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[log in to unmask],Net wrote at 14:37 on 06/02/99 about "Re: Preventing osteoporosis in woman with h/o kidney stone": ----------------------------- >http://text.nlm.nih.gov/nih/cdc/www/67txt.html Yes, interesting >Much of the literature with which I am familiar states that doses greater >than 2000mg/day (http://www.menopause-online.com/calcium.htm) are >associated with kidney stones. Aha, but - the _numbers_? >And --- http://www.cma.ca/disease/osteo_p1/no4.htm#risks Yes, thanks. Also found http://som.flinders.edu.au/fusa/cochrane/ http://hiru.mcmaster.ca/cochrane/cochrane/revabstr/ab001347.htm http://hiru.mcmaster.ca/cochrane/cochrane/revabstr/ab000952.htm which are abstracts in the Cochrane database that indicate teh desirability of starting some sort of bone-protection in continuing steroid Rx...but no numbers in the abstract, and I don't have the whole database. Toby is absolutely right, we need this sort of thing networked over the PCG networks that should have been running for a year now... and as lead GP for IM&T in Exeter I am very pelased that my clincial governance leads came to just the same view - they echo the call of the CMO for "15 second knowledge" > At 11:14 AM 2/6/1999 +0000, Toby Lipman 7, Collingwood Terrace, Jesmond, >Newcastle upon Tyn wrote: >>>I don't feel I am doing very well at this, and yet it should be a >>>fairly common question to look for an answer to. >>I'd probably start with Best Evidence on the basis that if I hit lucky I keep that running on my desktop all the time anyway. But not for this question. >>The big problem is when you realise you need the full text. It's just >>not practical to go to the postgrad centre and photocopy the paper each >>time. >>I'm increasingly irritated that IM & T implementation does not include a >>strategy for getting full texts to clinicians quickly. Those managers >>I've spoken to about it don't even understand why it might be important >>and they're more concerned with whether we've an armed guard on each PC >>before we get connected to the NHS net! NHS Net, an idea whose time will pass. Before it gets installed. --- OffRoad 1.9r registered to Adrian Midgley %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%