Would changing the selection process for GP trainees stem the workforce crisis? A cohort study using multiple-imputation and simulation

BACKGROUND: There is currently a shortage of qualified GPs in the UK and not all of the training posts available each year are filled. Changing the way in which GP trainees are selected could help increase the training post fill rate and the number of new entrants to the GP Register. The aim of this study was to model the impact of changing the selection process for GP training on the number of trainees obtaining GP Registration, either with or without extensions. METHOD: This was a cohort study using UK applications for GP training in 2011-14. Application data were linked using GMC numbers to training outcome data where available, and imputed using multiple imputation where missing. The number of trainees appointed and GP Registrations within three and five years' full-time-equivalent were estimated for four different selection processes. RESULTS: The cut scores used in the actual 2015 selection process makes it impossible to fill all training posts. Random selection is the worst option, but the difference between this and other processes modelled falls as more trainees are selected. There are large marginal effects on outcomes: those with the highest selection scores are more likely to obtain GP Registration than those with the lowest scores. CONCLUSIONS: Changing the selection process alone would have a small impact on the number of GP Registrations; reducing/removing cut scores would have a much larger impact. This would also increase the number of trainees requiring extensions and being released from training which would have adverse consequences for the profession

An Ipsilateral Subtrochanteric Femoral Neck Fracture In The Presence Of An Established Subcapital Non-Union

In this case we describe a 56 year old lady who suffered an ipsilateral non-union of a subcapital femoral neck fracture and an acute subtrochanetric fracture. She had been listed for a semi-elective Total Hip Replacement after a delayed presentationfollowing the initial subcapital fracture. She subsequently fell again sustaining a subtrochanteric fracture of the same hip prior to her planned operation.nbsp She was admitted for a complex arthroplasty, where a long stemmed revision femoral component was used. This is the first time an extracapsular fracture has been described in the presence of an established non-union of the ipsilateral hip.nbsp In such cases we believe the patient should be treated in the same manner as a periprosthetic hip fracture where there is an unstable stem

Central Diabetes insipidus in a Nigerian child : A case report

Background: Central diabetes insipidus (CDI) is rare in children. About 30 - 50% of cases are idiopathic. Early and accurate diagnosis are crucial for safe and effective treatment. This is the first report of Central diabetes insipidus in a child in Nigeria.Case report: We report a case of central diabetes insipidus in a female toddler who presented at the University of Port Harcourt Teaching Hospital with polydipsia and polyuria with a urine specific gravity of 1.000 and normal blood sugar. The diagnosis of CDI was confirmed by her inability toconcentrate urine after a water deprivation test followed by an increase in urine osmolality from 59mOsm/kg to 158mOsm/kg and serum osmolality from 286mOsm/kg to 321Osm/kg following intravenous administration of desmopressin. The patient responded well to oral desmopressin.Conclusion: Central diabetes insipidus occurs in Nigerian children and responds to oral desmopressin. We recommended high index of suspicion in children with polyuria and polydipsia.Key words: Central diabetes insipidus, polyuria, polydipsia, desmopressin, Nigerian chil

Glass production at an Early Islamic workshop in Tel Aviv

A refuse deposit at HaGolan Street, Khirbet al-Ḥadra, northeastern Tel Aviv, is rich in debris deriving from an Islamic period glass workshop, dating to the 7th–8th centuries. Twenty-four samples of glass vessels, chunks and moils were analysed by electron microprobe. Glass used in the workshop derives from three primary sources: Egypt II, somewhere in inland Egypt, Beth Eli'ezer, near Hadera, Israel and a third group which appears to represent a previously unknown Levantine primary production centre. Glass corresponding to at least twelve production events has been identified. While vessels made of Beth Eli'ezer and Egypt II glass have previously been reported from the same context, this is the first time that they have been related to the products of a single workshop. It appears that glass from both primary production centres was available in the later 8th century, and that the glass workers at HaGolan St were obliged to balance the high working and fuel costs of the stiff low-soda Levantine glass against the better working properties but higher raw material costs of the high-soda glass from Egypt

Investigating possible ethnicity and sex bias in clinical examiners: an analysis of data from the MRCP(UK) PACES and nPACES examinations

Bias of clinical examiners against some types of candidate, based on characteristics such as sex or ethnicity, would represent a threat to the validity of an examination, since sex or ethnicity are 'construct-irrelevant' characteristics. In this paper we report a novel method for assessing sex and ethnic bias in over 2000 examiners who had taken part in the PACES and nPACES (new PACES) examinations of the MRCP(UK)

Does language matter? A case study of epidemiological and public health journals, databases and professional education in French, German and Italian.

Epidemiology and public health are usually context-specific. Journals published in different languages and countries play a role both as sources of data and as channels through which evidence is incorporated into local public health practice. Databases in these languages facilitate access to relevant journals, and professional education in these languages facilitates the growth of native expertise in epidemiology and public health. However, as English has become the lingua franca of scientific communication in the era of globalisation, many journals published in non-English languages face the difficult dilemma of either switching to English and competing internationally, or sticking to the native tongue and having a restricted circulation among a local readership. This paper discusses the historical development of epidemiology and the current scene of epidemiological and public health journals, databases and professional education in three Western European languages: French, German and Italian, and examines the dynamics and struggles they have today.Published versio

Genetic and Non-Genetic Factors Affecting Litter Size and Birth Weight of Rabbit in Minna, Niger State, Nigeria

. Genetic and non-genetic factors influencing litter size and birth weight of rabbit was evaluated using New Zealand White and Chinchilla breeds. Parameters measured were total number of kittens born per litter, number of litter born alive, live litter birth weight and average litter birth weight. Results of the experiment revealed that dam breed had no significant affect on total number of kittens born per litter, number of litter born alive and average litter birth weight while live litter birth weight were affected. Sire breed and month of birth did not significantly influenced all the parameters measured. Heritability estimates were low to moderate for all the traits (0.27 to 0.44), while repeatability estimates were observed to be low (0.17 to 0.26). No heritability and repeatability values were estimated for average litter birth weight of kittens due to negative genetic variance. Significant correlations were found between litter size traits and birth weight. Correlation between litter size traits and average litter birth weight, as well as live litter birth weight and average litter birth weight were observed to be non-significant

Association of Rural Setting With Poorer Disease Outcomes for Patients With Rheumatic Diseases : Results From a Systematic Review of the Literature

This work was conducted within the Versus Arthritis and Medical Research Council Centre for Musculoskeletal Health and Work although there was no specific financial support for this project. The authors have no conflict of interest to report. We acknowledge the work of Svenja Kleiser from the Faculty of Biology, Albert-Ludwigs-University Freiburg, Germany who conducted the literature search during an internship at the Epidemiology Group, University of Aberdeen, United Kingdom.Peer reviewedPostprin

Cardiac Injury and Vasoplegia in Critically ill Children due to Multisystem Inflammatory Syndrome in Children Associated with COVID-19

info:eu-repo/semantics/publishedVersio

Hole density and acceptor-type defects in MBE-grown GaSb1-x Bi x

We study acceptor-type defects in GaSb1−xBix grown by molecular beam epitaxy. The hole density of the GaSb1−xBix layers, from capacitance-voltage measurements of Schottky diodes, is higher than that of the binary alloys and increases linearly up to 1019 − cm 3 with the Bi content. Positron annihilation spectroscopy and ab initio calculations show that both Ga vacancies and Ga antisites contribute to the hole density and that the proportion of the two acceptor-type defects vary in the layers. The modification of the band gap due to Bi incorporation as well as the growth parameters are suggested to affect the concentrations of acceptor-type defects