Clin Med
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Discounting of alcoholic products is universal in U. K. supermarkets with some chains selling own brand spirits for less than the duty payable per item. ⋯ In this article it is shown that families in Britain have nothing to fear from the introduction of a 50 p/unit minimum price of alcohol as the overall effect should be a reduction in average weekly supermarket bills for the majority while harmful and hazardous drinkers will pay more. By paying less for non-alcoholic products sold by supermarkets, moderate drinkers should no longer be effectively subsidising the alcohol purchased by the harmful and hazardous group.
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Randomized Controlled Trial Multicenter Study
Presenting the results of clinical trials to participants.
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HIV is now a treatable medical condition and the majority of those living with the virus remain fit and well on treatment. Despite this a significant number of people in the UK are unaware of their HIV infection and remain at risk to their own health and of passing their virus unwittingly on to others. Late diagnosis is the most important factor associated with HIV-related morbidity and mortality in the U. ⋯ K. national guidelines for HIV testing 2008. The guidelines provide the information needed to enable any clinician to perform an HIV test within good clinical practice and encourage 'normalisation' of HIV testing. The full version is available at www.bhiva.org/cmsl 222621.asp.
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Postgraduate medical training has changed. There is a significant reduction in hours of experience and training time due to the European Working Time Directive, a relative lag in substantive consultant post expansion and a resulting 'bulge' of trainees joining the specialist register having attained a Certificate of Completion of Training (CCT). ⋯ Traditional historical alternatives for career progression at this point have been a locum consultancy, a period of research or an overseas fellowship. This article discusses the pros and cons of another more controversial alternative: a post-CCT fellowship.