Veterinary practitioners’ selection of diagnostic tests for the primary evaluation of colic in the horse

The aim of this study was to survey veterinary practitioners’ selection of diagnostic tests for horses with clinical signs of abdominal pain. A questionnaire was distributed to veterinary surgeons involved in the primary evaluation of horses with abdominal pain, including the respondent's demographics, selection of diagnostic tests and factors affecting decision-making. Data analysis included descriptive analysis, categorisation of free text and simple univariable correlations to explore the relationships between independent variables and the relative self-estimated frequency that diagnostic tests were performed. A total of 228 responses were analysed. Participants worked in mixed practice (55.7 per cent), first opinion equine (22.8 per cent), first and second opinion equine (17.9 per cent) and referral practice (3.1 per cent). The majority (48.2 per cent, 105/218) were very confident managing a colic case (confidence level 4/5). The most frequently used diagnostic tests were ‘response to analgesia’ (87.2±24.0 per cent cases), rectal examination (75.9±21.2 per cent) and nasogastric intubation (43.8±27.6 per cent). Approach varied between practitioners, and for all diagnostic tests with frequency of use ranging from 0 to 100 per cent of cases. ‘Risk to personal safety’ was the most common reason for not using rectal examination. Practitioner's opinion of their confidence level in managing a colic case was associated with how frequently they used different diagnostic tests. There was marked variation in practitioners’ approaches, highlighting the need for further evidence to support decision-making

The Leadership Role of Psychiatrists in the NHS

This article explores leadership in the context of psychiatry in the NHS. It identifies considerable policy challenges facing psychiatry such as recent attempts to upgrade mental health services and bring them up to par with other services. It suggests it will become increasingly necessary for the profession to respond to such challengers by engaging with leadership at various levels. The article suggests there may be merit in exploring one particular approach to leadership, namely transformational leadership, given its emphasis on dealing with change. Psychiatrists may find the behaviours associated with this approach of particular relevance. However, it suggests that there may need to adopt a particular variant of transformational leadership that acknowledges both the achievement of objectives and showing genuine concern for followers. The latter is important given the on going problem of clinical engagement in the NHS. The article concludes with the developmental implications in adopting this leadership approach

Reviewing research evidence and the case of participation in sport and physical recreation by black and minority ethnic communities

The paper addresses the implications of using the process of systematic review in the many areas of leisure where there is a dearth of material that would be admitted into conventional Cochrane Reviews. This raises important questions about what constitutes legitimate knowledge, questions that are of critical import not just to leisure scholars, but to the formulation of policy. The search for certainty in an area that lacks conceptual consensus results in an epistemological imperialism that takes a geocentric form. While clearly, there is a need for good research design whatever the style of research, we contend that the wholesale rejection of insightful research is profligate and foolhardy. A mechanism has to be found to capitalise on good quality research of whatever form. In that search, we draw upon our experience of conducting a review of the material available on participation in sport and physical recreation by people from Black and minority ethnic groups. The paper concludes with a proposal for a more productive review process that makes better use of the full panoply of good quality research available. © 2012 © 2012 Taylor & Francis

The Second Part of Vox Populi : Being the Peoples Report Unto the King, upon the Severall Appeales Declared in His Majesties Name : An Egge Long Since Hatcht and Covered, and Now Fledg\u27d, and upon the Wing Toward the Deserts of His Majesties Present Abode : May It Prove a Dove with an Olive Branch to Prepare His Resting on These His Mountains of Ararat [Part 1]

https://openworks.wooster.edu/notestein/1070/thumbnail.jp

His Majesties Message to the Lords and Commons in Parliament, Sept. 5. Together with a Declaration of the Lords and Commons in Parliament, in Answer to the Said Message

https://openworks.wooster.edu/notestein/1036/thumbnail.jp

A Message from the Royall Prisoner at Windsor, to the Kingdome of Scotland; And His Majesties Resolution, Concerning the Ordnance and Impeachment of High Treason ... Dated from Windsor the 3. of January, 1648

https://openworks.wooster.edu/notestein/1055/thumbnail.jp