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7. Removal of incorrect penicillin allergy labels in a UK hospital

Author

Hearsey, Daniel, primary, Elkhalifa, Shuayb, additional, Sandoe, Jonathan, additional, Wilcock, Michael, additional, Owens, Rhys, additional, Gay, Bethan, additional, Wildblood, Charlotte, additional, Mendonca, Jane, additional, Leigh, Nicola, additional, and Powell, Neil, additional

Published
2023
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12. Current management of suspected sepsis in primary care.

Author

Motta, Marco, Wilcock, Michael, Howe, Will, and Sheehan, Ronan

Subjects
*INTRAVENOUS therapy, *MEDICAL care, *RETROSPECTIVE studies, *SEPSIS, *PRIMARY health care, *SURVEYS, *QUALITY assurance, *DESCRIPTIVE statistics, *ANTIBIOTICS
Abstract

Recognition and early treatment of sepsis are important to optimise patient outcomes, but this is an area that many general practices currently find challenging. Here, the authors discuss the findings of their short survey of GP practices in Cornwall to determine current approaches to the management of suspected sepsis in primary care and to identify areas for improvement. [ABSTRACT FROM AUTHOR]

Published
2023
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16. Pensions Considerations For Students' Unions

Author

Wilcock, Michael

Subjects
Incorporation -- Laws, regulations and rules, Student unions -- Finance -- Human resource management, Pensions -- Laws, regulations and rules, Government regulation, Company financing, Company personnel management, Business, international
Abstract

While SUs have a variety of more pressing matters to consider, pensions are often the largest liability a SU carries. Why should SUs care about pensions? Pensions are not typically [...]

Published
2021

31. Newer generation antidepressants and withdrawal effects: reconsidering the role of antidepressants and helping patients to stop.

Author

Horowitz, Mark and Wilcock, Michael

Abstract

In England, the prescribing of antidepressants, primarily the newer generation antidepressant classes, has steadily increased over recent years. There is ongoing debate about how the efficacy of these drugs is viewed, their place in therapy and the harms associated with stopping them. Much of the evidence of their efficacy comes from short-term placebo-controlled trials which tend not to include outcomes that are of greatest relevance to patients, such as social functioning or quality of life, but rather restrict outcomes narrowly to symptom measures. On such measures these studies do not demonstrate clinically significant differences from placebo for depression. A range of adverse effects are also recognised, often greater in naturalistic studies of long-term antidepressants users than those measured in short-term efficacy studies, including emotional numbing, sexual difficulties, fatigue and weight gain. There is increasing recognition that withdrawal symptoms from antidepressants are common and that these symptoms can be severe and long-lasting in some patients. Recent guidance on how to stop antidepressants in a tolerable way has been presented by the Royal College of Psychiatrists. We believe that increasing awareness about the difficulty that some patients have in stopping antidepressants should lead to more cautious prescribing practice, with antidepressants given to fewer patients and for shorter periods of time. This article discusses the perceived benefits and harms of antidepressant use. [ABSTRACT FROM AUTHOR]

Published
2022
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