There are few evidence-based guidelines for the treatment of scleroderma, and its wide range of potential complications means many different medicines can be used in treatment.
Understanding the different molecular pathways behind a disease will help doctors to manage it.
Complete the CPD modules and receive your certificate from The Pharmaceutical Journal.
Scleroderma: clinical features and diagnosisSubscription
Scleroderma is associated with a higher mortality rate than all other connective tissue disorders because of its multiple complications, including pulmonary hypertension and renal crisis.
With more than 20,000 patients hospitalised in the UK each year because of food poisoning, quick assessment is essential.
Pipeline November 2014Subscription
The latest approvals and positive opinions from the European Medicines Agency.
How to tailor treatment for patients and ensure optimum management of Crohn’s disease and ulcerative colitis.
Improving antimicrobial stewardshipVideoSubscription
Improve your practice and slow the increasing levels of antimicrobial resistance that already cost around 25,000 deaths across Europe each year.
Robert Blyth (1921–2014)Subscription
Douglas Simpson highlights the achievements of Robert Blyth, former editor of The Pharmaceutical Journal, who maintained strong editorial authority for a quarter of a century.
A battleground between public health and diseaseSubscription
‘Dirty old London: the Victorian fight against filth’, by Lee Jackson.
How NHS pharmacists can secure a promotionSubscription
Newly registered hospital pharmacists can seek to progress in their career by gaining experience and completing a clinical diploma. However, once this is achieved, securing further promotion can be a challenge.
Reema Caddies splits her time working between urgent care helpline NHS 111 at Yorkshire Ambulance Service and managing medicines for Local Care Direct, which operates an out-of-hours GP service.
Pharmacy must turn words into actionSubscription
The pharmacy profession must actively promote its clinical services to avoid a bleak future, says Sandra Gidley, vice-chair of the English Pharmacy Board.
Communicate to make care saferSubscription
Better communication between pharmacists and GPs is crucial to improving patient safety, says Andrea Smith, Scottish Pharmacy Board member and national clinical lead (pharmacy) for the Scottish Patient Safety Programme.
E-cigarettes that contain nicotine can help people quit smoking long-term or reduce the number of cigarettes they smoke compared with products that do not contain nicotine, say Cochrane reviewers.
Lack of evidence for seven investigational drugs being developed for the treatment of Ebola means it is impossible to make conclusions about their safety or efficacy.
Women with a history of mental health problems should receive additional support before, during and after their pregnancy, according to new NICE guidance.
People with diabetes using insulin pens from a number of faulty batches manufactured by Owen Mumford are at risk of hyperglycaemia.
HIV is evolving relatively rapidly, which is contributing to a reduction in HIV virulence at the population level, say researchers writing in PNAS.
For most women, the long-term benefits of aspirin do not outweigh the increase in major gastrointestinal bleeding, say researchers.
Immune checkpoint inhibitor shows “striking preliminary efficacy and safety results” in metastatic bladder cancer, say researchers.
Charity Pharmacist Support has recently launched a series of wellbeing workshops for pharmacists, preregistration trainees and pharmacy students. Emma Page shares some tips from the workshop she attended this week.
Pam Mason describes a study from the British Dental Journal, which found that 5% of Roman skulls examined showed signs of moderate to severe gum disease, compared with up to 20% of adults with chronic progressive periodontitis today.
Current initiatives to roll out patient record access to pharmacy provide insufficient patient information, and lack functionalities to ensure safe and efficient provision of services to patients. Moreover, access to these records have been patchy and wider access is needed, writes Andrew Davies.
Chris Chapman describes a campaign from the University of East Anglia student union to remove the 5% VAT that women’s sanitary items are subject to.
Steve Bremer describes different types of parasitic infection that can cause behavioural changes in humans.
Caution is needed with e-cigarettesSubscription
In 2013, the World Health Organization (WHO) published a report on electronic nicotine delivery systems (ENDS), known as e-cigarettes. The working party responsible showed less enthusiasm than Margaret Cunningham (The Pharmaceutical Journal 2014;293:599). ...
English language testing is a good thingSubscription
I support the plans for the General Pharmaceutical Council (GPhC) to test pharmacists and pharmacy technicians from the European Economic Area (EEA) on their levels of English.
Anna Cichowska, consultant in public health strategy for NHS England and Mark Gilchrist, consultant pharmacist at Imperial College Healthcare NHS Trust discuss the challenge of antimicrobial resistance and highlight key areas of concern.’