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

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

Teaser: 

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

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

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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Teaser: 

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.

Colite ulcéreuse : Éducation des patients : FAQ à propos de la CU

Teaser: 

Are the symptoms permanent?
Although there are effective and safe medications for treating ulcerative colitis (UC), this disease cannot be cured. This means that your best chance of staying in remission is to continue on your prescribed medical therapy, even when you are feeling well.

Coping with UC?
...

Colite ulcéreuse : Éducation des patients : Vivre avec la CU

Teaser: 

Are the symptoms permanent?
Although there are effective and safe medications for treating ulcerative colitis (UC), this disease cannot be cured. This means that your best chance of staying in remission is to continue on your prescribed medical therapy, even when you are feeling well.

Coping with UC?
...

Ulcerative Colitis: Patient Education: FAQs about UC

Teaser: 

Are the symptoms permanent?
Although there are effective and safe medications for treating ulcerative colitis (UC), this disease cannot be cured. This means that your best chance of staying in remission is to continue on your prescribed medical therapy, even when you are feeling well.

Coping with UC?
...

Ulcerative Colitis: Patient Education: Living with UC

Teaser: 

Are the symptoms permanent?
Although there are effective and safe medications for treating ulcerative colitis (UC), this disease cannot be cured. This means that your best chance of staying in remission is to continue on your prescribed medical therapy, even when you are feeling well.

Coping with UC?
...

Ulcerative Colitis: Patient Education: About UC

Teaser: 

What is UC
Ulcerative colitis (UC) is a chronic relapsing and remitting inflammatory condition of the large intestine. (Inflammation is a localized protective reaction of tissue to irritation, injury, or infection. It is characterized by pain, redness, swelling, and sometimes loss of function.)


Ulcerative means a loss of the surface lining, and colitis means inflammation of that lining or mucosa. The inflammation is caused by an abnormal invasion of white blood cells into the mucosa. The exact cause of this attack is not known, but it is thought that a combination of genetic and environmental factors causes the immune system to react aggressively against the normal bacteria that inhabit the colon...

Photography: Many Windows into Memories

Photography: Many Windows into Memories

Teaser: 

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

It was magical: the images coming to life at the bottom of the plastic tray filled with Kodak developer. First the blacks came and then the grays, as they coalesced into the picture I witnessed the excitement anticipated from scanning the negative and then the contact sheet that had all 24 pictures from the roll of film on it.

A Non-Healing Facial Lesion

A Non-Healing Facial Lesion

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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Teaser: 

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
Basal cell carcinoma (BCC) is a type of non-melanoma skin cancer that arises from basal cells found in the lower layer of the epidermis. It is the most common type of skin cancer in humans, but they rarely metastasize. If BCC is left untreated and progresses, it may lead to significant morbidity and cosmetic disgurement. In nearly all cases, the recommended treatment modality for BCC is surgery. Small and superficial BCC may respond to local immune-modulating therapies. For tumors that are more difficult to treat or those in which tissue preservation is essential, Mohs micrographic surgery should be considered. Radiation therapy can be used for advanced and extended BCC and in those patients for whom surgery is contraindicated. Photodynamic therapy is usually used as an adjunct in BCCs with poorly defined border, in cases which oculoplastic surgery will be extensive or difficult, or in recurrent BCCs with tissue atrophy or scar formation. Oral vismodegib has been approved for the treatment of adult patients with locally advanced basal cell carcinoma who are not candidates for surgery or radiation and for those with metastatic disease. The prognosis for BCC is generally great with 100% survival rate for localized cases.
Keywords: Basal cell carcinoma, Nonmelanoma skin cancer, Hedgehog intracellular signalling pathway, Imiquimod 5% cream, 5-Fluorouracil 5% cream.