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Agreed Ian, "punters" is universal term of affection in the west-M8 belt! In a double blinded randomised trial in 1996 in RHSC Glasgow I compered tht effect of box of Dunkin Donuts with an economy box of Quality Street and palcebo (Tunnocks Caramel Wafers - nobody ever eats them) on staff moral. Outcome measures were % time spent smiling whilst on duty (adjusted for individual personality defects) and number of patients seen during an 8 hour shift. The Dunkin Donuts produced a 75% (95%CI 32% to 145%) increase in the time spent smiling and a 23% (95%CI -2% to 41%) increase in the number of patients seen. The Quailty Street produced a 14% (95%CI -7% to 32%) increase in the time spent smiling and a dissapointing 2% (95%CI -31% to 36%) increase in the number of patients seen. (I'm thinking of repeating this with the toffey fingers removed as I think the time spent chewing could be a factor here). The Tunnocks Caramel Wafers (placebo) had to be withdrawn due to death threats from the punters...er...I mean...staff. Robbie Coull email: [log in to unmask] website: http://www.coull.net DISCLAIMER AND CONFIDENTIALITY NOTICE This document should only be read by those persons to whom it is addressed and it is not intended to be relied upon by any person without subsequent written confirmation of its contents. Accordingly the author disclaims all responsibility and accepts no liability (including in negligence) for the consequences of any person acting or refraining from acting on such information prior to the receipt by those persons of subsequent written confirmation. This document may contain confidential information belonging to the sender which is protected by the physician-patient privilege. If you have received this e-mail in error, please notify the author. Please also destroy and delete the message from your computer. Any form of unauthorised reproduction, dissemination, copying, disclosure, modification, distribution and/or publication of this e-mail message is strictly prohibited.