£500 gift no substitute for decent pay

'Nosodes' are no substitute for vaccines.

A growing antivaccine movement in Canada and elsewhere is hearing more about an unproven homeopathic therapy, 'nosodes', as an alternative to routine vaccines. The present statement defines nosodes and describes limitations for their use in children. There is scant evidence in the medical literature for either the efficacy or safety of nosodes, which have not been well studied for the preventio...

No substitute for the clinician-teacher.

No cure no pay: How to contract for software services

50% of all software projects are total failures and another 40% are partial failures according to widely quoted surveys in UK, USA and Norway. Large government projects in all 3 countries have been reported with spectacular failure and expense to taxpayers (Royal Academy of Engineering and British Computer Society 2004). What is the problem? Most discussions have centered on improving the softw...

Employers’ role in the low-pay/no-pay cycle

This study examines the pressures which lead to employers offering low-paid, insecure jobs and also considers the scope for change. Employers determine terms and conditions and how work is organised, including pay, the balance between temporary and permanent work, skill requirements and progression structures. In seeking to reduce intermittent poverty, it is, therefore, important to consider ho...

Biochemical investigation is no substitute for clinical examination!

CONTEXT Toxic shock syndrome has been shown previously to be associated with hyperamylasaemia. However, serum amylase levels do not usually exceed three times upper limit of normal in these cases. CASE REPORT We report a case of a young girl of 17 years who presented with upper abdominal pain, severe shock and raised serum amylase level of 3,898 U/L, giving an impression of severe acute pancr...