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Burnout: is this just a pandemic phenomenon?
The phrase ‘burnout’ is often heard, but what is it, and what are the early warning signs? Importantly, how can it be prevented or managed? Over the last few years, health professional wellbeing, mental health, and burnout have come to...CO2 laser treatment of rhinophyma
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The authors describe their technique and experience of treating rhinophymas with a...Perceptions and Deceptions: a personal blog by the editor 3 August 2016
Whistle blowing. What is it? Fascinating discussion with Chris Day, the Junior Doctor in the UK who is challenging the execution of the law in this sensitive area of employment contracts (http://54000doctors.org). More of that later, but just to note,...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?
The dynamic nature of orbital cavernous haemangiomas
This paper seeks to address the question of how much do orbital cavernous haemangiomas actually change over time, and if there are any identifiable factors which can predict which lesions will grow and which will remain stable. In particular, if...Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...Sensitive cilia – eyelashes in health and disease
In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...How I Do It - Combination treatment after nose trauma
At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...How I Do It - Laser hair removal: focus on lighter hair
Variable square pulse (VSP) Nd:YAG laser devices are ideally positioned among all available laser sources for hair removal. This is due to the fact that the Nd:YAG wavelength (1064nm) penetrates deeply into the skin. It is strongly absorbed in melanin...Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...How I Do It - Photoageing treatment: RF microneedling
Microneedling is a process by which very small, sharp needles are inserted into the skin layers at various predetermined depths to cause micro-injury to the dermis. The epidermal layer is minimally disrupted and healing is achieved without inducing an inflammatory...
