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Volume 11 Issue 10 - October 2008

  Colour Key:
  NICE or Department of Health guideline
  SIGN guideline
  Independent professional body guideline
  Working party guideline
  Other articles
Guidelines in Practice - October 2008 cover
  Editorial
  NOGG fills gap left by delayed NICE osteoporosis guidance
  News
  New guidance will help identify people at risk of premature death
  NICE has published guidance on ADHD diagnosis and management
  Personal View
  Patient education is vital for type 2 diabetes care
  NICE presents a model for care of long-term conditions that involves patients in their own disease management, says Dr Tom Humphries
  Editorial
  Local QOFs may help with obesity management
  Tam Fry highlights the need for indicators to monitor and manage overweight and obesity in pre-school children appropriately
  New Guideline
  New guideline covers care for all patients with osteoporosis
  Improved prediction tools and cost-effective treatments to reduce fracture risk can lessen the burden of osteoporotic fractures in older patients, says Professor Juliet Compston
  Hot Topic
  Effective change management brings better patient care
  Dr Richard More gives details of eight principles for introducing and maintaining change and how this can help GPs and practice staff implement improvements
  New Guideline
  New SIGN guideline defines risks for chronic kidney disease patients
  Dr Mark MacGregor discusses the recommendations on diagnosis and management of CKD, which highlight greater monitoring and reduction of associated cardiovascular risk
  Patient Consultation
  Management of a 50-year-old man with type 2 diabetes, whose blood sugar is suboptimally controlled
  Dr Mark Savage discusses the treatment and management of this patient, and the evidence for the different pharmacological options
  Medico-legal Issues in Practice
  What happens when a breach of the duty of care results in death?
  Dr Gerard Panting discusses how the Corporate Manslaughter and Corporate Homicide Act applies to healthcare, and the possible outcomes from an offence
  Out of Hours
  How do you differentiate good science from bad?
  Dr Phil Hammond, broadcaster and sessional GP in Bristol