Insufficient evidence that probiotics can prevent caries, but they can reduce the mutans streptococci counts in the short term

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Probiotics have been used in the management of a wide range of conditions and have been shown to have a beneficial effect in gastrointestinal disease for example. A potential role in the prevention of caries has been suggested and the aim of this review was to evaluate the caries preventive effect of probiotics. Searches were [read the full story…]

Are there any effective interventions for preventing falls in older people with mental health problems?

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Falls are estimated to cost the NHS more than £2.3 billion per year (College of Optometrists, 2011) and are associated with significant morbidity and mortality. This fact alone should be giving us the drive to look for ways to prevent falls in healthcare settings. A systematic review recently published in BMC Nursing (Bunn et al, 2014) is [read the full story…]

Recommendations for commissioning quality weight management services

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This guidance has been published and should be read alongside the Commissioning Policy A05 Complex and Specialised Obesity Surgery Services of the NHS Commissioning Board April 2013. It has been sponsored by the British Obesity and Metabolic Surgery Society, and is supported by a number of relevant professional bodies, including the Association of UK Dietitians [read the full story…]

Insufficient evidence for sexual health promotion interventions in people with severe mental illness

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People with serious mental illness (SMI) such as schizophrenia and bipolar disorder have higher morbidity and mortality rates due to physical illness. It’s estimated that people with SMI die 10-15 years earlier than the general population (DeHert et al, 2011). Increasingly attention is being paid to ways to improve the physical health of people with [read the full story…]

Adapting smoking cessation interventions to meet the needs of black and minority ethnic populations

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Tobacco use is the single most important preventable cause of mortality and morbidity in developed countries. However, what is less widely appreciated is that as the overall prevalence of smoking has declined, tobacco use has become an increasingly important driver of health inequalities. For example, the prevalence of smoking in the United Kingdom has declined [read the full story…]

Physical health monitoring in serious mental illness is a priority in psychiatry, but where is the evidence that it works?

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It is widely acknowledged that individuals with serious mental illnesses (SMI) such as schizophrenia, bipolar disorder and severe depression have increased rates of mortality, due to poor physical health. As well as reducing quality of life and function and decreasing life expectancy, physical illness can worsen these mental illnesses. The reasons for this include lifestyle [read the full story…]

Systematic review identifies key parenting factors associated with adolescent depression and anxiety

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Parenting is a tough gig. As a mum of three, I can honestly say that nothing in my everyday professional life comes close to the trials and tribulations of guiding small people through toddlerhood and beyond. Parenting advice comes thick and fast from all corners, most of it unsolicited, some of it anecdotal, much of [read the full story…]

Treating antenatal depression could prevent offspring adult depression

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Depression in late adolescence is a major public health concern, not least because it is strongly predictive of persistent, adult depression, which can have a severe effect on socioemotional functioning, education and employment. Increasingly, depression research is turning its attention to the matter of prevention of depression rather than exclusively focusing on treatment options and [read the full story…]

Self-report tool shows women with learning disabilities identify higher levels of symptoms relating to mood and self esteem

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Evidence suggests there is a greater prevalence of mental ill-health in people with learning disabilities, although the extent of this difference varies from study to study. At present there has been little work enabling people with learning disabilities to recognise potential threats to their mental health and to help with the development of strategies to [read the full story…]

Research suggests economic model for virtual wards not viable on hospital activity alone

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This new report is an important addition to the evidence base specifically on case management and more generally in terms of interventions to reduce hospital admissions but, consistent with other studies in this area, can’t give definitive answers.  Much of what already exists in relation to virtual wards is anecdotal or lacks detail and it’s [read the full story…]