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A hundred years ago
23 Jun 2016
WITH SIR CLIFFORD ALLBUTT as its high priest, bleeding, with restraint, is in the process of coming by its own again. I first heard Sir Clifford Allbutt speak in praise of blood-letting in 1907, and I find this view confirmed in his recently published book. Blood letting has been advocated during the last fifteen years by those best qualified to speak of it from experience, namely, the general practitioners. However, they speak furtively, shamefacedly, and in the fear of the pseudo-scientific superman. These gentle counsellors have been assailed with such vociferous energy by the pseudo-scientist, that their timid voices have scarcely been heard.
23 May 2016
As soon as the acute stage has passed off, usually in a week or two, it is inadvisable to prolong the Weir-Mitchell treatment. The course usually prescribed is six weeks, but this is, in very many cases, harmful. The ennui and monotony are prejudicial, and will engender a feeling of helplessness, feebleness, and dependence upon others. I believe the majority would be far better to begin in a fortnight or three weeks to interest themselves in some pursuit or hobby. It is an interest in life that these people need. This will prevent them from drifting into the chronic stage from which it is so difficult to remove them. In neurasthenia, it is the person rather than the disease that demands treatment.
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.'