NHS outpatients service 'stuck in the 18th Century'

Doctors says the system of running outpatient appointments is outdated and frustrates their patients.
Source: BBC News | Health | UK Edition - Category: Consumer Health News Source Type: news

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This study involved retrospective ratings of the HCR-20V3 for 169 hospitalized insanity acquittees and examined the utility of HCR-20V3 ratings in predicting victimization. Although the HCR-20V3 was not explicitly developed to aid in evaluations of victimization risk, other structured professional judgment tools intended to predict violence risk have demonstrated potential for predicting victimization, due to the existence of common risk factors and overlap between patients who engage in violence and those who are victimized. Results from this study suggest that evaluators may consider the Clinical scale score of the HCR-2...
Source: Journal of the American Academy of Psychiatry and the Law - Category: Medical Law Tags: J Am Acad Psychiatry Law Source Type: research
Authors: Edwards MJ Abstract Bestiality is an uncomfortable topic about which there is limited scientific literature. Prevalence research has focused on self-reported acts, and no research has established the actual frequency and nature of deliberate sex acts with animals. This quantitative, descriptive study examined 456 arrests for bestiality-related incidents in the United States from 1975 to 2015 to explore patterns of offending, offender characteristics, and how cases were adjudicated. The results suggest that animal sex offending may be linked to other criminal behavior, and involves a spectrum of sexual acts...
Source: Journal of the American Academy of Psychiatry and the Law - Category: Medical Law Tags: J Am Acad Psychiatry Law Source Type: research
Authors: Booth BD, Watts J, Dufour M Abstract Expert witnesses have a special place in court, bringing their knowledge and skills in the form of opinion evidence to educate the court. This allows the fact-finder to make legal decisions more effectively. Although experts are often allowed a role in civil and criminal matters, this brings certain risks to the court process. Admissibility of expert witness testimony in Canada has generally paralleled American law, including the standards enunciated in Daubert v Merrell Dow Pharmaceutical, Inc. (1993). Recently, there has been a series of decisions in Canadian law that...
Source: Journal of the American Academy of Psychiatry and the Law - Category: Medical Law Tags: J Am Acad Psychiatry Law Source Type: research
Authors: Brodsky SL, Johnson LN Abstract Although test manuals and professional guidelines universally specify that forensic assessments should take place in quiet, private, and distraction-free environments, such absences of distractions are rare in jail and prison settings. In this article, four aspects of this problem are examined. First, compelling examples of noise and distractions are described to give a sense of the nature of the problem. Second, the portions of guidelines from the American Academy of Psychiatry and the Law and the American Psychological Association regarding distractions are presented, alon...
Source: Journal of the American Academy of Psychiatry and the Law - Category: Medical Law Tags: J Am Acad Psychiatry Law Source Type: research
Publication date: Available online 17 May 2019Source: Journal of Clinical &Translational EndocrinologyAuthor(s): Silvia Martina Ferrari, Ilaria Ruffilli, Giusy Elia, Francesca Ragusa, Sabrina Rosaria Paparo, Armando Patrizio, Valeria Mazzi, Alessandro Antonelli, Poupak FallahiAbstractThe term “hyperthyroidism” indicates a condition due to an exaggerate production of thyroid hormone; the most frequent cause is Graves' disease (GD).We review cytokines and chemokines in hyperthyroidism, with a special focus in GD.In GD, recruited Th1 lymphocytes are responsible for enhanced IFN-γ and TNF-α producti...
Source: Journal of Clinical and Translational Endocrinology - Category: Endocrinology Source Type: research
ConclusionFindings highlight the importance of rethinking the way in which South Asians are labelled as a homogenous group and accounting for such differences when adapting and designing culturally-tailored DSME and or DSMS interventions in clinical practice.
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research
Our weekly DiabetesMine advice column addresses questions on strokes and diabetes, safe insulin storage temps and yeast infections.
Source: Diabetes Mine - Category: Endocrinology Authors: Source Type: blogs
Publication date: Available online 17 May 2019Source: American Journal of OtolaryngologyAuthor(s): Zhengcai- Lou
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research
Publication date: Available online 17 May 2019Source: American Journal of OtolaryngologyAuthor(s): Haicang Zeng, Xiaoxin Chen, Yaodong Xu, Yiqing Zheng, Hao XiongAbstractPurposeTo assess the effectiveness of Buteyko breathing technique in patients with obstructive Eustachian tube dysfunction (ETD).Materials and methodsFifty-one patients (77 ears) aged between 21 and 62 years were randomized to Buteyko breathing in conjunction with medical management (nasal steroid) group or medical management alone group. The Eustachian Tube Dysfunction Questionnaire (ETDQ-7) symptom scores, tympanogram, positive Valsalva maneuver were e...
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research
ConclusionIn conclusion, portable blood (gas) analysis proved feasible in an HEMS operation but with relevant limitations. Future studies will have to show how these limitations can be overcome and how the implementation of portable blood (gas) analyzers may support improved patient outcome.
Source: Air Medical Journal - Category: Emergency Medicine Source Type: research
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