24 Jun 2013
The hip and proximate tissues are implicated in a variety of childhood conditions, and in the differential diagnosis of many more. To a large extent the possible diagnoses are limited by the child’s age, an accurate history and thorough examination. [With external links to the evidence base]
A hundred years ago
25 Apr 2016
DISLOCATIONS, even rare ones, have a knack of cropping up in general practice. One of the most unmanageable and disastrous is undoubtedly congenital dislocation of the hip. Failures gall me, as I suppose they do most people, and the verdict, “Nothing can be done,” always, I fear, arouses my obstinacy.
Pattern of women's drug use alters in prison
29 Mar 2009
Pattern of women's drug use alters in prison Illegal drug use is reduced when women enter prison and their pattern of misuse changes from street drugs to prescription medicines. Prior to imprisonment, just over half of the women entered into the study had been using an illicit drug on a daily basis, and 38% were ever injectors. Following entry into custody, 14% of the sample continued to use an illicit drug daily, and 2% of women continued to inject. The study used participants from 13 women's prisons across England. 'This study highlights the many challenges facing prison-based primary care services. These include:
* providing adequate drug treatment services which are effective in reducing illicit drug use
* harm reduction initiatives to lower the prevalence of injecting use with its related risks
* policy and practice which minimise the opportunity for prescribed medication to be diverted as a source of illicit drugs
* prevention of post-release opiate overdose death in those who stop using heroin on admission to prison and lose opiate tolerance.'