Welcome to episode 53. The final. Here is the link to the article: https://www.nejm.org/doi/full/10.1056/NEJMp2114695?query=featured_home

Welcome to episode 53. The final. Here is the link to the article: <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2114695?query=featured_home" rel="nofollow" target="_blank">https://www.nejm.org/doi/full/10.1056/NEJMp2114695?query=featured_home</a>

Trust, Faith, and Covid

Hello and welcome to episode 52. This episode uses the Christmas themed BMJ as its source of medical interest. https://www.bmj.com/content/bmj/375/bmj-2021-068001.full.pdf

Hello and welcome to episode 52. This episode uses the Christmas themed BMJ as its source of medical interest. <a href="https://www.bmj.com/content/bmj/375/bmj-2021-068001.full.pdf" rel="nofollow" target="_blank">https://www.bmj.com/content/bmj/375/bmj-2021-068001.full.pdf</a>

Anticipating the ageing trajectories of superheroes

Hello and welcome to episode 51. This episode mixes health and politics in the UK. The article can be found using the link below: https://www.bmj.com/content/375/bmj.n3056?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text

Hello and welcome to episode 51. This episode mixes health and politics in the UK. The article can be found using the link below: <a href="https://www.bmj.com/content/375/bmj.n3056?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text" rel="nofollow" target="_blank">https://www.bmj.com/content/375/bmj.n3056?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text</a>

When is a Christmas party not a Christmas party?

Hello and welcome to episode 50. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2784458

Hello and welcome to episode 50. <a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2784458" rel="nofollow" target="_blank">https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2784458</a>

Peripheral Intravenous Catheters

Hello and welcome to episode 49. This episode considers chronic renal failure and its treatment with different forms of peritoneal dialysis. The article used is taken from the New England Journal of Medicine and is a clinical education article. Sections  of the article are read for you to enjoy and follow in the text. Areas covered include the physiology of dialysis, the anatomy of the peritoneum I am well as the outcomes of this form of treatment.   The link to  the article is in the notes: https://www.nejm.org/doi/full/10.1056/NEJMra2100152

Hello and welcome to episode 49. This episode considers chronic renal failure and its treatment with different forms of peritoneal dialysis. The article used is taken from the New England Journal of Medicine and is a clinical education article. Sections  of the article are read for you to enjoy and follow in the text. Areas covered include the physiology of dialysis, the anatomy of the peritoneum I am well as the outcomes of this form of treatment. The link to  the article is in the notes: <a href="https://www.nejm.org/doi/full/10.1056/NEJMra2100152" rel="nofollow" target="_blank">https://www.nejm.org/doi/full/10.1056/NEJMra2100152</a>

Peritoneal dialysis

Hello and welcome to episode 48. This time we return to the subject of the Covid pandemic and the role of vaccination, but this time there is an ethical component which is presented an opinion article published in the BMJ. It argues from ethical standpoint healthcare workers of different types have an obligation to be vaccinated to protect their patients. The article is available freely for a BMJ website and the link to the article is in the notes. https://www.bmj.com/content/bmj/375/bmj.n2670.full.pdf

Hello and welcome to episode 48. This time we return to the subject of the Covid pandemic and the role of vaccination, but this time there is an ethical component which is presented an opinion article published in the BMJ. It argues from ethical standpoint healthcare workers of different types have an obligation to be vaccinated to protect their patients. The article is available freely for a BMJ website and the link to the article is in the notes. <a href="https://www.bmj.com/content/bmj/375/bmj.n2670.full.pdf" rel="nofollow" target="_blank">https://www.bmj.com/content/bmj/375/bmj.n2670.full.pdf</a>

Covid-19 vaccination should be mandatory for healthcare workers

Hello and welcome to episode 47. This episode is rather different and more genteel than usual, as it is talks of the experience of a doctor outside of work and is not technical. The article taken from the BMJ and explores the benefits of having an allotment, an area of land like a garden that allows you to grow fruit and vegetables. As you can see from the commentary, it is beneficial for people’s mental health, giving them an opportunity to connect with nature, finding something to do that is totally different from their work, and is a form of relaxation as well as providing food. The link is in the notes. https://www.bmj.com/content/375/bmj.n2370?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text

Hello and welcome to episode 47. This episode is rather different and more genteel than usual, as it is talks of the experience of a doctor outside of work and is not technical. The article taken from the BMJ and explores the benefits of having an allotment, an area of land like a garden that allows you to grow fruit and vegetables. As you can see from the commentary, it is beneficial for people’s mental health, giving them an opportunity to connect with nature, finding something to do that is totally different from their work, and is a form of relaxation as well as providing food. The link is in the notes. <a href="https://www.bmj.com/content/375/bmj.n2370?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text" rel="nofollow" target="_blank">https://www.bmj.com/content/375/bmj.n2370?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text</a>

Why I . . . have an allotment

Hello and welcome to episode 46.   This episode uses an article that considers  the important issue of prevention of cardiovascular disease with dietary intervention.  That is, the benefits of  lower dietary animal fat in particular and the increase in intake of fats derived from plants. The selected article is a systematic review of cohort studies that analyses the benefits of alpha linolenic acid with respect to all-cause, cardiovascular and cancer mortality. The article is freely available and the link is in the notes. https://www.bmj.com/content/375/bmj.n2213

Hello and welcome to episode 46. This episode uses an article that considers  the important issue of prevention of cardiovascular disease with dietary intervention.  That is, the benefits of  lower dietary animal fat in particular and the increase in intake of fats derived from plants. The selected article is a systematic review of cohort studies that analyses the benefits of alpha linolenic acid with respect to all-cause, cardiovascular and cancer mortality. The article is freely available and the link is in the notes. <a href="https://www.bmj.com/content/375/bmj.n2213" rel="nofollow" target="_blank">https://www.bmj.com/content/375/bmj.n2213</a>

Dietary intake and biomarkers of alpha linolenic acid

Hello and welcome to episode 45.   The article used this time continues on the theme of climate change and the actions that are required to reduce our output of carbon. It  remains topical in the light of its importance and the up-and-coming COP26 conference in Glasgow later this year.   The article considers actions that will be required for sectors that are the dominate sources of  carbon production and the benefits of change. There are different routes to achieve change but we cannot rely upon education alone. We need to change the physical and economic environments to make change sustainable but also make sure that actions are fair. Extracts of the article are read and as it is is freely available, the other sections can be accessed at your leisure. https://www.bmj.com/content/375/bmj.n2293

Hello and welcome to episode 45. The article used this time continues on the theme of climate change and the actions that are required to reduce our output of carbon. It  remains topical in the light of its importance and the up-and-coming COP26 conference in Glasgow later this year. The article considers actions that will be required for sectors that are the dominate sources of  carbon production and the benefits of change. There are different routes to achieve change but we cannot rely upon education alone. We need to change the physical and economic environments to make change sustainable but also make sure that actions are fair. Extracts of the article are read and as it is is freely available, the other sections can be accessed at your leisure. <a href="https://www.bmj.com/content/375/bmj.n2293" rel="nofollow" target="_blank">https://www.bmj.com/content/375/bmj.n2293</a>

Changing behaviour for net zero 2050

Hello and welcome to episode 44. In view of the well recognised climate and biodiversity crisis, medical journals around the world have published a joint editorial calling for real action. In this episode the editorial is read and a link to it is in the notes. However it is widely available elsewhere.   https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00204-8/fulltext

Hello and welcome to episode 44. In view of the well recognised climate and biodiversity crisis, medical journals around the world have published a joint editorial calling for real action. In this episode the editorial is read and a link to it is in the notes. However it is widely available elsewhere. <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00204-8/fulltext" rel="nofollow" target="_blank">https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00204-8/fulltext</a>

Environmental crisis

A way to improve your medical English skills.talk-medical-english.uk

This episode is based on an article that discusses general practice in the UK setting. It considers the stresses the system is under, its overall delivery and the fact that is the bedrock of the NHS. It proposes that questions need to asked in order to decide on future funding investment needed to provide the service that is required and desired. Additionally it considers the political backdrop to the way the service functions and is viewed by those who do not necessarily believe in it.   The article is available through the BMJ website and the link is in the notes: https://blogs.bmj.com/bmj/2021/09/28/will-the-nhs-survive-without-gps/?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text

This episode is based on an article that discusses general practice in the UK setting. It considers the stresses the system is under, its overall delivery and the fact that is the bedrock of the NHS. It proposes that questions need to asked in order to decide on future funding investment needed to provide the service that is required and desired. Additionally it considers the political backdrop to the way the service functions and is viewed by those who do not necessarily believe in it. The article is available through the BMJ website and the link is in the notes: <a href="https://blogs.bmj.com/bmj/2021/09/28/will-the-nhs-survive-without-gps/?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text" rel="nofollow" target="_blank">https://blogs.bmj.com/bmj/2021/09/28/will-the-nhs-survive-without-gps/?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text</a>

Will the NHS survive without GPs?

Hello and welcome to episode 42. These two brief entries summarise  and discuss the same paper which is a cohort study that looked at the effect of anti-psychotic medication during pregnancy and the subsequent development of complications in the child. The first is a brief summary that he is available on the BMJ site and the second is part of an editorial that is available in the original journal of JAMA. The links to both are provided in the text. https://blogs.bmj.com/bmj/2021/09/03/ann-robinsons-research-reviews-3-september-2021/ https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2782822

Hello and welcome to episode 42. These two brief entries summarise  and discuss the same paper which is a cohort study that looked at the effect of anti-psychotic medication during pregnancy and the subsequent development of complications in the child. The first is a brief summary that he is available on the BMJ site and the second is part of an editorial that is available in the original journal of JAMA. The links to both are provided in the text. <a href="https://blogs.bmj.com/bmj/2021/09/03/ann-robinsons-research-reviews-3-september-2021/" rel="nofollow" target="_blank">https://blogs.bmj.com/bmj/2021/09/03/ann-robinsons-research-reviews-3-september-2021/</a> <a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2782822" rel="nofollow" target="_blank">https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2782822</a>

Anti-psychotics and pregnancy

Hello and welcome to episode 41.   The article this time considers continuity of care in the primary care setting and its importance in terms of hard health outcomes. The way in which health care systems are organised varies between countries and a strong relationship between the practitioner and patient exists more clearly in some systems than others. The article notes that this is the case in the UK, Denmark, Netherlands as well as Norway, the setting for this research and article. As well as providing satisfaction in terms of having a regular relationship the research indicates, as does previous research, that  there are clear health benefits of an ongoing professional relationship. The article is freely available and the link is in the notes.   https://bjgp.org/content/bjgp/early/2021/08/26/BJGP.2021.0340.full.pdf

Hello and welcome to episode 41. The article this time considers continuity of care in the primary care setting and its importance in terms of hard health outcomes. The way in which health care systems are organised varies between countries and a strong relationship between the practitioner and patient exists more clearly in some systems than others. The article notes that this is the case in the UK, Denmark, Netherlands as well as Norway, the setting for this research and article. As well as providing satisfaction in terms of having a regular relationship the research indicates, as does previous research, that  there are clear health benefits of an ongoing professional relationship. The article is freely available and the link is in the notes. <a href="https://bjgp.org/content/bjgp/early/2021/08/26/BJGP.2021.0340.full.pdf" rel="nofollow" target="_blank">https://bjgp.org/content/bjgp/early/2021/08/26/BJGP.2021.0340.full.pdf</a>

Continuity of care

Hello and welcome to episode 40. This article written by an educationalist touches on the reality of general practice that you cannot know everything. Therefore, you have to be realistic during your working time to deal with gaps in knowledge: be willing to learn, search for answers and verify your understanding.  Of course the application of this article goes beyond general practice. All specialities or areas of medical practice throw up new scenarios where you may lack knowledge. There is a recognition that we need to learn as we go along in our career. I hope you find the article interesting and the link  to it is found in the notes so that you can read and listen. https://www.bmj.com/content/374/bmj.n2025

Hello and welcome to episode 40. This article written by an educationalist touches on the reality of general practice that you cannot know everything. Therefore, you have to be realistic during your working time to deal with gaps in knowledge: be willing to learn, search for answers and verify your understanding.  Of course the application of this article goes beyond general practice. All specialities or areas of medical practice throw up new scenarios where you may lack knowledge. There is a recognition that we need to learn as we go along in our career. I hope you find the article interesting and the link  to it is found in the notes so that you can read and listen. <a href="https://www.bmj.com/content/374/bmj.n2025" rel="nofollow" target="_blank">https://www.bmj.com/content/374/bmj.n2025</a>

Lifelong lessons in learning

Hello and welcome to episode 39.   This time we consider a public health intervention that had a positive effect on the reduction in  childhood obesity and the subsequent negative impact of withdrawing the funding for this service. The  health consequences are felt in childhood and in later years. As the article points out childhood obesity is important both in childhood and has long-term effects into adult health. From the paper the background information is read in addition to the abstract which points out the results of the change in the policy. The link to the article is in the notes. Happy listening https://jech.bmj.com/content/75/9/860

Hello and welcome to episode 39. This time we consider a public health intervention that had a positive effect on the reduction in  childhood obesity and the subsequent negative impact of withdrawing the funding for this service. The  health consequences are felt in childhood and in later years. As the article points out childhood obesity is important both in childhood and has long-term effects into adult health. From the paper the background information is read in addition to the abstract which points out the results of the change in the policy. The link to the article is in the notes. Happy listening <a href="https://jech.bmj.com/content/75/9/860" rel="nofollow" target="_blank">https://jech.bmj.com/content/75/9/860</a>

Sure Start scheme and childhood obesity

Hello and welcome to episode 38.   This episode again considers the importance of head injury in sport and the development of future neurodegenerative disease. This particular cohort study analyses the risk of development of neurodegenerative disease in Scottish football players.   In the article the game is referred to as soccer, I assume as the journal is American, while the game is predominantly referred to as football around the world bar the United States. The topic of head injury in sport has been considered before in the podcast in episode 4; link provided :(https://talk-medical-english.uk/2020/12/18/neurological-damage-and-rugby-union/) This is a cohort study that retrospectively identifies the exposed group of interest through historical records of professional players. Exposure is quantified through the proxy of position played on the pitch as it is not possible to identify exposure directly for individuals. Exposure has also been quantified through the length of career. Control for confounding has been attempted by utilising  matched population-based controls by age and area socioeconomic status.   The link to the article is found in the notes: https://jamanetwork.com/journals/jamaneurology/fullarticle/2782750?resultClick=1

Hello and welcome to episode 38. This episode again considers the importance of head injury in sport and the development of future neurodegenerative disease. This particular cohort study analyses the risk of development of neurodegenerative disease in Scottish football players. In the article the game is referred to as soccer, I assume as the journal is American, while the game is predominantly referred to as football around the world bar the United States. The topic of head injury in sport has been considered before in the podcast in episode 4; link provided :(<a href="https://talk-medical-english.uk/2020/12/18/neurological-damage-and-rugby-union/" rel="nofollow" target="_blank">https://talk-medical-english.uk/2020/12/18/neurological-damage-and-rugby-union/</a>) This is a cohort study that retrospectively identifies the exposed group of interest through historical records of professional players. Exposure is quantified through the proxy of position played on the pitch as it is not possible to identify exposure directly for individuals. Exposure has also been quantified through the length of career. Control for confounding has been attempted by utilising  matched population-based controls by age and area socioeconomic status. The link to the article is found in the notes: <a href="https://jamanetwork.com/journals/jamaneurology/fullarticle/2782750?resultClick=1" rel="nofollow" target="_blank">https://jamanetwork.com/journals/jamaneurology/fullarticle/2782750?resultClick=1</a>

Football and risk of neurodegenerative disease

Hello and welcome to episode 37. This episode is taken from the Lancet an is a commentary extolling the virtues of physical exercise for its public health benefits.These health benefits arrive in many forms. The commentary introduces a new series of articles on the benefits to health broadly of physical activity. The article on the Lancet website contains links to further articles in the series itself.   The link to the commentary is in the notes.   https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01652-4/fulltext

Hello and welcome to episode 37. This episode is taken from the Lancet an is a commentary extolling the virtues of physical exercise for its public health benefits.These health benefits arrive in many forms. The commentary introduces a new series of articles on the benefits to health broadly of physical activity. The article on the Lancet website contains links to further articles in the series itself. The link to the commentary is in the notes. <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01652-4/fulltext" rel="nofollow" target="_blank">https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01652-4/fulltext</a>

A sporting chance: physical activity as part of everyday life

Hello and welcome to episode 36.   This week’s item is taken from the BMJ and is a short article that provides clinical advice for a rarely occurring side-effect of Covid-19 vaccination. It is interesting however, as it provides the symptoms of the clinical presentation to help with the identification of this rare side-effect. Additionally it advises the management steps and so is of clinical value.   The link to the article is in the notes. https://www.bmj.com/content/374/bmj.n1914?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text ----more----

Hello and welcome to episode 36. This week’s item is taken from the BMJ and is a short article that provides clinical advice for a rarely occurring side-effect of Covid-19 vaccination. It is interesting however, as it provides the symptoms of the clinical presentation to help with the identification of this rare side-effect. Additionally it advises the management steps and so is of clinical value. The link to the article is in the notes. <a href="https://www.bmj.com/content/374/bmj.n1914?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text" rel="nofollow" target="_blank">https://www.bmj.com/content/374/bmj.n1914?=&amp;utm_source=adestra&amp;utm_medium=email&amp;utm_campaign=usage&amp;utm_content=daily&amp;utm_term=text</a> ----more----

Vaccine induced immune thrombocytopenia and thrombosis

Hello again. The podcast has had to change hosting arrangements  and so the RSS links with the previous site have been broken. So please research for Talk Medical English through your favourite podcasting app.   Episodes will still be available at https://talk-medical-english.uk

Hello again. The podcast has had to change hosting arrangements  and so the RSS links with the previous site have been broken. So please research for Talk Medical English through your favourite podcasting app. Episodes will still be available at <a href="https://talk-medical-english.uk" rel="nofollow" target="_blank">https://talk-medical-english.uk</a>

Podcast update

Hello and welcome to episode 35. This week takes us away from infectious disease to something with a long-term public health impact. The article, taken from the Lancet, is a systematic review and meta-analysis that considers the benefits of paternal education on child well-being as defined by mortality are different ages. The introduction and abstract are read but there is a lot more detail in the article to read if the subject matter takes you interest. The link to the article on the Lancet website is in the notes. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00534-1/fulltext

Hello and welcome to episode 35. This week takes us away from infectious disease to something with a long-term public health impact. The article, taken from the Lancet, is a systematic review and meta-analysis that considers the benefits of paternal education on child well-being as defined by mortality are different ages. The introduction and abstract are read but there is a lot more detail in the article to read if the subject matter takes you interest. The link to the article on the Lancet website is in the notes. <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00534-1/fulltext" rel="nofollow" target="_blank">https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00534-1/fulltext</a>

The positive effect of parental education on child mortality

A way to improve your medical English skills. <a href="http://talk-medical-english.uk" rel="nofollow" target="_blank">talk-medical-english.uk</a>

Talk Medical English

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