunya infection likely vastly underestimated](https://bmjgroup.com/health-financial-toll-of-emerging-mosquito-borne-chikungunya-infection-likely-vastly-underestimated/) - In 2011-20 alone chikungunya cost estimated US$50 billion, and disabled millions The health and financial implications of the emerging threat of mosquito-borne chikungunya viral infection have most likely been significantly underestimated, with total costs probably approaching US$ 50 billion in 2011-20 alone, suggests a comprehensive data analysis, published in the open access journal BMJ Global Health.
- [Irregular sleep-wake cycle linked to heightened risk of major cardiovascular events](https://bmjgroup.com/irregular-sleep-wake-cycle-linked-to-heightened-risk-of-major-cardiovascular-events/) - Clocking up recommended nightly hours of sleep doesn’t offset these risks, study shows An irregular sleep-wake cycle is associated with a heightened risk of major cardiovascular events, such as heart attack and stroke, even for those who clock up the recommended nightly hours of shut-eye, finds research published online in the Journal of Epidemiology & Community
- [Men at high risk of cardiovascular disease face brain health decline 10 years earlier than women](https://bmjgroup.com/men-at-high-risk-of-cardiovascular-disease-face-brain-health-decline-10-years-earlier-than-women/) - Most vulnerable regions those involved in aural, visual + emotional processing, and memory Findings observed both in those who did and didn’t carry high risk APOE ε4 gene Men with cardiovascular disease risk factors, including obesity, face brain health decline a decade earlier—from their mid 50s to mid 70s—than similarly affected women who are most
- [History of endometriosis and fibroids linked to heightened risk of early death](https://bmjgroup.com/history-of-endometriosis-and-fibroids-linked-to-heightened-risk-of-early-death/) - Important for primary care providers to consider both conditions in their assessment of women's health Women with a history of endometriosis and uterine fibroids might have an increased long term risk of premature death, finds a large study from the United States published by The BMJ today. Endometriosis and uterine fibroids are common disorders among women of
- [High nurse and doctor turnover linked to increased patient deaths in NHS hospitals](https://bmjgroup.com/high-nurse-and-doctor-turnover-linked-to-increased-patient-deaths-in-nhs-hospitals/) - Efforts to reduce staff turnover may improve patient care and hospital quality, say researchers High monthly turnover rates of nurses and senior doctors are associated with higher deaths for emergency patients admitted to NHS hospitals in England, finds a study published by The BMJ today. The findings suggest that efforts to reduce staff turnover may improve patient
- [Oral microbiome varies with life stress and mental health symptoms in pregnant women](https://bmjgroup.com/oral-microbiome-varies-with-life-stress-and-mental-health-symptoms-in-pregnant-women/) - These oral microbiome variations are different to the associations with life stress and mental health in the gut microbiome The number and type of microbes present in the saliva of pregnant women differ according to whether they are experiencing life stress and symptoms of anxiety, depression and post-traumatic stress disorder (PTSD), finds a study published
- [High cardiorespiratory fitness linked to lower risk of dementia](https://bmjgroup.com/high-cardiorespiratory-fitness-linked-to-lower-risk-of-dementia/) - People with a genetic predisposition for dementia could reduce their risk by up to 35% through increased cardiorespiratory fitness High cardiorespiratory fitness is associated with better cognitive performance and lower risk of dementia long term, including in people with a genetic predisposition to dementia, show the findings of a study published online in the British Journal
- [Lack of abortion care is a threat to women’s health in Latin America, warn experts](https://bmjgroup.com/lack-of-abortion-care-is-a-threat-to-womens-health-in-latin-america-warn-experts/) - Articles to mark G20 Summit outline opportunities and challenges for global health equity Lack of abortion care is a threat to women’s health in Latin America, warn experts in The BMJ today, in one of a series of articles being published to mark this week’s G20 Summit in Brazil. Mercedes Colomar, from the University of the Republic, Uruguay, and
- [Adverse events affect over 1 in 3 surgery patients, US study finds](https://bmjgroup.com/adverse-events-affect-over-1-in-3-surgery-patients-us-study-finds/) - And a majority are preventable, emphasising need for ongoing improvement in patient safety, say researchers Adverse events affect more than a third (38%) of adults undergoing surgery, finds a study of admissions to 11 hospitals in the US state of Massachusetts, published by The BMJ today. Of the 1009 admissions analysed, nearly half were classified as major
- [US over 40s could live extra 5 years if they were all as active as top 25% of population](https://bmjgroup.com/us-over-40s-could-live-extra-5-years-if-they-were-all-as-active-as-top-25-of-population/) - And for the least physically active this could mean living nearly 11 more years If every American over the age of 40 was as physically active as the top 25% of the population, they could expect to live an extra 5 years, on average, suggest the findings of a modelling study published online in the British
- [Outsourcing adult social care has contributed to England’s care crisis, argue experts](https://bmjgroup.com/outsourcing-adult-social-care-has-contributed-to-englands-care-crisis-argue-experts/) - Growth of private provision has resulted in worse care and should be rolled back Outsourcing adult social care services in England to the private sector since the 1980s has led to worse care and should be rolled back, argue experts in The BMJ today. Benjamin Goodair at the Blavatnik School of Government, University of Oxford and colleagues
- [Men often struggle with transition to fatherhood amid lack of targeted information and support](https://bmjgroup.com/men-often-struggle-with-transition-to-fatherhood-amid-lack-of-targeted-information-and-support/) - Greater focus needed on their unique experiences of perinatal period, say researchers Men often struggle with the transition to fatherhood amid a lack of information and emotional support targeted to their needs, suggests a review of the available qualitative evidence, published in the open access journal BMJ Open. Greater focus is needed in clinical practice, antenatal
- [More green space linked to fewer preventable deaths in most deprived areas of UK](https://bmjgroup.com/more-green-space-linked-to-fewer-preventable-deaths-in-most-deprived-areas-of-uk/) - Provision lowest in most deprived neighbourhoods in 3 of the 4 UK nations Green space investment might be key preventive public health strategy, say researchers The provision of just 1% more green space in the most deprived urban neighbourhoods in 3 out of the 4 UK nations may be linked to around 40% fewer preventable
- [Gut microbiome changes linked to onset of clinically evident rheumatoid arthritis](https://bmjgroup.com/gut-microbiome-changes-linked-to-onset-of-clinically-evident-rheumatoid-arthritis/) - But it’s not clear if this ‘instability’ helps prompt or follows disease development Findings might nevertheless help to identify those most at risk and personalise treatment Changes in the make-up of the gut microbiome are linked to the onset of clinically evident rheumatoid arthritis in those at risk of the disease because of genetic, environmental,
- [Exercise programmes help cut new mums’ ‘baby blues’ severity and major depression risk](https://bmjgroup.com/exercise-programmes-help-cut-new-mums-baby-blues-severity-and-major-depression-risk/) - At least 80 minutes of moderate intensity exercise needed to achieve effects Exercise-only programmes help cut the severity of the ‘baby blues’ and the risk of major clinical depression in new mums, finds a pooled data analysis of the available evidence, published in the British Journal of Sports Medicine. But at least 80 weekly minutes of
- [SGLT-2 inhibitors linked to lower death rates in patients with heart failure](https://bmjgroup.com/sglt-2-inhibitors-linked-to-lower-death-rates-in-patients-with-heart-failure/) - Findings show lower mortality with SGLT-2 inhibitors in a real-life setting Sodium glucose cotransporter 2 (SGLT-2) inhibitor drugs, initially developed to treat type 2 diabetes are associated with a reduced risk of all-cause and cardiovascular death among patients with heart failure in the real-life setting, finds a study published by The BMJ today. Participants all had a
- [Tightly tied waist cord of saree underskirt may pose cancer risk, warn doctors](https://bmjgroup.com/tightly-tied-waist-cord-of-saree-underskirt-may-pose-cancer-risk-warn-doctors/) - Continued cord friction linked to chronic inflammation, leading to skin ulceration A tightly tied waist cord of the underskirt (petticoat) traditionally worn under a saree, particularly in rural parts of India, may lead to what has been dubbed ‘petticoat cancer,’ warn doctors in the journal BMJ Case Reports after treating two women with this type of malignancy.
- [The BMJ investigates dispute over US group’s involvement in WHO’s trans health guideline](https://bmjgroup.com/the-bmj-investigates-dispute-over-us-groups-involvement-in-whos-trans-health-guideline/) - Guideline panel links to World Professional Association for Transgender Health (WPATH) raise questions about bias The World Health Organization (WHO) says that it is adhering to standard protocol in pursuing its transgender health guideline, but the process has been criticised for lacking transparency and an association with WPATH - an organisation that supports the “gender
- [Strong leadership and collaboration needed to tackle chronic diseases in China](https://bmjgroup.com/strong-leadership-and-collaboration-needed-to-tackle-chronic-diseases-in-china/) - Special collection lays out progresses and challenges in chronic disease prevention and control in China Today, The BMJ is launching a special collection of articles on tackling non-communicable diseases (NCDs) in China, such as cardiovascular and chronic respiratory diseases, cancer, and diabetes, which account for 91% of all deaths in China. The articles, written by leading international experts, attempt
- [Professional body continues to misinform on palliative medicine doctors’ stance on assisted dying](https://bmjgroup.com/professional-body-continues-to-misinform-on-palliative-medicine-doctors-stance-on-assisted-dying/) - Association for Palliative Care Medicine’s strong opposing stance risks undermining confidence in palliative care, argue senior doctors The Association for Palliative Care Medicine (APM) continues to misinform on palliative medicine doctors’ stance on assisted dying, warn a group of palliative medicine consultants in The BMJ today. Five years after first raising their concerns in the journal, Sam
- [Certain diabetes drugs linked to lower risk of kidney stones and gout](https://bmjgroup.com/certain-diabetes-drugs-linked-to-lower-risk-of-kidney-stones-and-gout/) - SGLT-2 inhibitors may simultaneously tackle kidney stones and gout flare-ups in patients with type 2 diabetes, say researchers Use of sodium glucose cotransporter 2 (SGLT-2) inhibitor drugs to treat type 2 diabetes may also help to lower the risk of recurrent kidney stones and gout flare-ups, finds a study from Canada published by The BMJ today. Kidney
- [Brain changes seen in lifetime cannabis users may not be causal](https://bmjgroup.com/brain-changes-seen-in-lifetime-cannabis-users-may-not-be-causal/) - But further research needed to understand effects of heavy use and cannabis potency Lifetime cannabis use is associated with several changes in brain structure and function in later life, suggests an observational study, but these associations may not be causal, finds a genetic analysis of the same data, published in the open access journal BMJ Mental
- [Physical activity of any intensity linked to lower risk of death after dementia diagnosis](https://bmjgroup.com/physical-activity-of-any-intensity-linked-to-lower-risk-of-death-after-dementia-diagnosis/) - Those affected should be encouraged to keep up or start exercise routines, say researchers Physical activity of any intensity after a diagnosis of dementia is associated with around a 30% lower risk of death, finds research published online in the British Journal of Sports Medicine. The findings prompt the researchers to conclude that those affected should
- [‘Weekend warrior’ exercise pattern may equal more frequent sessions for lowering cognitive decline risk](https://bmjgroup.com/weekend-warrior-exercise-pattern-may-equal-more-frequent-sessions-for-lowering-cognitive-decline-risk/) - Just 1 or 2 sessions of sport and/or exercise likely to benefit brain health And may be more convenient for busy people, suggest researchers Just one or two sessions of physical activity at the weekend—a pattern of exercise dubbed ‘weekend warrior’---may be just as likely to lower the risk of cognitive decline, which can often
- [20 minutes of mindful breathing can rapidly reduce intensity of cancer pain](https://bmjgroup.com/20-minutes-of-mindful-breathing-can-rapidly-reduce-intensity-of-cancer-pain/) - It complements traditional pain relief and broadens repertoire of options, say researchers Twenty minutes of mindful breathing, which focuses a person’s attention on their breath, can rapidly reduce the intensity and unpleasantness of cancer pain and relieve the associated anxiety, suggest the findings of a small comparative study, published online in the journal BMJ Supportive &
- [Investigation finds “unexplained” millions in drug industry payments to the NHS](https://bmjgroup.com/investigation-finds-unexplained-millions-in-drug-industry-payments-to-the-nhs/) - Many trusts didn’t recognise or couldn’t verify the payments Findings raise important questions about unrecognised conflicts of interest Pharmaceutical companies have paid an estimated £156 million to NHS trusts in England between 2015 and 2022 without the public being told what the payments are for, reveals an investigation by The BMJ today. The findings raise important questions
- [Gene signature shows promise to improve survival for breast cancer patients](https://bmjgroup.com/gene-signature-shows-promise-to-improve-survival-for-breast-cancer-patients/) - First trial to show feasibility of gene signature to tailor treatment for high risk patients Using a gene signature technique to tailor chemotherapy for patients with early triple negative breast cancer shows promise as a way to improve disease-free survival, finds a clinical trial published by The BMJ today. Triple negative breast cancer is an aggressive type
- [Suicide risk highest on Mondays and New Year’s Day](https://bmjgroup.com/suicide-risk-highest-on-mondays-and-new-years-day/) - But risk patterns vary on weekends and Christmas by country and region Suicide risk is highest on Mondays and increased on New Year’s Day, whereas suicide risk on weekends and Christmas varies by country and region, finds an analysis of data from 26 countries published by The BMJ today. The researchers say their results can help to
- [Lifetime sudden cardiac death risk 4+ times higher for those with schizophrenia](https://bmjgroup.com/lifetime-sudden-cardiac-death-risk-4-times-higher-for-those-with-schizophrenia/) - Risk still twice as high for those with other types of mental ill health, irrespective of age The lifetime risk of an unexpected and sudden death from a cardiovascular cause in the absence of pre-existing heart disease—known as sudden cardiac death—is more than 4 times higher for people with schizophrenia than it is for the
- [Abundant urban green space linked to lower rates of heat related illness and death](https://bmjgroup.com/abundant-urban-green-space-linked-to-lower-rates-of-heat-related-illness-and-death/) - And better mental health and wellbeing; may offset adverse effects of high temperatures Abundant green space in urban areas is linked to lower rates of heat related illness and death as well as better mental health and wellbeing, finds a systematic review of the available research, published in the open access journal BMJ Open. Green space
- [UK health leaders urge chancellor to invest in a smoke free UK](https://bmjgroup.com/uk-health-leaders-urge-chancellor-to-invest-in-a-smoke-free-uk/) - Investing to end the tobacco epidemic will improve public finances, they argue Over 200 leading doctors, professional bodies and charities are urging the chancellor to use the budget on 30 October to invest in creating a smoke free UK as quickly as possible, and make the tobacco industry pay. In an open letter published by The
- [No link to birth defects for potential fathers taking metformin for diabetes](https://bmjgroup.com/no-link-to-birth-defects-for-potential-fathers-taking-metformin-for-diabetes/) - Latest study is reassuring for potential fathers and their partners Potential fathers with type 2 diabetes can be reassured that taking the drug metformin is not associated with birth defects in their offspring, concludes a large study of more than 3 million pregnancies published by The BMJ today. The researchers say the findings show that metformin can
- [Around 40% of postmenopausal hormone positive breast cancers linked to excess body fat](https://bmjgroup.com/around-40-of-postmenopausal-hormone-positive-breast-cancers-linked-to-excess-body-fat/) - Proportion much higher than that assessed with widely used measure (BMI) Real impact of obesity on risk has likely been underestimated, say researchers Around 40% of postmenopausal hormone positive breast cancer cases may be linked to excess body fat, suggests Spanish research published online in the Journal of Epidemiology & Community Health. This proportion is significantly
- [No evidence for belief that nut allergens spread through aircraft ventilation systems](https://bmjgroup.com/no-evidence-for-belief-that-nut-allergens-spread-through-aircraft-ventilation-systems/) - Surface residues pose main risk, likely heightened by fast turnarounds of many low-cost carriers But allergic reactions to food 10–100 times less common during flights than ’on the ground’ There is no evidence for the commonly held belief that nut allergens can be spread through aircraft ventilation systems, say allergy and aviation medicine specialists in an
- [Don’t rely on AI chatbots for accurate, safe drug information, patients warned](https://bmjgroup.com/dont-rely-on-ai-chatbots-for-accurate-safe-drug-information-patients-warned/) - And complexity of answers might make them hard to understand without college degree Patients shouldn’t rely on AI powered search engines and chatbots to always give them accurate and safe information on drugs, conclude researchers in the journal BMJ Quality & Safety, after finding a considerable number of answers were wrong or potentially harmful. What’s more, the
- [Breakdancers may risk ‘headspin hole’ caused by repetitive headspins, doctors warn](https://bmjgroup.com/breakdancers-may-risk-headspin-hole-caused-by-repetitive-headspins-doctors-warn/) - Condition manifests as protruding scalp lump, plus hair loss and tenderness Breakdancers may be at risk of developing a condition caused by repeatedly doing a cardinal move of their practice and performance—the headspin—warn doctors in the journal BMJ Case Reports. Dubbed the ‘headspin hole,’ or ‘breakdance bulge,’ the condition is unique to breakdancers, and appears as
- [Medical professionals must lead the fight against climate misinformation](https://bmjgroup.com/medical-professionals-must-lead-the-fight-against-climate-misinformation/) - As trusted voices, the profession can mitigate the impact of falsehoods about the health risks posed by climate change, say experts Medical professionals have a responsibility to lead the fight against climate misinformation to ensure that the public is well informed about the health risks posed by climate change, say experts in The BMJ today. Misinformation (inaccurate
- [Should doctors be suspended for unlawful climate activism?](https://bmjgroup.com/should-doctors-be-suspended-for-unlawful-climate-activism/) - Former GP Sarah Benn was suspended by the medical practitioners tribunal service (MPTS) after an arrest for her involvement in climate protests. In The BMJ today, two experts debate the question of when and whether doctors in such cases should be sanctioned. The recent case of Sarah Benn has sparked debate, partly because of a perception that
- [Extreme rainfall linked to heightened risk of death](https://bmjgroup.com/extreme-rainfall-linked-to-heightened-risk-of-death/) - Especially in areas with lower rainfall variability and scarce vegetation Results provide a global perspective on effect of extreme rainfall events on health Extreme rainfall events are associated with an increased risk of death from all causes as well as from heart and lung diseases, finds an analysis of data from 34 countries and regions
- [Policy change may be helping to drive rise in treatment-resistant vaginal thrush](https://bmjgroup.com/policy-change-may-be-helping-to-drive-rise-in-treatment-resistant-vaginal-thrush/) - Amid significant yearly increases in prevalence of fungal infections caused by Candida sp Doctors now advised to treat on signs + symptoms rather than on confirmatory lab tests A change in policy may be helping to drive a rise in treatment-resistant vaginal thrush, amid significant yearly increases in the prevalence of fungal infections caused by
- [4+ hour emergency care wait linked to heightened risks of death and longer hospital stay for hip fracture patients](https://bmjgroup.com/4-hour-emergency-care-wait-linked-to-heightened-risks-of-death-and-longer-hospital-stay-for-hip-fracture-patients/) - More than 1 in 3 waited longer than required standard, single centre study reveals Waiting more than 4 hours in emergency care for treatment is linked to heightened risks of death and a longer hospital stay for hip fracture patients, reveals a single centre study, published online in Emergency Medicine Journal. The waiting time for more
- [Significant worldwide disparities in availability and timeliness of new cancer drugs](https://bmjgroup.com/significant-worldwide-disparities-in-availability-and-timeliness-of-new-cancer-drugs/) - Gap between rich and poor nations has widened over three decades Such inequities may help explain poor cancer outcomes in many lower income countries Despite considerable progress in the discovery and development of new cancer drugs, there are significant disparities in both the availability and timeliness of these medicines worldwide, with poorer countries missing out,
- [Costs of fatal falls among US older adults trump those attributed to firearm deaths](https://bmjgroup.com/costs-of-fatal-falls-among-us-older-adults-trump-those-attributed-to-firearm-deaths/) - Stark economics and shifting demographics underscore urgency of preventive measures The cost of fatal falls among older people (45-85+) trump those of firearm deaths in the US, finds research published in the open access journal Trauma Surgery & Acute Care Open. The stark economics and shifting age demographics in the US underscore the urgency of preventive
- [Harmful diagnostic errors may occur in 1 in every 14 general medical hospital patients](https://bmjgroup.com/harmful-diagnostic-errors-may-occur-in-1-in-every-14-general-medical-hospital-patients/) - Most preventable, underscoring need for new approaches to surveillance, say researchers Harmful diagnostic errors may be occurring in as many as 1 in every 14 (7%) hospital patients—at least those receiving general medical care—suggest the findings of a single centre study in the US, published online in the journal BMJ Quality & Safety. Most (85%) of
- [Additional GP funding has been squeezed this year, finds BMJ investigation](https://bmjgroup.com/additional-gp-funding-has-been-squeezed-this-year-finds-bmj-investigation/) - Eight in ten commissioning boards in England cut or froze funding for services such as heart monitoring and minor surgery as a proportion of their overall spending Many general practices are facing financial ruin, says BMA committee chair Budgetary decisions by commissioners across England are affecting GPs’ ability to offer their patients what most people
- [Questions over safety and effectiveness of new Alzheimer’s drug](https://bmjgroup.com/questions-over-safety-and-effectiveness-of-new-alzheimers-drug/) - Investigation raises concerns about excess deaths, missing safety data, questionable effectiveness, and financial ties among expert advisors 7 of the 8 doctors on review panel received direct payments from drug companies The safety and effectiveness of donanemab - an Alzheimer’s drug recently approved by the US Food & Drug Administration (FDA) - is called into
- [Remote video consultations linked to reduced depression and anxiety](https://bmjgroup.com/remote-video-consultations-linked-to-reduced-depression-and-anxiety/) - Effect size is small, but improvement still meaningful given high levels of these disorders, say researchers Remote video consultations between patients and mental health specialists show a small but significant improvement on symptoms of depression and anxiety, finds a trial published by The BMJ today. Although the effect size is small, the researchers say the effect is
- [Global prevalence of short-sightedness in children and teens set to top 740 million cases by 2050](https://bmjgroup.com/8612-2/) - Condition currently affects estimated third of children and teens around the world Female sex, East Asian or urban area residence, and educational level influential factors Around 1 in 3 children and teens around the world is short (near)-sighted, with the global prevalence of myopia set to top 740 million cases by 2050 in this age
- [Urgent rethink of bottled water’s huge and growing toll on human and planetary health](https://bmjgroup.com/urgent-rethink-of-bottled-waters-huge-and-growing-toll-on-human-and-planetary-health/) - Estimated 1 million bottles bought every minute and demand is rising, warns expert The huge and growing toll bottled water is taking on human and planetary health warrants an urgent rethink of its use as 1 million bottles are bought every minute around the globe, with that figure set to rise further still amid escalating
- [Triptans more effective than newer, more expensive migraine drugs](https://bmjgroup.com/triptans-more-effective-than-newer-more-expensive-migraine-drugs/) - The most effective triptans should be promoted globally and guidelines updated accordingly, say researchers Some triptans are a more effective treatment for acute migraines than newer, more expensive drugs, finds an analysis of the latest evidence published by The BMJ today. Triptans work by narrowing blood vessels in the brain and preventing the release of chemicals that
- [Fifth of GPs using AI despite lack of guidance or clear work policies, UK survey suggests](https://bmjgroup.com/fifth-of-gps-using-ai-despite-lack-of-guidance-or-clear-work-policies-uk-survey-suggests/) - Doctors and medical trainees need to be fully informed about pros and cons of these tools A fifth of family doctors (GPs) seem to have readily incorporated AI into their clinical practice, despite a lack of any formal guidance or clear work policies on the use of these tools, suggest the findings of an online
- [No major concerns about risks to offspring for would-be dads taking epilepsy meds](https://bmjgroup.com/no-major-concerns-about-risks-to-offspring-for-would-be-dads-taking-epilepsy-meds/) - Evidence on antiseizure drugs is inconsistent; but most studies show no heightened risk Findings cast doubt cast on stance taken by UK drugs regulator, say authors Would-be dads taking drugs to stop their epilepsy seizures—and valproate in particular—should be largely reassured that the available evidence on the developmental risks to their offspring doesn’t justify any
- [Obesity treatments being restricted by cash poor local services](https://bmjgroup.com/obesity-treatments-being-restricted-by-cash-poor-local-services/) - Obesity services not deemed a priority, and patients are often victims of prejudice, say experts Obesity treatments are being restricted by cash poor local services across England with many patients being denied specialist drugs, surgery and support, an investigation by The BMJ has found. Patients in nearly half the country can’t get appointments with specialist teams for
- [Shorter-course radiation better option for breast cancer patients than conventional schedule](https://bmjgroup.com/shorter-course-radiation-better-option-for-breast-cancer-patients-than-conventional-schedule/) - Although survival and recurrence were similar, this approach is safer, more convenient for patients, and less costly, say researchers Giving higher doses per fraction of radiation therapy over a shorter time after breast cancer surgery significantly reduces the risk of side effects and improves quality of life compared with a conventional schedule, finds a study
- [One dose of smallpox vaccine moderately effective in preventing mpox infection](https://bmjgroup.com/one-dose-of-smallpox-vaccine-moderately-effective-in-preventing-mpox-infection/) - Vaccine should be made available to communities at risk, say researchers One dose of modified vaccinia Ankara-Bavarian Nordic (MVA-BN) smallpox vaccine is moderately effective in preventing mpox infection and should be made available to communities at risk, finds a study published by The BMJ today. With mpox infections rising again across the globe, the researchers say these
- [Laughter may be as effective as drops for dry eyes](https://bmjgroup.com/laughter-may-be-as-effective-as-drops-for-dry-eyes/) - Researchers suggest this could be a first treatment for relieving symptoms of dry eye disease Laughter may be as effective as eye drops in improving symptoms of dry eye disease, finds a clinical trial from China published by The BMJ today. The researchers suggest that laughter exercise could be an initial treatment for relieving symptoms of dry
- [BMJ Group and DNV join forces to establish  The Future Health Commission](https://bmjgroup.com/bmj-group-and-dnv-join-forces-to-establish-the-future-health-commission/) - Strategic partnership will monitor the impact of digital transformation on improving workforce wellbeing and reducing the cost of healthcare delivery
- [BMJ Impact Analytics unlocks further insights with newly launched badges](https://bmjgroup.com/bmj-impact-analytics-unlocks-further-insights-with-newly-launched-badges/) - Find, track, and share the real-world impact of research today. Visit: https://impactanalytics.bmj.com/badges/
- [Abdominal fat linked to widespread chronic pain, especially in women](https://bmjgroup.com/abdominal-fat-linked-to-widespread-chronic-pain-especially-in-women/) - Reducing this fat may reduce chronic pain particularly if it’s at multiple body sites Excess abdominal fat is associated with widespread chronic pain, particularly in women, finds the first study of its kind, published in the open access journal Regional Anesthesia & Pain Medicine. Reducing excess fat deposits in the abdomen may help reduce chronic musculoskeletal
- [Statins cost effective and linked to better health outcomes in older people](https://bmjgroup.com/statins-cost-effective-and-linked-to-better-health-outcomes-in-older-people/) - Findings back consideration of these drugs for most over-70s, say researchers Statin treatment is cost effective and linked to better health outcomes in older people with or without previous cardiovascular disease, although the risk reductions were substantially smaller in the latter, reports a modelling on the lifetime benefits of these drugs among the over-70s, published
- [Lower diligence level linked to higher cardiovascular disease risk in type 2 diabetes](https://bmjgroup.com/lower-diligence-level-linked-to-higher-cardiovascular-disease-risk-in-type-2-diabetes/) - But adopting healthy lifestyle still beneficial, irrespective of this trait, findings show People with type 2 diabetes, who display lower levels of diligence, may have a significantly higher risk of developing cardiovascular disease with which diabetes is strongly associated, finds research published in the open access journal BMJ Open Diabetes Research & Care. While certain personality
- [Women, Black people, and disadvantaged less likely to get heart surgery in England](https://bmjgroup.com/women-black-people-and-disadvantaged-less-likely-to-get-heart-surgery-in-england/) - And when they are offered these procedures, they are more likely to die within a year Women, people of Black ethnicity, and those from low income households in England are less likely to be offered heart surgery than men, White people, and those who are affluent, finds research published online in the journal Heart. And when
- [Prostate cancer rates across Europe since 1980 “indicative of overdiagnosis” say experts](https://bmjgroup.com/prostate-cancer-rates-across-europe-since-1980-indicative-of-overdiagnosis-say-experts/) - Findings reinforce need for carefully planned screening programmes to minimise harms of overdiagnosis Rates of prostate cancer across Europe since 1980 are “indicative of overdiagnosis”, say researchers in a study published by The BMJ today. Overdiagnosis refers to the detection of harmless cancers that are unlikely to cause symptoms or death during a patient’s lifetime, which can
- [Air pollution linked to higher risk of infertility in men](https://bmjgroup.com/air-pollution-linked-to-higher-risk-of-infertility-in-men/) - And road noise linked to higher risk of infertility in women over 35 Long term exposure to fine particulate matter (PM2.5) air pollution is linked to a higher risk of infertility in men, whereas road traffic noise is linked to a higher risk of infertility in women over 35, finds a Danish study published by The
- [Number of general practices shrinking but patient lists ballooning in England](https://bmjgroup.com/number-of-general-practices-shrinking-but-patient-lists-ballooning-in-england/) - Over past decade, practice numbers fell by 20%, but average list size expanded by 40% Total NHS general practice workforce grew 20% in 2015-22, but GP numbers fell by 15% Over the past decade the number of NHS general practices in England has shrunk by 20%, but patient list sizes have expanded by 40% to
- [Ability to cope well with adversity in older age linked to lower death risk](https://bmjgroup.com/ability-to-cope-well-with-adversity-in-older-age-linked-to-lower-death-risk/) - Findings underscore importance of efforts to bolster mental resilience, say researchers The ability to cope well with, and adapt to, challenging life circumstances and events in older age is linked to a lower risk of death, suggests a large nationally representative study, published in the open access journal BMJ Mental Health. The findings underscore the importance
- [Certain diabetes drugs might prevent dementia](https://bmjgroup.com/certain-diabetes-drugs-might-prevent-dementia/) - But randomised controlled trials are needed to confirm these findings Sodium-glucose cotransporter-2 (SGLT-2) inhibitors used to treat type 2 diabetes might prevent dementia, providing greater benefits with longer treatment, suggests a large study from Korea published by The BMJ today. As this study was observational, the researchers note that the effect size could have been overestimated and
- [New study provides further support for psilocybin’s potential to treat depressive symptoms](https://bmjgroup.com/new-study-provides-further-support-for-psilocybins-potential-to-treat-depressive-symptoms/) - High dose psilocybin was the only psychedelic treatment to reduce depressive symptoms by more than placebo in antidepressant trials High doses of psilocybin - the active ingredient in magic mushrooms - appears to have a similar effect on depressive symptoms as the selective serotonin reuptake inhibitor (SSRI) drug escitalopram, suggests a systematic review and meta-analysis
- [Suicide rates among doctors have declined, but female doctors still at high risk](https://bmjgroup.com/suicide-rates-among-doctors-have-declined-but-female-doctors-still-at-high-risk/) - Results highlight ongoing need for research and prevention efforts among doctors, particularly women Suicide rates among doctors have declined over time, but are still significantly higher for female doctors compared with the general population, finds an analysis of evidence from 20 countries published by The BMJ today. The researchers acknowledge that physician suicide risk varies across different
- [Just 1-2 cigarettes/day before or during pregnancy linked to major newborn health problems](https://bmjgroup.com/just-1-2-cigarettes-day-before-or-during-pregnancy-linked-to-major-newborn-health-problems/) - Adds to evidence for would-be mums to stub out smoking, say researchers Even light smoking of just 1-2 cigarettes a day either before or at any time during pregnancy is significantly associated with major health problems in the newborn, finds research published online in the Journal of Epidemiology & Community Health. The findings add to the
- [Social position linked to food delivery preferences in England](https://bmjgroup.com/social-position-linked-to-food-delivery-preferences-in-england/) - Affluent twice as likely to shop online for groceries as less well off But households of lower social grade twice as likely to opt for take-away meals And users of online food delivery apps more likely to be living with obesity Social position—defined by household income and job role—is linked to food delivery preferences in
- [‘Symptom triggered’ testing can pick up early stage aggressive ovarian cancer in 1 in 4 of those affected](https://bmjgroup.com/symptom-triggered-testing-can-pick-up-early-stage-aggressive-ovarian-cancer-in-1-in-4-of-those-affected/) - Complete tumour removal also possible in 60% of those diagnosed with this system Findings challenge assumption that symptoms always signal advanced ovarian cancer ‘Symptom triggered testing’, prompted by symptoms such as pain, abdominal bloating/swelling, and feeling full soon after starting to eat, can pick up early stage aggressive ovarian cancer in 1 in 4 of
- [Lack of purpose and personal growth may precede mild cognitive impairment](https://bmjgroup.com/lack-of-purpose-and-personal-growth-may-precede-mild-cognitive-impairment/) - These aspects of psychological wellbeing noticeably decline before diagnosis Feeling that your life lacks purpose and that there are few opportunities for personal growth in older age may precede the development of mild cognitive impairment (MCI), a frequent precursor of dementia, suggests research published online in the Journal of Neurology Neurosurgery & Psychiatry. These aspects of
- [Australians outlive their peers in high income Anglophone countries by 1-4 years](https://bmjgroup.com/australians-outlive-their-peers-in-high-income-anglophone-countries-by-1-4-years/) - Most of difference accrues between ages of 45 and 84 Lower death rate from drugs/alcohol, screenable cancers, cardiovascular + respiratory diseases Australians outlive their peers in 5 high income English speaking countries, including the UK and the US, by between 1 to 4 years, finds an analysis of international longevity data, published in the open
- [New evidence casts doubt on a much-hyped blood test for early cancer detection](https://bmjgroup.com/new-evidence-casts-doubt-on-a-much-hyped-blood-test-for-early-cancer-detection/) - Deal commits NHS to buying millions of tests in exchange for state-of-the-art facility But experts say test is “a clear-cut case of public risk and private profit” New evidence published by The BMJ today casts doubt on a much-hyped blood test for the NHS that promises to detect more than 50 types of cancer. The test, called
- [Sugary drink intake by children and adolescents increased by almost a quarter between 1990 and 2018](https://bmjgroup.com/sugary-drink-intake-by-children-and-adolescents-increased-by-almost-a-quarter-between-1990-and-2018/) - Increase parallels rises in obesity among young people Action needed to curb consumption, particularly in Latin America and the Caribbean, and sub-Saharan Africa, say researchers Children and adolescents across the world consumed on average 23% more sugar sweetened beverages (SSBs) in 2018 than they did in 1990, show the results of a study published in The
- [BMJ Group and OpenAthens open doors to seamless federated access to BMJ Impact Analytics](https://bmjgroup.com/bmj-group-and-openathens-open-doors-to-seamless-federated-access-to-bmj-impact-analytics/) - Collaboration set to enhance BMJ Impact Analytics user experience Leading global healthcare knowledge provider, BMJ Group, and experts in federated single sign-on services, OpenAthens, are excited to announce that OpenAthens' advanced authentication technology is now available on BMJ Impact Analytics. BMJ Impact Analytics joins the growing number of BMJ Group products that can be accessed
- [Cut ties with Coca Cola in interests of athletes, spectators, and the planet, IOC urged](https://bmjgroup.com/cut-ties-with-coca-cola-in-interests-of-athletes-spectators-and-the-planet-ioc-urged/) - Sponsorship forces athletes to implicitly endorse unhealthy sugary drinks, say authors And it gives company elite access to political and corporate leaders to exert its influence The International Olympic Committee (IOC) should cut its ties with Coca Cola in the best interests of athletes, spectators, and the planet, urge Trish Cotter and Sandra Mullin of
- [Reducing child poverty in England would significantly boost child health and narrow health inequalities](https://bmjgroup.com/reducing-child-poverty-in-england-would-significantly-boost-child-health-and-narrow-health-inequalities/) - It would cut infant deaths, numbers of children in care, hospital admissions Likely have other beneficial knock-on effects on local authority and health services Most deprived regions, especially in the North East, stand to benefit the most Renewed efforts to reduce child poverty in England between now and 2033, such as removing the 2-child limit
- [Follow Australia’s lead and ban artificial stone, researchers urge European governments](https://bmjgroup.com/follow-australias-lead-and-ban-artificial-stone-researchers-urge-european-governments/) - Until then, adopt all possible control measures to minimise exposure to harmful silica dust The UK and the European Union should follow Australia’s lead and ban the kitchen worktop favourite and cause of irreversible and rapidly progressive lung disease—artificial stone siliicosis—urge researchers in an editorial, published online in Occupational & Environmental Medicine. And until a ban
- [Think about banning kitchen worktop favourite to ward off incurable lung disease, urge doctors](https://bmjgroup.com/think-about-banning-kitchen-worktop-favourite-to-ward-off-incurable-lung-disease-urge-doctors/) - Call prompted by treating first 8 cases of artificial stone silicosis reported in UK It may now be time to ban artificial stone—a firm favourite for kitchen worktops in the UK— to ward off the incurable lung disease caused by its manufacturing and fitting, say a team of doctors in the journal Thorax after treating the first
- [Interplay of sex, marital status, education, race linked to 18 year US lifespan gap](https://bmjgroup.com/interplay-of-sex-marital-status-education-race-linked-to-18-year-us-lifespan-gap/) - No one factor paramount, but individual risk rises in tandem with number of such factors Simple scoring system helps overcome this complexity to identify those at risk of early death The interplay of a quartet of sex, marital status, education, and race is linked to an 18 year lifespan gap for US citizens, and while
- [Rising toll of serious injuries linked to expanded Mexico-US border wall crossing](https://bmjgroup.com/rising-toll-of-serious-injuries-linked-to-expanded-mexico-us-border-wall-crossing/) - Poor discharge care and interpreting facilities equal “humanitarian and health crisis” Injured from 38 different countries; 21 languages other than Spanish spoken The expansion of the Mexico-US border wall crossing has been accompanied by a rising toll of serious injuries, with poor discharge care and a lack of appropriate interpreting facilities adding up to a
- [Mid-life physical activity associated with brain power](https://bmjgroup.com/mid-life-physical-activity-associated-with-brain-power/) - Losing just 6-7 mins daily to sedentary behaviour light intensity activity linked to poorer cognition The amount of time spent in moderate and vigorous physical activity every day is linked to mid-life brain power, indicates research published online in the Journal of Epidemiology & Community Health. This intensity level seems to be the best for
- [Wealthier kids may have had steepest fall in mental health in UK pandemic](https://bmjgroup.com/wealthier-kids-may-have-had-steepest-fall-in-mental-health-in-uk-pandemic/) - Findings confound predictions that disadvantaged children would be hardest hit Child mental health may have become more equal but worsened, overall, say researchers Children’s mental health worsened across the board in the UK during the pandemic, but the steepest decline seems to have been experienced by those from wealthier families—with employed parents or from higher
- [Women may be at greater risk than men of flu jab injection site and systemic reactions](https://bmjgroup.com/women-may-be-at-greater-risk-than-men-of-flu-jab-injection-site-and-systemic-reactions/) - This is regardless of age or vaccine type, pooled data analysis suggests Communicating these differences may help curb vaccine hesitancy, say the researchers Women may be at greater risk than men of injection site and systemic reactions to the seasonal flu jab, regardless of age or vaccine type, finds a pooled data analysis of the
- [Renting rather than owning a private sector home linked to faster ‘biological ageing’](https://bmjgroup.com/renting-rather-than-owning-a-private-sector-home-linked-to-faster-biological-ageing/) - Renting rather than owning a private sector home linked to faster ‘biological ageing’ Impact of renting vs outright ownership double that of being out of work vs employment Effects reversible, emphasising role of housing policy in health improvement Renting a private sector home, falling repeatedly into arrears, and exposure to pollution in the vicinity are
- [Least wealthy people more likely to have mental health disorder later in life](https://bmjgroup.com/least-wealthy-people-more-likely-to-have-mental-health-disorder-later-in-life/) - Around 58% of people with low educational results by age 30 develop mental disorder by age 52, study suggests People from the poorest backgrounds are far more likely to develop a mental disorder later in life than those from wealthier beginnings, suggests a study published online in the Journal of Epidemiology & Community Health. In
- [Frequent socialising linked to longer lifespan of older people](https://bmjgroup.com/frequent-socialising-linked-to-longer-lifespan-of-older-people/) - Social activity nearly every day seems to be most beneficial, Chinese study suggests Frequent socialising may extend the lifespan of older people, suggests a study of more than 28,000 Chinese people, published online in the Journal of Epidemiology & Community Health. Socialising nearly every day seems to be the most beneficial for a long life, the
- [Poor lifestyle of over 60s linked to heightened risk of nursing home care](https://bmjgroup.com/poor-lifestyle-of-over-60s-linked-to-heightened-risk-of-nursing-home-care/) - Unhealthy lifestyle particularly between ages of 60 and 64 associated with doubling in risk Over 60s with the unhealthiest lifestyles are significantly more likely to require admission to a nursing home than their peers with the healthiest lifestyles, suggest the findings of a large population study published online in the Journal of Epidemiology & Community Health.
- [Consequences of premature parental death seemingly greater for boys than for girls](https://bmjgroup.com/consequences-of-premature-parental-death-seemingly-greater-for-boys-than-for-girls/) - But strongly linked to worse mental health and lower earnings in adulthood for both sexes The cumulative health and economic consequences of the premature loss of a parent may be greater for boys than for girls, suggest the findings of a large long term study published online in the Journal of Epidemiology & Community Health. Experiencing
- [Women may find it harder to adjust to later life divorce and break-ups than men](https://bmjgroup.com/women-may-find-it-harder-to-adjust-to-later-life-divorce-and-break-ups-than-men/) - Their antidepressant use is higher and tails off only slightly and briefly after re-partnering Women may find it harder to emotionally adjust to divorce or a relationship break-up in later life than men do, if patterns of antidepressant use are indicative, suggests a large long term study published online in the Journal of Epidemiology & Community
- [“Significant unmet needs” common among dying in UK hospitals](https://bmjgroup.com/significant-unmet-needs-common-among-dying-in-uk-hospitals/) - Experienced by nearly all (93%) of those assessed in first of its kind UK-wide evaluation Deficit more likely in district general hospitals than teaching hospitals and cancer centres People dying in UK hospitals without specialist palliative care input frequently have “significant and poorly identified unmet needs,” finds a UK-wide evaluation—the first of its kind—published online
- [Immersive virtual reality seems to ease cancer patients’ pain and distress](https://bmjgroup.com/immersive-virtual-reality-seems-to-ease-cancer-patients-pain-and-distress/) - May have potential for other long term conditions, findings suggest Immersive virtual reality—digital technology that allows a person to experience being physically present in a non-physical world—seems to ease the pain and distress felt by patients with cancer, suggests a pooled data analysis of the available evidence published in BMJ Supportive & Palliative Care. The technology
- [Menstrual discs may be best for heavy monthly blood flow](https://bmjgroup.com/menstrual-discs-may-be-best-for-heavy-monthly-blood-flow/) - And for indicating excessive blood loss and underlying health problems Menstruation still taboo subject: this has hindered research and normalised pain Amid widely differing capacities of available menstrual hygiene products, a menstrual disc—similar in shape to a diaphragm—may be best for dealing with heavy monthly blood flow as well as indicating excessive blood loss, suggests
- [World leaders unite to embed social participation in health systems](https://bmjgroup.com/world-leaders-unite-to-embed-social-participation-in-health-systems-2/) - Landmark WHO resolution marks an important step towards a healthy world For the first time in the World Health Organization’s 76 year history, world leaders have unanimously committed to put social participation - people, communities and civil society - at the heart of health decision making processes. This landmark pledge marks an important step forward
- [NHS’s relentless focus on finance and productivity is failing patient safety](https://bmjgroup.com/nhss-relentless-focus-on-finance-and-productivity-is-failing-patient-safety-2/) - Patients’ concerns too often go ignored, says England’s first patient safety commissioner “The NHS’s relentless focus on finance and productivity is failing patient safety,” argues patient safety commissioner Henrietta Hughes in an interview for The BMJ today. “The patient’s anecdote is the canary in the coal mine,” she says. It’s the thing that tells us there’s something
- [Intensive voice treatment more effective than NHS speech therapy for Parkinson’s disease](https://bmjgroup.com/intensive-voice-treatment-more-effective-than-nhs-speech-therapy-for-parkinsons-disease-2/) - Results highlight need to optimise speech therapy resources, say researchers An intensive voice treatment developed in the USA and known as the Lee Silverman voice treatment (LSVT LOUD) is more effective than conventional NHS speech and language therapy or no therapy for people with Parkinson’s disease, finds a trial published in The BMJ today. The researchers say
- [Rise in global number of patient harms from 11 million to 18 million (59%) in 30 years](https://bmjgroup.com/rise-in-global-number-of-patient-harms-from-11-million-to-18-million-59-in-30-years/) - Outpacing 45% increase in world’s population during the same period (1990-2019) Older people worldwide bear the brunt, with steepest rise among 65-69 year olds The proportion of patient harms associated with medical procedures, treatment, and contact with healthcare systems rose by 59%, from 11 million to 18 million globally between 1990 and 2019, finds a
- [Revealed: tricks used by opioid giant to mould doctors’ minds](https://bmjgroup.com/revealed-tricks-used-by-opioid-giant-to-mould-doctors-minds-2/) - Experts find “smorgasbord of tactics” used to boost sales during opioid addiction epidemic Opioid giant Mallinckrodt, selling more than Purdue Pharma in the US, was forced by the courts to publish more than 1.3 million internal documents. In The BMJ today, researchers Sergio Sismondo and Maud Bernisson sift through nearly 900 contracts which together reveal a carefully
- [Few UK people likely to be suitable for new Alzheimer’s drugs when they come on stream](https://bmjgroup.com/few-uk-people-likely-to-be-suitable-for-new-alzheimers-drugs-when-they-come-on-stream/) - But many people with memory loss nevertheless likely to be referred for these treatments Few people in the UK with early stage Alzheimer’s disease are likely to be suitable for the latest drugs which aim to halt progress of the condition, yet many are nevertheless likely to be referred for these treatments, finds research published
- [Lettuce may be just as good as dock leaf for easing nettle sting symptoms](https://bmjgroup.com/lettuce-may-be-just-as-good-as-dock-leaf-for-easing-nettle-sting-symptoms/) - Cooling and soothing effect of sap evaporating from a crushed leaf may be what helps Rubbing a lettuce leaf on a nettle sting to ease the associated discomfort may be just as good as using the age-old folk remedy of a dock leaf, suggest the results of a small comparative study, published online in Emergency Medicine
- [Inflammatory activity of rheumatoid arthritis linked to specific cognitive impairments](https://bmjgroup.com/inflammatory-activity-of-rheumatoid-arthritis-linked-to-specific-cognitive-impairments/) - Poorer visuospatial ability, recall, abstract thinking, working memory, concentration, inhibition The inflammatory activity in the body caused by rheumatoid arthritis is linked to specific cognitive impairments, finds a small comparative study, published in the open access journal RMD Open. These are diminished visuospatial abilities, recall, abstract thinking, and the executive functions of working memory, concentration, and
- [Little evidence to back widespread prescribing of mood-altering drugs to children for mental health issues](https://bmjgroup.com/little-evidence-to-back-widespread-prescribing-of-mood-altering-drugs-to-children-for-mental-health-issues/) - But current practice needs to be a lot safer, insist experts There’s limited evidence to back up the widespread and increasing rates of prescribing mood-altering drugs (psychotropics) as the mainstay of mental health treatment for children and young people, warn experts in an editorial, published today in the August issue of Drug and Therapeutics Bulletin (dtb)
- [Unplanned pregnancies among active service women likely curb US military readiness](https://bmjgroup.com/unplanned-pregnancies-among-active-service-women-likely-curb-us-military-readiness/) - They result in an estimated 2.5 million to more than 4.5 million active service days lost Highest rates among 18-24 year olds, those of White race, in junior ranks, and in the Army Unplanned pregnancies among active service women may be curbing overall US military readiness for action and compromising its Women Peace and Security
- [More than 10-fold difference in rates of unintentional gun deaths across US states](https://bmjgroup.com/more-than-10-fold-difference-in-rates-of-unintentional-gun-deaths-across-us-states/) - More than 12,000 lives lost to these incidents between 2001 and 2021 Poverty, rurality, non-White ethnicity and firearms ownership all linked to higher rates There’s more than a 10-fold difference in the rates of unintentional gun deaths across US states, with such incidents claiming more than 12,000 lives between 2001 and 2021, finds research published
- [65 million Americans now own firearms for protection, suggests survey](https://bmjgroup.com/65-million-americans-now-own-firearms-for-protection-suggests-survey/) - That’s around 80% of the country’s estimated 81 million gun owners Perceived need now prompting women and those of minority ethnicity to own a gun Some 65 million Americans now own firearms for protection—around 80% of the country’s estimated 81 million gun owners—suggest the results of a nationally representative survey carried out in 2023, and
- [Strong evidence of ‘threshold effect’ for NHS 18-week waiting list target](https://bmjgroup.com/strong-evidence-of-threshold-effect-for-nhs-18-week-waiting-list-target/) - Activity focused on meeting minimum requirement, after which it tails off There’s strong evidence of a ‘threshold effect’ in English hospitals’ efforts to comply with the 18-week referral to treatment standard, concludes a long term data analysis of performance against the target, published online in the journal BMJ Quality & Safety. The target focused activity on
- [Shared digital NHS prescribing record could avoid nearly 1 million annual drug errors](https://bmjgroup.com/shared-digital-nhs-prescribing-record-could-avoid-nearly-1-million-annual-drug-errors/) - Avoiding 16,000 patient harms and saving 20+ lives and £millions for services in England Implementing a single shared digital prescribing record across the NHS in England could avoid nearly 1 million drug errors every year, stopping up to 16,000 fewer patients from being harmed, and saving up to 22 lives every year, suggests a modelling
- [Celebrity tweets likely shaped US negative public opinion of covid-19 pandemic](https://bmjgroup.com/celebrity-tweets-likely-shaped-us-negative-public-opinion-of-covid-19-pandemic/) - Posts by politicians and news anchors had greatest impact, analysis suggests Data might be used to bolster public health messaging and counter misinformation Tweets by people in the public eye likely increasingly shaped negative public opinion of the COVID-19 pandemic as it progressed in the US, suggests an analysis of sentiments expressed in social media
- [First reported cases of clots in large arteries causing stroke following covid-19 vaccination](https://bmjgroup.com/first-reported-cases-of-clots-in-large-arteries-causing-stroke-following-covid-19-vaccination/) - Three cases of ischaemic stroke reported in young adults following administration of the Oxford–AstraZeneca vaccine Clots in the arteries (arterial thrombosis) are the most common cause of stroke (ischaemic stroke) and have been reported in detail for the first time in young adults who received the Oxford–AstraZeneca covid-19 vaccine in a letter from UK stroke
- [Few UK people likely to be suitable for new Alzheimer’s drugs when they come on stream](https://bmjgroup.com/few-uk-people-likely-to-be-suitable-for-new-alzheimers-drugs-when-they-come-on-stream-2/) - But many people with memory loss nevertheless likely to be referred for these treatments Few people in the UK with early stage Alzheimer’s disease are likely to be suitable for the latest drugs which aim to halt progress of the condition, yet many are nevertheless likely to be referred for these treatments, finds research published
- [Lack of sleep during teenage years may heighten subsequent MS risk](https://bmjgroup.com/lack-of-sleep-during-teenage-years-may-heighten-subsequent-ms-risk/) - Clocking up enough hours of restorative sleep while young may help ward off condition Insufficient and disturbed sleep during the teenage years may heighten the subsequent risk of multiple sclerosis (MS), suggests a case-control study published online in the Journal of Neurology Neurosurgery & Psychiatry. Clocking up enough hours of restorative sleep while young may
- [Any regular physical activity at any age linked to better brain function](https://bmjgroup.com/any-regular-physical-activity-at-any-age-linked-to-better-brain-function/) - Any regular physical activity at any age linked to better brain function in later life But maintaining exercise routine throughout adulthood best for preserving mental acuity + memory Any regular leisure time physical activity at any age is linked to better brain function in later life, but maintaining an exercise routine throughout adulthood seems to
- [High levels of ozone and grass pollen expected for Paris Olympics/Paralympics](https://bmjgroup.com/high-levels-of-ozone-and-grass-pollen-expected-for-paris-olympics-paralympics/) - Especially if hot, sunny weather prevails High levels of the respiratory irritant ozone and grass pollen are likely during the 2024 Olympic and Paralympic Games if hot, sunny weather prevails, suggests an analysis of historic air quality monitoring data for the city of Paris and surrounding area during previous summers, and published online in the British
- [“Extraordinary levels” of ice use at summer Olympics not always evidence based and bad for the planet](https://bmjgroup.com/extraordinary-levels-of-ice-use-at-summer-olympics-not-always-evidence-based-and-bad-for-the-planet/) - Ice requires large amounts of water and energy for production, storage, and transport The use of ice at summer Olympic games has reached “extraordinary levels,” but much of this isn’t evidence based, and the amount of energy and water needed to produce, store, and transport the ice isn’t good for the planet, to say nothing
- [Some private biobanks overinflating the value of umbilical cord blood banking in marketing to expectant parents](https://bmjgroup.com/some-private-biobanks-overinflating-the-value-of-umbilical-cord-blood-banking-in-marketing-to-expectant-parents/) - Regenerative medicine experts warn companies are suggesting “unrealistic” applications for umbilical cord stem cell treatments Some private UK biobanks may be misleading expectant parents about the value of storing umbilical cord blood to treat life-threatening diseases that may arise in their child in the future, reveals an investigation by The BMJ, published today. Over the past
- [Wearing a face mask in public spaces cuts risk of common respiratory symptoms, suggests Norway study](https://bmjgroup.com/wearing-a-face-mask-in-public-spaces-cuts-risk-of-common-respiratory-symptoms-suggests-norway-study/) - Effect moderate, but could be a useful measure against infections, say researchers Wearing a surgical face mask in public spaces reduces the risk of self-reported respiratory symptoms, finds a trial of adults in Norway published by The BMJ today. The effect was moderate - a 3.2% reduction in symptoms, equivalent to around 3,300 fewer infections per 100,000
- [Harms of prescribing NSAIDs to high risk groups estimated to cost NHS £31m over 10 years](https://bmjgroup.com/harms-of-prescribing-nsaids-to-high-risk-groups-estimated-to-cost-nhs-31m-over-10-years/) - NSAIDs continue to be a source of avoidable harm and healthcare costs, and more needs to be done, say researchers Prescribing non-steroidal anti-inflammatory drugs (NSAIDs) to people at high risk of harm from them is estimated to cost the NHS in England around £31 million and cause more than 6,000 lost years of good health
- [Trusted TV doctors “deepfaked” to promote health scams on social media](https://bmjgroup.com/trusted-tv-doctors-deepfaked-to-promote-health-scams-on-social-media/) - The BMJ investigates the rise of videos claiming to be UK’s popular media medics Some of the UK’s most recognisable TV doctors are increasingly being “deepfaked” in videos to sell scam products across social media, finds The BMJ today. Trusted names including Hilary Jones, Michael Mosley and Rangan Chatterjee are being used to promote products claiming to
- [No increased risk of birth defects after covid-19 infection or vaccination in early pregnancy](https://bmjgroup.com/no-increased-risk-of-birth-defects-after-covid-19-infection-or-vaccination-in-early-pregnancy/) - Findings support safety of vaccination for pregnant women Neither covid-19 infection nor vaccination during the first trimester of pregnancy is associated with increased risk of major birth defects, finds a study from Scandinavia published by The BMJ today. It’s well known that women who experience covid-19 infection during pregnancy are at increased risk of severe illness and
- [Substantial rise in adults vaping for longer than 6 months, especially in young adults](https://bmjgroup.com/substantial-rise-in-adults-vaping-for-longer-than-6-months-especially-in-young-adults/) - Trend coincides with rapid rise in disposable devices since 2021 and adds weight to calls for tighter regulation of vaping products, say researchers The number of adults in England who report vaping for more than six months has increased substantially from around one in 80 in 2013 to one in 10 in 2023, finds a
- [IBS following gastroenteritis may last 4+ years in around half of those affected](https://bmjgroup.com/ibs-following-gastroenteritis-may-last-4-years-in-around-half-of-those-affected/) - Aggressive and pro-inflammatory bacteria and COVID-19 virus possible culprits Irritable bowel syndrome (IBS)---characterised by abdominal pain, bloating, and altered bowel habit—may last 4 or more years following a bout of gastroenteritis in around half of those affected, finds a pooled data analysis of the available evidence, published online in the journal Gut. Aggressive and pro-inflammatory bacteria,
- [Resistance exercise ‘activity breaks’ at night may improve sleep length](https://bmjgroup.com/resistance-exercise-activity-breaks-at-night-may-improve-sleep-length/) - 3-minute breaks every half hour for 4 hours may be all that’s needed, small study suggests May be worth reviewing current recommendations which discourage exercise before bed Resistance exercise ‘activity breaks’ at night may improve sleep length, suggest the findings of a small comparative study published in the open access journal BMJ Open Sport & Exercise
- [Active commuting linked to lower risks of mental and physical ill health](https://bmjgroup.com/active-commuting-linked-to-lower-risks-of-mental-and-physical-ill-health/) - Strongest benefits seen for cyclists, with 47% lower risk of death from any cause Commuters who cycle or walk to and from work or study may have lower risks of mental and physical ill health than those who don’t rely on these options, finds a large long term study published in the open access journal BMJ
- [Tai Chi may curb Parkinson’s disease symptoms and complications for several years](https://bmjgroup.com/tai-chi-may-curb-parkinsons-disease-symptoms-and-complications-for-several-years/) - Associated with slower disease progression and lower doses of required drugs Tai Chi, the Chinese martial art that involves sequences of very slow controlled movements, may curb the symptoms and complications of Parkinson’s disease for several years, reveals research, published online in the Journal of Neurology Neurosurgery & Psychiatry. Its practice was associated with slower
- [Early menopause and HRT among hormonal factors linked to heightened rheumatoid arthritis risk](https://bmjgroup.com/early-menopause-and-hrt-among-hormonal-factors-linked-to-heightened-rheumatoid-arthritis-risk/) - Having 4 or more children and fewer than 33 reproductive years also seem to be influential Early menopause—before the age of 45—taking hormone replacement therapy (HRT), and having 4 or more children are among several hormonal and reproductive factors linked to a heightened risk of rheumatoid arthritis in women, finds a large long term study
- [Junior rank, male sex, younger age strongly linked to ‘harmful gambling’ among UK military](https://bmjgroup.com/junior-rank-male-sex-younger-age-strongly-linked-to-harmful-gambling-among-uk-military/) - Nearly 1 in 4 say gambling has affected their personal/professional lives over past year Better, earlier, and targeted support needed, urge researchers Several indicative factors, including junior rank, male sex, and younger age, are strongly linked to ‘harmful gambling’ among serving UK military personnel, finds an analysis of survey responses, published online in the journal BMJ
- [Poorer teen mental ability linked to as much as tripling in stroke risk before age of 50](https://bmjgroup.com/poorer-teen-mental-ability-linked-to-as-much-as-tripling-in-stroke-risk-before-age-of-50/) - Associations held after factoring in diabetes and limiting age of first stroke up to 40 Assessments beyond traditional stroke risk factors now needed, suggest researchers A lower level of mental ability during the teenage years may be linked to as much as a tripling in the risk of having a stroke before the age of
- [Major international summit on improving patient care in Utrecht for the first time](https://bmjgroup.com/major-international-summit-on-improving-patient-care-in-utrecht-for-the-first-time/) - Utrecht, 11 June 2024—The International Forum on Quality and Safety in Healthcare, which attracts 3,000 delegates annually, will be in Utrecht for the first time in 2025. Visitors from all over the world will come to Royal Dutch Jaarbeurs to gain knowledge and inspiration on improvement initiatives in patient care. The congress, which will take
- [FDA staff leaving for industry jobs given “behind the scenes” lobbying advice](https://bmjgroup.com/fda-staff-leaving-for-industry-jobs-given-behind-the-scenes-lobbying-advice/) - Practice highlights “critical loophole” in the revolving door between the FDA and industry The US Food and Drug Administration (FDA) tells staff leaving for industry jobs that, despite restrictions on post-employment lobbying, they are still permitted to influence the agency, reveals an investigation by The BMJ today. Internal emails, obtained under a freedom of information request, show
- [Specialist weight-loss services in England unable to keep up with spiralling demand](https://bmjgroup.com/specialist-weight-loss-services-in-england-unable-to-keep-up-with-spiralling-demand/) - One obesity service reached its three year quota of patients in less than 17 weeks Experts blame lack of consistent government policy and say next government needs to act decisively One in six integrated care boards (ICBs) in England have stopped accepting new patients for specialist weight management services as their referral numbers spiral out
- [Decline in UK coronary heart disease rates offset by rise in other cardiovascular conditions](https://bmjgroup.com/decline-in-uk-coronary-heart-disease-rates-offset-by-rise-in-other-cardiovascular-conditions/) - It’s time to expand prevention efforts, especially in younger and more deprived groups, say researchers Rates of coronary heart disease in the UK have declined by about 30% over the past two decades, but this has been offset by rising rates of other conditions affecting the heart or blood vessels, finds a study in The BMJ today.
- [Men at greater risk of major health effects of diabetes than women](https://bmjgroup.com/men-at-greater-risk-of-major-health-effects-of-diabetes-than-women/) - Cases of cardiovascular, leg/foot, kidney complications, and eye disease all higher in men Sex differences in complication rates persist regardless of disease duration Men are at greater risk than women of the major health effects of diabetes (types 1 and 2), suggests a long term study published online in the Journal of Epidemiology & Community Health.
- [The BMJ Commission sets out manifesto for a healthier UK](https://bmjgroup.com/the-bmj-commission-sets-out-manifesto-for-a-healthier-uk/) - Together we can build a better health and social care system which thrives on collaboration not competition, say experts Long term thinking and stable, consistent policies are key to improving our nation’s financial prosperity and wellbeing, say experts on The BMJ Commission on the Future of the NHS as they set out their manifesto for a healthier UK.
- [Government’s failure to fortify all flour and rice with sufficient folic acid will lead to avoidable birth defects, warns expert](https://bmjgroup.com/governments-failure-to-fortify-all-flour-and-rice-with-sufficient-folic-acid-will-lead-to-avoidable-birth-defects-warns-expert/) - Current plan will prevent only about 20% of neural tube defects but full fortification could prevent about 80% The UK government’s failure to fortify all flour and rice with the vitamin folic acid “will result in more deaths and birth defects every year that could have been prevented,” argues Professor Sir Nicholas Wald in The BMJ today.
- [Heavy resistance training around retirement preserves vital leg strength years later](https://bmjgroup.com/heavy-resistance-training-around-retirement-preserves-vital-leg-strength-years-later/) - Depletion of this is strong predictor of death in older people, say researchers Twelve months of heavy resistance training—exercise that makes muscles work against a force—around retirement preserves vital leg strength years later, show the follow up results of a clinical trial, published online in the open access journal BMJ Open Sport & Exercise Medicine. Depletion
- [Private school and/or ‘higher status’ university education linked to better mid-life health](https://bmjgroup.com/private-school-and-or-higher-status-university-education-linked-to-better-mid-life-health/) - Alongside level of education reached, institution type may also be influential say researchers A private (fee-paying) school and/or a ‘higher status’ (Russell Group*) university education may be linked to better mid-life health—at least in the UK—suggests research published online in the Journal of Epidemiology & Community Health. Alongside the level of education achieved, the type of
- [Expression of concern placed on research paper published in BMJ Public Health](https://bmjgroup.com/expression-of-concern-placed-on-research-paper-excess-mortality-across-countries-in-the-western-world-since-the-covid-19-pandemic-our-world-in-data-estimates-of-january-2020-to-dec/) - Following concerns raised with BMJ we are investigating the quality of the research and the messaging used in Excess mortality across countries in the Western World since the COVID-19 pandemic: ‘Our World in Data’ estimates of January 2020 to December 2022”, published in BMJ Public Health on 3 June 2024. An expression of concern will be placed on the
- [Number of over 65s with type 1 diabetes has almost tripled in 30 years](https://bmjgroup.com/number-of-over-65s-with-type-1-diabetes-has-almost-tripled-in-30-years/) - More people with type 1 diabetes are living longer, but substantial global inequalities still exist in diabetes care The number of people aged 65 and older with type 1 diabetes increased from 1.3 million in 1990 to 3.7 million in 2019, while death rates fell 25% from 4.7 per 100,000 population in 1990 to 3.5
- [Retraction notice of previously press released research](https://bmjgroup.com/retraction-notice-of-previously-press-released-research-2/) - The research “Acupuncture for low back and/or pelvic pain during pregnancy: a systematic review and meta-analysis of randomised controlled trials,” published in the open access journal BMJ Open in 2022, has been retracted. This research was press released in November 2022 under the title of “Acupuncture can relieve lower back/pelvic pain often experienced during pregnancy.” Following publication
- [Rise in global number of patient harms from 11 million to 18 million (59%) in 30 years](https://bmjgroup.com/rise-in-global-number-of-patient-harms-from-11-million-to-18-million-59-in-30-years-2/) - Outpacing 45% increase in world’s population during the same period (1990-2019) Older people worldwide bear the brunt, with steepest rise among 65-69 year olds The proportion of patient harms associated with medical procedures, treatment, and contact with healthcare systems rose by 59%, from 11 million to 18 million globally between 1990 and 2019, finds a
- [Revealed: tricks used by opioid giant to mould doctors’ minds](https://bmjgroup.com/revealed-tricks-used-by-opioid-giant-to-mould-doctors-minds/) - Experts find “smorgasbord of tactics” used to boost sales during opioid addiction epidemic Opioid giant Mallinckrodt, selling more than Purdue Pharma in the US, was forced by the courts to publish more than 1.3 million internal documents. In The BMJ today, researchers Sergio Sismondo and Maud Bernisson sift through nearly 900 contracts which together reveal a carefully
- [Facial thermal imaging + AI accurately predict presence of coronary artery disease](https://bmjgroup.com/facial-thermal-imaging-ai-accurately-predict-presence-of-coronary-artery-disease/) - Non-invasive, real-time approach more effective than conventional methods Testing now required on larger and more diverse numbers of patients, say researchers A combination of facial thermal imaging and artificial intelligence (AI) can accurately predict the presence of coronary artery disease, finds research published in the open access journal BMJ Health & Care Informatics. This non-invasive real-time
- [High excess death rates in the West for 3 years running since start of pandemic](https://bmjgroup.com/high-excess-death-rates-in-the-west-for-3-years-running-since-start-of-pandemic/) - Despite containment and COVID-19 jabs; “serious cause for concern,” say researchers Excess death rates have remained high in the West for three years running since the start of the COVID-19 pandemic, finds a data analysis of 47 countries published in the open access journal BMJ Public Health. This is despite the implementation of various containment measures
- [Inflight alcohol + cabin pressure may threaten sleeping passengers’ heart health](https://bmjgroup.com/inflight-alcohol-cabin-pressure-may-threaten-sleeping-passengers-heart-health/) - Combo lowers blood oxygen and raises heart rate, even in young and healthy May be time to consider restricting access to alcohol on long haul flights, say researchers The combination of alcohol plus cabin pressure at cruising altitude may threaten sleeping plane passengers’ heart health, particularly on long haul flights, suggests the first study of
- [Likelihood of kids and young people smoking and vaping linked to social media use](https://bmjgroup.com/likelihood-of-kids-and-young-people-smoking-and-vaping-linked-to-social-media-use/) - 7+ daily hours associated with more than doubling in risk among 10 to 25 year olds Findings reinforce concerns about marketing clout of these platforms, say researchers The more time spent on social media, the greater the likelihood that children and young people will both smoke and/or vape, suggests research published online in the respiratory
- [Some teen girls clocking up close to 6 smartphone hours/day, Finnish study finds](https://bmjgroup.com/some-teen-girls-clocking-up-close-to-6-smartphone-hours-day-finnish-study-finds/) - Proportion may be ‘addicted’ to social media and have poorer mental health and wellbeing Some teenage girls are clocking up close to 6 hours a day on their smartphones, with a significant proportion of them likely addicted to social media, finds research published online in the journal Archives of Disease in Childhood. Social media addiction was
- [Cass review on gender medicine “largely ignored” in the US](https://bmjgroup.com/cass-review-on-gender-medicine-largely-ignored-in-the-us/) - Many US professional bodies stand by their “gender affirming” recommendations Cass does not seem to be penetrating the public consciousness, says expert The newly released Cass Review on transgender care for young people has been pivotal in the UK, where the prescription of puberty “blocking” drugs outside of research protocols has now ceased. But in
- [30-year US study links ultra-processed food to higher risk of early death](https://bmjgroup.com/30-year-us-study-links-ultra-processed-food-to-higher-risk-of-early-death/) - Not all ultra-processed foods should be universally restricted, but findings support limiting certain types for long term health Higher consumption of most ultra-processed foods is linked to a slightly higher risk of death, with ready-to-eat meat, poultry, and seafood based products, sugary drinks, dairy based desserts, and highly processed breakfast foods showing the strongest associations, finds
- [Journal retracts 6 further articles and corrects 2 others authored by former editor](https://bmjgroup.com/journal-retracts-6-further-articles-and-corrects-2-others-authored-by-former-editor/) - These conclude BMJ’s investigation into research integrity issues concerning Paul McCrory The British Journal of Sports Medicine has retracted six further articles authored by former editor, Dr Paul McCrory, and corrected another two, following an extensive investigation of his sole authored content in the journal. The retractions comprise four ‘warm up’ editorials and one book review
- [New study shows continued high effectiveness of HPV vaccination in England](https://bmjgroup.com/new-study-shows-continued-high-effectiveness-of-hpv-vaccination-in-england/) - Substantially reduced rates seen across all socioeconomic groups The human papillomavirus (HPV) vaccination programme in England has not only been associated with a substantial reduction in cervical disease, but has done so in all socioeconomic groups, finds a study published by The BMJ today. Although women living in the most deprived areas are still at higher risk
- [Updated medical guidance on “excited delirium” brought forward](https://bmjgroup.com/updated-medical-guidance-on-excited-delirium-brought-forward/) - Tide turning against controversial term accused of covering up deaths in police custody Updated medical guidance on excited delirium, the controversial term accused of covering up deaths in police custody, including that of George Floyd, is being brought forward before its scheduled date of October 2025, reports The BMJ today. The move comes as attitudes towards the
- [Suspended climate activist GP will not stop protesting](https://bmjgroup.com/suspended-climate-activist-gp-will-not-stop-protesting/) - Activism is in keeping with a doctor’s mission to promote health and save lives, argues Dr Sarah Benn Last month, Dr Sarah Benn became the first doctor to be suspended from the medical register after being convicted and jailed for actions relating to climate activism. In an interview with The BMJ today, she says the activism that
- [Under 4-minute milers’ longevity shows that extreme exercise doesn’t seem to curb lifespan](https://bmjgroup.com/under-4-minute-milers-longevity-shows-that-extreme-exercise-doesnt-seem-to-curb-lifespan/) - They outlive general public by several years, shows study of first 200 to achieve this feat Extreme exercise doesn’t seem to shorten the lifespan as is widely believed, suggest the findings of a study on the longevity of the first 200 athletes to run a mile in under 4 minutes, and published online in the British
- [The BMJ investigates financial entanglements between FDA chiefs and the drug industry](https://bmjgroup.com/the-bmj-investigates-financial-entanglements-between-fda-chiefs-and-the-drug-industry/) - Journal questions current rules governing financial holdings by FDA commissioners An investigation published by The BMJ today raises concerns about financial entanglements between US Food and Drug Administration (FDA) chiefs and the drug and medical device companies they are responsible for regulating. Regulations prohibit FDA employees from holding financial interests in any FDA “significantly regulated organisation” and
- [Epidural linked to reduction in serious complications after childbirth](https://bmjgroup.com/epidural-linked-to-reduction-in-serious-complications-after-childbirth/) - Expanding access to epidural analgesia could improve maternal health, say researchers Having an epidural during labour is associated with a marked reduction in serious complications in the first few weeks after giving birth, finds a study published by The BMJ today. Doctors refer to these complications as severe maternal morbidity (SMM), which can include heart attack, heart
- [Pedestrians may be twice as likely to be hit by electric/hybrid cars as petrol/diesel ones](https://bmjgroup.com/pedestrians-may-be-twice-as-likely-to-be-hit-by-electric-hybrid-cars-as-petrol-diesel-ones/) - Risk greater in urban areas, finds study of casualty rates in Great Britain 2013-17 Mitigation of this hazard needed amid phase-out of fossil-fuelled vehicles, urge researchers Pedestrians may be twice as likely to be hit by an electric or hybrid car as those powered by petrol or diesel, finds a study of 2013-17 casualty rates
- [Regular fish oil supplement use might boost first time heart disease and stroke risk](https://bmjgroup.com/regular-fish-oil-supplement-use-might-boost-first-time-heart-disease-and-stroke-risk/) - But may slow progression of existing poor cardiovascular health and lessen risk of death Regular use of fish oil supplements might increase, rather than lessen, the risk of first time heart disease and stroke among those in good cardiovascular health, but may slow progression of existing poor cardiovascular health and lower the risk of death,
- [Sexual minority families fare as well as, and in some ways better than, ‘traditional’ ones](https://bmjgroup.com/sexual-minority-families-fare-as-well-as-and-in-some-ways-better-than-traditional-ones/) - Parents’ sexual orientation not important determinant of children’s development Sexual minority families—where parental sexual orientation or gender identity is considered outside cultural, societal, or physiological norms—fare as well as, or better than, ‘traditional’ families with parents of the opposite sex, finds a pooled data analysis of the available evidence, published in the open access journal BMJ
- [Gender dysphoria is rising—and so is professional disagreement](https://bmjgroup.com/gender-dysphoria-is-rising-and-so-is-professional-disagreement/) - Gender dysphoria in young people is rising—and so is professional disagreement Is there an evidence-based standard of care in the US? More children and adolescents are identifying as transgender and offered medical treatment, especially in the US. But some providers and European authorities are urging caution because of a lack of strong evidence. In a
- [Little evidence that IVF conception heightens future pregnancy risks](https://bmjgroup.com/little-evidence-that-ivf-conception-heightens-future-pregnancy-risks/) - Social factors may explain fewer pregnancies than among naturally conceived peers There’s little evidence to suggest that children conceived as a result of fertility treatment are at any greater risk of pregnancy complications or worse birth outcomes than their naturally conceived peers, finds a long term study, published in the open access journal BMJ Medicine. Although
- [Infants of mothers given opioids after birth are at low risk of harm](https://bmjgroup.com/infants-of-mothers-given-opioids-after-birth-are-at-low-risk-of-harm/) - Findings provide reassuring evidence for doctors and parents, say researchers Infants born to mothers prescribed opioids after delivery, mostly after a caesarean, are at no greater risk of harm shortly after birth than infants of mothers not prescribed opioids, finds a large study from Canada published by The BMJ today. These findings should reassure clinicians and parents
- [Early life abuse may be linked to greater risk of adult premature death](https://bmjgroup.com/early-life-abuse-may-be-linked-to-greater-risk-of-adult-premature-death/) - Findings highlight importance of trauma care for those who have experienced child abuse, say researchers Physical and sexual abuse in childhood and adolescence could be associated with a greater risk of adult premature death (before age 70), finds research published by The BMJ today. This study extends and refines the existing evidence in this area,
- [Common ENT issues in pre-schoolers may be linked to autism](https://bmjgroup.com/common-ent-issues-in-pre-schoolers-may-be-linked-to-autism/) - Early identification and treatment of these conditions may improve their quality of life Young children with common ear, nose, and throat (ENT) issues may be at subsequent risk of autism or high levels of demonstrable autism traits, suggests research published online in the open access journal BMJ Open. Early identification and treatment of ENT conditions may
- [Breastfeeding for longer may be linked to better exam results in later life](https://bmjgroup.com/breastfeeding-for-longer-may-be-linked-to-better-exam-results-in-later-life/) - Longer duration of breastfeeding associated with modest gains in academic achievement in teenage years, study suggests Children who are breastfed for longer appear to be more likely to gain slightly better results in their school GSCEs at age 16 compared with non-breastfed children, suggests a study published online in the journal Archives of Disease in Childhood.
- [Steady rise in children’s firearm injuries over past 5 years](https://bmjgroup.com/steady-rise-in-childrens-firearm-injuries-over-past-5-years/) - Current prevention strategies failing to stem tide of violence; redoubling of efforts needed The rate of children’s firearm injuries has risen steadily over the past 5 years, and particularly after the stay at home order took effect during the pandemic, reveals an audit of these injuries in the Chicago metropolitan area, published in the open
- [Age of those with gender dysphoria is falling](https://bmjgroup.com/age-of-those-with-gender-dysphoria-is-falling/) - And it’s lower for those assigned female sex at birth than those assigned male The age of those who are distressed because of a mismatch between their biological sex and their gender identity—known as gender dysphoria—has been steadily falling, reveals research published in the open access journal General Psychiatry. And it’s lower for those assigned female
- [Mediation's role in disputes about child’s medical treatment questioned](https://bmjgroup.com/mediations-role-in-disputes-about-childs-medical-treatment-questioned/) - Might have avoided only just under half of these court cases since 1990 in England and Wales The role of mediation in preventing disputes between parents and doctors about a seriously ill child’s medical treatment from escalating to litigation may be more limited than hoped for, suggests an analysis of rulings, published online in the Archives
- [Experts alarmed as free Barbies given to UK primary schools to teach social skills](https://bmjgroup.com/experts-alarmed-as-free-barbies-given-to-uk-primary-schools-to-teach-social-skills/) - Initiative raises questions about whether companies should be able to freely market their products in schools Toy company Mattel has been criticised for “stealth marketing” after giving away free Barbie and Ken dolls to schools as part of a programme to teach empathy to children, finds an investigation published by The BMJ today. Investigative journalist Hristio Boytchev reports
- [Virtual/augmented reality playkit eases kids’ and parents’ anxieties ahead of MRI scan](https://bmjgroup.com/virtual-augmented-reality-playkit-eases-kids-and-parents-anxieties-ahead-of-mri-scan/) - Curbing need for sedation could boost patient safety, cut costs and waiting times, suggest researchers Giving children a virtual/augmented (mixed) reality playkit to use ahead of an MRI (magnetic resonance imaging) scan seems to ease both their and their parents’ anxieties about this procedure, suggest preliminary findings published in the open access journal BMJ Innovations. Reducing
- [Older siblings and childhood tonsil removal linked to heightened risk of inflammatory arthritis](https://bmjgroup.com/older-siblings-and-childhood-tonsil-removal-linked-to-heightened-risk-of-inflammatory-arthritis/) - Strengthens theory that childhood infections influence ankylosing spondylitis development Having older siblings and childhood tonsil removal are linked to a heightened risk of ankylosing spondylitis, a type of chronic inflammatory arthritis, finds a large study published in the open access journal RMD Open. The findings lend weight to the theory that childhood infections have a role
- [Young vapers at risk of bronchitis + shortness of breath](https://bmjgroup.com/young-vapers-at-risk-of-bronchitis-shortness-of-breath/) - Respiratory effects of vapes should be included in regulation, say researchers Young vapers are at risk of bronchitic symptoms and shortness of breath, even if they, or others around them, smoke cigarettes or cannabis, suggests research published online in the journal Thorax. The findings prompt the US researchers to call for the respiratory effects of vaping products
- [Social media use linked to risky health behaviours in young people](https://bmjgroup.com/social-media-use-linked-to-risky-health-behaviours-in-young-people/) - Exposure to content such as alcohol advertising had strongest evidence of harm Social media use is associated with risky health behaviours in young people including increased alcohol, drug and tobacco use, anti-social behaviour, risky sexual behaviours and gambling, finds a review of the latest evidence published by The BMJ today. Exposure to risky health behaviour content on
- [Strip searching a child without appropriate consent is “sexual abuse,” insists expert](https://bmjgroup.com/strip-searching-a-child-without-appropriate-consent-is-sexual-abuse-insists-expert/) - Heavy sanctions needed for police officers who do this, backed up by legislation, he says Strip searching a child without appropriate consent is “sexual abuse,” and should attract heavy sanctions—backed up by legislation—for any UK police officer who does it, insists a leading paediatrician in an opinion piece, published online in the Archives of Disease in
- [Video gamers worldwide may be risking irreversible hearing loss and/or tinnitus](https://bmjgroup.com/video-gamers-worldwide-may-be-risking-irreversible-hearing-loss-and-or-tinnitus/) - Studies suggest game sound levels often near, or exceed, permissible safe limits Greater public health efforts needed to raise awareness of potential risks, urge researchers Video gamers worldwide may be risking irreversible hearing loss and/or tinnitus—persistent ringing/buzzing in the ears—finds a systematic review of the available evidence, published in the open access journal BMJ Public Health.
- [Grade difficulty of skatepark features like ski runs to curb fall risk, say researchers](https://bmjgroup.com/grade-difficulty-of-skatepark-features-like-ski-runs-to-curb-fall-risk-say-researchers/) - Flips, jumps, turns on flat ground; quarter pipe and ramp moves pose highest risk at all ages To curb the risk of falls, it may be worth grading skateboard parks like ski runs according to the popularity of the metal and concrete features they contain and the level of expertise required, conclude researchers in the
- [Study sheds more light on long term developmental risks of preterm birth](https://bmjgroup.com/study-sheds-more-light-on-long-term-developmental-risks-of-preterm-birth/) - Higher risks faced by these children and their families should not be underestimated, say researchers Children born moderately (32-33 weeks) or late preterm (34-36 weeks) have higher long term risks of neurodevelopmental difficulties that can affect their behaviour and ability to learn, finds a study of over one million children published by The BMJ today. As these
- [Energy drinks linked to poor sleep quality and insomnia among college students](https://bmjgroup.com/energy-drinks-linked-to-poor-sleep-quality-and-insomnia-among-college-students/) - The higher the consumption frequency, the fewer hours of nightly shut eye they clock up But even just the occasional can is linked to heightened risk of disturbed sleep Knocking back energy drinks is linked to poor quality sleep and insomnia among college students, finds a large Norwegian study published in the open access journal BMJ
- [Evidence for puberty blockers and hormone treatment for gender transition wholly inadequate](https://bmjgroup.com/evidence-for-puberty-blockers-and-hormone-treatment-for-gender-transition-wholly-inadequate/) - Most clinical guidelines currently in use aren’t evidence based either Gender medicine “built on shaky foundations,” says Dr Hilary Cass in The BMJ The evidence on the use of puberty blockers and hormones for children and young people experiencing gender related distress is wholly inadequate, making it impossible to gauge their effectiveness or their impact
- [Children born in October least likely to get flu](https://bmjgroup.com/children-born-in-october-least-likely-to-get-flu/) - Results suggest October is the best time for young children to have annual flu shot Children born in October are both more likely to be vaccinated against influenza and least likely to be diagnosed with influenza compared with children born in other months, finds a US study published by The BMJ today. The results suggest that birth
- [Living at higher altitudes in India linked to increased risk of childhood stunting](https://bmjgroup.com/living-at-higher-altitudes-in-india-linked-to-increased-risk-of-childhood-stunting/) - Children living at 2000+ m above sea level 40% more at risk than those living 1000m below Children in rural areas seem to be the most vulnerable Living at higher altitudes in India is linked to an increased risk of stunted growth, with children living in homes 2000 metres or more above sea level 40%
- [Significant gaps in UK public awareness of tell-tale cancer signs in kids and teens](https://bmjgroup.com/significant-gaps-in-uk-public-awareness-of-tell-tale-cancer-signs-in-kids-and-teens/) - Just 1 in 3 adult survey respondents felt confident in recognising symptoms Findings indicate need for initiatives to plug this knowledge gap, say researchers There are significant gaps in the UK public’s awareness of the tell-tale signs and symptoms of cancer in children and teens, with just a third of adults expressing confidence in being
- [Experts urge kids’ comic the Beano to stop promoting junk food brands](https://bmjgroup.com/experts-urge-kids-comic-the-beano-to-stop-promoting-junk-food-brands/) - Many of the comic’s online quizzes revolve around food high in fat, salt and sugar Experts call it “incredibly irresponsible” and want the company to change its policy The website of the UK children’s comic the Beano describes itself as “100% safe for children” - but is its junk food-related content doing more harm than
- [Fastest growth in childhood overweight/obesity in England among 11-15 year olds](https://bmjgroup.com/fastest-growth-in-childhood-overweight-obesity-in-england-among-11-15-year-olds/) - Prevalence has risen from just under 30% in 1995 to 38% in 2019 amid widening inequalities The fastest and highest growth in the prevalence of childhood obesity in England has been among 11-15 year olds, rising from 30% in 1995 to 38% in 2019, finds a detailed analysis of national data, published online in the Archives
- [UK soft drinks levy linked to fall in child hospital admissions for tooth extraction](https://bmjgroup.com/uk-soft-drinks-levy-linked-to-fall-in-child-hospital-admissions-for-tooth-extraction/) - 2018 legislation may have saved more than 5,500 hospital admissions for tooth extractions The UK soft drinks industry levy introduced in 2018 may have reduced the number of under 18s having a tooth removed due to tooth decay by 12%, suggests research published in the open access journal BMJ Nutrition, Prevention & Health. The fall in
- [High quality diet in early life may curb subsequent inflammatory bowel disease risk](https://bmjgroup.com/high-quality-diet-in-early-life-may-curb-subsequent-inflammatory-bowel-disease-risk/) - Diet rich in fish and veg, low in sugar-sweetened drinks at age of 1 may be key to protection May be time for doctors to recommend ‘preventive’ diet for infants, editorialist suggests A high quality diet at the age of 1 may curb the subsequent risk of inflammatory bowel disease, suggests a large long term
- [Frequent teen vaping might boost risk of toxic lead and uranium exposure](https://bmjgroup.com/frequent-teen-vaping-might-boost-risk-of-toxic-lead-and-uranium-exposure/) - Potentially harmful to brain and organ development, suggest researchers Findings underscore need for implementation of regulations and targeted prevention Frequent teen vaping might boost the risk of exposure to lead and uranium, potentially harming brain and organ development, suggests research published online in the journal Tobacco Control. The findings underscore the need for implementation of regulations
- [Avoid cannabis during adolescence, pregnancy and while driving, say experts](https://bmjgroup.com/avoid-cannabis-during-adolescence-pregnancy-and-while-driving-say-experts/) - Links to poor mental health, car crashes, and harm to unborn children, but cannabis compounds can help with epilepsy and chronic pain Experts recommend avoiding cannabis during adolescence and early adulthood, in people prone to or with mental health disorders, in pregnancy, and before and while driving, based on an in-depth evidence review published by The
- [Mums with SLE at double the risk of premature or growth restricted babies](https://bmjgroup.com/mums-with-sle-at-double-the-risk-of-premature-or-growth-restricted-babies/) - And nearly 4 times as likely to need blood transfusion during delivery as mums without SLE Mothers with the long term autoimmune disorder, systemic lupus erythematosus, or SLE for short, run more than double the risk of giving birth to a premature or growth restricted baby, finds a 10-year nationwide audit of hospital admissions records
- [Premature birth linked to poorer school grades in adolescence](https://bmjgroup.com/premature-birth-linked-to-poorer-school-grades-in-adolescence/) - But differences in brain function may be driven more by social environment than birth age, note researchers Premature birth, before 34 weeks of pregnancy, is linked to lower scores in maths and language tests as a teenager compared with those born at 40 weeks, finds a large Danish population study published today in The BMJ.
- [Air pollution linked to higher mental health service use by people with dementia](https://bmjgroup.com/air-pollution-linked-to-higher-mental-health-service-use-by-people-with-dementia/) - Cutting levels of nitrogen dioxide and particulate matter might reduce demand in urban areas …And help free up resources in overstretched psychiatric services, suggest researchers Exposure to relatively high levels of air pollution is linked to increased use of community mental health services by people with dementia, finds a large long term study focusing on
- [Age when periods first start and early menopause linked to heightened COPD risk](https://bmjgroup.com/age-when-periods-first-start-and-early-menopause-linked-to-heightened-copd-risk/) - Miscarriage, stillbirth, infertility, and having 3 or more children additional risk factors A range of reproductive factors, including age when periods first start and an early menopause, are all linked to a heightened risk of COPD—the umbrella term for progressive lung conditions that cause breathing difficulties—finds research published online in the journal Thorax. Miscarriage, stillbirth, infertility,
- [WHO director praises London’s ULEZ expansion as politically courageous](https://bmjgroup.com/who-director-praises-londons-ulez-expansion-as-politically-courageous/) - Exclusive interview with WHO’s Maria Neira for The BMJ’s special climate issue Journal editors say our response to the climate emergency “requires courage, collaboration, and the wisdom to learn from others” London mayor Sadiq Khan’s efforts to expand the capital’s Ultra Low Emission Zone (ULEZ) as part of a push to reduce air pollution and
- [Air pollution from fossil fuel use accounts for over 5 million extra deaths a year](https://bmjgroup.com/air-pollution-from-fossil-fuel-use-accounts-for-over-5-million-extra-deaths-a-year/) - New estimates suggest that phasing out fossil fuels might have a greater impact on global deaths than previously thought Air pollution from using fossil fuels in industry, power generation, and transportation accounts for 5.1 million extra deaths a year worldwide, finds a new modelling study published by The BMJ today. This equates to 61% of a
- [Plastic pollution from cigarette butts likely costs US$26 billion/year](https://bmjgroup.com/plastic-pollution-from-cigarette-butts-likely-costs-us26-billion-year/) - Relatively small compared with overall toll of tobacco, but costs cumulative and preventable Bans on single use plastics increasingly common, but tobacco sources overlooked The costs of environmental pollution caused by plastics in cigarette butts and packaging amount to an estimated US$26 billion every year or US$186 billion every 10 years—adjusted for inflation—in waste management
- [Doctors get tips on how to make healthcare greener](https://bmjgroup.com/doctors-get-tips-on-how-to-make-healthcare-greener/) - New series offers practical actions health workers can take to help reach net zero Cutting nitrous oxide waste in hospitals, switching to reusable vaginal speculums for cervical screening, and prescribing tablets over intravenous drugs are just some of the tangible actions doctors can take to reduce the carbon footprint of healthcare. If global healthcare were
- [Concerted efforts urgently needed to meet 2030 Global Alcohol Action Plan targets](https://bmjgroup.com/concerted-efforts-urgently-needed-to-meet-2030-global-alcohol-action-plan-targets/) - Failure spells “dire consequences” for low/middle income countries, warn health scientists Concerted international efforts are urgently needed to meet the targets set out in the 2030 Global Alcohol Action Plan (GAAP) and avert “dire consequences” for low and middle income countries, where alcohol markets are expanding, warn health scientists in the open access journal BMJ Global
- [Air pollution linked to increased hospital admission for major heart and lung diseases](https://bmjgroup.com/air-pollution-linked-to-increased-hospital-admission-for-major-heart-and-lung-diseases/) - Two new studies suggest no safe air quality threshold exists for heart and lung health Short and long term exposure to fine particulate matter (PM2.5) air pollution is linked to an increased risk of hospital admission for major heart and lung diseases, find two large US studies, published by The BMJ today. Together, the results suggest that
- [Air quality around planned new schools in England “alarmingly poor”](https://bmjgroup.com/air-quality-around-planned-new-schools-in-england-alarmingly-poor/) - Most (86%) sites exceed WHO air quality targets for major pollutants, analysis reveals Make air quality assessment mandatory to protect children’s health, urge researchers The air quality around planned new schools in England is “alarmingly poor,” with 86% of sites exceeding World Health Organization (WHO) targets on major air pollutants, reveals an analysis published online
- [Exposure to fine particle air pollution linked to heightened dementia risk](https://bmjgroup.com/exposure-to-fine-particle-air-pollution-linked-to-heightened-dementia-risk/) - Uncertainties remain, but results add to evidence that air pollutants are risk factors for dementia Exposure to fine particulate matter (PM2.5) air pollution is linked to a heightened risk of dementia, even at levels below current US, UK and European air quality standards, finds research published by The BMJ. More limited data suggests that exposure
- [Poorly controlled asthma emits same quantity of greenhouse gas as 124,000 homes each year in the UK](https://bmjgroup.com/poorly-controlled-asthma-emits-same-quantity-of-greenhouse-gas-as-124000-homes-each-year-in-the-uk/) - Improving care of asthma patients could help NHS meet its net zero target, say researchers Patients whose asthma is poorly controlled have eight times excess greenhouse gas emissions compared with those whose condition is well controlled—equivalent to that produced by 124,000 homes each year in the UK—indicates the first study of its kind, published online
- [BMJ Best Practice Comorbidities Manager now available across NHS Wales](https://bmjgroup.com/bmj-best-practice-comorbidities-manager-now-available-across-nhs-wales/) - NHS Wales e-Library has extended their national subscription to BMJ Best Practice to include the Comorbidities Manager for all NHS Wales health and care professionals. In the UK alone, one in three patients admitted to hospital as an emergency have five or more conditions. This poses a significant challenge for healthcare professionals. Clinical guidelines often
- [BMJ Group signs its first Read and Publish agreement in the US](https://bmjgroup.com/bmj-signs-its-first-read-and-publish-agreement-in-the-u-s/) - BMJ signs its first Read and Publish agreement in the U.S. BMJ has announced the expansion of its open access offering to include an exclusive 'Read and Publish agreement' with Michigan State University Libraries. 6 March 2023—Leading global healthcare knowledge provider, BMJ, has entered into its first Read and Publish agreement in the United States
- [BMJ Best Practice is available across the Republic of Ireland for the third year running](https://bmjgroup.com/bmj-best-practice-is-available-across-the-republic-of-ireland-for-the-third-year-running/) - March 2023-- Following the success of our partnership, we are delighted to announce that Health Library Ireland (HLI) has extended their national subscription to BMJ Best Practice for the third year running, to provide clinical and patient education information to everyone in the Republic of Ireland, including Health Service Executive (HSE) healthcare professionals. BMJ Best
- [BMJ Impact Analytics receives Gold Award from ALPSP](https://bmjgroup.com/bmj-impact-analytics-receives-gold-award-from-alpsp/) - London, UK – 19 January 2023 - BMJ Impact Analytics has scooped this year's Innovation Award at the prestigious Association Of Learned and Professional Society Publishers (ALPSP) Annual Awards. This award recognises a product, service, technology, business model or project which is both innovative and of significant value to scholarly communication. BMJ Impact Analytics, launched
- [BMJ Group expands open access offering across Europe](https://bmjgroup.com/bmj-expands-open-access-offering-across-europe/) - BMJ expands open access offering across Europe with three Read and Publish agreements in France Leading healthcare knowledge provider BMJ partners with Hospices Civils de Lyon, Université Côte d'Azur, and Université de Bordeaux to support open access publishing and advance healthcare research June 2023—leading global healthcare knowledge provider, BMJ, is expanding its open access offering across
- [BMJ Best Practice made available in Portugal](https://bmjgroup.com/bmj-best-practice-made-available-in-portugal/) - January 2024--BMJ, a global healthcare knowledge provider, is pleased to announce that BMJ Best Practice is now available in Portugal under a new partnership between BMJ and Centro Hospitalar e Universitário de Coimbra – ULS. Under this new agreement, BMJ will offer health professionals working in Centro Hospitalar e Universitário de Coimbra – ULS in
- [BMJ Group continues its pivotal partnership with NHS England for a further three years](https://bmjgroup.com/bmj-continues-its-pivotal-partnership-with-nhs-england-for-a-further-three-years/) - November 2023 – BMJ, a global healthcare knowledge provider, is pleased to announce that it has been awarded two contracts as part of the National Core Content collection for the NHS in England. National Core Content (NCC) is a suite of essential digital knowledge resources that support patient care, service improvement, research and personal development
- [BMJ Impact Analytics now available at Baylor College of Medicine](https://bmjgroup.com/bmj-impact-analytics-now-available-at-baylor-college-of-medicine/) - BMJ, a global healthcare knowledge provider, is pleased to announce that award-winning* BMJ Impact Analytics is available at Baylor College of Medicine. Under this new agreement, Baylor College of Medicine (BCM) will have access to BMJ Impact Analytics, the first research impact tool focused on health and social care, reinforcing the university’s commitment to supporting
- [BMJ Impact Analytics is now available to all Bibliosan members](https://bmjgroup.com/bmj-impact-analytics-is-now-available-to-all-bibliosan-members/) - Corporate announcement - 16 April 2024 BMJ, a global healthcare knowledge provider, is pleased to announce that award-winning* BMJ Impact Analytics is available to all institutions within Italy's national healthcare and research consortium, Bibliosan. Under this new agreement, Bibliosan will have access to BMJ Impact Analytics, the first research impact tool focused on health and
- [New agreement between BMJ Impact Analytics and the Office of Health Economics (OHE) announced](https://bmjgroup.com/new-agreement-between-bmj-impact-analytics-and-the-office-of-health-economics-ohe-announced/) - BMJ corporate announcement 25 April 2024 The agreement is set to enhance how the real-world impact of OHE’s health economic research is assessed. April, 2024– Leading global healthcare knowledge provider, BMJ, and the Office of Health Economics (OHE) are delighted to announce that the award-winning* BMJ Impact Analytics, will now be available to researchers at
- [Black men more likely to die after surgery than White men, or women of either race](https://bmjgroup.com/black-men-more-likely-to-die-after-surgery-than-white-men-or-women-of-either-race/) - Unequal post-surgery death rate mainly applies to planned surgeries Findings highlight the need for better understanding of the challenges facing Black men requiring surgery in the US Black men have a higher death rate within 30 days of surgery compared with any other subgroup of race and sex, finds a study of adults in the
- [The NHS paid private hospitals £2bn in the pandemic but some treated more private patients than NHS ones](https://bmjgroup.com/the-nhs-paid-private-hospitals-2bn-in-the-pandemic-but-some-treated-more-private-patients-than-nhs-ones/) - New data shows some private hospitals treated few inpatients Experts are questioning why NHS England bought up private hospital’s entire capacity rather than paying for activity that was delivered Private hospitals were paid around £2bn to help the NHS during the first year of the covid pandemic. But an investigation by The BMJ has found
- [Decades of conflict in Iraq have fuelled rise in antibiotic resistance](https://bmjgroup.com/decades-of-conflict-in-iraq-have-fuelled-rise-in-antibiotic-resistance/) - Decades of conflict in Iraq have fuelled “catastrophic” rise in antibiotic resistance Serious implications for the entire region and the world, warn experts Destroyed healthcare infrastructure, medicine shortages, limited resources, heavy metal contamination, poor sanitation likely to blame Decades of wars and conflict in Iraq have led to a “catastrophic” rise in antibiotic resistance in
- [Ending GP performance pay in Scotland linked to decline in quality of some care](https://bmjgroup.com/ending-gp-performance-pay-in-scotland-linked-to-decline-in-quality-of-some-care/) - More work needed to better understand what happens when pay for performance is withdrawn, say experts Ending performance related payments for NHS GPs in Scotland was associated with a decline in the quality of some aspects of care compared with England where financial incentives have continued, finds a study published by The BMJ today. The
- [Annual tap water scald burns in US exact high personal and financial costs](https://bmjgroup.com/annual-tap-water-scald-burns-in-us-exact-high-personal-and-financial-costs/) - More than US$500 for each emergency care visit;US$28,000+ for each inpatient stay Thermostatic mixing valves for all new water heaters should now be considered, say researchers Tap water scald burns exact high personal and financial costs every year in the US, finds an audit of relevant national data, published online in the journal Injury Prevention. The
- [Health worker shortages strongly linked to excess deaths](https://bmjgroup.com/health-worker-shortages-strongly-linked-to-excess-deaths/) - Especially from neglected tropical diseases and malaria, maternal and neonatal disorders, diabetes and kidney diseases Shortages of health workers such as doctors, nurses and midwifery staff are strongly associated with higher death rates, especially for certain diseases such as neglected tropical diseases and malaria, pregnancy and birth complications, diabetes and kidney diseases, finds an analysis
- [NHS “flying blind” in attempt to tackle ethnic inequalities in care, warns expert](https://bmjgroup.com/nhs-flying-blind-in-attempt-to-tackle-ethnic-inequalities-in-care-warns-expert/) - Higher quality data needed to understand and address “stark and persistent” inequalities across the life course The NHS will be “flying blind” in its attempts to meet its legal, and moral, obligation to eliminate ethnic inequalities in health and care until longstanding problems with the quality of ethnicity data are resolved, warns an expert in The BMJ today. Inequalities
- [Women and non-white groups still missing out on top US research prize](https://bmjgroup.com/women-and-non-white-groups-still-missing-out-on-top-us-research-prize/) - Among Lasker award winners of last 70 years, only 8% have been women and only 4% have been non-white individuals Researchers call for more transparency around the entire awards process The number of women and non-white people in academic medicine and biomedical research continues to increase, yet the proportion of women among Lasker Award recipients has not changed in more
- [More doctors in England and Wales choosing to retire early](https://bmjgroup.com/more-doctors-in-england-and-wales-choosing-to-retire-early/) - Number of GPs and hospital doctors opting for voluntary early retirement has increased by an average of 9%+ a year since 2008 Increasing numbers of doctors are opting to take voluntary early retirement, rather than waiting to claim their pension at retirement age, official figures show. Figures provided to The BMJ by the NHS Business Services Authority
- [New ruling on care of dying will force "machine-related suffering” on some](https://bmjgroup.com/new-ruling-on-care-of-dying-will-force-machine-related-suffering-on-some/) - Progressive step, but ruling still has important shortcomings + missed opportunities, say specialists The newly revised ruling on advance medical directives and withholding/withdrawing medical support for the dying in India will inevitably force some terminally ill patients to “live a life of machine-related suffering” and deprive them of their autonomy and dignity in death, suggest
- [Leading institutions urged to review support for disgraced surgeon](https://bmjgroup.com/leading-institutions-urged-to-review-support-for-disgraced-surgeon/) - It’s time for some of the world’s best hospitals and research institutes to examine their role in the deadly legacy of a stem cell charlatan, say researchers It’s time for some of the world’s best hospitals and research institutes to launch full and independent investigations into their support for disgraced transplant surgeon Paolo Macchiarini, argue
- [The BMJ’s editor-in-chief urges royal colleges to improve transparency on payments](https://bmjgroup.com/the-bmjs-editor-in-chief-urges-royal-colleges-to-improve-transparency-on-payments/) - Academy of Medical Royal Colleges and its members urged to establish a standard for transparently disclosing payments The BMJ’s editor in chief is urging the Academy of Medical Royal Colleges and its members to establish a standard for declaring payments they receive from industry and patient groups in the wake of a recent investigation by The BMJ into
- [Patient aggression towards doctors’ receptionists “serious safety concern”](https://bmjgroup.com/patient-aggression-towards-doctors-receptionists-serious-safety-concern/) - Exerts personal and operational effects, manifest in absenteeism and workforce attrition Patient aggression towards receptionists working in general practice is a “serious workplace safety concern,” concludes a review of the available published evidence, published in the open access journal Family Medicine and Community Health. Not only does it affect the wellbeing of the individuals concerned, but
- [US quietly shuts down controversial wildlife virus hunting program amid safety fears](https://bmjgroup.com/us-quietly-shuts-down-controversial-wildlife-virus-hunting-program-amid-safety-fears/) - Move follows concerns that the $125 million dollar project could inadvertently ignite a pandemic For more than a decade, the US government has been funding international programs engaged in identifying exotic wildlife viruses that might someday infect humans. But today, The BMJ can reveal that a flagship project for hunting viruses among wildlife in Southeast Asia,
- [NHS still reliant on paper notes and drug charts despite electronic upgrades](https://bmjgroup.com/nhs-still-reliant-on-paper-notes-and-drug-charts-despite-electronic-upgrades/) - Continued reliance on paper is less safe and efficient - and difficulties with data sharing is preventing even the most advanced trusts from realising their full potential, The BMJ finds Three quarters of trusts in England that responded to a survey by The BMJ are still reliant on paper patient notes and drug charts, despite progress towards
- [Work stress, workload, understaffing driving out health professionals from NHS](https://bmjgroup.com/work-stress-workload-understaffing-driving-out-health-professionals-from-nhs/) - Pay increases alone may not be sufficient to fix NHS staff retention, researchers suggest Work stress, high workload, and understaffing are the primary factors driving health professionals out of the NHS, suggest the results of a survey published in the open access journal BMJ Open. The findings prompt the researchers to suggest that pay increases alone may not
- [Around 1 in 3 UK medical students plans to leave NHS within 2 years of graduation](https://bmjgroup.com/around-1-in-3-uk-medical-students-plans-to-leave-nhs-within-2-years-of-graduation/) - Pay, work-life balance, and working conditions key drivers for decision, finds survey Around 1 in 3 UK medical students plans to leave the NHS within 2 years of graduating—either to practise abroad or to abandon medicine altogether—suggest the results of the largest survey of its kind, published in the open access journal BMJ Open. Pay, work-life
- [Striking inequalities in provision of life-saving heart valve replacement in England](https://bmjgroup.com/striking-inequalities-in-provision-of-life-saving-heart-valve-replacement-in-england/) - Women, Black and Asian people, and those from deprived areas much less likely to have it There are striking inequalities in the provision of major (aortic) heart valve replacement surgery across England, with women, Black and Asian people, and those living in areas of deprivation much less likely to receive the life-saving procedure, suggests a
- [The BMJ reveals ‘silent scandal’ of missing lung tests across England](https://bmjgroup.com/the-bmj-reveals-silent-scandal-of-missing-lung-tests-across-england/) - Survey finds poorest areas worst affected by ‘postcode lottery’ of diagnostic services Report warns of deadly consequences of delayed diagnosis and access to care Patients in some of the most deprived areas of England, where respiratory conditions including chronic lung disease (COPD) and asthma are most prevalent, have limited or no access to vital diagnostic
- [Cost of living crisis set to cut UK lives short and significantly widen wealth-health gap](https://bmjgroup.com/cost-of-living-crisis-set-to-cut-uk-lives-short-and-significantly-widen-wealth-health-gap/) - Early deaths set to rise by nearly 6.5%, modelling suggests Rate for those in most deprived households 4 times that of least deprived The cost of living crisis is set to cut lives short and significantly widen the wealth and health gap between the richest and poorest sectors of society in Scotland—and elsewhere in the
- [Study examines racial differences in care among older Americans](https://bmjgroup.com/study-examines-racial-differences-in-care-among-older-americans/) - Differences modest, but results highlight need to improve care quality and equity Older Black Americans are more likely to receive low value acute diagnostic tests than older White Americans, while older White Americans were more likely to receive low value screening tests and treatments, finds a study published by The BMJ today. Low value care refers to
- [Critical data gaps on doctor assisted deaths in Oregon amid rise in participants](https://bmjgroup.com/critical-data-gaps-on-doctor-assisted-deaths-in-oregon-amid-rise-in-participants/) - Clinical information often missing; key information on decision-making not even collected There are critical gaps in the data provided on doctor assisted deaths in Oregon, USA, amid rising numbers of participants, finds a review of the process over the past 25 years, published online in the journal BMJ Supportive & Palliative Care. Information on clinical complications
- [Hospitals accused of using foreign doctors as “cheap labour” in fellowship schemes](https://bmjgroup.com/hospitals-accused-of-using-foreign-doctors-as-cheap-labour-in-fellowship-schemes/) - Employment lawyer describes scheme conditions as “exploitative” Trusts say scheme saves money, but also benefits the overseas healthcare structure English hospital trusts have been accused of using foreign doctors as “cheap labour” as part of fellowship schemes in which they can be paid less than trust-employed doctors and sent home if they become pregnant, an
- [Industry payments to physicians linked to use of some non-recommended and low value drugs among cancer patients](https://bmjgroup.com/industry-payments-to-physicians-linked-to-use-of-some-non-recommended-and-low-value-drugs-among-cancer-patients/) - Findings raise quality of care concerns about this common practice, say researchers Patients with cancer whose oncologist receives payments from industry appear more likely to receive some non-recommended and low value treatments, finds a US study published by The BMJ today. This finding raises potential concerns about quality of care, and the researchers say it may be
- [Is the US reporting system for vaccine safety broken?](https://bmjgroup.com/is-the-us-reporting-system-for-vaccine-safety-broken/) - Investigation raises concerns that the system is not operating as intended and signals are being missed A US reporting system designed to detect potential safety issues with vaccines is supposed to be user-friendly, responsive, and transparent. But an investigation published by The BMJ today finds it’s not meeting its own standards. The Vaccine Adverse Event Reporting System (VAERS), co-managed
- [WHO updates its guidance on treatments for covid-19](https://bmjgroup.com/who-updates-its-guidance-on-treatments-for-covid-19/) - New recommendations reflect the evolving nature of the virus and the changing role of covid-19 therapies A panel of international experts representing the World Health Organization’s Guideline Development Group has updated its guidance on treatments for patients with covid-19. The new recommendations published by The BMJ are part of a living guideline, developed by the World Health
- [Four types of animal-to-human infections increasing at “exponential rate”](https://bmjgroup.com/four-types-of-animal-to-human-infections-increasing-at-exponential-rate/) - On current trends, they are collectively set to kill 12 times more people in 2050 than in 2020 Zoonotic epidemics generally have become larger and more frequent over past 60 years Four types of animal-to-human (zoonotic) Infections have been increasing at an “exponential rate,” amid a general pattern of increasingly larger and more frequent ‘spillover’
- [State abortion access key factor in future US doctors’ training (residency) choices](https://bmjgroup.com/state-abortion-access-key-factor-in-future-us-doctors-training-residency-choices/) - Quality of future care provision and their own health important for them, survey shows State access to abortion is a key factor in choosing where to apply for residency (training) programmes for around three out of four future US doctors, indicate the results of a survey published online in the Journal of Medical Ethics. These medical
- [Death rates after surgery similar regardless of patient-surgeon gender match](https://bmjgroup.com/death-rates-after-surgery-similar-regardless-of-patient-surgeon-gender-match/) - Findings should help improve processes and patterns of care for all patients Death rates after major surgery are similar regardless of whether a male or female surgeon operates on a male or female patient, finds a large US study published by The BMJ today. The differences seen were small and not clinically meaningful and the researchers say
- [Size of attainment gap between UK White and minority ethnic medical students varies by ethnicity and medical school](https://bmjgroup.com/size-of-attainment-gap-between-uk-white-and-minority-ethnic-medical-students-varies-by-ethnicity-and-medical-school/) - Minorities significantly disadvantaged by UK medical education system, say researchers Remedial action urgently needed to close gap The size of the gap in academic achievement between White and minority ethnic medical students in the UK varies considerably, depending on their individual ethnicity and which medical school they attended, finds the largest study of its kind,
- [Barbie should expand her range of medical and scientific professions](https://bmjgroup.com/barbie-should-expand-her-range-of-medical-and-scientific-professions/) - While Barbie’s career options have increased in recent decades, there is clearly still room for improvement, say experts Barbie should consider expanding her medical and scientific careers into areas where women and other under-represented groups remain a minority, suggests a study published in the Christmas issue of The BMJ. The ever-popular fashion doll has been everything
- [Doctor Who festive specials linked to lower death rates](https://bmjgroup.com/doctor-who-festive-specials-linked-to-lower-death-rates/) - Study highlights the positive impact of doctors working over the festive period, and may prompt broadcasters to air new Doctor Who episodes each year at Christmas A new Doctor Who episode shown during the festive period, especially on Christmas Day, is associated with lower death rates in the subsequent year across the UK, finds a study published
- [Next government should declare a national health and care emergency](https://bmjgroup.com/next-government-should-declare-a-national-health-and-care-emergency/) - First report of the BMJ Commission on the Future of the NHS calls for an urgent reset for the NHS with a clear long term vision and plan The health service is as relevant today as in the 1940s, but radical change is needed, say experts The government in post after the election should declare
- [Concerns over new laws that could end use of WhatsApp in the NHS](https://bmjgroup.com/concerns-over-new-laws-that-could-end-use-of-whatsapp-in-the-nhs/) - Patient care will suffer, warn doctors UK law changes pose a threat to the security of messaging apps – and therefore their use in the NHS. In The BMJ today, doctors warn that patient care will suffer if they can no longer use apps such asWhatsApp and Signal to share information. In March 2020, in the face
- [Next government must have health equity at its heart, argues top professor](https://bmjgroup.com/next-government-must-have-health-equity-at-its-heart-argues-top-professor/) - Sir Michael Marmot calls on political leaders to set up a national health inequalities strategy With an election looming, the next government must have health equity at its heart to avoid more devastating and avoidable loss of lives, argues Professor Sir Michael Marmot in The BMJ today. In an open letter to party leaders, he points out
- [Hospital coffee machines get a clean bill of health](https://bmjgroup.com/hospital-coffee-machines-get-a-clean-bill-of-health/) - Study suggests a general ban doesn’t seem necessary Healthcare workers will be relieved to know that hospital coffee machines are not responsible for spreading disease and a general ban doesn’t seem necessary, finds a study published in the Christmas issue of The BMJ. In a bid to eliminate hospital acquired (nosocomial) infections, various objects have been
- [Doctors quitting over stress and cost of finding suitable childcare](https://bmjgroup.com/doctors-quitting-over-stress-and-cost-of-finding-suitable-childcare/) - BMJ survey shows many doctor parents find it almost impossible to fit their work in with available childcare options For some, childcare costs are more than they earn Securing suitable childcare for the irregular and long working hours demanded by a medical career is a crippling financial burden and a draining source of stress for
- [Poor quality clinical data informing NICE decisions on treatments in over half of cases](https://bmjgroup.com/poor-quality-clinical-data-informing-nice-decisions-on-treatments-in-over-half-of-cases/) - 20 year analysis shows no improvement in data quality submitted by manufacturers The quality of evidence submitted to the National Institute for Health and Care Excellence (NICE) for informing its decisions to recommend technologies for use in the NHS was poor in more than half of cases, reveals a 20-year analysis, published in the open
- [Minority ethnic NHS staff more likely to face workplace discrimination during pandemic than White colleagues](https://bmjgroup.com/minority-ethnic-nhs-staff-more-likely-to-face-workplace-discrimination-during-pandemic-than-white-colleagues/) - Urgent action needed to redress ongoing health service race inequalities, insist researchers Minority ethnic NHS staff were more likely to face workplace harassment, discrimination, and unavailability of personal protective equipment (PPE) than their White British colleagues during the pandemic, reveals research published online in the journal Occupational & Environmental Medicine. Urgent action is needed to redress
- [Looking after the NHS workforce must be a top priority, say experts](https://bmjgroup.com/looking-after-the-nhs-workforce-must-be-a-top-priority-say-experts/) - The future of the NHS depends on having the right staff who feel valued and proud to work in the health service Looking after the NHS workforce is not only an ethical imperative but also a sound investment and must be a top priority, say experts in the third report of The BMJ Commission on
- [Tackle the social and environmental determinants of health for a prosperous, more resilient society](https://bmjgroup.com/tackle-the-social-and-environmental-determinants-of-health-for-a-prosperous-more-resilient-society/) - Latest BMJ Commission reports call for political and societal commitment to stem the worsening trajectory of health in the UK We must act on the social determinants of health (the conditions in which people are born, grow, live, work, and age) and place sustainability at the core of the NHS’s future to ensure a healthy,
- [Medscape removes education courses for doctors funded by tobacco giant](https://bmjgroup.com/medscape-removes-education-courses-for-doctors-funded-by-tobacco-giant/) - Company acknowledges “misjudgment” following a BMJ investigation, but medics call for a global ban on industry-funded medical education Medical education provider Medscape has bowed to pressure and agreed to permanently remove a series of accredited medical education courses on smoking cessation funded by the tobacco industry giant Philip Morris International (PMI), The BMJ and The Examination have found. The global
- [Aggression towards doctors’ receptionists “serious safety concern”](https://bmjgroup.com/aggression-towards-doctors-receptionists-serious-safety-concern/) - Exerts personal and operational effects, manifest in absenteeism and workforce attrition Patient aggression towards receptionists working in general practice is a “serious workplace safety concern,” concludes a review of the available published evidence, published in the open access journal Family Medicine and Community Health. Not only does it affect the wellbeing of the individuals concerned, but
- [Companies are adopting feminist narratives to influence women’s health](https://bmjgroup.com/companies-are-adopting-feminist-narratives-to-influence-womens-health/) - Women’s health cannot be allowed to be hijacked by vested interests, say experts Feminist health narratives are being co-opted by commercial interests to market new technologies, tests, and treatments that are not backed by evidence, argue researchers in The BMJ today. Dr Tessa Copp at The University of Sydney and colleagues say such marketing behaviour risks harming
- [Common eye infection antibiotic may clear up treatment-resistant STI](https://bmjgroup.com/common-eye-infection-antibiotic-may-clear-up-treatment-resistant-sti/) - Chloramphenicol cleared up Mycoplasma genitalium urethritis in one patient An oral antibiotic tablet used to treat common eye infections may prove an effective medicine for a sexually transmitted bug that has become resistant to usual recommended treatment, suggest doctors in the journal Sexually Transmitted Infections. They successfully treated a young man with Mycoplasma genitalium (non-gonococcal)
- [Frequent visits to green space linked to lower use of certain prescription meds](https://bmjgroup.com/frequent-visits-to-green-space-linked-to-lower-use-of-certain-prescription-meds/) - Lower use of drugs for depression, anxiety, insomnia, high blood pressure, and asthma in city dwellers Findings independent of income and educational attainment Frequent visits to urban green spaces, such as parks and community gardens in Finland, rather than the amount, or views of them from home, may be linked to lower use of certain
- [Frequent use of antibiotics may heighten inflammatory bowel disease risk in over 40s](https://bmjgroup.com/frequent-use-of-antibiotics-may-heighten-inflammatory-bowel-disease-risk-in-over-40s/) - Risk cumulative, and greatest 1-2 years after use and for antibiotics targeting gut infections Frequent use of antibiotics may heighten the risk of inflammatory bowel disease—Crohn’s disease and ulcerative colitis—among the over 40s, suggests research published online in the journal Gut. The risk seems to be cumulative and greatest 1-2 years after use and for
- [Drug prices not justified by industry’s research and development spending](https://bmjgroup.com/drug-prices-not-justified-by-industrys-research-and-development-spending/) - Most industry spending is not on research and development Government action needed to encourage research and development focused on public health priorities High drug prices are not justified by industry’s spending on research and development (R&D), argue experts in The BMJ today. Aris Angelis and colleagues point out that from 1999 to 2018, the world’s
- [Most antidepressants ineffective for common pain conditions](https://bmjgroup.com/most-antidepressants-ineffective-for-common-pain-conditions/) - Overview adds to mounting evidence challenging the use of medicines for pain Some antidepressant drugs are effective for some pain conditions, but most are either ineffective or the evidence is inconclusive, despite being used for a range of pain conditions, finds an overview of the latest evidence published by The BMJ today. Researchers call for
- [Study questions long term beta blocker use for heart attack patients](https://bmjgroup.com/study-questions-long-term-beta-blocker-use-for-heart-attack-patients/) - Accepted clinical practice, but no difference in outcomes in absence of clinical complications The accepted clinical practice of using beta blockers over the long term to curb the risk of further heart attacks or death doesn’t seem to be warranted in patients who don’t have heart failure, suggests a large study published in the journal Heart.
- [Free trade deal is a major threat to UK public health, warn experts](https://bmjgroup.com/free-trade-deal-is-a-major-threat-to-uk-public-health-warn-experts/) - New deal will make it harder for the UK to regulate tobacco and alcohol or ban products like those containing harmful pesticides The UK’s decision to join one of the world’s largest free trade agreements, known as the Comprehensive and Progressive Agreement on Trans-Pacific Partnership (CPTPP), poses a major threat to UK public health, warn
- [Doctors criticise GMC for investments in Nestlé and McDonald’s](https://bmjgroup.com/doctors-criticise-gmc-for-investments-in-nestle-and-mcdonalds/) - UK doctors’ regulator has nearly £870,000 invested in fast food or soft drink companies “This is no different to investing in tobacco companies,” argues GP Doctors have criticised the General Medical Council (GMC) after The BMJ found it had investments in fast food firms, pharmaceutical companies, private medical insurers and private healthcare providers. A Freedom
- [Experts call for monitoring of respiratory vaccine after trials suggest possible increase in preterm births](https://bmjgroup.com/experts-call-for-monitoring-of-respiratory-vaccine-after-trials-suggest-possible-increase-in-preterm-births/) - Pfizer says vaccine is safe and effective, but trial results prompt calls for further analysis of data and post-approval monitoring Experts have called for further scrutiny of a new Pfizer vaccine given during pregnancy to prevent respiratory infection in infants, after trials of a similar GSK vaccine were stopped after a rise in preterm birth
- [Medicinal cannabis can safely relieve cancer pain and curb total meds use](https://bmjgroup.com/medicinal-cannabis-can-safely-relieve-cancer-pain-and-curb-total-meds-use/) - Products with equal balance of THC+ CBD seem to be particularly effective, data indicate Medicinal cannabis can safely relieve cancer pain, while curbing the total number of meds and opioids taken, suggest the results of a multicentre registry study, published online in BMJ Supportive & Palliative Care. Products with an equal balance of the active ingredients
- [Investigation raises questions over lack of “substantial evidence” for FDA approved antibiotic](https://bmjgroup.com/investigation-raises-questions-over-lack-of-substantial-evidence-for-fda-approved-antibiotic/) - Did new antibiotic meet the legal standard for approval? Are US drug regulatory rules being bypassed? Drugs approved in the US require “substantial evidence” that they are effective. But an investigation by The BMJ into the recent approval of the antibiotic Recarbrio from Merck suggests that these standards are being bypassed. Peter Doshi, senior editor
- [Medical royal colleges receive millions from drug/medical device companies](https://bmjgroup.com/medical-royal-colleges-receive-millions-from-drug-medical-device-companies/) - But payments are not always made public and critics say voluntary industry transparency initiatives don’t go far enough Royal colleges in the UK have received more than £9 million in marketing payments from drug and medical devices companies since 2015, but do not always disclose the payments publicly, finds an investigation published by The BMJ today.
- [Private equity takeovers of healthcare services linked to patient harm](https://bmjgroup.com/private-equity-takeovers-of-healthcare-services-linked-to-patient-harm/) - Review suggests that costs tend to rise and quality falls at acquired healthcare providers Private equity ownership of healthcare services such as nursing homes and hospitals is associated with harmful impacts on costs and quality of care, suggests a review of the latest evidence published by The BMJ today. No consistently beneficial impacts of private equity ownership
- [Unreliable private online hormone tests sold for many months despite accuracy concerns](https://bmjgroup.com/unreliable-private-online-hormone-tests-sold-for-many-months-despite-accuracy-concerns/) - This press release was updated on 31 August 2023 to reflect further information provided by Eurofins County Pathology and to include a statement from the company Potentially unreliable online tests for oestrogen were sold for many months despite questions raised over their accuracy Misleading results could impact decisions around drugs and further tests, warn experts
- [Peppermint oil aromatherapy may ease pain severity after heart surgery](https://bmjgroup.com/peppermint-oil-aromatherapy-may-ease-pain-severity-after-heart-surgery/) - And it may enhance sleep quality too, suggest results of a small clinical trial The use of essential peppermint oil aromatherapy may ease pain severity after open heart surgery and enhance sleep quality as well, suggest the results of a small comparative clinical trial, published online in the journal BMJ Supportive & Palliative Care. Heart surgery
- [New studies shed more light on potential risks of antenatal steroids](https://bmjgroup.com/new-studies-shed-more-light-on-potential-risks-of-antenatal-steroids/) - Results suggest need for greater awareness when considering steroid treatment Two new studies published by The BMJ today examine the potential health risks for infants of giving steroid drugs to women who are at risk of giving birth early. Taken together, the results highlight the need for doctors to be aware of the potential risks and to
- [ChatGPT may be better than doctors at evidence-based management of clinical depression](https://bmjgroup.com/chatgpt-may-be-better-than-doctors-at-evidence-based-management-of-clinical-depression/) - And without gender or social class bias sometimes seen in doctor-patient relationship But further research needed for severe cases, potential risks, and ethical issues ChatGPT, the AI language model capable of mirroring human conversation, may be better than a doctor at following recognised treatment standards for clinical depression, and without any of the gender or
- [Joint injections ineffective for hand osteoarthritis symptoms, finds evidence review](https://bmjgroup.com/joint-injections-ineffective-for-hand-osteoarthritis-symptoms-finds-evidence-review/) - Effectiveness of topical creams/gel uncertain, but painkillers and steroid pills do work Review of current recommendations on joint injections now needed, say researchers Joint injections to relieve the symptoms of hand osteoarthritis are no better than placebo, while the effectiveness of topical creams and gels is uncertain, finds a pooled data analysis of the available
- [Use of common painkillers alongside hormonal contraception linked to heightened risk of blood clots](https://bmjgroup.com/use-of-common-painkillers-alongside-hormonal-contraception-linked-to-heightened-risk-of-blood-clots/) - Absolute risk remains low but women should be advised accordingly, say researchers Women who use non-steroidal anti-inflammatory painkillers alongside hormonal contraception appear to be at a small increased risk of blood clots known as venous thromboembolism (VTE), finds a large Danish study published by The BMJ today. The risk was greater in women using combined oral contraceptives
- [New study sheds light on long term effectiveness and safety of two widely used statins](https://bmjgroup.com/new-study-sheds-light-on-long-term-effectiveness-and-safety-of-two-widely-used-statins/) - New study sheds light on long term effectiveness and safety of two widely used statins Both drugs effective, but rosuvastatin carries higher risk of diabetes Two widely used statins, rosuvastatin and atorvastatin, are equally effective at preventing heart attacks, strokes and death in people with coronary artery disease. But while rosuvastatin treatment is associated with lower
- [Panel members for new psychiatric ‘bible’ received over $14m from industry](https://bmjgroup.com/panel-members-for-new-psychiatric-bible-received-over-14m-from-industry/) - Study finds six in 10 US physician contributors had financial ties to industry Findings raise questions about editorial independence Sixty percent of US physicians serving as panel and task force members for the American Psychiatric Association’s official manual of psychiatric disorders received payments from industry totalling $14.24m, finds a study published by The BMJ. Because of
- [Potentially harmful ‘trip-killers’ to cut short ‘bad’ drug trips, emerging concern, warn doctors](https://bmjgroup.com/potentially-harmful-trip-killers-to-cut-short-bad-drug-trips-emerging-concern-warn-doctors/) - Benzodiazepines and antipsychotics most often recommended, but few safety warnings on social media The use of potentially harmful ‘trip-killers’ to cut short ‘bad drug trips’ after taking psychedelics, such as LSD or magic mushrooms, is an emerging concern, warn doctors in a research letter, published online in Emergency Medicine Journal. Their analysis of relevant threads on
- [Diabetes drug may significantly lower women’s risk of substantial weight gain after giving up smoking](https://bmjgroup.com/diabetes-drug-may-significantly-lower-womens-risk-of-substantial-weight-gain-after-giving-up-smoking/) - Women seem to be 5 times as likely as men to put on a lot of weight in wake of quitting The diabetes drug dulaglutide (Trulicity) may significantly lower a woman’s risk of substantial weight gain after she has given up smoking, finds a secondary analysis of clinical trial data, published in the open access
- [Concerns over “cosy relationship” between the FDA and Moderna](https://bmjgroup.com/concerns-over-cosy-relationship-between-the-fda-and-moderna/) - The BMJ reveals how lax rules enable a revolving door culture An investigation published by The BMJ today raises concerns about a revolving door culture between the US Food and Drug Administration (FDA) and Moderna after two regulators who held oversight roles for covid vaccines went to work for the company. During the covid-19 pandemic, Doran Fink
- [Significant proportion of cancer drugs lack proof of added benefit](https://bmjgroup.com/significant-proportion-of-cancer-drugs-lack-proof-of-added-benefit/) - Particularly those approved through “fast track” pathways Many cancer drugs approved by the European Medicines Agency (EMA) between 1995 and 2020 lack proof of added benefit, particularly those approved through expedited (“fast track”) pathways, finds a study published by The BMJ today. And despite pharmaceutical industry claims that high drug prices are needed to offset research and
- [The BMJ reveals huge delays in dealing with complaints against UK drug companies](https://bmjgroup.com/the-bmj-reveals-huge-delays-in-dealing-with-complaints-against-uk-drug-companies/) - Delays allow problematic practices to carry on for many months Processing times for complaints against drug companies suspected of having breached their industry code of practice have more than tripled in a nearly two-decade period, an investigation by The BMJ has found. Data analysis by Shai Mulinari at Lund University and Piotr Ozieranski at the University of
- [Opportunistic emergency department stop smoking prompt helps smokers quit](https://bmjgroup.com/opportunistic-emergency-department-stop-smoking-prompt-helps-smokers-quit/) - Comprises brief advice, e-cigarette starter kit, and referral to local stop smoking services Significant proportion of patients still not smoking 6 months later An opportunistic emergency department stop smoking prompt, comprising brief advice by a trained professional, an e-cigarette starter kit, and referral to local stop smoking services can help smokers quit, with a significant
- [Covid jab linked to lower risk of covid-19-related clot and heart complications](https://bmjgroup.com/covid-jab-linked-to-lower-risk-of-covid-19-related-clot-and-heart-complications/) - Vaccination reduced risk of heart failure and some clot-related complications for up to a year The risk of cardiac and clot-related complications following COVID-19 is substantially reduced in people who receive the COVID-19 vaccination compared with unvaccinated individuals, reports an observational study published online in the journal Heart. COVID-19 vaccines proved to be highly effective
- [Living in “leafy” areas may boost bone density and lower osteoporosis risk](https://bmjgroup.com/living-in-leafy-areas-may-boost-bone-density-and-lower-osteoporosis-risk/) - Lower air pollution in areas with green spaces significant contributory factor Living in leafy areas near gardens, parks, and green spaces, may boost bone density and lower the risk of osteoporosis, finds research published online in the Annals of the Rheumatic Diseases. Lower levels of air pollution in green spaces is a significant contributory factor
- [Prolonged use of certain hormone drugs linked to increased brain tumour risk](https://bmjgroup.com/prolonged-use-of-certain-hormone-drugs-linked-to-increased-brain-tumour-risk/) - First study to assess risk associated with widely used progestogens Prolonged use of certain progestogen hormone drugs is associated with an increased risk of developing a type of brain tumour known as an intracranial meningioma, finds a study from France published by The BMJ today. The researchers say this study is the first to assess
- [Doctors more extroverted, but also more neurotic than patients](https://bmjgroup.com/doctors-more-extroverted-but-also-more-neurotic-than-patients/) - Character trait differences might have clinical implications for doctor-patient relationships Doctors are more extroverted, agreeable, and conscientious, but also more neurotic and less open than their patients, finds an analysis of responses to two nationally representative Australian surveys, published online in the open access journal BMJ Open. These character trait differences might have clinical implications for
- [Bipolar disorder linked to 6-fold heightened risk of early death from external causes](https://bmjgroup.com/bipolar-disorder-linked-to-6-fold-heightened-risk-of-early-death-from-external-causes/) - And doubling in risk of death from physical illness, with alcohol major contributing factor People with bipolar disorder—characterised by extreme mood swings—are 6 times more likely to die before their time from external causes, such as accidents, violence, and suicide, than those without the condition, finds research published in the open access journal BMJ Mental Health.
- [Newly developed scoring system can correctly predict suicide risk after self harm](https://bmjgroup.com/newly-developed-scoring-system-can-correctly-predict-suicide-risk-after-self-harm/) - OxSATS is based on 11 key social, demographic, and clinical factors Pending further validation, it may inform treatment decisions and resource allocation, say researchers A newly developed risk calculator that is based on 11 key social, demographic, and clinical factors, can correctly predict suicide risk in those who have self-harmed within the following 6 to
- [Obsessive-compulsive disorder linked to heightened risk of death](https://bmjgroup.com/obsessive-compulsive-disorder-linked-to-heightened-risk-of-death/) - Better surveillance, prevention, and early intervention strategies needed, say experts People with obsessive-compulsive disorder (OCD) may have an increased risk of death from both natural and unnatural causes than those without the disorder, finds a study from Sweden published by The BMJ today. The researchers point out that many of the natural causes of death are preventable,
- [3 potentially unique acoustic features of healing music that transcend genre identified](https://bmjgroup.com/3-potentially-unique-acoustic-features-of-healing-music-that-transcend-genre-identified/) - Findings might help personalise music therapy and evaluate effectiveness of existing ones There are three potentially unique acoustic features of healing music that transcend musical genres, suggests research published in the open access journal General Psychiatry. The findings might help to personalise playlists for patients, using artificial intelligence to analyse individual physiological and psychological responses, and
- [Hyperactivity disorder (ADHD) risk factor for serious mental health issues](https://bmjgroup.com/hyperactivity-disorder-adhd-risk-factor-for-serious-mental-health-issues/) - Linked to major depression, post-traumatic stress, anorexia nervosa, suicide attempts Vigilance required for those affected to ward off psychiatric problems, say researchers The hyperactivity disorder, usually referred to as ADHD, is an independent risk factor for several common and serious mental health issues, finds research published in the open access journal BMJ Mental Health. It is
- [Antipsychotics for dementia linked to more harms than previously acknowledged](https://bmjgroup.com/antipsychotics-for-dementia-linked-to-more-harms-than-previously-acknowledged/) - Risks highest soon after starting drugs, underscoring need for increased caution in early stages of treatment, say experts Antipsychotic use in people with dementia is associated with elevated risks of a wide range of serious adverse outcomes including stroke, blood clots, heart attack, heart failure, fracture, pneumonia, and acute kidney injury, compared with non-use, finds
- [Study suggests little deterioration in mental health linked to the pandemic](https://bmjgroup.com/study-suggests-little-deterioration-in-mental-health-linked-to-the-pandemic/) - Women were more affected, but findings do not reflect reports of a widespread mental health crisis, say researchers Mental health among the general population has not changed by large amounts during the covid-19 pandemic compared with pre-pandemic levels, finds a study published by The BMJ today. Some specific groups, particularly women, appear to have been more negatively
- [Walking, jogging, yoga, and strength training ease depression](https://bmjgroup.com/walking-jogging-yoga-and-strength-training-ease-depression/) - Even low intensity activities are beneficial, but the more vigorous the activity, the greater the benefits Walking or jogging, yoga, and strength training seem to be the most effective exercises to ease depression, either alone or alongside established treatments such as psychotherapy and drugs, suggests an evidence review published by The BMJ today. Even low intensity activities
- [Fluid on the lungs: relatively little known hazard linked to open water swimming](https://bmjgroup.com/fluid-on-the-lungs-relatively-little-known-hazard-linked-to-open-water-swimming/) - Older age, swimming long distances, cold water, female sex among risk factors Often occurs in those who are otherwise fit and healthy, doctors warn Fluid on the lungs, or pulmonary oedema as it’s formally known, is a relatively little known hazard associated with open water swimming, warn doctors in the journal BMJ Case Reports after
- [J-shaped curve apparent between dietary thiamine and worsening mental acuity](https://bmjgroup.com/j-shaped-curve-apparent-between-dietary-thiamine-and-worsening-mental-acuity/) - Sweet spot seems to be 0.68 mg/day among healthy older people to ward off decline Optimal maintenance dose seems to be 0.6 to less than 1 mg/day There seems to be a J-shaped curve between dietary thiamine (vitamin B1) and worsening mental acuity among cognitively healthy older people, suggests research published in the open access
- [Midlife obesity linked to heightened frailty risk in older age](https://bmjgroup.com/midlife-obesity-linked-to-heightened-frailty-risk-in-older-age/) - Frailty often wrongly perceived as purely wasting disorder, say researchers Findings highlight importance of keeping trim throughout adulthood to minimise risk Carrying far too much weight, including a midriff bulge, from mid-life onwards, is linked to a heightened risk of physical frailty in older age, finds research published in the open access journal BMJ Open.
- [Omega 3 fatty acids in seafood linked to lower risk of chronic kidney problems](https://bmjgroup.com/omega-3-fatty-acids-in-seafood-linked-to-lower-risk-of-chronic-kidney-problems/) - Findings support current guidelines that recommend adequate intake of seafood as part of a healthy diet, say researchers Higher levels of omega 3 fatty acids found in seafood are associated with a moderately lower risk of chronic kidney disease and a slower decline in kidney function, finds a study published by The BMJ. These associations
- [Deep meditation may alter gut microbes for better health](https://bmjgroup.com/deep-meditation-may-alter-gut-microbes-for-better-health/) - Gut microbes found in Buddhist monks linked to lower risks of anxiety, depression, heart disease in other studies Regular deep meditation, practised for several years, may help to regulate the gut microbiome and potentially lower the risks of physical and mental ill health, finds a small comparative study published in the open access journal General
- [Healthy lifestyle linked to slower memory decline in older adults](https://bmjgroup.com/healthy-lifestyle-linked-to-slower-memory-decline-in-older-adults/) - Benefits even seen for those with gene linked to Alzheimer's disease A healthy lifestyle, in particular a healthy diet, is associated with slower memory decline, finds a decade-long study of older adults in China, published today in The BMJ. Even for carriers of the apolipoprotein E (APOE) gene—the strongest known risk factor for Alzheimer’s disease
- [Playing golf may be just as healthy or better than Nordic walking for older people](https://bmjgroup.com/playing-golf-may-be-just-as-healthy-or-better-than-nordic-walking-for-older-people/) - Regular rounds of golf are particularly good aerobic exercise for older adults, study suggests Older adults may gain more health benefits from playing golf than participating in regular or Nordic walking, suggests a study published online in the journal BMJ Open Sport & Exercise Medicine. The health advantages of aerobic exercise in helping to prevent
- [Being married may help people maintain lower blood sugar levels](https://bmjgroup.com/being-married-may-help-people-maintain-lower-blood-sugar-levels/) - Even cohabiting relationships under strain may help people avoid high glycemic levels, study suggests People living with a spouse seem to have a higher likelihood of being healthy in terms of maintaining lower blood sugar levels regardless of how harmonious or acrimonious their relationship is, suggests a study published online in the journal BMJ Open
- [Fewer known risk factors, but heightened risk of cardiovascular disease in people with coeliac disease](https://bmjgroup.com/fewer-known-risk-factors-but-heightened-risk-of-cardiovascular-disease-in-people-with-coeliac-disease/) - Further research needed to unearth drivers, including role of gluten free diet, say authors People with coeliac disease might have fewer known risk factors for cardiovascular disease, but still have a heightened risk of developing it, finds a study led by researchers from Oxford Population Health, published online in the journal BMJ Medicine. It’s not
- [Study finds “considerable uncertainty” around effectiveness and safety of analgesics for low back pain](https://bmjgroup.com/study-finds-considerable-uncertainty-around-effectiveness-and-safety-of-analgesics-for-low-back-pain/) - Doctors and patients advised to take a cautious approach to use of analgesics Despite nearly 60 years of research, there is still a lack of high certainty evidence on the effectiveness and safety of commonly used painkillers (analgesics) for short bouts of low back pain, finds an analysis of the evidence published by The BMJ.
- [High blood caffeine level might curb body fat and type 2 diabetes risk](https://bmjgroup.com/high-blood-caffeine-level-might-curb-body-fat-and-type-2-diabetes-risk/) - Exploration of potential role of calorie free caffeinated drinks may now be warranted, say researchers A high blood caffeine level might curb the amount of body fat a person carries and their risk of type 2 diabetes, suggests research published in the open access journal BMJ Medicine. In light of their findings, the potential role of calorie free
- [1 in 10 early deaths averted if everyone met physical activity targets](https://bmjgroup.com/1-in-10-early-deaths-averted-if-everyone-met-physical-activity-targets/) - 1 in 10 early deaths averted if everyone met half recommended weekly physical activity target Just 75 weekly mins of moderate physical activity is all it takes, finds pooled data analysis Substantial impact on risks of death, cardiovascular disease, certain cancers One in 10 early deaths could have been prevented if everyone had met just
- [Menu calorie counts likely linked to lower obesity-related cancer rates](https://bmjgroup.com/menu-calorie-counts-likely-linked-to-lower-obesity-related-cancer-rates/) - Thousands of cancers and deaths potentially averted and billions of dollars saved in US Additional food industry product reformulation could substantially boost policy impact Specifying the number of calories for each item on restaurant menus is likely linked to lower rates of cancers associated with obesity and attendant healthcare costs in the US, suggests a
- [Limit added sugar to six teaspoons a day to improve health, urge experts](https://bmjgroup.com/limit-added-sugar-to-six-teaspoons-a-day-to-improve-health-urge-experts/) - Evidence review finds harmful links between excess sugar intake and 45 outcomes including diabetes, depression, obesity and heart disease Experts recommend reducing consumption of added (“free”) sugars to around six teaspoons a day and limiting sugar-sweetened drinks to less than one serving a week after a comprehensive evidence review published by The BMJ today.
- [Benefits of Mediterranean and low fat diet programmes in patients at risk of cardiovascular disease](https://bmjgroup.com/benefits-of-mediterranean-and-low-fat-diet-programmes-in-patients-at-risk-of-cardiovascular-disease/) - Seven dietary programmes compared; Mediterranean programmes also likely to reduce stroke risk, say researchers Mediterranean and low fat dietary programmes reduce the likelihood of death and heart attack in patients at heightened risk of cardiovascular disease, finds the first comparative review based on randomised trials of seven popular dietary programmes published by The BMJ today. Dietary programmes are diets with or
- [Swapping sugary drinks for coffee, tea or water linked to fewer deaths in adults with diabetes](https://bmjgroup.com/swapping-sugary-drinks-for-coffee-tea-or-water-linked-to-fewer-deaths-in-adults-with-diabetes/) - Findings highlight role of healthy beverage choices to manage risk, say researchers For adults with type 2 diabetes, replacing sugary drinks with coffee, tea, or plain water is linked to lower rates of early death due to cardiovascular disease (CVD) and other causes, finds research published by The BMJ. A greater increase in coffee and tea
- [International expert panel revises management of concussion in sport](https://bmjgroup.com/international-expert-panel-revises-management-of-concussion-in-sport/) - Latest Consensus Statement on Concussion in Sport includes: -New and updated age appropriate tools to aid identification and management of condition -New versions of return to active sport and education strategies -Stronger evidence for benefits of light intensity exercise within first 48 hours to aid recovery -New targeted approach to rehabilitation -Call for interdisciplinary working
- [Vitamin D supplements may reduce risk of serious cardiovascular events in older people](https://bmjgroup.com/vitamin-d-supplements-may-reduce-risk-of-serious-cardiovascular-events-in-older-people/) - Findings show monthly vitamin D may prevent heart attacks in over 60s Vitamin D supplements may reduce the risk of major cardiovascular events such as heart attacks among people aged over 60, finds a clinical trial published by The BMJ today. The researchers stress that the absolute risk difference was small, but say this is the largest
- [Recreational drugs found in more than 1 in 10 cardiac intensive care patients](https://bmjgroup.com/recreational-drugs-found-in-more-than-1-in-10-cardiac-intensive-care-patients/) - Associated with nearly 9-fold higher rate of death and/or need for emergency intervention Recreational drug use may be a factor in a significant proportion of admissions to cardiac intensive care, with various substances detected in 1 in 10 such patients, suggest the findings of a multicentre French study published online in the journal Heart. Drug use
- [Smartphone app may help heavy and binge drinkers to drink less](https://bmjgroup.com/smartphone-app-may-help-heavy-and-binge-drinkers-to-drink-less/) - University students given alcohol intervention app reported cutting down on their overall drinking and frequency of binge drinking Access to a smartphone alcohol intervention app helped university students to cut down their overall alcohol consumption and the number of days they drank heavily, suggests a study published in The BMJ today. Unhealthy drinking is the biggest risk
- [High intake of several emulsifier E numbers linked to increased cardiovascular disease risk](https://bmjgroup.com/high-intake-of-several-emulsifier-e-numbers-linked-to-increased-cardiovascular-disease-risk/) - Findings have important public health implications, given their ubiquitous use in ultra-processed foods High intake of several emulsifiers (part of the ‘E numbers’ group of food additives), widely used in industrially processed foods to improve texture and extend shelf-life, is associated with increased risk of cardiovascular disease (CVD), suggests a study published by The BMJ today. Given
- [Prolonged mismatch between calories eaten and burned may be putting many athletes at risk of REDs](https://bmjgroup.com/prolonged-mismatch-between-calories-eaten-and-burned-may-be-putting-many-athletes-at-risk-of-reds/) - Estimated prevalence varies by sport, ranging from 15% to 80% Syndrome affects multiple body systems and functions as well as athletic performance It often goes unrecognised and may unwittingly be exacerbated by ‘sports culture’ Many athletes may be at risk of a syndrome of health and performance harms caused by a prolonged and/or severe mismatch
- [Stem cell therapy can safely slow progression of relapsing-remitting MS](https://bmjgroup.com/stem-cell-therapy-can-safely-slow-progression-of-relapsing-remitting-ms/) - No evidence of disease activity in two thirds of those treated over 10 years Should be considered standard care for highly active disease, say researchers Stem cells harvested from a person’s own bone marrow or blood, can safely slow progression of the most common form of the autoimmune disease, multiple sclerosis, or MS as it’s
- [Turmeric may be as good for treating indigestion as drug to curb excess stomach acid](https://bmjgroup.com/turmeric-may-be-as-good-for-treating-indigestion-as-drug-to-curb-excess-stomach-acid/) - Findings may justify considering its use in clinical practice, suggest researchers A natural compound found in the culinary spice turmeric may be as effective as omeprazole—a drug used to curb excess stomach acid—for treating indigestion symptoms, suggests the first study of its kind, published online in the journal BMJ Evidence-Based Medicine. Turmeric is derived from
- [No benefit of common shoulder treatment over placebo](https://bmjgroup.com/no-benefit-of-common-shoulder-treatment-over-placebo/) - No benefit of common shoulder treatment over placebo New trial suggests use of this treatment should be reconsidered A saline injection treatment widely used for calcific tendinopathy - a common, painful condition caused by a build-up of calcium in the rotator cuff tendons of the shoulder - provides no meaningful benefit over placebo, concludes a
- [Genes may be responsible for third of complex regional pain syndrome cases](https://bmjgroup.com/genes-may-be-responsible-for-third-of-complex-regional-pain-syndrome-cases/) - Genes may be responsible for third of complex regional pain syndrome cases But men more likely to have genetic variants, yet less likely to have the syndrome Genetic susceptibility may be responsible for around 1 in 3 cases of complex regional pain syndrome (CRPS), a poorly understood condition causing persistent severe and disabling pain, finds
- [Singapore’s smoke-free law may have warded off 20,000 heart attacks in over 65s](https://bmjgroup.com/singapores-smoke-free-law-may-have-warded-off-20000-heart-attacks-in-over-65s/) - Singapore’s smoke-free law may have warded off 20,000 heart attacks in over 65s 2013 extension of ban to communal areas of residential blocks + outdoor spaces linked to fall in monthly rate An extension of the smoking ban to communal areas of residential blocks and other outdoor spaces in Singapore in 2013 may have prevented
- [Swapping starch and refined carbs for whole grains and fruit linked to less midlife weight gain](https://bmjgroup.com/swapping-starch-and-refined-carbs-for-whole-grains-and-fruit-linked-to-less-midlife-weight-gain/) - Most associations stronger among those with excessive body weight and women Increased consumption of carbohydrate from refined grains, starchy vegetables, and sugary drinks is associated with greater weight gain throughout midlife, while increased fibre and carbohydrate from whole grains, fruit, and non-starchy vegetables is linked to less weight gain, finds a large US study published by The
- [Daily 20-25 mins of physical activity may offset death risk from prolonged sitting](https://bmjgroup.com/daily-20-25-mins-of-physical-activity-may-offset-death-risk-from-prolonged-sitting/) - But higher daily tallies linked to lower risk irrespective of time spent seated among over 50s Clocking up just 20-25 minutes of physical activity every day may be enough to offset the heightened risk of death from a highly sedentary lifestyle, suggests research published online in the British Journal of Sports Medicine. But higher daily
- [HIIT in water improves exercise capacity in adults with health conditions](https://bmjgroup.com/hiit-in-water-improves-exercise-capacity-in-adults-with-health-conditions/) - Offers alternative exercise option for people unable to perform land based HIIT movements High-intensity interval training in water, often called aquatic HIIT (AHIIT) improves exercise capacity in adults with chronic conditions and has a similar impact as land based training (LBHIIT), suggests research published in the open access journal BMJ Open Sport & Exercise Medicine. The
- [Alarm over lax oversight of weight loss drug ads that could harm patients](https://bmjgroup.com/alarm-over-lax-oversight-of-weight-loss-drug-ads-that-could-harm-patients/) - Experts have filed over a dozen complaints about online adverts for Wegovy and criticise lack of sanctions by regulators UK organisations responsible for protecting the public from prescription-only drug adverts are putting patients at risk from the harms of weight loss drugs by not enforcing the law, reveals an investigation published by The BMJ today. Legal responsibility
- [6+ hours/day of sedentary leisure time linked to doubling in fibroids risk](https://bmjgroup.com/6-hours-day-of-sedentary-leisure-time-linked-to-doubling-in-fibroids-risk/) - Risk seems to be linear in women who’ve not yet gone through the menopause Clocking up 6 or more hours of sedentary leisure time every day may double a woman’s risk of uterine fibroids before she’s gone through the menopause, suggests research published in the open access journal BMJ Open. The risk of these benign, but
- [Faster walking speed of 4 km+/hour linked to significantly lower type 2 diabetes risk](https://bmjgroup.com/faster-walking-speed-of-4-km-hour-linked-to-significantly-lower-type-2-diabetes-risk/) - Every 1 km increase in speed is associated with a 9% reduction in risk, findings suggest Walking at a speed of 4 or more km an hour is linked to a significantly lower risk of type 2 diabetes, suggests a pooled data analysis of the available evidence, published online in the British Journal of Sports Medicine.
- [Same-level workplace falls set to rise amid surge in older female workforce numbers](https://bmjgroup.com/same-level-workplace-falls-set-to-rise-amid-surge-in-older-female-workforce-numbers/) - Falls from height associated with male sex, construction work, and severe injuries Better prevention strategies needed to mitigate these risk factors, say researchers Same-level falls in the workplace are set to rise amid rapid growth in the numbers of older female employees in the workforce, suggests Australian research published online first in the journal Occupational &
- [Warning over champagne cork related eye injuries](https://bmjgroup.com/warning-over-champagne-cork-related-eye-injuries/) - Experts explore the dark side of uncorking bubbly beverages and offer tips to ensure a safe celebration Be careful this holiday season, warn researchers in the Christmas issue of The BMJ. Eye injuries while opening bottles of fizz can be significant and easily avoided. This warning might at first sound overly cautious, write Ethan Waisberg and
- [Great British Bake Off Christmas desserts not as naughty as you may think](https://bmjgroup.com/great-british-bake-off-christmas-desserts-not-as-naughty-as-you-may-think/) - Analysis suggests a guilt-free Christmas is possible (if concerns about observational nutrition research can be set aside) Christmas desserts from The Great British Bake Off are more likely to use ingredients that are associated with reductions, rather than increases, in the risk of death or disease, suggests research published in the Christmas issue of The BMJ.
- [Up to three daily servings of kimchi may lower men’s obesity risk](https://bmjgroup.com/up-to-three-daily-servings-of-kimchi-may-lower-mens-obesity-risk/) - And radish kimchi linked to lower prevalence of midriff bulge in both men and women Eating up to three daily servings of the Korean classic, kimchi, may lower men’s overall risk of obesity, while radish kimchi is linked to a lower prevalence of midriff bulge in both sexes, finds research published in the open access
- [No benefit of physiotherapy over general advice after dislocated shoulder](https://bmjgroup.com/no-benefit-of-physiotherapy-over-general-advice-after-dislocated-shoulder/) - Findings should help inform discussions about the best approach to rehabilitation Routinely referring patients to a tailored programme of physiotherapy after a dislocated shoulder is no better than a single session of advice, supporting materials and the option to self-refer to physiotherapy, finds a clinical trial published by The BMJ today. The findings should help clinicians and
- [High weekly physical activity levels linked to lower kidney disease risk in diabetes + overweight/obesity](https://bmjgroup.com/high-weekly-physical-activity-levels-linked-to-lower-kidney-disease-risk-in-diabetes-overweight-obesity/) - Boosting weekly total by just over an hour linked to 33% lower risk Among ‘improvers’, effects evident for bouts lasting above or below 10 mins at a time Clocking up high weekly levels of moderate to vigorous intensity physical activity is linked to a lower risk of developing chronic kidney disease in overweight/obese people with
- [Consistent evidence links ultra-processed food to over 30 damaging health outcomes](https://bmjgroup.com/consistent-evidence-links-ultra-processed-food-to-over-30-damaging-health-outcomes/) - Findings underscore need for urgent research to understand how ultra-processed foods affect health and measures to target and reduce exposure Consistent evidence shows that higher exposure to ultra-processed foods is associated with an increased risk of 32 damaging health outcomes including cancer, major heart and lung conditions, mental health disorders, and early death. The findings,
- [Adopting healthy lifestyle strongly linked to lower irritable bowel syndrome risk](https://bmjgroup.com/adopting-healthy-lifestyle-strongly-linked-to-lower-irritable-bowel-syndrome-risk/) - Especially not smoking, plenty of vigorous exercise, and getting enough sleep Adopting a healthy lifestyle is strongly linked to a lower risk of irritable bowel syndrome or IBS for short, finds research published online in the journal Gut. Of the big 5 healthy behaviours, not smoking, a high level of vigorous physical activity, and getting enough
- [Acupuncture may curb the heightened risk of stroke associated with rheumatoid arthritis](https://bmjgroup.com/acupuncture-may-curb-the-heightened-risk-of-stroke-associated-with-rheumatoid-arthritis/) - Effects independent of sex, age, medication use, and co-existing conditions Needling may reduce pro-inflammatory proteins in the body, suggest researchers A course of acupuncture may curb the heightened risk of stroke associated with rheumatoid arthritis, finds a comparative study published in the open access journal BMJ Open. The effects seem to be independent of sex, age,
- [Modest rise in UK cancer cases but substantial decline in deaths over last 25 years](https://bmjgroup.com/modest-rise-in-uk-cancer-cases-but-substantial-decline-in-deaths-over-last-25-years/) - Results are, overall, positive and reassuring, but further work is needed to address rise in some less common types of cancer, say experts Cases of cancer among UK men and women aged 35-69 years have seen a modest rise over the last quarter of a century, but there has also been a substantial decline in
- [Even low levels of leisure time physical activity help to lower stroke risk](https://bmjgroup.com/even-low-levels-of-leisure-time-physical-activity-help-to-lower-stroke-risk/) - Effects independent of age and sex, pooled data analysis shows Even people whose physical activity levels fall short of recommended guidelines, but who manage to do some during their leisure time, are likely to have a lower risk of stroke than their sedentary peers, suggests a pooled data analysis of the available evidence, published online
- [Taking 10000 daily steps may counteract the risk of cardiovascular disease in sedentary people](https://bmjgroup.com/taking-10000-daily-steps-may-counteract-the-risk-of-cardiovascular-disease-in-sedentary-people/) - Increased daily step count linked to lower risk of death and CVD regardless of time spent sedentary. Every additional step up to around 10,000 steps per day reduces the risk of death and cardiovascular disease (CVD), regardless of how much remaining time is spent sedentary, reports a large population-based study published online in the British
- [Consistently exercising 2-3 times a week over the long term linked to lower current insomnia risk](https://bmjgroup.com/consistently-exercising-2-3-times-a-week-over-the-long-term-linked-to-lower-current-insomnia-risk/) - And ability to clock up recommended 6-9 hours of shut eye every night, 10-year study shows Consistently exercising 2-3 times a week over the long term is linked to a lower current risk of insomnia as well as the ability to clock up the recommended 6-9 hours of shut eye every night, suggests an international
- [Heart failure, not stroke is the most common complication of atrial fibrillation](https://bmjgroup.com/heart-failure-not-stroke-is-the-most-common-complication-of-atrial-fibrillation/) - And the lifetime risk of irregular heart rhythm increased from one in four to one in three over the last 20 years, findings show The lifetime risk of atrial fibrillation (a heart condition that causes an irregular and often abnormally fast heart rate) has increased from one in four to one in three over the
- [Healthy lifestyle may offset effects of life-shortening genes by 60%+](https://bmjgroup.com/healthy-lifestyle-may-offset-effects-of-life-shortening-genes-by-60/) - Unhealthy lifestyle linked to 78% heightened risk of death, regardless of ‘good/bad’ genes A healthy lifestyle may offset the effects of life-shortening genes by more than 60%, suggests an analysis of the findings from several large long term studies, published online in the journal BMJ Evidence Based Medicine. While genes and lifestyle seem to have an
- [Fentanyl inhalation may cause potentially irreversible brain damage, warn doctors](https://bmjgroup.com/fentanyl-inhalation-may-cause-potentially-irreversible-brain-damage-warn-doctors/) - Toxic leukoencephalopathy seen with heroin inhalation, but this is first reported fentanyl case Inhaling the synthetic opioid fentanyl may cause potentially irreversible brain damage (toxic leukoencephalopathy), warn doctors in the journal BMJ Case Reports, after treating a middle aged man found unresponsive in his hotel room after snorting the drug. Leukoencephalopathy refers to inflammation and damage
- [Predominantly plant-based or vegetarian diet linked to 39% lower odds of covid-19](https://bmjgroup.com/predominantly-plant-based-or-vegetarian-diet-linked-to-39-lower-odds-of-covid-19/) - Diet high in vegetables, legumes, nuts, and low in dairy and meat may be protective A predominantly plant-based or vegetarian diet is linked to 39% lower odds of COVID-19 infection, finds research published in the open access journal BMJ Nutrition Prevention & Health. The findings prompt the researchers to suggest that a diet high in vegetables,
- [Cardiorespiratory fitness associated with up to 40% lower risk of 9 cancers](https://bmjgroup.com/cardiorespiratory-fitness-associated-with-up-to-40-lower-risk-of-9-cancers/) - These include head and neck, food pipe, stomach, pancreas, liver, bowel, kidney, lung Good cardiorespiratory fitness when young is associated with up to a 40% lower risk of developing 9 specific cancers later on—at least in men—suggests a large long term study published online in the British Journal of Sports Medicine. These include cancers of the
- [Increase in annual cardiorespiratory fitness by 3%+ linked to 35% lower prostate cancer risk](https://bmjgroup.com/increase-in-annual-cardiorespiratory-fitness-by-3-linked-to-35-lower-prostate-cancer-risk/) - Encourage men to improve fitness to help lower risk of getting the disease, say researchers An increase in annual cardiorespiratory fitness by 3% or more is linked to a 35% lower risk of developing, although not dying from, prostate cancer, suggests research published online in the British Journal of Sports Medicine. The findings prompt the researchers
- [Swapping red meat for herring/sardines could save up to 750,000 lives/year in 2050](https://bmjgroup.com/swapping-red-meat-for-herring-sardines-could-save-up-to-750000-lives-year-in-2050/) - Adopting forage fish diet would be especially helpful in the Global South, say researchers Swapping red meat for ‘forage fish’, such as herring, sardines, and anchovies, could save up to 750,000 lives a year in 2050 and significantly reduce the prevalence of disability as a result of diet-related disease, suggests a data analysis published in
- [Job insecurity in early adulthood linked to heightened risk of serious alcohol-related illness in later life](https://bmjgroup.com/job-insecurity-in-early-adulthood-linked-to-heightened-risk-of-serious-alcohol-related-illness-in-later-life/) - Young men seem to be more at risk than young women, long term study suggests Experiencing the sort of job insecurity in early adulthood that is often linked to the gig economy, is linked to a heightened risk of a serious alcohol-related illness in later life, suggest the findings of a long term study published
- [Mediterranean diet may cut women’s cardiovascular diseases and death risk by nearly 25%](https://bmjgroup.com/mediterranean-diet-may-cut-womens-cvd-and-death-risk-by-nearly-25/) - More sex specific research needed to guide clinical practice, say researchers Sticking closely to a Mediterranean diet may cut a woman’s risks of cardiovascular disease and death by nearly 25%, finds a pooled data analysis of the available evidence—the first of its kind—published online in the journal Heart. The findings prompt the researchers to call
- [Esketamine injection just after childbirth reduces depression in new mothers](https://bmjgroup.com/esketamine-injection-just-after-childbirth-reduces-depression-in-new-mothers/) - Low dose esketamine should be considered for individuals with depressive symptoms in pregnancy, say researchers A single low dose injection of esketamine given immediately after childbirth reduces major depressive episodes in individuals with depressive symptoms during pregnancy (prenatal depression), finds a clinical trial published by The BMJ today. The results suggest that low dose esketamine
- [We must tackle female ageism in sport and exercise science, urge researchers](https://bmjgroup.com/we-must-tackle-female-ageism-in-sport-and-exercise-science-urge-researchers/) - Not only for the sake of growing numbers of female athletes, but women’s health in general Action is urgently needed to address the dearth of older women in sport and exercise science, not only for the sake of the growing numbers of female athletes, but women’s health in general, urge a group of international researchers
- [Scrapping England’s cancer plan is “a catastrophic decision that will cost lives” warn experts](https://bmjgroup.com/scrapping-englands-cancer-plan-is-a-catastrophic-decision-that-will-cost-lives-warn-experts/) - The UK government’s proposal to roll England’s long term plan for cancer into one strategy covering all major conditions, such as cardiovascular disease, chronic respiratory disease, dementia, mental health conditions, and musculoskeletal disorders is “a catastrophic decision that will cost lives,” warn experts in The BMJ today. Professor Richard Sullivan at the Institute of Cancer
- [Up to 2% of adults in Europe, North America, Israel likely have heart failure](https://bmjgroup.com/up-to-2-of-adults-in-europe-north-america-israel-likely-have-heart-failure/) - Those with condition also at high risk of death and additional serious complications High prevalence, linked health risks, and costs warrant urgent action, say researchers Up to 2% of adults in Europe, North America, and Israel likely have heart failure, and are at high risk of death and additional serious complications, suggest current estimates based
- [Most long covid effects resolve within a year after mild infection](https://bmjgroup.com/most-long-covid-effects-resolve-within-a-year-after-mild-infection/) - Mild disease does not lead to substantial long term illness in most infected individuals, say researchers Most symptoms or conditions that develop after mild covid-19 infection linger for several months but return to normal within a year, finds a large study from Israel published by The BMJ today. In particular, vaccinated people were at lower
- [US government invested in mRNA covid-19 jab development over years](https://bmjgroup.com/us-government-invested-in-mrna-covid-19-jab-development-over-years/) - US government catalysed and substantially invested in mRNA covid-19 vaccine development over decades Public investment has saved millions of lives, but change is needed to improve access to publicly-funded health technologies, say researchers In the 35 years before the covid-19 pandemic, the US government invested at least $337 million into critical research that led to
- [Covid-19 jab may lessen severity and duration of ‘long covid’](https://bmjgroup.com/covid-19-jab-may-lessen-severity-and-duration-of-long-covid/) - And it may curb condition’s impact on their social, professional, and family lives Vaccination against SARS-CoV-2, the virus responsible for COVID-19, may lessen the severity and duration of ‘long COVID’ in those with persistent symptoms after infection, suggests a study that closely imitates a randomised clinical trial, and published in the open access journal, BMJ
- [Less ‘risky’ sex of early pandemic still evident year after first lockdown](https://bmjgroup.com/less-risky-sex-of-early-pandemic-still-evident-year-after-first-lockdown/) - Fewer unplanned pregnancies and abortions but more sexual dissatisfaction and distress The lower prevalence of ‘risky’ sex—with multiple or new partners without using condoms—which occurred during the early stages of the COVID-19 pandemic, was still evident a year after Britain’s first lockdown, reveal the results of a major national survey, published online in the journal Sexually
- [TikTok health information videos on Mpox often inaccurate](https://bmjgroup.com/tiktok-health-information-videos-on-mpox-often-inaccurate/) - Findings highlight potential risks of using social media for health information Health information on M(onkey)pox, posted on the social media platform TikTok, is often inaccurate, incomplete, and of poor quality, finds a recent analysis of relevant videos, published in the open access journal BMJ Global Health. The findings highlight the potential risks of using social media
- [Low dose radiation linked to increased lifetime risk of heart disease](https://bmjgroup.com/low-dose-radiation-linked-to-increased-lifetime-risk-of-heart-disease/) - Study strengthens evidence linking low dose radiation to risk of circulatory diseases These risks should now be considered in radiation protection measures and policies Exposure to low doses of ionising radiation is associated with a modestly increased excess risk of heart disease, finds an analysis of the latest evidence published by The BMJ today. The researchers say
- [Allergic asthma/eczema linked to heightened osteoarthritis risk](https://bmjgroup.com/allergic-asthma-eczema-linked-to-heightened-osteoarthritis-risk/) - Drugs used to dampen down allergic pathways in the body may help lessen this risk People with atopic (allergic) diseases like asthma or eczema may be at heightened risk of the painful and often disabling joint condition, osteoarthritis, finds research published online in the Annals of the Rheumatic Diseases. Drugs used to dampen down the physiological
- [Study finds “important shortcomings” in official cancer drug information](https://bmjgroup.com/study-finds-important-shortcomings-in-official-cancer-drug-information/) - Information about drugs is rarely communicated well, particularly to patients Better information is needed to aid treatment decisions Important information about cancer drug benefits, and related uncertainties, is frequently omitted from official prescription drug information sources for clinicians and patients in Europe, finds an analysis published by The BMJ today. Despite the commitment of medicines regulators to
- [Surgery for sciatica reduces leg pain and disability for some people, but benefits are short-lived](https://bmjgroup.com/surgery-for-sciatica-reduces-leg-pain-and-disability-for-some-people-but-benefits-are-short-lived/) - And the certainty of evidence supporting its use is low, say researchers Surgery to relieve leg pain and disability in some people with sciatica may be better than other non-surgical treatments, but the benefits are short-lived, lasting only up to 12 months, finds an analysis of the latest evidence published by The BMJ today. What’s more, the
- [Previous cancer linked to long term heightened risk of cardiovascular diseases](https://bmjgroup.com/previous-cancer-linked-to-long-term-heightened-risk-of-cvd/) - Survivors of blood and breast cancers may be at greatest risk, findings indicate Cancer survivors may be at long term heightened risk of subsequent cardiovascular disease, irrespective of traditional underlying risk factors, suggest the findings of a large UK Biobank study, published online in the journal Heart. Those with previous breast or blood cancers may be
- [Ethnic, religious, social differences in case rates between covid-19 waves](https://bmjgroup.com/ethnic-religious-social-differences-in-case-rates-between-covid-19-waves/) - Risk highest for Bangladeshis, Pakistanis, Muslims, Sikhs, and disadvantaged in wave 2 Highest for White British, Christians, the healthy, and relatively well off in wave 3 There were major ethnic, religious, and social differences in the risk of testing positive for SARS-CoV-2, the virus responsible for COVID-19 infection, between the second and third waves of
- [Poor sleep may bolster genetic susceptibility to asthma risk](https://bmjgroup.com/poor-sleep-may-bolster-genetic-susceptibility-to-asthma-risk/) - Healthy sleep pattern linked to lower risk in adults, large study shows Spotting and treating sleep disorders early on might lessen risks, irrespective of genes Poor quality sleep may bolster a person’s genetic susceptibility to asthma, potentially doubling their risk of being diagnosed with the condition, suggests a large UK Biobank study, published in the
- [Patients with rheumatic conditions vulnerable to long term opioid use](https://bmjgroup.com/patients-with-rheumatic-conditions-vulnerable-to-long-term-opioid-use/) - Up to 1 in 3 with rheumatoid arthritis or fibromyalgia may be at risk, warn researchers Patients with rheumatic and musculoskeletal conditions are vulnerable to long term opioid use, with up to 1 in 3 of those with rheumatoid arthritis or fibromyalgia, who take these drugs for the first time, potentially at risk, suggest the
- [Prostate cancer ‘test by request’ drives overdiagnosis, argue experts](https://bmjgroup.com/prostate-cancer-test-by-request-drives-overdiagnosis-argue-experts/) - Most high income countries, including the UK, do not have a national prostate cancer screening programme, but instead allow men without symptoms to get a prostate-specific antigen (PSA) test if they wish, after talking to their doctor. But experts writing in The BMJ today argue that these shared decision policies have led to high rates of PSA testing and clear medical harm, with minimal
- [Polycyclic aromatic hydrocarbons strongly linked to raised rheumatoid arthritis risk](https://bmjgroup.com/polycyclic-aromatic-hydrocarbons-strongly-linked-to-raised-rheumatoid-arthritis-risk/) - These environmental toxicants seem to mediate most of smoking’s effects on risk The amount of environmental exposure to polycyclic aromatic hydrocarbons, or PAH for short, is strongly linked to a person’s risk of developing rheumatoid arthritis, suggests research published in the open access journal BMJ Open. These chemicals, formed from the burning of coal, oil, gas,
- [Bhopal may have raised intergenerational disability, cancer risks](https://bmjgroup.com/bhopal-may-have-raised-intergenerational-disability-cancer-risks/) - And it may have curbed educational attainment and prompted fall in proportion of male births Disaster likely affected people across a substantially more extensive area than previously thought The Bhopal gas explosion in 1984—one of India’s worst industrial disasters—may have heightened the risk of disability and cancer in later life among future generations, curbed their educational
- [More than 1 in 6 unvaccinated people report health effects of covid two years after confirmed infection](https://bmjgroup.com/more-than-1-in-6-unvaccinated-people-report-health-effects-of-covid-two-years-after-confirmed-infection/) - More than 1 in 6 unvaccinated people report health effects of COVID two years after confirmed infection Study finds 17% did not return to normal health and 18% reported covid-19 related symptoms after 24 months Around 1 in 6 unvaccinated individuals say they are still experiencing health effects of covid-19 up to two years after
- [Fibromyalgia linked to heightened risk of death](https://bmjgroup.com/fibromyalgia-linked-to-heightened-risk-of-death/) - …From accidents, infections, and especially suicide, pooled data analysis suggests Regular physical and mental health monitoring warranted to minimise these risks Fibromyalgia, a condition that causes persistent widespread pain and fatigue, may be linked to a heightened risk of death as a result of vulnerability to accidents, infections, and especially suicide, suggests a pooled data
- [Hairdressers, beauticians may be at heightened risk of ovarian cancer](https://bmjgroup.com/hairdressers-beauticians-may-be-at-heightened-risk-of-ovarian-cancer/) - Those working in sales, retail, clothing and construction industries also potentially at risk Cumulative exposure to various agents, including talc, ammonia, may be important Hairdressers, beauticians, and accountants are among certain job roles that may be associated with a heightened risk of ovarian cancer, finds a case-control study published online in the journal Occupational & Environmental
- [Higher levels of lean muscle might protect against Alzheimer’s disease](https://bmjgroup.com/higher-levels-of-lean-muscle-might-protect-against-alzheimers-disease/) - But further study needed to tease out the possible biological pathways,say study authors High levels of lean muscle might protect against Alzheimer’s disease, suggests a large study published in the open access journal BMJ Medicine. But further research is needed to tease out the underlying biological pathways, along with the clinical and public health implications, say the
- [Experts call for independent inquiry into Canada’s covid-19 response](https://bmjgroup.com/experts-call-for-independent-inquiry-into-canadas-covid-19-response/) - New series from The BMJ points to failures in Canada’s pandemic response Experts call for a probing review to learn lessons and ensure accountability At first glance, Canada appears to have responded adequately to the covid-19 emergency, but beneath the surface lie major pandemic failures, warns a series of articles published by The BMJ today. The BMJ
- [Disrupted access to healthcare during pandemic linked to avoidable hospital admissions](https://bmjgroup.com/disrupted-access-to-healthcare-during-pandemic-linked-to-avoidable-hospital-admissions/) - Findings highlight need for increasing healthcare investment to tackle short and long term implications of covid-19 pandemic People who experienced disrupted access to healthcare (including appointments and procedures) during the covid-19 pandemic were more likely to have potentially preventable hospital admissions, finds a study published by The BMJ today. This is the first study to examine the
- [Tripling in proportion of smokers’ discounted overseas tobacco purchases since 2019 in England](https://bmjgroup.com/tripling-in-proportion-of-smokers-discounted-overseas-tobacco-purchases-since-2019-in-england/) - But no reported change in black market purchases, reveals time-trends analysis The proportion of smokers’ discounted overseas tobacco purchases--- from duty free or from countries with cheaper products, and known as cross-border purchases---has tripled in England since 2019, rising from just over 5% to just over 16%, but there’s been no reported change in black
- [Cancer death risk after low-dose ionising radiation underestimated](https://bmjgroup.com/cancer-death-risk-after-low-dose-ionising-radiation-underestimated/) - Findings should inform rules on workplace protection from low-dose radiation, say researchers Prolonged exposure to low-dose ionising radiation is associated with a higher risk of death from cancer than previously thought, suggests research tracking the deaths of workers in the nuclear industry, published in The BMJ today. The findings should inform current rules on workplace protection from
- [High level of heart attack protein linked to heightened risk of death](https://bmjgroup.com/high-level-of-heart-attack-protein-linked-to-heightened-risk-of-death/) - May have role as more general indicator of medium term survival, say researchers A high level of troponin—a protein normally used to exclude the possibility of a heart attack in patients with chest pain—may signal a heightened risk of death from any cause within the next couple of years, even in the absence of known
- [People with a hepatitis C cure still face substantial risk of death](https://bmjgroup.com/people-with-a-hepatitis-c-cure-still-face-substantial-risk-of-death/) - Findings highlight importance of ongoing post-cure support Individuals who have been cured of hepatitis C infection still face a substantially greater risk of death compared with the general population - between 3 and 14 times higher depending on liver disease stage, finds the largest study of its kind published by The BMJ today. Based on data from
- [Global surge in cancers among the under 50s over past three decades](https://bmjgroup.com/global-surge-in-cancers-among-the-under-50s-over-past-three-decades/) - New cases have risen 79%, overall, with fastest rise in windpipe and prostate cancers Heaviest death toll for cancers of breast, windpipe, lung, bowel, and stomach There’s been a striking 79% increase in new cases of cancer among the under 50s around the world over the past three decades (1990-2019), finds research published today in
- [Certain gut conditions may be early warning signs of Parkinson’s disease](https://bmjgroup.com/certain-gut-conditions-may-be-early-warning-signs-of-parkinsons-disease/) - Constipation, difficulty swallowing, irritable bowel syndrome (IBS) among them Certain gut problems, such as constipation, difficulty swallowing, and irritable bowel syndrome (IBS), may be early warning signs of the neurological condition Parkinson’s disease, suggests research published online in the journal Gut. Gastrointestinal symptoms are thought to precede the development of cerebrovascular disease, such as stroke or
- [New risk score strongly predicts dementia chances within 14 years](https://bmjgroup.com/new-risk-score-strongly-predicts-dementia-chances-within-14-years/) - UKBDRS outperforms 3 widely used options; draws on 11 mostly modifiable factors A new dementia risk score, which draws on 11 mostly modifiable risk factors, identifies people at risk—from mid-life onwards—of developing the disease within the next 14 years, suggests a large long term study published in the open access journal BMJ Mental Health. The UK
- [Flawed body of research indicates true ‘long covid’ risk likely exaggerated](https://bmjgroup.com/flawed-body-of-research-indicates-true-long-covid-risk-likely-exaggerated/) - Flawed body of research indicates true ‘long COVID’ risk likely exaggerated Overly broad definitions and lack of comparator groups have distorted risk, say researchers Leading to increased public anxiety and healthcare spend; misdiagnoses; diversion of funds Major flaws in the current body of published research on ‘long COVID’ have likely greatly exaggerated the true risks
- [Doctors with long covid deserve more support](https://bmjgroup.com/doctors-with-long-covid-deserve-more-support/) - Doctors who risked their lives for others say “we’ve been left to rot” Calls for long covid to be recognised as an occupational illness Doctors and other healthcare workers whose lives have been destroyed by long covid deserve more support from the government and NHS, reports The BMJ today. Freelance journalist Adele Waters speaks to scores of
- [Shorter white blood cell telomeres linked to higher dementia risk](https://bmjgroup.com/shorter-white-blood-cell-telomeres-linked-to-higher-dementia-risk/) - Associated with smaller total and white matter brain volume; may be predictor of brain health Shorter telomeres on the ends of white blood cell chromosomes may signal a heightened dementia risk, suggest the results of a large long term study, published online in the journal General Psychiatry. They are associated with smaller total and white matter brain volume, which helps
- [Extending annual screen for diabetic eye disease to 2 years could risk treatment delays](https://bmjgroup.com/extending-annual-screen-for-diabetic-eye-disease-to-2-years-could-risk-treatment-delays/) - Early treatment vital to stave off blindness; extension delays critical hospital referral Those at either end of the age spectrum and/or of Black ethnicity most at risk Extending the annual screen by a year for people in England considered to be at low risk of diabetic eye disease (diabetic retinopathy) could risk critical treatment delays
- [Surgery more effective than nasal sprays for symptoms of a crooked septum](https://bmjgroup.com/surgery-more-effective-than-nasal-sprays-for-symptoms-of-a-crooked-septum/) - Adults with at least moderate symptoms can reliably be offered surgery, say researchers Surgery to straighten a crooked septum (the thin wall of bone and cartilage dividing the space between the two nostrils) is more effective than nasal sprays, and should be offered to adults with at least moderate symptoms such as breathing disruption, suggests
- [AI able to predict if and when people at high risk progress to glaucoma](https://bmjgroup.com/ai-able-to-predict-if-and-when-people-at-high-risk-progress-to-glaucoma/) - Subject to further refinement with larger numbers of people, this may prove helpful diagnostic aid for doctors, say researchers AI (artificial intelligence) that is trained to recognise red flags in retinal images and clinical information can predict if and when people at high risk of glaucoma, usually referred to as ‘glaucoma suspects,’ go on to
- [Actively monitoring cervical lesions linked to heightened long term risk of cervical cancer](https://bmjgroup.com/actively-monitoring-cervical-lesions-linked-to-heightened-long-term-risk-of-cervical-cancer/) - Absolute risk of cervical cancer remains low, but results show importance of regular checks for women having active surveillance Actively monitoring abnormal cells (lesions) that line the cervix rather than removing them straight away is associated with an increased long term risk of cervical cancer, suggests a study published by The BMJ today. The researchers stress that
- [Five-fold rise in UK rates of transgender identity since 2000, medical records suggest](https://bmjgroup.com/five-fold-rise-in-uk-rates-of-transgender-identity-since-2000-medical-records-suggest/) - Evident in all age groups in general practice, but highest rise among 16-29 year olds Recorded transgender identify more common in areas of social and economic deprivation UK rates of transgender identity have risen 5-fold since 2000, with the highest rise observed among 16 to 29 year olds, although the overall numbers are still small,
- [Covid vaccination before infection strongly linked to reduced risk of developing long covid](https://bmjgroup.com/covid-vaccination-before-infection-strongly-linked-to-reduced-risk-of-developing-long-covid/) - Unvaccinated individuals almost four times as likely to be diagnosed than those vaccinated before first infection Receiving at least one dose of a covid-19 vaccine before the first infection is strongly associated with a reduced risk of developing post-covid-19 condition, commonly known as long covid, finds a study published by The BMJ today. The findings, based on
- [US female gun violence victims less likely to die than male victims despite same injury severity](https://bmjgroup.com/us-female-gun-violence-victims-less-likely-to-die-than-male-victims-despite-same-injury-severity/) - They also have better outcomes, with fewer complications after hospital admission Female victims of gun violence in the US are less likely to die than their male counterparts, despite having similar injury severity, finds a 7-year analysis of a US national injury database, published in the open access journal Trauma Surgery & Acute Care Open. They
- [Twice daily electrical stimulation may boost mental processes in Alzheimer’s disease](https://bmjgroup.com/twice-daily-electrical-stimulation-may-boost-mental-processes-in-alzheimers-disease/) - Non-invasive technology (tDCS) may fire up brain’s plasticity, enabling new neural networks Twice daily non-invasive electrical stimulation of the brain may boost mental processes (cognitive function) in people with Alzheimer’s disease, suggest the results of a small clinical trial published online in the open access journal General Psychiatry. The technology, known as transcranial direct current stimulation,
- [Enlarged breast tissue in men (gynaecomastia) linked to heightened risk of death](https://bmjgroup.com/enlarged-breast-tissue-in-men-gynaecomastia-linked-to-heightened-risk-of-death/) - Those with a pre-existing risk factor most vulnerable, research suggests Men with enlarged breast tissue, not caused by excess weight—a condition formally known as gynaecomastia—may be at heightened risk of an early death before the age of 75, suggests the first study of its kind, published online in the open access journal BMJ Open. Those with
- [Sex-specific panel of 10 proteins can pick up 18 different early stage cancers](https://bmjgroup.com/sex-specific-panel-of-10-proteins-can-pick-up-18-different-early-stage-cancers/) - Could kickstart new generation of screening tests for early cancer detection, say researchers A sex-specific panel of 10 proteins can pick up 18 different early stage cancers, representing all the major organs of the human body, finds a proof of concept study published in the open access journal BMJ Oncology. The findings could kick-start a new
- [Systemic US reforms needed to prevent mass death in the next pandemic](https://bmjgroup.com/systemic-us-reforms-needed-to-prevent-mass-death-in-the-next-pandemic/) - Experts highlight lessons that can be learned from the US’s covid-19 experience and say reforms should be central to 2024 US presidential candidate manifestos Ahead of the 2024 US presidential election, The BMJ today launches a forward-looking series that highlights the lessons that can be learned from the US’s covid-19 experience and the actions that are needed
- [New study assesses long term risk of invasive breast cancer after pre-invasive disease](https://bmjgroup.com/new-study-assesses-long-term-risk-of-invasive-breast-cancer-after-pre-invasive-disease/) - Increased risk lasts for at least 25 years after diagnosis, suggesting longer term monitoring is needed Women who are diagnosed with ductal carcinoma in situ (DCIS) outside the NHS breast screening programme are around four times as likely to develop invasive breast cancer and to die from breast cancer than women in the general population,
- [Men with inflammatory joint disease less likely to be childless than healthy peers](https://bmjgroup.com/men-with-inflammatory-joint-disease-less-likely-to-be-childless-than-healthy-peers/) - They also have more kids: factors linked to disease and its treatment might influence fertility Men with inflammatory joint disease, such as rheumatoid arthritis, are less likely to be childless and have more children than their healthy peers, suggests research published online in the Annals of the Rheumatic Diseases. As yet unknown factors associated with developing
- [Sinusitis linked to 40% heightened risk of rheumatic disease](https://bmjgroup.com/sinusitis-linked-to-40-heightened-risk-of-rheumatic-disease/) - Association strongest in 5-10 years before start of rheumatic symptoms Risks greatest for blood clotting disorder and syndrome that affects body’s fluid production The common inflammatory condition sinusitis is linked to a 40% heightened risk of a subsequent diagnosis of rheumatic disease, particularly in the 5 to 10 years preceding the start of symptoms, finds
- [Group rehabilitation improves quality of life for people with long covid](https://bmjgroup.com/group-rehabilitation-improves-quality-of-life-for-people-with-long-covid/) - Findings will assist clinicians in treating this complex condition An online programme of physical and mental health rehabilitation can improve quality of life for adults with long covid, finds a trial published by The BMJ today. The eight week REGAIN programme, delivered in online group sessions, led to sustained improvements in fatigue, pain, and depression compared with
- [People who are ‘double jointed’ may be at heightened risk of long covid](https://bmjgroup.com/people-who-are-double-jointed-may-be-at-heightened-risk-of-long-covid/) - People with condition 30% more likely not to fully recover from COVID-19 infection People who are ‘double jointed,’ a condition formally known as generalised joint hypermobility, may be at heightened risk of long COVID, suggests a case-control study published in the open access journal BMJ Public Health. They were 30% more likely not to have
- [Excess weight in primary school girls linked to GP visits for musculoskeletal issues](https://bmjgroup.com/excess-weight-in-primary-school-girls-linked-to-gp-visits-for-musculoskeletal-issues/) - More likely than healthy weight peers to see a doctor at least once about these issues Primary school girls between the ages of 4 and 11 with a body mass index (BMI) considered overweight or obese are more likely to see a family doctor (GP) at least once about musculoskeletal problems than their healthy weight
- [Many publicly accessible AI assistants lack adequate safeguards to prevent mass health disinformation](https://bmjgroup.com/many-publicly-accessible-ai-assistants-lack-adequate-safeguards-to-prevent-mass-health-disinformation/) - Effective processes for reporting and responding to safeguard vulnerabilities are also lacking, warn experts Many publicly accessible artificial intelligence (AI) assistants lack adequate safeguards to consistently prevent the mass generation of health disinformation across a broad range of topics, warn experts in The BMJ today. They call for enhanced regulation, transparency, and routine auditing to
- [Cost increasingly important motive for quitting smoking for 1 in 4 adults in England](https://bmjgroup.com/cost-increasingly-important-motive-for-quitting-smoking-for-1-in-4-adults-in-england/) - Making much more of potential savings might encourage more people to stub out for good Health concerns are still the primary motive for more than half of those who say they want to stop smoking in England, but cost is now a key factor for more than 1 in 4, finds an analysis of national
- [Covid vaccination in pregnancy protects infants against infection and hospital admission](https://bmjgroup.com/covid-vaccination-in-pregnancy-protects-infants-against-infection-and-hospital-admission/) - Findings suggest that vaccination during pregnancy may have benefits for both mother and baby Two doses of mRNA covid-19 vaccine during pregnancy are highly effective against delta and moderately effective against omicron infection, and are linked to a lower risk of hospital admission in infants under six months of age, finds a Canadian study published
- [Covid-19 infection at any time during pregnancy boosts mother’s risk of death](https://bmjgroup.com/covid-19-infection-at-any-time-during-pregnancy-boosts-mothers-risk-of-death/) - And is associated with serious illness in mothers and newborns Findings reinforce need for targeted interventions, including vaccination, say researchers COVID-19 infection at any time during pregnancy boosts the mother’s risk of death and is associated with serious illness in both mothers and their newborns, finds a pooled data analysis of international evidence, published in
- [Significant global variation in national covid-19 treatment guidelines](https://bmjgroup.com/significant-global-variation-in-national-covid-19-treatment-guidelines/) - Most countries recommend at least one treatment that definitely doesn’t work Greatest divergence from gold standard recommendations in under-resourced countries National clinical guidelines for the treatment of COVID-19 vary significantly around the world, with under-resourced countries the most likely to diverge from gold standard (World Health Organization; WHO) treatment recommendations, finds a comparative analysis published
- [New study finds no increased risk of menstrual changes after covid-19 vaccination](https://bmjgroup.com/new-study-finds-no-increased-risk-of-menstrual-changes-after-covid-19-vaccination/) - Results from nearly 3 million women suggest a causal effect is unlikely, say experts A Swedish study of nearly 3 million women published by The BMJ today finds no evidence of an increased risk of menstrual changes after covid-19 vaccination. Weak and inconsistent associations were found between covid-19 vaccination and contact with healthcare for postmenopausal
- [Menopausal hormone therapy linked to increased rate of dementia](https://bmjgroup.com/menopausal-hormone-therapy-linked-to-increased-rate-of-dementia/) - Increase seen even in short term users around age of menopause Although a causal link remains uncertain, findings should be investigated further in future studies Use of menopausal hormone therapy is associated with an increased rate of dementia and Alzheimer’s disease, suggests a large Danish study published by The BMJ today. An increase was seen in long
- [Most women diagnosed with early breast cancer can expect to become long term cancer survivors](https://bmjgroup.com/most-women-diagnosed-with-early-breast-cancer-can-expect-to-become-long-term-cancer-survivors/) - Findings show substantial fall in risk of death from breast cancer since the 1990s and provide reassurance for patients and doctors Most women diagnosed with early stage breast cancer today can expect to become long term cancer survivors, finds a study published by The BMJ today. The findings show that the average risk of dying from breast
- [The BMJ investigates concerns over informed consent for pregnant women in Pfizer’s RSV vaccine trial](https://bmjgroup.com/the-bmj-investigates-concerns-over-informed-consent-for-pregnant-women-in-pfizers-rsv-vaccine-trial/) - Should mums-to-be have been told of safety signal around preterm birth? A debate has broken out over whether Pfizer should have told pregnant women taking part in its maternal respiratory syncytial virus (RSV) vaccine trial that a trial of a similar GSK vaccine was stopped over a safety signal around preterm birth, an investigation by The
- [Explore psilocybin and other psychedelics for women’s cancer distress, urge doctors](https://bmjgroup.com/explore-psilocybin-and-other-psychedelics-for-womens-cancer-distress-urge-doctors/) - Conventional ‘gold standard’ approaches take too long and require too much stamina It’s time to stop prevaricating and explore the use of psilocybin—the active ingredient in ‘magic mushrooms’—and other psychedelics to ease the often overwhelming distress faced by women with late stage gynaecological cancers, urge doctors in a commentary published online in the International Journal of
- [Pregnancy complications linked to long-term increased heart disease risk](https://bmjgroup.com/pregnancy-complications-linked-to-long-term-increased-heart-disease-risk/) - All major adverse pregnancy outcomes should be recognised as lifelong risk factors for heart disease, say researchers Women who experience any of five major pregnancy complications, such as preterm birth and pre-eclampsia, show an increased risk of ischemic heart disease up to 46 years after delivery, finds a study from Sweden published by The BMJ
- [Surgeons should prepare to face more abortion complications post-Wade](https://bmjgroup.com/surgeons-should-prepare-to-face-more-abortion-complications-post-wade/) - Experts call for profession to denounce ‘incredibly harmful' decision Acute care surgeons should prepare to treat complications of forced pregnancies and unsafe abortions following the Supreme Court’s decision to overturn Roe v Wade in the USA in 2022, argue experts in an opinion piece published in the journal Trauma Surgery & Acute Care Open. The
- [Satisfying mid-life relationships linked to lower multiple chronic disease risk](https://bmjgroup.com/satisfying-mid-life-relationships-linked-to-lower-multiple-chronic-disease-risk/) - Satisfying mid-life relationships linked to lower multiple chronic disease risk in older age Findings only partially explained by income, education, and health behaviours Satisfying relationships in mid-life with partners, friends, or work colleagues are linked to a lower risk of accumulating multiple long term conditions in older age—at least among women—suggests research published in the
- [Most health claims on infant formula products seem to have little evidence](https://bmjgroup.com/most-health-claims-on-infant-formula-products-seem-to-have-little-evidence/) - Most health claims on infant formula products seem to have little or no supporting evidence Stricter marketing regulations are urgently needed, urge researchers Most health and nutrition claims on infant formula products seem to be backed by little or no high quality scientific evidence, finds an international survey published by The BMJ today. Common claims
- [Almost every country criminalises abortion in some circumstances](https://bmjgroup.com/almost-every-country-criminalises-abortion-in-some-circumstances/) - 134 penalise abortion seekers; 181 abortion providers; and 159 people assisting Almost all countries around the globe criminalise abortion in some circumstances, despite the public health risks and impact on human rights, finds a review of the scope of penalties for the procedure in 182 nations, published in the open access journal BMJ Global Health. Some
- [Pregnant women in traffic collisions at heightened risk of birth complications](https://bmjgroup.com/pregnant-women-in-traffic-collisions-at-heightened-risk-of-birth-complications/) - Risks even higher for those on scooters rather than in cars, findings indicate Pregnant women involved in road traffic collisions—even those with minor injuries—are at heightened risk of potentially serious birth complications, including dislodgement of the placenta (placental abruption), very heavy bleeding, and the need for a caesarean section, finds a Taiwanese study published online
- [Mid-life structural jawbone changes may signal women’s height loss](https://bmjgroup.com/mid-life-structural-jawbone-changes-may-signal-womens-height-loss/) - Dentists likely to spot these on x-ray, and should tell doctors about them, say researchers Mid-life structural changes to the jawbone may signal subsequent height loss in women, suggests research published in the open access journal BMJ Open. Dentists, who are likely to spot these on mouth x-rays during routine check-ups, should collaborate with patients’ doctors
- [Close contact intervention between mum and her premature baby may cut risk of death by almost a third](https://bmjgroup.com/close-contact-intervention-between-mum-and-her-premature-baby-may-cut-risk-of-death-by-almost-a-third/) - Peer reviewed? Yes Evidence type: Systematic review and meta-analysis Subjects: Close contact interventions and preterm infants Close contact intervention between a mother and her premature baby may reduce risk of mortality by almost a third ‘Kangaroo mother care’ seems to reduce the risk of infant mortality by 32% and severe infection by 15%, study suggests
- [Female healthworkers need better radiation protection to minimise breast cancer risk](https://bmjgroup.com/female-healthworkers-need-better-radiation-protection-to-minimise-breast-cancer-risk/) - Standard PPE does not fully protect breast tissue Employers should invest in equipment that ensures the safety of all their staff Women working in healthcare who are regularly exposed to radiation from x-rays and other imaging procedures need better ionising radiation protection to help minimise their risk of developing breast cancer, argue doctors in The BMJ today. Ionising radiation
- [Childhood trauma may heighten risk of pregnancy complications](https://bmjgroup.com/childhood-trauma-may-heighten-risk-of-pregnancy-complications/) - Pregnancy related diabetes, high blood pressure, depression, low birthweight/premature babies more likely Childhood trauma, such as abuse, emotional neglect, and exposure to domestic violence, may heighten a woman’s subsequent risk of pregnancy complications, and of giving birth to a low birthweight or premature baby, finds a pooled data analysis of the available evidence, published in
- [Journal’s refusal to retract paper used to restrict abortion in US sparks independence row](https://bmjgroup.com/journals-refusal-to-retract-paper-used-to-restrict-abortion-in-us-sparks-independence-row/) - A highly critiqued paper in the British Journal of Psychiatry has been cited in US legal cases to restrict access to abortion. Attempts to retract the paper by insiders at the journal have failed after the author suggested she would take legal action, leading to a row over editorial independence. An investigation by The BMJ
- [Young age at first menstrual cycle linked to heightened diabetes risk in mid-life](https://bmjgroup.com/young-age-at-first-menstrual-cycle-linked-to-heightened-diabetes-risk-in-mid-life/) - And it’s associated with an increased risk of stroke before the age of 65 Starting menstrual cycles at a young age—before the age of 13—is linked to a heightened risk of developing type 2 diabetes in mid-life, finds US research published online in the open access journal BMJ Nutrition Prevention & Health. And it also seems
- [Three-fold rise in babies born at 22 weeks given respiratory life support in England and Wales after guidelines change](https://bmjgroup.com/three-fold-rise-in-babies-born-at-22-weeks-given-respiratory-life-support-in-england-and-wales-after-guidelines-change/) - Rise in proportion surviving to discharge, but overall survival remains low And there are major implications for additional resource needs, say researchers The number of very premature babies (22 weeks) given respiratory life support (survival focused care) and/or admitted to neonatal units in England and Wales has increased 3-fold, following changes in 2019 to national
- [Spike in morning after pill sales in the US after New Year celebrations](https://bmjgroup.com/spike-in-morning-after-pill-sales-in-the-us-after-new-year-celebrations/) - Estimates suggest after New Year 2022, nearly 41,000 extra pills were sold Sales of emergency contraception are estimated to rise by around 10% in the US in the week after the New Year holiday, suggesting that this period is associated with increased risks of unprotected sex compared with other holidays, finds a study published in
- [Perinatal depression linked to increased risk of death](https://bmjgroup.com/perinatal-depression-linked-to-increased-risk-of-death/) - Particularly due to suicide and during the first year after diagnosis, irrespective of psychiatric history Clinically diagnosed perinatal depression is associated with an increased risk of death, particularly due to suicide and during the first year after diagnosis, finds a study published by The BMJ today. Perinatal depression was defined as any diagnosis of depression during pregnancy
- [Active military service may heighten women’s risk of having low birthweight babies](https://bmjgroup.com/active-military-service-may-heighten-womens-risk-of-having-low-birthweight-babies/) - Findings highlight need for more female-specific research in armed forces, say study authors Active military service may heighten a woman’s risk of having a low birthweight baby, suggests a review of the available scientific evidence published online in the journal BMJ Military Health. The findings highlight the need for more research specifically focused on women in
- [New study updates evidence on rare blood-clotting condition after covid-19 vaccination](https://bmjgroup.com/new-study-updates-evidence-on-rare-blood-clotting-condition-after-covid-19-vaccination/) - Findings show small increased risk after adenovirus vaccines Should be considered when planning further immunisation campaigns and future vaccine development A study published by The BMJ today sheds further light on the risk of developing a very rare blood-clotting condition known as thrombosis with thrombocytopenia syndrome (TTS) after vaccination against the covid-19 virus. Based on
- [Homicide is a leading cause of death in pregnant women in the US](https://bmjgroup.com/homicide-is-a-leading-cause-of-death-in-pregnant-women-in-the-us/) - “A shocking situation linked to a lethal combination of intimate partner violence and firearms,” say experts Women in the US are more likely to be murdered during pregnancy or soon after childbirth than to die from the three leading obstetric causes of maternal death (high blood pressure disorders, hemorrhage, or sepsis), say experts in The
- [Doctors’ reluctance to discuss anal sex is letting down young women](https://bmjgroup.com/doctors-reluctance-to-discuss-anal-sex-is-letting-down-young-women/) - Doctors’ reluctance to discuss anal sex is letting down young women, warn researchers Open conversations and better public health education will help women make informed choices Clinicians’ reluctance to discuss possible harms of anal sex is letting down a generation of young women who are unaware of the risks, warn researchers in The BMJ today.
- [New study updates evidence on rare heart condition after covid vaccination](https://bmjgroup.com/new-study-updates-evidence-on-rare-heart-condition-after-covid-vaccination/) - Number of cases low and predominantly mild Young males at highest risk shortly after second dose, suggesting longer dosing intervals might be beneficial Findings must be considered alongside overall benefits of vaccination A study published by The BMJ today provides an up to date summary of evidence on the risk of heart inflammation (myocarditis and
- [Widening gap in death rates between Democrat and Republican in the US](https://bmjgroup.com/widening-gap-in-death-rates-between-democrat-and-republican-in-the-us/) - Democratic areas saw greater improvements over the past two decades Findings build on previous evidence that more liberal policies, laws, and regulations may be associated with better health outcomes Americans living in counties that voted Democratic during presidential elections from 2000 to 2016 experienced larger decreases in death rates than residents of counties that voted
- [Study finds risk of serious blood clots up to six months after covid-19](https://bmjgroup.com/study-finds-risk-of-serious-blood-clots-up-to-six-months-after-covid-19/) - Risk higher for patients with underlying conditions and more severe covid-19 A study from Sweden published by The BMJ today finds an increased risk of deep vein thrombosis (a blood clot in the leg) up to three months after covid-19 infection, pulmonary embolism (a blood clot in the lung) up to six months, and a
- [Study finds gradual increase in covid infection risk after second vaccine dose](https://bmjgroup.com/study-finds-gradual-increase-in-covid-infection-risk-after-second-vaccine-dose/) - Results confirm that protection wanes with time and suggest a third (booster) dose might be warranted A study published by The BMJ today finds a gradual increase in the risk of covid-19 infection from 90 days after receiving a second dose of the Pfizer-BioNTech vaccine. The study was carried out by the Research Institute of
- [Daily use of cannabidiol (‘CBD’) oil may be linked to lung cancer regression](https://bmjgroup.com/daily-use-of-cannabidiol-cbd-oil-may-be-linked-to-lung-cancer-regression/) - May be worth further exploring cannabinoids as potential cancer treatment, say researchers It may be worth exploring further the use of cannabidiol (‘CBD’) oil as a potential lung cancer treatment, suggest doctors in BMJ Case Reports after dealing with a daily user whose lung tumour shrank without the aid of conventional treatment. The body’s own endocannabinoids are
- [Link between menstrual changes after covid-19 vaccination is plausible and should be investigated](https://bmjgroup.com/link-between-menstrual-changes-after-covid-19-vaccination-is-plausible-and-should-be-investigated/) - Reported changes short lived, but research into this possible adverse reaction remains critical to the success of the vaccination programme Some women say their periods change after getting a covid-19 vaccination. In The BMJ today, Dr Victoria Male, a reproductive specialist at Imperial College London, says a link between menstrual changes after covid-19 vaccination is
- [New study suggests benefit-to-harm balance of statins for healthy adults “generally favourable”](https://bmjgroup.com/new-study-suggests-benefit-to-harm-balance-of-statins-for-healthy-adults-generally-favourable/) - Findings should reassure patients and should not deter their use, say researchers Statins are associated with a small increased risk of side effects in patients without a history of heart disease, but these effects are mild compared with the potential benefits of treatment in preventing major cardiovascular events, say researchers in The BMJ today. They say their findings
- [Heavy energy drink consumption linked to heart failure in a young man](https://bmjgroup.com/heavy-energy-drink-consumption-linked-to-heart-failure-in-a-young-man/) - Adds to mounting concerns about potential heart hams of energy drinks, say report authors Heavy energy drink consumption may be linked to heart failure, doctors have warned in the journal BMJ Case Reports after treating a 21 year old, who had regularly drunk 4 such cans every day for around 2 years. This report adds to the
- [Stop global roll out of 5G networks until safety is confirmed, urges expert](https://bmjgroup.com/stop-global-roll-out-of-5g-networks-until-safety-is-confirmed-urges-expert/) - Transmitter density means greater population exposure to high levels of radio frequency electromagnetic fields We should err on the side of caution and stop the global roll out of 5G (fifth generation) telecoms networks until we are certain this technology is completely safe, urges an expert in an opinion piece published online in the Journal of
- [Swallowing alcohol-based hand sanitiser can kill, warns analysis of coroners’ reports](https://bmjgroup.com/swallowing-alcohol-based-hand-sanitiser-can-kill-warns-analysis-of-coroners-reports/) - Public largely unaware of potential safety hazards More needs to be done to protect children, elderly, those with mental health issues Swallowing alcohol-based hand sanitiser can kill, warns an analysis of two such deaths identified in coroners’ reports, and published in the journal BMJ Evidence Based Medicine. But the public is largely unaware of the potential
- [Every month delayed in cancer treatment can raise risk of death by around 10%](https://bmjgroup.com/every-month-delayed-in-cancer-treatment-can-raise-risk-of-death-by-around-10/) - Minimising delays to treatment could improve cancer survival rates, say researchers People whose treatment for cancer is delayed by even one month have in many cases a 6 to 13% higher risk of dying – a risk that keeps rising the longer their treatment does not begin – suggests research published online in The BMJ. Canadian
- [Study provides new estimates of breast cancer risks associated with HRT](https://bmjgroup.com/study-provides-new-estimates-of-breast-cancer-risks-associated-with-hrt/) - Results add to existing knowledge and should help doctors and women make the best treatment choices A new study published by The BMJ today provides new estimates of the increased risks of breast cancer associated with use of different hormone replacement therapy (HRT) preparations in the UK. It confirms that HRT use is associated with
- [Fatal police shootings of unarmed Black people in US more than 3 times as high as in Whites](https://bmjgroup.com/fatal-police-shootings-of-unarmed-black-people-in-us-more-than-3-times-as-high-as-in-whites/) - Overall fatal shooting rate not budged in 5 years; ‘public health emergency’ say researchers The rate of fatal police shootings of unarmed Black people in the US is more than 3 times as high as it is among White people, finds research published online in the Journal of Epidemiology & Community Health. And the total numbers
- [First reported UK case of sudden permanent hearing loss linked to covid-19](https://bmjgroup.com/first-reported-uk-case-of-sudden-permanent-hearing-loss-linked-to-covid-19/) - Condition not common, but awareness is important as prompt treatment can reverse it Although uncommon, sudden permanent hearing loss seems to be linked to COVID-19 infection in some people, warn doctors, reporting the first UK case in the journal BMJ Case Reports. Awareness of this possible side effect is important, because a prompt course of steroid
- [Retest for covid-19 4+ weeks after symptoms first appear to curb infection risk, say researchers](https://bmjgroup.com/retest-for-covid-19-4-weeks-after-symptoms-first-appear-to-curb-infection-risk-say-researchers/) - Takes average of 30 days to clear virus from the body after first positive test Rate of false negative swab test results high in early convalescence Not yet known how infectious recovery phase is People who’ve had COVID-19 should be swab tested again 4 or more weeks after symptoms first appear to minimise the risk of
- [No safe level of caffeine consumption for pregnant women and would-be mothers](https://bmjgroup.com/no-safe-level-of-caffeine-consumption-for-pregnant-women-and-would-be-mothers/) - Women who are pregnant or trying for a baby should consider avoiding caffeine, researchers say Women who are pregnant or trying to conceive should be advised to avoid caffeine because the evidence suggests that maternal caffeine consumption is associated with negative pregnancy outcomes and that there is no safe level of consumption, finds an analysis
- [Doubt cast on wisdom of targeting ‘bad’ cholesterol to curb heart disease risk](https://bmjgroup.com/doubt-cast-on-wisdom-of-targeting-bad-cholesterol-to-curb-heart-disease-risk/) - Decades of research have failed to show consistent benefit for this approach, say researchers Setting targets for ‘bad’ (LDL) cholesterol levels to ward off heart disease and death in those at risk might seem intuitive, but decades of research have failed to show any consistent benefit for this approach, reveals an analysis of the available
- [Patients overestimate the success of CPR](https://bmjgroup.com/patients-overestimate-the-success-of-cpr/) - Doctors should discuss CPR to clarify and inform patients before they consent to it, say researchers Patients and the general public appear to significantly overestimate the success of cardiopulmonary resuscitation (CPR) and underestimate the negative impact it can have on a person’s health, suggests research published online in Emergency Medicine Journal. US researchers have therefore recommended
- [237+ million medication errors made every year in England](https://bmjgroup.com/237-million-medication-errors-made-every-year-in-england/) - Avoidable consequences cost NHS upwards of £98 million and 1700+ lives every year More than 237 million medication errors are made every year in England, the avoidable consequences of which cost the NHS upwards of £98 million and more than 1700 lives every year, indicate national estimates, published online in the journal BMJ Quality & Safety.
- [Widely available indigestion drug may curb covid-19 symptoms in mild to moderate disease](https://bmjgroup.com/widely-available-indigestion-drug-may-curb-covid-19-symptoms-in-mild-to-moderate-disease/) - Effects felt within 1-2 days; clinical trial of those who don’t require hospital admission warranted A widely available and inexpensive drug that is used to ease the symptoms of indigestion may prove a worthy contender for treating COVID-19 infection in those whose disease doesn’t require admission to hospital, suggest the findings of a small case
- [Adult exposure to chickenpox linked to lower risk of shingles](https://bmjgroup.com/adult-exposure-to-chickenpox-linked-to-lower-risk-of-shingles/) - UK vaccination policy assumes complete immunity and may need revisiting, say researchers Adults who are exposed to a child with chickenpox (varicella) in the home are around 30% less likely to develop shingles (herpes zoster) over 20 years, finds a study in The BMJ today. The results support the theory that re-exposure to the herpes zoster virus
- [Nearly 1 in 2 swingers uses recreational drugs to intensify sex, survey suggests](https://bmjgroup.com/nearly-1-in-2-swingers-uses-recreational-drugs-to-intensify-sex-survey-suggests/) - Women more likely to do so than straight or bisexual men; using increases risk of unprotected sex Nearly one in two swingers uses recreational drugs to intensify the experience, with women more likely to do so than either straight or bisexual men, suggest the results of a Dutch survey, published online in the journal Sexually
- [New evidence links ultra-processed foods with a range of health risks](https://bmjgroup.com/new-evidence-links-ultra-processed-foods-with-a-range-of-health-risks/) - Policies that limit ultra-processed food intake are urgently needed, say researchers Two large European studies published by The BMJ today find positive associations between consumption of highly processed (“ultra-processed”) foods and risk of cardiovascular disease and death. The researchers say further work is needed to better understand these effects, and a direct (causal) link remains to be established,
- [Anxiety might be alleviated by regulating gut bacteria](https://bmjgroup.com/anxiety-might-be-alleviated-by-regulating-gut-bacteria/) - Review of studies suggests a potentially useful link between gut bacteria and mental disorders People who experience anxiety symptoms might be helped by taking steps to regulate the microorganisms in their gut using probiotic and non-probiotic food and supplements, suggests a review of studies published today in the journal General Psychiatry. Anxiety symptoms are common
- [Mid-life resting heart rate of 75+ beats/min linked to doubling in early death risk](https://bmjgroup.com/mid-life-resting-heart-rate-of-75-beats-min-linked-to-doubling-in-early-death-risk/) - And rise in rate for those in their 50s linked to heightened heart disease risk over next 11 years A resting heart rate of 75 beats per minute in mid-life is linked to a doubling in the risk of an early death from all causes–at least among men–reveals research published in the online journal Open
- [Nine out of 10 abortions done before 12 weeks in many high-income countries](https://bmjgroup.com/nine-out-of-10-abortions-done-before-12-weeks-in-many-high-income-countries/) - Medical abortion now accounts for at least half of pregnancy terminations in most of them Nine out of 10 abortions happen before 12 weeks of pregnancy in many high-income countries, while the proportion of those done under 9 weeks has risen over the past decade, reveals the first review of its kind, published online in
- [Risk of miscarriage linked strongly to mother’s age and pregnancy history](https://bmjgroup.com/risk-of-miscarriage-linked-strongly-to-mothers-age-and-pregnancy-history/) - Findings point to new insights into possible shared underlying causes of miscarriage The risk of miscarriage varies greatly with a woman’s age, shows a strong pattern of recurrence, and is increased after some pregnancy complications, finds a study from Norway published in The BMJ today. The findings suggest that miscarriage and other pregnancy complications might
- [Losing weight can reverse type 2 diabetes, but is rarely achieved or recorded](https://bmjgroup.com/losing-weight-can-reverse-type-2-diabetes-but-is-rarely-achieved-or-recorded/) - Condition that costs NHS £22m a day could be beaten into remission if patients shed the pounds, say experts Type 2 diabetes is generally perceived as progressive and incurable, but for many patients it can be reversed with sustained weight loss of around 15 kg, say experts in The BMJ today. Louise McCombie at the

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## BMJ TAG sliders

- [NICE recommendations for rimegepant in migraine prevention and acute treatment](https://bmjgroup.com/bmj-tag-slider/nice-recommendations-for-rimegepant-in-migraine-prevention-and-acute-treatment/) - In July 2023, NICE recommended rimegepant as a preventive for episodic migraine, and in October 2023 as an acute treatment. An oral wafer dissolving on or under the tongue, it was the first fourth-line oral preventive, providing an alternative to injections for 145,000 people and for 13,000 patients in England.
- [NICE approval of foslevodopa-foscarbidopa for Parkinson’s disease](https://bmjgroup.com/bmj-tag-slider/nice-approval-of-foslevodopa-foscarbidopa-for-parkinsons-disease/) - In November 2023, NICE approved foslevodopa-foscarbidopa for Parkinson’s disease. Delivered by continuous subcutaneous infusion, it provides stable dopamine levels, reducing movement fluctuations. Compared with levodopa-carbidopa intestinal gel, it improved quality of life without invasive surgery, avoiding associated costs and treatment burden for patients.
- [NICE recommendation of elosulfase alfa for MPS IVA](https://bmjgroup.com/bmj-tag-slider/nice-recommendation-of-elosulfase-alfa-for-mps-iva/) - In April 2022, following TAG’s independent assessment, NICE recommended elosulfase alfa for mucopolysaccharidosis type IV A, a progressive condition that, left untreated, causes progressive skeletal disease, respiratory impairment, pain, fatigue, and reduced life expectancy. Treatment usually begins around age three and is lifelong. The Society for Mucopolysaccharide Diseases considers elosulfase alfa to be “life changing.”

## Board members

- [Peter Coebergh](https://bmjgroup.com/board-member/peter-coebergh/) - Peter Coebergh Non-Executive Director ×Peter Coebergh Peter comes to the Board with vast experience and understanding of the publishing sector, having served as chief executive officer at Brill, a publisher in the fields of Humanities, International Law and Social Sciences. Prior to that, he held senior roles at Springer Nature Group and Kluwer Academic Publishers.
- [Peter Vicary-Smith](https://bmjgroup.com/board-member/peter-vicary-smith/) - Peter Vicary-Smith Chair of BMJ Group and Non-Executive Director of the British Medical Association ×Peter Vicary-Smith Peter was appointed as Chair of BMJ Group and a Non-Executive Director of the BMA in September 2022. He retired as the CEO of consumer organisation Which? in 2018 and now has two significant non-Executive commitments with Northumbrian Water
- [Dr Peter Holden](https://bmjgroup.com/board-member/dr-peter-holden/) - Dr Peter Holden BMA Treasurer ×Dr Peter Holden Dr Peter Holden is a general medical practitioner in the Derbyshire Peak District and a consultant in pre-hospital emergency medicine, acting as a strategic medical advisor to East Midlands Ambulance Service NHS Trust. He was elected treasurer of the British Medical Association in June 2025, has served
- [Neeta Major](https://bmjgroup.com/board-member/neeta-major/) - Neeta Major BMA Group Chief Finance Officer ×Neeta Major Neeta Major is the British Medical Association’s (BMA) Group Chief Finance Officer, having previously served as Co-Chief Executive Officer alongside Rachel Podolak from 2022 to 2025, and before that in the role of BMA Group CFO. Close
- [Bev Acreman](https://bmjgroup.com/board-member/bev-acreman/) - Bev Acreman Non-Executive Director ×Bev Acreman Bev is a publishing specialist with over twenty five years experience at publishers such as Taylor & Francis, BioMed Central and SpringerNature, where she served as Vice President for global open access business development. Bev is also Executive Director of UKSG, a scholarly communications charity which aims to provide
- [Brian Crawford](https://bmjgroup.com/board-member/brian-crawford/) - Brian Crawford Non-Executive Director ×Brian Crawford Brian Crawford is an independent consultant and strategist with over 30 years of experience in scientific, technical, and medical (STM) publishing. Trained in biochemical sciences and biomedicine, he is known for his innovation in professional journal, book, and digital publishing. Currently, he serves as a non-executive member of the
- [Dr Hemal Desai](https://bmjgroup.com/board-member/dr-hemal-desai/) - Dr Hemal Desai Non-Executive Director ×Dr Hemal Desai Dr Hemal Desai is Global Executive Director of Clinical Services for Aetna International, where he leads a global medical team to ensure the highest standards of care for members in areas such as emergency assistance, medical claims, telemedicine, and primary healthcare. Dr Desai has significant leadership experience
- [Iain Foulkes](https://bmjgroup.com/board-member/iain-foulkes/) - Iain Foulkes Non-Executive Director ×Iain Foulkes A seasoned leader and prominent figure in the realm of cancer research and innovation, Iain is the Executive Director of Research and Innovation and CEO of Cancer Research Horizons at Cancer Research UK (CRUK). Iain’s influence spans the vast expanse of cancer research. As a CRUK Board member since
- [Brian McCarthy](https://bmjgroup.com/board-member/brian-mccarthy/) - Brian McCarthy Non-Executive Director ×Brian McCarthy Brian is a finance specialist with more than twenty years in publishing. After completing his postgraduate education at Queen’s University in Belfast, he qualified as a Chartered Accountant with Arthur Andersen in Dublin, before moving to Cambridge where he is still based. His publishing experience includes seven years in
- [Professor Wasim Hanif](https://bmjgroup.com/board-member/professor-wasim-hanif/) - Professor Wasim Hanif Non-Executive Director ×Professor Wasim Hanif Professor Wasim Hanif is an eminent authority on diabetes, obesity, and ethnic health. As well as holding several clinical and academic posts, he is Trustee of Diabetes UK and the South Asian Health Foundation (SAHF) and was instrumental in setting up UKADS (the United Kingdom Asian Diabetes
- [Angela Williams](https://bmjgroup.com/board-member/angela-williams/) - Angela Williams Non-Executive Director ×Angela Williams Angela adds 30+ years of global leadership experience to our Board. From her diverse background spanning publishing, aviation, retail, services, entertainment, property, and infrastructure, Angela’s impact is felt across sectors that range from BH Blackwell Ltd and Which? to British Airways plc, The Post Office, Sodexo, The Walt Disney

## History sliders

- [1840](https://bmjgroup.com/history-slider/1840/) - The Provincial Medical and Surgical Journal established The same year the Uniform Penny Post was introduced. The journal was sent to all members of the Provincial Medical and Surgical Association, forerunner of the British Medical Association (the BMA). In the modern day, it continues to be sent weekly to BMA members. Those first issues of the Provincial Medical
- [2040](https://bmjgroup.com/history-slider/2040/) - The BMJ journal bicentenary Two hundred years of shaping medicine and leading the debate to improve healthcare. The BMJ can be many things to its diverse audiences: an international research journal, a member magazine, a think tank, an investigative campaigner, an educational resource, even a trusted and inspiring friend. Whatever The BMJ means to you, we invite you
- [2026](https://bmjgroup.com/history-slider/2026/) - International Forum on Quality and Safety celebrates 30 years Now the world’s largest conference of its kind, the International Forum brings together thousands of health professionals each year to share expertise, drive improvement, and shape safer, better health systems. BMJ plays a big and important role when it comes to innovating in healthcare as a source of
- [2025–2032](https://bmjgroup.com/history-slider/2025-2032/) - BMJ Group and NIHR partner for public impact BMJ Group is appointed to lead the National Institute for Health and Care Research’s Public Partnerships and Maximising Research Impact initiative.
- [2025](https://bmjgroup.com/history-slider/2025/) - A Top 10 policy influencer BMJ Group ranks 8th globally in influencing clinical guidelines and policy documents.
- [2023](https://bmjgroup.com/history-slider/2023/) - BMJ Impact Analytics launched The only research impact tool for health and social care, developed with Overton. It tracks how medical research shapes clinical guidance, health policy, and patient outcomes. It is now integrated with OpenAthens for seamless global access.
- [2021](https://bmjgroup.com/history-slider/2021/) - The BMJ publication influences international health policy Evidence provided in a BMJ Innovations publication informed a national health system policy change across Peru and Colombia. The BMJ name and reputation gave the author’s evaluation study the credibility needed to influence government decisions.
- [1995](https://bmjgroup.com/history-slider/1995-2/) - The BMJ leads online In 1898, the journal shifted from weekly to fortnightly, returning to weekly in 1929. It became BMJ in 1988 and The BMJ in 2014. In 1995, it was the first general medical journal to go online. In 2025, The BMJ returned to print fortnightly, continuing daily online.
- [1979](https://bmjgroup.com/history-slider/1979/) - The BMJ begins systematically researching peer review as a scholarly activity The BMJ pioneered research into peer review, launching the first Peer Review Congress in 1989, introducing conflict of interest statements (1994), adopting open peer review (1999), and co-founding the Committee on Publication Ethics (COPE) in 1997, now a global authority.
- [1939–1947](https://bmjgroup.com/history-slider/1939-1947/) - Birth of the “Big Seven” Heart, Annals of the Rheumatic Diseases, Thorax, and the Journal of Clinical Pathology joined Archives of Disease in Childhood, British Journal of Ophthalmology, and Journal of Neurology, Neurosurgery & Psychiatry, collectively known informally within BMJ and the wider research community as BMJ’s “Big Seven” specialty titles. As leading journals, they help to define standards across key clinical fields.
- [1896](https://bmjgroup.com/history-slider/1896/) - The BMJ publishes first x ray image made in Britain After significant interest from the medical community this was followed up with a commissioned series on “the new photography,” including “probably the first human angiograms.” This series of review articles by Sidney Rowland aimed to investigate the practical uses and applications of the newly discovered
- [2016](https://bmjgroup.com/history-slider/2016/) - BMJ Best Practice ranks equal first In an independent review, BMJ Best Practice ranked equal first for breadth of disease coverage, editorial quality, and evidence-based methodology.
- [2014](https://bmjgroup.com/history-slider/2014/) - BMJ Americas Hub opens its door We serve the entire international medical community with offices in the United Kingdom, India, China and North America.
- [2013](https://bmjgroup.com/history-slider/2013/) - The Patient Revolution The BMJ launched the initiative to embed patient and public partnerships across healthcare and research. Patients now act as peer reviewers, co-authors, and advisers, ensuring their voice shapes medical publishing. This pioneering work has established BMJ Group as a global leader in patient and public involvement.
- [2011](https://bmjgroup.com/history-slider/2011/) - BMJ-TAG transforms care through evidence Founded in 2011, the BMJ Technology Assessment Group (BMJ-TAG) supports NICE (National Institute for Health and Care Excellence) by delivering independent evaluations of new health technologies. They assess clinical and cost effectiveness evidence to help NICE decide which treatments should be recommended for use in the NHS (National Health Service). Funded by NIHR (National Institute
- [2009](https://bmjgroup.com/history-slider/2009/) - BMJ Best Practice launched This clinical decision support tool is built on the strongest available research. It draws on systematic reviews (studies that analyse and compare all the best evidence on a topic) to give clinicians clear, reliable guidance. This means every recommendation in BMJ Best Practice is grounded in trusted science, helping healthcare professionals make confident
- [2007](https://bmjgroup.com/history-slider/2007/) - Climate and Health Council The BMJ helped establish the Climate and Health Council to highlight the health impacts of climate change. This work later fed into creating the UK Health Alliance on Climate Change, co-founded by The BMJ (2016). Today, BMJ Group advances sustainability as an organisation: we are a UN SDG Publishers Compact signatory,
- [2004](https://bmjgroup.com/history-slider/2004/) - BMJ Learning launched For over 20 years, our popular education platform with interactive, accredited modules has supported nearly a million clinicians worldwide. Evidence shows that general practitioners in Scotland preferentially and frequently use BMJ Learning for their continuing professional development (CPD), focusing on patient information, clinical questions, and evidence based, peer-reviewed materials. The learning platform is also a
- [2002](https://bmjgroup.com/history-slider/2002/) - BMJ Group co-founds Hinari Since 2002, BMJ Group has contributed to improving global health by participating in the WHO’s Research4Life Organisation’s Access to Research Initiative (HINARI). This programme grants free access to nearly 20,000 journals and e-books to health workers and researchers in more than 100 developing countries. A recent study by the World Intellectual
- [2000–2005](https://bmjgroup.com/history-slider/2000-2005/) - BMJ Careers becomes established as a dedicated recruitment platform Today, BMJ Careers has evolved into a subscription based model delivering measurable impact. In 2024, over half of NHS trusts and health boards advertised on the platform. Subscribers saw 316% more applications at a 72% lower cost per advert.
- [1999-2017](https://bmjgroup.com/history-slider/1999-2017/) - BMJ Clinical Evidence Evidence based overviews of the benefits and harms of common treatments built on the work of the Cochrane Collaboration. Its content underpinned the development of BMJ Best Practice in 2009.
- [1995](https://bmjgroup.com/history-slider/1995/) - Evidence based medicine gains popularity In the early 1990s, evidence based medicine (EBM) emerged as a new approach to clinical decision making. The shift provoked backlash from some clinicians, but a 1995 BMJ editorial effectively addressed the criticisms and helped shift the conversation in its favour.
- [1962](https://bmjgroup.com/history-slider/1962/) - Declaration of Helsinki The BMJ editor Hugh Clegg chaired the committee of the World Medical Association that produced the first draft of the Declaration of Helsinki (published in The BMJ). This work arose out of the revelations at the Nuremberg trials about the medical experiments of Nazi doctors. The Declaration of Helsinki remains the cornerstone of research ethics
- [1950](https://bmjgroup.com/history-slider/1950/) - Doll and Bradford-Hill publish first report on smoking and lung cancer in The BMJ Richard Doll and Austin Bradford-Hill followed it with a further report in 1952 and three reports of their study of doctors’ mortality in relation to their smoking habits, in 1954, 1956, and 1964. By 1960, The BMJ was urging control of cigarette consumption;
- [1948](https://bmjgroup.com/history-slider/1948/) - The BMJ publishes Medical Research Council streptomycin trial One of the earliest randomised controlled trials that led to an interest in statistical and research methods that endures to this day. This has spread beyond The BMJ to inform the thinking behind our evidence based tools, BMJ Best Practice and BMJ Impact Analytics.
- [1926](https://bmjgroup.com/history-slider/1926/) - Archives of Disease in Childhood (ADC) founded Established as the BMA’s first specialty journal, ADC remains a leading title today. In 2024, its publications provided key evidence that informed the Cass Review, a landmark report on gender dysphoria.
- [1917](https://bmjgroup.com/history-slider/1917/) - British Journal of Ophthalmology formed The BJO is the oldest specialty journal published by BMJ Group. When the British Journal of Ophthalmology (BJO) launched in 1917, eye medicine was still taking shape as a standalone specialty. BJO set out to change that — giving ophthalmologists a dedicated platform to publish discoveries, refine surgical techniques, and debate best practice
- [1909](https://bmjgroup.com/history-slider/1909/) - Publication of Secret Remedies Proprietary medicines (patented or trademarked) were unregulated and often contained poisons, so in the 1900s The BMJ began revealing the composition, amounts, and costs of popular preparations such as Carter’s Little Liver Pills. It did much to raise public awareness of the issue.
- [1893](https://bmjgroup.com/history-slider/1893/) - Early peer review at The BMJ In 1893 Ernest Hart spoke at a meeting of the American Medical Editors Association and advocated a system of peer review. The BMJ editor was a lone pioneer in this respect and peer review was not widely used in medical journals until after the second world war.
- [1879](https://bmjgroup.com/history-slider/1879/) - T Spencer Wells describes his forceps in The BMJ In The BMJ, surgeon Spencer Wells unveiled his new artery forceps, a simple but revolutionary tool that allowed surgeons to clamp bleeding vessels without needing an assistant. He used his article not only to explain its practical advantages, but also to assert his priority over rival French designs. The instrument
- [1867-79](https://bmjgroup.com/history-slider/1867-79/) - The BMJ publishes articles by Joseph Lister on antisepsis in surgery When Joseph Lister introduced carbolic acid to sterilise hands, instruments, and wounds, postoperative deaths began to fall dramatically – from up to one in three patients to as few as one in ten. In The BMJ, Lister published a series showing that only two of eleven patients with compound
- [1865-71](https://bmjgroup.com/history-slider/1865-71/) - BMJ campaigns against baby farming Baby farming was a widespread but unregulated practice in Victorian Britain, where women took in infants for payment, often with little oversight or care. Many babies were neglected, starved, or killed, their deaths going unrecorded. The BMJ’s editor, Ernest Hart, used the journal as a platform to expose this hidden trade
- [1847](https://bmjgroup.com/history-slider/1847/) - James Simpson reports the discovery of chloroform in The BMJ journal James Young Simpson first used chloroform as an anaesthetic in November 1847 in Edinburgh. He and his assistants famously tested it on themselves before using it in midwifery. His first report on chloroform’s effects was published shortly after, in late 1847, in the Provincial Medical and Surgical Journal – the

## International offices

- [Doug Wright](https://bmjgroup.com/international-office/douglas-wright/) - Douglas Wright Sales Director: Academic and Research for the Americas and EMEA, and Head of House, BMJ Americas×Doug Wright Doug joined BMJ Group in 2022 after spending the past four years as Commercial Director, Americas, for Accucoms – the sales, marketing, and research firm. Clients included the American Institute of Physics, The Royal Society, BioOne
- [Prashant Mishra](https://bmjgroup.com/international-office/prashant-mishra/) - Prashant Mishra Managing Director, BMJ India×Prashant Mishra For more than 15 years, Prashant has successfully spearheaded initiatives to bring evidence-based medical knowledge to the forefront in South East Asia. Under his leadership, BMJ India has grown into a hub for cutting-edge research, innovative medical education, and collaborative partnerships with leading healthcare institutions across the region.
- [Yuyan Kong](https://bmjgroup.com/international-office/yuyan-kong/) - Yuyan Kong Managing Director, BMJ China×Yuyan Kong In her role as Managing Director, Yuyan has been instrumental in expanding BMJ’s footprint in China, fostering collaborations with leading medical institutions, and promoting the adoption of best practices in medical research and education. Under her leadership, BMJ China has become a beacon for innovation and excellence in

## Jobs

- [<a href="https://jobsearch.bmj.com/jobs/job/Director-of-Talent-amp-Organisational-Effectiveness/1207" target="_blank" rel="noopener">Director of Talent & Organisational Effectiveness</a>](https://bmjgroup.com/job/director-of-talent-organisational-effectiveness/) - London/ Hybrid Competitive Apply by 14 July 2026
- [<a href="https://jobsearch.bmj.com/jobs/job/Advertising-Operations-Manager/1206" target="_blank" rel="noopener">Advertising Operations Manager</a>](https://bmjgroup.com/job/advertising-operations-manager/) - London/Hybrid £56,626 - £62,919 Apply by 10 July 2026
- [<a href="https://jobsearch.bmj.com/jobs/job/Senior-Conference-Sales-Manager/1202" target="_blank" rel="noopener">Senior Conference Sales Manager</a>](https://bmjgroup.com/job/senior-conference-sales-manager/) - London/ Hybrid £62,000 Apply by 10 July 2026
- [<a href="https://jobsearch.bmj.com/jobs/job/Research-Integrity-Editor/1204" target="_blank" rel="noopener">Research Integrity Editor</a>](https://bmjgroup.com/job/research-integrity-editor/) - London/Hybrid £72,069 Apply by 10 July 2026
- [<a href="https://jobsearch.bmj.com/jobs/job/Publishing-Systems-Coordinator/1205" target="_blank" rel="noopener">Publishing Systems Coordinator</a>](https://bmjgroup.com/job/publishing-systems-coordinator/) - London/Hybrid £43,522 Apply by 10 July 2026
- [<a href="https://jobsearch.bmj.com/jobs/job/Journal-Launch-Specialist/1189" target="_blank" rel="noopener">Journal Launch Specialist</a>](https://bmjgroup.com/job/journal-launch-specialist/) - London (Hybrid) £56,626 Apply by 10 July 2026

## Leadership team

- [Niels Peter Thomas](https://bmjgroup.com/leadership-team/niels-peter-thomas/) - Niels Peter Thomas Chief Executive Officer, BMJ Publishing ×Niels Peter Thomas Niels leads global publishing across BMJ Group, spanning The BMJ, nearly 70 specialty journals, and the group’s events, careers, and learning businesses. He brings over 20 years of international leadership experience from Springer Nature, where he most recently served as Executive Vice President and
- [Kamran Abbasi](https://bmjgroup.com/leadership-team/kamran-abbasi/) - Kamran Abbasi The BMJ Editor in Chief and Board member ×Kamran Abbasi Kamran Abbasi FRCP Edin Lon has been editor-in-chief of The BMJ since 2021 and has spent much of his career at the publication, first working there in 1997. He has led its international growth and helped its digital offering evolve, including creating e-learning
- [Anca Babor](https://bmjgroup.com/leadership-team/anca-babor/) - Anca Babor Director Customer & Markets, Publishing & Events ×Anca Babor Anca serves as the Director of Customer & Markets, Publishing and Events at BMJ, driving the company’s strategic vision, overseeing key partnerships, acquisitions, and spearheading BMJ’s ventures in India, China, and new markets. Anca’s multifaceted role encompasses steering academic, research, and corporate sales strategies.
- [Louise Crowe](https://bmjgroup.com/leadership-team/louise-crowe/) - Louise Crowe Director Customer & Markets, Digital Health ×Louise Crowe Louise brings a wealth of experience in the clinical decision support and digital health markets, cultivated during her tenure as an industry consultant, and as Publishing Director at Elsevier. Passionate about innovation, since joining BMJ in 2017, Louise has played a pivotal role leading the
- [Jennie Heals](https://bmjgroup.com/leadership-team/jennie-heals/) - Jennie Heals Director of People and Transformation ×Jennie Heals Since Jennie joined BMJ in 2012, she has made a very significant impact through her leadership of core business services teams, and also in delivering several complex company-wide transformational projects. Currently, she ensures the continued representation of our People function by leading the HR team and
- [Phil Johnson](https://bmjgroup.com/leadership-team/phil-johnson/) - Phil Johnson Director Customer and Markets, Careers and Learning ×Phil Johnson Phil Johnson is a distinguished leader in healthcare publishing and strategic management with a career spanning more than 30 years, playing a pivotal role in strategic planning, customer engagement, and market development. As Director, Customer and Markets, for Careers and Learning his focus is
- [Moira McClatchey](https://bmjgroup.com/leadership-team/moira-mcclatchey/) - Moira McClatchey Marketing Director ×Moira McClatchey Moira joined BMJ in 2015, as Head of Strategic Marketing before becoming Marketing Director in 2021. Her global team at BMJ spans a number of areas including: branding, corporate comms, media relations, institutional, consumer and strategic marketing. Moira brings a wealth of experience and a proven track record in
- [Ian Mulvany](https://bmjgroup.com/leadership-team/ian-mulvany/) - Ian Mulvany Chief Technology Officer ×Ian MulvanyIn April 2020, amid the challenges of the pandemic, Ian Mulvany joined BMJ Group as Chief Technology Officer. He has since led a remarkable digital transformation to help the organisation adapt quickly to the evolving demands of remote working, digital service delivery, and virtual collaboration. With his deep expertise
- [Alex Ritchie](https://bmjgroup.com/leadership-team/alex-ritchie/) - Alex Ritchie Chief Financial Officer and Board member ×Alex Ritchie Alex is responsible for all aspects of BMJ’s finances and risk management, including international subsidiaries in the US, Chinese and Indian markets. Close

## Librarian hub

- [BMJ Best Practice](https://bmjgroup.com/librarian-hub/bmj-best-practice-admin-tools-asia/) - Admin support End-user support Additional information For administrators only. Activate and manage product subscriptions, access, and features. If you do not have an admin account, please contact support. Video – User guide Getting Started FAQs Adding local guidelines to topic pages EHR Integration How to integrate BP into your EHR system IP user guide –
- [BMJ Best Practice](https://bmjgroup.com/librarian-hub/bmj-best-practice-admin-tools-canada/) - Administrative support tools End-user support tools Usage and additional information For administrators only. Activate and manage product subscriptions, access, and features. If you do not have an admin account, please contact support. Getting started FAQs Adding local guidelines to topic pages EHR Integration flyer Get the most value for your subscription. Scroll for our getting
- [BMJ Best Practice](https://bmjgroup.com/librarian-hub/bmj-best-practice-admin-tools-europe/) - Admin support End-user support Additional information For administrators only. Activate and manage product subscriptions, access, and features. If you do not have an admin account, please contact support. Video – User guide Getting Started FAQs Adding local guidelines to topic pages EHR Integration How to integrate BP into your EHR system IP user guide –
- [BMJ Best Practice](https://bmjgroup.com/librarian-hub/bmj-best-practice-admin-tools-oceania-and-middle-east/) - Admin support End-user support Additional information For administrators only. Activate and manage product subscriptions, access, and features. If you do not have an admin account, please contact support. Video – User guide Getting Started FAQs Adding local guidelines to topic pages EHR Integration How to integrate BP into your EHR system IP user guide –
- [BMJ Best Practice](https://bmjgroup.com/librarian-hub/bmj-best-practice-admin-tools-united-states/) - Administrative support tools End-user support tools Usage and additional information For administrators only. Activate and manage product subscriptions, access, and features. If you do not have an admin account, please contact support. Getting started FAQs Adding local guidelines to topic pages EHR Integration flyer Get the most value for your subscription. Scroll for our getting
- [BMJ Best Practice](https://bmjgroup.com/librarian-hub/bmj-best-practice-admin-tools-brazil/) - Suporte administrativo Ferramentas de suporte para usuários Informações adicionais Somente para administradores. Ative e gerencie assinaturas, acesso e recursos de produtos. Se você não tiver uma conta de administrador, entre em contato com o suporte. Perguntas frequentes de introdução Como adicionar diretrizes clínicas locais Integração digital de EHR Obtenha o maior valor para sua assinatura.
- [BMJ Best Practice](https://bmjgroup.com/librarian-hub/bmj-best-practice-admin-tools-latin-america/) - Apoyo administrativo Herramientas para sus usuarios Información adicional Solo para administradores. Active y gestione sus suscripciones, accesos y funciones de cada producto. Si no dispone de una cuenta de administrador, póngase en contacto con el servicio de suporte. Antes de empezar – Preguntas mas frequentes Cómo agregar guías clínicas locales Integración EHR Procure sacar el
- [The BMJ and BMJ Journals](https://bmjgroup.com/librarian-hub/the-bmj-and-bmj-journals-admin-tools-europe/) - Administrative support End-user support Additional information For administrators only. Activate and manage product subscriptions, access, and features. Journals are hosted on HighWire. If you do not have an admin account, please contact support. Change usernames and passwords Register your IP addresses Manage subscription expiry alerts Titles that you administer All titles administered at your institution
- [The BMJ and BMJ Journals](https://bmjgroup.com/librarian-hub/the-bmj-and-bmj-journals-admin-tools-oceania-and-middle-east/) - Administrative support End-user support Additional information For administrators only. Activate and manage product subscriptions, access, and features. Journals are hosted on HighWire. If you do not have an admin account, please contact support Change usernames and passwords Manage institutional logo Manage subscription expiry alerts Titles that you administer All titles administered at your institution BMJ
- [The BMJ & BMJ Journals](https://bmjgroup.com/librarian-hub/the-bmj-and-bmj-journals-admin-tools-canada/) - Administrative support tools End-user support tools Usage and additional information For administrators only. Activate and manage product subscriptions, access, and features. Journals are hosted on HighWire. If you do not have an admin account, please contact support. Change usernames and passwords Manage institutional logo Manage subscription expiry alerts Titles that you administer All titles administered
- [The BMJ & BMJ Journals](https://bmjgroup.com/librarian-hub/the-bmj-and-bmj-journals-admin-tools-brazil/) - Suporte administrativo Ferramentas de suporte para usuários Informações adicionais Somente para administradores. Ative e gerencie assinaturas, acesso e recursos de produtos.Os periódicos são hospedados no HighWire. Se você não tiver uma conta de administrador, entre em contato com o suporte. Alterar nomes de usuário e senhas Gerenciar alertas de expiração de assinatura Títulos que eles
- [The BMJ & BMJ Journals](https://bmjgroup.com/librarian-hub/the-bmj-and-bmj-journals-admin-tools-latin-america/) - Apoyo administrativo Herramientas para sus usuarios Información adicional Solo para administradores. Active y gestione sus suscripciones, accesos y funciones de cada producto.Nuestras revistas están alojadas en HighWire. Si no dispone de una cuenta de administrador, póngase en contacto con el servicio de suporte. Cambiar nombres de usuario y contraseñas Gestionar las alertas de caducidad de
- [The BMJ and BMJ Journals](https://bmjgroup.com/librarian-hub/the-bmj-and-bmj-journals-admin-tools-asia/) - Admin support End-user support Additional information For administrators only. Activate and manage product subscriptions, access, and features. Journals are hosted on HighWire. If you do not have an admin account, please contact support. Change usernames and passwords Manage institutional logo Manage subscription expiry alerts Titles that you administer All titles administered at your institution BMJ
- [The BMJ and BMJ Journals](https://bmjgroup.com/librarian-hub/the-bmj-and-bmj-journals-admin-tools-united-states/) - Administrative support tools End-user support tools Usage and additional information For administrators only. Activate and manage product subscriptions, access, and features. Journals are hosted on HighWire. If you do not have an admin account, please contact support. Change usernames and passwords Manage institutional logo Manage subscription expiry alerts Titles that you administer All titles administered
- [BMJ Best Practice - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-healthcare-promo-tools-united-states/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description BMJ Best Practice takes you straight to the latest clinical information, whenever and wherever you need it. This evidence-based, clinical decision support tool provides healthcare professionals with continually updated,
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- [BMJ Best Practice with Comorbidities Manager - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-with-comorbidities-manager-healthcare-and-research-promo-tool-united-states/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description BMJ Best Practice takes you straight to the latest clinical information, whenever and wherever you need it. This evidence-based, clinical decision support tool provides healthcare professionals with continually updated,
- [BMJ Best Practice with Comorbidities Manager - Academic & Research](https://bmjgroup.com/librarian-hub/bmj-best-practice-with-comorbidities-manager-academic-and-research/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description Treat the whole patient. BMJ Best Practice with Comorbidities Manager helps you move beyond a single diagnosis to understand how to care for patients with multiple, overlapping health conditions.
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- [BMJ Best Practice with Comorbidities Manager – Academic and research](https://bmjgroup.com/librarian-hub/bmj-best-practice-with-comorbidities-manager-academic-and-research-promo-tools-canada/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description Treat the whole patient. BMJ Best Practice’s Comorbidities Manager feature helps you move beyond a single diagnosis to understand how to care for patients who present with acute conditions
- [BMJ Best Practice with Comorbidities Manager - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-with-comorbidities-manager-healthcare-promo-tools-canada/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description BMJ Best Practice takes you straight to the latest clinical information, whenever and wherever you need it. This evidence-based, clinical decision support tool provides healthcare professionals with continually updated,
- [BMJ Best Practice - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-hospital-promo-tools-canada/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description BMJ Best Practice takes you straight to the latest clinical information, whenever and wherever you need it. This evidence-based, clinical decision support tool provides healthcare professionals with continually updated,
- [BMJ Best Practice - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-healthcare-promo-tools-row/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description BMJ Best Practice takes you straight to the latest clinical information, whenever and wherever you need it. This evidence-based, clinical decision support tool provides healthcare professionals with continually updated,
- [BMJ Best Practice with Comorbidities - Academic & Research](https://bmjgroup.com/librarian-hub/bmj-best-practice-with-comorbidities-academic-and-research-promo-tools-row/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description Treat the whole patient. BMJ Best Practice’s Comorbidities Manager feature helps you move beyond a single diagnosis to understand how to care for patients who present with acute conditions
- [BMJ Best Practice with Comorbidities - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-with-comorbidities-healthcare-promo-tools-row/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description BMJ Best Practice takes you straight to the latest clinical information, whenever and wherever you need it. This evidence-based, clinical decision support tool provides healthcare professionals with continually updated,
- [BMJ Best Practice - Academic](https://bmjgroup.com/librarian-hub/bmj-best-practice-academic-promo-tools-row/) - BMJ Best Practice HealthcareBMJ Best Practice AcademicBMJ Best Practice with Comorbidities Manager HealthcareBMJ Best Practice with Comorbidities Manager Academic Product descriptionEmail copySocial ads and copyBrandingProduct description BMJ Best Practice takes you straight to the latest clinical information, whenever and wherever you need it. This clinical decision support and educational tool covers over 90% of the
- [Read & Publish agreement](https://bmjgroup.com/librarian-hub/read-publish-promo-tool-row/) - Product descriptionIntroduction to Read & PublishSocial ads and copyBrandingProduct description BMJ Group’s Read and Publish (R&P) agreement provides you with seamless, unlimited reading access to BMJ Hybrid Journals. If you are publishing your own research, the open access publishing fees (APCs) for a range of their subscription journals (and Gold open access titles) are now
- [Read & Publish agreement](https://bmjgroup.com/librarian-hub/read-publish-promo-tool-latin-american/) - Descripción del productoIntroducciónPublicidad en redes socialesManual de identidad corporativa Descripción del producto El acuerdo transformativo Read and Publish «Leer y publicar» de BMJ Group le proporciona acceso ilimitado a las revistas híbridas y doradas de BMJ. Si publica su propia investigación, las tarifas de publicación de acceso abierto (APC) en la serie de revistas por
- [Read & Publish agreement](https://bmjgroup.com/librarian-hub/read-publish-promo-tool-united-states/) - Product descriptionIntroduction to Read & PublishSocial ads and copyBrandingProduct description BMJ Group’s Read and Publish (R&P) agreement provides you with seamless, unlimited reading access to BMJ Hybrid Journals. If you are publishing your own research, the open access publishing fees (APCs) for a range of their subscription journals (and Gold open access titles) are now
- [BMJ Case Reports](https://bmjgroup.com/librarian-hub/bmj-case-reports-promo-tools-french/) - Description du produitPrésentation BMJ Case ReportsPublicités et textes sur les réseaux sociauxImage de marqueDescription du produit BMJ Case Reports est la plus grande collection de rapports de cas cliniques évalués par des pairs, conçue pour soutenir le travail clinique, l’enseignement et la préparation aux examens. Avec plus de 30 000 études de cas provenant de
- [BMJ Case Reports](https://bmjgroup.com/librarian-hub/bmj-case-reports-promo-tools-latin-america/) - Descripción del productoIntroducciónPublicidad en redes socialesManual de identidad corporativa Descripción del producto BMJ Case Reports es la mayor colección de informes de casos clínicos revisados por pares, diseñada para apoyar el trabajo clínico, la educación y la preparación de exámenes. Con más de 30 000 informes de más de 120 países, la plataforma conecta a
- [BMJ Case Reports](https://bmjgroup.com/librarian-hub/bmj-case-reports-promo-tools-brazil/) - Descrição do produtoApresentando o BMJ Case ReportsAnúncios sociais e textoMarca corporativaDescrição do produto O BMJ Case Reports reúne a maior coleção de relatos de casos clínicos revisados por pares do mundo, projetada para apoiar o trabalho clínico, a educação e a preparação para exames. Com mais de 30.000 relatos de mais de 120 países, a
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- [BMJ Open Access](https://bmjgroup.com/librarian-hub/bmj-open-access-admin-tools-europe/) - Admin support End-user support Additional information For administrators only. Activate and manage product subscriptions, access, and features. If you do not have an admin account, please contact support. Librarian overview Overview FAQs Open Access Agreements OA Institutional Guide – AUTO approval OA Institutional Guide – MANUAL approval Member submissions guide Account submission guide Get
- [The BMJ](https://bmjgroup.com/librarian-hub/the-bmj-promo-tools-row/) - Product Description The BMJ is a world-leading general medicine journal. Breakthrough original research and investigations, expert clinical reviews, and rapid recommendations lead to better clinical decision-making and patient outcomes around the world. You can engage with The BMJ on its website, through multiple podcasts, its YouTube channel, on Twitter, and also download the app. NOTE: Ads on this page can be hyperlinked to The BMJ https://www.bmj.com/
- [The BMJ](https://bmjgroup.com/librarian-hub/the-bmj-promo-tools-latin-america/) - The BMJ es una revista de medicina general líder a nivel mundial. Las investigaciones originales e innovadoras, las revisiones clínicas hechas por expertos y las recomendaciones rápidas conducen a una mejor toma de decisiones clínicas y a mejores resultados de pacientes en todo el mundo. Podrá interactuar con The BMJ en su sitio web, a través
- [The BMJ](https://bmjgroup.com/librarian-hub/the-bmj-promo-tools-french/) - The BMJ est une revue de médecine générale de renommée internationale. Les recherches et enquêtes originales révolutionnaires, les examens cliniques d’experts et les recommandations rapides permettent d’améliorer la prise de décision clinique et les résultats pour les patients du monde entier. Vous pouvez profiter de The BMJ grâce à son site Web, de nombreux podcasts, sa chaîne
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- [The BMJ](https://bmjgroup.com/librarian-hub/the-bmj-promo-tools-brazil/) - The BMJ é um periódico líder mundial de medicina geral. Pesquisas e investigações originais e inovadoras, revisões clínicas de especialistas e recomendações rápidas que levam a uma melhor tomada de decisão clínica e resultados para pacientes no mundo inteiro. Você pode acompanhar a BMJ pelo site da empresa, vários podcasts, canal do YouTube, Twitter e também baixar o aplicativo. OBSERVAÇÃO: os anúncios
- [Research to Publication](https://bmjgroup.com/librarian-hub/research-to-pulication-promo-tools-canada/) - Product Description Research to Publication is a research methodology and publishing program specifically designed for healthcare professionals. 8 multimedia courses will help you master medical research and overcome the challenges of getting published in international journals. Create an account and start learning at your own pace. Senior academics from UCSF and Senior editorial experts from
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- [BMJ Best Practice with Comorbidities Manager - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-with-comorbidities-manager-healthcare-promo-tools-latin-american/) - BMJ Best Practice es una herramienta de apoyo a la decisión clínica (CDS) líder en la industria y fácil de explorar. Diseñada para seguir el flujo de trabajo clínico con guías sobre prevención, diagnóstico, tratamiento y pronóstico. Su exclusivo Gestor de Comorbilidades le ayudará a tratar las manifestaciones agudas de un paciente junto a sus
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- [BMJ Best Practice - Hospital](https://bmjgroup.com/librarian-hub/bmj-best-practice-hospital-promo-tools-latin-america/) - BMJ Best Practice es una herramienta que apoya la toma de decisiones en el punto de atención. Diseñada exclusivamente para ayudar a los profesionales de la salud a seguir el flujo de trabajo clínico. La evidencia, las pautas y la opinión de los expertos se combinan en una sola fuente y se presentan en un
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- [BMJ Best Practice - Healthcare](https://bmjgroup.com/librarian-hub/bmj-best-practice-healthcare-promo-tools-french/) - BMJ Best Practice est un outil qui soutient la prise de décision sur les lieux de soins. Il a été conçu de manière unique pour aider les professionnels de la santé à suivre le flux de travail clinique. Les preuves, les lignes directrices et les avis d’experts sont combinés dans une source unique et présentés
- [BMJ Best Practice - Academic](https://bmjgroup.com/librarian-hub/bmj-best-practice-academic-promo-tools-latin-america/) - BMJ Best Practice es una fuente de respuestas a preguntas clínicas fundamentales basadas en evidencias. El contenido se estructura de manera exclusiva en torno a la consulta del paciente y se presenta en un enfoque paso a paso, que abarca la prevención, el diagnóstico, el tratamiento y el pronóstico. La facultad y los estudiantes a
- [BMJ Best Practice - Academic](https://bmjgroup.com/librarian-hub/bmj-best-practice-academic-promo-tools-french/) - BMJ Best Practice est une source de réponses factuelles à des questions cliniques critiques du monde réel. Le contenu est structuré de manière unique autour de la consultation du patient et présenté dans une approche étape par étape, couvrant la prévention, le diagnostic, le traitement et le pronostic. Les professeurs et les étudiants s’y réfèrent
- [BMJ Best Practice - Academic](https://bmjgroup.com/librarian-hub/bmj-best-practice-academic-promo-tools-brazil/) - BMJ Best Practice é uma fonte única de respostas baseadas em evidências para questões clínicas essenciais do mundo real. Seu conteúdo é estruturado exclusivamente com base na consulta ao paciente e apresentado em uma abordagem passo a passo, abrangendo prevenção, diagnóstico, tratamento e prognóstico. Professores e alunos muitas vezes o usam como uma fonte universal
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## Media experts

- [Professor Bryony Dean Franklin](https://bmjgroup.com/media-expert/professor-bryony-dean-franklin/) - Editor-in-Chief of BMJ Quality & Safety Contact Professor Bryony Dean Franklin is a hospital pharmacist by background, with 30 years’ experience of research into medication safety, medication use in practice and patient safety more generally. She is Co-Editor-in-Chief of BMJ Quality & Safety, Professor of Medication Safety at UCL School of Pharmacy, Executive Lead Pharmacist
- [Ian Mulvany](https://bmjgroup.com/media-expert/ian-mulvany/) - Chief Technology Officer, BMJ Group Contact Since joining BMJ Group in 2020 during the pandemic, Ian has led a sweeping digital transformation, strengthening the organisation’s infrastructure, accelerating its adoption of cloud-based platforms, and embedding AI and automation to improve delivery. Ian has a long track record of driving innovation in research technology. At SAGE Publishing,
- [Mark G. Shrime, MD, MPH, PHD, FACS](https://bmjgroup.com/media-expert/mark-g-shrime-md-mph-phd-facs/) - Editor-in-Chief BMJ Global Health Contact Lecturer in Global Health and Social Medicine at the Harvard Medical School. I trained in otolaryngology, head and neck surgery, and microvascular reconstructive surgery. In 2011, I received a Masters in Public Health with a focus in global health, and in 2015, received my PhD in Health Policy with a
- [Doctor Elliott Haut](https://bmjgroup.com/media-expert/doctor-elliott-haut/) - Editor in Chief of Trauma Surgery & Acute Care Contact Vice Chair of Quality, Safety & Service, Department of Surgery, Professor of Surgery, Anaesthesiology and Critical Care Medicine (ACCM), Emergency Medicine, and Health Policy & Management The Johns Hopkins School of Medicine and The Bloomberg School of Public Health. Director, Trauma/ Acute Care Surgery Fellowship,
- [Dr Lucy Frith](https://bmjgroup.com/media-expert/dr-lucy-frith/) - Co-Editor in Chief of the Journal of Medical Ethics Contact Dr Lucy Frith is professor of bioethics and health research, in the Centre for Social Ethics and Policy at the University of Manchester. She is interested in the ethical issues raised by reproductive technologies, IVF, gamete (egg and sperm) and embryo donation, fertility preservation and
- [Professor Ganesan Karthikeyan](https://bmjgroup.com/media-expert/professor-ganesan-karthikeyan/) - Editor-in-Chief Open Heart Contact Professor Karthikeyan is a clinical, interventional cardiologist and a Senior International Fellow of the Population Health Research Institute at McMaster University in Canada, as well as Professor of Cardiology at AIIMS. His research is mainly focused on cardiovascular diseases affecting low and middle income countries, including valvular heart disease, particularly rheumatic
- [Professor Phil Smith](https://bmjgroup.com/media-expert/professor-phil-smith/) - Editor-in-Chief of Practical Neurology Contact Consultant Neurologist, The Alan Richens Epilepsy Unit, Department of Neurology, University Hospital of Wales. Phil Smith has interests in epilepsy and blackouts but has experience across the whole of clinical neurology.
- [Professor Ronald F. van Vollenhoven](https://bmjgroup.com/media-expert/professor-ronald-f-van-vollenhoven/) - Editor-in-Chief of Lupus Science & Medicine Contact Professor Ronald F. van Vollenhoven is a distinguished rheumatologist and immunologist, known for his significant contributions in the field. He currently holds the position of Chair of the Department of Rheumatology and Clinical Immunology at Amsterdam UMC and directs the Amsterdam Rheumatology Centre. With a background in immunology
- [Professor Gisli Jenkins](https://bmjgroup.com/media-expert/professor-gisli-jenkins/) - Chair of the Editorial Board for BMJ Open Respiratory Research Contact Professor Gisli Jenkins is an NIHR Research Professor and holds the Margaret Turner-Warwick Chair of Thoracic Medicine at Imperial College London, Head of the Margaret Turner-Warwick Centre for Fibrosing Lung Diseases at the National Heart and Lung Institute. Prof Jenkins' research focuses on Interstitial
- [Shanti Raman](https://bmjgroup.com/media-expert/shanti-raman/) - Editor-in-Chief of BMJ Paediatrics Open Contact Shanti Raman is a Consultant Paediatrician, with sub-specialty training in Community Child Health, epidemiology and public health. She is the Director of Community Paediatrics - South Western Sydney, where she is responsible for clinical services in Child Development and Child Protection across the region, providing academic leadership and directing
- [Karen L Furie, MD](https://bmjgroup.com/media-expert/karen-l-furie-md/) - Editor-in-Chief of the Journal of Neurology, Neurosurgery and Psychiatry Contact Karen Furie, MD, MPH is Neurologist-in-Chief, Rhode Island Hospital, the Miriam Hospital and Bradley Hospital Samuel I Kennison, MD and Bertha S Kennison Professor of Clinical Neuroscience Chair of Neurology, the Warren Alpert Medical School of Brown University. Clinical and translational stroke research has been
- [Gareth Iacobucci](https://bmjgroup.com/media-expert/gareth-iacobucci/) - Assistant News Editor, The BMJ Contact Gareth Iacobucci reports mostly on issues of interest to doctors in the UK. He joined The BMJ in 2012. Prior to this Gareth was a reporter and editor at the general practioners' title Pulse for five years.
- [Dr Nick Brown](https://bmjgroup.com/media-expert/dr-nick-brown/) - Editor-in-Chief of Archives of Disease in Childhood Contact Dr Nick Brown is a paediatrician and epidemiologist. His initial training was in the UK in general paediatrics, but for the last 25 years, he has had a parallel carer in academic international child health. Nick has lived and worked in Sudan, Afghanistan, Papua New Guinea, India
- [Dr Jinghong Chen](https://bmjgroup.com/media-expert/dr-jinghong-chen/) - Deputy Editor of General Psychiatry Contact Dr Jinghong Chen is the joint deputy editor of General Psychiatry. She is currently the principal investigator at Shanghai Key Laboratory of Psychotic Disorders and professor at Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine.
- [Dr James Mountford](https://bmjgroup.com/media-expert/dr-james-mountford/) - Editor-in-Chief of BMJ Leader Contact Dr James Mountford is Director of Quality at Royal Free London NHS Foundation Trust. He worked initially as an NHS doctor, then in consulting. From 2005-2007, he was a Commonwealth Fund Health Foundation Harkness Fellow based in Massachusetts General Hospital, and at the Institute for Healthcare Improvement (IHI), both in
- [Dr James Cave](https://bmjgroup.com/media-expert/dr-james-cave/) - Editor-in-Chief of the Drugs and Therapeutics Bulletin Contact Dr James Cave has been a GP for over 25 years. He currently works for Red Whale, providing courses for GP's that take the latest research and demonstrate how it might be used in practice. James was awarded an OBE for services to medicine in 2009.
- [Dr Ellen Weber](https://bmjgroup.com/media-expert/dr-ellen-weber/) - Editor-in-Chief of Emergency Medicine Journal Contact Dr Ellen Weber is an emergency medicine physician in San Francisco, California. She received her medical degree from Harvard Medical School and has been in practice for more than 20 years. She has worked clinically in community, county and academic emergency departments, and conducts research in topics related to
- [Dr Declan Walsh](https://bmjgroup.com/media-expert/dr-declan-walsh/) - Editor-in-Chief of BMJ Supportive & Palliative Care Contact A pioneer in palliative medicine, Dr Declan Walsh is an internationally renowned physician, researcher, educator and administrator. He developed the first palliative care programme in the United States. In recognition of his achievements, he received the John Mendelsohn Award from MD Anderson Cancer Centre, a lifetime achievement
- [Dr Andrea Cipriani](https://bmjgroup.com/media-expert/dr-andrea-cipriani/) - Editor-in-Chief of Evidence-Based Mental Health Contact Andrea Cipriani, MD, PhD, is Professor of Psychiatry and NIHR Research Professor at the University of Oxford. He is an honorary consultant psychiatrist at the Associate Director for Oxford Health NHS Foundation Trust in Oxford. His main research interests are evidence-based mental health and precision psychiatry. His research focuses
- [Professor Stephen Kaye](https://bmjgroup.com/media-expert/professor-stephen-kaye/) - Editor-in-Chief BMJ Open Ophthalmology Contact Professor of Ophthalmology, Institute of Life Course and Medical Sciences, University of Liverpool where he leads the research into infections of the eye, Consultant Ophthalmologist Royal Liverpool University Hospital where he leads the Cornea and Ocular Surface Disease Service, Vice President of The Royal College of Ophthalmologists, Director of The
- [Professor Yu-Chuan Jack Li](https://bmjgroup.com/media-expert/professor-yu-chuan-jack-li/) - Editor-in-Chief of BMJ Health & Care Informatics Contact Professor Yu-Chuan Jack Li is a researcher of artificial intelligence in medicine and medical informatics, and a practising dermatologist. He is currently Dean and distinguished professor at the College of Medical Science and Technology, Taipei Medical University and the Chief of Dermatology at the Centre for Cosmetic
- [Richard Hurley](https://bmjgroup.com/media-expert/richard-hurley/) - Features and Debates Editor - The BMJ Contact Richard Hurley is The BMJs features and debates editor, responsible for our head to head debates; features, and essays. He's particularly interested in poverty, migration, doctor assisted dying and illicit drug policy and their impact on health.
- [Theodora Bloom](https://bmjgroup.com/media-expert/theodora-bloom/) - Executive Editor of the BMJ Contact Theodora Bloom is executive editor of The BMJ. At the BMJ, Theo's responsibilities include publishing, business, platform and operations as well as ethical and policy matters. She is a Co-Founder of the medRxiv preprint server, a collaboration between BMJ, Cold Spring Harbor Laboratory and Yale University, and jointly coordinates
- [Professor Juan Víctor Ariel Franco](https://bmjgroup.com/media-expert/professor-juan-victor-ariel-franco/) - Editor-in-Chief of BMJ Evidence-Based Medicine Contact Professor Juan Franco is a family doctor at the Hospital Italiano de Buenos Aires, Argentina, and Vice-chair of the Research Department at the Instituto Universitario Hispital Italiano (IUHI), where he is also Director of the Cochrane Associate Centre. He is a professor at IUHI and Universidad Nacional de La
- [Professor Hans Kromhout](https://bmjgroup.com/media-expert/professor-hans-kromhout/) - Editor-in-Chief of Occupational & Environmental Medicine Contact Professor Hans Kromhout is an occupational hygiene and epidemiology specialist, based at the Institute for Risk Assessment Sciences at Utrecht University in the Netherlands. Professor Kromhout's work has covered the health effects of chemical and physical (EMF) agents in the workplace and general environment. He has been the
- [Professor Caroline Finch AO](https://bmjgroup.com/media-expert/professor-caroline-finch-ao/) - Editor-in-Chief of Injury Prevention Contact Professor Caroline Finch AO is the Deputy Vice-Chancellor (Research), Edith Cowan University. She is one of Australia’s leading injury epidemiologists, particularly known internationally for her public-health-focused injury prevention research. Her influential research has informed the development of injury surveillance and data systems, the implementation and evaluation of preventive measures, and
- [Professor Anna Maria Geretti](https://bmjgroup.com/media-expert/professor-anna-maria-geretti/) - Editor-in-Chief of Sexually Transmitted Infections Contact Anna Maria Geretti, MD, PhD, FRCPath, is Professor of Virology & Infectious Diseases at the Institute of Infection & Global Health of the University of Liverpool, and Honorary Consultant at the Royal Liverpool University Hospital. She trained in Italy, the Netherlands and the UK and has a special interest

## Our impact sliders

- [Rare case report sparks global safety rethink](https://bmjgroup.com/our-impact-slider/rare-case-report-sparks-global-safety-rethink/) - Dr Clara Maarup Prip, a urologist and gynaecologist at Aarhus University Hospital, Denmark, documented an unusual case of kidney swelling caused by a menstrual cup compressing the ureter. Published as “Ureterohydronephrosis due to a menstrual cup in BMJ Case Reports,” the paper spread quickly after it was press-released by the BMJ Group media relations team,
- [Influencing health policy in Peru](https://bmjgroup.com/our-impact-slider/influencing-health-policy-in-peru/) - Dr Magaly Blas, medical epidemiologist at Cayetano Heredia Peruvian University, Peru, led the Mamás del Río programme to improve maternal and newborn care in remote Amazonian communities. Published in BMJ Innovations, the work informed national policy, was integrated into Peru’s health system, and expanded from 13 to 84 communities with improved newborn outcomes. Read the
- [Ugandan trial shifted global covid-19 guidance](https://bmjgroup.com/our-impact-slider/ugandan-trial-shifted-global-covid-19-guidance/) - In August 2021, Dr Bruce Kirenga and his team at the Makerere University Lung Institute published a pivotal study in BMJ Open Respiratory Research on the efficacy of convalescent plasma for covid-19 treatment in Uganda. The study’s findings on the limited efficacy of convalescent plasma (CP) helped shape major treatment guidelines, including the World Health

## Partnership Team

- [Lalitha Bhagavatheeswaran](https://bmjgroup.com/team-member/lalitha-bhagavatheeswaran/) - Kamran Abbasi FRCP Edin Lon was appointed as the new Editor-in-Chief of The BMJ, one of the world’s most influential medical journals this year. He succeeds Fiona Godlee, who stepped down at the end of 2021, after more than 16 years in the role. Previously Executive Editor of The BMJ, since 2016 Kamran led the journal’s content team and international growth strategy. During this time, he contributed to the expansion of international editions of The BMJ. A qualified doctor, Kamran studied medicine at Leeds University and joined BMJ after postgraduate training in general medicine. Throughout his 25 year career in medical editing and publishing, he has developed wide digital, international, senior management, and Board level experience. Kamran is also a visiting professor in the department of primary care and public health at Imperial College, London, and a patron of the South Asian Health Foundation. Outside of medicine, Kamran has a love of cricket, which he has covered extensively on social media, television and in national newspapers. He has also authored best selling books, including Zindabad; The English Chronicles: a Modern History of Pakistan Cricket, published in 2012 and Englistan: An immigrant’s journey on the turbulent winds of Pakistan cricket in 2020. You can follow Kamran on Twitter: @KamranAbbasi and Instagram: kamran_abbasi_bmj
- [Dr Jocalyn Clark](https://bmjgroup.com/team-member/dr-jocalyn-clark/) - Dr Jocalyn Clark International Editor, The BMJ ×Dr Jocalyn ClarkDr Jocalyn Clark is International Editor for The BMJ. She has proven expertise and leadership in advancing action on the social determinants of health and climate change, gender equality, and delivering evidence-based content, policy, and strategy across international editorial environments. In 2019 she was elected to
- [Jessica Gatehouse](https://bmjgroup.com/team-member/jessica-gatehouse/) - Jessica Gatehouse Corporate and industry, Senior Partnership Manager ×Jessica Gatehouse Jessica joined BMJ in 2019 from The Royal Society of Medicine, where she was responsible for building corporate relationships to support their programme of events. She continues that speciality by spending a lot of time doing prospect research to really understand customer needs and wants.
- [Morgan Kindberg](https://bmjgroup.com/team-member/morgan-kindberg/) - Morgan Kindberg Senior Programme and Partnership Manager ×Morgan KindbergMorgan joined BMJ in 2018. As Programme Manager at BMJ, Morgan manages the global health initiatives, designs projects, and monitors and reports on the impact of programmes. She has implemented a variety of global health programmes in areas including global health security, nutrition and maternal, newborn and
- [Dr Ashley McKimm](https://bmjgroup.com/team-member/dr-ashley-mckimm/) - Dr Ashley McKimm Director of Partnership Development ×Dr Ashley McKimmAshley leads a highly competent partnerships team at BMJ, and is also Editor-in-Chief of BMJ Innovations. Published by BMJ, BMJ Innovations focuses on emerging digital health, medical devices, process and system innovations. The journal champions high-quality original research, early-stage innovation reports, and systemic and narrative reviews.
- [Dr Kieran Walsh](https://bmjgroup.com/team-member/dr-kieran-walsh/) - Dr Kieran Walsh Clinical Director ×Dr Kieran WalshKieran is the editorial lead for our medical education and clinical decision support products. He has a vast amount of online medical education experience, clinical decision support, face-to-face delivery of medical education, and summative and formative assessment. Kieran has published over 200 papers in the biomedical literature and
- [Liz Avital](https://bmjgroup.com/team-member/liz-avital/) - Liz Avital Senior Partnership Manager ×Liz Avital With over 20 years of experience in global health and social care development, Liz has honed expertise in cross-cultural knowledge implementation. She is apt at demonstrating cultural sensitivity at all levels, having successfully developed robust, international, evidence-based health policies, guidance, standards, and education within financial and strategic frameworks.
- [Paul Simpson](https://bmjgroup.com/team-member/paul-j-simpson-phd/) - Paul Simpson Partnerships Editor, The BMJ ×Paul Simpson Paul is The BMJ’s international audience editor and joined the journal in 2017. He previously worked as deputy editor of PLOS Medicine and was a research associate at the MRC Laboratory of Molecular Biology at the University of Cambridge. He received his PhD in biological sciences from

## TAG members

- [Clare Dadswell PhD](https://bmjgroup.com/tag-member/clare-dadswell-phd/) - Clare Dadswell PhD Clinical Evidence Manager×Clare Dadswell PhD Clare is responsible for managing the Clinical Evidence team resources and leading the appraisal of clinical evidence for NICE. Since joining BMJ-TAG in 2024, she has applied her expertise in quantitative and qualitative systematic reviews, including meta-analyses and indirect treatment comparisons. Her experience includes producing reviews for
- [Isaac Mackenzie MSc](https://bmjgroup.com/tag-member/isaac-mackenzie-msc-ma-hons/) - Isaac Mackenzie MSc Health Economist×Isaac Mackenzie MSc MA (Hons) Isaac acts as a lead modeller and health economics lead across NICE STAs, MTAs, and HealthTech evaluations. He has extensive experience in developing and critiquing cost-effectiveness models using Excel/VBA and R. His therapeutic experience includes migraine, cystic fibrosis, Parkinson’s disease, and oncology. Before joining BMJ-TAG in
- [Sophie Ip PhD](https://bmjgroup.com/tag-member/sophie-ip-phd/) - Sophie Ip PhD Senior Health Economist×Sophie Ip PhD Sophie specialises in economic model development, critiquing complex analyses, as well as project management and stakeholder coordination. Since 2021, she has developed models for a diverse range of technologies, including metabolic health, psychiatric disorders, and rare diseases. She has a particular interest in the application of statistical
- [Kate Ennis MSc](https://bmjgroup.com/tag-member/kate-ennis-msc/) - Kate Ennis MSc Senior Health Economist×Kate Ennis MSc Kate leads the review and critique of health economic components for technology appraisals and develops bespoke economic models. She has 7 years of experience working on HTAs for NICE, split between BMJ-TAG and SCHARR-TAG. Her career began in academia, where she held numerous health economic roles across
- [Melina Vasileiou MSc](https://bmjgroup.com/tag-member/melina-vasileiou-msc/) - Melina Vasileiou MSc Clinical Evidence Analyst×Melina Vasileiou MSc Melina is a research methodologist who delivers systematic reviews to inform UK clinical practice and national health policy. During 4 years at the National Guideline Centre and over a year at NICE, she delivered a wide range of systematic reviews informing UK clinical practice. Her work at
- [Ben Burgess PhD](https://bmjgroup.com/tag-member/ben-burgess-phd/) - Ben Burgess PhD Senior Clinical Evidence Analyst×Ben Burgess PhD Ben acts as a clinical lead for NICE appraisals and provides specialist statistical support for the group. Before joining BMJ-TAG in 2024, he worked as a research statistician in consultancy and academia, performing complex analyses such as survival analyses and matching adjusted indirect comparisons (MAICs) for
- [Nicole Downes BSc (Hons)](https://bmjgroup.com/tag-member/nicole-downes-bsc-hons/) - Nicole Downes BSc (Hons) Senior Clinical Evidence Analyst×Nicole Downes BSc (Hons) Nicole focuses on systematic reviewing and critical appraisal, also acting as a project coordinator for complex projects like MTAs. She has 8 years of experience in roles linked to the development of NICE guidance, including time spent at the National Guideline Centre producing reviews
- [Vicky Wakefield MBChB](https://bmjgroup.com/tag-member/dr-victoria-wakefield-mbchb/) - Vicky Wakefield MBChB Principal Clinical Evidence Analyst×Vicky Wakefield MBChB Vicky acts as a clinical lead for evidence synthesis reports and facilitates internal workshops on review methodology. She has over 15 years of experience in critical appraisal and systematic reviewing within the HTA context, specifically in diagnostic and medical therapeutic technology assessments. Her expertise includes advanced
- [Tracey Jhita MSc](https://bmjgroup.com/tag-member/tracey-jhita-msc-bsc-hons/) - Tracey Jhita MSc Health Economics Manager×Tracey Jhita MSc BSc (Hons) Tracey oversees the Health Economics team and project pipeline, acting as a lead on the economic components of NICE appraisals. Her professional background is rooted in public health economics, including developing return-on-investment models for the European Commission, NICE, and the NHS. She specialises in the
- [Mariana Bacelar MSc](https://bmjgroup.com/tag-member/mariana-bacelar-msc-bsc/) - Mariana Bacelar MSc Health Technology Assessment Manager×Mariana Bacelar MSc BScMariana manages HTA projects and deputises for the Group Director, ensuring the rigour of the group’s reports. She has been involved in HTAs since 2013, with a particular focus on conceptualising and developing public health economic models for NICE and various not-for-profit organisations. Before joining BMJ-TAG
- [Steve Edwards DPhil](https://bmjgroup.com/tag-member/dr-steve-edwards-dphil-msc-bsc-hons/) - Steve Edwards DPhil Director of BMJ-TAG ×Dr Steve Edwards DPhil MSc BSc (Hons) Steve joined BMJ Group in 2010 to establish the BMJ-TAG. He directs the timely delivery of all research to the exacting standards required by NICE and NIHR. Steve has been a specialist in HTA since 1999, with extensive experience in health economics,
- [Myles Kirk BSc](https://bmjgroup.com/tag-member/myles-kirk-bsc/) - Myles Kirk BSc Health Economist×Myles Kirk BSc Myles focuses on health economic modelling and the development of comprehensive technical reports for NICE and other HTA bodies. He has 3 years of experience in HTA and consultancy, with specific expertise in patient simulation modelling and cost-effectiveness analysis. His work has been applied extensively to treatments for

## Venues

- [The Brewery](https://bmjgroup.com/venue/the-brewery/)
- [Crown, Perth](https://bmjgroup.com/venue/crown-perth/)
- [CCL - Lisbon Congress Centre](https://bmjgroup.com/venue/ccl-lisbon-congress-centre/) - With 30 years of history, the International Forum supports and energises the movement for patient safety and healthcare improvement.
- [Convene](https://bmjgroup.com/venue/convene-155-bishopsgate-london/) - 6 - 7 November, Convene 155 Bishopsgate, London -
- [Online](https://bmjgroup.com/venue/online/)
- [The Netherlands](https://bmjgroup.com/venue/royal-jaarbeurs-utrecht-the-netherlands__trashed/)
- [New Delhi](https://bmjgroup.com/venue/new-delhi/)
- [Suntec Singapore Convention & Exhibition Centre](https://bmjgroup.com/venue/suntec-singapore-convention-exhibition-centre/)
- [Utrecht](https://bmjgroup.com/venue/utrecht/)
- [Virtual](https://bmjgroup.com/venue/virtual/) - Attend the 2024 PxP conference on 10-12 September (for those in Europe, Africa or North and South America), or 11-13 (Asia and Oceania).
- [Kings Place](https://bmjgroup.com/venue/kings-place/)
- [London, St Pauls](https://bmjgroup.com/venue/london-st-pauls/)
- [BMA House](https://bmjgroup.com/venue/bma-house/)
- [The Studio, Birmingham](https://bmjgroup.com/venue/the-studio-birmingham/)
- [Brisbane Convention & Exhibition Centre](https://bmjgroup.com/venue/brisbane-convention-exhibition-centre/)
- [Hong Kong Convention and Exhibition Centre](https://bmjgroup.com/venue/hong-kong-convention-and-exhibition-centre/)
- [ExCeL London](https://bmjgroup.com/venue/excel-london/)

## Organisers

- [BMJ Future Health Europe | Virginia Mason Institute](https://bmjgroup.com/organiser/bmj-future-health-europe-virginia-mason-institute/)
- [BMJ Paediatrics Open](https://bmjgroup.com/organiser/bmj-paediatrics-open/)
- [BMJ Group and Gates Foundation](https://bmjgroup.com/organiser/bmj-group-and-gates-foundation/)
- [BMJ Learning, Reckitt Benckiser Health Limited, and members of the Lyon Consensus Scientific Committee](https://bmjgroup.com/organiser/bmj-learning-reckitt-benckiser-health-limited-and-members-of-the-lyon-consensus-scientific-committee/)
- [Canadian Institutes of Health Research (CIHR) Institute of Musculoskeletal Health and Arthritis](https://bmjgroup.com/organiser/canadian-institutes-of-health-research-cihr-institute-of-musculoskeletal-health-and-arthritis/) - Attend the 2024 PxP conference on 10-12 September (for those in Europe, Africa or North and South America), or 11-13 (Asia and Oceania).
- [BMJ Group](https://bmjgroup.com/organiser/bmj-group/)
- [BMJ Leader](https://bmjgroup.com/organiser/bmj-leader/)
- [BMJ Research Forum](https://bmjgroup.com/organiser/bmj-research-forum/)
- [BMJ Future Health](https://bmjgroup.com/organiser/bmj-future-health/)
- [Institute for Healthcare Improvement](https://bmjgroup.com/organiser/institute-for-healthcare-improvement/)

## Events

- [BMJ Future Health Europe | Virginia Mason Institute](https://bmjgroup.com/event/bmj-future-health-europe-virginia-mason-institute/) - What exactly is BMJ Future Health? Launched in 2024, BMJ Future Health has grown into a global community of healthcare professionals and organisations focused on advancing health and care through shared knowledge and real-world experience. Through year-round webinars, podcasts, live events, newsletters, and an engaged global network, BMJ Future Health connects leaders and innovators to address real-world problems and drive
- [Future Health Leaders Australia | BMJ Group and Virginia Mason Institute](https://bmjgroup.com/event/future-health-leaders-australia-bmj-group-and-virginia-mason-institute/) - The Future Health Leaders Australia programme equips senior healthcare professionals with the skills to drive system-wide transformation. The programme focuses on digital health, AI, and patient-centred quality management to tackle complex workforce and operational challenges across the Australian health system.
- [The International Forum on Quality and Safety in Healthcare, Lisbon](https://bmjgroup.com/event/the-international-forum-on-quality-and-safety-in-healthcare-lisbon/) - The International Forum on Quality and Safety in Healthcare is a series of international conferences that inform and inspire healthcare leaders, practitioners and patients towards a better, safer and higher quality of care. With almost 30 years of history, the International Forum supports and energises the movement for patient safety and healthcare improvement by bringing With 30 years of history, the International Forum supports and energises the movement for patient safety and healthcare improvement.
- [Submit your poster abstract | BMJ Research Forum South Asia 2026](https://bmjgroup.com/event/submit-your-poster-abstract-bmj-research-forum-south-asia-2026/) - Real world health research impact We are looking for evidence driven translational research projects that demonstrate measurable impact, innovation, scalability, and real world relevance in healthcare. Strong submissions should clearly show measurable outcomes, are co designed with or informed by patients, carers, or communities, where appropriate, practical applicability, and alignment with the forum themes.
- [BMJ Research Forum South Asia](https://bmjgroup.com/event/bmj-research-forum-south-asia/) - The BMJ Research Forum South Asia 2026 convenes national research leaders, funders, policymakers, editors, clinicians, patients, and industry partners to accelerate the translation of health research into policy and practice. The forum explores how digital health infrastructure, national evidence initiatives, and institutional leadership can drive integrated, One Health–oriented outcomes at scale. Translating health research into
- [When evidence can’t keep up: rapid evaluation for health tech](https://bmjgroup.com/event/when-evidence-cant-keep-up-rapid-evaluation-for-health-tech/) - When evidence can’t keep up: rapid evaluation for health tech BMJ Future Health webinar Experts: Jenny Shand, Professor of Applied Health Research at UCL, Director of the NIHR Rapid Service Evaluation Team Paul Wicks, Founder and Chief Evidence Officer, ProofStack Health Gabriella Spinelli, Principal Investigator, RADIANT-CERSI Helen Surana, Co-Editor in Chief, BMJ Innovations As new
- [Quality improvement today, tomorrow, and in the future](https://bmjgroup.com/event/quality-improvement-today-tomorrow-and-in-the-future/) - Join us for a forward thinking discussion on the future of Quality Improvement (QI) with two leading experts in the field: Dr Patricia Henwood of Jefferson Health and Dr Kieran Walsh of BMJ Group. A robust and forward-thinking approach to quality improvement is no longer optional—it's essential. From bridging the gap between evidence and practice
- [Webinar: Optimising the Health and Wellbeing of Street and Working Children](https://bmjgroup.com/event/webinar-optimising-the-health-and-wellbeing-of-street-and-working-children/) - Recognising the profound rights violations that these children face, the Working Group on Street and Working Children (SWC) with the strong support of the Consortium for Street Children put together the Special Collection on the “Health and Wellbeing of Street and Working Children". BMJ Group impact report: 2025
- [Varied voices: How to make research more inclusive and diverse through public involvement (Free & accredited)](https://bmjgroup.com/event/varied-voices-how-to-make-research-more-inclusive-and-diverse-through-public-involvement-free-accredited/2025-11-06/) - BMJ Group has partnered with the National Institute for Health and Care Research (NIHR) to strengthen how people and communities are involved in medical research. Varied Voices, a free online course developed by NIHR and supported by BMJ Learning, helps healthcare professionals understand how inclusion and diversity improve the quality and impact of research. It
- [Launch of the BMJ Collection on Women's Health Innovation](https://bmjgroup.com/event/launch-of-the-bmj-collection-on-womens-health-innovation/) - Join us on Tuesday 21 October at 14.00 BST for the launch of The BMJ Collection on women’s health innovation, developed in partnership with the Gates Foundation. This online event will showcase the Collection’s seven new articles examining how innovation — from equitable digital health technologies and AI-supported screening to decolonial feminist leadership and inclusive
- [Free 30-minute webinar: master the latest in gastro-oesophageal reflux disease care – CPD accredited](https://bmjgroup.com/event/free-30-minute-webinar-master-the-latest-in-gastro-oesophageal-reflux-disease-care-cpd-accredited/) - Don’t miss this free 30-minute webinar introducing the CPD-accredited gastro-oesophageal reflux learning collection, supported by Reckitt. This is your opportunity to gain actionable insights into gastro-oesophageal reflux disease (GORD) — a common and often under-recognised condition — including the latest evidence and clinical updates from the 2024 Lyon Consensus guidelines. The content was developed exclusively
- [BMJ Future Health 2025](https://bmjgroup.com/event/bmj-future-health-2025/) - 6 - 7 November, Convene 155 Bishopsgate, London - The BMJ Future Health conference brings together healthcare leaders, innovators, and digital health experts for two days of insight, collaboration, and practical learning. With a dynamic mix of keynotes, interactive sessions, and hands-on workshops, the programme is designed to explore real world solutions, share best practices, and tackle the challenges of implementing digital transformation at
- [Improving patient engagement and PPIE involvement in the NHS](https://bmjgroup.com/event/improving-patient-engagement-and-ppie-involvement-in-the-nhs/) - Implementing digital tools to improve patient engagement and PPIE involvement in the NHS Friday, October 31, 2025 12:00 PM GMT This webinar will explore how to bring patients into the process of health innovation, explore patient attitudes to digital, and help clinicians to shape the adoption and use of different digital tools within their own
- [Digital leadership in the NHS: How to develop a digital health strategy](https://bmjgroup.com/event/digital-leadership-in-the-nhs-how-to-develop-a-digital-health-strategy/) - This webinar will explore the opportunities for the NHS in cultivating senior leaders who can drive digital innovation within their organisation, create an environment that encourages innovation, and transform the delivery of patient care and operational functions of the health service. Whether you’re a digital lead, clinician, or NHS executive, this webinar will help you
- [Getting started with BMJ Best Practice](https://bmjgroup.com/event/getting-started-with-bmj-best-practice-3/) - This session will demonstrate the use of BMJ Best Practice, an online clinical decision support tool, to answer clinical questions and support decision making at the point of care. This includes our Comorbidities Manager, which supports healthcare professionals to treat the whole patient when managing acute conditions. The sessions will also cover how you can
- [Getting started with BMJ Best Practice](https://bmjgroup.com/event/getting-started-with-bmj-best-practice-2/) - This session will demonstrate the use of BMJ Best Practice, an online clinical decision support tool, to answer clinical questions and support decision making at the point of care. This includes our Comorbidities Manager, which supports healthcare professionals to treat the whole patient when managing acute conditions. The sessions will also cover how you can
- [BMJ Best Practice: learn how to get started](https://bmjgroup.com/event/bmj-best-practice-learn-how-to-get-started-3/) - This session will demonstrate the use of BMJ Best Practice, an online clinical decision support tool, to answer clinical questions and support decision making at the point of care. This includes our Comorbidities Manager, which supports healthcare professionals to treat the whole patient when managing acute conditions.
- [BMJ Best Practice: learn how to get started](https://bmjgroup.com/event/bmj-best-practice-learn-how-to-get-started-2/) - This session will demonstrate the use of BMJ Best Practice, an online clinical decision support tool, to answer clinical questions and support decision making at the point of care. This includes our Comorbidities Manager, which supports healthcare professionals to treat the whole patient when managing acute conditions.
- [BMJ Best Practice: learn how to get started](https://bmjgroup.com/event/bmj-best-practice-learn-how-to-get-started/) - Our comprehensive training sessions are designed to give you the tools and knowledge needed to use BMJ Best Practice effectively in real-world clinical settings. Whether you want to streamline decision-making at the point of care, manage complex patient cases with our Comorbidities Manager, or access resources through our highly rated app, these sessions are tailored
- [Get started with BMJ Best Practice * Free training webinar](https://bmjgroup.com/event/getting-started-with-bmj-best-practice/) - This free session will demonstrate the use of BMJ Best Practice, an online clinical decision support tool, to answer clinical questions and support decision making at the point of care. This includes our Comorbidities Manager, which supports healthcare professionals in treating the whole patient when managing acute conditions. The sessions will also cover how you
- [How can we tackle this triple burden of malnutrition? New collection & webinar](https://bmjgroup.com/event/how-can-we-tackle-this-triple-burden-of-malnutrition-new-collection-webinar/) - Adolescent girls across South Asia face an alarming state of health and nutrition from persistent undernutrition and anaemia alongside a rapid rise in overweight and obesity, warn experts in a The BMJ Collection. How can we tackle this triple burden of malnutrition? In collaboration with the UNICEF regional office for South Asia (UNICEF ROSA) and
- [Training | Getting started with BMJ Best Practice](https://bmjgroup.com/event/training-getting-started-with-bmj-best-practice-3/) - This session will demonstrate the use of BMJ Best Practice, an online clinical decision support tool, to answer clinical questions and support decision making at the point of care. This includes our Comorbidities Manager, which supports healthcare professionals in treating the whole patient when managing acute conditions. The sessions will also cover how to access
- [Training for US customers | BMJ Best Practice product demonstrations](https://bmjgroup.com/event/training-for-us-customers-bmj-best-practice-product-demonstrations-2/2025-02-11/) - Whether you want to learn to use BMJ Best Practice at the point of care or in an instructional or research setting, our 30-minute session can help.
- [Training for US customers | BMJ Best Practice product demonstrations](https://bmjgroup.com/event/training-for-us-customers-bmj-best-practice-product-demonstrations/2025-02-11/) - Whether you want to learn to use BMJ Best Practice at the point of care or in an instructional or research setting, our 30-minute session can help.
- [Training | Getting started with BMJ Best Practice](https://bmjgroup.com/event/training-getting-started-with-bmj-best-practice-4/) - New to BMJ Best Practice? Join our training session to enhance your clinical decision making at the point of care. Join Ali Boukabache, Customer Success Manager, Healthcare, BMJ Group, who will demonstrate how BMJ Best Practice can be used to answer clinical questions, making decision-making easier and more effective at the point of care. Ali
- [Training | Getting started with BMJ Best Practice](https://bmjgroup.com/event/training-getting-started-with-bmj-best-practice-2/) - This session will demonstrate the use of BMJ Best Practice, an online clinical decision support tool, to answer clinical questions and support decision making at the point of care. This includes our Comorbidities Manager, which supports healthcare professionals in treating the whole patient when managing acute conditions. The sessions will also cover how to access
- [Training | Getting started with BMJ Best Practice](https://bmjgroup.com/event/training-getting-started-with-bmj-best-practice/) - Join BMJ Group's Ali Boukabache to see him demonstrate the use of BMJ Best Practice, an online clinical decision support tool. He'll be on hand to answer questions and show you how you can use the tool to support decision making at the point of care. This session covers the Comorbidities Manager, which supports healthcare
- [International Forum on Quality and Safety in Healthcare | Utrecht 2025](https://bmjgroup.com/event/international-forum-on-quality-and-safety-in-healthcare-utrecht-2025/)
- [The International Forum on Quality and Safety in Healthcare | Canberra 2025](https://bmjgroup.com/event/the-international-forum-on-quality-and-safety-in-healthcare-canberra-2025/)
- [BMJ Future Health South Asia](https://bmjgroup.com/event/bmj-future-health-south-asia/)
- [The International Forum on Quality and Safety in Healthcare | Singapore 2025](https://bmjgroup.com/event/the-international-forum-on-quality-and-safety-in-healthcare-singapore-2025/)
- [For Patients, By Patients, PxP conference [endorsed by BMJ Group]](https://bmjgroup.com/event/for-patients-by-patients-pxp-conference-endorsed-by-bmj-group/) - Attend the 2024 PxP conference on 10-12 September (for those in Europe, Africa or North and South America), or 11-13 (Asia and Oceania).
- [Online webinar for NHS librarians & medical educators to learn how to create compelling REF Impact Case Studies, and showcase data from your NHS Trust or hospital.](https://bmjgroup.com/event/bmj-best-practice-bmj-impact-analytics-tracking-the-evidence-based-impact-of-research-and-the-point-of-care/)
- [<a href="https://bmjresearchforum.bmj.com/" target="_blank" rel="noopener">BMJ Research Forum</a>](https://bmjgroup.com/event/research-forum/) - test
- [<a href="https://bmjleaderlive.bmj.com/birmingham" target="_blank" rel="noopener">BMJ Leader Live Birmingham</a>](https://bmjgroup.com/event/bmj-leader-live-birmingham/) - BMJ Leader Live Advance your leadership journey, honing skills for tomorrow’s leaders. Explore themes like compassionate, collaborative and evolving leadership through inclusivity. Let’s collective redefine leadership for an ever-changing world. The programme and ticket sales will be announced soon! Register to attendSponsor this event
- [<a href="https://internationalforum.bmj.com/hong-kong/" target="_blank" rel="noopener">International Forum on Quality & Safety in Healthcare, Hong Kong 2024</a>](https://bmjgroup.com/event/international-forum-on-quality-safety-in-healthcare-hong-kong-2024/) - International Forum on Quality & Safety in Healthcare, Hong Kong 2024 Jointly organised by the Institute for Healthcare Improvement (IHI) and BMJ, the International Forum on Quality and Safety in Healthcare has a rich history of supporting and energising the international movement for health and care improvement. With over 5000 improvers attending the International Forum conferences every year,
- [<a href="https://internationalforum.bmj.com/brisbane/" target="_blank" rel="noopener">International Forum on Quality & Safety in Healthcare, Brisbane 2024</a>](https://bmjgroup.com/event/international-forum-on-quality-safety-in-healthcare-brisbane-2024/) - International Forum on Quality & Safety in Healthcare, Brisbane 2024 Jointly organised by the Institute for Healthcare Improvement (IHI) and BMJ, the International Forum on Quality and Safety in Healthcare has a rich history of supporting and energising the international movement for health and care improvement. With over 5000 improvers attending the International Forum conferences every year, this
- [<a href="https://futurehealth.bmj.com/" target="_blank" rel="noopener">BMJ Future Health</a>](https://bmjgroup.com/event/future-health/) - Future Health We believe in the power of digital solutions to improve outcomes and build sustainable healthcare. At BMJ Future Health, we’re committed to supporting an innovation ecosystem that solves problems and translates ideas into practical solutions. Through events, webinars, podcasts, and more, throughout the year we provide you with a platform for continuous learning
- [International Forum on Quality & Safety in Healthcare, London 2024](https://bmjgroup.com/event/international-forum-on-quality-safety-in-healthcare-london-2024/) - Sponsor this event
- [<a href="https://bmjleaderlive.bmj.com/about" target="_blank" rel="noopener">BMJ Leader Live London</a>](https://bmjgroup.com/event/bmj-leader-live-london/) - BMJ Leader Live We will address big-picture topics like understanding leadership impact, sustainability, and Diversity, Equity, Inclusion and Belonging (DEIB), setting the stage for comprehensive exploration and learning. Deep dive discussions will tackle real problems faced in leadership and steer conversations toward actionable solutions. They offer a space for you to exchange perspectives and collectively

## Portfolio

- [Empowering systems leaders to establish effective leadership for quality and safety in hospitals around the world](https://bmjgroup.com/portfolio-items/empowering-systems-leaders-to-establish-effective-leadership-for-quality-and-safety-in-hospitals-around-the-world/) - In healthcare, leadership is decisive in influencing the quality of care and the performance of hospitals. In April 2022, BMJ orchestrated a symposium series that brought together hospital chief executives and presidents worldwide to discuss leadership, and how to maintain quality and safety in their hospitals. The online symposia in webinar format were curated in
- [Helping to influence health policy in Peru](https://bmjgroup.com/portfolio-items/helping-to-influence-health-policy-in-peru/) - A special collection on social innovations in health published by BMJ in 2022 helps to showcase the Mamás del Río programme’s success in helping community workers adapt in response to communication challenges posed by a strict, national lockdown. In their paper included in the collection, Dr Blas and colleagues evaluate how technological interventions help communities

## Series

- [Varied voices: How to make research more inclusive and diverse through public involvement (Free & accredited)](https://bmjgroup.com/series/varied-voices-how-to-make-research-more-inclusive-and-diverse-through-public-involvement-free-accredited/)
- [Training for US customers | BMJ Best Practice product demonstrations](https://bmjgroup.com/series/training-for-us-customers-bmj-best-practice-product-demonstrations/)

## Categories

- [Uncategorised](https://bmjgroup.com/category/uncategorised/)
- [Press release](https://bmjgroup.com/category/press-release/)
- [The BMJ](https://bmjgroup.com/category/press-release/the-bmj/)
- [British Journal of Sports Medicine](https://bmjgroup.com/category/press-release/british-journal-of-sports-medicine/)
- [Gut](https://bmjgroup.com/category/press-release/gut/)
- [BMJ Open](https://bmjgroup.com/category/press-release/bmj-open/)
- [Archives of Disease in Childhood](https://bmjgroup.com/category/press-release/archives-of-disease-in-childhood/)
- [Annals of the Rheumatic Diseases](https://bmjgroup.com/category/press-release/annals-of-the-rheumatic-diseases/)
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- [Thorax](https://bmjgroup.com/category/press-release/thorax/)
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- [Opinion](https://bmjgroup.com/category/this-week-in-the-bmj/opinion/)
- [Corporate announcement](https://bmjgroup.com/category/corporate-announcement/)
- [Partnership](https://bmjgroup.com/category/corporate-announcement/partnership-corporate-announcement/)
- [BMJ Military Health](https://bmjgroup.com/category/press-release/bmj-military-health/)
- [BMJ Nutrition, Prevention & Health](https://bmjgroup.com/category/press-release/bmj-nutrition-prevention-and-health/)
- [Trauma Surgery and Acute Care Open](https://bmjgroup.com/category/press-release/trauma-surgery-and-acute-care-open/)
- [Occupational & Environmental Medicine](https://bmjgroup.com/category/press-release/occupational-and-environmental-medicine/)
- [BMJ Open Sport and Exercise Medicine](https://bmjgroup.com/category/press-release/bmj-open-sport-and-exercise-medicine/)
- [Journal of Neurology Neurosurgery and Psychiatry](https://bmjgroup.com/category/press-release/journal-of-neurology-neurosurgery-and-psychiatry/)
- [BMJ Open Diabetes Research and Care](https://bmjgroup.com/category/press-release/bmj-open-diabetes-research-and-care/)
- [BMJ Supportive and Palliative Care](https://bmjgroup.com/category/press-release/bmj-supportive-and-palliative-care/)
- [Launch](https://bmjgroup.com/category/corporate-announcement/launch-corporate-announcement/)
- [Award win](https://bmjgroup.com/category/corporate-announcement/award-win-corporate-announcement/)
- [Journal of Epidemiology & Community Health](https://bmjgroup.com/category/press-release/journal-of-epidemiology-community-health/)
- [BMJ Sexual & Reproductive Health](https://bmjgroup.com/category/press-release/bmj-sexual-reproductive-health/)
- [BMJ Quality & Safety](https://bmjgroup.com/category/press-release/bmj-quality-safety/)
- [BMJ Health & Care Informatics](https://bmjgroup.com/category/press-release/bmj-health-care-informatics/)
- [Drug and Therapeutics Bulletin](https://bmjgroup.com/category/press-release/drug-and-therapeutics-bulletin/)
- [Our impact](https://bmjgroup.com/category/our-impact/)
- [Regional Anesthesia & Pain Medicine](https://bmjgroup.com/category/press-release/regional-anesthesia-pain-medicine/)
- [Collection](https://bmjgroup.com/category/collections/)
- [Events](https://bmjgroup.com/category/events/)
- [Content integrity](https://bmjgroup.com/category/our-impact/content-integrity/)
- [Gynecology and Obstetrics Clinical Medicine](https://bmjgroup.com/category/press-release/gynecology-and-obstetrics-clinical-medicine/)
- [Thought leadership](https://bmjgroup.com/category/corporate-announcement/thought-leadership/)
- [BMJ Open Quality](https://bmjgroup.com/category/press-release/bmj-open-quality/)
- [International Forum](https://bmjgroup.com/category/events/international-forum/)
- [BMJ Best Practice](https://bmjgroup.com/category/bmj-best-practice/)
- [BMJ Learning](https://bmjgroup.com/category/bmj-learning/)
- [Research to Publication](https://bmjgroup.com/category/research-to-publication/)
- [BMJ Group](https://bmjgroup.com/category/bmj-group/)
- [Read and Publish agreement](https://bmjgroup.com/category/corporate-announcement/partnership-corporate-announcement/read-and-publish-agreement/)

## Tags

- [health policy and healthcare systems](https://bmjgroup.com/tag/health-policy-healthcare-systems/)
- [Physical health](https://bmjgroup.com/tag/physical-health/)
- [brain and mental health](https://bmjgroup.com/tag/brain-mental-health/)
- [climate and health](https://bmjgroup.com/tag/climate-health/)
- [Women's health](https://bmjgroup.com/tag/womens-health/)
- [cancer and oncology](https://bmjgroup.com/tag/cancer-oncology/)
- [public health and prevention](https://bmjgroup.com/tag/public-health-prevention/)
- [Medical treatment](https://bmjgroup.com/tag/medical-treatment/)
- [Group news](https://bmjgroup.com/tag/group-news/)
- [Child and adolescent health](https://bmjgroup.com/tag/child-and-adolescent-health/)
- [sport and exercise](https://bmjgroup.com/tag/sport-exercise/)
- [Better evidence](https://bmjgroup.com/tag/better-evidence/)
- [Better systems](https://bmjgroup.com/tag/better-systems/)
- [Better decisions](https://bmjgroup.com/tag/better-decisions/)
- [Social impact](https://bmjgroup.com/tag/social-impact/)
- [partnership](https://bmjgroup.com/tag/partnership/)
- [collection](https://bmjgroup.com/tag/collection/)
- [research integrity](https://bmjgroup.com/tag/research-integrity/)
- [physical](https://bmjgroup.com/tag/physical/)
- [workforce](https://bmjgroup.com/tag/workforce/)
- [Thought leadership](https://bmjgroup.com/tag/thought-leadership/)
- [AI in healthcare](https://bmjgroup.com/tag/ai-healthcare/)
- [BMJ Learning](https://bmjgroup.com/tag/bmj-learning/)
- [Global health](https://bmjgroup.com/tag/global-health/)
- [Health policy](https://bmjgroup.com/tag/health-policy/)
- [Rheumatology](https://bmjgroup.com/tag/rheumatology/)
- [Immunology](https://bmjgroup.com/tag/immunology/)
- [Endocrinology and diabetology](https://bmjgroup.com/tag/endocrinology-and-diabetology/)
- [Cardiology](https://bmjgroup.com/tag/cardiology/)
- [Nephrology](https://bmjgroup.com/tag/nephrology/)
- [Food and nutrition](https://bmjgroup.com/tag/food-nutrition/)
- [Infectious diseases](https://bmjgroup.com/tag/infectious-diseases/)
- [Events](https://bmjgroup.com/tag/events/)
- [BMJ Research Forum India](https://bmjgroup.com/tag/bmj-research-forum-india/)
- [BMJ Future Health](https://bmjgroup.com/tag/bmj-future-health/)

## Administration Tool Products

- [BMJ Best Practice](https://bmjgroup.com/administration-tool-product/bmj-best-practice/)
- [The BMJ & BMJ Journals](https://bmjgroup.com/administration-tool-product/the-bmj-bmj-journals/)
- [BMJ Case Reports](https://bmjgroup.com/administration-tool-product/bmj-case-reports-admin/)
- [BMJ Open Access](https://bmjgroup.com/administration-tool-product/bmj-open-access/)
- [Research to Publication](https://bmjgroup.com/administration-tool-product/research-to-publication/)
- [BMJ Learning](https://bmjgroup.com/administration-tool-product/bmj-learning/)

## Expertise 

- [Cancer](https://bmjgroup.com/expertise/cancer/)
- [Symptom Control](https://bmjgroup.com/expertise/symptom-control/)
- [Palliative Care](https://bmjgroup.com/expertise/palliative-care/)
- [Nutrition and Hydration](https://bmjgroup.com/expertise/nutrition-and-hydration/)
- [Pain](https://bmjgroup.com/expertise/pain/)
- [Relief Pain](https://bmjgroup.com/expertise/relief-pain/)
- [Opioids and cannabinoids](https://bmjgroup.com/expertise/opioids-and-cannabinoids/)
- [Cardiovascular disease](https://bmjgroup.com/expertise/cardiovascular-disease/)
- [Heart Attack](https://bmjgroup.com/expertise/heart-attack/)
- [Stroke](https://bmjgroup.com/expertise/stroke/)
- [Emergency Medicine](https://bmjgroup.com/expertise/emergency-medicine/)
- [A&E overcrowding](https://bmjgroup.com/expertise/ae-overcrowding/)
- [Assisted Dying](https://bmjgroup.com/expertise/assisted-dying/)
- [Drug decriminalisation](https://bmjgroup.com/expertise/drug-decriminalisation/)
- [Emergency care](https://bmjgroup.com/expertise/emergency-care/)
- [Valve disease](https://bmjgroup.com/expertise/valve-disease/)
- [High Blood Pressure](https://bmjgroup.com/expertise/high-blood-pressure/)
- [Dermatology](https://bmjgroup.com/expertise/dermatology/)
- [Medical technology](https://bmjgroup.com/expertise/medical-technology/)
- [AI in Healthcare](https://bmjgroup.com/expertise/ai-in-healthcare/)
- [Medical Informatics](https://bmjgroup.com/expertise/medical-informatics/)
- [Injury Prevention](https://bmjgroup.com/expertise/injury-prevention/)
- [Evidence based medicine](https://bmjgroup.com/expertise/evidence-based-medicine/)
- [Evidence based Mental Health](https://bmjgroup.com/expertise/evidence-based-mental-health/)
- [Medicines](https://bmjgroup.com/expertise/medicines/)
- [Personalised medicine](https://bmjgroup.com/expertise/personalised-medicine/)
- [Psychopharmacology](https://bmjgroup.com/expertise/psychopharmacology/)
- [Mental Health](https://bmjgroup.com/expertise/mental-health/)
- [Psychiatry](https://bmjgroup.com/expertise/psychiatry/)
- [Cannabis and Mental Health](https://bmjgroup.com/expertise/cannabis-and-mental-health/)
- [Depression and bipolar disorder](https://bmjgroup.com/expertise/depression-and-bipolar-disorder/)
- [Psychotic disorders](https://bmjgroup.com/expertise/psychotic-disorders/)
- [Stigma](https://bmjgroup.com/expertise/stigma/)
- [Psychosomatic illness](https://bmjgroup.com/expertise/psychosomatic-illness/)
- [Clinical trials](https://bmjgroup.com/expertise/clinical-trials/)
- [Chronic pain](https://bmjgroup.com/expertise/chronic-pain/)
- [Genetics](https://bmjgroup.com/expertise/genetics/)
- [Heart conditions](https://bmjgroup.com/expertise/heart-conditions/)
- [Evidence synthesis](https://bmjgroup.com/expertise/evidence-synthesis/)
- [Patients](https://bmjgroup.com/expertise/patients/)
- [Shared decision making](https://bmjgroup.com/expertise/shared-decision-making/)
- [Primary care](https://bmjgroup.com/expertise/primary-care/)
- [General practice](https://bmjgroup.com/expertise/general-practice/)
- [Gastroenterology](https://bmjgroup.com/expertise/gastroenterology/)
- [Gut-brain axis](https://bmjgroup.com/expertise/gut-brain-axis/)
- [Microbiome](https://bmjgroup.com/expertise/microbiome/)
- [Neuro pharmacology](https://bmjgroup.com/expertise/neuro-pharmacology/)
- [Global Health](https://bmjgroup.com/expertise/global-health/)
- [International child health](https://bmjgroup.com/expertise/international-child-health/)
- [Paediatrics](https://bmjgroup.com/expertise/paediatrics/)
- [Infectious disease](https://bmjgroup.com/expertise/infectious-disease/)
- [International child health](https://bmjgroup.com/expertise/international-child-health-paediatrics/)
- [Public Health](https://bmjgroup.com/expertise/public-health/)
- [Epidemiology](https://bmjgroup.com/expertise/epidemiology/)
- [Infectious disease](https://bmjgroup.com/expertise/infectious-disease-public-health/)
- [Health systems](https://bmjgroup.com/expertise/health-systems/)
- [Hepatology](https://bmjgroup.com/expertise/hepatology/)
- [Hepatitis A & C](https://bmjgroup.com/expertise/hepatitis-a-c/)
- [Infectious disease](https://bmjgroup.com/expertise/infectious-disease-2/)
- [STIs](https://bmjgroup.com/expertise/stis/)
- [HIV](https://bmjgroup.com/expertise/hiv/)
- [Anti-virals](https://bmjgroup.com/expertise/anti-virals/)
- [Drug resistance](https://bmjgroup.com/expertise/drug-resistance/)
- [Medical ethics](https://bmjgroup.com/expertise/medical-ethics/)
- [Assisted reproduction](https://bmjgroup.com/expertise/assisted-reproduction/)
- [Medical Humanities](https://bmjgroup.com/expertise/medical-humanities/)
- [Prescribing](https://bmjgroup.com/expertise/prescribing/)
- [Dispensing](https://bmjgroup.com/expertise/dispensing/)
- [Organisation of healthcare](https://bmjgroup.com/expertise/organisation-of-healthcare/)
- [Primary care networks](https://bmjgroup.com/expertise/primary-care-networks/)
- [Primary care networks](https://bmjgroup.com/expertise/primary-care-networks-primary-care/)
- [Minor surgery](https://bmjgroup.com/expertise/minor-surgery/)
- [GP workload](https://bmjgroup.com/expertise/gp-workload/)
- [GP politics](https://bmjgroup.com/expertise/gp-politics/)
- [Long term conditions](https://bmjgroup.com/expertise/long-term-conditions/)
- [Neurology](https://bmjgroup.com/expertise/neurology/)
- [Neuroscience](https://bmjgroup.com/expertise/neuroscience/)
- [Occupational Medicine](https://bmjgroup.com/expertise/occupational-medicine/)
- [Occupational hygiene](https://bmjgroup.com/expertise/occupational-hygiene/)
- [Exposure assessment](https://bmjgroup.com/expertise/exposure-assessment/)
- [Ophthalmology](https://bmjgroup.com/expertise/ophthalmology/)
- [Quality improvement](https://bmjgroup.com/expertise/quality-improvement/)
- [Quality of care](https://bmjgroup.com/expertise/quality-of-care/)
- [Clinical leadership](https://bmjgroup.com/expertise/clinical-leadership/)
- [Value for money](https://bmjgroup.com/expertise/value-for-money/)
- [Patient partnerships](https://bmjgroup.com/expertise/patient-partnerships/)
- [Publishing](https://bmjgroup.com/expertise/publishing/)
- [STM Publishing](https://bmjgroup.com/expertise/stm-publishing/)
- [Research integrity and ethics](https://bmjgroup.com/expertise/research-integrity-and-ethics/)
- [Respiratory medicine](https://bmjgroup.com/expertise/respiratory-medicine/)
- [Lung disease](https://bmjgroup.com/expertise/lung-disease/)
- [Rheumatology](https://bmjgroup.com/expertise/rheumatology/)
- [Rheumatoid arthiritis](https://bmjgroup.com/expertise/rheumatoid-arthiritis/)
- [Lupus](https://bmjgroup.com/expertise/lupus/)
- [Artificial intelligence](https://bmjgroup.com/expertise/artificial-intelligence/)

## Languages

- [English](https://bmjgroup.com/language/english/)
- [French](https://bmjgroup.com/language/french/)

## Products

- [BMJ Best Practice](https://bmjgroup.com/product/bmj-best-practice/)
- [BMJ Best Practice for point of care](https://bmjgroup.com/product/bmj-best-practice-hospital/)
- [BMJ Case Reports](https://bmjgroup.com/product/bmj-case-reports/)
- [BMJ Learning](https://bmjgroup.com/product/bmj-learning/)
- [BMJ Open Access Agreement](https://bmjgroup.com/product/bmj-open-access/)
- [Research to Publication](https://bmjgroup.com/product/research-to-publication/)
- [The BMJ & BMJ Journals](https://bmjgroup.com/product/the-bmj-bmj-journals/)
- [BMJ Best Practice for teaching and learning](https://bmjgroup.com/product/bmj-best-practice-academic/)
- [BMJ Best Practice with Comorbidities Manger for teaching and learning](https://bmjgroup.com/product/bmj-best-practice-with-comorbidities-manager-academic-and-research/)
- [BMJ Best Practice with Comorbidities Manager for point of care](https://bmjgroup.com/product/bmj-best-practice-with-comorbidities-manager-hospital/)
- [BMJ Premier Collection](https://bmjgroup.com/product/bmj-premier-collection/)
- [The BMJ](https://bmjgroup.com/product/the-bmj/)
- [BMJ Journals](https://bmjgroup.com/product/bmj-journals/)
- [BMJ Open Access Agreement](https://bmjgroup.com/product/read-publish/)

## Promotional Tool Products

- [BMJ Best Practice - Hospital](https://bmjgroup.com/promotion-tool-product/bmj-best-practice-hospital/)
- [BMJ Best Practice – Academic](https://bmjgroup.com/promotion-tool-product/bmj-best-practice-academic/)
- [BMJ Best Practice with Comorbidities – Hospital](https://bmjgroup.com/promotion-tool-product/bmj-best-practice-with-comorbidities-hospital/)
- [BMJ Best Practice with Comorbidities – Academic & Research](https://bmjgroup.com/promotion-tool-product/bmj-best-practice-with-comorbidities-academic-research/)
- [The BMJ](https://bmjgroup.com/promotion-tool-product/the-bmj/)
- [BMJ Premier Collection](https://bmjgroup.com/promotion-tool-product/bmj-premier-collection/)
- [BMJ Case Reports](https://bmjgroup.com/promotion-tool-product/bmj-case-reports/)
- [Research to Publication](https://bmjgroup.com/promotion-tool-product/research-to-publication/)
- [BMJ Learning](https://bmjgroup.com/promotion-tool-product/bmj-learning/)
- [BMJ Journals](https://bmjgroup.com/promotion-tool-product/bmj-journals/)
- [Read & Publish Agreement](https://bmjgroup.com/promotion-tool-product/read-publish/)
- [BMJ Best Practice](https://bmjgroup.com/promotion-tool-product/bmj-best-practice/)

## Regions

- [United States](https://bmjgroup.com/lh-region/united-states/)
- [Asia](https://bmjgroup.com/lh-region/asia/)
- [Brazil](https://bmjgroup.com/lh-region/brazil/)
- [Canada](https://bmjgroup.com/lh-region/canada/)
- [Europe](https://bmjgroup.com/lh-region/europe/)
- [Latin America](https://bmjgroup.com/lh-region/latin-america/)
- [Middle East](https://bmjgroup.com/lh-region/middle-east/)
- [Oceania](https://bmjgroup.com/lh-region/oceania/)

## Tool Types

- [Promotional materials](https://bmjgroup.com/tool-type/promotional-material/)
- [Administrative tools](https://bmjgroup.com/tool-type/administrative-tool/)

## Event Categories

- [Conference](https://bmjgroup.com/events/category/conference/)
- [Webinar](https://bmjgroup.com/events/category/webinar/)
- [Workshop](https://bmjgroup.com/events/category/workshop/)
- [In-person](https://bmjgroup.com/events/category/in-person/)
- [Online](https://bmjgroup.com/events/category/online/)
- [Hybrid](https://bmjgroup.com/events/category/hybrid/)
- [Training](https://bmjgroup.com/events/category/training/)

## Portfolio Categories

- [Case studies](https://bmjgroup.com/portfolio_category/case-studies/)