Revalidation has begun with relicensing in 2009. All paediatricians will have to demonstrate that they meet generic standards in the General Medical Council's (GMC) Good Medical Practice for continued relicensing. Paediatricians on the specialist register will have to demonstrate that they meet the specialist standards set by the College and approved by the GMC in order to recertify. Five satisfactory, signed-off annual appraisals with personal development plans, with 5 years of continuing professional development records (including evidence of learning such as reflective notes), one-two iterations of multisource feedback by colleagues, one-two iterations of multisource feedback by patients, evidence of involvement in audit (and research, publications), outcome data, complaints and critical incidents and of compliance with clinical governance procedures will form the main supporting information for recertification of paediatricians.
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| http://dx.doi.org/10.1136/adc.2009.181412 | DOI Listing |
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Pathways to One Health: Enhancing Inter-Sectoral Collaboration in Pakistan.
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Health Services Academy, Chak Shahzad, Park Road, Islamabad, 44000, Pakistan.
One Health is an integrative approach aiming to achieve optimal health outcomes by recognizing the interconnection between humans, animals, and the environment. This study explores the understanding, perspectives, hurdles, and implications of intersectoral collaboration within Pakistan's human health system, focusing on One Health principles. A qualitative phenomenological approach was employed, involving 17 key informant interviews with purposively selected stakeholders from public health, agriculture, veterinary medicine, agriculture and environmental science.
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Discov Oncol
January 2025
Department of Physical Medicine and Rehabilitation, Changhua Christian Hospital, 135 Nanxiao Street, Changhua, 50006, Taiwan.
Background: The aims of this cohort study were to identify (1) the incidence and risk factors for axillary web syndrome (AWS) with shoulder movement limitation within 4 weeks after axillary lymph node dissection (ALND) for Asian women with breast cancer (BC), and (2) whether early intervention with physical therapy (PT) could improve AWS, and how many PT sessions would be needed.
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Westchase Software, Houston, TX, 77063, USA.
It is well known that the sedimentary rock record is both incomplete and biased by spatially highly variable rates of sedimentation. Without absolute age constraints of sufficient resolution, the temporal correlation of spatially disjunct records is therefore problematic and uncertain, but these effects have rarely been analysed quantitatively using signal processing methods. Here we use a computational process model to illustrate and analyse how spatial and temporal geochemical records can be biased by the inherent, heterogenous processes of marine sedimentation and preservation.
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Hydrobiology Lab, Water Pollution Research Department, National Research Centre, Dokki, Giza, 12622, Egypt.
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Energy Systems Engineering Department, Engineering Faculty, Adana Alparslan Türkeş Science and Technology University, 01250, Adana, Türkiye.
Although the antiallergic properties of compounds such as CAPE, Melatonin, Curcumin, and Vitamin C have been poorly discussed by experimental studies, the antiallergic properties of these famous molecules have never been discussed with calculations. The histamine-1 receptor (H1R) belongs to the family of rhodopsin-like G-protein-coupled receptors expressed in cells that mediate allergies and other pathophysiological diseases. In this study, pharmacological activities of FDA-approved second generation H1 antihistamines (Levocetirizine, desloratadine and fexofenadine) and molecules such as CAPE, Melatonin, Curcumin, Vitamin C, ADMET (Absorption, Distribution, Metabolism, Excretion, Toxicity) profiles, density functional theory (DFT), molecular docking, biological targets and activities were compared by calculating.
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