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Support groups for hidradenitis suppurativa
Hidradenitis suppurativa (HS) is an inflammatory condition characterised by painful inflamed nodules in the apocrine regions of the body. It follows a chronic relapsing clinical course and is a very difficult condition to treat. It has an estimated prevalence of...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments
Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy
A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...
Conchal cartilage to reconstruct nasal septum
The authors discuss a common problem involving the loss or damage to the nasal septum. The most common causes are iatrogenic and previous surgery. The loss of the nasal septum is frequently also seen in repeated trauma and reconstruction using...Editor's comment on: RCSEd warning over NHS workforce survey results
The PMFA Journal co-editor, Andrew Burd, responds to the RCSEd warning issued in light of an NHS workforce survey results, which suggest that three-quarters of surgeons have considered an overseas move.Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...Update on Topical Photodynamic Therapy
As a nurse involved in providing a specialist dermatology service I was invited to attend a continuing professional development (CPD) accredited study day at The University of Hertfordshire on an update for topical photodynamic therapy (PDT). The agenda was comprehensive...
Outcomes and complications of supramaximal levator resection
This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...Using growth factors in skincare protocols to elevate patient results
All patients embarking on an aesthetic journey should be introduced to the importance of skin and why a healthy skin canvas is fundamental in producing the best possible surgical and non-surgical results. Investing in a carefully curated skincare regime can...Perceptions and Deceptions a personal blog by the editor 9 June 2016
Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...How I Do It - Full body contouring
Sculpt&Shape® is an innovative RotateRF technology device for full body contouring and facial rejuvenation. It has different tips and modes combined with real-time temperature control and Safe Touch technology. This article will focus on how we use the device for...
