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- Ovid from 2001, Rcgp, CSA, Proquest, and Ingenta
The era of genomic medicine.
It is becoming increasingly clear that genomics is beginning to have a major impact in guiding diagnoses and treatment of many disorders. As the cost of DNA sequencing continues to drop and more patient genomes are sequenced, the challenge is to deliver this knowledge to the clinic, particularly in...
Neurology on the move?
This paper describes the unsatisfactory situation that currently affects the provision of neurological services in parts of England, as identified in three recent reports, and contains a number of suggested ways in which the situation might be improved, while highlighting the good work being done by...
Diabetes and renal disease: who does what?
We examined the distribution of care provision for patients with diabetes and CKD. Nephrology services see a minority of diabetic patients with CKD, but they see the majority of those with an estimated glomerular filtration rate (eGFR) of <30 ml/min. Of those followed in nephrology, 70% showed no ev...
Interferon gamma release assays and the NICE 2011 guidelines on the diagnosis of latent tuberculosis.
We assessed retrospectively the current practice of respiratory physicians with respect to interferon gamma (IFNγ) release assay (IGRA) testing for tuberculosis (TB), as recommended by the 2011 National Institute of Health and Care Excellence (NICE) guidelines for the diagnosis and management of TB....
Conservative care for end-stage kidney disease: joint medical conference with the Renal Association, British Geriatrics Society and Associat...
Conservative care is one of the fastest-changing areas of renal medicine. Non-dialytic therapy is now established as a treatment option in most renal units in the UK. This conference reviewed the history of conservative management and examined the state of current practice. The challenges now faced...
What's happening at NICE?
We are confident that it will continue to be relevant to all those working in the National Health Service....
The RCP should support the statutory regulation of herbal practitioners.
'Everybody's business': transition and the role of adult physicians.
The outcome of transition from paediatric to adult care is often judged by what happens after transfer. Young people at the point of transfer are reported to have low levels of knowledge and independence. These observations could be interpreted in one of two ways: either that the transition process...
Inpatient diarrhoea and Clostridium difficile infection.
The changing face of international medicine.