A paper published by Dr Liz Koshy and colleagues - 'Significantly increasing hospital admissions for acute throat infections among children in England: is this related to tonsillectomy rates?' - has won the Medicines for Children category for the 2012 RCGP Research Paper of the Year Award. Study lead for this research, Dr Koshy, from the Department of Primary Care and Public Health at Imperial College London reported that "Tonsillectomy is a major and costly operation with potentially serious complications. So, it seems sensible for clinicians to maintain a high threshold for referring children with recurrent throat infections for tonsillectomy and restrict it to those children who are most severely affected by these infections."
Resources on brief physical activity guidance for older adults in isolation for patients and clinicians Giving Older Adults Brief Physical Activity Advice. Given current clinical pressures, clinicians dealing with older adults will likely have limited time, and this adapted 3As model may provide a possible structure to clinician’s advice. Ask: Permission to discuss physical activity as something that could make a difference to health and wellbeing Advise /Explain/Explore: Ask how they physical activity levels have changed and what they could do to increase it? Agree: A plan considering what they will do, how they will do it. Try to ensure that it includes some cardiovascular, muscle and bone strengthening activities including resistance exercises, balance and co-ordination elements to the plan. Cardiovascular : Ideally the individual should be slightly out of breath when performing the activity. Aim to build to 150 minutes
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