{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T19:24:48Z","timestamp":1766690688488,"version":"3.48.0"},"reference-count":7,"publisher":"BMJ","issue":"6477","license":[{"start":{"date-parts":[[1985,4,27]],"date-time":"1985-04-27T00:00:00Z","timestamp":483408000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1985,4,27]]},"abstract":"<jats:p>Between June and September 1984, district nurses who worked in Coventry were asked to submit returns giving details of the patients for whom they administered vitamin B12 injections. Of 492 patients identified, 382 (78%) were receiving injections more frequently than the recommended three monthly dose of hydroxy-cobalamin. An extra 3751 injections are being administered a year. Four hundred and thirty (88%) of these patients have conditions for which the drug is of proven benefit, so the increased frequency of injections accounts for most of the observed excess. A total of 2000 hours a year of district nurse time is spent with these patients. The nursing service is under increasing strain. Changes in vitamin B12 prescribing alone could make between 600 and 1470 hours available for other patient needs.<\/jats:p>","DOI":"10.1136\/bmj.290.6477.1254","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1254-1255","source":"Crossref","is-referenced-by-count":20,"title":["Vitamin B12 injections: considerable source of work for the district nurse."],"prefix":"10.1136","volume":"290","author":[{"given":"J","family":"Middleton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Wells","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1985,4,27]]},"reference":[{"key":"ref_1","first-page":"43","article-title":"I'ime to drop cvanocobalamin? Drug Ther Bull","volume":"22","author":"Anonvmous, I.","year":"1984","unstructured":"I Anonvmous, I'ime to drop cvanocobalamin? Drug Ther Bull 1984;22:43-4."},{"key":"ref_2","first-page":"281","article-title":"Bntlsh national formularv","volume":"8","author":"Committee, Joint Formularv","year":"1984","unstructured":"Joint Formularv Committee. Bntlsh national formularv. No. 8. London: BMA and the Pharmaceutical Societv of Great Britain, 1984:281-2.","journal-title":"No"},{"key":"ref_3","first-page":"\"S\" # \"838","article-title":"Roval College of General Practitioners, Office of Population Censuses and Surveys, Department of Health and Social Securitv. Morbid1sv stattsticstfrom generalpractnce. Secondnationalstudy 1971-72. Studies on medical and population subjects No. 36","volume":"204","author":"Ellis, F.R.; Nasser, S.","year":"1979","unstructured":"Roval College of General Practitioners, Office of Population Censuses and Surveys, Department of Health and Social Securitv. Morbid1sv stattsticstfrom generalpractnce. Secondnationalstudy 1971-72. Studies on medical and population subjects No. 36. London: HMSO, 1979. S Ellis FR, Nasser S. Wrighton RJ. A survey of the use of vitamin B12 in general practice. Practitioner 1970;204:838-42","journal-title":"Practitioner; Wrighton RJ. A survey of the use of vitamin B12 in general practice"},{"key":"ref_4","first-page":"729","article-title":"Audit of the use of vitamin B12 in general practice","volume":"287","author":"Fraser, R.C.; Cathcart, M.; Seistewright, H.","year":"1983","unstructured":"Fraser RC, Cathcart M, Seistewright H. Audit of the use of vitamin B12 in general practice. 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How much can the NHS afford to spend to save a life or avoid severe disabilitvy L.ancet 1985;i:89-91.","journal-title":"L.ancet"},{"article-title":"iAccepted 1-3","year":"1985","key":"ref_7","unstructured":"iAccepted 1-3 February 1985"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.290.6477.1254","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.290.6477.1254","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T14:56:52Z","timestamp":1765551412000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.290.6477.1254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,4,27]]},"references-count":7,"journal-issue":{"issue":"6477","published-online":{"date-parts":[[1985,4,27]]},"published-print":{"date-parts":[[1985,4,27]]}},"alternative-id":["10.1136\/bmj.290.6477.1254"],"URL":"https:\/\/doi.org\/10.1136\/bmj.290.6477.1254","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"type":"print","value":"0267-0623"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1985,4,27]]}}}