Practitioner CPD prompts to action
Immediate CPD prompts
These handy templates*, associated with all articles, prompt drafting of personal learning, reflection and planning.
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A hundred years ago
15 Dec 2016
I have several hypodermic syringes of the latest patterns, and keep them in an excellent condition, but I very seldom use them except by the express wish of a patient who has had injections before. A syringe will not lie idle for very long before it becomes faulty, and the constant attention one has to pay to the fine wires within the needle is a serious handicap to the physician. By the sublingual method, all that I have just mentioned is negatived, the exhibition of the remedy is a direct one, and no mechanism of any kind is required.
Giving up alcohol early on improves survival in cirrhosis
21 May 2009
Stopping drinking a month after the diagnosis of cirrhosis is the most important predictor of survival, a British study has found. The severity of cirrhosis found on biopsy had little impact on survival. The study followed 100 patients consecutively diagnosed with biopsy proven alcohol-induced cirrhosis at Southampton General Hospital. Patients with additional disease processes which were non-cirrhotic and patients without accurate mortality data were excluded from the study. Biopsies were scored for severity of cirrhosis by two independent observers. Data on drinking 30 days after diagnosis were available on all but four subjects.'This study clearly confirms that the single most important determinant of long-term prognosis in alcohol-induced cirrhosis is for the patient to stop drinking. For patients with cirrhosis, it is never too late.'