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.
Tanning can be addictive
29 Mar 2009
A study from the USA has provided further evidence that some people who tan excessively are tanning dependent.The study recruited 400 volunteers from an American university, who were asked to complete an online questionnaire that had been modified to identify tanning dependence (modified CAGE and DSM-IV-TR scales). The mean age of participants was 21 years, 75% were women and 66% were white. 'Despite extensive public health education about the risks of excessive exposure to ultraviolet radiation, some people continue to tan excessively. Similarities between excessive tanning and substance use disorders are increasingly being discussed. Both are particularly common in the young, associated with pleasurable reinforcing experiences such as relaxation and socialisation and represent health risk behaviours that continue despite health warnings. A possible mechanism, linking tanning to endogenous opioid release during ultraviolet radiation exposure, has been mooted.The concept of tanning dependence may be new to many GPs and may help them provide health education for those who continue to tan excessively.'