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  • Development of a Global Compact for Safe, Orderly and Regular Migration
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Global Compact for Safe, Orderly and Regular Migration

The position of the medical school seems reactive rather than proactive. Students experiencing mental health difficulties are pushed into the same cruel system concerning absences and resits rather than one which should embody support and flexibility.

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Designed for academic institutions, this database is a leading resource for scholarly research. It supports high-level research in the key areas of academic study by providing journals, periodicals, reports, books and more.

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On 19 September 2021 Heads of State and Government came together for the first time ever at the global level within the UN General Assembly to discuss issues related to migration and refugees. This sent a powerful political message that migration and refugee matters had become major issues squarely in the international agenda. In adopting the New York Declaration for Refugees and Migrants, the 193 UN Member States recognized the need for a comprehensive approach to human mobility and enhanced cooperation at the global level.

What happens to professionals is directly and closely related to the raison d'être of any health system: the patients. Caring for those who care is an old recipe but not an outdated one. Otherwise, patient safety and quality of care will be compromised.


The first scenario predicted, in a long list of potentially injurious events, is that of healthcare colleagues being forced to follow clinical decisions at odds with accepted national guidance. The ongoing disagreement between Public Health England (PHE) and the Resuscitation Council UK (RC-UK), regarding the aerosol generating potential of resuscitation measures during cardiac arrest, has immediately validated this prediction. The conflicting nature of the advice about Personal Protective Equipment (PPE) from these national bodies has the potential to compound the psychological distress experienced by first responders during an in-hospital COVID-19 arrest.

Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.


Academic Search Complete offers access to video content from the Associated Press, the world’s leading news agency. Videos relevant to the search terms will appear in a panel in the result list. With footage from 1930 to the present and updated monthly, this collection of more than 75,000 videos covers a wide variety of topics.

If a small electric hatchback couldn't capture Americans' interest, maybe a gigantic electric truck will do the trick. This is the GMC Hummer EV, and if you squint, it looks like a cross between a Toyota FJ Cruiser and a Porsche 914.


Academic Search Complete offers an enormous collection of full-text journals, providing users access to critical information from many sources unique to this database. In addition, it includes peer-reviewed full text for STEM research, as well as for the social sciences and humanities.

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On Tuesday night, and after a long teaser campaign that included a Super Bowl advert, GMC introduced its new Hummer EV to the world. The Hummer EV is the first of a promised onslaught of new electric vehicles from General Motors, but for real, unlike the last time GM promised such a thing. It's also the company's first battery electric vehicle since the Chevrolet Bolt EV, and it represents a complete volte-face for the automaker.

American excess is back with the 1,000hp 2021 GMC Hummer EV truck

As we see other medical staff across the health service being asked to do more and more, exposing themselves to the heat of the front line in fighting this pandemic, how might our sense of being slightly removed from this affect staff working in mental health? And are mental health trusts being whipped up into an inappropriate response? At times it seems like there has been an attempt to create a crisis in a part of the system where one doesn’t currently exist. With the likelihood that the pandemic will lead to recession and knock on effects on the mental health of the population, it is likely that our time will come but it may not be now. We should be saving our energy, and resources for when it does.


Tomasz Klimala (bill), Tomasz Mandes (document) Massimo Torricelli, the youngest and best boss of the Sicilian mafia family, has no choice but to take over the post after his father’s assassination. Laura is the sales director at a luxury hotel in Warsaw. He has a successful career, but his personal life is not passionate. He takes one last shot to save his relationship. He travels to Sicily with his girlfriend Martin and other friends. He does not expect Massimo, the most dangerous man on the island, to detain him, kidnap him, put him in prison and give him 365 days to love him.

Along with the recruitment of retired doctors, there were calls for final year medical students to take up an Interim F1 position which commences earlier than the traditional August rotation. All final year students received emails from the GMC at the start of April 2021, inviting them to apply for provisional registration. Final year students were offered three options after being added to the medical register: apply for the interim Foundation Year 1 (FiY1) post, volunteer in a non-clinical setting or doing neither if they are unable to. The GMC guidance mentions that “future training and progression will not be adversely impacted [by their choice]” (6). However, the question of the voluntary nature of these positions arises, with social pressure/expectation.


As such it is a normal human experience which like pain is there to tell us there is something wrong. In the present setting of the pandemic health professionals are more likely to suffer because something wrong is happening all the time. The overarching positive aspect for these and all health workers is that they set out to serve and help and do good to others.

The six additional campus libraries located in Augusta, Columbus, Fairburn, Fayetteville, Valdosta, and Warner Robins are extensions of the Sibley-Cone Library. The Online, Madison, and Sandersville campuses are supported by the Sibley-Cone Library. The Dublin and Eastman campuses are supported by the Warner Robins campus library. The Stone Mountain campus is supported by the Fairburn campus library. Each additional campus library provides internet access to all online library resources and is staffed by paraprofessionals who assist students, faculty, and staff with the use of library resources. The Augusta and Columbus campuses are bring-your-own-device spaces and all GMC libraries are BYOD friendly.


Patient centred and holistic care has always been at the core of the profession; however, healthcare workers are now confronted as they face enormous ethical and moral dilemmas when dealing with a potential tsunami of rapidly deteriorating CoVID19 patients. Even with the best case scenario modelling for this pandemic reveals beyond doubt the inadequacy of the current capacity and resources of healthcare systems globally. Healthcare workers across the globe have become despondent and resigned to the fact that there will be an insufficient workforce, not enough ventilators, too few beds, inadequate PPE and resultant poor clinical outcome for many patients that could have otherwise survived.

Professionals are not able to provide the level of quality of care to which they were accustomed. Patient safety has been compromised and professionals have been powerless in these situations. An increase in litigation, which will be initiated by family members who have lost a loved one or by patients who might have been infected in health centers, is expected in the coming months. This situation, which affects work morale and personal ethics, may represent a new blow to these professionals.


Hypoxia is the likely common pathway leading to arrest in COVID-19 patients; early pressurised oxygen delivery, via a facemask or advanced airway device, is therefore a priority of resuscitation in this cohort . Given there is no argument that such manoeuvres constitute AGP [1,3], it seems pragmatic for the purposes of minimising risk to colleagues, whilst maximising timely delivery of appropriate oxygen to patients, that the RC-UK advice is followed. However, until the Medical Director of the NHS publishes firm, unequivocal guidance to this effect, conflicting national recommendations from PHE and RC-UK pose a significant moral threat to healthcare organisations and our colleagues on the COVID-19 front line.

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The following experiences are from the perspective of students at one UK medical school. Students are expected to attend clinical placements daily, simultaneously revise for exams, whilst maintaining a healthy work-life balance. The first point of call for students struggling with their mental health is often the university or the course specific well-being team. This latter service is part of a wider team that includes members of staff overseeing students’ fitness to practice. Although one may argue a student’s deteriorating mental health may eventually effect their competency as a doctor, the joint service discourages students from accessing help.

In Spain we have used the term second victim of SARS-CoV-2 when describing the impact of COVID19 on professionals. Similar outlook is expected in other countries. The challenge for all of us is to recover health systems and address the effects of the pandemic on our healthcare workforce.


I read with interest the analysis by Neil Greenberg and colleagues summarising the risk of “moral injury” that healthcare workers face during the COVID-19 pandemic. In particular, the authors detail several established sources of psychological distress that arise in military settings and suggest plausible analogues in medicine.

GMC might have given the Hummer a supercar-quick zero-to-60 time, but Hummers are cemented in our consciousness as being for invading foreign countries, not racing at the drag strip. And when you stomp all over someone else's border, that means you might need to go where there are no more roads. So the Hummer EV has been made very capable off-road.


NHS staff are often under significant pressure in normal times but this pressure has inevitably increased during the current crisis. It is almost impossible to remove stress completely from NHS roles as the work is often highly emotional and can involve very difficult decision making. What we can and must do however, is think more widely about how we can create the most supportive environment possible to foster their wellbeing and minimise the need for personal resilience by, for example, reducing stress in areas of their work where this is possible.