Planning Network UK (PNUK): a manifesto for planning and land reform

The Manifesto is an analysis of the shortcomings of the current planning and land policy system in the UK with a number of policy proposals for refor

First-time, mild diverticulitis: Antibiotics or watchful waiting?

Review of: Daniels L, Ünlü Ç, de Korte N, et al, for the Dutch Diverticular Disease (3D) Collaborative Study Group. Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT-proven uncomplicated acute diverticulitis. Br J Surg. 2017;104:52-61.First-time, mild diverticulitis: antibiotics or watchful waiting? Don't jump to antibiotic Tx for mild, uncomplicated diverticulitis, a recent RCT says. Observation may be just as effective. Practice changer: For mild, computed tomography-proven acute diverticulitis, consider observation only instead of antibiotic therapy. Stength of recommendation: B: Based on a single randomized controlled trial.Bob Marshall, MD, MPH, MISM, FAAFP; Shailendra Prasad, MBBS, MPH; Mary Alice Noel, MD; Jeffrey Burket, MD, FAAFP; Michael Arnold, DO, FAAFP; Benjamin Arthur, MD; Nick Bennett, DO; Ashley Smith, MD ; Madigan Family Medicine Residency, Gig Harbor, Wash (Drs. Marshall, Noel, Burket, Arnold, Arthur, Bennett, Smith); University of Minnesota Family Medicine and Community Health, Minneapolis (Dr. Prasad

Enhancing training advantage for remote Aboriginal and Torres Strait Islander learners

[Extract] Aboriginal and Torres Strait Islanders in very remote parts of Australia are increasingly participating in vocational education and training (VET); however, completion rates remain low and employment outcomes are not improving. This project identifies how retention and completion can be improved and what other indicators of success are important outcomes of training in remote communities. Using a case study approach to investigate five unique training programs in remote areas of Australia, the report finds a that range of factors contribute to retention, including: - trainer qualities and characteristics of delivery - family, personal, community and cultural factors - training coordination and support - supportive relationships with other students - local community ownership of training - training that is connected to culture and local knowledge

Supplemental oxygen : more isn't always better

Review of: Chu DK, Kim LH, Young PJ, et al. Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis. Lancet. 2018;391:1693-1705.Supplemental oxygen: more isn't always better. A recent study says that in certain populations supplemental oxygen above certain levels can increase mortality. PRACTICE CHANGER Do not use liberal oxygen therapy (SpO2> 96%) in acutely ill adults, as it is associated with increased all-cause mortality. STRENGTH OF RECOMMENDATION A: Based on a systematic review and meta-analysis of 25 randomized controlled trials.Ashley Smith, MD; Bob Marshall, MD, MPH, MISM, FAAFP; Nick Bennett, DO; Benjamin Arthur, MD; Michael Dickman, DO; Madigan Army Medical Center, Joint Base Lewis-McChord, Was

Exile Vol. XXV No. 1

PROSE Friend by John Marshall Visiting Relatives by Cynthia Lanning Hahn The Mud Lane by Eloise Haveman The Petrification of a Wild Sweet William Blossom by Melissa Simmons ART Three views of Granville by Scott Tryon (front cover) untitled photos by Bogart and Jerry Brown Landscape by Scott Tryon Submissive Defiance by Bogart Three things that Remain by Jerry Brown back cover by Lindy Davies POETRY A Photographer Documents Her Death by Chris Gjessing three Haiku by Eloise Haveman Morning by Melissa Simmons Granite Travel by Lisa Minacci did you year? by Bob McLaughlin he\u27s coming home again by Bob McLaughlin David by Betsy Bates Le Cafe de \u27lUnivers by Ann Leopard untitled by John Marshall The Last Ramona Poem (fat chance) by Lindy Davies Mother Told Me not to Play Next Door by Ellen Cox Poems of the Inconsequentials by Eloise Havema