We bring you the latest news from the healthcare about the health care in the United Kingdom.

vrijdag 28 september 2018

The Lancet: [Comment] Encouraging data from ABSORB IV pave the way to new scaffolds

[Comment] Encouraging data from ABSORB IV pave the way to new scaffolds
Despite the expectations for the dawn of the vascular reparative therapy era with coronary bioresorbable vascular scaffolds (BVS), the results of large trials published in the past 3 years raised concerns about the safety and efficacy of these devices. Although most studies reported non-inferiority in device-oriented adverse events for the everolimus-eluting Absorb BVS (currently the only one tested in large clinical trials) as compared with the metallic Xience everolimus-eluting stent (EES), pooled patient-level meta-analyses found BVS to be associated with increased risk of 1-year target vessel myocardial infarction and of 2-year device-oriented adverse events, with high relative risks of device thrombosis in both analyses.
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[Comment] India's health reforms: the need for balance
On Sept 23, 2018, the Prime Minister of India, Narendra Modi, launched extensive health reforms.1 The reforms are to be welcomed because for decades India has underinvested in health, never spending more than 1% of its gross domestic income on its public health system.2 It has always been surprising that health and access to health care have been given such a low political priority in the world's biggest democracy.
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[Comment] Reduce air pollution to beat NCDs: from recognition to action
Air pollution is now recognised as the second leading cause of non-communicable disease (NCD) deaths after tobacco smoking, causing more than 5 million such deaths each year, and 7 million deaths in total, including communicable diseases.1 NCDs caused by air pollution include heart disease, stroke, chronic obstructive pulmonary disease, and lung cancer. The health impacts of air pollution may be even higher than 5 million NCD deaths per year,1 given recent evidence indicating even larger health impacts for those diseases at current exposures.
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[Comment] Stillbirths count, but it is now time to count them all
In 2015, 2·6 million stillbirths were estimated globally, more than 7100 deaths a day, with most occurring in developing countries.1 These figures are substantial, yet they are an underestimation of the full extent of this loss because stillbirths at less than 28 weeks of pregnancy are not included in these numbers.2 If the 22-week threshold was applied, the numbers have been estimated to be 40% higher.2
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[Articles] Awareness of fetal movements and care package to reduce fetal mortality (AFFIRM): a stepped wedge, cluster-randomised trial
The RFM care package did not reduce the risk of stillbirths. The benefits of a policy that promotes awareness of RFM remains unproven.
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