The BMJ Today: Health challenges across the divide

Overdiagnosis and over-treatment of malaria is a major problem in South and central Asia, where malaria is a minority cause of febrile illness, and primary health centres often rely on clinical symptoms for a diagnosis. Researchers from London and Afghanistan conducted a patient randomised study in a primary care setting in two areas where malaria […]

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The BMJ Today: Doom and gloom in the UK and Australia

Each Tuesday at our morning meeting, we suggest ideas for the print journal’s “picture of the week” before it goes to press. If today was a Tuesday, I would propose this image (copied below) by GP David Shepherd, which was submitted as a rapid response yesterday to Margaret McCartney’s article, How to undermine general practice. “Our […]

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The BMJ Today: Return of the Patient’s Journey and a history lesson from Richard Lehman

Two years ago, GP Michael Frank Harris discovered a right inguinal swelling while looking in his bathroom mirror. He writes about what happened next in the return of our Patient’s Journey series. Harris surprised his haematologist with an alternative diagnosis and together they took a leap of faith—deciding on treatment for stage I follicular lymphoma, […]

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The BMJ Today: Is EBM broken? Then how about a nice cuppa

Is evidence based medicine broken? That’s the question that Greenhalgh et al are asking in this Analysis article. From inside The BMJ, with our attempts to shed light on unpublished data, it’s easy to become jaded about the whole medical-industrial complex, and say that yes, it is. But recently, while editing some videos collected as […]

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The BMJ Today: The rising tide of obesity

Obesity rates are rising worldwide. According to the CDC, in the US, there has been a dramatic increase in obesity over the past 20 years. A similar phenomenon has been observed in other countries. Obesity related conditions (heart disease, stroke, diabetes, hypertension) are also increasing: around a third of adults in England now have prediabetes, and […]

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The BMJ Today: Lifestyle counselling and screening—great expectations and false hopes

The underlying concept of screening is that an early detection of risk factors or disease is beneficial for the clinical or public health outcome. Patients, physicians, and public health authorities have had high expectations for this concept. Unfortunately, some of the hopes for screening have turned out to be false hopes after critical, scientific assessment. Lifestyle medicine […]

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