Identifying GP trainees' priorities in simulation training: a questionnaire to aid course development in Scotland.

Simulation has been shown to be an effective method of delivering training in the management of acutely unwell patients. General practitioner (GP) trainees are a group in whom simulation training could contribute to their professional development. This project aimed to explore the potential impact of a simulation course for this group and to ascertain what trainees identified as their main training priorities regarding care of the acutely ill patient.

Assessment of prescription opioid intentional exposures across the rural-urban continuum in the United States using both population and drug availability rates.

Purpose: Prescription opioid abuse and misuse are a serious problem in the U.S. today.

Unilateral eosinophilic fasciitis: an under-recognized subtype?

Symmetric skin thickening of the limbs with deep fascial inflammation is the hallmark of eosinophilic fasciitis. We describe a woman who presented with unilateral progressive skin thickening. Examination of a full thickness skin biopsy revealed an inflammatory process and fascial changes consistent with eosinophilic fasciitis.

Flood risk management in the Thames Estuary looking ahead 100 years.

The River Thames tidal defences have provided protection against the increasing threat of tidal flooding from the North Sea for more than 2000 years. The flood of 1953 was the catalyst for the construction of the current system of River Thames tidal defences, which includes the Thames Barrier, and has provided one of the best standards of flood defence in the UK for over 20 years. Substantial growth is planned through "Thames Gateway", a regeneration initiative of the United Kingdom government.