Caloric restriction will result in the loss of fat free mass. Not combining exercise with this at the outset is a problem as the change in basal metabolic rate will inevitably lead to weight gain. Same results with biggest loser USA. Yes the 4 year f/u is important but they should be followed up for longer. Interesting study though.
No they are not.
Another addition to the which Politician can make the most ludicrous, uninformed and outlandish comment about general practice. Well done Mr Burnham for displaying a complete lack of understanding and sympathy for primary care and its challenges.
Interesting read. There may be a varied generational response to sig life events. Food for thought...
If the control group for comparison had COPD and were not on a LAMA or LABA, then surely their disease staging was early compared to the group that presented with a cardiovascular event. Can this be correlated to a lower Q risk? Need more information on this study to make a valid judgement on it's value in primary care.
Who does the OOH at the moment? Although there may be a mass privatisation and contracts are awarded to some unknown entity, it is local GPs working in these OOH that are their backbone. We are already stretched with the current mountain of workload.
Stop reducing the health care budget and then coming up with these ridiculous and wasteful schemes. What next, hobnobs for Strokes?
This defensive stance is really saddening. The College is supposed to champion fairness and leadership. I totally agree with the problems with recruitment that are reflected in my locality. Many talented Doctors are being thrown in a scrap heap. I am seriously considering withdrawing my College membership. Don't know if I could affiliate with an institution that can't even look at it's own practice properly. The whole situation is a shambles and inspires no confidence in the public or College members. What a sad way to end the year.
I can see the future of QOF - 10 house points for
staff and GPs with a BMI < 25.
What a ludicrous idea that as an employer we should have the right to tell people to lose weight!
This is a bit of a waste of valuable resources. Why don't we just vaccinate against everything including common sense? I wonder who's pockets are being lined to roll this one out?
The BMA is fast becoming obsolete and toothless. They don't need a firm specialising in brand identity to tell them this. Many years of insular meetings and no real contact with grass roots. Time to get in touch with the people they allegedly represent and drag the whole association into 2012.
This has always been a nightmare and my deepest sympathies. I get this a lot with historic prescribing and I am always told the other Dr didn't have a problem prescribing them. Almost making me feel that to suggest weaning is in some way a rude and taboo topic that I shouldn't really be discussing. Unfortunately, we must persevere and inform of risks and as you say, allow grown ups to make sensible informed choices.