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Table of Contents
Editorial
Dementia Resource
Dermatology Resource
Back Health Educational Resource
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.
Abstract
The use of artificial nutrition and hydration (ANH) has become relatively commonplace. With the development of the PEG years ago, the difficulties that surrounded the use of naso-gastric feeding tubes have all but disappeared. However, the clinical, ethical and legal aspects of ANH have replaced issues of procedural techniques and the discomfort experienced by older patients when the nasogastric tubes were used for prolonged periods. Many in the field of aging and long-term care in particular are particularly sensitive to the long-term implications for the patient and family once ANH is implemented. The issues of starting such intervention when its discontinuation may cause moral conflict, legal challenges and for many who are believers religious conundrums must be considered especially when such decisions are being made during a period of crises and clinical uncertainty.
Key Words: artificial nutrition, hydration, long-term care, implications.
Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.
Mainpro+® Overview
Shannon Humphrey, MD, FRCPC, FAAD, Clinical Assistant Professor, Director of Continuing Medical Education, Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.
Abstract
The pathogenesis of acne is tied to Propionibacterium acnes (P. acnes), an anaerobic bacteria. There has been a dramatic rise in resistance to antibiotics that are usually prescribed to treat acne. Given resistance to antibiotic therapy can occur in more pathogenic bacteria than P. acnes, and the fact that a rise in pathogenic P. acnes has been reported, the development of antibiotic resistance in acne is a public health matter globally. Clinical practice guidelines are aiming to curb the further development of antibiotic resistance without detracting from effective management of both inflammatory and non-inflammatory acne.
Key Words: acne vulgaris, antibiotic resistance, benzoyl peroxide, anti-inflammatory, sub-antimicrobial dosing.
Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.
Mainpro+® Overview
P.K. Shenoy, MD, FRCS, DLO, FACS, ENT Service Chief, Campbellton Regional Hospital, Campbellton, NB, Canada.
Dr. Lyew Warren, MD, FRCSC, Consultant Pathologist, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.
Abstract
Nasal vestibular mass are not commonly seen in ENT practice. We are presenting a patient with a large right nasal vestibular mass, who complained of nasal obstruction and epistaxis. Differential diagnosis of the similar growths in the nasal vestibule with their pathology and the treatment options, have been reviewed from the literature.
Key Words: Nasal vestibular mass, papilloma, 0 and 30 degree endoscopes, lateral rhinotomy.
