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FEBRUARY 2010

Update module 1517: Pregnancy: mother and foetus in the first trimester 10/03/2010

Do you know how a baby develops in early pregnancy and what advice you might give a pregnant woman? The first in a series of three articles describes development and physiological changes in the first stage of pregnancy and also reviews what the pharmacist might need to check.

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Update 1516: Benign prostatic hyperplasia 03/03/2010

Tamsulosin has recently been reclassified from POM to P for the treatment of Benign prostatic hyperplasia symptoms in men aged 45 to 75 years. This article, which can contribute to your CPD, explains the current management of this condition and the potential role of the new non-prescription medicine.

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Update module 1515: The management of COPD 24/02/2010

The final article in this month's respiratory health series looks at your role in supporting patients with chronic obstructive pulmonary disease (COPD) and outlines the goals of disease management.

 

 

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Update module 1514: treatment options for managing asthma 17/02/2010

Update continues the theme of respiratory health with this article on the stepwise approach to delivering symptom-free asthma control.

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Update module 1513: Is it asthma or COPD? 11/02/2010

February’s Update articles on respiratory disease continues with articles on the signs, symptoms and diagnostic tests for asthma and COPD

 

 

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Update 1512: Treating cough 03/02/2010

February's Update articles focus on respiratory disease. The series starts with a guide to the ingredients in OTC medicines used in the treatment of minor coughs

 

 

 

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JANUARY 2010

Update 1511: treating insomnia 28/01/2010

Asha Fowells offers best practice guidelines on which hypnotics are best for insomnia and for how long they should be taken. This module includes a case study.

 

 

 

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Update 1510: Your guide to stoma care part 2 21/01/2010

  The second of two articles from Julia Williams is about choosing the right appliance and dealing with lifestyle issues

 

 

 

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UPDATE MODULE 1509: YOUR GUIDE TO STOMA CARE: PART 1 13/01/2010

In the first of two articles on stoma care, Julia Williams explains what stoma surgery involves and what patients can expect afterwards

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Update module 1508: MUR case studies 07/01/2010

Two case studies highlight the issues to consider when reviewing medication for a stroke patient who has osteoporosis and another patient who has thyroid problems, anxiety and itchy skin. How do you advise them?

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DECEMBER 2009

Update 1507: Food poisoning 17/12/2009

image of christmas turkey and all the trimmingsWith around 850,000 people affected by food poisoning in the UK every year, this article looks at the causes and treatment options

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Update module 1506: long-acting reversible contraception 10/12/2009

Long-acting reversible contraception (LARC) methods remain a minority choice despite a Nice recommendation, says Asha Fowells.

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NOVEMBER 2009

UPDATE MODULE 1505: PARKINSON'S DISEASE - PART 2 25/11/2009

The rationale behind drug treatment for Parkinson's disease, one of the most common chronic neurological diseases

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Update module 1504: Parkinson’s disease - part 1 20/11/2009

The pathology and clinical features associated with Parkinson's disease, one of the most common chronic neurological disease

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Update module 1503: Scripts in substance abuse 11/11/2009

The second article in this series looks at how to ensure prescriptions for treating substance abuse are legal

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Update module 1502: Harm reduction in substance misuse 06/11/2009

This article focuses on practical ways pharmacists can provide care to substance misusers.

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OCTOBER 2009

Update module 1501: Bacterial vaginosis 28/10/2009

It is normal for vaginal discharge to change throughout the menstrual cycle, but what signs would be considered abnormal?

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Update module 1500: Drug-induced problems of the nervous system 21/10/2009

The second article in this series looks at drugs that act within the central nervous system

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Update module 1499: drug induced problems of the nervous system   16/10/2009

The first article in the series looks at drugs that act outside the central nervous system.


Update module 1498: treating opioid addiction 09/10/2009

The second part of the series on drug misuse looks at addiction management strategies

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Update module 1497: Basic pharmacokinetics - part 2 01/10/2009

 

The second of two articles looks at the metabolism and excretion of medicines

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SEPTEMBER 2009

Update Module 1496: Managing osteoarthritis   25/09/2009

Managing osteoarthritisThis article describes the treatments available for managing osteoarthritis, from oral and topical analgesics to supplements and exercise.


Update Module 1495: Osteoarthritis - diagnosis and risks 17/09/2009

In the first of two articles, Update looks at the risk factors, signs and symptoms of osteoarthritis, the most common cause of disability in the UK.

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Update Module 1494: Recognising addiction   10/09/2009

This article explores the concept of drug addiction, explains what to do if confronted by a suspicious request for an OTC medicine and provides information on commonly misused drugs.


Update Module 1493: ADRs affecting the heart and lungs   03/09/2009

CoughingWhich ADRs could lead to respiratory or cardiovascular symptoms? This Update article flags up what to look out for and how to manage possible side effects.


AUGUST 2009

Update Module 1492: Breast cancer - current treatments 27/08/2009

The second of two articles on breast cancer looks at treatments to manage the disease, including surgery, radiotherapy, hormone therapy, chemotherapy and biological agents.

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Update Module 1491: Breast cancer - risks and symptoms 19/08/2009

Breast cancerWith women facing a one in nine lifetime risk for this disease, this Update article examines the risk factors, available screening techniques and diagnosis.

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Update Module 1490: Avoiding the pitfalls of opioid use 14/08/2009

Everything you need to know about opioid therapy - from starting doses to switching between brands.

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Update Module 1489: Basic pharmacokinetics - part 1 06/08/2009

In the first of a series of two two articles on pharmacokinetics, Dr Russell Greene considers the factors that affect the absorption and distribution of drugs.

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Update Module 1488: Managing psoriasis   30/07/2009

psoriasisIt is estimated that up to three per cent of the population suffers from psoriasis. This article describes the different types of the chronic skin disease and how they are treated.


JULY 2009

UPDATE MODULE 1487: CVD GUIDE PART 4 - CHOLESTEROL   22/07/2009

Update’s Heart Health Month concludes with an overview of treatments that might be prescribed to a patient after an NHS Health Check has identified high cholesterol levels.


Update Module 1486: CVD Guide Pt 3 - Treating BP   20/07/2009

Heart healthAfter looking at lifestyle factors behind CVD and vascular risk assessments, this article considers the drugs that might be prescribed after an NHS Health Check.


Update Module 1485 - CVD Guide Pt2: Risk assessment   10/07/2009

Our four-part guide to heart disease continues with risk assessment and the NHS Health Check screening programme. This article looks at what is to be tested and what advice you should provide.


Update Module 1484: CVD Guide - Part 1   03/07/2009

Heart healthC+D's Heart Health Month kicks off with a look at the factors that can lead to cardiovascular disease to help you explain to patients the damage caused by an unhealthy lifestyle.


JUNE 2009

Update Module 1483: Eating disorders   25/06/2009

Eating disordersWith all the talk of obesity it's easy to forget the other problems people have with food. Asha Fowells describes the three offical categories of eating disorders.


Update Module 1482: Drug-induced skin reactions   19/06/2009

Drug-induced skin reactionsLearn how to differentiate normal skin complaints from those caused by medicines, and find out which drugs cause the most common reactions.


Update Module 1481: Management of cystic fibrosis   12/06/2009

Managing cystic fibrosisPart two of our series on cystic fibrosis looks at controlling symptoms, limiting damage to lungs and other organs, and achieving normal nutrition.


Update Module 1480: A guide to cystic fibrosis   05/06/2009

The first of a two-part guide, which provides an overview of this common genetic disorder, the prognosis for a child with CF and some of the likely health problems.


MAY 2009

Update Module 1479: MUR case studies 29/05/2009

This module consists of two case studies. Case 1: How do you treat a patient with OA and worsening asthma? Case 2: How do you treat a patient with RA suffering weight loss?

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Update Module 1478: Drug-induced pain disorders 21/05/2009

A number of POMs can cause pain as a side effect. This guide looks at the mechanisms of their action and how best this can be managed.

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Update Module 1477: Factors influencing prescribing   13/05/2009

PrescribingDiagnoses rarely indicate only one possible treatment. Dr Russell Greene MRPharmS explains the factors to consider when making prescribing decisions, from drug issues to patient response.


Update Module 1476: Food intolerance and allergy   08/05/2009

One in five Britons claims to have a food intolerance or allergyFood intolerance and allergy are often difficult to understand, so what advice can the pharmacist give - and who should be signposted to a GP or dietician?


Update Module 1475: Obesity management   30/04/2009

Obesity measurementsThis article looks at obesity and how it is measured, plus the drugs available on prescription and OTC.


APRIL 2009

Update Module 1474: Treatments for prostate cancer   23/04/2009

Prostate cancer treatmentIn the second of two articles on prostate cancer, we look at treatments, including prostatectomy, radiotherapy and drug treatment.


Update Module 1473: Prostate cancer   16/04/2009

Prostate cancer cellsIn the first of two articles, Update looks at the pathology and diagnosis of prostate cancer - the most common cancer to affect men in the UK.


Update Module 1472: Sexually transmitted infections   10/04/2009

chlamydiaSymptoms and treatment of the five most common sexually transmitted diseases: chlamydia, gonorrhea, genital warts, genital herpes and syphilis.


Update Module 1471: Gallbladder problems   03/04/2009

The majority of patients with gallstones remain asymptomatic but for some it can be very painful. This update article covers symptoms and diagnosis as well as treatment and advice.


MARCH 2009

UPDATE MODULE 1470: Drugs that affect the GI tract   25/03/2009

Drugs that affect the GI tractSymptoms affecting the GI tract are commonly presented to community pharmacists but how can you determine whether it is an ADR, and what treatment can you offer to help?


Update Module 1469: Cold sores   19/03/2009

Cold soresA pharmacist's guide to herpes labialis, covering the cause of infection, symptoms and how treatments work.


UPDATE MODULE 1468: CANCER TREATMENT - THE THEORY   11/03/2009

Cancer cellIn this article we look at how cancer cells are produced and how they are targeted by various treatments, including chemotherapy and immunotherapy.


UPDATE MODULE 1467: REDUCING THE RISK OF FALLS   04/03/2009

The risk of fallsWhich drugs are most likely to cause falls in elderly patients and why? What can pharmacists do to help? Find out in this Update module.


FEBRUARY 2009

UPDATE MODULE 1466: ALLERGIES AT HOME AND WORK   24/02/2009

Dust miteWhat are the causes of allergic reactions at home and in the workplace? What treatments and advice should you give to patients?


UPDATE MODULE 1465: HORMONAL CONTRACEPTIVES 20/02/2009

Practical ApproachAlan Nathan looks at hormonal contraceptive issues pharmacists need to consider, particularly if the pill becomes universally available off prescription.

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UPDATE MODULE 1464: REPORTING ADRs - WHY BOTHER?   10/02/2009

Yellow CardIn the first in a series on how to spot adverse drug reactions,  Professor Janet Krska concentrates on the importance of reporting.


Update Module 1463: Dealing with immune problems   06/02/2009

VirusThe second part of our series on the immune system looks at the drugs used to enhance immunity and those used to suppress immune reactions.


JANUARY 2009

Update Module 1462: How the immune system works   30/01/2009

In the first of two articles on the immune system, we look at protection against pathogens such as viruses and bacteria, and how the immune system can go wrong and cause disease.


Update Module 1461: Managing osteoporosis   23/01/2009

OsteoporosisLearn about the risk factors, monitoring and treatments for osteoporosis to help your patients make the most of the drugs used to maintain bone strength.


Update Module 1460: Treating painful ears and throats   14/01/2009

A pharmacist's guide to managing the common symptoms of painful ears and throats and advice on suitable treatments.


Update Module 1459: What’s new in type 2 diabetes?   09/01/2009

Update diabetesNew treatments can bring advantages in diabetes management compared with established blood glucose lowering drugs, but there are also side effects and complications to consider.


DECEMBER 2008

Update Module 1458: The management of gout   17/12/2008

Christmas can be a bad time for gout sufferers. This article covers the symptoms and causes, explains who is at risk and also looks at the tests, treatments and lifestyle changes.


Update: An increasing duty of care   10/12/2008

Professional standards are constantly being raised and changed. In the third in a series on professionalism, Joy Wingfield shows that much more is now expected of pharmacists.


Update: Tackling the effects of alcohol 04/12/2008

As the festive season approaches, we look at the long term effects of drinking and different types of alcohol abuse. Read the article or download the podcast.

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NOVEMBER

Update Module 1457: Effective epilepsy management   28/11/2008

Update disco ballThis article covers the drugs available for treatment, the types of seizures they can treat and side effects, as well as advice on the pharmacist's role in epilepsy management.


Update: Epilepsy, diagnosis and symptoms 20/11/2008

ePILEPSYIn the first of two articles on epilepsy, Jennifer Richardson describes the incidence, diagnosis and types of seizure.

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Update module 1456: How to treat childhood infections 13/11/2008

Asha Fowells outlines how to distinguish between and treat six common childhood infections: measles, chickenpox, rubella, mumps, whooping cough and meningitis

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Update 1455: Managing pregnancy problems   06/11/2008

From abdominal pain to gestational diabetes, Paul Rutter looks at how to treat the 20 conditions most often seen in pregnant women.


Update: Seasonal affective disorder (SAD)  

Update - Seasonal affective disorderNovember heralds a miserable few months for some. But how can you distinguish depressive symptoms from winter blues, and what should you recommend?


OCTOBER

Update module 1454: What you need to know about EHC   24/10/2008

Update: EHCFrom moral issues to religious objections, this article covers everything you need to know about when you can and can't supply emergency hormonal contraception.


Update Module 1453: OTC non-steroidals  

Oral diclofenac and naproxen are now available OTC from pharmacies, but do you know how OTC NSAIDs compare against each other in terms of effectiveness?


Update Module 1452: Drugs in transplantation   08/10/2008

Survival rates are excellent after transplants, but immunosuppression is not without risk. Caroline Ashley examines issues surrounding doses, side effects and interactions.


Update: Hypothyroidism  

Low mood, confusion and dry skin can all be symptoms of old age, but they can also indicate hypothyroidism. Mary Allen highlights the problems of diagnosis and shows how an MUR can help.


SEPTEMBER

Update module 1451: Coeliac disease

New methods of diagnosis mean you could be seeing more patients with coeliac disease. Find out more about the symptoms, diagnosis and treatment. 

 

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Update Module 1450: Pituitary hormone imbalances

 

This article covers the symptoms, diagnosis and treatment of three pituitary conditions – growth hormone (GH) deficiency, acromegaly and diabetes insipidus.

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Update: Ethics – Protecting Patients

Joy Wingfield discusses the ethical issues around repeat dispensing and working with professionals whose decisions might be at fault.

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Update Module 1449: Erectile Dysfunction

Ten years after the launch of Pfizer's Viagra, Mark Greener looks at treatments for erectile dysfunction.

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AUGUST

Update Module 1448: Tuberculosis

Rob Finch reports on the current thinking on the management of a highly infectious disease

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Update Module 1447: Headache

Alan Nathan describes OTC treatment of the most common of all headache symptoms that patients are likely to present with at a pharmacy.

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Doping in sport

With the Olympics in full swing, this article explains the controversies and which medicines are legitimate.

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Update: The internet - a serious tool for pharmacy?

Gavin Atkin explores the internet in search of the essential websites to help you with your CPD.

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Update: Milk formulas for infants

Judy More offers a guide to milk formulas: why there are so many and how they differ

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JULY

Update Module 1446: Pituitary Disorders

Alison Milne looks at the effects of hormones secreted by the pituitary gland and two of their disorders

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Update Module 1445: Treating scalp conditions

Counterprescribing for common scalp conditions that pharmacists are likely to encounter.

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Update: Scalp problems – a picture guide 10/07/2008

Can you identify and differentiate common scalp problems? Dr Nigel Stollery provides an overview in this picture guide.

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Update Module 1444: Anxiety disorders   03/07/2008

In the final article in this series on psychiatric medicines, Stuart Gill-Banham explains at what stage anxiety is considered a disease and the methods used to treat it.


JUNE

Module 1443: The Elderly - Common Problems   25/06/2008

The latest in a series of picture guides by Dr Nigel Stollery considers skin and eye conditions that are likely to affect elderly patients.


Module 1442: Deciphering blood tests   19/06/2008

This article lists five of the most commonly requested blood tests in primary care, and what they mean for patients.


Update: Professionalism and duty of care 12/06/2008

In the first of a series of articles on ethics, Joy Wingfield considers the repercussions of prescribing errors.

 

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Module 1441: Dementia   05/06/2008

The fourth part in our series on mental health looks at the four most common types of dementia, particularly Alzheimer’s disease and the drugs used in its management.


MAY

Update: Childhood obesity 30/05/2008

Zoe Smeaton looks at the incidence, causes and management of childhood obesity and describes a scheme set up to help.

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Module 1440: Oral problems   22/05/2008

A pictorial guide to oral problems to help you distinguish conditions you might treat with OTC medicines from those that should be referred.


Update: Climate change 14/05/2008

Emma Wilkinson asks how the expected change in the UK's climate will impact on the nation's health.

 

 

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Module 1439: Bipolar Disorder   09/05/2008

Update your knowledge of the drugs used in bipolar disorder, their precautions and how they should be monitored.

 


Module 1438: Insect bites and stings 02/05/2008

With summer on the way, C+D looks at OTC treatments for bites and stings from common insects and jellyfish, as well as possible future methods of drug delivery through the skin.

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APRIL

Module 1437: Renal anaemia 24/04/2008

 

 Caroline Ashley describes the features and treatment of anaemia associated with chronic kidney disease

 

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Module 1436: Travel vaccinations 16/04/2008

An overview of vaccinations that might be recommended to travellers planning overseas trips.

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Module 1435: Sports injuries 10/04/2008

Jill Peaston looks at some common sports injuries, with advice on treatment and prevention

 

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Update: incontinence 03/04/2008

Gavin Atkin explores the incidence and types of urinary incontinence, and management of the condition.

 

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MARCH

Module 1434: Schizophrenia   28/03/2008

The second in our mental health series reviews the symptoms and management of schizophrenia.


Update: issues in palliative care   20/03/2008

 

The prescribing of drugs used in palliative care, and particularly the use of PRN medication.

 


Module 1433: Teething Trouble   13/03/2008

This article looks at the products listed within the Dental Practitioners' Formulary and how they are used to treat common mouth conditions.


Update: chronic wounds 06/03/2008

Sarah Cockbill looks at the main types of chronic wounds, their causes, and the principles of healing

 

 

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Module 1432: A burning issue 28/02/2008

The latest article in the Pharmacy Update series considers the causes, symptoms and OTC management of indigestion.

 

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FEBRUARY

Module 1431: A pressing problem 21/02/2008

Effective treatment and patient compliance means a glaucoma diagnosis doesn’t always equal sight loss

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Module 1430: Guide to sleep disturbance 14/02/2008

Alan Nathan looks at the insomnia's features, and its pharmacological and non-drug treatments.

 

 

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Module 1429: Nail Problems - A Picture Guide   07/02/2008

A picture guide to some common nail problems and their treatment.


Pharmacist's guide to virology 31/01/2008

This article looks at common viral diseases, their causes and the treatments available

 

 

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JANUARY 2008

Module 1428: Dealing with depression 23/01/2008

The first in a series of articles on recognising symptoms of depression and outlining how the condition is managed with both drug and non-drug treatment.

 

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Update: Foot conditions   16/01/2008

This week's article presents a picture guide to the appearance of some common and less common foot conditions.



Module 1427: Irritable bowel syndrome 09/01/2008

This Update article looks at the signs, symptoms and non-prescription treatment of irritable bowel syndrome.

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Module 1426: Seronegative spondarthritides   03/01/2008

The drug treatment of some less common arthritic diseases, including ankylosing spondylitis.


UPDATE

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UPDATE 2007
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