The Homoeopathic physician最新文献

{"title":"Reflections on Diversity and Exclusion","authors":"Lailah Peel","doi":"10.38192/1.7.3.9","DOIUrl":"https://doi.org/10.38192/1.7.3.9","url":null,"abstract":"Personal opinion as a mixed-race woman in the NHS","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87945188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Primary Prevention in the COVID-19 Pandemic","authors":"S. Jamal","doi":"10.38192/1.7.3.3","DOIUrl":"https://doi.org/10.38192/1.7.3.3","url":null,"abstract":"Background: The COVID-19 treatment protocol has consistently been under modification since its inception, from the omission of drugs once considered lifesavers such as hydroxychloroquine to the addition of newer medications e.g.: remdesivir. In such situations, it is crucial that we reinforce the importance of primary prevention, especially in low-income countries, where issues exist of shortage of resources such as oxygen and ventilators. We demonstrate how primary prevention holds good against the emergence of new variants, and future pandemics.\u0000Discussion: Articles predating and postdating the COVID-19 pandemic were analysed. The articles predating the pandemic included those relating to primary preventive methods used during the H1N1 pandemic of 2009, and articles postdating the pandemic included studies which demonstrate higher mortality of COVID-19 in smokers shed light on the importance of primary prevention, and demonstrate how primary prevention and good health education could have saved countless lives.\u0000Conclusion: It is essential that Primary prevention be employed, not only in the case of chronic lifestyle conditions such as hypertension and diabetes mellitus but also in the cases of pandemics, where prevention before the chain of infection starts can prove to be lifesaving. As healthcare providers, the responsibility lies with us to emphasize on the importance of primary prevention and comprehensively propagate information.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91206504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Musings on the Monarchy","authors":"I. Chakravorty","doi":"10.38192/1.7.3.1","DOIUrl":"https://doi.org/10.38192/1.7.3.1","url":null,"abstract":"The events that unfurled in the UK and around the world following the announcement from the Royal household on September 8, 2022, were of a scale hitherto unwitnessed in recent times. \u0000Yes, she (HM QE II) did not once acknowledge nor apologise for the historic injustices carried out in the name of the crown before her time and also, as some will point out, during her reign. Perhaps she could have done more, engaged with her subjects, influenced some of her 15 premiers to change the course of history for her Commonwealth subjects, and offered reparation. Perhaps, the new King will change her hands-off approach to politics and engage with justice for humanity and climate change. It is a double-edged sword, as engagement may allow the Commons to remove the last vestiges of the monarchy if one loses step with the mood of the public. As we watch the outpouring of affection, the nearly million people who are predicted to file past her coffin, and billions more who watch around the world, one cannot help but wonder that the best lesson for the new King has to be the masterclass that Queen Elizabeth II demonstrated through her life.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87464017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personal Perspective on the Systematic Review of Serotonin Imbalance Hypothesis for depression and Mechanism of Action for Antidepressants","authors":"F. Khan","doi":"10.38192/1.7.2.11","DOIUrl":"https://doi.org/10.38192/1.7.2.11","url":null,"abstract":"Counselling psychologist Fauzia Khan meets Dr Mark Horowitz, Trainee Psychiatrist and Clinical Research Fellow in the NHS. Mark talks about his journey into psychiatry, his personal experience of using antidepressants and the withdrawal effects he experienced. Mark also discusses his research interests and the recent umbrella systematic review he co-authored with Professor Joanna Moncrieff on the serotonin theory of depression. [1]","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"51 9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80231633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sharing is Caring & Giving is Winning","authors":"Shafiah Abdul Gafoor, Navneet Kandhari","doi":"10.38192/1.7.2.10","DOIUrl":"https://doi.org/10.38192/1.7.2.10","url":null,"abstract":"The COVID-19 pandemic has been the defining health crisis of our generation. In the UK healthcare industry, where pre-pandemic surveys already demonstrated high levels of stress, it is imperative that actions are taken to support the mental wellbeing of staff from its expected psychological fallout. Feasible, low cost and time efficient interventions are warranted. Rewards-based incentives may carry promise.\u0000Our group distributed 129 free wellbeing packages to junior doctors in a busy London Hospital. Open-ended and anonymised surveys were used to gather qualitative data on their effect. Data was analysed thematically and collated into 5 core themes: Emotional Response, Reaction to Initiative, Reaction to Product Choice, Gratitude and Feeling Valued.\u0000Overall, the significant majority of respondents (n=50, 96%) were highly appreciative of the intervention, deeming it both useful and relevant to supporting their mental health. This study bears useful findings for other organisations looking to implement similar low-cost wellbeing strategies.  ","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88594536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abnormal Calcium, Calcinosis, and Creatinine in Down's syndrome","authors":"S. Hosdurga, S. Hussain, James Fraser","doi":"10.38192/1.7.2.8","DOIUrl":"https://doi.org/10.38192/1.7.2.8","url":null,"abstract":"The hypercalcaemia in association with trisomy 21 (Down's syndrome) is often not recognised and therefore underdiagnosed. Patients present with the tetrad of hypercalcaemia, Down’s syndrome, renal impairment, and nephrocalcinosis. 1-3    \u0000A 30-month old child with Down’s syndrome had a long history of nonspecific symptoms, constipation and feeding difficulties. He was on excessive bottle feeds, taking 14 bottles daily, each with six ounces of milk.  He presented with a cardiac arrest having been unwell with an acute illness. Blood tests showed hypercalcemia, raised urea and creatinine which were not explained by any other aetiologies. Post-mortem analysis showed acute pyelonephritis and nephrocalcinosis. \u0000In children with Down’s syndrome, early detection of hypercalcaemia and introduction of low calcium feeds may prevent morbidity and mortality. Awareness and monitoring of serum calcium levels along with routine thyroid function tests in children with Down syndrome, would be important to prevent such occurrences.  ","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90623457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FIRMST International Conference on Applied Anatomy","authors":"A. Anon.","doi":"10.38192/1.7.2.ficaa22","DOIUrl":"https://doi.org/10.38192/1.7.2.ficaa22","url":null,"abstract":"https://www.firmst.tech/ \u0000Conference Abstracts","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"29 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79371764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on UK Care Quality Commission’s Inspections of Primary Care Practices","authors":"K. Sidhu, Kalindi Tumurugoti, Naureen Bhatti, Abrar Hussein, I. Chakravorty","doi":"10.38192/1.7.2.7","DOIUrl":"https://doi.org/10.38192/1.7.2.7","url":null,"abstract":"Background \u0000In the middle of a pandemic, when the health and social care services were experiencing their worst challenges and staff were facing burnout, the feedback from primary care professionals raised concerns on the UK Care Quality Commission’s inspection regime and specially on its effectiveness, impact on services and particularly relating to its equality, diversity and inclusion aspects.  \u0000Methods \u0000An online anonymised survey was carried out in July 2021 and received 130 responses, the majority from the GP partners but also locum and sessional colleagues as well as other members of the \u0000general practice team. \u0000Results \u0000About 80% of respondents reported having a good rating or an outstanding rating. But fewer than 20% of the participants felt that their experience of the CQC inspections was positive. More than 85% of respondents feel that the inspections did not add value to the clinical care or prevent harm. 80% felt that the inspections were not fair, transparent, objective, or replicable and found these to be traumatic rather than being a positive or constructive experience. More than 50% felt that Practices led by Black and AsianGPs small practices and those inner city, and rural practices in areas of deprivation receive disproportionately poorer outcomes. Three in four respondents felt that the inspections were intense and took staff away from direct clinical care. Almost 86% of respondents felt that the inspectors demonstrated insights into the systemic challenges faced by primary care. About half of the respondents did not feel supported by the LMCs and/or their CCG.  \u0000Discussion & Conclusion \u0000The findings demonstrated that the inspections were not considered to be effective or constructive and took the general practice team away from patient care. Of particular concern was that perception that the system was unfair and discriminatory for Black and Asian GPs small practices and those in inner city or rural locations with multiple deprivation. The authors urge the CQC to ensure that the profession is supported and that any inspection process is fair, non-discriminatory and improves patient care. ","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84687919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the All Wales Covid-19 Risk Assessment tool in Practice","authors":"Archit Singhal, Alan Abraham, Parag Singhal, D. Raje, K. Singhal","doi":"10.38192/1.7.2.6","DOIUrl":"https://doi.org/10.38192/1.7.2.6","url":null,"abstract":"Background: \u0000The All-Wales Covid-19 Risk Assessment tool (WRA) was developed to support managers in undertaking individual risk assessments for employees in public facing work settings, and put in place appropriate mitigation. Although a tool for all employees, it’s development was prompted in part by the observation that Covid-19 was disproportionately affecting Black, Asian and Minority Ethnic (BAME) employees, particularly those in health and social care settings.  This simple, self-administered tool estimates an individual’s risk of severe Covid-19 disease by scoring  personal risk factors, based on those previously identified in the emerging literature. The aim of this study was to assess the performance of this tool, by measuring concordance between an individual respondants self perceived risk and the risk indicated by the tool in a sample of healthcare professionals. \u0000Methods: \u0000The WRA was distributed amongst BAME healthcare professionals around Wales, UK with additional questions  to understand participant concordance with the risk stratification from the tool. Statistical analyses were applied to establish the degree of concordance. The initial survey was followed by a more widespread survey across Wales where the sample size of the respondents was 3728 \u0000Results: \u0000A total of 136 participants responses were included in the analyses. The majority of participants were below 50 years of age (median age, range), male,  and of BAME ethnicity. The weighted kappa coefficient indicated significant concordance between the tool outcome and respondent’s self perceived risk (k=) . Younger respondents considered themselves at lower risk, which was correctly predicted by the tool. The association between risk tool outcome and self-perceived risk was not affected by participant characteristic. \u0000Of the larger Welsh cohort of 3728 respondents, 93.8% felt that the tool correctly identified their risk and was in concordance with their own risk perception.      \u0000Conclusions: \u0000There was a high level of concordance between the tool user's self-perceived risk and risk assessment tool outcome.  Where there was disagreement, self-perception of risk was lower than that of the tool, indicating a more precautionary approach taken by the tool. The high concordance provides user confidence that the All Wales Covid-19 risk assessment tool is likely to provide a correct risk stratification and mitigation strategies in this occupational group.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78122838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of COVID-19 lockdown on Indian medical undergraduate students","authors":"Meemansa Jindal, A. Singla, A. Khan","doi":"10.38192/1.7.2.5","DOIUrl":"https://doi.org/10.38192/1.7.2.5","url":null,"abstract":"Background and Aims: With the implementation of the COVID-19 lockdown, conventional teaching had to be replaced with online teaching, to ensure the continuity of medical education. This has impacted the clinical training of medical undergraduates. We aimed to explore their perceptions and differences before and during the COVID-19 lockdown.\u0000Methods: A cross-sectional online survey using a self-administered, retrospective pre-post questionnaire, was conducted among students from pre-final and final year between December 2020 and March 2021. Agreement scores with 15-items about the various domains of clinical training were recorded. Open-ended question was asked to know about the reasons for the students’ preferences. Chi-square test and Wilcoxon signed rank test were used to compare the proportion and medians respectively.\u0000Results: We received 1000 responses from students of 191 medical colleges {Median (IQR): 6 (2,10) per college}. Most (81.6%) opined that their experience with clinical training was better before COVID-19 lockdown, irrespective of the mode of teaching in clinical skills (P<0.001). In addition, despite being more comfortable, focused, and interactive, online clinical training could not offer interaction with patients, residents and colleagues. Students who had gone through in-person training during lockdown period also perceived disadvantages like limited exposure to patients, limited time for faculty to teach, and less time for clinical practice.\u0000Conclusion: The learning experiences of clinical training during COVID-19 lockdown were perceived as inferior than that before lockdown by the medical undergraduate students, irrespective of the mode of clinical training.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76334909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}