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MRSA In Practice

Aimed at junior hospital doctors and general practitioners, the In Practice Series has been devised by RSM Press to present cutting-edge and clear-cut opinion leader advice and summary acts related to every day clinical practice.MRSA is an all too familiar acronym in use in most UK hospitals. MRSA was discovered in the 1960s however has not been a public cause for concern until the current pandemic started in the 1990s. It shows no signs of abating and the UK now has about the highest prevalence in Europe. It has captured the attention of the public and politicians but how important is it in clinical practice? How did it evolve, will it go away or get worse - will it really develop into the untreatable superbug? Is it more virulent than Staphylococcus aureus, what are its common clinical presentation and the best treatments? What are the best ways to control it if indeed we should bother? How much does it cost the NHS? Do we have any new strategies up our sleeves? These are just some of the intriguing questions that a distinguished panel of authors from around the world have tried to answer in this monograph.Some of the topics covered include:Historical perspectives - Ian Phillips (London)Immunology and pathogenesis of MRSA - Von Belkum (Rotterdam) Antibiotic resistance in MRSA - Giles Edwards (Glasgow)Evolution of MRSA - Mark Enright (London University)Epidemiology of MRSA - Vuopia-Varkila (Finland) Control of MRSA - Barry Cookson (London) Georgia Duckworth (London) & Hans Kolmos (Denmark) Treatment of MRSA - Ian Gould (Aberdeen)Decolonisation of MRSA patient - A Seaton (Glasgow)Laboratory aspects- developments in detection and AST - Donald Morrison (Glasgow) Alternative treatments - Tom Riley (Perth, Australia)MRSA in the home and on the farm - Vos + Vos (Nijmegen/Rotterdam)Mopping up MRSA - Stephanie Dancer (Glasgow)Guidance to control MRSA from the Royal College of Physicians of Edinburgh - D Baird (Glasgow)With its easily accessible approach, broken down into easy-to read chapters, the tips and useful advice of this text makes this a key text for all hospital practitioners. MRSA In Practice is a book that no health care professional can afford to be without.  
books.google.co.uk
about 5 years ago
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Medical abortions more common than surgery for first time in 2014 in England and Wales

Medical means were used in 51% of abortions carried out in England and Wales in 2014, the first year there were more medical than surgical procedures, figures from the Department of Health show.1 In 2013 just under half of terminations (49%) involved pills, while in 2004 the figure was 20%.  
feeds.bmj.com
about 5 years ago
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Paracetamol induced liver failure varies widely across Europe, study finds

The rate of acute liver failure induced by paracetamol is much higher in some European countries than in others, with no clear reason for the variation, a study has found. Paracetamol overdose was found to account for one in six cases of acute liver failure that lead to registration for transplantation.  
feeds.bmj.com
about 5 years ago
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Paracetamol induced liver failure varies widely across Europe, study finds

The rate of acute liver failure induced by paracetamol is much higher in some European countries than in others, with no clear reason for the variation, a study has found. Paracetamol overdose was found to account for one in six cases of acute liver failure that lead to registration for transplantation.  
feeds.bmj.com
about 5 years ago
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Masimo's Root Monitor with BP and Temperature Cleared in Europe (VIDEO) |

Masimo won European CE mark of approval to introduce its Root patient monitoring and connectivity system that includes blood pressure monitoring from SunTe  
medgadget.com
about 5 years ago
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Private firm gets £400m contract to run NHS administrative services in England

Capita, one of the biggest outsourcing companies in the United Kingdom, has been announced as the “preferred provider” of a £400m (€560m; $630m) contract to provide back-office administrative support services to the NHS in England.  
feeds.bmj.com
about 5 years ago
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Protecting families from recurrent stillbirth

Stillbirth is a tragedy for parents and has enduring medical, psychological, social, and economic consequences. It remains a major problem in the United Kingdom; in 2013, 3286 babies were stillborn after 24 weeks of pregnancy, equating to one in every 240 births.1 Since 2011, when the UK was ranked 33rd out of 35 high income countries for stillbirths, there has been a downward trend in the stillbirth rate, but this has not yet reached the lower levels seen in Scandinavia or the Netherlands.2  
feeds.bmj.com
about 5 years ago
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UK doctors head home from Ebola frontline

As the Ebola epidemic in west Africa subsides, UK military medics Andrew Johnston and Oliver Bartels reflect on the hardships of working in Sierra Leone at the height of the outbreak and the inequities in treatment between African patients and those from Europe and America  
feeds.bmj.com
about 5 years ago
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Reducing the price of new hepatitis C drugs in the Tuscany region of Italy

In most European countries, regulatory agencies are engaged in approving reimbursement schemes for the new interferon-free direct antiviral agents (DAAs) for hepatitis C.1 2 The degree of reimbursement differs across countries and sometimes between regions of the same country.  
feeds.bmj.com
about 5 years ago
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Peripheral Neuropathy & Neuropathic Pain

Written by one of the world's leading experts — Professor Gérard Said MD FRCP, Dpt de Neurologie, Hôpital de la Salpêtrière, Paris, France Peripheral neuropathy is a common medical condition, the diagnosis of which is often protracted or delayed. It is not always easy to relate a neuropathy to a specific cause. Many people do not receive a full diagnosis, their neuropathy often being described as 'idiopathic' or 'cryptogenic'. It is said that in Europe, one of the most common causes is diabetes mellitus but there are also many other known potential causes. The difficulty of diagnosis, the limited number of treatment options, a perceived lack of knowledge of the subject —except in specialised clinics, the number of which are limited — all add to the difficulties which many neuropathy patients have to face. Another additional problem for many patients is that once having received a full, or even a partial diagnosis, they are then often discharged back to their primary healthcare team who, in many instances, know little about this condition and how it may impact upon their patients' lives. In order to help bridge this gap in medical knowledge and to give healthcare providers a better understanding of this often distressing condition, The Neuropathy Trust has commissioned a new book on this complex topic. Written by one of the world's leading experts on neuropathy, Professor Gérard Said, it is a 'must read' and also a handy reference book for doctors, nurses, physiotherapists, chiropodists/podiatrists and other health professionals.As well as covering the anatomy of the nervous system and the basic pathological processes that may affect the peripheral nerves, the book covers a whole range of neuropathic conditions. These include, for example, Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, vasculitic neuropathies, infectious neuropathies, diabetic and other metabolic neuropathies, hereditary neuropathies and neuropathies in patients with cancer. Given the almost explosive increase in diabetes predicted over the coming years and the high incidence of HIV infections alone, not to mention all the other possible causes of peripheral neuropathy, no self-respecting medical unit should be without a copy of this new book on their shelves. The author, Professor Gérard Said, is based in the Department of Neurology at the prestigious Hôpital de la Salpêtrière in Paris. He has devoted a lifetime to the study of peripheral neuropathy and — alongside other great neurological names — added much to the world's ever-growing store of knowledge on this complex but fascinating condition which affects so many individuals.  
books.google.co.uk
about 5 years ago
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Heatstroke - the heatwave killer - BBC News

Temperatures are rising across Europe and while the sun is out so are the heatwave health warnings.  
bbc.co.uk
about 5 years ago
Www.bmj
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15

HPV testing as a screen for cervical cancer

Human papillomavirus (HPV) has been identified as a necessary factor in the development of pre-invasive and invasive cancers of the lower genital tract, of which cervical cancer is the most prevalent. A molecular understanding of malignant transformation and epidemiologic information has led to the development of many strategies for detection and early intervention. Newer tests for oncogenic subtypes of HPV have made it possible to predict the risk of future development of cervical cancer. This review summarizes the current understanding of HPV related disease and examines the role of HPV testing as a screening tool for cervical cancer. It summarizes the data from prospective and randomized controlled trials on HPV screening from Europe and North America and includes smaller studies from low and middle income countries where cervical cancer is the most common cancer in women.  
feeds.bmj.com
about 5 years ago
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GlySure Continuous Intravascular Glucose Monitoring System Cleared in Europe |

GlySure Limited, an Abingdon, England firm, received European regulatory approval to introduce its Continuous Intravascular Glucose Monitoring System (CIGM  
medgadget.com
about 5 years ago
Www.bmj
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Pressure mounts on drug supplies in Greece

Some pharmacies in Greece are being asked to pay suppliers in cash and are facing restrictions on the orders they can place, members of the industry have said. There have also been reports that some patients are unable to meet their share of the cost of drugs and that some people are stockpiling drugs.  
feeds.bmj.com
almost 5 years ago
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Thoratec HeartMate PHP Percutaneous Heart Pump Approved in Europe |

Thoratec won the European CE Mark approval to introduce its HeartMate PHP (Percutaneous Heart Pump) as a hemodynamic support system during high-risk percut  
medgadget.com
almost 5 years ago
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Should doctors recommend homeopathy?

Peter Fisher criticises the methods of a recent review that found no evidence to support homeopathy. But inconclusive evidence, lack of rational explanation, and questions about safety make Edzard Ernst question Europe’s €1bn annual spend on such remedies  
feeds.bmj.com
almost 5 years ago
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Right-to-die campaigners' case rejected in Europe - BBC News

The European Court of Human Rights has rejected a bid by UK campaigners to overturn the law on assisted dying.  
bbc.co.uk
almost 5 years ago
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Wheelchair services in England 'are failing' - BBC News

Wheelchair services across England are failing on every level, warns one of Great Britain's most successful Paralympians.  
bbc.co.uk
almost 5 years ago
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Carbamazepine versus phenobarbitone monotherapy (single drug treatment) for epilepsy | Cochrane

Epilepsy is a common neurological disorder in which abnormal electrical discharges from the brain cause recurrent seizures. We studied two types of epileptic seizures in this review: generalised onset seizures in which electrical discharges begin in one part of the brain and move throughout the brain, and partial onset seizures in which the seizure is generated in and affects one part of the brain (the whole hemisphere of the brain or part of a lobe of the brain). For around 70% of people with epilepsy, a single antiepileptic drug can control generalised onset or partial onset seizures. Worldwide, phenobarbitone (PB) and carbamazepine (CBZ) are commonly used antiepileptic drugs; however, CBZ is used more commonly in the USA and Europe because of concerns over side-effects associated with PB, particularly concerns over behavioural changes in children treated with PB. Phenobarbitone is still commonly used in developing countries in Africa, Asia, and South America because of the low cost of the drug.  
cochrane.org
almost 5 years ago
Www.bmj
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Success of rogue online pharmacies: sewage study of sildenafil in the Netherlands

The internet continues to harbour thousands of rogue online pharmacies.1 We investigated the success of their practice by measuring the sewage load of the erectile dysfunction drug sildenafil in three cities in the Netherlands.  
feeds.bmj.com
almost 5 years ago