Assistant Editors

Don’t just do it, do it right: evidence for better health in low and middle income countries Evidence for better health outcomes involves a two-step process: getting the right sort of evidence and getting this evidence used [1]

London, UK

Continued overleaf Systemic lupus erythematosus and pregnancy – a challenge to the clinicia

Assistant Editors

Continued overleaf Management of pain in chronic pancreatitis. New solutions to an old problem Management of pain in chronic pancreatitis is a challenging clinical problem. Lack of proper understanding of the mechanisms responsible for pain, high morbidity and mortality rates historically associated with pancreatic surgery, and the long held view that pain will eventually subside when the pancreas "burns itself out " as a result of progressive fibrosis have all contributed to a non-surgical therapeutic approach for decades [1]. Many recent studies have challenged this view, and at present there is a shift from the "wait and see " approach to a more pro-active type of therapeutic approach in the management of pancreatic pain [2]. It is accepted that, at least in a majority of cases, the pain results from pressure increase within the pancreatic duct system from obstruction to the main pancreatic duct by stones or from post-inflammatory strictures [3]