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Ruth qualified as a Registered General Nurse, Health Visitor, Reflexologist, Aromatherapist and Acupuncturist working within the NHS for many years before founding the Complementary Medicine Centre in 1986.
Ruth is co-director and co-founder of the Complementary Medicine Centre, Principal of the Scottish College of Complementary Medicine and Chairman of the Association of Medical Aromatherapists and Reflexologists.
The projects which she focalised at Ruchill Hospital, Woodside Health Centre and the Overbridge Centre, were among the first Scottish initiatives to offer complementary therapies within an NHS framework. Ruth has now become one of Scotland's leading experts on fertility health using acupuncture, reflexology, massage and related therapies. Ruth qualified as an acupuncturist in 1990 with the British College of Acupuncture and is a member of the British Acupuncture Council. Brian Fleming qualified as a homeopath in 1998; he is registered with the Alliance of Registered Homoeopaths and the British Institute of Homoeopathy.
He was one of the founders of Connections Alternative Health Exhibitions and Connections Magazine and was the founding editor of Circles magazine.
He has a particular interest in Indian and Chinese thought and has practiced Bhakti Yoga for more than 20 years. Leading Acupuncture in Glasgow by Ruth Chappell who qualified as an acupuncturist in 1990 with the British College of Acupuncture and is a member of the British Acupuncture Council. The team at the Complementary Medicine Centre are here to help you make the best possible healthcare choices with expert advice available to guide you our treatments are as follows: Acupuncture in Glasgow, Homeopathy in Glasgow, Fertility in Glasgow including Acupuncture, Infertility, Preconception Care & Fertility clinic in Glasgow, Allergy Testing and Reflexology. Here are some self-test questions, each linked to an objective covered in the Unit 2 SIM sessions.
This gives you an idea of the types of questions that will be on the exam, and acts as a study aid. Objective 11989: List the common dental health conditions seen in Canadians in different age groups and summarize their etiologies. Perhaps, but not the most obvious answer and not clinically very helpful as you can't do much about it! Objective 11990: Describe, and summarize the evidence for the effectiveness of, approaches to preventing oral health conditions. Fluoride varnish is applied topically to the teeth by a dentist and has which one of the following characteristics?
No: the majority of practicing dentists are still male, but over 50% of dental school students are now female. Here are five stages of change, but the words have been changed (to make it more fun for you - I am ever considerate). You are a family doctor and are growing increasingly frustrated with a patient who has made repeated visits to you for reasons that are really not concerned with a medical problem. Which one of the following responses would you judge as likely to be the most effective in limiting inappropriate consultations by a patient? Not alone, at least: you will need to establish a collaborative link with any additional professionals whom you also involve in care.
Which of the following is most likely to ensure bias in a literature search on the effectiveness of a smoking cessation intervention?
Probably not the worst source of bias, and may be actually quite acceptable, especially for therapies.
Not really: all literature reviews are based on a systematic sample of some sort, not a random sample.
A patient of yours somewhat ashamedly admits that his gambling habit is now damaging his relationship with his spouse, and interfering with his professional life.
We are not given any indication of whether or not he can stop, so it may seem premature to conclude compulsivity. Note: sometimes a person's attitude towards a topic such as addictions can be indicated by asking questions for which the person may not know the precise answer.
Which of the following most closely matches the recent figures from the WHO (2002) showing the rate of alcohol dependence among adults in Canada? Is the consumption of alcohol in Canada (calculated as total litres of absolute alcohol per adult per year) at level closer to the consumption in Brazil & Mexico, or closer to the level in Germany, France & the UK? How did the proportion of all Canadians who experienced any form of harm to themselves due to alcohol consumption change in the period 2004 - 2010? There are various possible approaches in the clinical setting to recognizing a patient who has an addiction to alcohol.
No: there are some behavioural symptoms such as drinking that leads to problems (duh!), but it's too non-specific, as there are lots of reasons for family conflict other than being an alcoholic. Probably the best answer, in that people can cease to be dependent upon alcohol, even though they will always be alcoholics and potentially at risk of recommencing the dependency if they have a drink.
Additional precautions are required when prescribing opioids to a patient who is also taking benzodiazepines. When starting a patient on methadone, it is important to commence the medication during a period of withdrawal from their normal opioid.

Which of the following organizations can offer guidance and support to physicians with a dependency problem? Not so much: they provide a lot of material on prescribing opioids but have little on physicians who have difficulties themselves. The critical appraisal of an article on prognosis includes four questions relating to the quality of a study. Which item in the following list is relatively unimportant in this type of study, and so was not among the four questions used to judge the quality of an article on prognosis?
No: this is critical in prognostic studies where you have to be certain of capturing all outcomes, including the adverse ones. Sorry: This is a central concern in a prognostic study where you don't want subjective or biased outcomes. Suppose that 100 medical students study really hard for an exam; meanwhile 100 fine art students do not study so hard because they have already handed in their portfolio which counts for 70% of their mark. Twenty of the medical students experience migraines whereas only 5 of the arts students had migraines. What is the estimated relative risk (RR), and what is the attributable risk (AR) of experiencing a migraine following a period of hard study for an exam? Note that you must specify a denominator for AR because it is a simple number of people, so you have to indicate the size of the group; RR is a ratio, so the units cancel out in the division. A colleague brings you a study that reports the Number Needed to Treat statistic (NNT) for steroid injections used to reduce joint inflammation. You are a student in a tutorial group and notice that the teacher is paying a lot of attention to one of the students, complimenting the student in a way that seems excessive.
Which one of the following organizations focuses especially on dealing with issues of physician professional behaviour?
No The OMA makes general policy statements and is centrally involved in negotiating physician remuneration with the Ontario government. No: The College sets training standards but does not handle disciplinary matters for practitioners. You are a family physician caring for a 14-year girl who has had type 1 diabetes for 5 years. The Ruchill Hospital project saw the bodywork therapies being used with HIV positive and AIDS patients, the Woodside Health Centre project allowed GP's to offer massage and reflexology in a busy, inner city health centre and at the Overbridge Centre, aromatherapy became an important therapeutic tool with patients suffering from multiple-sensory deprivation, many of the latter being both deaf and blind.
Brian is Co-director and Co-founder of the Complementary Medicine Centre, Vice Principal of the Scottish College of Complementary Medicine and the Secretary of the Association of Medical Aromatherapists.
As a practicing acupuncturist she draws on her past experience in nursing, obstetrics and health visiting to bring to her clients a unique understanding of healthcare.
The term comes from endo (inside) and odons (tooth), so refers to working on the inside of teeth – the pulp and tissues surrounding the tooth root. Dental prosthetics covers the replacement of missing teeth, such as by crowns, bridges, dentures or implants. Summarize the role of general medical practitioners in assuring good dental health of patients in their practice at each age.
Describe selected concepts and theories from behavioural medicine that are relevant for day-to-day clinical practice. A life course perspective has been reinforced with the increasing recognition that many diseases of later life appear to have origins in childhood, and not only genetic conditions. You might do this as part of a life course perspective, but the perspective itself refers more to a way of thinking about the origins of disease. Outline ways to support patients in changing their health behaviour, and describe the elements of the motivational interview. Psychologists are heavily into empathy; it creates an atmosphere of mutual understanding and trust. Summarize reasons for patient non-adherence to therapy, and ways these can be addressed by the clinician. Describe other ways to supplement a PubMed search (reference checking, citation analysis, related article algorithms, etc).
Describe the epidemiology of the spectrum of nutritional disorders (marasmus, kwashiorkor, obesity, etc.), covering their prevalence, risk factors, and underlying determinants. Outline strategies for addressing these health problems, using the framework of the CanMEDS physician roles. Evaluate the effectiveness of alternative approaches to treating nutritional disorders, at the individual and societal levels. The Baby-Friendly Hospital Initiative was launched in 1991 by UNICEF and the World Health Organization. Describe common early presentations of patients with alcohol and other addiction problems. Identify their own and societal attitudes towards patients suffering from addictive disorders.

The decline was due both to fewer people actually drinking, and also among those who do better protection from accidents (e.g. Describe how the screen for, and how to assess a patient suspected of having an alcohol problem via general history and specific screening questions.
Quote examples of community resources and treatment facilities available to help physicians in treating and managing addicted patients. Summarize the role of Alcoholics Anonymous, list the twelve steps of the recovery program, and discuss appropriate referrals to AA. Participation in a 12-step program is a central component of a majority of treatment programs in Canada.
Summarize the role of the physician in the assessment, treatment, management and referral of patients with substance use disorders. Recognize signs and symptoms of physician impairment and know how to help and addicted colleague. Identify resources available to help learners and practitioners with physical or mental health problems, substance use disorders, or other health concerns. Was there a representative, well-defined sample of patients at a similar point in the course of their disease? This is a critical issue in prognostic studies because we have to know precisely for whom the prognosis is being estimated.
There has to be suitable adjustment for potential factors that you are not studying but that could affect the outcome. Calculate the relative risk, relative risk reduction, and absolute risk reduction for a particular study result. So remove these from the 20 medical migraines, leaving migraines 15 that were apparently associated with the studying - assuming other factors are equal. We can get an estimate from this study, even if the 2 groups are not completely comparable. The NNT is a measure of relative effectiveness, so can be misleading when event rates are small. The NNT can only focus on a single outcome at a time, and is often used to focus attention on successes rather than recognizing that these may come at the cost of side-effects of treatment.
Apply the results of the critical appraisal to the clinical question and arrive at a clinical decision.
Explain how professionalism values apply in their clinical environment and interactions with clinical supervisors. Interpret how professionalism values including respect, consent and cultural sensitivity apply to everyday clinical situations.
Identify the contribution of various medical organizations and the relevance of each to practicing as a medical professional. You can read their summary of recent allegations of medical misconduct and incompetence (their phrase) right there on their web site. The CMPA provides its physician members with medico-legal advice, risk management education and legal assistance related to their clinical practice; it supports physicians who do get charged with a misdemeanour.
Discuss underlying determinants and etiological factors for Type 1 diabetes, including genetic and lifestyles and the interaction between these. Describe the typical impact of a patient’s diabetes on their family as the disease evolves, and the types of interprofessional supportive care that may be available to assist the family.
Review potential roles of the physician in intervening to reduce the burden of diabetes, at the individual and at and at the population levels. For example, the association between late life dementia and cognitive skills in early childhood is scary, to say the least. Smoking cessation research is likely to be published in social science, medical and even environmental sources.
Lacking breast milk and often weaned onto a protein-poor diet, and perhaps having to compete with larger siblings for whatever food is available, the weanling child is at risk for protein-energy malnutrition. Perhaps this is because the study objective is relatively simple and obvious, so gets downplayed. But you are right: it would be much better if the 2 groups were equivalent on everything except the studying. The psychosomatic medicine folks seemed to like this idea in the 1980s and 1990s, but more recent attempts to validate the idea suggests that the statistical association with cancer may reflect a coping mechanism rather than a determinant of the disease. But (incidentally, and I digress) tertiary malnutrition can potentiate the effects of alcohol.

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