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Table of Contents
Editorial
Dementia Resource
Dermatology Resource
Mental Health
Ear, Nose and Throat Health |
D’Arcy Little, MD, CCFP, FRCPC
Medical Director, JCCC and HealthPlexus.NET
Michael Gordon, MD, MSc, FRCPC, Medical Program Director, Palliative Care, Baycrest Geriatric Health Care System, Professor of Medicine, University of Toronto, Toronto, ON.
The prevalence of dementia appears to be increasing in most western countries. That when coupled with the increased average age of the older population has leads to an expectation that projections of financial costs to individuals, families and to society will grow over the next few decades. The current study, out of the United States, based on a number of robust data bases coupled with in-depth interviews has resulted in projections of the current true costs of caring for elderly people living with dementia. It also allowed for the projection of future costs over the next three decades. The results are quite mind-boggling: "We found that dementia leads to total annual societal costs of $41,000 to $56,000 per case, with a total cost of $159 billion to $215 billion nationwide in 2010. Our calculations suggest that the aging of the U.S. population will result in an increase of nearly 80% in total societal costs per adult by 2040."
Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.
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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
Erythema ab igne (EAI) is a localized hypermelanosis with erythema in a reticulated pattern. It is triggered from repeated exposure to heat and infrared radiation. Actinic keratosis, squamous cell carcinoma, and Merkel cell carcinoma have been reported in patients after chronic exposure to infrared radiation. EAI is diagnosed based on clinical symptoms. If the diagnosis is uncertain, a skin biopsy may be performed. Early in the disease process, elimination of the heat source may lead to complete resolution of the symptoms.
John W. DenBoer, MA, PhD1, Frederick L. Coolidge, PhD2, Daniel L. Segal, PhD3, & Sean Ahlmeyer, MA4,
1,2,3Department of Psychology, The University of Colorado at Colorado Springs (Colorado Springs, CO, USA).
4Colorado State Department of Corrections (Colorado Springs, CO, USA).
Abstract
The present study examined the personality and neuropsychological correlates of convicted male and female sex offenders. The investigators measured DSM-IV-TR psychopathology and neuropsychological dysfunction among rapists and child molesters using the Coolidge Axis II Inventory, a valid and reliable assessment instrument. Male child molesters displayed significantly higher Apathy scores than age-matched male controls. Male non-sexual offenders scored significantly higher than male child molesters, rapists, and controls on Histrionic Personality Disorder, Impulsivity, and Disinhibition. Female child molesters reported significantly elevated levels of psycho and neuropathology when compared to female non-offenders. Specifically, female child molesters reported greater Language Problems and Executive Dysfunction, along with greater levels of Psychoticism and Paranoia, when compared to female controls. The implications of these findings are discussed.
Key Words: personality, neuropsychology, sexual offenders, executive dysfunction, child molestation, rape.
Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.
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P.K. Shenoy, MD, FRCS, DLO, FACS, ENT Service Chief, Campbellton Regional Hospital, Campbellton, NB, Canada.
Dr.K.B.Bali, MBBS, MS, FACS, Senior ENT Specialist, Al Ain Hospital, Al Ain, UAE.
Abstract
A 7-week-old child presented with left periorbital swelling. Clinical features, investigations, and treatment are discussed. If this condition is not treated properly, it can lead to a series of serious complications. A review of the literature is presented to avoid such complications.
Key Words: PCC (periorbital cellulitis with chemosis), OC (orbital cellulitis), preseptal cellulitis, OA (orbital abscess), SPA (subperiosteal abscess), ethmoidal sinusitis, periorbital swelling.
