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Riding the wave
(Source: The Clinical Teacher)
Source: The Clinical Teacher - May 16, 2013 Category: Universities & Medical Training Authors: Steve Trumble Tags: Editorial Source Type: research

Prevalences of asthma and rhinitis among adolescents in the city of Fortaleza, Brazil: temporal changes
CONCLUSIONS: Our data show that the prevalences of asthma and rhinitis symptoms remain high among females and private school students. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - May 15, 2013 Category: Respiratory Medicine Source Type: research

Social problem‐solving, perceived stress, depression and life‐satisfaction in patients suffering from tension type and migraine headaches
This study aimed at investigating social problem solving, perceived stress, depression, and life‐satisfaction in patients with tension type and migraine headaches. Forty‐nine migraine and 42 tension type headache patients (n = 91) consenting to participate were compared to a total of 49 matched healthy control group. Participants filled in a questionnaire consisting self‐report measures of problem solving, perceived stress, depression and life satisfaction. They were also asked about headache duration, frequency, pain severity, psychiatric treatment and sense of control in one's life. T‐tests, chi‐square, analy...
Source: Scandinavian Journal of Psychology - May 15, 2013 Category: Psychiatry & Psychology Authors: Mehmet Eskin, Ali Akyol, Emine Yilmaz Çelik, Bülent Kadri Gültekin Tags: Personality and Social Psychology Source Type: research

Common Injuries, Weekend Warriors, and Dedicated Athletes
Musculoskeletal injuries continue to rank as some of the most commonly encountered presenting complaints in primary care practices. Educational training in allopathic medical schools, nursing schools, and physician assistant programs often falls short of providing the necessary tools for appropriate cost-effective diagnosis and management of these conditions, while postgraduate residency training attempts to fill these gaps in knowledge. Moreover, we often provide ineffective counseling on prevention of injury and optimization of nutrition. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - May 15, 2013 Category: Primary Care Authors: Joel J. Heidelbaugh Source Type: research

Radiation-free distal locking of intramedullary nails: Evaluation of a new electromagnetic computer-assisted guidance system
Abstract: Distal locking of intramedullary nails (IMNs) is a difficult part of intramedullary nailing (IMN) that could be time-consuming and expose the surgeon, the surgery personnel and the patient to a considerable amount of radiation as fluoroscopy is usually guiding the procedure. Utilization of electromagnetic fields for that purpose offers an attractive alternative. The SURESHOT™ Distal Targeting System (Smith & Nephew, Inc., Memphis, TN, USA) is a novel commercially available radiation-free aiming system that utilizes computerized electromagnetic field tracking technology for the distal locking of IMNs. In order t...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Ioannis Stathopoulos, Panagiotis Karampinas, Dimitrios-Stergios Evangelopoulos, Kalliopi Lampropoulou-Adamidou, John Vlamis Tags: Clinical papers Source Type: research

The injury burden of the 2010 Haiti earthquake: A stratified cluster survey
Conclusions: Estimates of the injury burden in disasters in lower- and middle-income countries is essential for disaster preparedness and response planning in future natural disasters. Given the difficulties in reporting injuries in emergencies, including both challenges of aggregating information and lack of standardized definitions and inclusion/exclusion criteria for injuries that are not severe, ascertaining the injury burden of disasters will be a persistent challenge. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Shannon Doocy, Gabrielle Jacquet, Megan Cherewick, Thomas D. Kirsch Tags: Clinical papers Source Type: research

A comparison of injuries to moped/scooter and motorcycle riders in Queensland, Australia
Abstract: Background: The popularity of moped and motor scooter riding in Australia is increasing. However, there is a paucity of information about their safety, especially in comparison to motorcycle riding where riders require specific licensing, education and training. Given it is widely established that motorcycle riders are overrepresented in road injury statistics, consideration of moped and scooter riders as a sub-group of all motorcyclists is required for accurate understanding of injury patterns and the acute care needs of this group.Method: A comparison of demographic, injury and acute care characteristics betwee...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: David White, Jacelle Lang, Glen Russell, Kevin Tetsworth, Kathy Harvey, Nicholas Bellamy Tags: Clinical papers Source Type: research

Neuropsychiatric symptoms in Parkinson disease and dementia with lewy bodies: what geriatric psychiatry can learn.
Authors: Weintraub D PMID: 23668226 [PubMed - in process] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 15, 2013 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Measuring fragmentation of ambulatory care in a tripartite healthcare system
Conclusions: Even measured at healthcare segment level, people in Hong Kong experienced modest fragmentation of care. Individuals' health beliefs---as a result of the persistent habitual tendency and latitude incentivized by the system---may be behind the fragmented care we saw. Efforts are needed to alter health beliefs, targeting subgroups of vulnerable population, and create environments that promote better coordinated primary care. (Source: BMC Health Services Research)
Source: BMC Health Services Research - May 15, 2013 Category: Journals (General) Authors: Su LiuPhilip Yeung Source Type: research

Predictors of hazardous drinking, tobacco smoking and physical inactivity in vocational school students
Conclusions: Multiple risk factors were ascertained in a significant proportion of vocational school students. Specifically, tobacco smoking and hazardous drinking were coexistent. The study underlines the need for preventive measures in specific subpopulations of adolescents and young adults with lower educational level. (Source: BioMed Central)
Source: BioMed Central - May 15, 2013 Category: Journals (General) Authors: Severin HaugMichael P SchaubCorina Salis GrossUlrich JohnChristian Meyer Source Type: research

Exercise and Sodium Butyrate Transform a Subthreshold Learning Event into Long-Term Memory via a Brain-Derived Neurotrophic factor-Dependent Mechanism
& Carl W Cotman Keywords: hippocampus; learning & memory; molecular & Cellular Neurobiology; Neurogenetics; object location memory; plasticity; siRNA; subthreshold (Source: Neuropsychopharmacology)
Source: Neuropsychopharmacology - May 15, 2013 Category: Neurology Authors: Karlie A IntlekoferNicole C BerchtoldMelissa MalvaezAnthony J CarlosSusan C McQuownMichael J CunninghamMarcelo A WoodCarl W Cotman Tags: hippocampus learning & memory molecular Cellular Neurobiology Neurogenetics object location memory plasticity siRNA subthreshold Source Type: research

Can social dancing prevent falls in older adults? a protocol of the Dance, Aging, Cognition, Economics (DAnCE) fall prevention randomised controlled trial
This study aims to determine whether participation in social dancing: i) reduces the number of falls; and ii) improves cognitive functions associated with fall risk in older people. Methods: A single-blind, cluster randomised controlled trial of 12 months duration will be conducted. Approximately 450 participants will be recruited from 24 self-care retirement villages that house at least 60 residents each in Sydney, Australia. Village residents without cognitive impairment and obtain medical clearance will be eligible. After comprehensive baseline measurements including physiological and cognitive tests and self-completed ...
Source: BMC Public Health - Latest articles - May 15, 2013 Category: Consumer Health News Authors: Dafna MeromRobert CummingErin MathieuKaarin AnsteyChris RisselJudy SimpsonRachael MortonEster CerinCatherine SherringtonStephen Lord Source Type: research

Indigenous perspectives on active living in remote Australia: a qualitative exploration of the socio-cultural link between health, the environment and economics
Conclusion: This different construction of physical activity in remote Indigenous communities highlights the importance of involving Indigenous people in the development and implementation of physical activity promotion. Physical activities associated with traditional Indigenous cultural practices and being active 'on country' need to be viewed as legitimate health promotion activities. Exploring further ways to enable Indigenous people in remote NT to be involved in creating viable active livelihoods on 'traditional country' needs to be considered as imperative to health improvement. (Source: BMC Public Health - Latest articles)
Source: BMC Public Health - Latest articles - May 15, 2013 Category: Consumer Health News Authors: Sharon ThompsonRichard ChenhallJulie Brimblecombe Source Type: research

Application of the MODE model to implicit weight prejudice and its influence on expressed and actual behavior among college students
Abstract Weight prejudice and discrimination were examined in students, using the motivation and opportunity as determinants (MODE) model. The personalized Implicit Association Test (pIAT) and Motivation to Control Prejudiced Reactions (MCPR) scale were used to predict subsequent expressed and actual behavior, measured by an election task and a lost e‐mail task. Thematic analysis of qualitative responses was conducted to determine reasons participants discriminated against obesity. The MODE model did not predict the prejudice–behavior relationship; however, expressed weight prejudice and discrimination were highly prev...
Source: Journal of Applied Social Psychology - May 15, 2013 Category: Psychiatry & Psychology Authors: Erika Penney, Catalina Lawsin Tags: Original Article Source Type: research

Integrated Proteomics Pipeline Yields Novel Biomarkers for Predicting Preeclampsia [Preeclampsia]
In conclusion, we demonstrated that biomarker combinations centered on insulin-like growth factor acid labile subunit have the potential to predict preeclampsia in healthy nulliparous women. (Source: Hypertension)
Source: Hypertension - May 15, 2013 Category: Cardiology Authors: Myers, J. E., Tuytten, R., Thomas, G., Laroy, W., Kas, K., Vanpoucke, G., Roberts, C. T., Kenny, L. C., Simpson, N. A. B., Baker, P. N., North, R. A. Tags: Clinical Studies, Other diagnostic testing Preeclampsia Source Type: research

Cognitive Impairment in Mild Traumatic Brain Injury: A Longitudinal Diffusional Kurtosis and Perfusion Imaging Study [BRAIN]
CONCLUSIONS: Combined application of DTI, DKI, and ASL to study MTBI might be useful for investigating dynamic changes in the thalamus and WM as well as cognitive impairment during a short follow-up period, though the small number of patients examined did not predict outcome. (Source: American Journal of Neuroradiology)
Source: American Journal of Neuroradiology - May 15, 2013 Category: Radiology Authors: Grossman, E. J., Jensen, J. H., Babb, J. S., Chen, Q., Tabesh, A., Fieremans, E., Xia, D., Inglese, M., Grossman, R. I. Tags: BRAIN Source Type: research

Functional MRI in conscious rats using a chronically implanted surface coil
ConclusionThis methodology leaves the face and limbs free from obstruction, making possible a range of behavioral or sensory stimulation protocols. Further development of this animal model could enable traditional behavioral neuroscience techniques to be combined with modern functional neuroimaging. J. Magn. Reson. Imaging 2013. © 2013 Wiley Periodicals, Inc. (Source: Journal of Magnetic Resonance Imaging)
Source: Journal of Magnetic Resonance Imaging - May 15, 2013 Category: Radiology Authors: Chris J. Martin, Aneurin J. Kennerley, Jason Berwick, Michael Port, John E.W. Mayhew Tags: Technical Note Source Type: research

Science in schools
Nature 497, 7449 (2013). doi:10.1038/497287b The US National Center for Science Education teaches researchers how to fight for their cause. (Source: Nature)
Source: Nature - May 15, 2013 Category: Research Tags: Editorial Source Type: research

Driving students into science is a fool’s errand
Nature 497, 7449 (2013). http://www.nature.com/doifinder/10.1038/497289a Author: Colin Macilwain If programmes to bolster STEM education are effective, they distort the labour market; if they aren’t, they’re a waste of money, argues Colin Macilwain. (Source: Nature)
Source: Nature - May 15, 2013 Category: Research Authors: Colin Macilwain Tags: Column Source Type: research

Teaching and learning the Hodgkin-Huxley model based on software developed in NEURON's programming language hoc
Conclusions The SENB software is didactic and versatile, and can be used to improve and facilitate the teaching and learning of the underlying mechanisms in the electrical activity of an axon using the biophysical properties of the squid giant axon. (Source: BMC Medical Education)
Source: BMC Medical Education - May 15, 2013 Category: Universities & Medical Training Authors: Oscar HernándezEduardo Zurek Source Type: research

Reflection on the teaching of Cariology in Brazil
(Source: Brazilian Oral Research)
Source: Brazilian Oral Research - May 14, 2013 Category: Dentistry Source Type: research

Multidisciplinary outpatient rehabilitation following cardiac revascularization or valve surgery: patient-related factors for uptake
Conclusion: These results confirm the low rates of MDCR attendance found in a previous study performed by the European Association of Cardiovascular Prevention and Rehabilitation. The study shows specific patient groups that should be targeted in priority, i.e. women, elderly, unemployed patients, disabled persons, and patients with a low socioeconomic status. (Source: European Journal of Preventive Cardiology)
Source: European Journal of Preventive Cardiology - May 14, 2013 Category: Cardiology Authors: Strens, D., Colle, A., Vrijens, F., Paulus, D., Eyssen, M., Van Brabandt, H., Van Vlaenderen, I. Tags: Original scientific papers Source Type: research

Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation
Aerobic exercise intensity prescription is a key issue in cardiac rehabilitation, being directly linked to both the amount of improvement in exercise capacity and the risk of adverse events during exercise. This joint position statement aims to provide professionals with up-to-date information regarding the identification of different exercise intensity domains, the methods of direct and indirect determination of exercise intensity for both continuous and interval aerobic training, the effects of the use of different exercise protocols on exercise intensity prescription and the indications for recommended exercise training...
Source: European Journal of Preventive Cardiology - May 14, 2013 Category: Cardiology Authors: Mezzani, A., Hamm, L. F., Jones, A. M., McBride, P. E., Moholdt, T., Stone, J. A., Urhausen, A., Williams, M. A. Tags: Policy statement Source Type: research

Outpatient cardiac rehabilitation: the Austrian model
Over the past decades undisputable evidence has accumulated identifying the panoply of beneficial effects of exercise training, smoking cessation, blood pressure lowering, glycaemic and lipid control, as well as psycho-social interventions on cardiovascular risk factors, the well-being, morbidity and mortality of patients with cardiac diseases with or without acute events. Nevertheless, despite all the evidence, insurance companies are more than hesitant to provide patients with an adequate infrastructure to allow outpatient cardiac rehabilitation in their community. Whereas some countries still favour in-hospital rehabili...
Source: European Journal of Preventive Cardiology - May 14, 2013 Category: Cardiology Authors: Niebauer, J., Mayr, K., Tschentscher, M., Pokan, R., Benzer, W. Tags: Review Source Type: research

Effects of lifestyle education program for type 2 diabetes patients in clinics: a cluster randomized controlled trial
Conclusions: The SILE program that was provided in primary care settings for patients with type 2 diabetes resulted in greater improvement in HbA1c levels than usual diabetes care and education.Trial registration: UMIN000004049 (Source: BMC Public Health - Latest articles)
Source: BMC Public Health - Latest articles - May 14, 2013 Category: Consumer Health News Authors: Misa AdachiKazue YamaokaMariko WatanabeMasako NishikawaItsuro KobayashiEisuke HidaToshiro Tango Source Type: research

Peer victimisation and its association with psychological and somatic health problems among adolescents in northern Russia
Conclusion: Peer victimisation at school has a strong association with poor health outcomes among Russian adolescents. Effective school-based interventions are now urgently needed to counter the negative effects of victimisation on adolescents' health in Russia. (Source: Child and Adolescent Psychiatry and Mental Health)
Source: Child and Adolescent Psychiatry and Mental Health - May 14, 2013 Category: Psychiatry Authors: Andrew StickleyAi KoyanagiRoman KoposovMartin McKeeBayard RobertsVladislav Ruchkin Source Type: research

Dental caries prevalence, oral health knowledge and practice among indigenous Chepang school children of Nepal.
Conclusions: Caries prevalence of 5--6 --year- old Chepang school children is above the recommended target set by FDI/WHO. The study reported 31% schoolchildren aged 8-16-year old suffered oral pain and decayed component constituted almost the entire dmft/DMFT index. The brushing habit was reportedly low with only 24% of the children brushing twice daily. A nationwide scientifically proven, cost effective school based interventions is needed for prevention and control of caries in schoolchildren in Nepal. (Source: BMC Oral Health - Latest articles)
Source: BMC Oral Health - Latest articles - May 14, 2013 Category: Dentistry Authors: Lonim Prasai DixitAjay ShakyaManash ShresthaAyush Shrestha Source Type: research

Distraction by a monotube fixator to achieve limb lengthening: predictive factors for tibia trauma
Conclusion: Distraction by a monotube fixator appears effective in achieving correction >38.0% original tibia lengthening following traumatic bone gap. Predictive factors for poor outcome were useful for prognostication. (Source: Journal of Trauma Management and Outcomes)
Source: Journal of Trauma Management and Outcomes - May 14, 2013 Category: Emergency Medicine Authors: Olayinka AdegbehingbeOwolabi OjoPaul AbiolaAbimbola AriyibiLawrence OginniJohn Obateru Source Type: research

Exploring the adequacy of smoking cessation support for pregnant and postpartum women
Conclusions: The current cessation system in Ontario is not equipped to adequately reduce smoking among pregnant and postpartum women. A comprehensive, multi-sector strategy designed to provide tailored and sustainable support through different system entry points is needed. A cultural shift in practice is also necessary to eliminate mixed messaging, strengthen practice and encourage open channels of communication about smoking between women and their providers. The study highlights the need to address smoking among women in a more holistic manner and for capacity building strategies that focus on strengthening providers' ...
Source: BMC Public Health - Latest articles - May 14, 2013 Category: Consumer Health News Authors: Tracey BorlandAlexey BabayanSaeeda IrfanRobert Schwartz Source Type: research

Developing population interventions with migrant women for maternal-child health: a focused ethnography
Conclusions: A wealth of data was provided by participants on factors and processes related to the maternal-child health care of international migrants and associated population interventions. Our results offer a challenge to key stakeholders to improve existing interventions and create new ones based on the experiences and views of international migrant women themselves. (Source: BMC Public Health - Latest articles)
Source: BMC Public Health - Latest articles - May 14, 2013 Category: Consumer Health News Authors: Anita GagnonFranco CarnevalePraem MehtaHélène RousseauDonna Stewart Source Type: research

Prevention of mother-to-child HIV transmission in resource-limited settings: assessment of 99 Viramune Donation Programmes in 34 countries, 2000--2011
Conclusion: A drug donation program such as the VDP can act as a catalyst for systemic changes at the institutional and national levels. The VDP provides a model for how private initiatives can have a significant impact on public health issues and foster diverse public-private partnerships among governments, commercial organizations, local institutions, and international NGOs. (Source: BMC Public Health - Latest articles)
Source: BMC Public Health - Latest articles - May 14, 2013 Category: Consumer Health News Authors: Joël LadnerMarie-Hélène BessonMariana RodriguesKelley SamsEtienne AudureauJoseph Saba Source Type: research

Determinants of suboptimal hepatitis B vaccine uptake among men in the Republic of Korea: where should our efforts be focused: results from cross-sectional study
Conclusions: It is important to develop strategic interventions targeted at less-educated men to increase uptake of a complete three-dose series of HBV vaccinations as a primary approach to preventing liver cancer. (Source: BMC Infectious Diseases)
Source: BMC Infectious Diseases - May 14, 2013 Category: Infectious Diseases Authors: Boyoung ParkKui Son ChoiHoo-Yeon LeeMin-Son KwakJae Kwan JunEun-Cheol Park Source Type: research

CERAD test performance and cognitive impairment in Parkinson's disease
ConclusionsThe results indicate that mild cognitive impairment in PD is related to deficits in memory, executive functions, and visuospatial functions. The memory deficit is non‐amnestic and does not entail accelerated forgetting. CERAD shows promise in identifying PD patients with cognitive impairment and increased risk of dementia. (Source: Acta Neurologica Scandinavica)
Source: Acta Neurologica Scandinavica - May 14, 2013 Category: Neurology Authors: M. Karrasch, S. Laatu, K. Martikainen, R. Marttila Tags: Original Article Source Type: research

Dynamic functional connectomics signatures for characterization and differentiation of PTSD patients
Abstract Functional connectomes (FCs) have been recently shown to be powerful in characterizing brain conditions. However, many previous studies assumed temporal stationarity of FCs, while their temporal dynamics are rarely explored. Here, based on the structural connectomes constructed from diffusion tensor imaging data, FCs are derived from resting‐state fMRI (R‐fMRI) data and are then temporally divided into quasi‐stable segments via a sliding time window approach. After integrating and pooling over a large number of those temporally quasi‐stable FC segments from 44 post‐traumatic stress disorder (PTSD) patien...
Source: Human Brain Mapping - May 14, 2013 Category: Neurology Authors: Xiang Li, Dajiang Zhu, Xi Jiang, Changfeng Jin, Xin Zhang, Lei Guo, Jing Zhang, Xiaoping Hu, Lingjiang Li, Tianming Liu Tags: Research Article Source Type: research

A Call for Holistic Education Scholarship
(Source: Journal of Holistic Nursing)
Source: Journal of Holistic Nursing - May 14, 2013 Category: Nursing Authors: Cowling, W. R. Tags: Editorial Source Type: research

Continuing Education for: "The Role of Transcendence in a Holistic View of Successful Aging: A Concept Analysis and Model of Transcendence in Maturation and Aging"
(Source: Journal of Holistic Nursing)
Source: Journal of Holistic Nursing - May 14, 2013 Category: Nursing Tags: Theory Development Source Type: research

Acute Care Nurses' Spiritual Care Practices
The purpose of this study was to identify barriers in providing spiritual care to hospitalized patients. A convenience sample (N = 271) was recruited at an academic medical center in New York City for an exploratory, descriptive questionnaire. The Spiritual Care Practice (SCP) questionnaire assesses spiritual care practices and perceived barriers to spiritual care. The SCP determines the percentage that provides spiritual support and perceived barriers inhibiting spiritual care. The participation rate was 44.3% (N = 120). Most (61%) scored less than the ideal mean on the SCP. Although 96% (N = 114) believe addressing patie...
Source: Journal of Holistic Nursing - May 14, 2013 Category: Nursing Authors: Gallison, B. S., Xu, Y., Jurgens, C. Y., Boyle, S. M. Tags: Research Source Type: research

Nurse Presence Enhanced Through Equus
Conclusions: Equine-assisted learning can be a meaningful venue for nurses to self-discover their ability to be present. (Source: Journal of Holistic Nursing)
Source: Journal of Holistic Nursing - May 14, 2013 Category: Nursing Authors: Walsh, K. M., Blakeney, B. A. Tags: Research Source Type: research

Informatics in Radiology: CT Contrast Protocols Application for the iPad: New Resource for Technologists, Nurses, and Radiologists [Informatics]
The iPad, iPhone, and other portable devices offer a unique opportunity for radiology education, allowing presentation of information in a simple, concise, and mobile fashion to large groups of learners. The CT Contrast Protocols application for the iPad and iPhone is one of the first radiology applications in the Apple App Store to focus on radiology education and was designed to address the lack of practical information on contrast media for radiologists, technologists, nurses, and trainees. The application was developed in response to questions about contrast media use from clinicians, technologists, and nurses; its con...
Source: Radiographics recent issues - May 14, 2013 Category: Radiology Authors: Raman, S. P., Raminpour, S., Horton, K. M., Fishman, E. K. Tags: Informatics, Computed Tomography, General Source Type: research

Teaching and assessing procedural skills: a qualitative study
Conclusions: The acquisition and assessment of procedural skills in Internal Medicine programs should move toward a more structured system of teaching, deliberate practice and objective assessment. We propose that directed, self-guided learning might meet these needs. (Source: BMC Medical Education)
Source: BMC Medical Education - May 14, 2013 Category: Universities & Medical Training Authors: Claire TouchieSusan Humphrey-MurtoLara Varpio Source Type: research

Reply
We thank Drs. Guazzi and Bandera for their thoughtful comments in which they assert the value of incorporating multiple variables from cardiopulmonary exercise (CPX) testing to best reflect the complex pathophysiology of chronic heart failure (HF) and thereby maximize its prognostic value. We agree with this concept, and even made a similar point in our paper, “Oscillatory expiratory breathing, end-tidal partial pressure of carbon dioxide, VE/VO2 ratios, recovery gas exchange dynamics, and heart rate and blood pressure responses are among an extensive array of CPX assessments that can be used to enhance prognostic assess...
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - May 13, 2013 Category: Cardiology Source Type: research

A systematic review of suicide prevention interventions targeting indigenous peoples in Australia, United States, Canada and New Zealand
Conclusions: There is an urgent need for an increase in the number of evaluations of preventive interventions targeting reductions in Indigenous suicide using methodologically rigorous study designs across geographically and culturally diverse Indigenous populations. Combining and tailoring best evidence and culturally-specific individual strategies into one coherent suicide prevention program for delivery to whole Indigenous communities and/or population groups at high risk of suicide offers considerable promise. (Source: BMC Public Health - Latest articles)
Source: BMC Public Health - Latest articles - May 13, 2013 Category: Consumer Health News Authors: Anton CliffordChristopher DoranKomla Tsey Source Type: research

Physical fitness and academic performance in middle school students
ConclusionsAerobic capacity and muscular endurance seem to positively affect academic achievement in middle school students. (Source: Acta Paediatrica)
Source: Acta Paediatrica - May 13, 2013 Category: Pediatrics Authors: Ronald W Bass, Dale D Brown, Kelly R Laurson, Margaret M Coleman Tags: Regular Article Source Type: research

Highlights from this issue
When I was a very new paediatric doctor I worked in a unit that routinely used steam to treat children who had croup. It was a fantastic treatment—you could tell that you were doing something seriously efficacious; you would open the cubicle door to review the child and walk into this thick humid atmosphere—you could almost hear the witches chanting ‘Double, double toil and trouble; Fire burn, and caldron bubble’ in the distance. There was just one problem. It was rubbish. This was roundly demonstrated when new smoke detector systems were installed which were triggered by the steam, so we had to sto...
Source: Archives of Disease in Childhood - Education and Practice - May 13, 2013 Category: Pediatrics Authors: Wacogne, I. Tags: Immunology (including allergy), Ear, nose and throat/otolaryngology, Medical humanities Epistle Source Type: research

How to write a Problem Solving in Clinical Practice paper
An overview of the concept of problem solving in clinical practice, and how to go about writing an article to be submitted. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - May 13, 2013 Category: Pediatrics Authors: Skinner, G. J. Tags: Problem solving in clinical practice Source Type: research

Outpatient respiratory management of the child with severe neurological impairment
Most paediatricians will have faced the challenge of managing respiratory problems in the child with severe neurological impairment. These children are under-represented in clinical trials, and data is therefore often extrapolated from other groups, for example children with cystic fibrosis. This means that robust evidence for respiratory management in children with severe neurological impairment is often lacking. Here we have attempted to piece together the existing evidence to provide a rational approach to the management of respiratory problems in children with severe neurological impairment. We also hope to highlight a...
Source: Archives of Disease in Childhood - Education and Practice - May 13, 2013 Category: Pediatrics Authors: McCrea, N., O'Donnell, R., Brown, R. Tags: Pancreas and biliary tract, Drugs: CNS (not psychiatric), Neuromuscular disease, Child health, Cystic fibrosis Best practice Source Type: research

Limbic encephalitis: a clinician's guide
Cases of limbic encephalitis are being increasingly recognised by paediatric neurologists. As they usually present initially to paediatricians it is vital they are aware of the presentation, important investigations and management (table 1), as the prompt instigation of immunosuppression in the correct cases will prevent seizures and medial temporal lobe atrophy and significantly improve outcome. This is an excellent guide and includes some excellent MRI images with the various hippocamapl/temporal lobe changes.1 Key clinical features of limbic encephalitis: Cognitive, and particularly memory impairment Temporal lobe...
Source: Archives of Disease in Childhood - Education and Practice - May 13, 2013 Category: Pediatrics Authors: Bird-Lieberman, G. A. Tags: Journalology, Epilepsy and seizures, Infection (neurology), Child health, Competing interests (ethics) What I have learnt from Practical Neurology Source Type: research

Questions on adolescent articles
Welcome to the first of this new feature. Epilogue will appear regularly in Education and Practice and is intended to serve as means by which practising paediatricians can assess their own knowledge and skills. Some articles, as this one, will be based on articles already published in the journal. Others will be based on clinical cases, images or current practice guidelines. By successfully answering the questions, readers will be able to demonstrate to their own satisfaction that they have fully grasped the article, and thereby contribute to their own continuing professional development. Annotated answers will always be a...
Source: Archives of Disease in Childhood - Education and Practice - May 13, 2013 Category: Pediatrics Authors: Scott-Jupp, R. Tags: Adolescent health, Child health, Confidentiality, Legal and forensic medicine, Medical humanities Epilogue Source Type: research