67 research outputs found
Cleft lip and palate malformations: essential knowledge for the general practitioner
Cleft lip and palate malformations are a common group of congenital abnormalities, and are therefore frequently encountered by the general practitioner, who is often the primary coordinator in the management of these patients. This is especially true in a South African setting, where specialist treatment is not always readily available. An incomplete understanding of the multiple components and complexities of the condition often results in unsatisfactory patient outcomes. This article aims to improve understanding of the condition and demonstrates how a multidisciplinary team approach is essential to successfully manage these patients. The roles of the different team members are described, and include the dentist, orthodontist, paediatrician, geneticist, speech therapist, dietitian, otorhinolaryngologist, as well as plastic and reconstructive and/or maxillofacial surgeon. A flow diagram with the various role players and the timing of their interventions has been designed to simplify the referral pathway. The authors aim to assist the general practitioner with the appropriate referral of patients with cleft lip and palate.Keywords: cleft lip and palate, congenital malformation
In-training assessment using direct observation of single-patient encounters: a literature review
We reviewed the literature on instruments for work-based assessment in single clinical encounters, such as the mini-clinical evaluation exercise (mini-CEX), and examined differences between these instruments in characteristics and feasibility, reliability, validity and educational effect. A PubMed search of the literature published before 8 January 2009 yielded 39 articles dealing with 18 different assessment instruments. One researcher extracted data on the characteristics of the instruments and two researchers extracted data on feasibility, reliability, validity and educational effect. Instruments are predominantly formative. Feasibility is generally deemed good and assessor training occurs sparsely but is considered crucial for successful implementation. Acceptable reliability can be achieved with 10 encounters. The validity of many instruments is not investigated, but the validity of the mini-CEX and the ‘clinical evaluation exercise’ is supported by strong and significant correlations with other valid assessment instruments. The evidence from the few studies on educational effects is not very convincing. The reports on clinical assessment instruments for single work-based encounters are generally positive, but supporting evidence is sparse. Feasibility of instruments seems to be good and reliability requires a minimum of 10 encounters, but no clear conclusions emerge on other aspects. Studies on assessor and learner training and studies examining effects beyond ‘happiness data’ are badly needed
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Cancer Surveillance Guideline for individuals with PTEN hamartoma tumour syndrome
Abstract: PTEN hamartoma tumour syndrome is a diverse multi-system disorder predisposing to the development of hamartomatous growths, increasing risk of breast, thyroid, renal cancer, and possibly increasing risk of endometrial cancer, colorectal cancer and melanoma. There is no international consensus on cancer surveillance in PHTS and all current guidelines are based on expert opinion. A comprehensive literature review was undertaken and guidelines were developed by clinicians with expertise from clinical genetics, gynaecology, endocrinology, dermatology, radiology, gastroenterology and general surgery, together with affected individuals and their representatives. Recommendations were put forward for surveillance for breast, thyroid and renal cancers. Limited recommendations were developed for other sites including endometrial, colon and skin. The proposed cancer surveillance recommendations for PHTS require a coordinated multidisciplinary approach and significant patient commitment. The evidence base for cancer surveillance in this guideline are limited, emphasising the need for prospective evaluation of the effectiveness of surveillance in the PHTS population
Cancer Surveillance Guideline for individuals with PTEN hamartoma tumour syndrome
Abstract: PTEN hamartoma tumour syndrome is a diverse multi-system disorder predisposing to the development of hamartomatous growths, increasing risk of breast, thyroid, renal cancer, and possibly increasing risk of endometrial cancer, colorectal cancer and melanoma. There is no international consensus on cancer surveillance in PHTS and all current guidelines are based on expert opinion. A comprehensive literature review was undertaken and guidelines were developed by clinicians with expertise from clinical genetics, gynaecology, endocrinology, dermatology, radiology, gastroenterology and general surgery, together with affected individuals and their representatives. Recommendations were put forward for surveillance for breast, thyroid and renal cancers. Limited recommendations were developed for other sites including endometrial, colon and skin. The proposed cancer surveillance recommendations for PHTS require a coordinated multidisciplinary approach and significant patient commitment. The evidence base for cancer surveillance in this guideline are limited, emphasising the need for prospective evaluation of the effectiveness of surveillance in the PHTS population
Diretrizes da Associação Brasileira de Estudos do Álcool e outras Drogas (ABEAD) para o diagnóstico e tratamento de comorbidades psiquiátricas e dependência de álcool e outras substâncias
Post-hospitalization course and predictive signs of suicidal behavior of suicidal patients admitted to a psychiatric hospital: a 2-year prospective follow-up study
De behandeling van het schildkliercarcinoom met jodium-131. Verleden, heden en toekomst. Theranostics avant la lettre.
De behandeling van het schildkliercarcinoom met jodium-131. Verleden, heden en toekomst. Theranostics avant la lettre.
De behandeling van het schildkliercarcinoom met jodium-131. Verleden, heden en toekomst. Theranostics avant la lettre.
A moral maze Government values in education
SIGLEAvailable from British Library Document Supply Centre-DSC:3811.7841(4) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
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