Editor's Note

More Controversy About CPR: Is There a "Duty" to Try and Save Every Life?

Michael Gordon, MD, MSc, FRCPC, Medical Program Director, Palliative Care, Baycrest Geriatric Health Care System, Professor of Medicine, University of Toronto, Toronto, ON.

On March 4, 2013, an article written by the Associated Press described the death from an apparent cardiac arrest of Lorraine Bayless, an 87 year old resident of Glenwood Gardens, a California independent living home in Bakersfield California.

An Unusual Facial Rash

Francesca Cheung, MD CCFP, is a family physician with a special interest in dermatology. She received the Diploma in Practical Dermatology from the Department of Dermatology at Cardiff University in Wales, UK. She is practising at the Lynde Centre for Dermatology in Markham, Ontario and works closely with Dr. Charles Lynde, MD FRCPC, an experienced dermatologist. In addition to providing direct patient care, she acts as a sub-investigator in multiple clinical studies involving psoriasis, onychomycosis, and acne.

Abstract
Kaposi varicelliform eruption (KVE) is an infection of a dermatosis by pathogens such as herpes simplex virus (HSV) type 1, HSV-2, coxsackievirus A16, or vaccinia virus. KVE begins as a sudden eruption of painful and crusted or hemorrhagic vesicles, pustules, or erosions in areas of a preexisting dermatosis. Transmission occurs through contact with an infected individual or by dissemination of primary or recurrent herpes. Viral cultures of fresh vesicular fluid or direct observation of infected cells scraped from ulcerated lesions by direct fluorescent antibody staining are the most reliable diagnostic tests for KVE. Antivirals, such as acyclovir and valacyclovir, are used in the treatment of KVE.

Nonpharmacological Methods for Reducing Falls Risk Among Individuals Living with Progressive Supranuclear Palsy

Tichenoff, A.^1,2 Holmes, J.D.^1,3 Klapak, H.² Lemmon, J.² Picanco, M.² Torrieri, A.² and Johnson, A.M.^1,2
1Health and Rehabilitation Sciences, The University of Western Ontario, London, ON, Canada. ²School of Health Studies, The University of Western Ontario, London, ON, Canada. ³School of Occupational Therapy, The University of Western Ontario, London, ON, Canada.

Abstract
Progressive Supranuclear Palsy (PSP) is a fatal neurodegenerative disorder that is characterized by gaze palsy, bradykinesia, postural instability, and mild dementia. PSP is one of the most common parkinsonian disorders, second only to Parkinson's disease. Of primary concern to individuals with PSP are issues related to reduced mobility, particularly with regards to their increased frequency of falling backwards. Although medical treatment (predominantly pharmaceutical) has been found to be effective for improving some symptoms including slowness and rigidity, most of these interventions are only partially effective in maintaining and improving balance and gait. Mobility issues in PSP are, therefore, addressed primarily through fall prevention programs delivered by physical and occupational therapists. In this review article, we will provide an overview of the current literature that explores nonpharmacological methods for reducing fall risk among individuals living with PSP.
Key words: progressive supranuclear palsy, falls prevention, gait, balance, gait training, balance training, adaptive equipment.

Infantile Hemangiomas: What They Are, When To Worry And What To Do

Caroline Weisser, BHSc, Faculty of Medicine University of Ottawa, Ottawa, Ontario.
Joseph M Lam MD, Clinical Assistant Professor, Departments of Paediatrics and Dermatology, University of British Columbia, Vancouver, BC.

Abstract
Infantile hemangiomas (IH) are the most common tumor of infancy and have been estimated to occur in 4% of infants. While IH are typically absent at birth, they become noticeable within the first few weeks of life. Approximately one third of IH present shortly after birth, another third present in the first month and the remainder develop within the first six months of life.
Key words: infantile hemangiomas, tumor, lesions, vascular patches.