Diagnostic and public health investigation of infection in a dog in Ontario, Canada.

A 4-y-old, female mixed-breed dog was presented to the Ontario Veterinary College for further evaluation of multiple pulmonary and hepatic masses, intrathoracic lymphadenitis, and recent development of a pyogranulomatous pleural effusion. Along with other comprehensive tests, a thoracic lymph node biopsy was performed, and complex infection was confirmed by real-time PCR. The dog's condition declined post-operatively, and euthanasia was elected.

Canadian Senior Renal Leaders Community of Practice: Vulnerable Populations With Chronic Kidney Disease-Evidence to Inform Policy.

Purpose: Low socioeconomic status, race, ethnicity, and rural/remote populations are all associated with disparities in access, care, and outcomes for chronic kidney disease (CKD). There have been different interventions supported by Canadian renal programs to address these disparities. This article reviews the evidence for impact of strategies to reduce inequities experienced by vulnerable populations living with or at risk of CKD and to collate and share interprovincial targeted interventions through the newly formed "Canadian Senior Renal Leaders Community of Practice" focused on translating evidence into clinical practice and policy.

Transformation of oncology inpatients: effects on length of stay and patient satisfaction.

The oncology department at Imperial College Healthcare Trust ranked last in the National Cancer Patient Experience Survey in 2011/12 and 2012/13. Length of stay (LOS) was above national average. General Medical Council surveys of junior doctors highlighted significant issues with lack of senior review, education and working hours.

Pleural epithelioid hemangioendothelioma: literature summary and novel case report.

Epithelioid hemangioendothelioma (EHE) is a rare malignant cancer of vascular origin that can affect multiple and varied tissue sites. A subtype of EHE, pulmonary epithelioid hemangioendothelioma (PHE), is more unusual with only 200 reported cases. Of these, only 27 have been classified as pleural in origin.

Right ventricular dysfunction is a predictor of non-response and clinical outcome following cardiac resynchronization therapy.

Background: Cardiac resynchronization therapy (CRT) is an established treatment in advanced heart failure (HF). However, an important subset does not derive a significant benefit. Despite an established predictive role in HF, the significance of right ventricular (RV) dysfunction in predicting clinical benefit from CRT remains unclear.

Intimate partner violence in rural women.

In conclusion it can be said that domestic violence in rural populations is a very complex situation in which many rural women find themselves. The nurse or other healthcare provider, in the rural setting, has to recognize the prevalence of intimate partner violence in their aggregate and find ways to not only screen these women, but also assist them in their plight for freedom from abuse. It is not only a part of the job of nurses and healthcare providers, but an ethical obligation to empower our clients to leave abusive situations for themselves and their family.