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Re-registration for The Practitioner website

The Practitioner website went live on this new platform on 31 December 2009. Throughout February 2010  the site will be undergoing  checks and refinement of the content.

'Registered users' on the old site will need to "reset your password" as passwords were not transferred to the new site.

'Paid-up subscribers' to the journal should also "reset your password".  Note that the  'subscriber-only' icon will not open to you until after you insert your Web Id, and  this will not be possible until at least the 9 February, when the Web ID slot will be on the website's registration form.

 

Symposium

Care of the elderly: Diagnosing joint pain in older people

20 Jan 2010

Musculoskeletal disease is the most common cause of chronic pain and disability in older people. Joint pathology may lead to reduced mobility, increased risk of falls, low energy, dependency and depression. Chronic pain itself is strongly associated with psychological distress and fatigue. The importance of correctly diagnosing and managing joint pain in the elderly is paramount and the GP is central to this process.
 

Care of the elderly: Normal cognitive decline or dementia?

16 Jan 2010Registered users

Brain ageing is generally thought of as atrophy, leading to cognitive deficits and functional impairment.  However,  there are also physiological reductions in cell numbers, connectivity and brain plasticity during the life span that may play an important role in the adjustment of brain function to the changing roles of the individual.

 
 
 

SPECIAL REPORT

Tackling depression in patients with chronic conditions

15 Jan 2010Registered users

For patients with  a chronic condition and depression the prognosis is thought to be  worse. Comorbid depression is associated with increased pain, greater functional impairment and reduced quality of life. Depressed patients may lack the confidence to self-manage their condition, increasing the risk of long-term complications.

 

Identifying patients with the metabolic syndrome

27 Aug 2009Registered users

The age-adjusted prevalence of metabolic syndrome was approximately 25% of the US adult population in a national survey published in 2002. In a community-based  study in the US, the relative risk of developing diabetes over 11 years among obese patients was increased 10-fold in those with the syndrome, and the risk of developing CVD was increased 2-fold. The prevalence of the syndrome in adults in the UK is of the order of 15-20%.

 
 
 

Editorial

Alcohol consumption decreases risk of BPH

15 Dec 2009Registered users

'An association between BPH and metabolic dysfunction has been postulated ...suggesting links between factors that increase the risk of CVD with the risk of BPH.'
 
 
 

This month's CME exercise

CPD exercise December 2009

15 Dec 2009Registered users

SLE, psoriatic arthritis, pericardial fat, aspirin, BPH, anxiety, alcohol consumption.
 
 
 

PHOTOGUIDE

End of year photo quiz

15 Dec 2009Registered users

Test your diagnostic skills - and check the answers by clicking the thumbnail pictures.

 

Sun damage

27 Aug 2009Registered users

By Dr Nigel Stollery
 
 
 

HASLAM

Reading between the lines to make a diagnosis

15 Dec 2009Registered users

'He could have looked cross. Instead he just looked through me into the middle distance as his eyes very slowly filled with tears'

 

Haslam's view: Our view of lives from the cradle to the grave

27 Aug 2009Paid-up subscribers

'When, 20 years later, I saw him happy and healthy then I knew that particularly stressful day’s work had really been worthwhile.'

 
 
 

100 Years ago

On being tired

15 Dec 2009

'...in this kneeling position, he wrote all his works, the blood having thus to travel to his brain in a horizontal line, instead of upwards against the force of gravity as it would have had to do in the sitting position.'

 

Pasteur, science and medicine

15 Dec 2009

'The death of his children, the loss of the many brave young heroes in the ambulance tents during the war, the epidemics he had witnessed, all this human suffering weighed upon him and determined him to do his utmost to solve the problems which medical men, working alone, seemed unable to fathom.'