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Tenofovir helps prevent HIV in drug users

Lancet 2013;doi:10.1016/S0140-6736(13)61127-7A team of researchers from Thailand and the US has shown for the first time that tenofovir can help prevent HIV in injecting drug users. Daily prophylaxis cut incidence by about half in a placebo controlled trial of 2413 drug users attending treatment clinics in Bangkok (0.35 v 0.68 per 100 person years;[...]

Pressure mounts for companies to hand over data on antidiabetes drugs linked to pancreatic harm

Pressure on manufacturers to release the data they hold on glucagon-like peptide-1 (GLP-1) based antidiabetes drugs is mounting after a joint BMJ and Channel 4 Dispatches investigation of unpublished data on the potential pancreatic harms in animal and human studies.1The American Diabetes Association has asked all companies involved in the development or marketing of such [...]

Improving cancer care in rural India

“A doctor in the town hospital said I have oral cancer. I have no idea what to do now,” said the 50 year old farmer to an unqualified rural medical practitioner at a tea stall in an eastern Indian village.“Cancer in almost 100% of cases leads to death;it will gradually absorb your money,land,[...]

Posterior circulation stroke:still a Cinderella disease

Although enormous strides have been made recently in hyperacute stroke care in the United Kingdom,one stroke presentation continues to pose particular challenges. Clinicians who treat patients with a transient ischaemic attack (TIA) or ischaemic stroke that affects the posterior circulation face difficulties in making the diagnosis,accessing imaging,and treating the condition effectively. Healthcare [...]

Erythroderma in the emergency department

A 29 year old man was referred to the dermatology department by the accident and emergency department because of a “maculopapular rash.” He had a four day history of an upper respiratory tract…

Latest headlines from BMJ

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Rehabilitation after stroke:summary of NICE guidance

Each year,about 150 000 people in the UK have a first or recurrent stroke.1 Despite UK health policies that place a great emphasis on reducing stroke (such as the National Stroke Strategy2) and improvements in mortality and morbidity,guidance is needed on access to and provision of effective rehabilitation services to maximise quality of life [...]

Screening has not reduced deaths from breast cancer,study shows

Mammographic screening has not had any effect,so far,on breast cancer mortality at the population level in England,a new analysis concludes.Researchers from the Department of Public Health at Oxford University analysed mortality data before and after the breast cancer screening programme was introduced in 1988.1 The research was based on data from the [...]

FDA officials disagree on safety of angiotensin receptor blockers

Top officials at the US Food and Drug Administration and a senior safety reviewer have been quarreling over whether there is sufficient evidence to link angiotensin receptor blockers (ARBs) with an increased risk of lung cancer,the Wall Street Journal has reported.1Internal documents reviewed by the newspaper show that Thomas A Marciniak,medical team leader [...]

FDA officials disagree on safety of angiotensin receptor blockers

Top officials at the US Food and Drug Administration and a senior safety reviewer have been quarreling over whether there is sufficient evidence to link angiotensin receptor blockers (ARBs) with an…

Latest headlines from BMJ

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Poor uptake of hepatitis B vaccine in India has several causes,study finds

Poor management of vaccine stocks,poor record keeping,lack of staff training,and use of multidose vials were among the main reasons for low coverage of the hepatitis B vaccine in 10 states across…

Latest headlines from BMJ

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