TY - JOUR T1 - From the journals, January–February 2005 JF - British Journal of General Practice JO - Br J Gen Pract SP - 239 LP - 239 VL - 55 IS - 512 AU - Richard Lehman Y1 - 2005/03/01 UR - http://bjgp.org/content/55/512/239.abstract N2 - 125 With the European Working Time Directive, and the new GMS contract, the British heroic age of sleep-deprived doctoring has largely come to an end. Studies from the US, where shifts of 24 hours or more still exist, show they can lead to some dodgy decision-making, and this doesn't end when the doctor gets in the car to drive home. When it comes to the crunch, tired doctors have more accidents.154 Gonadotrophin-releasing hormone suppression is the mainstay of treatment for disseminated prostate cancer, but carries a small added risk of non-pathological fracture, as it suppresses the bones as well as the balls.225 Nearly half of patients with chronic heart failure die suddenly as a result of ventricular dysrrhythmia. This trial compared the effect of amiodarone, or an implanted cardioverter-defibrillator (ICD) on mortality over 5 years: amiodarone was useless, but ICDs worked, although in the end the overall mortality difference … ER -