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Volume 11 Issue 9 - September 2008

  Colour Key:
  NICE or Department of Health guideline
  SIGN guideline
  Independent professional body guideline
  Working party guideline
  Other articles
Guidelines in Practice - September 2008 cover
  Editorial
  NSF for diabetes improves care
  News
  Advice will cut early deaths from familial hypercholesterolaemia
  Ranibizumab is approved for age-related macular degeneration
  Personal View
  Are obesity guidelines in need of an update?
  Dr Matthew Capehorn reviews currently available advice on obesity assessment and management, and gives a rationale for drug use
  New Guideline
  Better awareness of NICE stroke guideline will improve patient care
  Dr Anthony Rudd and colleagues explain how early treatment of stroke and well-organised stroke services will benefit a significant number of patients each year
  New Guideline
  SIGN guideline will aid recognition of invasive meningococcal disease
  Advice on assessment and appropriate action will improve out-of-hospital management of children and young people with IMD, explains Dr Jilly Hamilton
  Guideline Revisited
  Dysphagia should always be considered when prescribing
  Dr David Wright revisits the consensus guideline for patients with swallowing difficulties and explains why the correct formulation is as important as the medicine
  Patient Consultation
  Management of a 7-year old boy with dry skin all over his body, who has a history of atopic eczema
  Jill Peters discusses the assessment and management of this patient emphasising the importance of emollient use and how corticosteroid therapy can control this condition
  Medico-legal Issues in Practice
  Clear communication can help to avoid and mitigate complaints
  Dr Gerard Panting discusses the impact on healthcare professionals of patient grievances, how to avoid them happening, and how to cope with the outcomes
   
  Out of Hours
  When does high mortality trigger alarm bells?
  Dr Phil Hammond, broadcaster and sessional GP in Bristol