AMJ

In modern society dying is generally not a considered function within the design brief of the home, and families may be unable, through economic, geographical or other reasons, to be carers. Thus, for some, home may not be the best place to die and family may not be the best carer. As a result, many people, despite their preference for home, still end up dying in the hospital building. This paper discusses the spatial issues surrounding the concept of home as hospice and questions the universal suitability of the contemporary home as a hospice.

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This paper argues that a continued use of a person-based approach to healthcare, developed through an historical record of practice by individual clinicians, is no longer adequate defence in a case of supposed negligence. When the healthcare system has codified clinical guidelines and digital data gathered across thousands of clinicians and their patients, it is possible to compute adequate levels of care and expect clinicians and the healthcare system in general to meet these minimum standards. Future negligence decisions will rely on a systems-based best practice standard of care determined through evidence rather than opinion.

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The authors report the possibility of  developing and manufacturing customised wheelchair seats using direct Computer Numerical Control milling in flexible polyurethane foams. They also suggest that custom contoured cushions efficiently distribute pressure and temperature, which is believed to minimise tissue lesions such as pressure ulcers.

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This study set out to investigate the factors influencing the utilisation of antenatal care content in Uganda. On average, only 16% of women used the full content of antenatal care. Only 12% of women had a urine sample taken, 28% a blood sample taken, and 53% their blood pressure measured. Almost two-thirds of women (63%) took iron supplements, 77% had their weight measured, and 27% were given drugs for intestinal parasites. The utilisation of the content of care was significantly associated with education of the mother and her partner, wealth status, location disparities, timing and frequency of antenatal visits, nature of facility visited, access to media, family planning, and utilisation of professional care

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Diarrhoea, a common disease, is one of the major determinants of childhood morbidity and mortality in Nepal. In this study mothers were reported as having basic knowledge about the prevention of diarrhoea, and fluids/foods which can or cannot be given during bouts of diarrhoea. Knowledge about signs of dehydration was poor. None of the mothers were able to mention all the steps for correct and complete preparation of oral rehydration salt (ORS) and salt-sugar-water (SSW) solutions. Only 8.5% of the mothers stated that the purpose of giving ORS solution during diarrhoea is to prevent the child from getting dehydrated.

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An integrated approach is needed to diagnose inherited diseases. Modes of presentation and clinical features are not always characteristic and presentations may be misleading. Radiological investigations play an important role in suggesting the diagnosis or confirming a clinical suspicion. Early clinical and laboratory diagnosis along with adequate treatment can offer the prospect of a normal life

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There are few case reports of Disseminated Intravascular Coagulopathy (DIC) as a result of quinine use. It is important to recognise this possible association early especially when quinine has not been prescribed for the usual indication, namelymalaria. Off licence use of any medicine may result in serious complications, quinine induced DIC is one of them.

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The authors report a rare case of a large unilateral pleural effusion secondary to Moraxella catarrhalis infection in a non-smoker with no pre-existing pulmonary pathology.

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This case study describes a late presentation of posterior reversible encephalopathy syndrome after a first dose of rituximab, a combination which has not previously been reported.

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Iron supplementation and deworming among anaemic adolescent girls of a residential school in a rural area of India: An interventional study;Impact of teleradiology on patient healthcare;Increasing number of female medical students in Nepal: Some challenges and opportunities.

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This well-produced and colourful book may encourage you to apply for the Foundation for Advancement of International Medical Education fellowship, and if selected, you would join an international community of health science educators.

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