Search

Presents several correspondence on medical education in Great Britain. Consideration of the angiotensin converting enzyme inhibitors and renal artery occlusions; Bone mineral response to brief exercise test; Ethics of clinical research.

Focuses on the need to address synergistic pathology of injecting drug misuse. Courses of action taken to prevent drug abuse; Measurement of addiction and treatment interval; Need to establish taking drug practices.

Reports issues related to medicine. Guidelines for the HIV testing of patients with end stage renal failure; Failure to deliver hepatitis B vaccine; Evidences for sexual transmission of Hepatitis C virus.

Presents several letters to the editor published in the 'British Medical Journal' as of July 1990. Queries relative to obstetric accidents cited by M. Ennis and C.A. Vincent; Assessment on the effects of dihydrocodeine misuse among opiate addicts; Scrutiny on the role of screening among patients with cancer of the prostate.

Comment on the issues related to medical care in Great Britain. Appeal to the medical community by Anne Savage for collection of medical supplies by the charity Inter Care; Prevalent misuse of temazepam; Death from natural causes while driving.

Comments on several issues related to medical care in Great Britain. Information on neonatal screening for hemoglobinopathies; Innovation in general practice; Management for analgesic toxicology.

Examines the role of treatment structure and program characteristics in the delivery of methadone maintenance. Changes and advances in research and clinical practice; Utilization of the cost and benefit perspectives of the treatment; Benefit of methadone maintenance programs.

The article presents an overview the guidelines and recommendations for psychosocial interventions and opioid detoxification for drug misuse which have been created by Great Britain's National Institute for Health and Clinical Excellence (NICE). A discussion of changes which have been seen in the treatment of drug addicted individuals in Great Britain is presented. NICE's recommendations for psychosocial and detoxification programs were developed from and are based on the systematic reviews of the best available evidence the organization had.

Discusses the use of cannabis in Great Britain. Details on its psychological harms; Impact of a national policy on cannabis use.

Comments on the effects of absinthe, the emerald green liquor associated with excess. Where was it formulated; Who were the artists touched by the liquor; What are the effects of the liquor's ingredients; Diseases absinthism was associated with.

Examines the extent of prescribing injectable and oral methadone to opiate addicts in Great Britain. Dispensing arrangements attached to the prescriptions; Different forms of methadone.

Examines the role of community pharmacies in relation to HIV prevention and drug misuse in Great Britain. Activity levels of community pharmacies; Number of prescription for opiates and amphetamines.

Focuses on the challenges in the management of alcohol consumption and drug abuse in Europe. Assessment of the nature and extent of the problem; Patterns of intermittent and explosive drunkenness; Increase in drug movement within and between countries. INSET: Helpful target.

The authors focus on the use of the drug, naloxone, as an emergency measure to treat heroin overdose. Its timely application rapidly reverses respiratory suppression from overdose, a major cause of death in young people. They believe that naloxone should be available for patients at risk, their families and caregivers at home to prevent death in the critical time before specialist care arrives.

Discusses supervised injecting centers and supervised injectable maintenance clinics in United Kingdom and the differences between the two. Description of the two facilities; Supervised injecting center which is a public health facility and not for the treatment of individual addiction; Supervised injectable maintenance clinic which is for known patients who are addicts and have failed to benefit from first line treatment; Organizational and legal challenges; Suggestion that both proposals deserve serious consideration, especially regarding claims of harm reduction.

This study examines the data on all NHS methadone prescriptions dispensed by community pharmacists in England. Method and results; Finding that the extent of methadone prescribing in England has tripled; Profound change in national practice regarding methadone prescribing in the directions proposed by the new national recommendations; Evidence that the widespread publishing of national guidelines was followed by major change in national patterns of prescribing, with change occurring gradually.

Presents a study on the loss of tolerance and overdose mortality after inpatient opiate detoxification. Discussion about opiate overdose in many countries; Findings that treatment reduces mortality; Description of the participants, methods, and results of the study.

Discusses take home naloxone and the prevention of deaths from opiate overdose. Reasons why doctors routinely give naloxone during emergency resuscitation after opiate overdose; Methods; Results; Case studies; Conclusion.

Focuses on a comparative study which examined the implication of government recommendation on methadone prescriptions in England. Methodology and results; Comment on the study.

Discusses the strategy developed by the government of Great Britain to tackle drugs misuse. Total government drug related expenditure in 1997-98; Consumption of illegal drugs among young people; Challenges with the strategy.

Editorial. Focuses on the need to improve treatment measures and services for doctors addicted to drugs and alcohol in Great Britain. Behavioral responses of addicted doctors to treatment; Factors considered in identifying addiction problems; Components of care which are essential in the treatment of addiction problems among doctors.

Editorial. Talks about the detoxification treatment of opiate misusers in which acute provocation of withdrawal by opiate antagonists is administered under the cover of general anesthetic. Controversy about the treatment; History of the detoxification procedure; Two potential advantages of the technique which warrant careful consideration.

Editorial. Discusses the reasons why the appointment of a drug czar in Great Britain may do more harm than good to the resolution of the drug menace in the country. Danger that increased political attention to the drug problem may backfire; Dissociation between public appeal of the policy and actual evidence of effectiveness; Nature of the war on drugs.

Focuses on the problem of drug abuse in the prisons of Great Britain. Risk of HIV viruses contraction by sharing of injecting equipment; Challenge for the judicial system to divert drug users from the criminal justice system to the treatment system; Reaction on the lack of adequate medical care in the prison system.

Focuses on the use of cocaine derived drug 'crack' in Great Britain. Characteristics of crack; Observation of paranoia and transient cocaine psychosis; Application of tricyclic antidepressants as treatment for addicts.

Editorial. Focuses on the issue of the use of naloxone as an intervention in heroin overdose. Opiate users at high risk of overdose as a target group for naloxone; Negligibility of the potential for abuse of naloxone; Need for modification if naloxone were to be provided to opiate users.

Focuses on the policies for managing drug misuse in Europe. Establishment of a Monitoring Center for Drugs and Drug Addiction; Removal of criminal sanctions for personal possession of psychoactive drugs; Use of methadone as treatment for opiate addicts; Prevalence of HIV infection among intravenous drug users.

Examines the changes in the route of administration of heroin in Great Britain. Effects of the changes of the administration of heroin on the transmission of HIV; Explanation of the emergence of the non-injecting route of heroin; Repercussions of the ignorance of the change of drug administration on the development of prevention and treatment programs.

Focuses on harm minimization for drug misusers in Great Britain. Advice on dietary and drug regimens for diabetic patients; Attempts to reduce sharing open syringes and unprotected sex FOR HIV; Occurrence of maintenance programmes on drug misusing.

Focuses on the intravenous misuse of benzodiazepines among drug users in Great Britain. Distribution of oral use of benzodiazepines; Determination of other drug formulations used by users; Proposals for the removal of temazepam formulation from the market.

Examines the comparison between community drug teams with and without inbuilt medical services in Great Britain. Availability of care for drug takers; Development of drug services; Role of drug teams on medical input.

Examines the clean injecting equipment during treatment of HIV and AIDS patients in Great Britain. Consideration of boiling the equipment as best method; Concentration of equipment to bleach; Importance of providing clear instructions on cleaning technique; Distribution of leaflets during injection.