Practitioner CPD prompts
Immediate CPD prompts
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A hundred years ago
24 Oct 2016
Some years ago, a practitioner sent for me to attend to a case of placenta praevia in which haemorrhage had recurred. When I arrived, she was almost in extremis, with a pulse of 160, and severe bleeding. The placenta was presenting and bulging into the vagina. I turned, left the breech plugging the lower uterine segment, and proceeded to transfuse her, but she sank and died quickly. I do not think anything could have saved her. This case left on my mind a deep impression of the perilous condition of a patient who has had one severe flooding due to placenta praevia. This is just the sort of case in which Caesarean section may help us to save mother and child.
The Practitioner 2009 – 253 (1724):10
Abstinence from alcohol associated with anxiety and depression
15 Dec 2009
A large, prospective, population-based study has shown that people who drink no or little alcohol are at increased risk of anxiety and depression. Data on a sample of 38,390 people taking part in the HUNT study, in Norway, were analysed. Subjects filled in a questionnaire on alcohol intake which was based on the amount of alcohol consumed over the past two weeks. Anxiety and depression were measured using HADS. 'While the study demonstrates an association between low alcohol consumption and symptoms of anxiety and depression, limitations of the study mean that the causality of the relationship cannot be addressed. Possible causes discussed include a direct protective effect from moderate alcohol consumption, that mid-range drinking habits may be a consequence of psychological wellbeing in cultures where some alcohol consumption is the norm, and confounding from a range of social factors.'