Articles: Volume 6 Issue 5 Sep/Oct 2015

Editorial: Dignity in dying

At present, every two weeks someone travels abroad from the UK to die, and it is estimated that around 300 terminally ill patients succeed in taking their own life in the UK every year…
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Contemporary management of renal stones

The lifetime risk of developing calculi in the urinary tract is around 10–15% and appears to be increasing. The chance of a subsequent stone after the initial episode in a 10-year period is 50%. The authors describe how contemporary non-invasive and minimally invasive treatments have …

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What to expect if you are sued

Like all professionals, healthcare professionals may be sued. In medicine it seems increasingly likely as we move away from the era of ‘doctor knows best’. In this article James Badenoch QC describes what happens from the first letter telling you there is a problem to …

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Engaging men with long-term conditions in self-management support

Improving the treatment and management of long-term conditions (LTCs) is a significant health issue. Self-management support (SMS) is a whole system approach that helps patients manage the physical and emotional challenges of an LTC. However, evidence suggests men are harder to engage in SMS. In …

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The gold standard prostate cancer journey: from the patient’s perspective

Prostate cancer is the most common cancer in men in the UK. Over 40 000 men are diagnosed with prostate cancer every year and over 250 000 are currently living with the condition. In 2014 a working group comprised of charities, patients and healthcare professionals …

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Low testosterone and the metabolic syndrome: a high-risk combination

Hypogonadism and the metabolic syndrome commonly coexist, and when combined, pose a high cardiovascular risk and can have a profound effect on a man’s health and wellbeing. Mike Kirby describes the features of both conditions and provides advice on management.
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Health Improvement Project Zanzibar: a new model of healthcare delivery

The effectiveness of aid programmes in delivering improvements on the ground in resource-poor countries is often questioned. In this article the authors describe a project involving the direct, semi-autonomous running of two hospitals in Zanzibar and highlight the successes they have achieved.
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‘Should I get a PSA test?’ – the question is not that simple

PSA screening for prostate cancer is a controversial issue around the world. In this article the authors describe the situation in North America where screening is not being advised. They argue that patients should be tested and that men will adapt and learn to live …

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Radioisotopes reborn: radium-223 and its role in the management of prostate cancer

This report is based on a seminar held during the 11th Annual Meeting of the British Uro-oncology Group (BUG) in London, 12–13 September 2014. The seminar discussed the development of radium-223 and its role in the management of prostate cancer, including an overview of the …

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Journal review

An update on the latest relevant journal articles. Mike Kirby, GP and Visiting Professor, University of Hertfordshire and The Prostate Centre, London, writes the ‘Message for the clinic’
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