OBJECTIVE The purpose of this manuscript is to provide evidence-informed practice recommendations for the chiropractic treatment of headache in adults. METHODS Systematic literature searches of controlled clinical trials published through August 2009 relevant to chiropractic practice were conducted using the databases MEDLINE; EMBASE; Allied and Complementary Medicine; the Cumulative Index to...

BACKGROUND AND AIM Mild to moderate depression is common in those with cardiovascular disease and undertreated. We aimed to evaluate the effectiveness of internet-delivered Cognitive Behaviour Therapy (iCBT) on depressive symptom severity and adherence to medical advice and lifestyle interventions in adults with mild to moderate depression and high cardiovascular disease (CVD) risks. METHODS ...

As the NHS approaches its busiest time of year, politicians and the media are ramping up their focus on very real winter pressures. Overcrowded emergency departments, ambulances stacked outside, and patients on trolleys in corridors, are sure to make headlines. And don’t forget a pandemic scare: this year it’s Australian flu. No laughing matter, but hardly the only significant challenge to the ...

The President: Good evening, ladies and gentlemen. We are in for another treat. Having had dinner this evening with our speaker, Dr Peter Wilmshurst, I can assure you that he is a man of many parts. He is a cardiologist at Shrewsbury and was formerly at St Thomas's. I think he has been irritated by the comments in the media about expert witnesses, because he said to me in an e-mail, " I will ju...

BACKGROUND Preventable maternal mortality and morbidity have been globally recognized as human rights issues. Maternal mortality in India is among the highest in the world, and reflects inequity in access to healthcare: women from certain states as well as poorer women and less literate women appear to be significantly disadvantaged. The government of India has been attempting to improve matern...

BACKGROUND Out-of-pocket expenditures of over 34 billion dollars per year in the US are an apparent testament to a widely held belief that complementary and alternative medicine (CAM) therapies have benefits that outweigh their costs. However, regardless of public opinion, there is often little more than anecdotal evidence on the health and economic implications of CAM therapies. The objectives...

BACKGROUND Depression and problematic alcohol use represent two of the major causes of disease burden in young adults. These conditions frequently co-occur and this is associated with increased harm and poorer outcomes than either disorder in isolation. Integrated treatments have been shown to be effective; however, there remains a significant gap between those in need of treatment and those re...

Involvement of patients and the public is meant to be at the heart of the coalition government’s health policy. Liberating the NHS claims to “strengthen the collective voice of patients and public.” Patient participation groups are one way in which the views of patients might be heard more clearly in future. Such groups emerged more than 30 years ago but have been slow to gain hold. In 2007, 41...

In July Healthwatch England published Safely Home, a report describing the problems facing older people and their families when they leave hospital.Disturbing personal stories highlight poor coordination between services. Patients often feel stigmatised for problems they don’t control—for instance, viewing themselves as “bed blockers,” which is a dreadful term—and they are not always properly i...

The incoming coalition government wasted no time in declaring its intention to “put patients at the heart of the NHS” in England. The 2010 white paper Equity and Excellence: Liberating the NHS promised more choice, control and information. It also promisedmore shared decisionmaking with “no decision about me without me” and a powerful new “consumer” champion Healthwatch to stand up for our inte...