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Roux-en-Y gastric bypass is the most commonly performed bariatric procedure. It is associated with nutritional deficiencies due to gastric reduction, intestinal bypass, reduced caloric intake, avoidance of nutrient-rich foods, noncompliance with supplementation and poor food tolerability. Although there are multiple publications on this topic, there is a lack of consistent guidance for the healthcare practitioner caring for the bariatric patient. This article will encompass literature reviewing the pharmacotherapy approach to prevention and management of nutritional deficiencies since the American Society of Metabolic and Bariatric Surgery guidelines were published in 2008.

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Bariatric surgical patients often need changes in formulation and dosages of their medications. The literature contains minimal information regarding pharmaceutical care and consultation services for the bariatric surgery patient. Complex medication regimens and safety concerns initiated a collaborative effort between surgeons and pharmacists to manage more effectively bariatric patients perioperatively. The consultation service included patient identification, pharmacy referral, pharmacist consultation with the patient, communication of recommendations with surgeons, follow-up, and documentation. There were 124 consultations performed from February 2, 2009 to December 1, 2010 with an average of 7.7 medications optimized per patient. Every patient required a minimum of one adjustment to their regimen. The surgeons approved 98% of these recommendations. Of recommendations provided, the majority focused on changing the formulation of the medication in some manner. The collaborative effort between surgeons and pharmacists effected changes in medication transitioning perioperatively and resulted in improved pharmaceutical care for this patient population.

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Jon Silverman, Professor of Media and Criminal Justice at the University of Bedfordshire, looks at the relationship between certain newspapers and government drug policy. He finds that it negates the efforts of the Advisory Council on the Misuse of Drugs to bring a sense of proportion to a controversial subject.

This paper focuses on the interaction between a rapidly changing media and the policy responses of UK governments, faced with terrorist violence which has evolved in form and intent. New Labour's final term in office was dominated by the tension between the competing claims of liberty and security, expressed in Tony Blair's declaration after the 7/7 attacks, 'Let no-one be in any doubt, the rules of the game are changing.' We argue that insofar as crime, justice and civil rights are governed by a normative set of rules, they were subverted by New Labour in the mid-1990s for party political reasons. Thus, after 9/11, they needed little reshaping to meet the challenge of 21st-century terrorism. Our thesis is based partly on primary interviews and partly on analyses of media coverage, parliamentary debates and government responses in the form of press releases and speeches. The purpose of the interviews-with 'insider' figures from the world of politics, the police and civil society-was to triangulate the known policy responses to 9/11 with the views and perceptions of these figures to assess whether some of the assumptions about the impact of that event on the UK need to be rethought.