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Experts develop a list of competencies in antimicrobial prescribing and stewardship

first_imgReviewed by James Ives, M.Psych. (Editor)Nov 12 2018Experts from across Europe have developed a set of competencies in antimicrobial prescribing and stewardship, using a structured consensus procedure. This ESCMID-led study has resulted in a list of competencies that represent the minimum standards that all independent prescribers of antimicrobials should reach to practice according to principles of responsible antibiotic use. The list of competencies is highly relevant for educators, regulators and professional bodies throughout Europe, as well as for individual prescribers.The competencies set comprises 35 competency points divided into three sections: Core concepts in microbiology, pathogenesis and diagnosing infections; Antimicrobial prescribing; and Antimicrobial stewardship.Related StoriesStudy: Surveillance for antibiotic-resistant bacteria continues to be core focus for healthcare facilitiesFinger-prick blood test could help prevent unnecessary antibiotic prescribing for patients with COPDInterdisciplinary approach reduces the use of broad spectrum antibiotics”Despite widespread agreement that we need to use antibiotics responsibly, until now, there has been no consensus on what the minimum standards for responsible use are according to which prescribers in Europe should practice”, explains Dr. Oliver Dyar, a researcher in public health at Karolinska Institutet, Stockholm, Sweden, who led the study and is treasurer of the ESCMID Study Group for Antimicrobial StewardshiP (ESGAP).”We hope that this work will help guide those who train doctors, nurses and pharmacists to prescribe antibiotics, and at the same time support the regulators and professional societies that are responsible for setting and maintaining standards” Dr Oliver Dyar said, adding “These competencies could play an important role in harmonizing approaches in antimicrobial stewardship in Europe. We also believe that most of the competencies are relevant for prescribers in other contexts, and it is essential that on a global basis we invest in ways to improve on how we use antibiotics.”The study used a RAND-modified Delphi consensus procedure and involved 65 experts from 24 European countries, most of whom were infectious diseases specialists, clinical microbiologists, or pharmacists. This expert panel reviewed a draft set of competencies which was originally developed by a multidisciplinary panel in the UK, and had since been adapted to the broader European context through consultation with ESCMID Study Groups. Each competency point was assessed for relevance for all independent prescribers in Europe, and the expert panel was able to suggest additional competencies. After three assessment rounds and a face-to-face meeting, there was very high agreement (98%) with the final competencies set.Over the coming years ESCMID and ESGAP will support efforts to implement these ESCMID generic competencies in antimicrobial prescribing and stewardship. Source:https://www.escmid.org/fileadmin/src/media/PDFs/2News_Discussions/Press_activities/2018/Dyar_Press_release_09NOV2018.pdflast_img read more

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Missing GP appointments is associated with early death

first_imgRelated StoriesParticipation in local food projects may have positive effect on healthGoing teetotal shown to improve women’s mental healthEffective stop smoking treatments less likely to be prescribed to people with mental health conditionsThese results emerged even after researchers controlled for a variety of other factors already known to affect attendance. Dr McQueenie said “Patients diagnosed with long-term mental health problems, who did die during the follow-up period, died prematurely, often from non-natural external factors such as suicide.Dr Ellis added “These results align with clinicians own observations. Specifically, patients with long-term mental health conditions are more likely to miss multiple appointments.”The researchers are now exploring how new interventions might improve attendance however, their research raises important questions when it comes to ensuring that mental health services remain easy to access and are readily available across the UK.Professor Wilson concluded “These findings are crucially important for GPs wishing to identify patients at high risk of premature death. For people with physical conditions missed appointments are a strong independent risk factor for dying in the near future. Among those without long-term physical conditions, the absolute risk is lower, but missing appointments is an even stronger risk marker for premature death from non-natural causes.”Source: https://www.lancaster.ac.uk/ Patients with a greater number of long-term health conditions had an increased risk of missing general practice appointments. These same patients were also at substantially greater risk of death within the following year. Patients with long term physical conditions who missed two or more appointments per year had a threefold increase in all-cause mortality compared with those who missed no appointments. Patients with mental-health conditions only who missed more than two appointments per year had had an eight times greater risk of death during the follow-up period compared with those who missed no appointments. Reviewed by James Ives, M.Psych. (Editor)Jan 11 2019Missing GP appointments is associated with early death, and those with long-term mental health conditions are at particular risk.Dr Ross McQueenie led the study from the University of Glasgow along with colleagues from Lancaster University and the University of Aberdeen.In the largest study of its kind, the team examined over 500,000 patients’ appointment histories in Scotland, tracked for 3 years between 2013 and 2016.All data were provided on condition of patient and practice anonymity. Appointment information was then linked to patient medical histories and death records.The researchers found that:last_img read more

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Mamata draws parallel between Quit India and her fight against Modi

first_imgWest Bengal Chief Minister Mamata Banerjee sharpened her attack on Prime Minister Narendra Modi as she alleged that a “fascist government” was being run at the Centre. She drew parallels between her campaign (against the PM) and the “Quit India movement” of 1942.All 17 Lok Sabha seats will go to polls in the sixth and seventh phases due on May 12 and May 19. The BJP and the Trinamool Congress (TMC) are locked in an intense battle for dominance in the State. While the TMC is eyeing a clean sweep with the hopes of playing a king-maker, the BJP wants to improve its Lok Sabha tally.According to Banerjee, there is an emergency-like situation in the country. “Someone has to bell the cat. In 1942, (the) Quit India movement was launched against the British. Now, we are fighting to oust a fascist Modi from power,” she said during an election rally in East Midnapore district of the State.People are afraid to speak their mind as they fear the PM. This “fascism” and “terror” has to end, she said. “There is an emergency-like situation in the country. Stop this fascism and terror,” the West Bengal CM said. This isn’t the first time that Banerjee has been critical of PM Modi. She has been one of Modi’s worst critics.On Tuesday, Mamata called the Prime Minister a “liar” and a “bad influence on young minds”.Modi, too, has repeatedly accused Banerjee and her party of being involved in “tolabaazi” – a Bengali slang that means organised extortion.Sushma Swaraj hits backUnion Minister Sushma Swaraj said: “Mamataji you have crossed all limits. You are the Chief Minister and Modiji is the country’s Prime Minister. You have to talk to him tomorrow.Recalling a couplet by poet, Bashir Badr, She added: “Rage all you want, but do not feel ashamed when we have to become friends again someday.” May 08, 2019 Published on West Bengal Chief Minister Mamata Banerjee   –  PTI West Bengal COMMENTcenter_img SHARE SHARE SHARE EMAIL COMMENTS politicslast_img read more

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Hours before Goa Cabinet reshuffle CM Pramod Sawant drops four ministers

first_imgHours before Goa Cabinet reshuffle, CM Pramod Sawant drops four ministersThe four ministers would be replaced with Michael Lobo, who resigned as Deputy Speaker of Assembly earlier in the day, and three of the 10 MLAs, who switched over to the BJP from the Congress.advertisement Next India Today Web Desk New DelhiJuly 13, 2019UPDATED: July 13, 2019 14:33 IST BJP leader Michael Lobo with Goa Assembly Speaker Rajesh Patnekar. (Photo: ANI)Ahead of a reshuffle of the state cabinet, Goa Chief Minister Pramod Sawant dropped four ministers — three of the Goa Forward Party (GFP) and one Independent — from his cabinet on Saturday.A notification to this effect was issued in the afternoon.According to the notification, the four ministers — Deputy Chief Minister Vijai Sardesai, Water Resources Minister Vinod Palyekar, Rural Development Minister Jayesh Salgaonkar (all GFP MLAs) and Revenue Minister Rohan Khaunte (Independent) — were dropped from the cabinet.They would be replaced with Michael Lobo, who resigned as Deputy Speaker of Assembly earlier in the day, and three of the 10 MLAs, who switched over to the Bharatiya Janata Party (BJP) from the Congress on Wednesday.”I Michael Lobo, Deputy Speaker of Goa Legislative Assembly, hereby tender my resignation as a Deputy Speaker of Goa Legislative Assembly with effect from July 13,” stated Lobo’s resignation letter to Goa Assembly Speaker Rajesh Patnekar.Earlier in the day, Lobo had confirmed that he will resign and join the cabinet as a minister. “I will resign and will be sworn-in as a minister in the Chief Minister Pramod Sawant government,” he said.This new political development comes hours before the expected Goa cabinet reshuffle to accommodate the Congress defectors who joined BJP recently.The swearing-in ceremony of new ministers is scheduled to be held at 3 pm at Raj Bhavan.Lobo also said apart from him, Chandrakant Kavlekar, Jeniffer Monserratte and Philip Nery Rodrigues would be a part of the new cabinet.Taleigao MLA Jeniffer Monserratte is the wife of Panaji MLA Atanasio Monserratte. Earlier there were speculations that he would be inducted into the cabinet.Lobo said, “Atanasio Monserratte refused to take up the ministerial berth and instead requested the chief minister to make his wife a part of the cabinet.”Earlier, CM Pramod Sawant sought the resignation of four of his ministers – three of Goa Forward Party and an independent.Rajesh Patnekar had also confirmed that Lobo would resign and be sworn-in as a minister later in the day. He said that the Assembly will function as per schedule.”Though new ministers are being inducted, the Assembly will go as per schedule. The new ministers will have to study their portfolios while answering the questions on the floor of the House. As far as I am concerned there is no rescheduling of the Assembly and Congress party will have to give the name of Leader of Opposition by Monday,” Patnekar said.(With inputs from agencies)READ | New cabinet ministers to be sworn in at 3 pm Saturday: Goa CM Pramod SawantALSO READ | Goa CM Pramod Sawant seeks resignation of 3 ministers, independent MLA to induct new facesALSO WATCH | Leaderless Congress headed towards self-destruction?For the latest World Cup news, live scores and fixtures for World Cup 2019, log on to indiatoday.in/sports. Like us on Facebook or follow us on Twitter for World Cup news, scores and updates.Get real-time alerts and all the news on your phone with the all-new India Today app. Download from Post your comment Do You Like This Story? Awesome! Now share the story Too bad. Tell us what you didn’t like in the comments Posted byKritika Bansal Tags :Follow Goalast_img read more

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