Articles: Volume 7 Issue 4 Jul/Aug 2016

Editorial: ‘Resilience’ – a characteristic clinicians now need to acquire

The internet allows patients rapid access to a wealth of detail about the conditions that affect them and they expect clinicians to be equally, if not better informed when they consult them.
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Recent developments in melanoma management

The incidence of malignant melanoma is increasing and although men and women are equally affected, men appear to have poorer survival. In this article the authors describe identification of melanomas and the exciting new treatments that are significantly improving survival.
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Advances in external beam radiotherapy for prostate cancer

This article describes some of the advances that have been made in external beam radiotherapy techniques over recent years. These developments mean that modern radiotherapy to the prostate is now highly accurate, maximising the dose to the prostate target whilst minimising radiation to adjacent normal …

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Infant circumcision and adult penile sensitivity: implications for sexual experience

A recent study reported that neonatal circumcision is not associated with changes in adult penile sensitivity, leading to viral coverage in both traditional and online media. In this commentary the author questions the conclusions drawn from the study and explores the relationship between objective assessments …

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Obituary: Edwin Darracott Vaughan, 1939–2016

Edwin Darracott Vaughan Jr, of Sheridan, Wyoming, USA, died on Friday 22 April 2016 aged 76. He was born on 13 May 1939 in Richmond, Virginia…
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The BCG shortage – what isn’t the fuss about?

A recent widespread shortage of BCG supplies in the UK has resulted in many patients receiving suboptimal doses of BCG or alternative treatment regimens that may not be as effective. The authors consider the lack of media interest in the issue and look at the …

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‘Mind maps’: helping from pedagogy to packing

A straw poll at the recent Royal Society of Medicine Winter Meeting in Saalbach, Austria, showed that only a handful of delegates were aware of ‘mind maps’ – surprising given that an internet search will find millions of mind map images and articles. In this …

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Angina, nitrates and erectile dysfunction

A common vascular pathology means that many patients with coronary artery disease (CAD) also suffer from erectile dysfunction (ED). The use of oral nitrates in these patients excludes them from the help that a PDE5 inhibitor (PDE5I) could offer. Using a case history, Geoffrey Hackett …

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HPV vaccinations for men and boys

The issues surrounding HPV vaccination in men and boys was the subject of a recent parliamentary debate. The rationale for a pilot programme of vaccination of men who have sex with men and the slow progress towards all boys receiving the vaccine were discussed, as …

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Financing the NHS: time to ditch the ideology

NHS finances are stretched to breaking point and without continuing tax rises the problem will not be solved. Christopher Smallwood proposes an alternative approach.
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