Postgraduate medical journal
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Successful black or nonwhite healthcare scholars represent ideal role models for young, aspiring, and underrepresented healthcare professionals. Unfortunately, their successes are often celebrated by many who do not have a proper understanding of the rough journey they went through, to get to the positions they attained. ⋯ Unlike most conversations that focus on the career challenges of black healthcare physicians and scholars, this discourse uses an empowering context to highlight how scholars can excel within inequitable professional contexts. The author uses this case to describe the 3Rs of resilience, which is a construct that can help black scholars thrive in inequitable and racialized professional contexts.
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Randomized Controlled Trial
Prospective pilot study of the Three Good Things positive psychology intervention in short-term stay hospitalised patients.
The 'Three Good Things' (3GT) positive psychology protocol developed at Duke University has been shown to decrease depressive symptoms and emotional exhaustion in healthcare providers. Whether hospitalised patients may also benefit from the 3GT protocol has not previously been explored. ⋯ A journal-based application of the 3GT protocol did not result in a statistically significant improvement in patient's emotional health.
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Dante Alighieri died in 1321; therefore, 2021 is the 700th anniversary of his death. His best known work is the Divine Comedy, which explores Dante's journey through the three realms of the underworld. ⋯ Music has both direct and indirect benefits and can help with coping. Sunlight promotes well-being and self-awareness.
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Review Case Reports
Classification of the mechanisms by which cardiotoxic plant poisons exert their effects.
Episodes of poisoning due to plant-based toxins are an unusual presentation to the emergency department. Plant poisons may be ingested if the source plant is misidentified as benign (eg, Lily of the Valley being mistaken for wild garlic and water hemlock being mistaken for wild celery), or taken as part of a complementary medicine regime or otherwise for psychotropic effect. Numerous plant poisons demonstrate cardiotoxic effects resulting from action against cardiac myocyte ion channels, or other cardiac receptor targets. ⋯ These mechanisms are stereotyped and may be grouped by toxidromic effect. This article proposes a novel classification of cardiotoxic plant poisons based on these actions. Given that these mechanisms mirror the Vaughan Williams classification used to categorise therapeutic antiarrhythmic agents, it is felt that this will serve as a mnemonic and diagnostic aid in clinical situations of cardiotoxic plant ingestion.