BMJ Best Practice Podcast

Suicide risk management

Suicide is not inevitable. Most people experiencing suicidal thoughts are ambivalent about dying but may be unable to imagine other potential solutions. With the right support people can find their way through a suicidal crisis and recover.
In this podcast, Alys Cole-King, Clinical Director 4Mental Health and Consultant Liaison Psychiatrist, Glan Clwyd Hospital, Wales, talks us through managing those with suicidal thoughts, and why we need a paradigm shift in suicide risk assessment that moves away from ‘characterising, predicting, and managing risk’ towards ‘compassion, safeguarding, and safety planning’.
For more on suicide risk management, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1016
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

ADHD In adults

Adult attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder presenting with inattentiveness, impulsivity, and hyperactivity, persisting into adulthood.
It is characterised primarily by inner restlessness rather than hyperactivity; impatience; sensation seeking and excessive spending rather than impulsivity; inattention; and functional impairment with underachievement and disorganisation.
Marios Adamou, Consultant Psychiatrist, South West Yorkshire NHS Partnership Foundation Trust, University of Huddersfield gives us a clinical overview of the condition.
For more on ADHD in adults, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/814
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Postnatal depression

Postnatal depression refers to a depressive illness following childbirth and may form part of a unipolar or, less frequently, a bipolar illness.
Ian Jones, Professor of Psychiatry, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, gives us an overview of the condition.
For more on postnatal depression, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/512
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Hypertension

Hypertension is a common disorder that affects a large proportion of the community. It is usually asymptomatic and is detected on routine examination or after the occurrence of a complication such as a heart attack or stroke.
In this podcast Gregory Lip, Price-Evans Professor of Cardiovascular Medicine, University of Liverpool, UK, and Senior Investigator, National Institute for Health Research, UK, gives up an overview of the condition.
For more on hypertension, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1071
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Heart failure, with preserved ejection fraction

Heart failure is a complex clinical syndrome resulting from the impaired ability of the heart to cope with the metabolic needs of the body, resulting in breathlessness, fatigue, and fluid retention.
Approximately half of patients with heart failure have normal, or near-normal, left ventricular ejection fraction and are classified as having heart failure with preserved ejection fraction.
Gerald Carr-White, Consultant Cardiologist, Guys and St Thomas’ NHS Foundation Trust, UK, gives us an overview of the condition.
For more on heart failure with preserved ejection fraction, see BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/953
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Crimean-Congo haemorrhagic fever

Crimean-Congo haemorrhagic fever (CCHF)is a notifiable condition, and outbreaks have occurred in Asia, Africa, and Southeast Europe.
It resents as a sudden-onset, severe illness with initial influenza-like symptoms, red eyes, and petechiae leading to signs of haemorrhage around day 4.
In this podcast, Tom Fletcher, Wellcome Trust/MoD Research Fellow, Liverpool School of Tropical Medicine, UK, gives us a clinical overview of the virus.
For more on CCHF see BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1606
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Alzheimer’s dementia

Alzheimer's disease is a chronic neurodegenerative disease with an insidious onset and progressive but slow decline. It is the most common type of dementia.
Judith Neugroschl, Assistant Professor of Psychiatry, Mount Sinai School of Medicine, New York, gives us a clinical overview of the disease.
For more on Alzheimer's, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/317
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Comorbidities

According to NICE, two thirds of people aged 65 or over have more than one medical condition, and 47% have three or more.
Martin Cowie, Professor of Cardiology, Imperial College London, discusses how comorbidities are a big problem for the health service, and how they should be approached.
For more on BMJ Best Practice's Comorbidities Tool, see bestpractice.bmj.com/info/comorbidities
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Crohn’s disease

Crohn's disease is a condition is a disorder of unknown aetiology, with common presenting symptoms including chronic diarrhoea, weight loss, and right lower quadrant abdominal pain mimicking acute appendicitis.
Georgia Woodfield, SpR in Gastroenterology and General Medicine, Imperial College Healthcare NHS Trust, gives us an overview of the condition.
For more on Crohn's disease, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/42
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Influenza

Characterised by upper and lower respiratory tract symptoms of rhinorrhoea, cough, fever, chills, headache, and myalgia, influenza can occur in local community outbreaks, epidemics, and, rarely, pandemics.
Kanta Subbarao, Director of the WHO Collaborating Centre for Reference and Research on Influenza, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia, gives us a clinical overview of the infection.
For more on influenza, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/6
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.