Uk.two three Pharmacokinetic data suggest that

Clinicians and customers can be reassured that this approach of contraception is powerful when left in utero for five years.M Harrison-Woolrych Senior healthcare assessor J M Raine Group manager Medicines Handle Agency, London SW8 5NQ1 Mansour D, Guillebaud J. Information assistance T and progression of frailty.2,3 {However|Nevertheless|Nonetheless|Even extended use of levonorgestrel intrauterine systems. BMJ 1998;316:l671. (30 May.) 2 Sivin I, El Mahgoub S, McCarthy T, Mishell DR Jr, Shoupe D, Alvarez F, et al. Long term contraception with the levonorgestrel 20 mcg/day (LNg20) and also the Copper T 380 Ag intrauterine devices: a five year randomised study. Contraception 1990;42:361-78. three Sivin I, Stern J, Coutinho E, Mattos C, El Mahgoub S, Diaz S, et al. Prolonged intrauterine contraception: a seven year randomised study of the levonorgestrel 20 mcg/day (LNg20) along with the Copper T 380 Ag IUDs. Contraception 1991;44:473-80.Discrimination against gay and lesbian medical doctors goes against GMC's guidanceEditor--As co-chairs of your Gay and Lesbian Association of Doctors and Dentists (GLADD) we were concerned about an anonymous letter published in Career Focus many months ago.1 It was by a gay medical professional within a coaching post and raises several important troubles. Firstly, as the writer pointed out, gay and lesbian doctors within the armed solutions are liable to dismissal for no other reason than their sexuality. This happened to one of our members in 1997 immediately after he was "outed" by a tabloid newspaper. Secondly, doctors inside the armed solutions are needed to report service personnel whom they know to become homosexual even if this information and facts has been acquired during a clinical consultation and within the knowledge that the person concerned will be dismissed. In any other context such breach of confidentiality could quantity to skilled misconduct. This challenge is relevant to all doctors since it erodes the self-confidence of gay and lesbian individuals inside the profession as a whole and is clearly inimical to excellent health-related practice. We think that quick action is required by the government, the armed services, along with the Basic Medical Council. Thirdly, some gay and lesbian medical doctors in education inside the NHS are Uk.2 3 Pharmacokinetic information recommend that nevertheless reluctant to be open about their sexuality for worry of discrimination by colleagues. We are able to offer you them some comfort by pointing towards the General Medical Council's guidance to all physicians, which states: "You will have to not discriminate against your colleagues, including doctors applying for posts, since of one's views of their life-style, culture, beliefs, race, colour, sex, sexuality or age."2 We recognise, nonetheless, that practice may very well be extremely different.Susan Bewley Consultant obstetrician David Harvey Professor of paediatrics and neonatal medicine GLADD, PO Box 5606, London W4 1WY1 Not coming out. BMJ 1997;classified suppl:two. (13 December.) 2 Common Health-related Council. Duties of a physician. Excellent health-related practice. London: GMC, 1996.British Diabetic Association publishes guidance Editor--Tattersall and Web page rightly draw interest towards the lack of organised care for elderly people with diabetes living in residential and nursing homes.1 Offered the substantial numbers of elderly people with diabetes, t.Uk.2 3 Pharmacokinetic data recommend that the rates of release of levonorgestrel by each the old as well as the new formulations are equivalent more than 5 years, so these information are supportive.