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Surgery can be a triumph of co-operation, the procedure evolving as a result of joint action between multiple participants. The communication that mediates the joint action of surgery is conveyed by verbal but particularly by non-verbal signals. Competing priorities superimposed by surgical learning must also be negotiated within this context and this paper(More)
Hypertension is highly prevalent in older age and accounts for a large proportion of cardiovascular (CV) morbidity and mortality worldwide. Isolated systolic hypertension is more common in the elderly than younger adults and associated with poor outcomes such as cerebrovascular disease and acute coronary events. International guidelines are inconsistent in(More)
Sirs: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease primarily affecting cortical and spinal motor neurons. There have been several previous population studies, reporting incidences between 0.44 and 3.2 per 100,000 person-years [1, 2]. As a preliminary step in establishing a population register for ALS in South-East England, we have(More)
Primary pyomyositis is a subacute deep bacterial infection of skeletal muscle. It is typically seen in tropical countries with Staphylococcus aureus being the commonest pathogen. Immunocompromised states and trauma are associated with cases in temperate climates where there is an increasing incidence, typically in children and young adults. However, the(More)
OBJECTIVES The aim of this study was to review psychodynamic formulation with respect to the language used and the evidence it provides about variations of clinical purpose. METHOD The purpose of the psychodynamic formulation is considered in training and clinical contexts. Three formulations are presented: two written from alternative theoretical(More)