GP emigration from Ireland: an analysis of data from key destination countries.

Background: Ireland is experiencing a general practitioner (GP) workforce crisis, facing an ageing workforce, a growing population with increased life expectancy, and increased complexity of patients. The GP crisis threatens access to primary care in Ireland, as well as Ireland's aim to transform into a primary-care centred system of universal healthcare via the proposed "Sláintecare" healthcare reforms. The challenges faced are common to many countries as health systems seek to expand their medical workforce post-pandemic.

Acute Focal Dystonia as a Presentation of Uncontrolled Hyperglycemia.

Hyperglycemia-induced involuntary movements (HIIM) include tremors, hemichorea-hemiballismus (HCHB), and more rarely, dystonia. Presentations may vary, but hyperintensity involving the basal ganglia area on the T1 sequence of MRI brain remains a commonality.  We report the occurrence of focal dystonia with uncontrolled hyperglycemia but no focal abnormalities on MRI.

The Effect of COVID-19 on Lung Cancer Screening.

Background During the COVID-19 pandemic, many hospitals suspended non-essential medical procedures to reduce transmission and prioritize personal protective equipment (PPE) for COVID-19 patients. Hospitals that continued these procedures faced uncertainty about patient attendance. Multiple factors could explain a decline in patient attendance during the pandemic, including patients' reluctance to risk COVID-19 exposure in the hospital or their own illness requiring self-isolation.

Demographic, Environmental, and Psychosocial Influences on Resilience Toward Chronic Stress.

As studied previously, chronic stress environments lead to the formation of distinctive resilience groupings when related to individual outcomes among participants. The majority of the population has decreased mental and physical strength during prolonged periods of mental distress but returns to baseline status when those stressors are removed. Others have increased and decreased mental fortitude despite the removal of stressors.