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A Selection Of Opinions And Editorials
The End Of Medical Miracles? - Wall Street Journal
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You Too Could Fall Foul Of Claims Rules, Warns MDDUS, Scotland
It"s not just MPs who can make inappropriate claims for recompense or misunderstand the rules, warns the Medical and Dental Defence Union of Scotland (MDDUS).
News of the day
Serum Bile Acid Profiling For Inflammatory Bowel Disease Characterization
Based on serum bank material, BA profiling was applied in IBD patients and healthy controls which showed that most but not all BA species were decreased to a different extent in CD and UC. BA decreases were highly pronounced in CD patients with surgical interventions in the gut. On the other hand, UC patients with additional liver and gallbladder diseases showed clearly increased levels of those BAs that are synthesized directly in the liver (primary BAs), or subsequently modified by intestinal bacteria (secondary BAs). Furthermore, a marked decrease in the toxic BA lithocholic acid (LCA) was found together with a marked increase in its physiological detoxification product, hyodeoxycholic acid (HDCA), irrespective of the IBD phenotype or clinical manifestation, which showed accelerated detoxification activity in IBD patients. Thus, serum BA profiling might serve as an additional diagnostic tool for IBD characterization and differentiation. In combination with expression profiles of nuclear pregnane X receptor (PXR)-regulated genes, it might allow us to estimate the BA detoxification potential of IBD patients.
Public Health

South Australia Ranked Worst, Victoria Best In Fight Against Tobacco

South Australia has the dubious distinction of receiving the AMA"s annual Dirty Ashtray Award for the Australian State or Territory that made the least progress on combating smoking during 2008. AMA Federal President, Dr Rosanna Capolingua, today used the eve of World No Tobacco Day to announce the results of the AMA/Australian Council on Smoking on Health (ACOSH) National Tobacco Scoreboard. The scoreboard allocates points to each State and Territory, over a number of categories, including legislation, to track how effective governments have been at combating smoking over the previous 12 months. "It"s disappointing that South Australia is falling behind the rest of the country when it comes to tobacco control," Dr Capolingua said. "South Australia has made no progress on point-of-sale display restrictions since inadequate laws were implemented in 2007. "Funding for tobacco control and public education is inadequate and there is still no comprehensive smoke-free policy across all South Australian health services." At the other end of the scale, Victoria was ranked as the best performer on the 2008 National Tobacco Control Scoreboard. "Victorian authorities deserve praise for introducing a tobacco control policy which includes a ban on point of sale tobacco displays and smoking in cars carrying children," Dr Capolingua said. "Victoria has a strong public education strategy and good services to assist people who are trying to quit smoking." Dr Capolingua said she hoped the results of the National Tobacco Control Scoreboard would encourage governments to do more to combat tobacco use. "We need a complete ban on tobacco advertising and tougher laws to protect non-smokers, especially children, from second-hand smoke." "The Federal Government should significantly increase tobacco excise beyond inflation and use the proceeds to fund public health programs," Dr Capolingua said. Australian Medical Association


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