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Issue : December 2003

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    Hepatitis C virus: its prevalence, implications and managementSubscription

    Clinical16 December, 2003

    An estimated 200,000 people are infected with the hepatitis C virus (HCV) in England (Department of Health, 2002). Approximately 20 per cent of patients with chronic hepatitis C will develop cirrhosis within 20 years (Lawrence, 2000) and hepatitis C cirrhosis is now the leading reason for liver transplantation in the UK and the USA (Poynard, 2002). To optimise the clinical management of patients with hepatitis C, the National Institute for Clinical Excellence has just published updated ...

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    What are the benefits and the pitfalls of preoperative fasting?Subscription

    Clinical16 December, 2003


  • spine  x ray

    The management of patients with spinal cord injurySubscription

    Clinical16 December, 2003

    Spinal cord injury can affect people of all ages but, statistically, the 15 to 35-year-old age group is the most vulnerable (Desjardins, 2002). 

  • mental health bills money recession

    Cognitive behavioural therapy and client-centred counsellingSubscription

    Clinical16 December, 2003

    Both cognitive behavioural therapy (CBT) and client-centred counselling (CCC) offer patients help and support by addressing personal issues. 

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    Scarlet FeverSubscription

    Clinical16 December, 2003


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    Invasive fungal infection occurring in low birthweight infantsSubscription

    Clinical2 December, 2003

    A national surveillance study has been launched to look at the rate of invasive fungal infection in low birthweight infants. The survey has been prompted by the rise in morbidity and mortality in pre-term infants caused by candida. The rate of fungal infection is estimated to be about 2 in 100 babies who are born at a weight below 1,500g (Saiman et al, 2000; Stoll et al, 1996). It is likely that the increasing incidence is due to the improved survival rates of these very young babies. ...

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    Aspergillus: the invisible threatSubscription

    Clinical2 December, 2003

    The reason why these deaths fail to make the headlines is probably because the individuals concerned were struck down without warning but already had an immunosuppressive disease. Many of these patients had undergone curative therapy for, or were in remission from, life-threatening conditions such as acute leukaemia or organ failure, only to die from invasive aspergillosis.

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    Implementing a staff nurse development programmeSubscription

    Clinical2 December, 2003

    Download a print-friendly PDF file of this article here

  • Raising awareness of HIV for World Aids DaySubscription

    Clinical2 December, 2003

    VOL: 99, ISSUE: 48, PAGE NO: 28

  • mental health Elderly man with a walking stick looking outside

    Communicating with patients who have dementiaSubscription

    Clinical2 December, 2003

    Recent research suggests that simply defining dementia in terms of organic brain disease and linking the process with ageing may not be as straightforward as was once thought. Stokes and Holden (1990) adopted the view that dementia was not a disease in its own right but, rather, a collection of signs and symptoms requiring further investigation.

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