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Archive for December, 2007

BMJ  2007;335:470-471 (8 September):
News
Proliferation of firearms is growing global health problem
John Zarocostas
The growing number of civilians holding firearms is fuelling gun crime worldwide and is putting healthcare systems, especially in poor countries, under stress, an expert report says. Gun crime kills about 250 000 people a year and injures many more.

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BMJ  2007;335:786 (20 October).
Two papers have recently been published on bmj.com on the treatment of osteoarthritis of the knee.
Acupuncture has no additional benefit in people taking a course of exercise.

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Research, BMJ, doi:10.1136/bmj.39367.495995.AE (published 6 November 2007)
 
What is already known on this topic

Increased body mass index is known to increase the risk of adenocarcinoma of the oesophagus, endometrial cancer, kidney cancer, and postmenopausal breast cancer in women
Body mass index has also been associated with the risk of other, rarer, cancers, but the findings are not [...]

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Clinical Review, BMJ  2007;335:929-932 (3 November).
Summary points

A favourable outcome depends on early, aggressive, treatment
Antimicrobial treatment must take into account both patient susceptibilities and local resistance patterns; advice from infectious disease or microbiology colleagues is often helpful
Volume resuscitation and cardiovascular support should be titrated to simple clinical end points
Subtle signs of organ hypoperfusion should be sought in physically robust [...]

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DRINKING SENSIBLY

BMJ 21 December 2007
With the festive season in full swing, Ian Gilmore and Nick Sheron urge the implementation of policies to curb excess drinking to reduce the harms of alcohol in the UK (read more), whereas Christopher Cook and colleagues consider a classical Greek text that makes it obvious that drunkenness has a long tradition [...]

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BMJ 21 December 2007;
Organised marathons are not associated with an increased risk of sudden death, despite the media attention they attract. In fact, marathons lower the risk of fatal motor vehicle crashes that might otherwise have taken place if the roads had not been closed

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Editorials, BMJ  2007;335:897 (3 November).
The possible influence of diet on the risk of cancer is constantly topical. The subject is important because people can change their diets, and even a moderate effect on risk could prevent several thousand cancers each year in a country the size of the United Kingdom. However, apart from the confirmed adverse effects of [...]

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Simon Gates and colleagues – BMJ, 18 December 2007
There is little evidence that fall prevention programmes used throughout the NHS are effective in cutting the number of fallers or fall related injuries.

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BMJ  2007;335:765-768 (13 October), by:
Patrick Petignat, consultant gynaecological oncologist, Michel Roy, professor and gynaecological oncologist.

Cervical cancer is the second most common cancer in women worldwide.
Cervical cancer is an important cause of early loss of life as it affects relatively young women. 
Cervical biopsy is the most important investigation in diagnosing cervical cancer

Surgery or chemoradiotherapy can cure 80-95% of women with [...]

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Rapid response to Professor Gareth William’s editorial on the use of weight loss aid, orlistat, correctly concludes that it is no substitute for a healthy lifestyle;
by: Howard Marsh MRCP MRCGP
Medical Director
GlaxoSmithKline Consumer Healthcare, 1500 Littleton Rd, Parsipanny, New Jersey 07054, USA

GSK launched a non-prescription version of orlistat (brand name alli) in the US in June [...]

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