IntroductionThere has been a progressive reduction in the working hours of doctors in training in Europe and North America over the past 20 years. Legislation reducing junior doctors’ working hours (known as Code 405) was implemented by the New York State Department of Health in 19891 and limited doctors in that state to working an average of 80 hours a week. This was followed by national guidelines recommended by the US Accreditation Council for Graduate Medical Education (ACGME) in 2003.2 Further refinements of these limits were recommended by the US Institute of Medicine in December 2008.3 In the United Kingdom, a progressive reduction in junior doctors’ working hours has resulted from the New Deal negotiated by the British Medical Association4 and the European Working Time Directive (93/104/EC).5
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the procedure of having a fistula constructed or a peritoneal dialysis catheter placed is a psychological milestone in the journey towards dialysis. A home visit from a specialist nurse, in the patient’s own environment rather than a sterile clinic room, can help the patient think about the practicalities of renal replacement therapy: showering with a tunnelled line; parking and transport at the dialysis unit; what happens if it snows? These conversations may be better held with front line staff, who appreciate the social perspectives without a clinician’s agenda in mind.
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institute that researches attitudes toward extremism, found that Ahmadinejad was leading by a margin of 2 to 1. 34% said they would vote for Ahmadinejad, 14% favored Mousavi, 2% favored Karroubi, 1% favored Rezaee and 27% were undecided. The poll was taken from 11 May to 20 May. The poll was carried out https://en.wikipedia.org/wiki/Tadalafil by a company whose work for ABC News and the BBC in the Middle East has received an Emmy award. Polling itself was funded by the Rockefeller Brothers Fund. Writing in the Washington Post, pollsters Ken Ballen and Patrick Doherty have used this to suggest that Ahmadinejad’s apparent victory might reflect the will of the Iranian people. The poll was quoted by Reuters, Khaleej Times and Jim Muir of BBC News. However, the Irish Times, while quoting the poll, also pointed out that it was taken three weeks before the election, and electoral campaigning in Iran is only allowed for a period of 30 days prior to the election date, which means this poll was conducted only one week into the campaigning. Another critic of the poll, Mansoor Moaddel, pointed out that of “1,731 people contacted [by the poll], well over half either refused to participate (42.2%) or did not indicate a preferred candidate (15.6%).” For comparison, the average response rate in US for such telephonic surveys does not exceed 30%, while the minimum response rate for an opinion poll to be considered scientific by many leading academic https://www.supportlauren.com journals is 50%.,