Mental health services for children and young people
This report, showing currently unacceptable management of young people with mental health, suggests that the government needs to plan for how it will fulfil its commitment to implement Future in Mind, which sets out the vision for how to support young people's mental health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 18, 2019 Category: Consumer Health News Source Type: news

An electronic warning system helps reduce the time to diagnosis of sepsis
The aim of this observational cohort study was to describe the improvements of an early warning system for the identification of septic patients on the time to diagnosis, antibiotic delivery, and mortality. The study describes the successive improvements made over a period of 10 years using an early warning system to detect sepsis, including systematic active manual surveillance, electronic alerts via a telephonist, and alerts sent directly to the mobile devices of nurses. For all periods, after an alert was triggered, early treatment was instituted according to the institutional sepsis guidelines. Electronic systems help ...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Doppler-defined pulmonary hypertension in sepsis and septic shock
The authors of this study state that the association of pulmonary hypertension (PH) in patients with sepsis is lesser understood. In patients with sepsis and septic shock, PH is common and is noted to be associated with higher short and long-term mortality. Further studies are needed to understand the mechanisms by which PH is associated with outcomes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Effects of antiplatelet therapy on the mortality rate of patients with sepsis: A meta-analysis
Abnormal platelet activation plays an important role in the development of sepsis. The effect of antiplatelet drugs on the outcome of patients with sepsis remains unclear. This meta-analysis aimed to determine the effect of antiplatelet drugs on the prognosis of patients with sepsis. Antiplatelet drugs, particularly aspirin, could be used to effectively reduce mortality in patients with sepsis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Sepsis: Early Recognition and Optimized Treatment
The authors of this article state that sepsis is a life-threatening condition caused by infection and represents a substantial global health burden. Recent epidemiological studies showed that sepsis mortality rates have decreased, but that the incidence has continued to increase. Although a mortality benefit from early-goal directed therapy (EGDT) in patients with severe sepsis or septic shock was reported in 2001, three subsequent multicenter randomized studies showed no benefits of EGDT versus usual care. Nonetheless, the early administration of antibiotics and intravenous fluids is considered crucial for the treatment o...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Sepsis programme successes are responsible for the increased detection of bacteraemia
The authors of this journal article state that escherichia coli bacteraemia reduction targets are challenging but, in West Wales, this was the key infection surrogate measure set by the local health board in 2013, prior to the introduction of a Welsh Government target. The initial plateau of cases was not maintained and prompted this review. Success in one area (sepsis management) conflicts with'failure'in reducing E. coli bacteraemia. It is argued that targets need to be considered carefully in the light of all available information. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

A minimal set of physiomarkers in continuous high frequency data streams predict adult sepsis onset earlier
The authors of this journal article state that sepsis is a life-threatening condition with high mortality rates and expensive treatment costs. They say to improve short- and long-term outcomes, it is critical to detect at-risk sepsis patients at an early stage. A random forest classifier was trained to discriminate between sepsis and non-sepsis patients. The use of machine learning algorithms on continuous streams of physiological data can allow for early identification of at-risk patients in real-time with high accuracy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Sepsis-The " Gift " That Keeps on Giving, Regardless of Age
This editorial states that there is little doubt that sepsis is an affliction associated with aging. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Interleukin 38 Protects Against Lethal Sepsis
The authors of this journal article state that Interleukin 38 (IL-38) is the most recently characterized cytokine of the interleukin 1 family. However, its role in sepsis remains unknown. Their findings suggest that IL-38 attenuates sepsis by decreasing inflammation and increasing bacterial clearance, thus providing a novel tool for antisepsis therapy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Autophagy and skeletal muscles in sepsis
This study tests the hypotheses that the locomotor muscles are more prone to sepsis-induced mitochondrial injury, depressed biogenesis and autophagy induction compared with the ventilatory muscles. The authors conclude that locomotor muscles are more prone to sepsis-induced mitochondrial injury, decreased biogenesis and increased autophagy compared with the ventilatory muscles and that autophagy in skeletal muscles during sepsis is regulated in part through the NF κB transcription factor. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Sepsis: developing new alternatives to reduce neuroinflammation and attenuate brain injury
The authors of this review state that sepsis occurs when a systemic infection induces an uncontrolled inflammatory response that results in generalized organ dysfunction. The exacerbated peripheral inflammation can induce, in turn, neuroinflammation which may result in severe impairment of the central nervous system (CNS). Indeed, the ensuing blood-brain barrier disruption associated with sepsis promotes glial activation and starts a storm of proinflammatory cytokines in the CNS that leads to brain dysfunction in sepsis survivors. Endotoxic shock induced in mice by peripheral injection of lipopolysaccharides closely resemb...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Early Post-Intensive Care Syndrome among Older Adult Sepsis Survivors Receiving Home Care
The authors of this journal article outline how new or worsened disabilities in functional, cognitive, or mental health following an intensive care unit (ICU) stay are referred to as post-intensive care syndrome (PICS). PICS has not been described in older adults receiving home care. The aim of the study was to examine the relationship between length of ICU stay and PICS among older adults receiving home care. The authors say they expected patients in the ICU for 3 days or longer would demonstrate significantly more disability in all three domains on follow-up than those not in the ICU. A secondary aim was to identify pati...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

A Retrospective Review of the Sepsis Definition after Publication of Sepsis-3
The authors of this review article state that two and a half years after the introduction of Sepsis-3, clinicians continue not to document Sequential Organ Failure Assessment (SOFA) scores. The purpose of the review is to determine if the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) were being utilized in defining sepsis in the clinical setting. There continue to be variations in what standard is accepted by both commercial payers and the Centers for Medicare and Medicaid (CMS) in diagnosing sepsis. Due to Sepsis-3 criteria not being accepted by CMS or the Infectious Disease Society of A...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

A Comparison of the Quick Sequential (Sepsis-Related) Organ Failure Assessment Score and the National Early Warning Score in Non-ICU Patients With/Without Infection
The authors of this journal article state that the Sepsis-3 task force recommended the quick Sequential (Sepsis-Related) Organ Failure Assessment score for identifying patients with suspected infection who are at greater risk of poor outcomes, but many hospitals already use the National Early Warning Score to identify high-risk patients, irrespective of diagnosis. They sought to compare the performance of quick Sequential (Sepsis-Related) Organ Failure Assessment and National Early Warning Score in hospitalized, non-ICU patients with and without an infection. The National Early Warning Score outperforms the quick Sequentia...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Circulating adrenomedullin estimates survival and reversibility of organ failure in sepsis: the prospective observational multinational Adrenomedullin and Outcome in Sepsis and Septic Shock-1 (AdrenOSS-1) study
The authors of this journal article state that adrenomedullin (ADM) regulates vascular tone and endothelial permeability during sepsis. Levels of circulating biologically active ADM (bio-ADM) show an inverse relationship with blood pressure and a direct relationship with vasopressor requirement. In the present prospective observational multinational Adrenomedullin and Outcome in Sepsis and Septic Shock 1 (, AdrenOSS-1) study, they assessed relationships between circulating bio-ADM during the initial intensive care unit (ICU) stay and short-term outcome in order to eventually design a biomarker-guided randomized controlled ...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

APRIL and sTACI could be predictors of multiorgan dysfunction syndrome in sepsis.
The authors of this research article state that although the role of B cells in sepsis immunoregulation has become an interesting topic, there is lack of data on the role of B cell function regulators in prediction of multiorgan dysfunction syndrome (MODS). The aim of this study was to evaluate the prognostic value of A Proliferation Inducing Ligand (APRIL) and soluble Transmembrane Activator and CAML Interactor Protein (sTACI), the main B cell function regulators, in prediction of MODS development within the first 48h after admission to intensive care unit, among septic patients. The authors say that an elevated level of ...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Effect of cytomegalovirus reactivation on the time course of systemic host response biomarkers in previously immunocompetent critically ill patients with sepsis: a matched cohort study
The authors of this journal article state thatcytomegalovirus (CMV) reactivation in previously immunocompetent critically ill patients is associated with increased mortality, which has been hypothesized to result from virus-induced immunomodulation. They studied the effects of CMV reactivation on the temporal course of host response biomarkers in patients with sepsis. CMV reactivation was not independently associated with changes in the temporal trends of host response biomarkers in comparison with non-reactivating patients. They therefore conclude that these markers should not be used as surrogate clinical endpoints for i...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Identification of subclasses of sepsis that showed different clinical outcomes and responses to amount of fluid resuscitation: a latent profile analysis
This study aims to identify subclasses of sepsis and its responses to different amounts of fluid resuscitation. The study identifies four subphenotypes of sepsis, which show different mortality outcomes and responses to fluid resuscitation. The authors say that prospective trials are needed to validate our findings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Management of Neonates Born at 35 0/7 Weeks' Gestation With Suspected or Proven Early-Onset Bacterial Sepsis
The authors of this journal article say that the incidence of neonatal early-onset sepsis (EOS) has declined substantially over the last 2 decades, primarily because of the implementation of evidence-based intrapartum antimicrobial therapy. However, EOS remains a serious and potentially fatal illness. Laboratory tests alone are neither sensitive nor specific enough to guide EOS management decisions. Maternal and infant clinical characteristics can help identify newborn infants who are at risk and guide the administration of empirical antibiotic therapy. The incidence of EOS, the prevalence and implications of established r...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Which biomarkers reveal neonatal sepsis?
The authors address the identification of optimal biomarkers for the rapid diagnosis of neonatal sepsis. They employ both canonical correlation analysis (CCA) and sparse support vector machine (SSVM) classifiers to select the best subset of biomarkers from a large hematological data set collected from infants with suspected sepsis from Yale-New Haven Hospital's Neonatal Intensive Care Unit (NICU). CCA is used to select sets of biomarkers of increasing size that are most highly correlated with infection. The effectiveness of these biomarkers is then validated by constructing a sparse support vector machine diagnostic classi...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Earlier and more targeted treatment of neonatal sepsis
This journal article states that neonatal sepsis occurs in 1 –2 of the 1000 live born neonates and accounts for 3‐5% of deaths in term and more than 30% in extremely preterm infants. These mortality rates due to neonatal infections are unacceptably high. Immediate and targeted antibiotic treatment is crucial in order to improve survival in this vuln erable population. Pilot study. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Immunologic biomarkers for diagnostic of early-onset neonatal sepsis
This review provides an overview of biomarkers as indicators for the diagnosis of EOS. There is an affluence of studies appraising diagnostic indicators in the identification of EOS. Acute-phase reactants, cytokines, and cell surface antigens have been investigated as indicators for EOS, but none of them are presently in routine clinical setting. Despite the promising data for some immunologic biomarkers, present evidence shows that none of them can constantly diagnose 100% of infections. IL-6 is the most potent marker for evaluation of EOS prognosis. Procalciton (PCT) and C-reactive protein (CRP) are appropriate indicator...
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Evaluation and Management of Penicillin Allergy: A Review
This narrative review summarises the epidemiology of penicillin allergy and the clinical consequences of misattributing adverse drug events to β-lactam allergy, including development of antimicrobial resistance and adverse events associated with alternative antibiotics. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 17, 2019 Category: Consumer Health News Source Type: news

Acute Infection and Myocardial Infarction
This article reviews the evidence that acute bacterial and viral infections are associated with an increased risk of myocardial infarction in the short, intermediate, and long term, and discusses mechanisms that might explain this association. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 16, 2019 Category: Consumer Health News Source Type: news

Sepsis associated acute kidney injury
This article critically reviews published literature with a focus on epidemiology, non-modifiable risk factors, early detection, pathophysiology, modifiable risk factors, treatment, and prognosis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 16, 2019 Category: Consumer Health News Source Type: news

Herpes zoster infection
This review covers who is at risk, typical presentation, complications, infectiousness, when to prescribe antivirals and which antiviral, when to refer, use of analgesia, latest vaccine recommendations and the difference between Zostavax and Shingrix. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 16, 2019 Category: Consumer Health News Source Type: news

Liberal versus conservative fluid therapy in adults and children with sepsis or septic shock
This Review says that based on data from 3 paediatric RCTs (n=3402), liberal fluid therapy might increase mortality among children with sepsis or septic shock in hospital and at four ‐week follow‐up. Trials including adults, and patients with a broader spectrum of pathogens are needed. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 16, 2019 Category: Consumer Health News Source Type: news

Antibiotic allergy labels in hospitalized and critically ill adults: A review of current impacts of inaccurate labelling
This narrative review states that antibiotic allergy labels (AALs) are reported by a 20% of patients, yet>85% will be negative on formal allergy testing. Allergy testing to define AALs in the ICU may lead to significant changes in appropriate and preferred antibiotic use. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 16, 2019 Category: Consumer Health News Source Type: news

Early diagnosis and the cancer workforce in the NHS long-term plan
This debate pack to inform debates recently held in Westminster Hall contains information which may be useful to a wider audience. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 16, 2019 Category: Consumer Health News Source Type: news

Measles and rubella elimination UK Strategy 2019
This report explains the UK's strategy towards measles and rubella elimination. It focuses on four core components: achieve and sustain ≥ 95% coverage in the routine childhood programme; achieve ≥ 95% coverage with 2 doses of MMR vaccine in older age cohorts through opportunistic and targeted catch-up; strengthen measles and rubella surveillance; and ensure easy access to high-quality, evidence-based information. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 16, 2019 Category: Consumer Health News Source Type: news

Mental health services for children and young people
This report examines mental health services for children and young people and finds most young people with a mental health condition do not get the treatment they need. It says government should step up action to increase staff numbers and develop required skills and cross-departmental planning must improve, with focus on prevention and early intervention. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 15, 2019 Category: Consumer Health News Source Type: news

Musculoskeletal Health: applying All Our Health
Public Health England wants health and care staff to promote good musculoskeletal health to patients, families and communities with a focus on prevention, early detection and treatment. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 11, 2019 Category: Consumer Health News Source Type: news

NIHR Signal: Antidepressants do not help treat depression in people living with dementia
Expert commentary is provided for a review of 10 RCTs (n=1,592) which found little difference in depression scores between placebo and antidepressants after 6-13 weeks treatment. This review will discourage prescribers from using antidepressants to treat depression in dementia. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 11, 2019 Category: Consumer Health News Source Type: news

Effectiveness and safety of procalcitonin evaluation for reducing mortality in adults with sepsis, severe sepsis or septic shock
This Cochrane Review was Substantively amended in January 2019. However, there was no change to the conclusion, that Up-to-date evidence of very low to moderate quality, with insufficient sample power per outcome, does not clearly support the use of procalcitonin-guided antimicrobial therapy to minimize mortality, mechanical ventilation, clinical severity, reinfection or duration of antimicrobial therapy of patients with septic conditions. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 11, 2019 Category: Consumer Health News Source Type: news

Case Study: The gloves are off campaign
In this case study, the Lead Nurse for Infection Prevention and Control and two Lead Practice Educators at Great Ormond Street Hospital NHS Foundation Trust (GOSH) addressed the over-use of non-sterile gloves through education and training. This has improved patient safety and experience and staff are now following evidence-based practice rather than wearing gloves out of habit. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Double check patients with'penicillin allergy' to avoid increased MRSA risk.
Healthcare staff should be aware of this and ensure that only people with a true allergy to penicillin are documented as such, NICE is urging. Incorrectly identifying people as allergic could also contribute to antimicrobial resistance, as these people are likely to instead be given broad-spectrum antibiotics. The warning comes in a new medicines evidence commentary (MEC) on research conducted in the UK and published in the BMJ in June 2018. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Impact of a simulation-based training in hand hygiene with alcohol-based hand rub in emergency departments.
Hand hygiene is the primary measure for reducing nosocomial infections based on 7 steps recommended by the WHO. The aim of this study was to assess the duration and the quality of hand hygiene before and after simulation-based training. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Hand hygiene and handwashing: key to preventing the transfer of pathogens. C
In this journal article, Claire Ford and Laura J Parkof Northumbria University describe how to maintain good skin health to reduce the risk of infection. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

The evidence supporting WHO recommendations on the promotion of hand hygiene: a critique
The purpose of this research was to examine the quality of the evidence relied upon by the World Health Organisation (WHO) in promoting hand hygiene with campaigns such as " Save Lives: Clean Your Hands " . (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Testing a novel audit and feedback method for hand hygiene compliance: A multicenter quality improvement study
In this study, the authors aimed (1) to compare HHC rates estimated using the standard audit method of overt observation by a known observer and a new audit method that employed a rapid ( (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Control of norovirus infection
The purpose of the review is to provide an update on control measures for norovirus (NoV), which is the most commonly implicated pathogen in acute gastroenteritis and outbreaks, causing major disruption in nurseries, schools, hospitals and care homes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Control Strategies for Infection Prevention in Total Joint Arthroplasty.
Infection remains one of the most frequent and expensive complications after total joint arthroplasty. This paper reviews current strategies for preventing infection with total joint arthroplasty. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Monitoring healthcare associated infections and antimicrobial use at regional level through repeated point prevalence surveys: what can we learn.
Healthcare associated infections (HAIs) surveillance is an essential part of any infection prevention and control programme. Repeated point prevalence surveys (PPS) according to ECDC protocol have been implemented in all Friuli Venezia Giulia (FVG) region (Italy) acute hospitals to reduce and control HAIs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Assessing antibiotic stewardship using the surgical site infection prevention bundle
Antibiotic prophylaxis is crucial in head and neck surgery to prevent infection from clean contaminated wounds. Scottish Intercollegiate Guidelines Network (SIGN) guidance, the gold standard of practice, recommends that administration of broad spectrum antibiotics is discontinued after 24 hours post-operation. A three-audit cycle quality improvement project was conducted to assess clinical practice against SIGN guidance at a large London teaching hospital. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Four Steps to Clean Hospitals: Look; Plan; Clean; and Dry
This literature review covers practical cleaning guidance in hospitals. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Resources for reducing SSIs
This collection of resources is aimed at the prevention of surgical site infection (SSI). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital.
Contamination of the inanimate environment around patients constitutes an important reservoir of MRSA. This paper describes the effect of introducing a universal disinfection wipe in all wards on the rates of MRSA acquisitions and bacteraemias across a large UK teaching hospital. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Environmental contamination by bacteria in hospital washrooms
This journal article outlines how hand hygiene is a fundamental component of infection prevention, but few studies have examined whether hand-drying method affects the risk of dissemination of potential pathogens. This research aimed to perform a multi-centre, internal-crossover study comparing bacterial contamination levels in washrooms with hand-drying by either paper towels (PT) or jet air dryer (JAD; Dyson). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Childhood cancer burden: a review of global estimates
This Review analyses 4 studies of the global cancer burden that included data for children and adolescents, with the aim that these data could help stakeholders to develop plans for national and institutional cancer programmes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news

Best supportive care in advanced lung cancermore than a label?
Key messages from this viewpoint article include the fact that lack of consensus on what best supportive care is contributes to unwarranted variation in the quality of palliative care. A high integrity health system approach should reduce unwarranted variation in practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 9, 2019 Category: Consumer Health News Source Type: news