All Health Service Journal articles in 2000-02-17
View all stories from this issue.
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Not there yet
Despite the increasing proportion of women in medicine and the changes they have brought to medical practice, they are still grossly under-represented in areas such as surgery. Barbara Millar reports
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WEB WATCH
The most comprehensive and authoritative guide to prescription medicines in use in this country began to offer open access to the public as well as healthcare professionals recently, with a pharmaceutical database listing 2,500 medicines and the 15,000 changes made every year to drug licences.
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Paying the price for the Peter principle
I had set aside the Commons Hansard of 28 January to pore over the second-reading debate on Ann Winterton's Medical Treatment (Prevention of Euthanasia) Bill in a quiet moment. So it came as a shock to realise that it had led Liberal Democrat MP-GP Peter Brand to be investigated by ...
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Modernisation is so old-hat
Following Labour's election victory, many observers speculated on whether it would do what no Conservative government could ever do, namely dismantle or significantly reduce the NHS's monopoly by encouraging the growth of private health insurance.
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Quacking idea
A duck bench, carved in oak by woodworker Nicola Henshaw, near Colchester General Hospital's lake.
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Slow-burner: the history of tobacco use
As early as the 1st century BC American Indians were using tobacco for medicinal and ceremonial purposes. By the time Europeans arrived in the Americas in the 15th century, smoking was widespread.
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The healthcare practitioner's role
Assessment of patient's condition Case history Observations (pain, blood pressure, temperature, pulse, respiratory rate, blood-glucose measurement, oxygen saturation measurement) Physical examinations and assessments Chest examination (respiratory assessment, heart, heart sounds) Abdominal examination (tenderness or guarding, swelling or oedema, bowel sounds, abnormalities) Rectal examination Vaginal examination Central nervous system assessment Patient ...
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Spoiling for a fight on smoking
HSJ website poll reveals managers' support for suing tobacco companies
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Round the world, but still the lone female
Iona Reid has travelled the world to get to the top in her chosen career as a surgeon.
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'Without family support it would be
Alison Lannigan, a specialist registrar at Glasgow Royal Infirmary, has two children, aged four and 18 months, and - just a step away from becoming a consultant surgeon - has little time to spare.
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Not hip enough
The Audit Commission has criticised hospitals for failing to make enough progress in treating patients with hip fractures.
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Encouraging growth: hospital medicine
Since 1988 there has been a steady increase in the percentage of women hospital medical staff in all the main grades. Their total number has risen by 72 per cent since 1988, to 20,210 in 1998.
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Self-regulation in doubt for GMC post-Shipman
The General Medical Council could become subject to political regulation if it does not speed up suspension procedures after the Shipman murder case. Ministers are thought to have become impatient with GMC claims that its procedures cannot be quickened without legislative reform.
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MDU says GPs 'do not have to follow' NHS Direct
The Medical Defence Union has responded to a 'rush of enquiries' from GPs to its helpline about NHS Direct by saying family doctors 'do not have to blindly follow' the nurse-led telephone helpline's recommendations but may be 'well advised' to make detailed notes if they decide not to see a ...
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Diagnostic tests
Decide, order and undertake appropriate tests within agreed protocols (ECG, x-ray, haematological and biochemical analysis, blood-gas analysis, request blood for transfusion, analysis of urine, stools, sputum and swabs) Order (but not perform) microbiological and virology analyses Examine and interpret the results of the tests
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Diagnosis and treatment plan
Provisional diagnosis Develop and implement treatment plan (commence oxygen, prescribe medication within agreed protocol, administer medication, catheterisation: male and female, further tests, mobilisation and rehabilitation, pulmonary rehabilitation, dietary assessment and advice, p rescription of dietary supplements, prescription and administration of IV therapy, swallowing assessment, change a peg tube, change supra-pubic ...
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Days like this
Drug demand to increase. . . directors want more cash. . . call for change in community care. . .DoH accused of lying. . . homeless 'too expensive'