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Latest news - Thursday, 20 June 2013

MDU objects to duty of candour for GPs

Changing blame culture would do far more to foster openness and honesty

Survey underlines need for longer GP training

GP appointments system ‘unsatisfactory and not fit for purpose’

Moderate maternal drinking seems not to harm neurodevelopment

But ‘beneficial’ effects of drinking probably down to confounding

MMR appears safe in children with arthritis

Juvenile arthritis symptoms do not worsen after MMR booster

Earlier thrombolysis improves stroke outcomes

Survival and independence greater when treatment starts within 90 minutes

Blogs

GPs under the cosh

Phil Hammond defends the scapegoating of GPs by the media and government

Screening for alcohol abuse recommended

Louise Newson discusses a recent report exploring patients drinking habits

On The Pulse - 14th June 2013

Do statins cause diabetes?

Different contexts

Contexts can hugely impact on the way a doctor feels about a consultation for the same condition

On The Pulse - 07th June 2013

Adverse cardiovascular effects of NSAIDs

Should naproxen be the NSAID of choice?

Louise Newson discusses a recent meta-analysis in The Lancet

On The Pulse - 31st May 2013

Cancer risk from imaging investigations

On The Pulse - 24th May 2013

Too many prescriptions for antidepressants?

Why do you like diabetes?

Helping patients with diabetes is never straightforward

Views

Are CCGs doomed from the start?

Half of GPs think conflicts of interest may threaten the very viability of CCGs. Read the results of our exclusive survey

More than Medicine

Jonathan Fitzsimon interviews Andrew Cornish who worked as a GP in Suffolk for 30 years and took on a new challenge with the international development charity, VSO, in 2012

What impacts A&E attendance?

Luke Koupparis explains why basing the increase in A&E attendance solely on OOH provision is wrong and how it demonstrates a lack of understanding by the political classes of the complex nature of healthcare provision

It’s good to talk

James Kippenberger outlines how digitising and connecting clinical correspondence can not only deliver productivity gains and improve patient outcomes, but also help trusts manage the transition towards new models of electronic healthcare

More than Medicine – More exclusive interviews

Jonathan Fitzsimon interviews doctors who have incorporated interesting, adventurous and unusual aspects into their clinical careers. Have a look at the latest highlights

Mobile technology – the key to service transformation in NHSScotland

Mobile technology will be key to delivering the aims of the Scottish e-Health strategy and the service transformation agenda of NHSScotland. Colin Reid explains why

The destabilisation of primary care contracts

Practice funding and contracts are set for significant changes from April 2014 following a government review to secure ‘equitable funding’

Septic arthritis in children

Although uncommon it is essential it is diagnosed and treated promptly to reduce any irreversible complications

Learning

Acute otitis media

Otitis media is very common condition and this clinical review discusses management including when to watch and wait...

Osteoporosis - primary prevention

This article looks at primary prevention of osteoporosis including risk factors and interpretation of diagnostic tests

Drug and Therapeutics Update

Guidance on stroke aftercare; action on hospital falls; new GP portal to explain NHS changes

Primary care update: Chronic pancreatitis

An overview of this inflammatory condition that is increasing in incidence

The pain of fibromyalgia

A clinical review looking at the diagnosis and management of this disabling condition that can easily be dismissed...

Drug and Therapeutics Update

NICE recommends NRT; simple stool test advised to reduce misdiagnosis of bowel conditions; oral almitrine withdrawn from EU;...

Obesity in childhood

Obesity is at epidemic proportions and management involves changing attitudes for life.

Drug and Therapeutics Update

NICE wants GPs to assess everyone’s activity level; research into diagnostic tests in primary care; and new work...

Overview of statins

A clinical review looking at targets and treatment of hyperlipidaemia and the regular monitoring of patients

Does this patient have dementia?

This case looks at the challenges in detecting and managing dementia early and how to distinguish it from...

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