Nature as a therapeutic place and tool for enhancing service users' engagement in mental health services: A comprehensive synthesis of evidence.

This systematic review explored how nature-based care settings influence engagement in mental health therapy. We relied on Joanna Briggs Institute's guidelines for systematic reviews to synthesise data from nine articles selected from an initial pool of 649 records retrieved from PubMed, CINAHL, ScienceDirect, SocINDEX, and JBI EPB. Synthesis revealed six analytical themes: nature as a therapeutic tool, therapeutic relationships, nature's impact on power balance, nature as a safe space, risk of nature and patient-centered care.

Situational judgement test performance and subsequent misconduct in medical students.

Introduction: Situational judgement tests (SJTs) have been widely adopted, internationally, into medical selection. It was hoped that such assessments could identify candidates likely to exhibit future professional behaviours. Understanding how performance on such tests may predict the risk of disciplinary action during medical school would provide evidence for the validity of such SJTs within student selection.

Septic arthritis of the elbow after chickenpox.

Musculoskeletal complications following chickenpox are rare among immunologically normal children. Septic arthritis after varicella is caused by group A Streptococcus and affects the knee most frequently. We present a case of septic arthritis of the elbow caused by Staphylococcus aureus.

Endoscopic treatment in pancreas divisum.

Objectives: We have reviewed the results of endoscopic stenting with and without sphincterotomy at the minor papilla in 34 patients with pancreas divisum and pain or pancreatitis.

Methods: Symptoms before and after the procedure were scored and compared, as was the patient's estimate of the overall effectiveness of the treatment.

Results: A statistically significant improvement in pain score was found in patients with acute recurrent pancreatitis and in patients with chronic pancreatitis, but not in a small group of patients suffering pain without pancreatitis.

Direct puncture venography in subcutaneous cavernous haemangiomas.

The conventional assessment of subcutaneous cavernous haemangiomas by venography, arteriography, ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) is often unsatisfactory and fails to show either the extent of the lesion or its feeding and draining vessels. We describe a direct puncture venography technique which successfully delineated the lesions in six patients. The technique was easy to perform and no complications occurred.

The role of magnetic resonance imaging in the investigation of undescended testes.

The location of undescended impalpable testes is important because of the greatly increased risk of malignancy. Various imaging methods have been used in the past with only partial success. In many cases an exploratory laparotomy has been performed although even this has not proved completely successful.

Pirenzepine in non-ulcer dyspepsia: a double-blind multicentre trial.

In a double-blind multicentre study to compare pirenzepine with placebo in non-ulcer dyspepsia, 71 patients were randomized to receive 50 mg pirenzepine or placebo given orally twice daily for 4 weeks. The trial was not completed by five patients in the pirenzepine group and six in the placebo group. There were no significant differences between the groups in respect to changes in total symptoms (upper abdominal pain, nausea and vomiting, early satiety and postprandial bloating, eructation and pyrosis) scores and outcome, although 27/35 (77%) patients receiving pirenzepine were cured or improved compared with 22/36 (61%) receiving the placebo.

Depression and functional bowel disorders in gastrointestinal outpatients.

Although depression has been linked with both the irritable bowel syndrome and non-organic abdominal pain, which are common in gastrointestinal outpatients, the prevalence of depression in most surveys of outpatient practice has been low. Use of the Beck Depression Inventory to screen new referrals to a general medical and gastrointestinal clinic and to a minor surgical clinic showed that 50 of 100 medical patients were rated as having some degree of depression, compared with 14 of 75 (19%) of the surgical patients in whom abdominal pain and bowel dysfunction were rare (X2 = 9.6, p less than 0.