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https://www.readbyqxmd.com/read/28920474/the-state-of-ethnic-dermatology-in-canada
#1
Boluwaji Ogunyemi, Yvette Miller-Monthrope
Approximately 30% of Canadians will be members of a visible minority by 2031. When dermatology became an independent medical discipline in the late 18th and early 19th centuries, most residents of Canada and the United States were of Northern European descent. Morphology and descriptions of dermatoses are based on patients with light skin. Skin of colour dermatology refers to a unique field in dermatology dedicated to the diagnosis and management of disorders that are more prevalent in patients with moderately to richly pigmented skin...
September 2017: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28918734/the-2016-royal-australian-and-new-zealand-college-of-psychiatrists-guidelines-for-the-management-of-schizophrenia-and-related-disorders
#2
David J Castle, Cherrie A Galletly, Frances Dark, Verity Humberstone, Vera A Morgan, Eóin Killackey, Jayashri Kulkarni, Patrick McGorry, Olav Nielssen, Nga T Tran, Assen Jablensky
The Royal Australian and New Zealand College of Psychiatrists (RANZCP) clinical practice guidelines for the management of schizophrenia and related disorders provide evidence-based recommendations for optimising treatment and prognosis. This update to the 2005 RANZCP guidelines has a greater emphasis on psychosocial treatments, physical health comorbidities and vocational rehabilitation. Main recommendations: The guidelines advise a clinical staging approach and deliver specific recommendations for:•comprehensive treatment using second generation antipsychotic agents continuously for 2-5 years;•early treatment of comorbid substance use;•community treatment after initial contact, during crises and after discharge from hospital;•physical health monitoring and management of comorbidities, particularly metabolic health;•interventions to optimise recovery of social function and return to study or work; and•management of schizophrenia in specific populations and circumstances...
June 19, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28916694/the-challenge-of-teaching-undergraduates-evidence-based-veterinary-medicine
#3
R Dean, M Brennan, R Ewers, C Hudson, J M Daly, S Baillie, M C Eisler, E J Place, J Brearley, M Holmes, I Handel, D Shaw, G McLauchlan, A McBrearty, P Cripps, P Jones, R Smith, K Verheyen
The Royal College of Veterinary Surgeons now lists 'How to evaluate evidence' as a day one competence for newly qualified vets. In this article, representatives from each of the veterinary schools in the UK discuss how the challenge of delivering and assessing the concepts of evidence-based veterinary medicine in a crowded undergraduate curriculum can be met.
September 16, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28914430/position-paper-recommendations-for-a-digital-mammography-quality-assurance-program%C3%A2-v4-0
#4
J C P Heggie, P Barnes, L Cartwright, J Diffey, J Tse, J Herley, I D McLean, F J Thomson, R K Grewal, L T Collins
In 2001 the ACPSEM published a position paper on quality assurance in screen film mammography which was subsequently adopted as a basis for the quality assurance programs of both the Royal Australian and New Zealand College of Radiologists (RANZCR) and of BreastScreen Australia. Since then the clinical implementation of digital mammography has been realised and it has become evident that existing screen-film protocols were not appropriate to assure the required image quality needed for reliable diagnosis or to address the new dose implications resulting from digital technology...
September 15, 2017: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/28904815/predictors-help-seeking-behaviour-and-treatment-coverage-for-depression-in-adults-in-sehore-district-india
#5
Rahul Shidhaye, Tanica Lyngdoh, Vaibhav Murhar, Sandesh Samudre, Thomas Krafft
BACKGROUND: National Mental Health Survey found that in India, the point prevalence of major depressive disorder (MDD) was 2.7% and the treatment gap was 85.2%, whereas in Madhya Pradesh the point prevalence of MDD was 1.4% and the treatment gap was 80%. AIMS: To describe the baseline prevalence of depression among adults, association of various demographic and socioeconomic variables with depression and estimation of contact coverage for the same. METHOD: Population-based cross-sectional survey of 3220 adults in Sehore district of Madhya Pradesh, India...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/28904814/factors-impacting-perceived-safety-among-staff-working-on-mental-health-wards
#6
Alina Haines, Andrew Brown, Rhiannah McCabe, Michelle Rogerson, Richard Whittington
BACKGROUND: Safety at work is a core issue for mental health staff working on in-patient units. At present, there is a limited theoretical base regarding which factors may affect staff perceptions of safety. AIMS: This study attempted to identify which factors affect perceived staff safety working on in-patient mental health wards. METHOD: A cross-sectional design was employed across 101 forensic and non-forensic mental health wards, over seven National Health Service trusts nationally...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/28904813/seasonal-affective-disorder-and-non-seasonal-affective-disorders-results-from-the-nesda-study
#7
Wim H Winthorst, Annelieke M Roest, Elisabeth H Bos, Ybe Meesters, Brenda W J H Penninx, Willem A Nolen, Peter de Jonge
BACKGROUND: Seasonal affective disorder (SAD) is considered to be a subtype of depression. AIMS: To compare the clinical picture of SAD to non-seasonal affective disorders (non-SADs). METHOD: Diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) were established in 2185 participants of the Netherlands Study of Depression and Anxiety. The Seasonal Pattern Assessment Questionnaire was administered to diagnose SAD...
July 2017: BJPsych Open
https://www.readbyqxmd.com/read/28893973/understanding-the-primary-care-paradigm-an-experiential-learning-focus-of-the-early-veterinary-graduate
#8
William H R Dixon, Tierney Kinnison, Stephen A May
At a time where high levels of stress are reported in the veterinary profession, this study explores the challenges that veterinary graduates encounter when they enter general (first opinion) practice. Participants had written reflective accounts of their 'Most Puzzling Cases' for the postgraduate Professional Key Skills module of the Certificate in Advanced Veterinary Practice, offered by the Royal Veterinary College. Reasons that a case was puzzling, or became challenging, were thematically analysed. Fifteen summaries were analysed...
September 11, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28876380/portuguese-and-brazilian-guidelines-for-the-treatment-of-depression-exercise-as-medicine
#9
Lara F Carneiro, Maria P Mota, Felipe Schuch, Andrea Deslandes, José Vasconcelos-Raposo
Depression is a psychiatric disorder and major contributor to the burden of disease worldwide. The strength of evidence of the benefits of exercise as a therapeutic intervention for patients with depression has expanded in the last 30 years. In fact, the available evidence indicates exercise can not only help manage depressive symptoms, but also effect significant improvements in other health outcomes. Clinical guidelines including such recommendations have been issued by different agencies, namely the UK National Institute for Health and Clinical Excellence (NICE), the American Psychiatric Association (APA), and the Royal Australian and New Zealand College of Psychiatrists (RANZCP)...
August 30, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/28873223/systemic-hypertension-in-cats-with-acute-kidney-injury
#10
L Cole, R Jepson, K Humm
OBJECTIVE: To describe the prevalence of systemic hypertension in cats with community-acquired acute kidney injury and investigate its relationship with disease severity. MATERIALS AND METHODS: Retrospective study of cats presenting to the Queen Mother Hospital for Animals, Royal Veterinary College with acute kidney injury between 2007 and 2015. Systolic blood pressure was measured using Doppler sphygmomanometry and systemic hypertension was defined pressures ê150 mmHg...
September 5, 2017: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/28870502/eficiencia-en-la-prescripci%C3%A3-n-enfermera-en-andaluc%C3%A3-a-un-paso-atr%C3%A3-s-en-el-sistema-sanitario-tras-anulaci%C3%A3-n-por-real-decreto
#11
Juan José Ruiz Sánchez, Rocío Ruiz Calzado, Marcos Romero Sánchez
OBJECTIVES: To analyse the efficiency of nurse prescription of the health products inherent to their care work, in Andalusia, Spain, between the years 2009-2015. To also analyse the discussions by the Medical Colleges Organisation and the Ministry of Health, Social Services and Equality, before the draft bill on nurse prescription and their outcome. DESIGN: Scoping review. DATA SOURCE: Main bibliographic databases of Latin-American, Spanish, and foreign languages were reviewed, including, Fundación Index, Doyma, and Medline Library...
September 1, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28870188/assessing-the-impact-of-the-introduction-of-an-electronic-hospital-discharge-system-on-the-completeness-and-timeliness-of-discharge-communication-a-before-and-after-study
#12
Rajnikant L Mehta, Bryn Baxendale, Katie Roth, Victoria Caswell, Ivan Le Jeune, Jack Hawkins, Haya Zedan, Anthony J Avery
BACKGROUND: Hospital discharge summaries are a key communication tool ensuring continuity of care between primary and secondary care. Incomplete or untimely communication of information increases risk of hospital readmission and associated complications. The aim of this study was to evaluate whether the introduction of a new electronic discharge system (NewEDS) was associated with improvements in the completeness and timeliness of discharge information, in Nottingham University Hospitals NHS Trust, England...
September 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28862909/what-are-community-nurses-experiences-of-assessing-frailty-and-assisting-in-planning-subsequent-interventions
#13
Hannah Britton
With an ageing population and increasing focus on community care, this study aimed to explore the experiences of community nurses in assessing frailty and planning interventions around frailty. Six community nurses were recruited for face-to-face semi-structured interviews as part of this qualitative study which was underpinned by a competence framework ( Royal College of Nursing, 2009 ). Thematic analysis was used and frailty was identified as an emerging topic within practice. Participants discussed several aspects associated with frailty; however, some uncertainty around the concept of frailty and its definition was noted, particularly for staff who had received limited frailty training...
September 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28859647/blob-ology-and-biology-of-cryo-em-an-interview-with-helen-saibil
#14
Helen R Saibil
Helen Saibil is Bernal Professor of Structural Biology at Birkbeck, University of London. After undergraduate work at McGill University, Canada, Helen moved to London for her PhD at Kings College. After stints at CEA Grenoble and the University of Oxford, she moved to Birkbeck where her lab studies the operation of macromolecular machinery-including molecular chaperones, protein folding/misfolding, and host cell interactions with pathogens. Helen is a Fellow of the Royal Society, Fellow of the Academy of Medical Sciences, and an Honorary Member of both the British Biophysical Society and the Royal Microscopical Society...
August 31, 2017: BMC Biology
https://www.readbyqxmd.com/read/28854557/topics-for-the-national-audit-projects-of-the-royal-college-of-anaesthetists
#15
J A W Wildsmith
No abstract text is available yet for this article.
August 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28853191/a-national-survey-of-nurse-training-confidence-and-competence-in-educating-patients-commencing-methotrexate-therapy
#16
Sandra Robinson, Andrew Hassell, Sarah Ryan, Nicola Adams, David Walker
INTRODUCTION: Methotrexate is routinely used to treat active disease in inflammatory arthritis. There have previously been patient safety concerns associated with methotrexate usage in practice. Most patients commencing methotrexate treatment are seen by the rheumatology nurse, to receive education (often referred to as drug counselling) on this agent prior to starting treatment. Yet, there are no recommended criteria regarding education or experience to ensure minimum competence of the rheumatology nurse...
August 29, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28844056/fifteen-minute-consultation-assessment-surveillance-and-management-of-hemihypertrophy
#17
Catherine Mark, Caroline Hart, Anthony McCarthy, Andrew Thompson
This article aims to provide a structured and concise guide for the general paediatrician managing a child with hemihypertrophy. Hemihypertrophy is a relatively uncommon condition. The significance is that a proportion of those affected are at risk of developing malignancies in childhood. For these children regular surveillance is required. We have outlined how one might assess and investigate a child presenting with hemihypertrophy. We have also formulated a practicable surveillance strategy which is in line with the current Royal College of Paediatrics and Child Health (RCPCH) guideline 'Wilms' tumour surveillance in at-risk children'...
August 26, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28834217/national-surgical-mortality-audit-may-be-associated-with-reduced-mortality-after-emergency-admission
#18
Andreas Kiermeier, Wendy J Babidge, Glenn A J McCulloch, Guy J Maddern, David A Watters, R James Aitken
BACKGROUND: The Western Australian Audit of Surgical Mortality was established in 2002. A 10-year analysis suggested it was the primary driver in the subsequent fall in surgeon-related mortality. Between 2004 and 2010 the Royal Australasian College of Surgeons established mortality audits in other states. The aim of this study was to examine national data from the Australian Institute of Health and Welfare (AIHW) to determine if a similar fall in mortality was observed across Australia...
August 20, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28833975/genetic-testing-in-intellectual-disability-psychiatry-opinions-and-practices-of-uk-child-and-intellectual-disability-psychiatrists
#19
Kate Wolfe, Kerstin Stueber, Andrew McQuillin, Fatima Jichi, Christine Patch, Frances Flinter, André Strydom, Nick Bass
BACKGROUND: An increasing number of genetic causes of intellectual disabilities (ID) are identifiable by clinical genetic testing, offering the prospect of bespoke patient management. However, little is known about the practices of psychiatrists and their views on genetic testing. METHOD: We undertook an online survey of 215 psychiatrists, who were contacted via the Royal College of Psychiatrist's Child and Adolescent and Intellectual Disability Psychiatry mailing lists...
August 23, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28829422/development-of-a-refined-protocol-for-trans-scleral-subretinal-transplantation-of-human-retinal-pigment-epithelial-cells-into-rat-eyes
#20
Cuiping Zhao, Nathan C Boles, Justine D Miller, Suzanne Kawola, Sally Temple, Richard J Davis, Jeffrey H Stern
Degenerative retinal diseases such as age-related macular degeneration (AMD) are the leading cause of irreversible vision loss worldwide. AMD is characterized by the degeneration of retinal pigment epithelial (RPE) cells, which are a monolayer of cells functionally supporting and anatomically wrapping around the neural retina. Current pharmacological treatments for the non-neovascular AMD (dry AMD) only slow down the disease progression but cannot restore vision, necessitating studies aimed at identifying novel therapeutic strategies...
August 12, 2017: Journal of Visualized Experiments: JoVE
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