Barrerahoppe4692

dermatologic science, even despite the extraordinary circumstances disrupting their daily clinical practice. Most of them felt they were participating in something new and compelling that many felt superior to traditional meetings.Teledermatology has facilitated specialist care during the crisis caused by the coronavirus disease 2019 pandemic, eliminating unnecessary office visits and the possible exposure of patients or dermatologists. However, teledermatology brings forward certain ethical and medicolegal questions. A medical consultation in which the patient is not physically present is still a medical act, to which all the usual ethical and medicolegal considerations and consequences apply. The patient's right to autonomy and privacy, confidentiality, and data protection must be guaranteed. The patient must agree to remote consultation by giving informed consent, for which a safeguard clause should be included. Well-defined practice guidelines and uniform legislation are required to preserve the highest level of safety for transferred data. Adequate training is also needed to prevent circumstances involving what might be termed "telemalpractice."

Primary hypomagnesemia with secondary hypocalcemia (HSH) is a rare genetic disorder. Dysfunctional transient receptor potential melastatin 6 causes impaired intestinal absorption of magnesium, leading to low serum levels accompanied by hypocalcemia. Typical signs at initial manifestation are generalized seizures, tetany, and/or muscle spasms.

We present a 5 w/o female manifesting tonic-clonic seizures. Laboratory tests detected severe hypomagnesemia and hypocalcemia. The molecular genetic analysis revealed two novel mutations within the TRPM6 gene c.3308dupC (p.Pro1104Thrfs*28) (p.P1104Tfs*28) and c.3958C>T (p.Gln1302*) (p.Q1302*) and the patient was successfully treated with Mg supplementation.

Ion disbalance should be taken into account in the differential diagnosis of infantile seizures. Accurate diagnosis of HSH together with appropriate treatment are crucial to prevent irreversible neurological outcomes.

Ion disbalance should be taken into account in the differential diagnosis of infantile seizures. Accurate diagnosis of HSH together with appropriate treatment are crucial to prevent irreversible neurological outcomes.

The aim of this study was to evaluate symptoms, diagnostic methods, short- and long-term outcomes of surgical treatment in patients with duodenal adenocarcinoma.

A single center, retrospective, observational study of 52 consecutive patients with duodenal adenocarcinoma operated on with curative intent between 2006 - 2019. Duodenectomy as part of a hemipancreatoduodenectomy or total pancreatectomy procedure was performed for ADAC (ampullary duodenal/intestinal adenocarcinoma) or NADAC (non-ampullary duodenal adenocarcinoma).

Prevailing symptoms were obstructive jaundice in the ADAC group (P<0.0001) and bleeding in the NADAC group (P=0.005), with larger tumor size in patients with NADAC (P=0.001). Complication rate, morbidity and mortality were comparable. Primary total pancreatoduodenectomy predominated in the NADAC group, 16.6% vs. 2.9%, and salvage completion pancreatectomy in the ADAC group, 6% vs. 0%. Significant prognostic factors for OS were perineural invasion (P=0.006) and adjuvant chemotherapeural invasion and postoperative oncological therapy are significant prognostic factors for OS in ADAC, but the total number of lymph nodes and lymph node ratio are significant prognostic factors for DFS in NADAC.This is an open letter to all medical professionals in Aotearoa/New Zealand in response to a recently publicised incident at a medical conference held in late 2020, where racist and offensive remarks were made about Māori to an audience of medical professionals and an invited Māori delegate. The incident brings to light cultural flaws in our profession that implicitly allow this type of behaviour to exist and negatively impact Māori patients. The challenge to our profession is to be honest, reflect on what we can learn from this incident, and bring about cultural change through personal reflection and collective action.The current New Zealand Bowel Screening Programme (BSP) is inequitable. At present, just over half of bowel cancers in Māori present before the age of 60 years (58% in females and 52% in males), whereas just under a third of bowel cancers in non-Māori are diagnosed before the same age (27% in females and 29% in males). The argument for extending the bowel screening age range down to 50 years for Māori is extremely simple-in comparison to non-Māori, a greater percentage of bowel cancers in Māori occur before the age of 60 years (when screening starts). Commencing the BSP at 50 years of age for Māori with high coverage will help fix this inequity. In this paper we review the current epidemiology of colorectal cancer with respect to the age range extension for Māori.

Older Māori have higher rates of self-reported disabling hearing loss in Aotearoa New Zealand (NZ). However, have greater unmet need for special equipment than non-Māori. This review aims to analyse current literature on the experiences of hearing loss and hearing services among older Māori and whānau.

This scoping review was undertaken using a Kaupapa Māori approach and PRISMA guidelines. Databases were explored to identify literature focused on older Māori and whānau experiences of hearing loss and hearing services. Inclusion criteria included literature set in the NZ context; published between 1985 and 2020; English language; focus on hard-of-hearing Māori and whānau experiencing sensorineural hearing loss.

A total of eight sources were identified. Hearing loss is a detriment to daily functioning, partaking in conversations and retaining Māori culture. Cost and poor patient-provider interactions created barriers to hearing services for Māori with hearing loss and whānau.

The last analysis of literature regarding hearing loss and hearing services for Māori was written in 1989. Inequities in hearing loss and access to hearing services remain. Research that is Māori-led and uses a Kaupapa Māori approach is needed to further understand the realities of hearing loss and hearing services for older Māori and whānau.

The last analysis of literature regarding hearing loss and hearing services for Māori was written in 1989. this website Inequities in hearing loss and access to hearing services remain. Research that is Māori-led and uses a Kaupapa Māori approach is needed to further understand the realities of hearing loss and hearing services for older Māori and whānau.