Scottish GP workforce faces 'severe difficulties'
Doctors leaders in Scotland have warned that general practice is facing severe workforce problems after a survey revealed that almost 60 per cent of GPs were planning to leave or cut their hours. The survey, carried out by ComRes for the Royal College of General Practitioners (Scotland), found that nearly nine in 10 of those questioned felt that lack of resources was putting patients at risk. Meanwhile, 77 per cent said they worried about missing something serious with a patient because of their workload. The findings were released in the last week of campaigning before the Scottish Parliament elections on 5 May. BMA Scottish GPs chair Alan McDevitt, who is a Clydebank GP, said the results were no surprise and that they mirrored a recent BMA survey, which found that 26 per cent of practices in Scotland had at least one vacant GP post — up from 17 per cent the previous year. He added: ‘Scotland and the UK as a whole are facing severe difficulties in recruiting and retaining GPs and that problem is only getting worse. ‘There are simply not enough GPs to meet the demands being put upon general practice.’ 'Wholesale departure' Royal College of GPs Scotland chair Miles Mack said a ‘wholesale departure’ of GPs looked likely. Dr McDevitt said the BMA was working towards a new contract for general practice in Scotland to help address workload but that general practice had to be resourced properly if it was to be sustainable. He added: &lsqu...
Abstract “I have noticed in operations of this kind, which I have seen performed by others upon the living, and in a number of excisions, which I have myself performed on the dead body, that most of the difficulty in the separation of the tumor has occurred in the region of these ligaments…. This difficulty, I believe, to be a very frequent source of that accident, which so commonly occurs in removal of goiter, I mean division of the recurrent laryngeal nerve.” Sir James Berry (1887)
Conclusion: The anatomical relationship between the infraorbital nerve and postoperative maxillary cysts varied among patients, with approximately one-fourth of the patients being at risk of infraorbital nerve injury even during endoscopic procedures.ORL 2018;80:28 –35
Paula G. Slater, Sebastian E. Gutierrez-Maldonado, Katia Gysling, Carlos F. Lagos
Abstract AimsTo identify gestational diabetes mellitus exposure‐associated DNA methylation changes and assess whether such changes are also associated with adiposity‐related outcomes. MethodsWe performed an epigenome‐wide association analysis, using Illumina 450k methylation arrays, on whole blood collected, on average, at 10.5 years of age from 81 gestational diabetes‐exposed and 81 unexposed offspring enrolled in the EPOCH (Exploring Perinatal Outcomes in Children) study, and on the cord blood of 31 gestational diabetes‐exposed and 64 unexposed offspring enrolled in our own ‘Healthy Start’ cohort. V...
Summary Naevus sebaceous (NS) is a congenital cutaneous hamartoma, which typically occurs on the head and neck. Historically, the treatment of choice was excision in infancy because of the potential for malignant transformation; however, recent studies suggest that this risk is
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Authors: PMID: 29457548 [PubMed - in process]
In the early 20th century, botanist David Fairchild traveled the world and brought plants back to the U.S. that we now see as thoroughly American. NPR talks with the author of a book on Fairchild.
Federal prosecutors say 10 doctors have been charged with overprescribing prescription pain pills from clinics in West Virginia and Virginia