Evidence
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Being overweight is linked with an increased risk of dementia in new research

People who carry excess weight in midlife have an increased risk of developing dementia, suggests new research from the long-running English Longitudinal Study of Ageing (ELSA). This study included people aged over 50 and followed them for an average of 11 years. Overall, those who were obese at the start of the study had a ...

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Hand strengthening and stretching for people with rheumatoid arthritis: online training helps therapists deliver an exercise programme

A programme of exercises for people with rheumatoid arthritis improves hand strength and function. The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) programme is recommended by NICE following positive results in a large clinical trial. Therapists were initially trained face-to-face to deliver the SARAH programme. To speed up its routine use in ...

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Heart surgery in young children: routine monitoring of complications can help assess the quality of care

The vast majority of young children undergoing heart surgery survive the procedure; the survival rate is 98%. This means that the current practice of monitoring survival alone is a blunt measure that does not give a full picture of childrens’ recovery. New research suggests that complications may be a better indicator of the quality of ...

Themed Review

Living with Covid19 – Second review

A dynamic review of the evidence around ongoing Covid19 (often called Long Covid). You can also download this review as a PDF. Executive summary NIHR Centre for Engagement and Dissemination What are we aiming to achieve with our Living with Covid19 reviews? Framing the evidence What is ‘Long Covid’? How many people who have had ...

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People with chronic fatigue syndrome want to be taken seriously and to receive personalised, empathetic care

Chronic fatigue syndrome (CFS) is a complex, long-term condition that dramatically limits people's activities. It is also known as myalgic encephalomyelitis (ME). People with CFS/ME are exhausted for no reason; rest does not help and it can take days or weeks to recover from any activity. Some describe 'brain fog' and problems with memory, concentration ...

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Physician associates need support to establish their place within the healthcare workforce

The role of physician associate was recently introduced in the UK as a response to staff shortages, growing demand for services and rising costs in the NHS. Physician associates support multidisciplinary healthcare teams in the diagnosis and management of patients. They are supervised by doctors and they take medical histories, carry out physical examinations and ...

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Getting up after a fall: training could encourage older people to get themselves back up

Most research into falls looks at how to prevent them from happening. The authors of this study wanted instead to understand more about getting up from a fall. They explored attitudes towards older people getting up by themselves and looked at measures that could encourage them to try. Falls are common among older people and ...

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Parents are meaningfully involved in decisions on the care of their critically ill baby when they are given options not recommendations

Faced with the decision of whether to limit life support for their critically ill baby, parents fare better when doctors present them with options, rather than making recommendations. New research described distinct styles of communication used by doctors. Each had a different impact on parents’ involvement in decision-making. The researchers suggest this could in turn ...

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A new framework for allied health professionals aims to promote a culture of research

‘Shaping Better Practice Through Research: A Practitioner's Framework’ is the first framework designed to help Allied Health Professionals (AHPs) in all roles and at all career levels carry out research. The framework provides guidance on research activities, collaboration, how research relates to career development and how it informs practice. It could foster a stronger tradition ...

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To improve team decision-making in cancer care: streamline workload, shorten meetings, address logistics and keep a gender balance on the team

For the past 20 years, the cornerstone of cancer care has been Multidisciplinary Teams (MDTs) who meet regularly to discuss the treatment and progress of people with cancer and plan the next steps. MDTs bring together a wide range of healthcare professionals, including surgeons, radiologists, oncologists, cancer nurse specialists and histopathologists (who examine samples of ...

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