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Issue : January 2004

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  • TrimethoprimSubscription

    Clinical29 January, 2004

    VOL: 101, ISSUE: 05, PAGE NO: 31Generic/proprietary names

  • The challenge of managing patients with multiple sclerosis

    The challenge of managing patients with multiple sclerosisSubscription

    Clinical27 January, 2004

    Multiple sclerosis (MS) is the most common disabling neurological condition in young adults in the UK (Perkin and Wolinsky, 2000). It occurs all around the world, but is more common in countries with temperate climates. The UK, Scandinavia and Iceland have the highest rates of MS in the world.

  • Acute wounds: an overview of the physiological healing processSubscription

    Clinical27 January, 2004

    VOL: 100, ISSUE: 04, PAGE NO: 50 Marion Richardson, BD, CertEd, RGN, RNT, DipN, is senior lecturer and programme leader, emergency nursing, University of Hertfordshire When an injury occurs and the skin is damaged, the process of tissue repair begins immediately, but some wounds can take up to two years or more to heal completely. 

  • Evaluating the effectiveness of Tegapore wound-contact materialSubscription

    Clinical27 January, 2004

    VOL: 100, ISSUE: 04, PAGE NO: 66

  • needle

    The development of an online quiz for drug calculationsSubscription

    Clinical27 January, 2004

    Medication errors, always a focus for media attention, are of concern to the general public and medical practitioners alike. According to the Department of Health (2000) document An Organisation With a Memory 25 per cent of litigation claims relate to medication errors. This has prompted the government to set a target to reduce such errors by 40 per cent by 2005.

  • The role of EEGs in the treatment and prognosis of epilepsy

    The role of EEGs in the treatment and prognosis of epilepsySubscription

    Clinical27 January, 2004

    It is thought that electroencephalogram (EEG) analysis may provide us with a better understanding of the dynamics of the human brain (Adeli et al, 2003) and so presumably help us understand more fully conditions such as epilepsy. However, Fowle and Binnie (2000) state that an EEG reading can be abnormal in people who do not have epilepsy and normal in people who do.

  • generic  wound with stitches

    Procedures for cleansing, closing and covering acute woundsSubscription

    Clinical27 January, 2004

    Every wound and patient is different so there is no single method for the management of acute wounds. However, there are some guiding principles that can assist in the decision-making process. Most wounds are suitable for primary closure, for example with sutures, while for other wounds closure is either delayed or not attempted (healing by secondary intention).

  • cake_food_obesity_nutrition_diet.jpeg

    Food allergies, food intolerance and food-related anaphylaxisSubscription

    Clinical27 January, 2004

    There has been a dramatic rise in the incidence of allergies in the UK in recent years. This problem is compounded by the fact that the nature of allergic disease has also become increasingly complex. Previously rare and potentially life-threatening disorders such as peanut allergy are increasingly common (Grundy et al, 2002), while growing numbers of patients have disorders affecting several systems.

  • Personality disorder

    Personality disorderSubscription

    Clinical27 January, 2004


  • Typhoid vaccine.Subscription

    Clinical22 January, 2004

    VOL: 101, ISSUE: 34, PAGE NO: 37Generic and proprietary names

  • Nurse with child

    Piloting a nurse-led gynaecology preoperative-assessment clinicSubscription

    Clinical20 January, 2004

    Preoperative-assessment clinics have been introduced in many specialist areas over the last few years. Some are multidisciplinary, others are predominantly medically focused and an increasing number are nurse-led (Sutcliffe and Potter, 2000). They have evolved from the need to deliver quality health care within an environment where there are limited resources, such as theatre time and hospital beds.

  • Generic  back pain

    Barriers to the provision of effective pain managementSubscription

    Clinical20 January, 2004

    According to the Agency for Health Care Policy and Research, institutions have a responsibility for pain management and patients should have access to the best level of pain relief that may safely be provided (McCaffery and Pasero, 1999). 

  • child obesity fat weight scales weighing

    Childhood obesity: its incidence, consequences and preventionSubscription

    Clinical20 January, 2004

    The increasing incidence of childhood obesity raised concern in 1990, when an estimated 18 million children under the age of five worldwide were classified as being overweight (WHO, 1998). Interestingly despite this warning the incidence continues to increase.


    Access to secondary care for people with learning disabilitiesSubscription

    Clinical20 January, 2004

    The Department of Health’s document Valuing People (DoH, 2001a) insists that secondary health services should be accessible to people with learning disabilities. There must be no discrimination against people with learning disabilities and support must be provided to help patients to understand and cooperate with their treatment while in hospital.

  • Eczema finger


    Clinical20 January, 2004


  • Varicose veinsSubscription

    Clinical15 January, 2004


  • Warfarin.Subscription

    Clinical15 January, 2004

    VOL: 101, ISSUE: 38, PAGE NO: 35

  • HiRes Alamy urinetestA47E73

    Current treatments for patients with stress urinary incontinenceSubscription

    Clinical13 January, 2004

    Stress urinary incontinence (SUI) has been defined as the complaint of involuntary leakage of urine on effort, exertion, sneezing or coughing (Abrams et al, 2002). It becomes known as urodynamically proven stress incontinence (USI) when filling cystometry (a test of bladder function) shows a rise in intra-abdominal pressure, without a detrusor muscle (bladder muscle) contraction, causing urine loss via the urethra.

  • Assessing patients' eligibility for fully funded nursing careSubscription

    Clinical13 January, 2004

    VOL: 100, ISSUE: 02, PAGE NO: 38 William Anderson, RGN, is clinical nurse, specialist care of older people/lead nurse for free nursing care, Canterbury & Coastal Primary Care Trust Hilary Bungay, PhD, MA, HDCR, is Senectus programme manager, Centre for Health Service Studies, University of Kent

  • pharmacy_pharmacist_prescription_prescribing_antibiotics.jpg

    Antibiotic resistance and the prescribing dilemmaSubscription

    Clinical13 January, 2004

    A study soon to be published in the journal Respiratory Medicine claims that deaths caused by pneumonia have risen since the Department of Health told prescribers in 1998 not to give antibiotics for coughs, colds and sore throats (NT News, 6 January, p9).

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