New Federal Standards for Privacy of Individual Health Information (Medicolegal Issues)

New Federal Standards for Privacy of Individual Health Information (Medicolegal Issues)

On December 20, 2000, President Clinton signed a regulation that established the first-ever federal privacy protections for personal health information. The regulation issued by President Clinton was the culmination of a process that dates from 1996. When the Health Insurance Portability and Accountability Act of 1996 (HIPAA) was enacted, both President Clinton and Congress discussed […]

Emergence of Extensive Drug Resistance (XDR) Among Gramnegative Bacilli in South Africa Looms Nearer (Issues IN PUBLIC Health) (Report)

Emergence of Extensive Drug Resistance (XDR) Among Gramnegative Bacilli in South Africa Looms Nearer (Issues IN PUBLIC Health) (Report)

Until recently, the term ‘extensive drug resistance’ (XDR) was held to be applicable to Mycobacterium tuberculosis only. It is now clear that Gram-negative bacilli are moving a step closer towards acquiring similar resistance. The emergence of multi(MDR) and pan-drug resistant (PDR) Gram-negative health care-associated pathogens has been confined to non-fermenters such as Pseudomonas aeruginosa and […]

Expanding Access to ART in South Africa: The Role of Nurse-Initiated Treatment (Issues IN Medicine) (Antiretroviral Therapy )

Expanding Access to ART in South Africa: The Role of Nurse-Initiated Treatment (Issues IN Medicine) (Antiretroviral Therapy )

The South African government’s recent policy decision to expand access to HIV care rapidly and ‘ensure that all the health institutions in the country are ready to receive and assist patients and not just a few accredited ARV centres’ (1) represents a dramatic and welcome about-turn on years of hesitation and confusion in the country’s […]

Revitalising Professionalism (Issues in Medicine) (Report)

Revitalising Professionalism (Issues in Medicine) (Report)

‘Medical professionalism is not optional. It is an essential part of being a doctor, no matter how many challenges face us.’ (trainee doctor (1)) Against the background of current social criticism of the medical profession, well captured by Benatar (2) in this journal in 1997, the medical profession has been intensely introspective over the past […]

Surprises of Off-Label Drug Use--Where had All the Prostin Gone? (Issues in Medicine)

Surprises of Off-Label Drug Use–Where had All the Prostin Gone? (Issues in Medicine)

The off-label use of drugs is common, particularly in paediatrics, where many drugs have yet to undergo the rigorous scrutiny demanded by authorities such as the Medicines Control Council (MCC) and the US Food and Drug Administration (FDA) before registration. (1,2) Yet some drugs (e.g. paracetamol, salbutamol) are so commonplace in paediatric practice that it […]