Book, CD-Rom, website, technology & reviews

Last updated: 23 April 2001

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New additions::

Gynaecology Illustrated

Orthopaedic Knowledge Update , Sports Medicine 2

Orthopaedic Knowledge Update , Trauma 2

Please note that the views of the Review Editors are independent a nd written from a general practice perspec tive. Family Medicine has not received payment for the following reviews, although in most cases the Review Editors have been allowed to keep the products which they have reviewed. Please email Family Medicine with your comments and requests for further reviews at 'reviews@medpress.co.uk'.

Readers interesting in contributing to Family Medicine's reviews should contact the Editor at 'reviews@medpress.co.uk'.

24-Hour Primary Care
Accreditation in Primary Care: Towards Clinical Governance
A colourful handbook of gastroenterology
A Guide to Effective Care in Pregnancy & Childbirth (2nd Edition)
A - Z of medical writing
Atlas of Gynecologic Surgery
Best Evidence 2
Bailey & Loves's short practice of surgery (22nd edition)
Breast cancer: sharing the decision
Cardiology
Cerebral palsy: caring and coping
Child surveillance handbook (second edition)
Clinical ENT: an illustrated textbook
Clinical evidence
Clinical infectious diseases: a practical approach
Clinical Negligence In General Practice
Clinical Orthopaedics
Cochrane library
Conn's Current Therapy 2000
Contraception: your questions answered
Core Curriculum in Primary Care (Part 1, Third Edition):
Current Diagnosis & Treatment in Orthopedics
Current Medical Diagnosis and Treatment
Current Issues In Obstetrics and Gynaecology
Current medical diagnosis and treatment
Danforth's Obstetrics & Gynaecology (Eighth Edition)
Diagnostic Ultrasound of Fetal Anomalies: Principles & Techniques
Differential Diagnosis in Ophthalmology
Diseases of the skin: a color atlas and text
The Doctor's Internet Handbook
Drug and Therapeutics Bulletin + MeRec Bulletin
Dyspraxia - the hidden handicap
Email to fax gateway
Emergency Medicine (international student edition) A comprehensive study guide; 5th Edition
Evidence-based gastroenterology and hepatology
Essential Medical Physiology
Essential Otolaryngology Head & Neck Surgery (Seventh Edition, 1998)
Essentials in Family Medicine
Evidence-based practice in primary care
Essentials of complementary and alternative medicine
Fertility problems: a simple guide
Fitzpatrick's Dermatology in General Medicine 5th Edition
Gastroenterology and hepatology
Gynaecology Illustrated
General Ophthalmology (15th Edition, 1999)
Harrison's Principles of Internal Medicine (14th Edition)
Hall and Coleman's Disease of the Ear Nose and Throat
Health Behaviour Change: A Guide for Practitioners
Herbal Medicines - A Guide For Healthcare Professionals
Health on the Internet
Hormone Replacement Therapy - a guide for Primary Care
Information and IT for Primary Care: everything you need to know but are afraid to ask
Information for Evidence-based Care
Internet Medicine
Involving Patients and The Public: How to do it better
Involving Patients and The Public: How to do it better
Kelley's Textbook of Internal Medicine
Lotus SmartSuite Millenium Edition
Medical imaging
Medical Information on the Internet 2nd Edition
Medical Information on the Internet 2nd Edition
Medically Speaking-A Dictionary of Quotations
MediClip colour anatomy 1
Menopause and Hormone Replacement Therapy: Effective Patient Care
Men's Health in Primary Care
The Merck Manual (17th Edition, 1999
MS Office 97 Small Business Edition
Muscle diseases
National Association of Non-Principals
Nelson textbook of pediatrics (16th edition)
Neurological Emergencies
Neurology for the non-neurologist
Non-prescription medicines
Obstetrician's Library
Orthopaedic Knowledge Update , Sports Medicine 2
Orthopaedic Knowledge Update , Trauma 2
Oski's Pediatrics Principles and Practice Third edition
Oxford handbook of accident and emergency
Oxford Handbook of Clinical Specialities
Oxford mentor plus
Oxford mentor plus
Oxford Textbook of Ophthalmology
Oxford Textbook of Sports Medicine (second edition 1998)
The POPPi Guide: Practicalities of producing patient information
Practical strategies in obstetrics and gynaecology
Practical genetics for primary care
Principles of Surgery (CD-ROM edition) PubMed
Quick reference atlas of dermatology
RCGP Handbook of Sexual Health in Primary Care
Red Book
Red Book
Review of Interal Medicine
Self-Assessment Colour Review of Respiratory Medicine
Sexuality and Disability, a guide for everyday practice
Skin Disease in Clinical Practice (2nd Edition-English Edition published 1998)
Sony vaio
Sports medicine handbook
Stedman's medical dictionary
Stroke: Epidemiology, evidence and clinical practice
Stroke in the surgery
Survival skills for GPs
Symptom Sorter
Teaching made easier: a manual for health professionals
Textbook of Internal Medicine (Third Edition; Single Volume Edition)
Textbook of Family Medicine
The electronic red book
The GP's Guide To Personal Development Plans
Travel health for the primary care team
Travel medicine and migrant health
The Very Stuff of General Practice

Using the Internet in Healthcare
Whiplash Injuries: Current Concepts in Prevention, Diagnosis, and Treatment of the Cervical Whiplash Syndrome
Xerox WorkCentre 450cp
http://www.doctors.net.uk


24-Hour Primary Care

Format: Book
Authors: Chris Salisbury, Jeremy Dale and Lesley Hallam
ISBN:1 85775 311 9
Publisher: Radcliffe Medical Press
Orders:Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: : £19.95
Reviewer: Dr Adrian Boonin, General Practitioner, Leeds and Senior Clinical Lecturer, Leeds University Medical School
Month reviewed: December 1999


Public demand for 24-hour access to primary health care services is growing. At the same time general practitioners, who feel overstretched during the day, are becoming increasingly reluctant to work unsociable hours. The apparent conflict here forms the starting point for this book. 24-Hour Primary Care begins by analysing the usage of out-of-hours care and the reasons behind the changes in demand. It also considers the change in the readiness of general practitioners to undertake this service provision, and looks at the conflicting role of general practitioners as both facilitator and gatekeeper for out-of-hours care. There follows a rigorous analysis of the different settings and arrangements for providing out-of-hours primary care, from deputising services, through extended practice rotas, to nurse-based telephone advice lines and the placing of general practitioners in Accident & Emergency Departments. I particularly enjoyed the chapter which challenged the way that out-of-hours services respond to individuals with particular needs, such as those with a terminal illness, the homeless, and those with mental health needs. These deficiencies symbolise for me the faults in the present system and lead nicely on to the final part of the book, which looks at the future of out-of-hours care. The book finishes with a suggestion for an ideal way to conduct out-of-hours care, which emphasises integration of service provision. Finally, in these days of clinical governance, there is even a chapter set aside to look at quality measurement. This is a well-researched book with a pragmatic approach to an area, which has a huge influence on the overall provision of healthcare. It will appeal to all general practitioners, as well as to any individual involved with the setting up and provision of out-of-hours services. I feel that it would also provide useful material for those involved in teaching primary care in a University undergraduate setting. Go to top


Accreditation in Primary Care: Towards Clinical Governance

Format: Book
Editors: Kieran Walshe, Nicola Walsh, Theo Schofield and Clare Blakeway-Phillips
ISBN:1 85775 322 4
Publisher: Radcliffe Medical Press
Orders:Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £18.95
Reviewer: Dr Adrian Boonin, General Practitioner, Leeds and Senior Clinical Lecturer, Academic Unit of Primary Care, University of Leeds
Month reviewed: July 2000


In the introduction to this book, Sir Donald Irvine, President of the General Medical Council, points out that in general practice, both high quality care and poorer standards of care can co-exist in the same town, in the same street and even in the same practice. The introduction of clinical governance by a government committed to improving the quality of care throughout the NHS, means, in reality, that accreditation for primary care is only just around the corner. This is the starting point for a book, which seeks to define accreditation and show how its implementation in a well thought-out and organised way will benefit both patients and practitioners, and satisfy the politicians too.

There are chapters giving specific examples of primary care accreditation in current usage and the reader is invited to compare and contrast these systems. The examples used come both from the NHS and the independent sector, and include the King's Fund Health Quality Service, the RCGP primary healthcare team-based accreditation, as well as the long-established accreditation system for training practices. The authors show the reader how to critically analyse the criteria to be used in setting up an accreditation program, and how to accurately evaluate the effectiveness of an accreditation system.

This compact book is easy to read, and covers a quite complex topic in a relatively straightforward way. It excels in using relevant examples of current practice to make important points about the implementation and evaluation of accreditation. I believe that this is a book, which should be read by all general practitioners, but particularly by those who are actively involved in primary care groups. Accreditation in primary care is coming, and general practitioners need to be equipped to be able to manage it, both effectively and efficiently. This book will greatly aid that process. Go to top


A Colour Handbook of Gastroenterology

Format: Book
Authors:Hodgson, Boulton, Cousins and Gupta
ISBN:Hardcover: 1-874545-54-5; Softcover: 1-874545-55-3
Publisher: Manson
Orders:Available for direct purchase from Manson Publishing Ltd, 73 Corringham Road London NW11 7DL; Tel: + 44 020 8905 5150; Fax: + 44 020 8201 9233. Cheques to be made payable to: Marston Book Services
Price: Hardcover £48.00; Softcover £29.95
Reviewer: Dr Jeremy M Sager, GP, Leeds, UK
Month reviewed: May 1999


I was quite surprised to read this 208-page offering and then note that on the back cover, GPs are not specifically mentioned as a suitable readership. Which is a great pity because after spending a couple of nights thumbing through A Colour Handbook of Gastroenterology, I would certainly commend it to both the registrar and principal in general practice, not least because of the fine colour photographs and X-ray plates but especially in view of its succinct presentation. The book begins with a guide to proper history taking and examination of a patient presenting with a gastroenterological problem. It then works its way down from the mouth to the colon taking in the other abdominal organs along the way, with each topic being covered in a few pages under standard headings eg. aetiology, pathophysiology, clinical history and so on. Useful tables are included in the Appendix (of the book!) Easy to dip into and a pleasure to read - Manson have certainly come up trumps with this handy volume which will be a useful addition to any practice library. Strongly recommended.Go to top


A Guide to Effective Care in Pregnancy & Childbirth (2nd Edition)

Format: Book
Editors: Murray Enkin, Marc J.N.C. Keirse, Mary Renfrew and James Neilson
ISBN: 0-19-262326-5
Publisher: Oxford University Press, 1995
Orders:01536 741727
Price: £55 (hardback)
Reviewer: Miss S J Kaufmann, Specialist Registrar, Obstetrics and Gynaecology, Yorkshire, UK
Month reviewed: May 1999


With more antenatal care being delivered in the community, it is essential that all those involved in delivering this care are as up to date as possible. This book is a guide to the larger two-volume edition and as such is easily readable and understandable to all GPs and midwives. It gives a 'pocket' guide to current evidence-based thinking in obstetrics, covering topics from antenatal classes to perineal pain and discomfort. The chapters on more specialist obstetrics are well written, with definitions of all specialist terms. It presents the evidence for issues such as external cephalic version for breech presentation at term and continuous electronic fetal monitoring. Each chapter has a clear conclusion on the data presented in it. Topics of particular interest are easy to find and the synopsis at the back of the book is an ideal summary of those forms of care that are proven to be beneficial or of unknown effectiveness. GPs and midwives would be advised to purchase and read this book. It should be on the shelf in each primary care antenatal clinic as a reference point for all those involved in the care of pregnant women. Go to top


Atlas of Gynecologic Surgery

Format: Book
Authors:Donald R Osterard, Michael L Berman and Bill Yee
ISBN: 0-7216-5307-3
Publisher: W.B Saunders Company
Orders:Customer Services Dept Harcourt Foots Cray High St Sidcup, Kent DA14 5HP. Tel: +44 (0) 0181 308 5710 (ask for direct orders); Fax +44 (0) 0181 308 5702
Price: £110.00
Reviewer: Miss S J Kaufmann, Specialist Registrar, Obstetrics and Gynaecology, Yorkshire, UK
Month reviewed: January 2001


This is a superbly written and illustrated atlas of gynaecology surgery. Not only does it describe the operations that we perform it goes into details of the fundamental principles of surgery such as choice of suture material, pain relief, haemostasis and the use of drains. Its diagrams are first rate, clearly displaying both the anatomy and each step of the operation. It covers not only the traditional operations but also modern laparoscopic and hysteroscopic surgery. Whilst these are not as detailed as specific textbooks, especially with respect to the hysteroscopic surgery - this is as close to "operating by numbers" as you can get! Go to top


A-Z of Medical Writing

Format: Book
Author: Tim Albert
ISBN: 0-7279-1487-1
Publisher: BMJ Books
Orders:BMA House, Tavistock Square, London WC1H 9JR Tel: + 44 (0) 207 3836185, Fax: + 44 (0) 207 3836662
Price: £14.95
Reviewer: Dr Jeremy Sager, GP, Leeds
Month reviewed: May 1999


This compact but useful text is to medical journalists what JR Hartley is to fly-fishers. For those who are starting to get to grips with medical writing, your writing Guru is Tim Albert, ex. editor of such esteemed texts as World Medicine and BMA News Review. As the title suggests, an A-Z format is used to good effect, making information or the solution to a writing problem easy to find. I enjoyed browsing through this book because Mr Albert is clearly a bit of a wag and his humour is in evidence throughout the 145 pages. And I've discovered it's permissible to start a sentence with "and" or "but" so I'll not feel guilty about doing that again. From conference abstracts to letters, this book has all the hints and tips to successful, articulate writing that the budding medical journalist will find indispensable. Go to top


Best Evidence 2

Format: CD-ROM
Publisher: BMJ Publishing Group
Subscriptions:Tel: +44 (0) 171 383 6270
Price: £36 (BMA members); £57 (personal rate)
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed:June 1998

This CR-Rom was tested under Windows 95 and the installations process was simple and easy. The actual content is classy containing all the articles from the American College of Physicians (ACP) journal club 1991-1997 and evidence-based medicine from November 1995 through to the end of 1997. The main contents page is self-explanatory and within minutes, any person with a basic knowlege of computer software is up and running. The disc can be used either as a reference source or just to dip into and pull out something that interests the reader. This product represents excellent value for money for an interested GP.Go to top


Bailey & Loves's short practice of surgery (22nd edition)

Format: Book
Editors: Mann, Russell and Willimas
ISBN: 0-412-72410-3
Publisher: Arnold Publishers
Subscriptions:Tel: Direct Services +44 (0) 1235 827721
Price: £37.50
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: October 1998

This book is well known to generations of both undergraduates and qualified doctors. Now in its 22nd edition, it retains its unique style yet manages to be up-to-date and authoriatative. It is superbly illustrated and offers comprehensive coverage of virtually all surgical specialitites which GPs are likely to encounter in everyday practice. Unusually, for a textbook, the content is interesting, which encourages the doctor to dip in and read for pleaseure. It represents superb value for money and it should provide the average GP with more than enough information for their day to day work. If you need just one surgical text for reference, then this could easily satisfy your needs.Go to top


Breast cancer: sharing the decision

Format: Book (first published 1999)
Editors: Anna M Maslin with Trevor J Powles
ISBN:0-19-262967-0
Publisher: Oxford University Press
Subscriptions:Tel: +44 (0) 1536 454534
Price: £24.99
Reviewer: Rob Flint, GP Registrar, Leeds
Month reviewed: February 2000

Modern breast cancer treatments allow considerable scope for patient preference even within the bounds of evidence based medicine. This book explores how patients can be more successfully incorporated into the decision-making process and demonstrates the positive effect this has on their progress. Areas covered include ethics, screening, genetics and treatment options. A wide variety of professionals contribute, including breast care nurses, radiologists, surgeons, oncologists and radiotherapists. It is, however, the personal accounts from patients at the end of every chapter that illuminate the subject and bring the discussion to life. This publication is essential reading for any clinician involved in the care of breast cancer patients. Go to top


Cardiology

Format: Book (first published 1999)
Editor in Chief: Sergio Dalla Volta
ISBN:0-07-709518-9
Publisher: McGraw Hill
Orders:Tel + 44 (0) 1628 502558; Fax + 44 (0)1628 502167; E-mail: sarah_killeen@mcgraw-hill.com
Price: £39.99
Reviewer: Dr Harry Brown, GP, Leeds
Month reviewed: July 2000

Many textbooks are aimed at undergraduate level whilst others are quite advanced and aimed squarely at the specialist. This book comes somewhere in between and for the non-cardiologist represents a valuable addition to the library. It provides a super reference source for common and not so common cardiological problems whilst at the same time, individual chapters can be read independently. As well as all the usual subjects which you would expect to find, there are some really interesting sections. For example there is excellent coverage of congenital cardiac disease. The last section of the book deals with interesting subjects like the aging heart and sports and the heart. If you just wanted one book on cardiology and you are a general physician or general practitioner, you should find this will amply satisfy your needs. Go to top


Cerebral palsy: caring and coping

Format: Book
Editors:Muriel Goodman and Babette Katz
ISBN: 1 86814 329 5
Publisher:Witwatersrand University Press
Enquiries:Global Book Marketing, 38 King St., London WC2E 8JT, UK
Price: £8.95
Reviewer:Dr Jeremy M Sager, General Practitioner, Leeds, UK
Month reviewed:March 1999

This book has been written specifically with the parents of a child with cerebral palsy in mind. Using a wide variety of exercises and activities, the book shows how an affected child can be helped to gain head control, sit, stand and ultimately, hopefully, walk. It is simply, yet effectively illustrated and although only 82 pages long, will be an invaluable aid to parents and carers who are striving to help their child in any way they can. One particular useful feature is the problem-based index at the back of the book, which points the reader quickly towards solutions to the particular difficulties that their child might face. In the Editors' note at the front of the book, the authors state that their main aim has been to work with the caregiver or parent and show them how best to handle a CP child to improve movement and maximise function. In this, they have clearly been successful. Go to top


The Child Surveillance Handbook (Second Ed.)

Format: Book
Authors:David Hall, Peter Hill and David Elliman
ISBN: 1 870905 24 5
Publisher:Radcliffe Medical Press
Orders:Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £19.95
Reviewer:Dr Jeremy M Sager, General Practitioner, Leeds, UK
Month reviewed:August 1999

There is far more to this useful book than what under fives are expected to be able to do at various stages of infancy and childhood. The authors are to be congratulated on producing an eminently readable text which should be on the bookshelves of all GP practices. It contains an abundance of nutritional advice and answers to parents questions about diet. There is an excellent section on bottle feeding with explanation of the advantages and disadvantages of different milks. The topic of immunisation is thoroughly explored and every possible question that parents could ask is answered in detail. There are interesting chapters on the prevention of infectious disease and accidents. There is an excellent section on early detection of emotional and behavioural disorders with guidelines on basic management by the GP. Importantly, child abuse and protection are afforded detailed coverage, again with the emphasis being on common modes of presentation and management in a primary care setting. The individual child health surveillance examinations are covered in some 150 pages with practical guidance on when to refer to secondary care. It is the latter aspect of the book that will appeal to the jobbing family doctor. All in all, a very helpful book which should be within easy reach of every baby clinc. Go to top


Clinical ENT: an illustrated textbook

Format: Book
Authors:Gerard M O'Donoghue, Grant J Bates and Antony A Narula
ISBN: 0 19 262226 9
Publisher:Oxford University Press
Orders:Tel: +44 (0) 1536 454534
Price: £19.95
Reviewer:Dr Jeremy M Sager, General Practitioner, Leeds, UK
Month reviewed:March 1999

This is a concise yet comprehensive hardback book, which is aimed particularly at medical students and GPs, as well as casualty officers and indeed any doctor whose practice brings them into contact with ENT issues. It is split into three sections: the ear, the nose and sinuses and the larynx, head and neck, and is extensively illustrated with many good quality colour photographs. Important key points in each chapter have been helpfully highlighted in boxes. There are, of course, one or two statements at which a general practitioner may raise an eyebrow, for instance the suggestion that otitis media requires a 10 day course of antibiotics or the assertion that cotrimoxazole is useful for penicillin sensitive patients. However, this does not detract from what is otherwise a superb and highly readable textbook. One final point: my daughters objected to the rather grotesque photographs of nasal deformities; thus it should not be considered reading matter for the breakfast table! Go to top


Clinical Evidence

Format: Book
ISBN: 0-7279 1364 6
Publisher:BMJ Publishing Group
Orders:UK: BMJ Publishing Group, PO Box 299, London WC1H 9TD. Tel: + 44 (0) 171 383 6270; Fax: 44 (0) 171 383 6402; email: subscriptions@bmjgroup.com ISBN: US: BMJ Publishing Group, Box 590A, Kennebunkport ME 04046, USA. Tel: 1800 2 FON BMJ; Fax 1800 2 GAX BMJ; email: bjpaige@cybertours.com
Price: Individual: £45/$99; ACP-ASIM member: $89; Institutional: £120/$192; Student: £35/$53
Reviewer:Harriett Ainley, Editor, Family Medicine
Month reviewed:September 1999

Driven by clinical questions which arise in primary and hospital care-rather than availability of research-Clinical Evidence reveals the research evidence to support various management routes of the diseases covered. An example of a question addressed is 'in people whose asthma is poorly controlled by inhaled corticosteroids, what are the effects of adding long acting, inhaled ß2 agonists?' The answer provided is 'RCTs have found that, in people with uncontrolled asthma, adding regular doses of long acting, inhaled ß2 agonists to inhaled corticosteroids improves symptoms and lung function, and reduces exacerbations. Regular use of long acting ß2 agonists has not been linked to deterioration in asthma control'. In this way, the book compliments the work of the Cochrane Collaboration which publishes systematic reviews of controlled trials.

The first issue covers the following diseases: infectious, endocrine, eye, respiratory, digestive system, skin, musculoskeletal, gynaecological, urological, breast, child and cardiovascular. Other areas include mental health, ENT, neurological disorders, wounds, sexual health and child health. The publishers intend to update and expand the book every six months, and an electronic version will be available in the year 2000.

Refreshingly user-friendly, and subject to rigorous editing and peer review, Clinical Evidence includes a summary page at the start of each section which outlines the key questions addressed, some key messages and a list of the interventions covered, categorised according to whether they have been found to be effective or not. As has come to be expected, the BMJ publishing group have produced another jewel, this time a most resourceful reference book which deserves shelf space in every hospital and general practice. Go to top


Clinical infectious diseases: a practical approach

Format: Book
Editor-in-chief: Richard Root
ISBN:0-19-508103-X
Publisher:Oxford University Press
Orders:Tel: +44 (0) 1536 741727
Price: £99.50
Reviewer: Dr Harry Brown, GP, Leeds
Month reviewed:May 2000

This books lives up to its subtitle, it certainly adopts a practical approach. It is a book whose target audience are clinicians and within its 1000 or so pages, covers most aspects of infectious diseases, which will impact on day-to-day practice. It is a multi-authored book with primarily an American authorship though there is a fair smattering of contributors from other countries. Since infectious diseases know no boundaries within the many disciplines of medicine, there is a large potential audience for this book. Apart from of course infectious disease specialists, general physicians and even GPs will find this text useful, informative and helpful in their every day work. Practicing doctors from most specialties will benefit from at least some of the chapters. Most importantly, this book is actually a good read, relatively short chapters means it is easy to dip in and extract the information relatively quickly. This would make a great addition to a hospital library or an infectious disease unit and anyone who has to deal with any infectious diseases on a day-to-day basis. Though the price of the book may put some people off, for others this book will be an essential addition to their personal library. Go to top


Clinical Negligence In General Practice

Format: Book
Editor:Michael Drury
ISBN: 1 85775 367 4
Publisher:Radcliffe Medical Press
Orders:Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £22.50
Reviewer: Dr Adrian Boonin, General Practitioner, Leeds and Senior Clinical Lecturer, Academic Unit of Primary Care, University of Leeds
Month reviewed:February 2001

The use of the term 'clinical negligence' in medical circles usually conjures up one of two images. Doctors will think either of the case reports in their defence organisation's regular bulletin or of letters from solicitors - both of which lead to sleepless nights! How refreshing therefore to read a book on this subject, which seeks not to scare doctors out of their wits, but to give, what is actually, a behind-the-scenes look at this often distressing area of clinical practice. The contributors come from both medical and legal backgrounds, and this excellent book covers all areas of this topic, from risk management in practice, through the NHS complaints system and the role of defence organisations, to court appearances and the responsibilities of medical expert. This book is also interspersed with a huge number of case summaries, which are used to inform, rather than frighten, the reader. As a doctor with a passing fascination for legal matters, I particularly enjoyed the chapter on the 'law of negligence'. This succeeds in its attempt to unravel the different strands of legal argument that amount to a definition of negligence, and clearly explains how the current legal situation arises from previous case law. The modern NHS is succeeding in its attempts to de-mysticise medicine and hospitals by giving patients information abut illness and services, in order to make them seem less threatening. This book does the same for doctors and their involvement with the legal services.and does it very well. Go to top


Clinical Orthopaedics

Format: Book
Editor:Edward Craig
ISBN:0-683-02180-X
Publisher:Lippincott Williams and Wilkins
Orders:Plymbridge Distributors Ltd, Estover, Plymouth PL6 7PY; Tel: +44 (0) 1752 202301; Fax +44 (0) 1752 202331; e-mail: orders@plymbridge.com
Price: £105
Reviewer: Dr Harry Brown, GP, Leeds
Month reviewed:September 2000

This is a scholarly general review of the speciality of orthopaedics and the target audience is ideally orthopaedic surgeons and their trainees. It is best to consider it as a general all-round textbook and covers the vast majority of the speciality within its 1100 pages. It will also be of interest to a rheumatologist or a general practitioner who has a specific interest in orthopaedic problems. This could be a clinical assistant or an interested general practitioner who wants to read around a subject or a patient's problem. This is a multi-author book and most contributors come from North America. Each chapter can be read in its own right and has plenty of references and illustrations. The book itself comes with a sturdy hardback cover and spine and the pages are printed on glossy paper. So the book itself is well produced and this in part may explain the cost of the book. All in all, it is super book for the clinician whose main workload evolves around orthopaedics and rheumatology Go to top


Cochrane library

Format: CD-ROM
ISBN: 1 901868 05 2
Enquiries:Update Software on (01865) 513902
Annual subscription: £120 plus VAT
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: January/February 1999

: The Cochrane library is a collection of different databases, which contains reliable information from the medical literature. For many doctors, this CD is one of their main reference sources and on using it, I can understand why. The software is easy to install and its most important function, the search capacity is powerful and not too difficult to master. It is not cheap but the quality of information is superb and has the potential to make a practical impact on everyday clinical work. A subscription includes four CDs, one being released every quarter containing the latest editions of the database. Doctors who are keen to base their clinical work on the best available medical evidence will want a subscription.Go to top


Conn's Current Therapy 2000

Format: Book
Editors:Robert Rakel, W.B Saunders
ISBN: 0-7216-7225-6
Publisher: Harcourt, Foots Cray High St, Sidcup, Kent DA14 5HP
Subscriptions:Tel: +44 (0) 0181 308 5710 (ask for direct orders); Fax +44 (0) 0181 308 5702
Price: £39.95
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: September 2000

Yet again we review this evergreen book which makes an appearance every year. Undoubtedly it is one of the medical classics; this current version is now the 52nd edition, a figure that is a monument to its own success. As always, this book focuses on therapeutics and the subject headings it covers are broadly similar to the previous edition. However the similarity ends here, according to the preface 91% of the authors are new whilst the remainder have freshened up their contributions. With just over 1200 pages, this is an excellent reference text. Though it is fundamentally an American sourced book, it is pleasing to see a contribution from the rest of the world. The preface states that 30 chapters have been written by non-American authors. All in all this represents excellent value for money and though it is not necessary to buy the book every year, many fans of this series will buy this again and again. After all, it is modestly priced and represents good value for money. Go to top


Contraception your questions answered (Third Edition)

Format: Book
Published: 1999
Author: John Guillebaud
ISBN:0-4430-6153-x
Publisher: Churchill Livingstone
Orders:Customer Services Dept, Harcourt Foots, Cray High St Sidcup, Kent DA14 5HP Tel: 0181 308 5710; Fax: 0181 308 5702; e-mail: cservice@harcourtbrace.com
Price: £21.95
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: April 2000

This is the latest edition in what is already an excellent and widely consulted book. It attains this status not because of its authority (which it has) but because of the easy flowing, way it is written. It is written in a question and answer format with questions based on what real prescribers of contraception are likely to ask. So the title is no empty promise, the book delivers on exactly what it says it will. For the many users out there who have referred to previous editions, wanting to know what changes have been made, then they will be pleased to know that the book has been significantly updated to cover all the current issues. The layout of the text has acquired an orange tone but it is the content which will attract old and new readers. Put quite simply, it is one of the core books for many family planning doctors, GPs and gynaecologists.Go to top


Core Curriculum in Primary Care (Part 1, Third Edition)

Format: Disc 8 (of 9) - Pulmonary Medicine & Asthma Format: CD-ROM (Windows or Mackintosh)
ISBN:1-57276-954-8
Publisher: Healthstream (formerly SilverPlatter Education)
Orders:E mail: keith.buchanan@healthstream.com; tel: 615-301-3205 Fax: 801-749-4096; or access website http://www.healthstream.com
Price: Single users: $49 per disc or $349 for the full series of nine Discs (plus $50 for international orders). Multiple users: $99 per disc or $699 for the full series of nine discs
Reviewer: Dr Adrian Boonin, General Practitioner, Leeds and Senior Clinical Lecturer, Academic Unit of Primary Care, University of Leeds
Month reviewed: September 2000

This comes as one CD, which loads quickly and easily. The information is presented in lecture format, with 'slides' and diagrams, and covers four separate topics: Community acquired pneumonia, new asthma therapies, interpretation of the tuberculin test & TB prophylaxis, and obstructive sleep apnoea. There is an excellent navigation facility, which allows the user to find their place anywhere within the four presentations, and a marker feature allowing the user to resume a lecture following a break. Other features enable the user to see a transcript of the lecture, and also allow the user to print out individual slides and diagrams, as well as the transcript itself. The carousel feature allows the user to arrange the slides, and different parts of the lectures, in an order to suit the individual, which can then be stored for use later. The help feature is readily accessible, extremely comprehensive and easy to use.

The medical content of the lectures is of high quality, although there are some differences between UK medicine, and that practised in the USA, which may make these lectures slightly less useful than they might otherwise have been. For example, some of the drug names are unfamiliar and it was unclear to me whether these were actually different drugs, not available in the UK, or just different generic names for drugs already used in Britain. In addition some of the medical abbreviations used by the lecturers may also be unfamiliar to British clinicians. However, as stated, the teaching material is of a high standard and extremely up-to-date, and the presentation of the teaching will appeal particularly to those practitioners who prefer a lecture-style format for their learning.

Finally there is CME quiz based on each of the lectures, which, although aimed at accreditation for American clinicians, can be used to check one's knowledge, based upon the lecture content. Unfortunately, the format of the quiz, intended for actual CME accreditation, only allows one to view the correct answers once the quiz has been completed. The other discs in this series cover gastroenterology, psychiatry, pain & risk management, laboratory tests & imaging, prevention, office surgery and urology, metabolic diseases and otolaryngology. In summary, the Core Curriculum in Primary Care provides a comprehensive look at current advances in primary care, which is easily accessible to all clinicians at their desktop, though it must be said that American clinicians may find it a little more useful than their British counterparts. .Go to top


Current Diagnosis & Treatment in Orthopedics (second edition)

Format:Book
Editor:Harry B. Skinner
ISBN:0-8385-0363-2
Publisher: Lange Medical Books/McGraw Hill Medical Publishing Division
Orders:Tel + 44 (0) 1628 502558; Fax + 44 (0)1628 502167; E-mail: sarah_killeen@mcgraw-hill.com; website: www.mcgraw-hill.co.uk
Price: £35.99
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: January 2001

Orthopaedics can be a discipline where knowledge can be lacking if you don't regularly have to deal with patients who have orthopaedic problems. Yet for the generalist or even non-orthopaedic specialist, it is important to have some up to date knowledge about this branch of medicine. So this book which has just been published, tries to fill that vacuum. In fact, it achieves it's aim quite nicely by tackling its subject matter in a systematic manner. Despite this being a multi-author book (all American), it is uniformly readable. There is a good smattering of illustrations (all black and white) and I am delighted to see that a chapter is devoted to paediatric orthopaedic problems. In just under 700 pages, the reader will find a helpful, readable general reference source that will be ideal for the primary care physician or non orthopaedic specialist who needs to have some working orthopaedic knowledge. Also great credit goes to most of the contributors who have provided an e-mail address, hopefully this will become the trend for other authors in years to come. Finally this book represents good value for money and will easily prove to be a welcome addition to either a personal or departmental library. . Go to top


Current medical diagnosis and treatment

Format: CD-ROM
Editors: McPhee, Gonzales and Tierney
ISBN: 0-8385-1480-4
Publisher: Appleton and Lange New Media
Subscriptions:Tel: +44 (0) 1442 881891
Price: £67
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: December 1998

This CD-ROM contains the complete contents of the 1998 version ofCurrent medical diagnosis and treatmentand the Pocket guide to commonly prescribed drugs. Also included are selections of the pocket guide to diagnostic tests. In addition, there are Medline abstracts from 27 comonly used medical journals from 1993-1997 and various multi-media goodies such as pictures, video, sounds and web links. More importantly, these various elements are seamlessly woven together, to form one superb integrated reference source which is extremely useful to a general physician or GP. Most of the content is American based, though still highly relevant to British practice. This is an excellent multi-media reference package combined with an easy-to-use search engine. Also impressive is the price, this package represents excellent value for money.Go to top


Current medical diagnosis and treatment (40th International edition)

Format: Book
Year of publication: 2001
Editors: Tierney L, McPhee S, Papadakis M
ISBN: 0-07-116332-8
Publisher: McGraw-Hill medical publishing division www.mcgraw-hill.co.uk
Orders:louise_angelou@mcgraw-hill.com or tel: +44 (0) 1628 502558; fax: +44 (0) 1628 502167
Price: £35.99
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed:February 2001

There is no doubt that this is a superb textbook which covers general medicine and therapeutics. Not surprisingly it is large (just coming in under 1800 pages) but the material it contains is accessible, fresh and very readable. It seems to be comprehensive in its coverage and is updated every year. That does not mean that you have to buy this book every year, because it will act as a stand alone reference text for much longer than one year. Despite its American roots, this book will be very relevant to a UK audience that should span both primary and secondary care. General books like this will always be popular as they can act as an extremely useful reference source. As a bonus, the book has spawned a web site www.current-med.com which describes some of the on-line references mentioned in the book. All in all, a very good, all round general medicine practical reference text. Go to top


Current Issues In Obstetrics and Gynaecology

Format:Book
Editors:S. Arulkumaran and Soon-Chye Ng
ISBN: 0-19-588246-6
Publisher: Oxford University Press 1996
Orders:Tel 01536 454534
Price: £24.50
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: April 1999

This book was published in honour of a distinguished obstetrician and gynaecologist in Singapore. As a result, many eminent obstetricians and gynaecologists from all over the world have contributed to this volume. It is not a textbook but a review of many topics related to the discipline. A lot of the topics are quite high powered and above the level expected of the average GP. Even so, for the interested reader, this 352 page book, gives a good overview of the subject areas covered. Ideally, this is aimed at a specialist but an interested GP wanting a more detailed account of some of the science behind some of the issues in obstetrics and gynaecology would find this a good read. Go to top


Danforth's Obstetrics & Gynaecology (Eighth Edition)

Format:Book
Last published:March 1999
Editors:Scott, Di Saia, Hammond and Spellacy
ISBN: 0-7817-1206-8
Publisher: Lippincott Williams & Wilkins
Orders:Plymbridge Distributors Ltd, Estover, Plymouth PL6 7PY; Tel: +44 (0) 1752 202301; Fax +44 (0) 1752 202331; e-mail: orders@plymbridge.com
Price: £24.50
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: December 1999

Sometimes American textbooks do not always find a niche in this country but this book certainly does. It is a good all round textbook of both obstetrics and gynaecology. It is pitched at slightly above the level that most general practitioners would need but it is certainly not beyond them. Equally it is a good reference source for specialists in obstetrics and gynaecology both in the UK and in other countries. The book impresses from the first chapter which is entitled 'evidence based obstetrics and gynaecology' and covers the subject matter in a systematic approach. There are several good chapters and I particularly found the chapter on paediatric and adolescent gynaecology very helpful and informative. Overall this book is readable, authoritative and is useful for a primary care or specialist setting. The price is at the upper end of what many practitioners would be prepared to pay but if they needed just one text to cover obstetrics and gynaecology then this would easily satisfy their needs. Go to top


Diagnostic Ultrasound of Fetal Anomalies: Principles & Techniques

Format:CD-ROM (Windows and Macintosh)
ISBN: 1-57276-043-5
Publisher: SilverPlatter Education, Inc. (http://php.silverplatter.com)
Orders:E-mail them to kellib@silverplatter.com, Fax to (The United States) 617-244-5979, Call (The United States) 617-244-0284 ext. 415 Website http://php.silverplatter.com/products
Price: $175 individual users / $495 institutional users
Reviewer: Miss S J Kaufmann, Specialist Registrar, Obstetrics and Gynaecology, Yorkshire, UK
Month reviewed: July 1999

This comes on two CDs and installs quickly and easily. The only gripe with installation is that it is not customisable ie. it automatically installs on the c drive to the default directory. It contains 120 ultrasound videos and 600 images. All are of the highest quality and the videos run smoothly, even on an old P120 with 16MB RAM. The first CD contains the systems tutorials. Finding specific topics is simple, either by starting with the relevant chapter or by using the comprehensive search facility. It gives an excellent overview of the incidence of major abnormalities and the incidence of their detection. Equally as important, it lists those abnormalities that cannot be detected. It also lists the guidelines for antepartum obstetric ultrasound examinations for all three trimesters of pregnancy and for the equipment and documentation that should be used for these examinations.

Whilst these are obviously for the American medical profession, they are not too dissimilar from the UK guidelines and are thus still relevant. Useful tools are the transcript feature that allows you to print the text of the narration and the marker feature that allows you to mark images and text. Mini courses can be tailor-made with the carousel player allowing the individual to group together specific topics. These can be saved and used at a later date. The second CD contains case studies and an anomaly recognition quiz. There are 150 anomalies in the quiz and these can be worked through in random or selected by topic after studying specific systems.

This is not intended to be an encyclopedia of knowledge about all known fetal abnormalities but a database of pictures and videos enabling the user to identify the normal and the abnormal fetal structures. It does this well with clear diagrams to instruct in the correct way to visualise each structure. Whilst this is no substitute for practice scanning, I particularly liked the practice sessions where the interactive teaching is used to its full potential with the user measuring various fetal parameters. It is a highly polished programme, designed to make full use of the modern teaching media available. The quality of the diagram, pictures and videos are first rate. I am sure that it fulfills its aims of "making learning without a patient possible, so that learning with a patient is accelerated". Go to top


Differential Diagnosis in Ophthalmology

Format:Book
Author: Stephen A Vernon
ISBN: 0-7817-1206-8
Publisher: Manson Publishing
Orders: Can be purchased from Manson Publishing Ltd,. 73 Corringham Road, London NW11 7DL; Tel: 020 8905 5150; Fax: 020 8201 9233. Cheques to be made payable to: Marston Book Services; Postage & Packing: Customers in the UK please add £2.50 for the first book, £1.00 per book thereafter; customers in Eire and Continental Europe add £3.50 for each book ordered; customers outside Europe add £5.00 for each book ordered
Price:
£19.95
Reviewer: Dr Jeremy M Sager, GP, Leeds
Month reviewed: December 1999

This book is written by a consultant ophthalmologist with an obvious love of teaching and is aimed at all staff in eye clinics as well as medical students. Mr Vernon clearly embraces the philosophy that 'a picture is worth a thousand words' because the book is brimming with copious good quality colour photographs. One particular facet of the book that will appeal to undergraduates is the division of conditions into COMMON or RARE which makes the book easy to dip into and navigate according to knowledge of the subject. Important strategy points are highlighted and boxed. It should be noted that the book is only concerned with diagnosis - those who wish details of specific treatments will need to look elsewhere. Chapter 8 is of special interest to the GP who is often faced with relatively normal looking eyes but a symptomatic patient who is complaining of dryness, soreness or watering etc. All in all, a very useful book which should be within arm's reach in the consulting room. Go to top


Diseases of the Skin: A color atlas and text

Format:Book (first published March 2000)
Authors: Gary White and Neil Cox
ISBN: 0-7234-3155-8
Publisher: Mosby
Orders: Customer Services Dept, Harcourt Foots Cray High St Sidcup, Kent DA14 5HP; Tel: +44 (0) 208 308 5710 (ask for direct orders); Fax +44 (0) 208 308 5702
Price:
£130
Reviewer: Dr Harry Brown, GP, Leeds
Month reviewed:May 2000

Without hesitation this has to be the finest dermatology book I have ever set eyes on. It is truly outstanding, scoring highly in the number and quality of pictures with an excellently written text. This doubles both as a superb atlas and a detailed reference source. The presentation of the book is also excellent, printed on shiny paper, giving the book a luxurious feel about it. It is also tall and impressive looking, the paper being slightly bigger than A4 and will certainly need a tall bookshelf to sit on. Although it is only just over 500 pages, it covers the topics admirably and for most non-dermatologists this could easily suffice as the only textbook they need on the subject. The text is just as clear and easy to understand as the pictures and is a very practically orientated book. After gushing about its positive points-and there are many, there are a couple of minor gripes. This is an Anglo-American production -Neil Cox is a consultant dermatologist in Carlisle but if the book is sold in the UK, do we have to have an American spelling in the sub title? On a more important note the book is without doubt, pricey and maybe beyond the pockets of many people who would undoubtedly be stimulated by it. However, I suspect that the majority of purchasers are not going to be disappointed by it. Overall, a truly outstanding book. Go to top


The Doctor's Internet Handbook

Format: Book
Editors:Robert Kiley
ISBN: 1-85315-370-2
Publisher: The Royal Society of Medicine Press Ltd
Orders:click here
Website:http://www.roysocmed.ac.uk/handbook.htm
Price: £6.99
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: January 1999

This book is a collection of articles which first appeared in the Journal of the Royal Society of Medicine. They have been updated and there is also a web site (see above), which contains all the Internet addresses within the book. Unlike many Internet manuals this book is slim, only 75 pages. However, it contains a wealth of knowledge and expertise which makes it an indispensable guide for the doctor wanting to surf. Both experts and novices will find this book useful and it is written in a clear and easy to understand manner. There is also a refreshing lack of jargon and this book deserves to do well. Go to top


Drug and Therapeutics Bulletin + MeRec Bulletin

Format: CD-ROM
Publisher: Consumers Association
Subscriptions:Tel: +44 (0) 645 830 082
Price: £65
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed:July/August 1998

The quality of the material on this CD-ROM certainly ranks amongst some of the finest sources of therapeutic information in the UK. This CD-ROM contains electronic versions of the BNF (Number 35), the Drug and Therapeutics Bulletin from January 1993 to March 1998 and the MeRec newsletter from January 1994 to December 1997. The technicalitites of using this CD-ROM are easy, both the installation and the day-to-day use. The huge advantage of having these publications available electronically is the ability to search their contents rapidly for specific information, though thaving the paper version of the BNF next to the prescription pad (or printer) still has distinct advantages. If you are an avid reader of the two therapeutic newsletters and would like to be able to use them as a reference source then this is the product for you. The Drug and Therapeutics Bulletin is also available as a solo product for £30.Go to top


Dyspraxia - The Hidden Handicap

Format:Book
Authors:Dr Amanda Kirby
ISBN: 0-285-63512-3
Publisher: Souvenir Press Ltd
Price: £12.99
Reviewer: Dr Bashir Qureshi. GP, London
Month reviewed:April 2000

Dyspraxia is a condition which causes varying degrees of co-ordination difficulties in an outwardly normal looking child. It is a truly hidden handicap which can lead to severe educational and social problems for the child. Other pupils may become inadvertantly cruel in making the child a social outcast and their bullying can seriously damage the victims self-esteem. There has been a need for a book with relevant information, for parents, child carers, teachers, general practitioner, nurses and play leaders so as to understand the condition. Dr Amanda Kirby, who is a practising GP and the mother of a son with dyspraxia, has filled the gap. The author has written from long experience of the questions parents ask and of strategies that help the child to overcome his physical and emotional problems. The information about causes, symptoms, signs and diagnosis, differential diagnosis and management of Dyspraxia is concisely given in this authentic and readable book. The text is particularly useful for general practitioners, who see more children each day than paediatricians, in their surgeries/clinics, informing them how to distinguish dyspraxia from other conditions such as autism, Asperger's syndrome, semantic pragmatic disorder, attention deficit hyperactivity disorder, dyslexia and dyscalculia. A correct diagnosis is the key to appropriate management.Go to top


Essential Medical Physiology (Second Edition Published 1997)

Format: CD-ROM
Publisher: Lippincott Williams & Wilkins
ISBN: 0-397-58401-6

Orders:Plymbridge Distributors Ltd, Estover, Plymouth PL6 7PY; Tel: +44 (0) 1752 202301; Fax +44 (0) 1752 202331; e-mail: orders@plymbridge.com
Price: £34.95
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed:July1998

For most practising clinicians, basic physiology remains a distant and dim memory, yet this is not an ideal state of affairs. Physiology is a fundamental science that directly impacts on daily workload. Clinicians deal with disordered physiology as a matter of routine. However, most doctor's knowledge is to say the least, sketchy. So this book is an excellent text both for reference purposes and just to dip in and refresh the memory of the user. For a textbook, it is actually quite readable and though it may go into too much detail for most doctors, it will almost certainly cover their area of interest. Helpfully, there are numerous boxes throughout the book which correlate with clinical issues. It makes a good undergraduate text but will certainly be of interest to the average doctor who almost certainly have gaps in their knowledge of the basic physiological processes that are going on in the human body Go to top


Essentials of Complementary and Alternative Medicine

Format:Book
Authors:Wayne B. Jonas, MD Jeffrey S. Levin
ISBN: 0-683-30674-X
Publisher: Lippincott Williams & Wilkins
Orders: Plymbridge Distributors Ltd, Estover, Plymouth PL6 7PY; Tel: +44 (0) 1752 202301; Fax +44 (0) 1752 202331; e-mail: orders@plymbridge.com
Price: £25.00
Reviewer: Dr Harry Brown, GP, Leeds
Month reviewed: April 2000

Virtually all health professionals at some time in their careers have had to deal with patients who used complementary therapies. Often the health professional will know little or nothing about the treatments used but yet express or convey the feeling that the treatment will have minimal if any impact. Admittedly this is a sweeping generalisation but that attitude is changing and mainstream medicine is beginning to concede the undoubted benefits of complementary and alterative medicine. One acknowledgement of this trend is the publication of this book. According to the foreword of the book, this is the first major and extensive textbook aimed at doctors, which covers the complementary field. The book is superb and is a scholarly presentation of the facts. It is highly readable and has a good range of contributors though many of them come from the United States. Even so, there are two contributors from the United Kingdom. Following the trend of other medical books, there is a chapter on evidence-based complementary and alternative medicine. This is a super book, which deserves a wide readership, and at £25, it represents great value for money.

Go to top


Essentials of Family Medicine

Format:Book
Authors:Philip D Sloane, Lisa M Slatt, Peter Curtis and Mark H Ebell
ISBN: 0 683 30147 0
Publisher: Williams and Wilkins
Orders: Plymbridge Distributors Ltd, Estover, Plymouth PL6 7PY; Tel: +44 (0) 1752 202301; Fax +44 (0) 1752 202331
Price: £22.00
Reviewer:Dr Jeremy M Sager, GP, Leeds
Month reviewed: September 1999

Every once in a while, it is interesting to see what our colleagues from across the pond are up to in the world of family medicin . It is fascinating to examine the differences in practice between GPs in the USA and here in the UK and I can't immediately bring to mind a UK text that covers general practice in such detail. Each chapter is written by family practitioners, is heavily referenced and supplemented by questions and case studies. Management decisions for a particular problem are given a level of evidence for clinical effectiveness. For instance, in the management of acute low back pain, spinal manipulation gets an A rating which means that there is strong evidence for its efficacy. Physiotherapy, suprisingly, only manages a C rating - i.e. it is of unproven benefit and significant cost!

Chapter 11, which is devoted to promoting health for women at the menopause, is worthy of special mention with the physiological changes being particularly well explained. Were you aware for instance, that after the menopause, although the oestradiol level falls, the level of oestrone, which is primarily metabolised in fat cells, increases. Hence, obese women have fewer menopause symptoms. The management of sore throat as detailed in Chapter 40, is particularly interesting and relies on a clinical prediction rule to gauge the likelihood of the patient having a strep. throat. Patients with an intermediate probability are evaluated using a rapid antigen test and receive antibiotics only if this is positive. If this was adopted in the UK, perhaps we could reduce wasteful antibiotic prescribing for viral pharyngitis, although the cost of the test might be a barrier to saving money! With the possible exceptions of different brand names for drugs and the use of mg per cent instead of mmol/l, this is a highly readable and enjoyable book and one which this reviewer had his nose in every night for a fortnight, much to the annoyance of his other half. Go to top


Email to fax gateway

Format: Website
Address: http://www.tpc.int/tpc_home.html
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: January/February 1999

The Internet has many services on offer but a real gem can be found at the following address: http://www.tpc.int/tpc_home.html. This site lets you send a fax from your web browser or e-mail software, and even better, the recipient does not need to have an Internet account, just a fax facility. Likewise, the sender does not need an e-mail set up, just access to the web. This facility is provided free of charge and there is no obvious catch. Coverage within the UK is comprehensive, although not all places throughout the world are covered by this service.Go to top


Emergency Medicine (international student edition) A comprehensive study guide 5th Edition

Format:Book
Authors:Tintinalli J; Kelen G; Stapczynski J
ISBN:0-07-116800-1
Publisher: McGraw Hill
Orders:Contact Sarah Killeen, Special Sales Executive for Healthcare on: tel: +44 (0) 1628 502558; fax: +44 (0) 1628 502167; email: sarah_killeen@mcgraw-hill.com

Price: £78.99
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: July 2000

The sub-title "a comprehensive study guide" is modestly under-stated, this is a huge tome of a textbook which comes in at just over 2000 pages. It is heavy and will certainly take up a lot of space in the bookshelf. By now you will have correctly guessed that this book attempts to cover the whole field of emergency. The subject matter of emergency medicine is vast and requires knowledge of the whole of medicine. This reference source makes an excellent attempt at trying to be a practical and informative single reference source and is packed with details and data. There are some good illustrations but the quality of the text is its winning feature. The breadth of coverage is superb and the quality of information is excellent. Though this book is a North American collaboration, there is undoubtedly a role for this book in the United Kingdom. In fact a copy of this book would be a welcome addition to every accident and emergency unit in this country. As a reference source, few individual books will be able to match it and at this price represents good value for money. Go to top


Essential Otolaryngology Head & Neck Surgery (Seventh Edition, 1998)

Format:Book
Editor:K.J. Lee
ISBN:0-8385-2270-X
Publisher: Appleton & Lange
Orders:Available from your local medical books supplier or alternatively contact IBD Customer Services on Tel: +44 (0) 1442 881900 or Fax: 01442 257115.
Price: £51.00
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: April 1999

This is a detailed postgraduate ENT text, which is aimed primarily at an American audience. Even so, this does not mean that there is no market in this country for such a book. Ear nose and throat surgeons, particularly those in training, will find this a useful reference source. Primary care physicians wanting a bit more information about a particular topic may also find this a helpful companion. Even though this contains more detail than is needed, GPs wanting to read around a subject will find it very good for this purpose. It is a big book, over 1200 pages, but it is eminently readable and the highlights and pearls section at the end is particularly good. Perhaps other textbooks should adopt this kind of practical approach. Go to top


Evidence-based gastroenterology and hepatology

Format:Book
Editors:McDonald J; Burroughs A; Feagan B
ISBN:0-7279-1182-1
Publisher: BMJ Books
Orders: Tel: +44 (0) 171 383 6244; email: orders@bmjbookshop.com
Price: £85.00
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: April 2000

This is a superb reference book aimed at the specialist who wants to practice exactly what the title of this book suggests. I use the word reference book because this is not a textbook. A textbook will examine a topic in the standard way, often aetiology, pathophysiology, clinical features etc of any given condition. Of course there will always be a need for that but this book takes a different approach. It takes the best of the medical literature with a preference for the randomised controlled trial or a meta-analysis and applies the results to clinical problems. Any evidence introduced is ranked according to its importance and indicated so within the text. There is strong emphasis on treatments and management of a condition or situation and needless to say there are plenty of references. However, the strong point about this book is its readability, the chapters are often relatively short and easily understandable; the book itself has only 557 pages. This means that the reader can easily dip into a specific chapter and read it relatively quickly. More importantly, information gleaned here means that best practice can be introduced into everyday work with relative ease. Undoubtedly this book is aimed at the specialist who wants to know how to apply the cream of research into their clinical practice. I am sure we will see more of this type of book, covering all the major specialities. Go to top


Evidence Based Practice in Primary Care

Format:Book
Editor:Chris Silgay and Andrew Haines
ISBN:0-7279-1210-0
Publisher: BMJ Books
Orders: Tel: +44 (0) 171 383 6244; email: orders@bmjbookshop.com
Price: £25
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: August 1999

The words "evidence base" have become the buzzwords of the last few years and undoubtedly there is a great demand for a book such as this. The phrase evidence-based medicine is the concept that we have all heard of but most of us are not too sure of the basics. Well, this book prefers the expression evidence-based practice. This multi-authored book does well in reviewing the topic with obvious reference to primary care. It is not the easiest subjects to tackle and some of the sections are not an easy read. Even so, this is an excellent book which does try to spell out what is going on in this field. Each chapter can be read independently and so some parts of the book may have a higher chance of being read than other sections. However, there is something of interest for everyone here and the book is fairly priced.Go to top


Fertility problems: a simple guide

Format:Book
Author:Ruth Chambers
ISBN:1 85775 334 8
Publisher: Radcliffe Medical Press
Orders: Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £17.95
Reviewer:Dr Jeremy M Sager, GP, Leeds
Month reviewed: July 1999

Radcliffe have done it again, with this straightforward yet comprehensive book aimed at GPs, patients and other primary care team members involved in the care and treatment of infertile couples. It tackles all the issues involved, despite being only 111 pages long and could quite easily be read in one day or two. It is divided into eight chapters; there are two appendices with useful addresses, telephone numbers and publications, a glossary and an index. All the chapters are heavily referenced. Of particular interest to the GP are the chapters concerned with initial management and fertility treatments. Particularly pertinent is the recent (1998) advice from the RCOG, that the only investigations normally necessary in general practice are a seminal analysis and mid luteal progesterone level. Infertile couples often ask about the success rates of the various treatments and information about this and about the risks involved is found in chapters 5 and 6. Ethical matters are discussed in the last two chapters. One in seven couples are said to experience problems in conceiving and so the need for information about infertility is paramount. This book undoubtedly meets that need and is a must buy for any practice library. Go to top


Fitzpatrick's Dermatology in General Medicine 5th Edition

Format:CD-ROM
Editors: Irwin M. Freedberg, Arthur Z. Eisen, Klaus Wolff, K. Frank Austen, Lowell A. Goldsmith
ISBN:0-07-134676-7
Publisher: McGraw Hill
Orders: Contact Sarah Killeen, Special Sales Executive for Healthcare on: tel: +44 (0) 1628 502558; fax: +44 (0) 1628 502167; email: sarah_killeen@mcgraw-hill.com
Price: £287.99 inclusive of VAT
Reviewer:Dr Harry Brown, GP, Leeds
Month reviewed: May 2000

According to the back of the CD case, this derives from a two-volume set containing 3000 pages and over 2000 pictures (price £270). So putting it all on to one CD-ROM is indeed a miracle of modern technology. Of course there are the age-old arguments of what is best, books versus CD-ROMs. Yes books are more convenient, you can read them anywhere whilst CD-ROMs need a computer. Assuming one is to hand then a product like this is a boon. The advantage of electronic searching, printing direct from the CD-ROM or transferring data to a word processor is an amazing advantage. So that's the general overview but how does this product actually match up? This CD-ROM was tested on a Windows 98 machine, installation was a breeze and at no time during the period of review were there any technical problems. Well the content is first class and highly detailed, the quality of the pictures (and text for that matter), on the screen as well as printing them out, is excellent. More importantly the software employed on the CD-ROM to access the content is easy to use and most computer users will have no problems with it. Certainly you do not have to be an expert computer user to figure out the software and I had no need to refer to the reasonable manual that came with the CD-ROM. The screen can become a little cluttered sometimes if you have more than one window open, for example the search form, table of contents plus viewing the book itself, but this is easy to remedy by clicking options from the view menu. Overall this is a great product and if this is your subject area (the content is really aimed at the specialist dermatologist or interested family practitioner wanting to have a detailed resource handy) and you like to use CD ROMs instead of books, then this is for you. Go to top


Gastroenterology and Hepatology

Format:Book
Editor: Gabriele Porro
ISBN:007-709519-7
Publisher: McGraw Hill
Orders: Contact Sarah Killeen, Special Sales Executive for Healthcare on: tel: +44 (0) 1628 502558; fax: +44 (0) 1628 502167; email: sarah_killeen@mcgraw-hill.com
Price: £39.99
Reviewer:Dr Harry Brown, GP, Leeds
Month reviewed: July 1999

It is always worth reading the foreword of the book because that often gives a clue about the ethos of the text. This book is no exception to the rule and from reading the foreword, the reader appreciates this book is not aimed at the specialist but at the 'family practitioner' and the contributors come from all over the world. However, it is pleasing to see that the book does not have a North American bias and in fact most of the contributors come from Europe. The detail covered in this book just hits the right depth and the editors are to be congratulated in achieving a uniform style. I used this book for a period of time in a busy United Kingdom general practice as a primary reference source and this answered all my questions and covered the topic superbly and authoritatively. Best of all, this book is competitively priced and is cheap enough to buy for personal or practice use. Assuming that you are part of the target audience then you are not going to be disappointed.Go to top


General Ophthalmology (15th Edition, 1999)

Format:Book
Editors:Vaughan, Asbury and Riordan-Eva
ISBN:0-8385-3137-7
Publisher: Appleton and Lange
Orders: IBD Customer Services: Tel: 01442 881900 or Fax: 01442 257115.
Price: £31.00
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: April 1999

This is a new edition of a well-established book and it is ideal as a companion for the average general practitioner. Though most of the authors are based in the United States, there are three British based contributors. Helpfully some of the contributors have allowed their e-mail addresses to be published, so it is possible to contact them and clarify any issue. Hopefully this will not be necessary as the book is well written and there is a generous helping of illustrations which complements the text. In its 432 pages, the vast majority of eye problems encountered within general practice will be covered in more than adequate detail. A practical and useful book which deserves to do well. Go to top


Gynaecology Illustrated (5th Edition)

Format:Book
Authors:David McKay Hart and Jane Norman
ISBN:0-443-06198-X
Publisher: Churchill Livingstone
Orders:Customer Services Dept, Harcourt Foots, Cray High St Sidcup, Kent DA14 5HP Tel: 0181 308 5710 (ask for direct orders); Fax: 0181 308 5702; e-mail: cservice@harcourtbrace.com
Price: £29.95
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: April 2001

This is an excellent textbook, which can be of use to both undergraduates, GPs and practice nurses. The layout is good with relevant portions of text coupled with extensive black and white diagrams. Most importantly, the volume of information is pitched at just the right level, ideal for what a GP needs to know. Using the combination of text and diagrams, the book can be read in its entirety or more likely, specific subsections can be read. Within its 443 pages, the vast majority of gynaecology knowledge that a British based GP will need, can be found here. This is not a detailed reference source but a practical assistance to help a doctor with day to day primary care gynaecology. Go to top


Hall and Coleman's Disease of the Ear Nose and Throat (15th Edition)

Format:Book
Editor:Martin Burton
ISBN:0-443-06190-4
Publisher: Harcourt International, 24-28 Oval Road, London NW1 7DX
Orders:Harcourt, Foots Cray High St, Sidcup, Kent DA14 5HP Subscriptions: Tel: +44 (0) 0181 308 5710 (ask for direct orders); Fax +44 (0) 0181 308 5702
Price: £21.95
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: January 2001

This is a new addition of a well know textbook, it is after all in its 15th edition. There has been a significant change in that Bernard Colman is no longer involved and the helm has been taken by four authors who were all junior doctors at one time under Mr Colman. Though the book has been updated, it still retains the same good flowing style and accessibility noted in the previous editions. It still remains ideal for the primary care practitioner and junior ENT specialist, covering all areas of the specialty in adequate depth. The book is well produced and contains a reasonable collection of illustrations. Though there are only 224 pages in the book, including the index, it does represent good value for money. If you only need one ENT book for the practice or personal library and you are not an ENT specialist then this book is a good candidate for your hard-earned cash. Go to top


Harrison's Principles of Internal Medicine (14th Edition)

Format:CD ROM version 1.1 (Windows )
ISBN:007134833-6
Publisher: McGraw Hill
Orders: Contact Sarah Killeen, Special Sales Executive for Healthcare on: tel: +44 (0) 1628 502558; fax: +44 (0) 1628 502167; email: sarah_killeen@mcgraw-hill.com
Price: £150 including VAT
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: July 1999

Before you gulp at the price and lose interest just continue to read. This is an outstanding medical reference source which at the end of the day is actually value for money. It contains the full contents of the highly respected Harrison's Principles of Internal medicine 14th Edition, excerpts from Medline but only selected references plus the full text of the excellent USP DI (a practical prescribing and therapeutics manual from the United States) as well as other goodies. These various substantial reference sources are elegantly combined to form an easy to use piece of software supplied on CD-ROM. The actual software is not difficult to operate and anyone who is used to basic word processing and surfing the net will master this within a short period of time. Though time spent reading the excellent user booklet, which accompanies the CD-ROM, is time well spent. There are some nice touches here, like the ability to print a selection of text, rather than print the whole section. Thoughtfully, Macintosh users are also catered for from within the same disc. If you want to be bang up-to-date and utilise the latest technology then you can subscribe to the associated web site, www.harrisonsonline.com. Practice libraries and institutions would be well advised to consider this as a core holding whilst individuals such as GPs and general physicians would undoubtedly find this extremely useful. To be perfectly honest, I could not fault this product at all; the only issue at stake is can you justify the cost? If you think you will refer to it on a regular basis then the answer is probably yes. Go to top


Health Behaviour Change: A Guide for Practitioners

Format:Book
Authors:Stephen Rollnick, Pip Mason and Christopher Butler
ISBN:0 443 058504
Publisher: Harcourt International, 24-28 Oval Road, London NW1 7DX
Orders:Harcourt, Foots Cray High St, Sidcup, Kent DA14 5HP Subscriptions: Tel: +44 (0) 0181 308 5710 (ask for direct orders); Fax +44 (0) 0181 308 5702
Price: £15.95
Reviewer: Dr Jeremy M Sager, General Practitioner, Leeds
Month reviewed: June 1999

How do you get your patients to stop smoking? Do you threaten them with the ultimate consequence, lung cancer? Do you paint a gloomy picture of breathlessness at rest, gangrene of the lower limbs and home oxygen dependence? Do you end up in conflict with your patients whenever the question of changing behaviour arises? This absorbing book, written by a clinical psychologist, a nurse and a GP, challenges the ways in which we are taught to advise patients on health promotion matters and shows the doctor how such advice could be delivered more effectively without unecessary bad feeling or confrontation. Using typical scenarios that all GPs regularly face, the authors explain why our efforts to help patients are often ignored and how we can persuade those who at first sight, seem resistant to change. Written in a crisp, decisive manner, this book is a useful addition to any practice library although it is sometimes difficult to see how its principles can be applied in the context of a typical five to ten minute consultation.Go to top


Herbal Medicines - A Guide For Healthcare Professionals

Format:Book
Authors:Newall, Anderson and Phillipson
ISBN:0 85369 289 0
Publisher: Pharmaceutical Press
Orders:Pharmaceutical Press, 1 Lambeth High Street London SE1 7JN; Tel: 44 (0) 171 735 9141
Price: £34.00
Reviewer: Dr Jeremy M Sager, General Practitioner, Leeds
Month reviewed: July 1999

Although the BNF is full to bursting with drugs for all manner of ills, patients are increasingly turning to herbal remedies. They do not realise that the latter have not been properly assessed for quality, safety or efficacy or that the majority are unlicensed. All this does not seem to deter the average patient in the slightest, who seems to believe that natural is synonymous with innocuous. Patients may not think to inform their GP that they are also using a herbal remedy and do not appreciate the potential for interaction with conventional medicines. Hitherto, there has been a paucity of reliable information on the subject for the general practitioner. Enter this brilliant book, surely the gold standard reference on phytomedicines. You simply will not believe the depth of information contained in its 296 pages. A hundred and forty one popular herbs have been subjected to close scrutiny and a monograph has been written for each one. Toxicity and contraindications are fully discussed and will be particularly pertinent to the GP. At the end of the monograph, are references to trials and papers. There are many useful appendices and tables, e.g. herbal ingredients best avoided or used with caution during pregnancy. It is surprising just how many herbs raise or lower BP and therefore may interfere with antihypertensive therapy. If you want to convince your patients of the hazardous nature of some herbal products, a glance at pages 13 and 14 should suffice. As the use of these products escalates, the need for authoritative information about herbal remedies is paramount. This book undoubtedly is the 'Last Word' on the subject - strongly recommended to GPs with an interest. Go to top


Health on the Internet

Format:Newsletter
Publisher: The Medical House
Orders:Shane Langley Tel: +44 (0)114 2619011; Slangley@themedicalhouse.com
Price: Hard copy: £140; emailed version: £105
Reviewer: Dr Jeremy M Sager, General Practitioner, Leeds
Month reviewed: December 2000

Keeping up-to-date in medicine is no longer an option in today's NHS. But just how can a health professional be expected to keep up with developments both national and international in the health field? Some spend hours in medical libraries leafing through countless journals. Others sit in front of their PCs trawling the web, sifting the advertising chaff and miracle cures from the wheat of ethical material. Where do patients go when they are searching for reliable health- related information on the web and where can nurses and other professions supplementary to medicine find the latest and most up to date information? Where do doctors and patients go when they are searching?

Enter Health on the Internet, a 20- page monthly newsletter published by The Medical House who are already acknowledged experts in providing health and medical information for medical professionals. Health on the Internet scrutinises the very latest UK and US websites, which means that the health related information you require is never more than a few mouse clicks away. In the October 2000 issue, nearly 40 websites were visited and indexed on the back page, so the reader can, at a glance, pick out what is of particular interest.

To see how it might work in practice, suppose I am looking for a site that will provide reliable information about bladder cancer for a patient. Health on the Internet suggests I might go to: http://medweb.bham.ac.uk/cancerhelp/indexg.html and indeed this proves to be an excellent site sponsored by The Cancer Research Campaign in which patient and professional alike can have the utmost confidence.

Want to view one of the latest healthcare websites? Log on to: http://www.superdug.com/health a cyberchondriacs paradise! How about a live surgery webcast of conductive keratoplasty? This is a procedure which has just gone through FDA phase 3 trials and uses new radiofrequency technology to reshape the cornea. Point your browser at http://www.refractec.com.

There is so much information out there, it is easy to feel totally overwhelmed by it all. Busy health professionals need a shortcut through the information superhighway— this is it.
Go to top


Hormone Replacement Therapy - a guide for Primary Care

Format:Book
Authors:Sally Hope, Margaret Rees and Janet Brockie
ISBN:0-19-262956-5
Publisher: Oxford University Press
Orders:Tel: +44 (0) 1536 741727
Price: £17.95
Reviewer: Miss S J Kaufmann, Specialist Registrar Obstetrics and Gynaecology, Yorkshire, UK
Month reviewed: July 1999

With the female population spending an increasing proportion of their life in the postmenopausal state, the question of Hormone Replacement Therapy (HRT) has increasing significance. Risks and benefits may appear confusing in certain circumstances - this book addresses this in a clear, effective manner. It provides a short, easy to read synopsis of HRT for all primary care workers. It is up-to-date and deals with all the complicated issues regarding HRT and the breast, non-breast cancers, venous thromboembolism, osteoporosis, ischaemic heart disease and dementia. Each chapter is well presented with basic physiology explained and the relevent clinical data, from which the conclusions are drawn, quoted. Sensibly, it also gives guidance to the rational use of investigations. For those circumstances when conventional HRT is inappropriate, or declined by the patient, alternatives are mentioned varying from the well researched (such as etidronate) to the more modern, such as aromatherapy. Whilst obviously covering the medical subject in depth, it also takes a more holistic approach by exploring the role of the nurse in women's health. At under £20, this book is good value for money. Go to top


Information and IT for Primary Care: everything you need to know but are afraid to ask

Format:Book
Author:Alan Gillies
ISBN:1 85775 368 2
Publisher: Radcliffe Medical Press
Orders: Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £21.95
Reviewer: Dr Adrian Boonin, General Practitioner, Leeds and Senior Clinical Lecturer, Academic Unit of Primary Care, University of Leeds
Month reviewed: July 2000

"Why do we need information?" is the question posed by the first chapter of this comprehensive and (surprisingly) humorous book. From this basic, but essential, beginning Professor Alan Gillies leads the reader through the complex maze that is modern Information Technology for Primary Care. The series of short chapters cover relevant topics such as the use of computers for data collection in general practice, the purpose and usage of Read Codes, information transfer between individual practices and the PCGs, and an overview of the Data Protection Act. Specifically, Professor Gillies helps the reader to assess where his practice is, in terms of IT development, and shows the reader how to move forward, in order to "bring each practice up to the required information maturity level", with the aid of his own computer-based self-assessment system. The format is that of a workbook, with self-completion exercises, case studies, listings of key points, and highlighted principles of good practice. Professor Gillies's style is to pose questions, and then to provide relevant facts and scenarios, which help the reader to find the answers. The deceptively simple prose and the author's relaxed and humorous way of writing, make this a very easy book to read. However, the reader should not be fooled by all this apparent simplicity, as this book is a well written, nicely presented and easy-to-follow guide to a subject, which is essential learning for today's general practitioner. Go to top


Information for Evidence-based Care

Format:Book
Editor:Ruth Roberts
ISBN:1 85775 356 9
Publisher: Radcliffe Medical Press
Orders: Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £17.95
Reviewer: Dr Adrian Boonin, General Practitioner, Leeds and Senior Clinical Lecturer, Academic Unit of Primary Care, University of Leeds
Month reviewed: September 2000

All healthcare professionals are aware of the concept of evidence-based medicine - the idea that in addition to their own experience, practitioners need to be able to access relevant and up-to-date information to help in clinical decision making. Furthermore, at a more local level, practitioners are being bombarded with clinical guidelines from various sources, and are being encouraged to develop treatment protocols and drug formularies, which also need to be backed up with research-based evidence. The difficulty for the average practitioner is how to keep up-to-date. More specifically, the clinician needs to know what are the reliable sources of information, how to access them, and how to apply that information to individual patient problems. Ruth Robert's guide Information for Evidence-based Care, another book in Radcliffe's 'Harnessing Health Information' series, seeks to answer these questions by providing the average health professional with the tools required to find, appraise and implement good evidence-based research.

Chapters are devoted to such topics as defining the nature of good evidence, from randomised controlled trials to expert committee reports, and to outlining sources of good information, such as Medline and the Cochrane library, and how to access them. The short chapter on how to appraise information, outlining the key elements in critical appraisal, is, I think, a little too concise, but is sufficiently well-referenced to allow the reader to access more detailed guidance. I particularly enjoyed the chapter on clinical guidelines, as I have been involved in the development of guidelines locally, and am aware of the issues surrounding the medicolegal implications of guidelines, and the problems of implementation.

Finally, in the Series Editor's Preface, Michael Rigby, tells us that although "evidence cannot give a treatment plan for an individual patient, it is there to aid and inform the clinician". This concise, yet comprehensive, book shows the reader how to begin to obtain, appraise and implement good evidence-based research for the benefit of patient care. Furthermore, this book also aims to integrate the general concept of evidence-based medicine with the individual learner-based ideas of continual professional development and lifelong learning. Go to top


Internet Medicine

Format:A new monthly newsletter
website:Web site http://www.internetmedicine.com/
ISSN:1086-5691
Publisher: Lippincott Williams & Wilkins
Orders:Web site http://www.internetmedicine.com/
Price: Annual Subscription Personal $103 Non US $123
Reviewer: Dr Harry Brown
Month reviewed: December 1999

This is a monthly newsletter, which you might have guessed covers medicine on the Internet. It is nearly five years old, which makes it an established player in terms of Internet history. Several editions were reviewed and all were 12 pages long, produced on good quality glossy paper and thoughtfully had holes punched in the margins so they can be stored in a ring binder folder. However, it is not the presentation that most readers are interested in but the content and overall I was impressed. It is not too techie and contains helpful material which would be of appeal to most doctors. Almost certainly novices and experienced surfers would find articles of interest in every edition. Not surprisingly, the newsletter has a web site and a comprehensive listing of all the URLs published in each edition is available from the website. This means that once on line, readers can just click on the URL and they are taken straight to the site mentioned in the article. It is written primarily for an American audience but is relevant for a global audience. If you are interested in subscribing check out the newsletter's website and this will give you an idea on the subject matter covered. Go to top


Involving Patients and The Public: How to do it better

Format:Book
Author:Ruth Chambers
ISSN:1 85775 393 3
Publisher: Radcliffe Medical Press
Orders:Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £17.95
Reviewer: Dr Adrian Boonin, General Practitioner, Leeds and Senior Clinical Lecturer, Academic Unit of Primary Care, University of Leeds
Month reviewed:July 2000

The NHS was set up to provide a publicly funded health service accessible to all, but who decides what the priorities should be? Until recently most decisions about healthcare provision were made by politicians and doctors. However, it is the declared intention of the NHS Executive that service users should not only have a greater say in the overall service provision of the NHS, but also, at a more local level, how these services should be delivered to individuals. What is the best way to do this? In "Involving Patients and The Public", Ruth Chambers, who is both a GP and a Professor of Health Commissioning, provides the reader with a guide to the involvement of patients in healthcare decision making at all levels. Methods of canvassing opinion are critically analysed including topics like the design of questionnaires and postal surveys, and the benefits and disadvantages of ways to obtain public opinion, such as focus groups, user groups and patient panels. In addition, there are plenty of specific examples of sampling methods and questions to ask, in order to obtain accurate and relevant information from the public. This background knowledge will allow the questioner to have the best chance of getting it right first time, whether the information required is as broad as setting priorities for health spending nationally, or as specific as local surgery appointment times. Finally, references are also made to practical considerations, including ethics, consent, the Data Protection Act and confidentiality. The book is easy to read with plenty of practical examples and check lists, and the text is interspersed with humorous cartoons to emphasize specific points. This is both a good read and an excellent practical guide, appealing to anyone involved in planning healthcare provision at national or local levels. Go to top


Kelley's Textbook of Internal Medicine (fourth edition)

Format:Book
Editor-in-chief:H David Humes
ISSN: 0-7817-1787-6
Publisher: Lippincott Williams and Wilkins
Orders:Plymbridge Distributors Tel: +44 (0) 1752 202301; e-mail: orders@plymbridge.com
Price: £50
Reviewer: Dr Harry Brown, GP, Leeds
Month reviewed:October 2000

This book is truly massive and in boxing terms is a true heavy weight not only in size but also in terms of the volume of knowledge contained within 3254 pages. If you like a big tome to dominate the bookshelf then this will be a welcome addition. Its coverage of general medicine is apparently encyclopaedic and without doubt will be a fantastic reference source. Of course not everyone will want a book like this and some may find it overpowering but others will find it indispensable. Despite the fact that it is an American book with (a not surprising) substantial number of contributors, it is highly relevant to an UK audience. Helpfully there are other associated publications and one is reviewed below (Review of Internal Medicine). Possibly the most attractive factor about this book is its price. It costs only £50 that means that this book is well within the price of an individual and small departmental libraries. Excellent value for money. Go to top


Lotus SmartSuite Millenium Edition

Format:CD-Rom
Developed by: Lotus (An IBM Company)
Publisher: Lotus Development (UK) Ltd
Orders: Lotus Development (UK) Ltd, Lotus Park, The Causeway, Staines, Middlesex, TW18 3AG; tel: 0870 6006 123; email: lotus_information_services@lotus.com; website: http://www.lotus.co.uk
Price: Around £395.000
Reviewer: Dr Jeremy M Sager GP Leeds UK
Month reviewed:October 2000

So you've got nearly £400.00 to spend on an integrated suite of applications? One product well worth considering is this offering from Lotus, which was actually released in June last year. Comparisons with MS Office are obviously invited and SmartSuite actually stands up very well. The package includes Lotus's database, spreadsheet and word processing applications, a web document publishing tool, a top notch time, information, and contact manager and a graphics presentation application. All the programs can be accessed rapidly from SmartCenter and training demonstrations can be created using ScreenCam. Extras in my box were a good quality noise cancelling headset and microphone, Lotus Notes R5, ViaVoice for word recognition for Word Pro and 1-2-3 and all the manuals including a complementary copy of Lotus SmartSuite Millenium Edition for Dummies. Potential users should bear in mind that ViaVoice requires at least 32MB of RAM and a Pentium 150MHz with MMX or 166MHz without MMX in order to run properly. Lotus are quick to point out the enhanced file compatibility in Word Pro and 1-2-3 with easy data transfer to their Microsoft counterparts. Again, Microsoft Outlook 97 or 98 can easily be converted to a Lotus Organiser 5.0 file. Both versatile and powerful, SmartSuite is a viable alternative to MS Office. Lotus offers you a money back guarantee within 30 days if you are not satisfied. Now what could be fairer than that? Go to top


Making Sense of Risk Management; A Workbook For Primary Care 1999

Format:Book
Authors:Roy Lilley and Paul Lambden
ISBN:1 85775 490 5
Publisher: Radcliffe Medical Press
Orders:Tel: +44 (0) 01235 528820; E-mail: orders@radcliffemed.com; website: http://www.radcliffe-oxford.com
Price: £30.00
Reviewer: Dr Adrian Boonin, general practitioner, Leeds
Month reviewed: September 1999

There was a time when the phrase 'risk management' applied only to big businesses. However, for today's primary care workers, risk management has never been more important. Primary care faces a general public that has both a higher expectation of the services provided by GPs, and a greater readiness to complain. They are helped by an NHS Complaints Procedure that is more user-friendly, and the process is fuelled by a legal profession prepared to operate on a 'no win, no fee' basis. Lilley and Lambden's excellent workbook, together with the attached CD-ROM, takes the reader through a methodical stepwise approach to understanding the principles of risk management, and then goes on to show how these principles can be implemented in a primary care setting. The book is easy to read, and written in a way that encourages the reader to browse, rather than to read it from cover to cover. As well as the general principles, there are chapters devoted to risk management in specific areas of primary care such as clinical documentation, consent and home visiting. Criticisms? Well, some readers may be irritated by the style of writing, which is more like a friendly chat than a practical guide to a serious subject, but I do not feel this detracts from the excellent content.Go to top


Medical Imaging

Format:Book
Author: Peter Scally
ISBN:0 19 263056 3
Publisher: Oxford University Press
Orders: OUP, Great Clarendon Street, Oxford OX2 6DP; Tel: +44 (0) 1536 741727
Price: £19.95
Reviewer: Dr Jeremy Sager, GP, Leeds, UK
Month reviewed: June 2000

I wish this book had been around when I was a houseman and SHO come to that. Radiology was one part of the medical curriculum that I never got to grips with. Consequently I spent many an hour looking fruitlessly at films without really knowing what I was looking for and hoping I hadn't missed anything important. And how many of the X-rays I ordered were really needed? This rather elegant book is aimed at medial students but I think SHOs and GPs would find it a handy reference. Packed with hundreds of good quality images, possibly the most valuable facet of the book as far as GPs are concerned, is that there is plenty of guidance on ordering the right sort of radiology at the right time. Important "must know" stuff is highlighted in blue and a list of further reading and references is appended. For primary care physicians wishing to further their knowledge of medical imaging, look no further. Go to top


Medical Information on the Internet (2nd Edition)

Format:Book
Editors:Robert Kiley
ISBN:0-443-06194-7
Publisher: Churchill Livingstone
Orders:Customer Services Dept, Harcourt Foots, Cray High St Sidcup, Kent DA14 5HP Tel: 0181 308 5710; Fax: 0181 308 5702; e-mail: cservice@harcourtbrace.com
Price: £18.95
Reviewer: Dr Harry Brown, a GP and medical columnist with a special interest in information technology, Leeds
Month reviewed: May 1999

With the Internet now considered to be a major source of medical information, all doctors should be at least acquainted with how to use it. This outstanding book should provide a potentially confused medic with all the wisdom to be able to understand what the Internet can do for them. Unlike many Internet books, this is not a huge tome but is a small (only 160 pages) well-written, feature packed book. There is something for everyone here, from the beginner to the experienced user. The refreshing lack of technical terms and the relaxed writing style makes this book easy to read. In fact, not only can this book be used as a reference tool but a new Internet user can easily read this whole book in a short period of time. By doing this, many of the terms and techniques of the net would be demystified. There is also a CD-ROM of the book attached within the inside back cover. But quite frankly, the book itself is all you need, it is in a class of its own. Go to top


Medically Speaking-A Dictionary of Quotations

Format: