ISMH: TESTOSTERONE & CARDIOVASCULAR DISEASE

• Testosterone Deficiency as a Risk Factor for Cardiovascular Disease
  September 26, 2011

  Male gender, diabetes mellitus, and obesity, are known risk factors for the development of cardiovascular disease. Increasing attention has been given in recent years to the link between testosterone deficiency and increased risk of cardiometabolic disease. Recent meta-analyses have demonstrated a correlation between metabolic syndrome (e.g., commonly defined as obesity, diabetes/insulin resistance, hypertension, dyslipoproteinemia and gout) and lower serum testosterone levels.
  Hypogonadotropic hypogonadism occurs in up to 33% of men with type 2 diabetes. The Massachusetts Male Aging Study found that low levels of testosterone and sex hormone binding globulin (SHBG) are independent risk factors for the development of type 2 diabetes. In addition, this study demonstrated that low serum testosterone predicts the development of metabolic syndrome.
  Declining serum testosterone levels throughout a man’s life are associated with an increase in all-cause mortality and an increase in atherosclerosis, visceral obesity, insulin resistance, dyslipidemia, and hypertension, the key components of the metabolic syndrome. Prospective clinical trials in men with prostate cancer who have undergone androgen deprivation therapy have found increased cardiovascular risk by increasing body weight, reducing insulin sensitivity, and/or resulting in dyslipidemia.
  Reference: Ullah MI, Washington T, Kazi M, et al. Testosterone deficiency as a risk factor for cardiovascular disease. Horm Met Res 2001;43:153-164.

U.Toronto approved COURSES in CLINICAL HYPNOSIS

Canadian Society of
Clinical Hypnosis
Ontario Division

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Renewal Information

Workshop Schedule for our 2012 workshops

At the Albany club, in downtown Toronto. More details to come.

Fundamentals of Hypnosis (Introductory)

Three days - Jan 20-21 plus Mar 15

Ego State - part 1 (Intermediate)

Dr. Claire Frederick - March 16-17

Ego State - part 2 (Advanced)

Dr. Claire Frederick - June 8-9

Please forgive a few blank "under development" pages on our site, but we thought you'd rather have most of the site than none.

LONGWOODS.com: Breakfast with the Chiefs: Sept. 22 at Toronto Rehab. Centre

180+/- "Chiefs" attended the meeting with Speakers Pres/Ceo UHN Orth. Surgeon Robert BELL; Ret'd VP Professional affairs UHN Nurse Mary Ferguson-Pare RN PhD and U.Tor.Adjunct Assistant Prof Dr.Sholom GLOUBERMAN BA(McGill) PhD (Philosophy-Cornell) on "It's all about the Patient.Three points of view"

OMA`represented by Snr. POLICY ANALYST Dr Aura HANNA PhD (U.Washington) & Ms.Jessica KATUL.

College of Physicians & Surgeons Ontario: CPSO Associate Dir.,Policy Ms Maureen BOON, BA(Queen's 1990) MHSc( Tor.1992-1998) CPSO 1992-present.

Meeting sponsored by

ACCENTURE :CEO W.D.GREEN BSc (Econ. Babson) MBA(Babson)
BAXTER INTERNATIONAl Inc. ( Chmn R.L. PARKINSON Jr.)

The SUN,UK: MYTH of MEDICAL SECRECY

Exclusive

NHS files sold for a tenner

By ALASTAIR TAYLOR

Published: Today

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A SHOPKEEPER bought a second-hand filing cabinet for £10 — and found it contained personal details and test results for 1,200 NHS patients.

Eric Cuerton, 54, got the 6ft metal cabinet from a scrap merchant to store fireworks for sale in his hardware shop.
But when he cut open a locked drawer he discovered five books crammed with private information plus 14 computer discs.
They held names, addresses, and National Insurance numbers plus results from scans, X-rays, and genital swabs and blood, urine and pregnancy tests.
The files, dating from 1999 to 2006, also named patients with cancer and sexual diseases.
Dad-of-one Eric alerted police who told the NHS, which plans to investigate in Grimsby, Lincs.
The cabinet is believed to have been cleared from a GP's surgery refurbished for £2million last year. Eric said: "I was shocked. It's really private stuff. There's everything you need to defraud someone."
Patient John Ellis, 75, of Grimsby, whose records were among those found, said: "This should be kept under lock and key. I'm upset and shocked."
North East Lincolnshire Primary Care Trust said: "Plans are in place to collect the documents."

LONDON,UK: REFRACTION COURSE

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Who is it for?

The course is for doctors wishing to refine their refraction technique with comprehensive preparation for the Refraction Certificate Examination. Lack of confidence and a haphazard examination under time pressure are the main reasons for failure in an OSCE examination. This course specifically focuses on these aspects so that attendees have an organised routine to achieve success.

What is the content of the course?

The course covers, in demonstrations and practical workshops, the following topics:

• Objective refraction - non-cycloplegic and cycloplegic retinoscopy
• Subjective refraction - sphere and cylindrical element
• Near addition
• Duochrome/+1 blur test/Binocular balance
• Muscle balance - with Maddox Rod and Prism Cover Test
• Trial frame fitting and Interpupillary Distance (IPD) measurement
• Refraction of a Model Eye
• Focimetry
• Lens neutralisation
• Visual acuity and refraction estimation
• Visual acuity testing in a child

What is the format of the day?

The day is divided into the morning session during which candidates will be shown detailed step-by-step demonstrations on how to successfully perform a refraction based on the RCOphth Refraction Certificate syllabus with vital tips. A course handbook covering how to carry out each practical station, with the relevant theory will be sent to candidates 2 weeks before the course date. The afternoon session consists of practical workshops with a 2:1 ratio of candidate to examiner. Candidates will work through all 16 OSCE stations outlined in the syllabus with subjects and all the necessary equipment provided, under the guidance of the examiner. At the end of the day, a mock Refraction Certificate Examination will be conducted. Candidates will be assessed based on the RCOphth Refraction Certificate Examination mark sheets and these will be made available to candidates with feedback on each station.

Where is it?

The course is held at Charing Cross Hospital, Hammersmith. This central London location is easily accessible by public transport or car, with free parking available around the hospital.

What is the cost of the course?

The London Refraction Course costs £445 including course handbook, lunch and refreshments. Early booking is advised, as spaces are limited.

How many places are available?

To ensure candidates receive the highest possible standard of tuition the number of places available is strictly limited to ten, allocated on a first come first served basis. This will allow us to provide a 2:1 ratio of candidates to examiners.

College Physicians Surgeons of Ontario poor value for the money compared with CPS BRITISH COLUMBIA

CPSBC: $1300/yr includes LIBRARY FACILITIES on-line and 8:30-4:30 Mon-Fri.
CEO("Registrar") Past Coquitlam ,(popn.115,000) GP with interest in Psychiatry MD( UBC 1985) Heidi M. OETTER

CPSO: $ 1485/yr with NO LIBRARY FACILITIES.
CEO ("Registrar") Past London,(popn.353,000) Ontario ER Specialist MD(UWO 1972) Rocco V. GERACE

OMA HYPNOSIS SECTION Executive meeting.

EXECUTIVE MEETING Wednesday SEPT. 21 : 12:30 -1:30 at OMA offices.

All OMA members are welcome to attend the Executive meeting and join the Section. Buffet lunch will be provided.
A.Franklin
Sec./Treas.

RSVP kimberley.horsley@oma.org