This is the first study to investigate the use of exogenous nutritional supplements within the British Military and has identified their widespread use during operational deployment. The use of anabolic steroids is particularly worrying, given both their illegality and their well-recognised and deleterious health effects. There is a need for greater awareness and education regarding potential benefits and dangers of supplement use in order to maximise any potential benefits and minimise clinical risk.

Traditionally, the operating theatre is a suboptimal educational setting for medical students. It is an unfamiliar learning environment for those new to clinical medicine, with its own rituals, protocols and etiquette. Learning objectives are not defined clearly and many students perceive the time spent in the operating department as being of little or no educational benefit. Furthermore, most students receive very little or no formal induction into the theatre environment and this has a negative impact on learning behaviours and, indeed, patient safety.

No abstract

We describe a case of postoperative galactorrhea following the use of a pedicled pectoralis major myocutaneous flap for reconstruction of a pharyngolaryngeal defect in a woman with squamous cell carcinoma. We believe this to be unique in the literature, and an important complication to be reported, due to the similarities in appearance of galactorrhoea and postoperative aerodigestive tract/ cutaneous fistula.