The Department of Health have commissioned the North West Public Health Observatory (NWPHO) to produce a high level report to provide information and evidence for policy makers, public health staff and commissioners to use in developing preventative approaches to violence. The report entitled ‘Protecting People, Promoting Health – A public health approach to violence prevention [read the full story…]
School- based trial shows benefit of sealants for caries prevention in high-risk population at 1 year
Fissure sealants have been available since the 1960’s and a 2008 Cochrane review by Ahovuo-Saloranta et al highlighted their effectiveness for preventing occlusal caries noting that their effectiveness is obvious in high caries risk children. The aim of this new study by Muller-Bolla et al, was to assess their effectiveness in a school-based dental sealant [read the full story…]
Risk Factors for Patellofemoral Pain Syndrome
When the keep-fit Elf was on holiday recently her replacement introduced us to a new exercise. We all enthusiastically participated in the ‘power lunges’ (more like wobbling really) but over the next few days the front of my knee hurt climbing stairs, kneeling or bending down. What was wrong? Would exercising make it worse? How [read the full story…]
Models of care for the secondary prevention of osteoporotic fractures
Saturday 20 October is World Osteoporosis day raising awareness about osteoporosis and fragile bones. In a previous blog The Musculoskeletal Elf discussed Best risk assessment advice for people with fragility fractures. However, despite the availability of effective treatments it appears that the majority of people presenting with a minimal trauma fracture (also known as ‘osteoporotic’, [read the full story…]
Topical fluorides for moderate to high caries risk adults
There is a tendency to focus on the prevention of dental caries in children yet is it is a problem that continues to affect old and young alike. While considerable time and effort is spent on preventive programmes for children far less consideration to adults. The American Dental Association Center for Evidence-Based Dentistry has published [read the full story…]
New BMJ RCT finds that preventing depression in adolescents, with classroom-based CBT, may do more harm than good
The prevalence of depression goes up sharply in mid-adolescence and it’s estimated that by age 19 up to 20% of people will have suffered from at least one episode of clinical depression. So it makes sense that prevention programmes should be targeted at young people in schools, and indeed, published research has shown that classroom-based [read the full story…]
Professional oral hygiene interventions and follow-up support provided short term improvement in oral health for in older adults
An increasingly elderly population have benefited from improvements in oral health care resulting in the retention of an increasing number of natural teeth. This brings the challenge of maintaining these teeth and their replacements in good disease free condition. However, studies indicate that oral health in this group is often poor. The aim of this [read the full story…]
Maternal counselling using a motivational-interviewing approach reduced caries in indigenous children
The aim of this trial was to test the use of motivational interviewing (MI) as an approach to control caries in indigenous children. This cluster-randomised trial was conducted in Cree communities in Quebec. Cree women who recently had given birth or were between the 12th and 34th weeks of pregnancy were recruited. Mothers allocated to [read the full story…]
Cholinesterase inhibitors should not be recommended for mild cognitive impairment, says Cochrane review
Early diagnosis and effective treatment of dementia will help large numbers of the population remain independent for longer. Cholinesterase inhibitors are one of the anti-dementia drugs that are used to treat Alzheimer’s disease, and they are often used immediately after diagnosis. This new systematic review from the Cochrane Dementia and Cognitive Improvement Group, looks at [read the full story…]
UK's Chartered Society of Physiotherapy guidelines on falls prevention
Prevention of falls is a major public health issue and this has been given focused attention by AGILE: UK Chartered Physiotherapists working with Older People. AGILE launched their new ‘Guidelines for the Physiotherapy management of older people at risk of falling’ at the World Congress of Active Ageing in Glasgow last week. The document focusses [read the full story…]