At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine

The interviews we conducted with GPs suggest that an engagement with HIV medicine enables clinicians to develop strong and long-term relationships with and expertise about the care needs of people living with HIV ‘at the coalface’, while also feeling connected with a broader network of medical practitioners and other professionals concerned with and contributing to the ever-changing world of science: ‘the cutting edge’. The general practice HIV prescriber is being modelled here as the interface between these two worlds, offering a rewarding opportunity for general practitioners to feel intimately connected to both community needs and scientific change

Dose escalated simultaneous integrated boost radiotherapy for women treated by breast conservation surgery for early breast cancer: 3-year adverse effects in the IMPORT HIGH trial (CRUK/06/003)

Meeting abstract (Abstract GS4-05 from 2018 San Antonio Breast Cancer Symposium; December 4-8, 2018; San Antonio, Texas)

Alexithymia and alcohol: The roles of punishment sensitivity and drinking motives

Alexithymia refers to difficulties identifying and describing feelings. It is suspected of being a risk factor for problematic drinking, an idea examined by this study. In 178 women and 84 men alexithymia was associated with male gender, coping motives for drinking and sensitivity to punishment. Individuals with alexithymia reported stronger coping motives and sensitivity to punishment compared to those with borderline or no alexithymia. Path analysis indicated that the relationship between the alexithymia dimension difficulties identifying feelings and coping motives was mediated by sensitivity to punishment, and the relationship between sensitivity to punishment and risky drinking was mediated by coping motives. These results suggest that alcohol may be used by individuals with alexithymia to help them cope with anxiety or other negative affect