Uk.2 3 Pharmacokinetic data suggest that

Long term contraception using the levonorgestrel 20 mcg/day (LNg20) and 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 from the levonorgestrel 20 mcg/day (LNg20) and also the Copper T 380 Ag IUDs. Contraception 1991;44:473-80.Discrimination against gay and lesbian physicians goes against GMC's guidanceEditor--As co-chairs in the Gay and Lesbian Association of Physicians and Dentists (GLADD) we had been concerned about an anonymous letter published in Profession Concentrate several months ago.1 It was by a gay doctor inside a instruction post and raises various essential challenges. Firstly, as the writer pointed out, gay and lesbian medical doctors within the armed services are liable to dismissal for no other explanation than their sexuality. This happened to among our members in 1997 right after he was "outed" by a tabloid newspaper. Secondly, doctors within the armed services are necessary to report service personnel whom they know to be homosexual even though this information has been acquired for the duration of a clinical consultation and in the know-how that the person concerned will probably be dismissed. In any other context such breach of confidentiality could amount to expert misconduct. This situation is relevant to all doctors since it erodes the self-confidence of gay and lesbian individuals in the profession as a entire and is clearly inimical to excellent medical practice. We think that quick action is needed by the government, the armed services, and the Basic Healthcare Council. Thirdly, some gay and lesbian medical doctors in training within the NHS are nevertheless reluctant to be open about their sexuality for fear of discrimination by colleagues. We can offer you them some comfort by pointing towards the Common Medical Council's guidance to all physicians, which states: "You have to not discriminate against your colleagues, like physicians applying for posts, for the reason that of the views of their life style, culture, beliefs, race, colour, sex, sexuality or age."2 We recognise, however, that Title Loaded From File practice might be really distinctive.Susan Bewley D the query {whether|whether or not|regardless of whether 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 General Medical Council. Duties of a medical professional. Good healthcare practice. London: GMC, 1996.British Diabetic Association publishes guidance Editor--Tattersall and Web page rightly draw attention to the lack of organised care for elderly people today with diabetes living in residential and nursing houses.1 Offered the massive numbers of elderly men and women with diabetes, t.United kingdom.2 3 Pharmacokinetic data suggest that the rates of release of levonorgestrel by each the old and the new formulations are related more than five years, so these data are supportive. The updated solution info for the levonorgestrel intrauterine device will permit a duration of use of 5 years and state that the device includes a pregnancy rate of much less than 1 per 100 lady years. Clinicians and users may very well be reassured that this process of contraception is successful when left in utero for five years.M Harrison-Woolrych Senior healthcare assessor J M Raine Group manager Medicines Control Agency, London SW8 5NQ1 Mansour D, Guillebaud J.