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<pubDate>Fri, 16 May 2008 12:16:08 GMT</pubDate>
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<title><![CDATA[Is ferrous gluconate the only available gelatin free iron product?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8417]]></link>
<description><![CDATA[We frequently get asked about vegetarian products and have never been able to answer them satisfactorily.   We have spoken to the Vegetarian Society and they do not keep a list that they would consider robust.]]></description>
<pubDate>Thu, 15 May 2008 17:47:00 GMT</pubDate>
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<item>
<title><![CDATA[Can you advise me on various drug combinations for syringe drivers?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8376]]></link>
<description><![CDATA[Unfortunately, we could not find enough information with which to answer this question. We searched the Palliative Drugs Database (]]></description>
<pubDate>Thu, 15 May 2008 17:34:00 GMT</pubDate>
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<item>
<title><![CDATA[Is there guidance for giving HRT to women in their late 40s who have had cervical dysplasia treated with loop excision (...]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8410]]></link>
<description><![CDATA[We searched the NLH Specialist Libraries for Women's Health, and Cancer plus the TRIP and Medline databases but found no guidance concerning the suitability of HRT for patients who have had cervical dysplasia. Given this to be the case, we can only suggest seeking advice from a local specialist.]]></description>
<pubDate>Thu, 15 May 2008 14:37:00 GMT</pubDate>
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<item>
<title><![CDATA[What proportion of people are intolerant of statins?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8412]]></link>
<description><![CDATA[An Australian prescribing bulletin has published a whole article on statin intolerance (1).   This highlights different types of intolerance as well as reporting: "In controlled clinical trials, adverse drug reactions occurred in about 2% of patients, and drug withdrawal in about 1% a year.]]></description>
<pubDate>Thu, 15 May 2008 09:52:00 GMT</pubDate>
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<item>
<title><![CDATA[Can you give paracetamol and ibuprofen together in children with a fever?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8408]]></link>
<description><![CDATA[In 2007 NICE published 'Feverish illness in children' which recommends: "Paracetamol and ibuprofen should not be administered at the same time to children with fever. Paracetamol and ibuprofen should not routinely be given alternately to children with fever.]]></description>
<pubDate>Thu, 15 May 2008 08:20:00 GMT</pubDate>
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<title><![CDATA[Are there any national guidelines applicable to nail surgery performed by a podiatric team using local anaesthesia?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8409]]></link>
<description><![CDATA[We found no formal guidelines.   However, we found some documents that might prove useful: Nail Surgery, Bassetlaw PCT]]></description>
<pubDate>Thu, 15 May 2008 08:00:00 GMT</pubDate>
<guid isPermaLink="false">www.plazoo.com-1688855843081001</guid>
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<item>
<title><![CDATA[What are the criteria (if any) for aspirin be prescribed for primary prevention of CVD in 40-80age group?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8411]]></link>
<description><![CDATA[CKS have published a guideline on antiplatelets (1) which includes the section 'No clinically apparent cardiovascular disease'.   This reports: "When are antiplatelet drugs indicated? Antiplatelet drugs are indicated in the following: All people aged 50 years and over with a 10-year cardiovascular risk ...]]></description>
<pubDate>Thu, 15 May 2008 07:43:00 GMT</pubDate>
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<title><![CDATA[How do I diagnose and manage normocytic anaemia in a diabetic patient?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8368]]></link>
<description><![CDATA[The NLH Q&amp;A service cannot suggest whether or not to refer an individual we can however provide information on normochromic normocytic anaemia. A search in the TRIP database located two sources of information on normocytic anaemia that may be of general interest to you.]]></description>
<pubDate>Thu, 15 May 2008 06:21:00 GMT</pubDate>
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<title><![CDATA[Child autism link to pet shampoo]]></title>
<link><![CDATA[http://www.telegraph.co.uk/news/uknews/1955984/Child-autism-link-to-pet-shampoo.html?source=rss]]></link>
<description><![CDATA[A chemical commonly found in pet shampoo could contribute to the development of autism, scientists have found.]]></description>
<pubDate>Wed, 14 May 2008 21:40:00 GMT</pubDate>
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<title><![CDATA[In patients with significant vaginal wall prolapse (either anterior or posterior) do vaginal cones help? Or is there a r...]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8387]]></link>
<description><![CDATA[We searched the NLH Women's Health Specialist Library and the TRIP and Medline databases but found no guidelines or studies specifically examining the use of vaginal cones for the treatment of incontinence in women with moderate to severe vaginal wall prolapse. However, a Cochrane review of ...]]></description>
<pubDate>Wed, 14 May 2008 16:14:00 GMT</pubDate>
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<title><![CDATA[How should overgranulation of wound tissue be treated?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8396]]></link>
<description><![CDATA[Over the past three years, we have received a number of questions on the management of overgranulation of wound tissue and on each occasion have failed to find any guidance or robust studies to inform management of this condition. For example, see two previous answers on this issue: NLH Primary Care ...]]></description>
<pubDate>Wed, 14 May 2008 15:58:00 GMT</pubDate>
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<title><![CDATA[In a child with 3 doses of diphtheria tetanus pertussis &amp; hib, but only two of polio, what should we do?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8400]]></link>
<description><![CDATA[We contacted the Health Protection Agency (]]></description>
<pubDate>Wed, 14 May 2008 10:39:00 GMT</pubDate>
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<title><![CDATA[Can a women with a hysterectomy and history of breast cancer use megestrol?  Also, as it is being withdrawn, what are th...]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8398]]></link>
<description><![CDATA[Given the potential for harm and a lack of clear guidance we would prefer to forward this question to a specialist medicines information unit. They will be better placed to take into account patient characteristics and therefore offer you a more clinically relevant recommendation.]]></description>
<pubDate>Wed, 14 May 2008 09:38:00 GMT</pubDate>
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<title><![CDATA[Please can you tell me what childhood immunisations are given in Monrovia?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8402]]></link>
<description><![CDATA[Unfortunately, we have been unable to locate any information regarding the immunisation programme in Monrovia. The CKS guideline on childhood immunisations (1) deals with the issue of unknown immunisation status and how to manage that situation.]]></description>
<pubDate>Wed, 14 May 2008 09:28:00 GMT</pubDate>
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<item>
<title><![CDATA[In the case of the delivery of twins which has lower mortality/morbidity for vaginal delivery versus caesarean?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8391]]></link>
<description><![CDATA[The research does not appear to have been carried out in the detail needed to answer this question.   Much of the research on delivery outcomes in twin pregnancies does not differentiate between monochorionic and dichorionic twins.]]></description>
<pubDate>Wed, 14 May 2008 09:02:00 GMT</pubDate>
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<title><![CDATA[What evidence is there of giving injections of steroids in patients with uncontrolled allergic rhinitis?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8385]]></link>
<description><![CDATA[In 2007 Clinical Evidence published 'Seasonal allergic rhinitis in adolescents and adults' (1).   This states that systemic corticosteroids are 'likely to be beneficial'.]]></description>
<pubDate>Wed, 14 May 2008 08:04:00 GMT</pubDate>
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<title><![CDATA[Medical certificates from chemists]]></title>
<link><![CDATA[http://the-riotact.com/?p=7480]]></link>
<description><![CDATA[Does anyone have any more info on the idea that to ease demand on GPs, pharmacists would be allowed to issue medical certificates? Would love love love this to be a reality in Canberra having tired of the wait in our public clinics (over 3 hours on average and no guarrantee of being seen) and waiting ...]]></description>
<pubDate>Tue, 13 May 2008 23:06:00 GMT</pubDate>
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</item>
<item>
<title><![CDATA[HBO Shows Will Appear on iTunes, Some at a New Price]]></title>
<link><![CDATA[http://proteinos.com/feeds/2008/05/hbo-shows-will-appear-itunes-some-a-new-price]]></link>
<description><![CDATA[Apple has been famously inflexible about pricing on iTunes: TV shows are $1.99, songs 99 cents. (NBC flew the coop last year over Apple's unwillingness to alter that policy.)So now Apple is changing the rules, to be able to add HBO shows to its library (only when they are released on DVD.)From the Wall ...]]></description>
<pubDate>Tue, 13 May 2008 19:19:00 GMT</pubDate>
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<item>
<title><![CDATA[Are there any national self-help groups for patients with depression?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8374]]></link>
<description><![CDATA[The NLH's specialist library for mental health (]]></description>
<pubDate>Tue, 13 May 2008 18:31:00 GMT</pubDate>
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<item>
<title><![CDATA[For an elderly, post-MI, Bangladeshi lady with high triglycerides, already on benzafibrate what options are available?]]></title>
<link><![CDATA[http://www.clinicalanswers.nhs.uk/index.cfm?question=8392]]></link>
<description><![CDATA[The CKS guideline on lipids management (1) reports: "Triglyceride (TG) level is a risk factor for cardiovascular disease, and is independent of total cholesterol. However, in practice, clinical management of plasma lipids is primarily directed at LDL cholesterol, and the main concern with very high ...]]></description>
<pubDate>Tue, 13 May 2008 17:16:00 GMT</pubDate>
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