Antenatal depression

Imagine that you’re 33 weeks into your first pregnancy. It’s going well, the baby’s growing and is healthy, and you’re in a loving relationship with the father. You’re excited about starting a family and can’t wait to meet your new little one. Now imagine that you’re 33 weeks into your first pregnancy, and everyone around you is excited and happy for you, after all, pregnancy is a time when you should be blooming. But you’re feeling alone, isolated, terrified, and anxious. You feel guil …

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Research news: November 2009

Medical professionalism Students’ professionalism lapses online JAMA 2009;302:1309-15 Many US medical schools need to tighten up their policies on internet use, say researchers, after a survey found evidence of unprofessional content posted by medical students online. Forty seven of the 78 medical schools who responded reported incidents ranging from profanities about the course and its staff to frank breaches of patient confidentiality on social netwo …

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Retrospective cohort study: adverse events at the start of the year

The paper “Rate of undesirable events at beginning of academic year: retrospective cohort study” by Guy Haller and colleagues (BMJ 2009;339:b3974, doi:10.1136/bmj.b3974). Abstract Objective—To determine whether an increase in the rate …

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Picture quiz

Cervical spondylotic myelopathy: arm stiffness and unsteady gait

An 81 year old woman presented to her general practitioner with stiffness in her left arm and hand. The stiffness started a year ago but had recently begun to affect her other hand and to prevent typing. The stiffness was present at all times. She reported no pain or swelling in any limb. She also had difficulty walking and was unsteady on h …

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