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Reposted by Thomas Downes

The BMJ @bmj.com · 8d

"Undermining confidence in one of the few safe and effective pain and fever relief drugs in pregnancy risks causing unintended harm."

Pregnant women are often excluded from clinical trials and evidence gaps enable unsubstantiated claims, @louiseckenny.bsky.social
www.bmj.com/content/391/...

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Caroline Mitchell @dclovesgp.bsky.social · 20d

Useful and important primary care research
⬇️
bjgpopen.org/content/earl...

Use of unscheduled care in the last year of life for people with multiple long-term health conditions: a retrospective cohort study of 299,361 decedents

Background People living with and dying from multiple long-term health conditions are high users of healthcare services. Unscheduled care, the unplanned use of healthcare services, rises dramatically ...

bjgpopen.org

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Dr Geraint Preest @drgeraintpreest.bsky.social · 23d

As we head into autumn, in many instances, patient expectations following a community acquired pneumonia can have a profound effect on repeat appointments (“I feel better but I’m still coughing, Doc”). Here’s a timely reminder from NICENG250

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Margaret McCartney @mgtmccartney.bsky.social · Sep 1

VERY EXCITING
launch of the CENTRE FOR EVIDENCE AND VALUES IN HEALTHCARE at the Uni of St Andrews
first event 31st October with Sir David Haslam and Scotland's new patient safety commissioner Karen Titchener
find out more here medicine.st-andrews.ac.uk/centreforevi...
please sign up and come

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Dr Kate Womersley @katewomersley.com · Sep 2

More women in cardiovascular trials still needed (and CVD trials are pretty good compared to other medical specialties...)

jamanetwork.com/journals/jam...

Participation of Women in Cardiovascular Trials, 2017 to 2023

This systematic review describes the representation of women across a broad range of cardiovascular trials registered from 2017 to 2023.

jamanetwork.com

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Thomas Downes @tomdownes.bsky.social · Sep 1

The electronic frailty index (eFI) is used to identify older adults (≥65 years) who may be living with frailty. In our new study, we found that the eFI also identifies younger adults (18-64 years) at high risk of mortality and hospital admission:

www.thelancet.com/journals/lan...

#frailty #medsky

Applicability of the electronic frailty index in younger and older adults in England: a population-based cohort study

www.thelancet.com

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Jane Shanahan @janeshanahan.bsky.social · Aug 13

Delighted & proud that our carehome meds opt team at East Lancs Hospitals have allowed Evelyn,a 101yo lady to achieve what matters to her. Hoping other carehome providers start to implement now. Empowering care staff.
www.carehomeprofessional.com/medication-n...
#FindyourEvelyn #SafeDeprescribing

Public/ private medication trial achieves 'remarkable' results

A partnership between an NHS Trust and a private social care provider which aimed to reduce medications for residents is set to be rolled out nationwide

www.carehomeprofessional.com

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Euan Reid @euanreid.pharmsky.app · Aug 28

MHRA approves UK’s first new type of antibiotic for urinary tract infections in nearly 30 years

#Pharmsky #Medsky

www.gov.uk/government/n...

MHRA approves UK’s first new type of antibiotic for urinary tract infections in nearly 30 years

As with any medicine, the MHRA will keep the safety of gepotidacin under close review.

www.gov.uk

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deprescribing.org @deprescribing.bsky.social · Aug 25

Ever wonder what percentage of hospital admissions are caused by medications? 💊

A systematic review published in the Age and Ageing Journal finds adverse drug reactions (ADRs) and adverse drug events (ADEs) are significant causes of hospitalization in older adults.

buff.ly/4Vuv4T2

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deprescribing.org @deprescribing.bsky.social · Aug 2

As we age, changes in our bodies can affect drug exposure, leading to potentially increased risks of both medication toxicity and treatment failure. 💊

Great review article highlights major age-related physiological changes that can impact drug use:
link.springer.com/article/10.1...

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Thomas Downes @tomdownes.bsky.social · Aug 1

Open letter from the heads of Scotland’s medical schools on the threat to the clinical academic workforce.

“If we do not act, we risk weakening the very system that has delivered some of the most transformative advances in modern medicine”

www.universities-scotland.ac.uk/clinicalacad...

Scotland’s Quiet Crisis: Why Clinical Research Needs Urgent Rescue — Universities Scotland

www.universities-scotland.ac.uk

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prof-ian-m.bsky.social @prof-ian-m.bsky.social · Jul 28

Our realist review from #RESOLVE study funded by @nihr.bsky.social published today
@thementalelf.bsky.social @sapc.ac.uk @cmhpcommunity.pharmsky.app

onlinelibrary.wiley.com/doi/10.1111/...

Non‐pharmacologicaL InterVEntions for Antipsychotic‐Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis

Introduction Antipsychotic medications are used to treat individuals with severe mental illness (SMI) but are associated with rapid weight gain and several physical and mental risk factors. Early, p.....

onlinelibrary.wiley.com

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Helen Salisbury @helensalisbury.bsky.social · Jul 29

BMA and other national medical organisations come together as a voice for doctors in Europe to call for immediate action in Gaza

Standing Committee of European Doctors (CPME) @europeandoctors.bsky.social · Jul 29

The Standing Committee of European Doctors (CPME) expresses deep concern about the catastrophic humanitarian situation in Gaza and the desperate levels of starvation experienced by the population.

Press release: www.cpme.eu/api/document...

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BJGP Open @bjgpopen.bsky.social · Jul 21

A study highlighting sex differences in antihypertensive prescription patterns and efficacy in primary care reveals that women achieve better blood pressure control with lower doses and distinct drug types. This calls for sex-specific optimisation in hypertensive management
➡️doi.org/10.3399/BJGP...

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Thomas Downes @tomdownes.bsky.social · Jul 18

Great day at the North Uist Highland Games today. Just about crossed the line in the Men’s 100m Flat Race for 2nd place!

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Euan Reid @euanreid.pharmsky.app · Jun 30

Polypharmacy Guidance:
Appropriate Prescribing
Making medicines safe,
effective and sustainable
2025-2028
Scottish Government: Effective Prescribing & Therapeutics Division
Consultation on Draft Guidance
#Pharmsky #Medsky

www.gov.scot/publications...

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Frank Moriarty @frankmoriarty.bsky.social · Jun 27

Just ten days left to apply for this Research Fellow position, focused on pharmacoepidemiology and deprescribing.

More information about the DIAMOND programme available at: diamond-deprescribing.eu

Full job description here (deadline July 7th): my.corehr.com/pls/rcsirecr...

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Journal of Multimorbidity and Comorbidity @jmultimorbidity.bsky.social · Jun 23

Hello 👋. We are the official BlueSky account of the Journal of Multimorbidity and Comorbidity - part of Sage Journals @journals.sagepub.com

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Euan Lawson @euanlawson.social · Jun 18

The impact factors for 2024 are published today - *sigh* - so this is a good moment to send people to the editorial I wrote last month about them, the BJGP, and QRPs/journalology. #primarycare #BJGP

bjgp.org/content/75/7...

Medical journalology and questionable research practices

The BJGP is the world’s leading journal in primary care and general practice. I’m happy to defend this assertion but the temptation is to reach for a metric to support the case. And of course, the obv...

bjgp.org

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Ben Goldacre @bengoldacre.bsky.social · Jun 13

Please can we fund the NHS and care by taxing the housing wealth of the over 60s? At time of death, if you like. This is huge, unearned money, and going to drive damaging inequality at inheritance. Taxing workers and businesses is much worse for the economy.
www.theguardian.com/business/202...

Britain on track to become a ‘National Health State’, says thinktank

Resolution Foundation says half of all public spending will be allocated to the NHS and social care by the end of the decade

www.theguardian.com

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Thomas Downes @tomdownes.bsky.social · May 30

Buzzing that our GP practice team won the prize for best overall costumes and decorared pram at the annual Penicuik pram race 2025 🐝

m.youtube.com/watch?v=AKFC...

Penicuik Pram Race 2025

YouTube video by Top Scotch

m.youtube.com

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BJGP @bjgp.bsky.social · May 21

Starting an antidepressant is associated with a 2-4-fold increased risk of postural hypotension in the first month in people aged ≥60 years doi.org/10.3399/BJGP... #PrimaryCare #Antidepressant #Hypotension #GeneralPractice #Research

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Helen Salisbury @helensalisbury.bsky.social · May 20

"Our analysis also shows the vampiric nature of extreme wealth, which is completely incompatible with the health and wellbeing of the nation,” said Priya Sahni-Nicholas, co-executive director of the Equality Trust
Well said my cousin Priya
www.theguardian.com/news/2025/ma...

UK’s 50 richest families hold more wealth than 50% of population, analysis finds

Equality Trust says billionaires getting ‘ludicrously’ richer, with top two now wealthier than whole of 1990 rich list

www.theguardian.com

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Tim Senior @timsenior.bsky.social · May 7

I've worked in the same clinic for 20 years now. I never thought I'd be in one place for so long. I had a few thoughts on being a GP for a long time in the @bjgp.bsky.social
bjgplife.com/how-long-doe...

How long does general practice take?

"... to my surprise, I’ve become the sort of doctor that has been in the same clinic for 20 years. I’ve never been bored, I’ve often been anxious, and I’ve been privileged to witness some of

bjgplife.com

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Lucy Pollock @lucypgeridoc.bsky.social · Apr 26

doi.org/10.1136/ejhp... Super article - drug errors cause so much harm but this is an optimistic article identifying ways to help - systems, tech, support for fallible humans 👏👏👏👏

Tackling medication errors: how a systems approach improves patient safety

Objectives Medication errors are a leading source of preventable harm in healthcare, affecting approximately 1 in 30 patients, with a substantial proportion resulting in severe outcomes. In response, ...

doi.org

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