Further Research Backs Speculation Linking the Immune System and Parkinson’s Disease (BBC News / Nature)

Summary

Further evidence has emerged suggesting that malfunctioning in the body’s immune system may contribute to the development and progression of Parkinson’s Disease. T-cells appear to attack alpha-synuclein – a protein which accumulates in Parkinson’s Disease – after confusing this as marking a foreign invader (such as a bacterium or virus). This research builds on a century-old hypothesis.

“ …T-cells may first identify alpha-synuclein out in periphery, particularly in the nervous system of gut which is not a problem until the T-cells enter the brain”. Prof. Sulzer.

Full Text Link

Reference

Gallagher, J. (2017). Century-old Parkinson’s question answered. London: BBC Health News, June 21st 2017.

This relates to:

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Reference

Sulzer, D. Alcalay, RN. [and] Garretti, F. [et al] (2017). T cells from patients with Parkinson’s disease recognize α-synuclein peptides. Nature. June 21st 2017. [Epub ahead of print].

Posted in BBC News, For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Parkinson's Disease, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Reducing Under-Usage of Medications (British Journal of Clinical Pharmacology)

Summary

A meta-analysis investigating the impact of pharmaceutical care interventions for medication underuse in older people has shown that such interventions, including medication reviews, can reduce medication under-use in older people.

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Reference

Meid, AD. Lampert, A. [and] Burnett, A. [et al] (2015). The impact of pharmaceutical care interventions for medication underuse in older people: a systematic review and meta-analysis. British Journal of Clinical Pharmacology. October 2015; 80(4): 768-76.

Posted in Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Systematic Reviews, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Getting the Dementia Care Pathway Right (NHS RightCare / NHS England)

Summary

NHS RightCare has produced a scenario which throws into contrast an optimal dementia care pathway as distinct from the possibly more common “sub-optimal” pathway alternative(s).

Costings for an ideal pathway are presented, compared with those for an example sub-optimal dementia care pathway; showing that costs for community care would be higher but with massive savings overall due to reduced acute care costs. The scenario painted features a fictional patient Tom and his wife and carer Barbara.

“The story of Barbara and Tom’s experience of a dementia pathway and how it could have been so much better”.

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Reference

Getting the dementia pathway right: Tom and Barbara’s story. [Online]: NHS England, April 20th 2017. Updated: May 24th 2017.

This relates to:

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Reference

Getting the dementia pathway right: Tom and Barbara’s story: Dementia. London: NHS RightCare / NHS England, April 2017.

There are two appendices relating to the relative merits / demerits, and different component costs, for the alternatives depicted by Tom and Barbara’s story.

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Reference

NHS RightCare scenario: Getting the dementia pathway right. Tom and Barbara’s story: Dementia. Appendix 1: Summary slide pack. London: NHS RightCare / NHS England, April 2017.

and:

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Reference

NHS RightCare scenario: Getting the dementia pathway right. Tom and Barbara’s story: Dementia. Appendix 2: Short summary slide pack. London: NHS RightCare / NHS England, April 2017.

Big Picture Contextual Institutional Developments: Accountable Care Systems Announced (NHS England)

Nine accountable care systems (ACSs) have been announced, which will integrate services from local NHS organisations, social care services and the voluntary sector. This development is the most major initiative for the integration of care in any major western country.

Nine areas in England, covering seven million people, will be better served by:

“ …nationwide action to provide joined up, better coordinated care breaking down the barriers between GPs and hospitals, physical and mental healthcare, social care and the NHS”.

Full Text Link

Reference

NHS moves to end “fractured” care system. [Online]: NHS England, June 15th 2017.

Posted in Commissioning, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Estimated Prevalence of Elder Abuse in the Community: a Global Assessment (Lancet Global Health)

Summary

A systematic review and meta-analysis examining elder abuse prevalence in community settings across 28 countries identified a pooled prevalence rate of 15.7% for overall elder abuse. The rates were 11.6% for psychological abuse, 6.8% for financial abuse, 4.2% for neglect, 2.6% for physical abuse, and 0.9% for sexual abuse.

The authors of this review assert that elder abuse is a neglected global health priority.

“Although robust prevalence studies are sparse in low-income and middle-income countries, elder abuse seems to affect one in six older adults worldwide, which is roughly 141 million people”.

Full Text Link

Reference

Yon, Y. Mikton, CR. [and] Gassoumis, ZD. [et al] (2017). Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Global Health. February 2017; 5(2): e147-e156.

Posted in Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Management of Condition, Mental Health, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Various Issues in Self-Funders’ Payment For Care (BBC News)

Summary

Potential gaps in consumer protection in the care home sector have been exposed recently.

Full Text Link

Reference

Peachey, K. (2017). Worries over care home fees and funding. London: BBC Business News / BBC Health News, June 14th 2017.

Relentless pursuit of intentional dementia tax evaders?

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Reference

Robinson, M. (2017). Trying to avoid care home fees? Think twice, consumers told. London: BBC Radio Four MoneyBox / BBC Health News, April 15th 2017.

Who Would Have Thought It?

A factual appraisal of a dreadful prospect:

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Reference

Holt, A. Triggle, N. [and] Walton, J. [et al] (2016). What’s the cost of care in your area? London: BBC Health News, September 13th 2016.

Posted in BBC News, Community Care, For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 1 Comment

National Diabetes Week 2017 (NHS England / NEJM / NHS Choices)

Summary

National Diabetes Week falls between June 11th 2017 to June 17th 2017. To mark this event NHS England has released a short animation for the general public offering basic advice, and promoting the Diabetes Prevention Programme and Healthier You.

Full Text / Video Link

Reference

Type 2 diabetes prevention programme. [Online]: NHS England, June 14th 2017.

NHS DPP Wave 2

The Healthier You NHS Diabetes Prevention Programme: Wave 2, which is run collaboratively by NHS England, Public Health England and Diabetes UK, will cover 13 extra areas and serve a further 25% of the population

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Reference

New parts of the country set to benefit from expansion of diabetes prevention programme. [Online]: NHS England, June 16th 2017.

Obesity Prevalence: Global Burden of Disease Study

Possibly also of wider background interest; 107.7 million children and 603.7 million adults were obese in 2015. Since 1980, the prevalence of obesity has doubled in over 70 countries.

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Reference

GBD 2015 Obesity Collaborators (2017). Health effects of overweight and obesity in 195 countries over 25 years. New England Journal of Medicine. June 12th 2017. [Epub ahead of print].

Further commentary:

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Reference

Being overweight, not just obese, still carries serious health risks. London: NHS Choices; Behind the Headlines, June 13th 2017.

Posted in Charitable Bodies, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, International, Management of Condition, National, NHS Choices, NHS England, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Aspirin: Stomach Bleeds Risk for Over-75s (BBC News / Lancet / NHS Choices)

Summary

Persons aged over 75 taking daily aspirin following a stroke or heart attack are at higher risk of stomach bleeds than thought previously. The benefits of low dose aspirin still outweigh the risks, even in this age group. Co-prescription of stomach-protecting proton-pump inhibitors (PPIs) is now recommended as a means of reducing upper gastrointestinal bleeds, possibly by 70–90%.

Full Text Link

Reference

Mundasad, S. (2017). Aspirin ‘major bleed’ warning for over-75s.  London: BBC Health News, June 14th 2017.

This relates to:

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Reference

Li, L. Geraghty, OC. [and] Mehta, Z. [et al] (2017). Age-specific risks, severity, time course, and outcome of bleeding on long-term antiplatelet treatment after vascular events: a population-based cohort study. Lancet. June 13th 2017. [Epub ahead of print].

Further coverage:

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Reference

Risk of aspirin-related bleeding is higher in the over-75s. London: NHS Choices; Behind the Headlines, June 14th 2017.

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, NHS Choices, Pharmacological Treatments, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , | Leave a comment