Medical Journal News

New England Journal of Medicine, Volume 391, Issue 17, Page 1660-1661, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1663-1663, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1658-1660, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1664-1664, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1662-1663, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1656-1658, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1643-1644, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1644-1647, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1632-1632, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1633-1641, October 31, 2024.

New England Journal of Medicine, Volume 391, Issue 17, Page 1648-1650, October 31, 2024.

New England Journal of Medicine, Ahead of Print.

New England Journal of Medicine, Volume 391, Issue 19, November 14, 2024.

New England Journal of Medicine, Ahead of Print.

New England Journal of Medicine, Ahead of Print.

Despite the initial hope inspired by the 2015 Paris Agreement, the world is now dangerously close to breaching its target of limiting global multiyear mean heating to 1·5°C. Annual mean surface temperature reached a record high of 1·45°C above the pre-industrial baseline in 2023, and new temperature highs were recorded throughout 2024. The resulting climatic extremes are increasingly claiming lives and livelihoods worldwide.

bmj;387/oct29_12/q2327/FAF1faIn the mid-1970s diabetes care and treatment were developing rapidly. Home blood glucose monitoring was first described in 1978 and diabetes specialist nurses were joining the workforce. John Day seized on these innovations as well as the work of diabetes specialist Michael Berger in Germany, who pioneered the concept of patient education.Day, consultant diabetologist and physician at Ipswich Hospital, quickly realised that empowered patients, supported by multidisciplinary teams, could radically improve their own outcomes. He set up diabetes education study group workshops in Ipswich where specialists from all over the UK and Europe came to discuss new concepts such as patient empowerment and patient focused care. It is hard to overstate how radical these ideas were in the early 1980s and the first participants sometimes struggled to accept the terminology.In the first few years, participants were mainly senior doctors and nurses, who acknowledged the important contribution such insights made in...

The fertility rate in England and Wales has fallen to its lowest level since records began in 1938, show figures from the Office for National Statistics (ONS).1In 2023 the total fertility rate (TFR) in England and Wales was 1.44 children per woman, compared with 1.49 in 2022. Wales and the north west of England experienced the largest declines in TFR compared with 2022.In 2023 there were 591 072 live births in England and Wales, 14 407 fewer than in 2022 (605 479), and the lowest number of births since 1977 (569 259). Fertility rates in England and Wales have been in overall decline since 2010.ONS said, “Overall, our fertility statistics suggest that men and women of all age groups, excluding women aged 40 years and over, are having fewer babies than they were a decade ago. Those who did have a child born in 2023 were on average almost a...

Therapist guided conversations with digital avatars may reduce the frequency of voices heard by patients diagnosed with psychosis as well as empowering them to resist hallucinations, according to a study led by researchers at King’s College London published in Nature Medicine.1The new Avatar therapy consists of a weekly series of guided three way sessions between voice hearer, therapist, and the digital representation of the distressing voice.It is estimated that about 0.7% of the UK population aged 16 or older experience symptoms of psychotic disorder.2 This puts the number of UK adults living with psychosis at about 300 000, of whom around 250 000 report hearing voices, according to Tom Craig, emeritus professor of social psychiatry at King’s College London and co-author of the study.In the study 345 participants were randomly assigned to three groups, undertaking either a six session general course, a 12 session personalised course, or a control of...

The NHS in England will get an additional £1.5bn for new surgical hubs and scanners, and another £70m for new radiotherapy machines, the government has announced ahead of the autumn budget.1The funding boost is part of plans to enable the NHS to deliver an extra 40 000 elective appointments each week—or two million a year—and reduce waiting times so that 92% of people wait less than 18 weeks to start their treatment.Chancellor Rachel Reeves said, “Our NHS is the lifeblood of Britain. It exemplifies public services at their best, there for us when we need it and free at the point of use, for everyone in this country. That’s why I am putting an end to the neglect and underinvestment it has seen for over a decade now.”Reeves is set to unveil the government’s autumn budget on 30 October, with an expected focus on “investment, investment, investment to get the...