Vijaya Nath: Medical engagement—change or die

More than a year since Robert Francis’s recommendations, and after reports by Don Berwick, Sir Bruce Keogh, and the new Care Quality Commission inspection regime, we are still being challenged to demonstrate that healthcare is first and foremost focused on the needs of the patient. At the same time, there has been a call for the […]

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Richard Lehman’s journal review—21 July 2014

NEJM 17 July 2014 Vol 371 203  Niacin is an abundant natural B vitamin, which lowers bad cholesterol and raises good cholesterol. What’s not to like? Well, niacin, unfortunately. In doses that make any difference to lipid levels, it is very likely to make you feel sick, get flushes and/or rashes, and/or feel muscle pains. So […]

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The BMJ Today: Talking shit again

By the end of next month rural India could have an extra 5.2m toilets as part of a pre-election pledge by Narendra Modi, now prime minister, to build “toilets first and temples later.” Readers of The BMJ will no doubt be heartened by the Indian government’s announcement, coming seven years after sanitation topped a reader poll […]

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The BMJ Today: Society and healthcare

Recently, The BMJ published two articles that address important areas of contact between medicine and society. One deals with the best way to deter scientific fraud, the other with potential changes to the healthcare system in Scotland if this nation becomes independent. On 18 September, Scottish voters will decide whether Scotland will become an independent country. […]

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