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Effectiveness of the live zoster vaccine during the 10 years following vaccination

This study found the live zoster vaccine was effective initially. Vaccine effectiveness waned substantially yet some protection remained 10 years after vaccination

Editorial

∙Long term effectiveness of live herpes zoster vaccine

Is the US’s Vaccine Adverse Event Reporting System broken?

A BMJ investigation has raised concerns that the VAERS system isn’t operating as intended and that signals are being missed. Jennifer Block reports

feature

| Nov 10

Is the US’s Vaccine Adverse Event Reporting System broken?

A BMJ investigation has raised concerns that the VAERS system isn’t operating as intended and that signals are being missed. Jennifer Block reports

feature

|

Nov 10

Otitis media with effusion in under 12s: summary of updated NICE guidance

This article summarises the 2023 NICE guideline, focusing on updated recommendations relevant to primary care

practice

| Nov 9

Otitis media with effusion in under 12s: summary of updated NICE guidance

This article summarises the 2023 NICE guideline, focusing on updated recommendations relevant to primary care

practice

|

Nov 9

How does medicine assess AI?

Artificial intelligence is touted as saving time and improving accuracy of diagnosis, among other benefits in medicine. How are such claims being evaluated? Chris Stokel-Walker reports

feature

| Nov 9

How does medicine assess AI?

Artificial intelligence is touted as saving time and improving accuracy of diagnosis, among other benefits in medicine. How are such claims being evaluated? Chris Stokel-Walker reports

feature

|

Nov 9

“Unforgivable” rise in deaths in children must prompt action, health leader warns

news

| Nov 10

Generalist skills are vital to serve ageing population, says England’s CMO

news

| Nov 10

Abortion rights victories in US state and local elections

news

| Nov 10

Ironing out kinks in the evidence base

editor's choice

| Nov 9

Removal or ablation of asymptomatic lung metastases should be reconsidered

analysis

| Nov 9

John Launer: Twilight and sunrise in primary care

opinion

| Nov 8

A living WHO guideline on drugs for covid-19

practice

| Jan 13

Latest articles

News

NHS must let doctors work more flexibly throughout their careers, says GMC

Covid inquiry: What we learnt this week

Why does the UK continue to trail other high income countries in health outcomes?

Sixty seconds on . . . tongue twisters

Government in disarray over plans for social care in England, says watchdog

Foreign NHS doctors face persistent racism at work, survey finds

Regular visits from friends and family protect against dying, finds study

Hospitals forced to shelve waiting list targets after Treasury refuses £1bn bailout

Rota gaps are harming patient care in Wales, consultants warn

US expands testing of international air travellers to cover 30 respiratory viruses

Research

Effects of a multimodal intervention in primary care to reduce second line antibiotic prescriptions for urinary tract infections in women

Pyrotinib versus placebo in combination with trastuzumab and docetaxel in patients with HER2 positive metastatic breast cancer

Association of DCIS size and margin status with risk of developing breast cancer post-treatment

Racial differences in low value care among older patients in the US

Pharmaceutical industry payments and delivery of low value cancer drugs

Enhancing reporting quality and impact of early phase dose-finding clinical trials: CONSORT Dose-finding Extension (CONSORT-DEFINE) guidance

Enhancing quality and impact of early phase dose-finding clinical trial protocols: SPIRIT Dose-finding Extension (SPIRIT-DEFINE) guidance

Comment

Better prescribing for safer, more effective healthcare

“Two eyed seeing”—embracing both Indigenous and western perspectives in healthcare

Rethinking self-care through an Indigenous lens—the importance of community

Is NICE losing its standing as a trusted source of guidance?

Rammya Mathew: Is the GP’s professional opinion no longer valued?

Medicine is blind to body diversity—and it’s limiting doctors’ examination skills

Helen Salisbury: Where the buck stops

Sustainable practice: what can I do?

Civilians, health workers, and health facilities must be protected during conflict

Equity and technology in the pandemic treaty

Education

Proton pump inhibitors

Weight regain does not eliminate the long term benefits of weight management programmes

Sustainable practice: Prescribing oral over intravenous medications

Sustainable practice: Cutting nitrous oxide loss and waste

Sustainable practice: Switching to reusable vaginal speculums

Sustainable practice: Sustainable prescribing of iron replacement therapy

Sustainable practice: Optimising surgical instrument trays

From mum to carer and back again

Sharp Scratch episode 96: How good is a good enough doctor?

Anti-tuberculosis drug-induced liver injury

Advances in molecular pathology, diagnosis, and treatment of amyotrophic lateral sclerosis

Medical doctor apprenticeships

Medical doctor apprenticeships are coming to the UK

Essential details are missing from plans for fundamental changes to medical education, warns this Editorial

editorial

|

Aug 11

NHS workforce plan is broadly welcomed by medical colleges, but questions remain over implementation

The publication of the first ever NHS long term workforce plan is a significant moment, not least because it contains official projections of the shortfall in staff, reports Emma Wilkinson

news

|

Jul 4

NHS workforce plan aims to train thousands more doctors and open up apprenticeship schemes

news

| Jun 30

David Oliver: Shortening and narrowing training won’t solve the medical workforce crisis

opinion

| May 17

What are medical doctor degree apprenticeships? A brand new route into medicine

student

| Dec 7

Apprenticeships only part of the answer to widening participation in medicine, says BMA

news

| Mar 18

BMJ Medicine

Polycystic ovary syndrome: pathophysiology and therapeutic opportunities

Polycystic ovary syndrome is a common reproductive and metabolic disorder resulting from polygenic and environmental influences. This review outlines the current understanding of key pathophysiological processes in polycystic ovary syndrome.

Nov 7

Use of covid-19 convalescent plasma to treat covid-19 patients with or without underlying immunodeficiency

In this study, covid-19 convalescent plasma did not improve early outcomes in patients with moderate covid-19 disease. The efficacy of convalescent plasma in patients who are immunocompromised should be investigated further.