Scot Med J
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Demand for flexible training is increasing. The contribution of such trainees to the trained medical workforce is not clear. ⋯ Flexible trainees become consultants at the same rate as their full time counterparts. They are commonly geographically tied and are therefore more likely to remain in Scotland and contribute to retention of doctors in this country.
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The Scottish Medical Journal has been published for half a century and its pages reveal not only the steady changes in Scottish medical care and careers, but also reflect the attitudes of the times. The Journal has survived a number of crises. Recent changes, both at the Journal and in Scottish politics, leave it well placed for an expanded and important place in Scottish medicine.
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The current epidemic of childhood obesity is a growing public health concern. Estimates of the prevalence of obesity are necessary so that secular trends can be monitored and the need for preventative measures assessed. ⋯ Although childhood overweight and obesity remain major public health concerns, we report a slight improvement in measures of obesity over time, particularly in boys.
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Biography Historical Article
Sir William Osler (1849-1919): his opinion of modern therapeutics.
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Assess and correlate the clinical presentation, cranial CT and lumbar puncture (LP) findings in patients presenting with acute headache, clinically suspicious of subarachnoid haemorrhage, from the Accident and Emergency (A/E) department of a main teaching hospital. ⋯ This study reviews the varying clinical presentations of SAH and the difficulty in clinically diagnosing SAH where headache is the only symptom. We review the wide differential diagnosis on cranial CT and on discharge of patients presenting with symptoms clinically suspicious of SAH. In addition this study identfies a high proportion of patients without detailed clinical notes and discharged without a diagnosis. The study reaffirms that a significant proportion of patients are diagnosed on LP and stress the importance of performing a LP in all cases with clinically suspected SAH with a negative CT This latter point requires highlighting in the medical literature as over half of eligible patients did not have a LP performed despite this being accepted diagnostic protocol.