A recent study entitled “Can Guideline-Defined Asthma Control Be Achieved?”1 stands out as one of the most noteworthy clinical studies of the past year because of the important concepts it confirms and because of the many significant questions it raises. Published online in July 2004 and in print in October of the same year, it is referred to by most as the GOAL trial (from the now familiar acr...

philosophy of mathematics suited well the ‘‘general emphasisin later nineteenth-century mathematics on revisiting foundationalquestions’’ (p. 61). Pure geometry as it emerged from Frege, Paschand Hilbert, provided a diagram-free, purely sentential notion ofproof, which has lasted unto our own day.In the second, and greater, part of the book, Greaves traces outthe interre...

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For centuries, the question of how a physical structure (the brain) generates the subjective feeling of consciousness has plagued neuroscientists, physiologists, psychologists, linguists, and philosophers. This has become known as the “hard problem of consciousness” and has been the subject of many publications. Although lots of answers have been proposed, none has been completely satisfactory....

The November BJGP Viewpoint article by Morrison and Gillies about the tragic death of Dr Pat Manson serves as a timely reminder of the pressures that UK general practice is under.1 I was sad when I heard of Pat’s death and 2 weeks later I became even more distressed when another GP working in rural Scotland took their own life. These tragedies mark the tip of an iceberg. The litany of burnout, ...

The recent appearance of lasers has made electrosurgical methods almost obsolete. They seem to be routinely avoided by both dermatologists and their patients. In this paper, the benefits of electrosurgery are emphasized, pointing out that these are easy to master, efficient and low-cost procedures. An overview of the five types of cutaneous electrosurgery (electrodesiccation, electrofulguration...

Economic actors have to make lots of decisions, and the paper is based on the premise that it takes time to be involved in any one of them. Attempts to economize on decision-making time imply that groups of peers may abdicate decision-making authority to a small set of managers even though this means that the information and preferences of the uninvolved players are neglected. We find that play...