Journal of the Royal Society of Medicine
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Mastalgia commonly presents to medical practitioners. The majority of patients can be managed by exclusion of cancer and reassurance. In some the severity of pain affects the quality of life and drug treatment should be considered. ⋯ Overall 92% of those with cyclical mastalgia and 64% with non-cyclical mastalgia obtained a clinically useful response to therapy. Danazol was the most effective drug, with bromocriptine and evening primrose oil having equivalent efficacy. Many fewer adverse events were complained of by patients treated with evening primrose oil than danazol or bromocriptine.
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The European Academy of Anaesthesiology was founded in 1978 as a means of meeting the challenges resulting from the introduction of the Medical Directives permitting the free movement of doctors within the European Community. The Academy is a scientific forum for anaesthetists throughout Europe--not just the EC countries--and has established its own English-language journal and multi-lingual Diploma examination. ⋯ With the help of industry and a professional communications organization, it is also exploring the production of multi-lingual educational packages. It is believed that for effective evolution of hospital practice in Europe, medical specialties need to have their own academic organizations which will develop specialist training and which are in a position to provide appropriate advice to relevant national and European bodies.