What medication best prevents migraine in children?

Propranolol, valproic acid, and amitriptyline are effective prophylaxis for migraine in children to varying degrees, are widely available, and have a reasonable safety profile (strength of recommendation [SOR]: B, based on either single randomized controlled trial, prospective or retrospective cohort studies, or trials with conflicting evidence). Flunarizine and nimodipine have the best evidence of benefit in children; however, availability, cost, and side effects limit their usefulness (SOR: B, based on multiple small randomized controlled trials)

The UBC Farm : forming market relationships

The goal of this paper is to demonstrate the potential role that the UBC Farm at South Campus has in the UBC Food System. Our group identified two key problems: 1) The UBC Farm’s operating costs exceed its revenue, and 2) UBC food providers have expressed reserved interest in buying UBC Farm produce, but current prices and quantities supplied are not competitive with UBC Food Services current suppliers. We discussed the major constraints preventing the UBC Farm from forming purchasing agreements with UBC Food Services, such as restricted summer availability, quality, and quantity of products. We identified commonalties in our value system, with all group members identifying themselves as weakly anthropocentric. This value identification formed a basis for further exploration of our stated problems. The exploration of Group 14’s representative model of food system sustainability from last year led us to refine it so that it correlated with our own priorities and values. To assess the UBC Farm’s business model, we conducted an examination of each of the components of a business plan. We explored other University and College Farms and compared their strengths and successes to UBC Farm; with these findings we were able to create recommendations to improve the UBC Farm’s profitability in the future. We further emphasize the fact that UBC Farm is limited in food production potential, and has great opportunities for education, research, partnership development, and building social capital. Recommendations for future data collection for next year’s AGSC 450 class include production and economic assessments, market, and case study research. Disclaimer: “UBC SEEDS provides students with the opportunity to share the findings of their studies, as well as their opinions, conclusions and recommendations with the UBC community. The reader should bear in mind that this is a student project/report and is not an official document of UBC. Furthermore readers should bear in mind that these reports may not reflect the current status of activities at UBC. We urge you to contact the research persons mentioned in a report or the SEEDS Coordinator about the current status of the subject matter of a project/report.”Land and Food Systems, Faculty ofUnreviewedUndergraduat

Acceptability and use of glaucoma virtual clinics in the UK:a national survey of clinical leads

ObjectiveThe purpose of this paper is to describe the findings of a national survey that aimed to estimate the proportion of Hospital Eye Service (HES) units using glaucoma virtual clinics, to determine how these services differ and to gauge clinicians’ views and opinions on the safety and acceptability of this model of care compared with usual care.Methods and analysisThis 12-question survey was disseminated nationally to 92 clinical lead consultant ophthalmologists using SurveyMonkey.ResultsThe response rate was 45.7%. There were 21 out of the total 42 respondents (50.0%) who were based at an NHS Trust where glaucoma virtual clinics were already being used and a further 9 (21.4%) were planning to establish one. Clinical leads largely rated efficiency and patient safety to be at least equivalent to usual care (92.9%) and 81.0% perceived glaucoma virtual clinics to be acceptable to patients. The main reasons for not running glaucoma virtual clinics were insufficient staff (71.4%) and inadequate space (47.6%). The majority of those running virtual clinics used this model of care for ‘lower risk’ patients such as ocular hypertensives (90.5%) and glaucoma suspects.ConclusionGlaucoma virtual clinics are employed by a large proportion of HES units, with many seeking to develop such services. Clinical leads largely rate efficiency, patient safety and the perception of patient acceptability to be at least equivalent to usual care.</jats:sec

Acceptability and use of glaucoma virtual clinics in the UK:a national survey of clinical leads

Animal-assisted therapy has frequently been used with children who have autism spectrum disorder. This study examined animal-assisted therapists’ perceptions of effectiveness of animal-assisted therapy with children who have DSM-IV mental health diagnoses. The researcher recruited self-identified animal-assisted therapists using social media sites LinkedIn and Facebook. Two therapists completed the fourteen question qualitative survey in full. Three themes were found in this study; comfort, confidence, and benefits. While this study produced definite themes, more research needs to be conducted on animal-assisted therapy and children with DSM-IV mental health disorders. Very few studies have been conducted on the impacts of animal-assisted therapy with children who have a various DSM-IV mental health disorders

Virtual clinics for glaucoma care – Patients’ and clinicians’ experiences and perceptions: a qualitative evaluation

BackgroundThe role of glaucoma virtual clinics has developed to help meet demand for capacity within busy glaucoma services. There is limited research of patient and clinician experiences and perceptions of these clinics and the aim of this study is to provide further information to help improve patient experience and guide service delivery. MethodsA mixed methods research design was employed comprising of a patient satisfaction survey, and patient and clinician interviews. Consultant ophthalmologists were recruited from throughout the UK, and patients and data gathering clinical staff recruited from the Manchester Royal Eye Hospital and Bristol Eye Hospital. ResultsWe received a total of 148 patient satisfaction questionnaires with an overall response rate of 55.4%. Most respondents were diagnosed with primary open angle glaucoma (33.9%) at Manchester and glaucoma suspect status at Bristol (50.6%). Patients had high levels of confidence in the person conducting the tests (94.8% Manchester, 98.8% Bristol), and most were likely to recommend the service to family or friends (94.8% Manchester, 92.6% Bristol). We interviewed 10 consultant ophthalmologists, 10 data gathering staff and 20 patients. A number of key themes emerged from the transcribed interviews including: patient experience, clinician perception of patient experience, service delivery, staffing and staff experience, and patient safety. ConclusionsGlaucoma virtual clinics can be acceptable to both clinicians and patients, including those with a varied complexity of glaucoma and glaucoma-related disease. Dissatisfaction seemed to relate to poor communication or processes and systems within the service rather than complexity of disease