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All treatments for localised prostate cancer have persistent adverse effects on quality of life, according to a three-year observational study from Australia (BMJ 2009;399:b4817). However, the impact varies by treatment option.

A new toolkit to help health professionals talk to teenagers about contraception is being distributed to all GPs and sexual health services.

The Health Protection Agency (www.hpa.org.uk) has confirmed that one-third of people with HIV are being diagnosed after the time at which treatment should begin.

The risk of fracture can be accurately predicted in primary care using the QFracture algorithms for hip or any osteoporotic fracture, a validation study has shown (BMJ 2009;339:b4229).

Risedronate reduces the risk of hip fracture in women aged 70–100 years who have osteoporosis, a subgroup analysis of the Hip Intervention Program study suggests (Clin Interv Aging 2009;4:445–9).

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