(C)

2011 Society of Chemical Industry”
“Objective: To investigate if attitudes towards disclosure of prognostic information vary by speciality, previous experience and demographic factors in a general physician population.\n\nMethods: A postal survey among a representative sample of Norwegian physicians across all specialities (N = 1605), using a translated questionnaire previously used to study attitudes towards disclosing GSK3326595 mouse prognostic information among US internists.\n\nResults: A response rate of 70% was obtained after one reminder. 85% of the responders agreed to the helpfulness of an optimistic attitude. A factor analysis revealed three meaningful factors: ‘Prognostic communication is stressful’, ‘Fearing loss of reputation’ and ‘Reinforcement of positive prospects’. In multivariable models significantly more female than male physicians found aspects of prognostication straining (beta = 0.143, p <

0.001). Those more experienced in communication of prognostic information towards end of life were less likely to support using reinforcement of positive prospects (beta = 0.067, p = 0.001).\n\nConclusion: After years of focusing on patient autonomy and open communication between patient and physician many Norwegian physicians display attitudes that might hide the true content of prognostic information from the patients.\n\nPractice implications: Many physicians think they are inadequately PXD101 trained in prognostication and communication of prognostic information. suggesting that increased education and training are needed if patients’ wishes for information on prognosis are to be met in an individualised manner. (c) 2009

Elsevier Ireland Ltd. All rights reserved.”
“An interactive Web-based learning module on the temporal bone BLZ945 purchase has been developed. It shows normal temporal bone anatomy in four imaging planes: axial, coronal, and parallel and perpendicular to the long axis of the petrous bone. After reviewing the normal anatomy, users should be able to identify key imaging features of pathologic conditions of the temporal bone. Children with congenital abnormalities of the temporal bone may present with conductive or sensorineural hearing loss or both and may have a genetic syndrome. Acute otitis media is the most common infection of the temporal bone and is most prevalent among children. Although imaging is unnecessary in uncomplicated otitis media, it is important for evaluation of infectious complications. Classically, temporal bone fractures were described as longitudinal or transverse with respect to the long axis of the petrous bone. However, it is increasingly recognized that many fractures have both longitudinal and transverse components. Patients with temporal bone fractures may have conductive or sensorineural hearing loss in addition to other complications.