Primary aldosteronism
What you need to knowAldosterone excess can cause cardiovascular, cerebrovascular, and renal diseaseConsider primary aldosteronism…
Category: BMJ
Covid-19: What went wrong after initial success in Laos?
Ahead of a declaration of a pandemic, in February 2020 Tankred Stöbe, of Médecins Sans…
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Novel treatments in B cell non-Hodgkin’s lymphomas
ABSTRACTThe improved understanding of lymphoma biology and recent advances in the field of cancer immunology…
Health leaders urge PM to meet hunger striker’s demand that MPs be briefed on climate change
Senior health professionals, including the current and former editors in chief of The BMJ, have…
Meningitis vaccine could protect against gonorrhoea, studies find
The meningitis vaccine could be used to provide some protection against gonorrhoea, researchers have said.In…
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Covid-19: Mask mandate is struck down although US cases are rising
Covid-19 cases in the US rose by 43% over the past two weeks, with especially…
Medicare’s decision not to fund Aduhelm changes landscape for US pharma industry
The decision by the agency responsible for Medicare to restrict coverage of Biogen’s Alzheimer’s drug…
The delivery plan for tackling the covid-19 backlog of elective care falls short
Treating the more than six million people currently on the elective waiting list in the…
Lanarkshire GP found guilty of dozens of sexual offences against patients
An inquiry is being demanded to discover how a prominent Scottish GP managed to get…
Covid-19: US sees increase in sexually transmitted diseases and teen drug overdose deaths
The prevalence of sexually transmitted diseases (STDs) and deaths from drug overdoses increased in the…
Sintilimab versus placebo in combination with chemotherapy as first line treatment for locally advanced or metastatic oesophageal squamous cell carcinoma (ORIENT-15): multicentre, randomised, double blind, phase 3 trial
AbstractObjectiveTo evaluate sintilimab versus placebo in combination with chemotherapy (cisplatin plus paclitaxel or cisplatin plus…
Covid-19: Is the US compensation scheme for vaccine injuries fit for purpose?
“My toes move constantly, 24 hours a day, uncontrollably back and forth,” says Chris Dreisbach,…
Senior health professionals call for urgent climate briefing of all MPs by the chief scientific adviser: open letter to PM
Dear prime minister,We wish to make you aware of our concern for the health of…
Clinical leadership is a difficult balancing act
Kar writes about the challenges of NHS leadership.1 It takes a very special person to…
Scientists search for cause of hepatitis cases in children
A race is on to find the cause of 74 unusual cases of hepatitis among…
Covid-19: Health leaders accuse government of ignoring crisis in NHS
The BMA has accused the UK government of “burying its head in the sand” over…
The health community must resist the UK’s expansion of oil and gas
When it comes to the health impacts of the climate crisis, every degree matters. This…
Measuring what counts to improve quality of care
In the US in 1961, Robert McNamara joined the Kennedy administration as secretary of defence,…
Why the world has no universal biosafety standards
In late November 2021, after weeks of no confirmed community transmission of SARS-CoV-2, Taiwan’s Central…
Johnson’s bigger crime is failing to take the nation’s health seriously enough
The ideal of living longer and healthier has proved to be fool’s gold. Instead, people…
Hero to scapegoat . . . and other stories
ScapegoatsAs overall satisfaction with the NHS falls to the lowest level since 1997 (https://www.kingsfund.org.uk/publications/public-satisfaction-nhs-social-care-2021), it’s…
Unethical studies of ivermectin for covid-19
During disease outbreaks, it can be tempting to sacrifice the scientific rigour of research in…
Ann Robinson’s research reviews—14 April 2022
Brand loyaltyMany of us will have encountered the patient with hypothyroidism who swears by one…
Get trainee doctors formally involved in hospital quality improvement teams
Davey and colleagues’ article on how to embed quality improvement into medical training is insightful.1…
When Hong Kong’s “dynamic zero” covid-19 strategy met omicron, low vaccination rates sent deaths soaring
It was a shocking image, unlike anything we had seen before in a Hong Kong…
Recognising acute coronary syndrome
What you need to knowConsider the possibility of acute coronary syndrome in any patient with…
Photojournalist highlights stark reality of climate crisis in Peru
bmj;377/apr13_10/o959/FAF1faFlorence GoupilNemesio Santiago, a Wari elder in Llupa, Peru, throws lump salt into Llaca as…
A white patch on the tongue
A man in his 40s presented with a white patch on his tongue that had…
We need more support and less normalcy to stop airborne viruses
A recent poll by the Kaiser Family Foundation (KFF) assessing public opinion on the covid-19…
Seeing me as high functioning masks my difficulties
Earlier this year, at the age of 25, I received a diagnosis of autism. The…
David Oliver: Is NHS “inefficiency” a public myth?
National insurance contributions increased at the start of April. Last week I heard small business…
Intraocular mass
This is intraocular cysticercosis in a woman in her 30s (fig 1). She presented with…
Covid-19: What is the evidence for the antiviral molnupiravir?
What is molnupiravir?Molnupiravir (marketed as Lagevrio) is an antiviral drug, slightly modified from a compound…
Increased referral to mental health services and desire for diagnostic labels
Iacobucci reports that a record 4.3 million people were referred to mental health services in…
The ward round: the equivalent for GPs would be having surgeries in the waiting room
As a GP who has had reasonably recent exposure to the ward round, I still…
Covid-19 testing in the UK was not a “shambles” in 2020
In a recent interview with The BMJ, Paul Nurse said that covid-19 PCR testing in…
Updated guidance on treating Ukrainian refugees is virtually useless
It is worrying that the Office for Health Improvement and Disparities thought that its guidance…
Decision to suspend GP partner for 18 months over alleged sexual activity was flawed, says judge
A High Court judge has quashed a “flawed” decision to suspend a GP partner from…
MHRA consults on competing interests policy
The UK Medicines and Healthcare Products Regulatory Agency has invited stakeholders and the public to…
Matt Morgan: The NHS needs a midlife crisis
I assumed that my midlife crisis would involve one of the usual cliches—a motorbike, a…
Should we be clinically assessing antibody responses to covid vaccines in immunocompromised people?
The UK government has decreed that we must all now “live with covid.” All mandated…
How to encourage a “presumption of inclusion” in research
As chair of a research ethics committee, I, like Knight and Vousden,1 support the “presumption…
Targeting healthcare in war: a tragically tried and tested strategy that humanity must disown—an essay by Jonathan Kaplan
It is difficult amid the horror of Russia’s attack on Ukraine to identify any political…
ALTAR trial of antibiotic alternative in recurrent urinary infection is a step towards a more collective conversation
The ALTAR trial—alternative to prophylactic antibiotics for the treatment of recurrent urinary tract infections in…
Multifaceted intervention to reduce haemodialysis catheter related bloodstream infections: REDUCCTION stepped wedge, cluster randomised trial
AbstractObjectiveTo identify whether multifaceted interventions, or care bundles, reduce catheter related bloodstream infections (CRBSIs) from…
Sri Lanka: Doctors scramble for basic medicines as economic crisis engulfs nation
Doctors, nurses, and healthcare workers from Sri Lanka’s public health services took to the streets…
The health and social care levy won’t be a quick fix
The health and social care levy has finally arrived, and this month employers and employees…
How do I promote my specialty to juniors?
Young doctors value fulfilment at work and work-life balanceMichael J Goldacre, emeritus professor of public…
NHS staff diversity: Some progress made at very senior levels, but experience in ethnic minorities remains poor
The number of staff from ethnic minority groups at very senior manager levels in the…
Cuban doctors can sue PAHO for aiding alleged “forced labour” trafficking to Brazil, US court rules
A US federal appeals court has given the green light to a lawsuit by four…