Medicine and Science from The BMJ

Tackling NCDs in developing countries

Dan Chisholm, a health economist with the World Health Organisation talks to Harriet Vickers about a cluster of articles which examines the more cost effective way to tackle non-communicable diseases in sub-Saharan Africa and South East Asia.

Elective ventilation and the future of medical professionalism

Is elective ventilation an acceptable way to increase organs available for transplant? Duncan Jarvies discusses the ethics with Dominic Wilkinson (associate professor of neonatal medicine and bioethics, and consultant neonatologist, at the University of Adelaide).And Harriet Vickers talks to Iona Heath (president of the Royal College of General Practitioners) and David Haslam (president of the British Medical Association) about how the NHS reforms fundamentally threaten medical professionalism.

Neurodegenerative disease and cancer, and peer led parenting

A new peer led parenting group is having success in South London, we visit a session to find out why. Also Jane Driver, an associate professor at Brigham and Women’s Hospital in Boston, explains how Alzheimer's disease and cancer maybe opposite sides of the same coin.

Emergency contraception, and stopping smoking

Indhu Prabakar, a subspecialty registrar in sexual and reproductive health at Abacus Services for Sexual and Reproductive Healthcare in Liverpool, goes through the options for emergency contraception. Tim Coleman, a professor of primary care at the UK Centre for Tobacco Control Studies, University of Nottingham, explains his research on methods to help smokers quit.

SSRIs in dementia, and exposure to a rash in pregnancy

Eithne MacMahon, consultant and honorary senior lecturer at the Department of Infectious Diseases, Guy’s and St Thomas’ NHS Foundation Trust, explains how to test and treat a pregnant woman exposed to a child with a rash. Sverre Bergh, a researcher at the Centre for Old Age Psychiatric Research, Sanderud Hospital in Norway, discusses the results of his research into stopping SSRIs in dementia patients in Norway.

Stopping the spread of disease at the Olympics and Hajj

Hopes are high that the 2012 Olympics and Paralympics will have a lasting sports and exercise legacy, but the work done to ensure the health of the millions of attendees could also have an important impact.Harriet Vickers talks to Brian McCloskey, the Health Protection Agency’s national Olympics and Paralympics lead, about how infectious diseases will be monitored and controlled during the games, and ensuring the knowledge and structures developed are captured. And Ziad Memish, deputy public health minister for Saudi Arabia’s Department of Health, discusses the innovations and interventions his country has pioneered for public health at the Hajj, paving the way for other mass gatherings.

Overactive bladder syndrome

This week we’re concentrating on the problem of an overactive bladder, the subject of a cluster of articles in this week’s BMJ. Practice editor Mabel Chew is joined by Linda Cardozo, professor of urogynaecology, and Dudley Robinson, consultant urogynaecologist, both from King’s College Hospital, London.

23.5 hours to change behaviour

The focus of this week’s programme is health promotion and behaviour change.Joining Karim Khan, BJSM editor, and Domhnall McAuley, BMJ primary care editor, is Mike Evans, associate professor of family medicine at the University of Toronto and founder of the Health Design Lab. Dan Heath, senior fellow at Duke University’s Center for the Advancement of Social Entrepreneurship, and co-author of a book “Switch – how to change things when change is hard” also joins the panel.The Health Design Lab’s viral video 23 and 1/2 hours: What is the single best thing we can do for our health? has been watched over 2.5m times, and is freely available on youtube

SPARX and spirometry

SPARX is a new cognitive behavioural therapy based computer game for young people with depression. Sally Merry, an associate professor of child and adolescent psychiatry at the University of Auckland, joins us to explain how it was created. Also this week Christine Jenkins, thoracic physician at Concord Hospital in Sydney, gives Mabel Chew a masterclass in spirometry.

Type 1 or type 2 diabetes?

BMJ deputy editor Trish Groves talks to Bianca Hemmingsen, a PhD student at Copenhagen University Hospital, about research comparing metformin and insulin with insulin alone, for the treatment of type 2 diabetes. Also, Dan Lasserson, a senior clinical researcher at the University of Oxford, tells BMJ practice editor Mabel Chew how late onset type 1 diabetes can be easily missed.