Barrett's oesophagus: how should we manage it?

How should we manage incidentalomas?

The patient-centered medical home model advocates that diagnostic testing be performed based on shared decision making between the patient and physician.1 This goal can be challenging when findings are uncertain or incidental to the original reason for ordering the test. For this reason, it would be useful for physicians to have guidelines to help address the ethical, practical, and legal impli...

How should we manage oral leukoplakia?

The aim of this article is to review the management of oral leukoplakia. The topics of interest are clinical diagnosis, methods of management and their outcome, factors associated with malignant transformation, prognosis, and clinical follow-up. Global prevalence is estimated to range from 0.5 to 3.4%. The point prevalence is estimated to be 2.6% (95% CI 1.72-2.74) with a reported rate of malig...

How should we diagnose and manage photosensitivity?

Prehospital advanced trauma life support: how should we manage the airway, and who should do it?

Adequate oxygenation at all times is of paramount importance to the critically injured patient to avoid secondary damage. The role of endotracheal intubation in out-of-hospital advanced trauma life support, however, remains controversial. Initiated by a recent observational study, this commentary discusses risks and benefits associated with prehospital intubation, the required personnel and tra...

Should we be rethinking how we assess and manage ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common clinical problems assessed and treated by child and adolescent psychiatrists, yet many important questions remain unanswered. In this month’s issue of the Journal, two articles address two puzzling issues. First, what can research tell us about how we should be conceptualizing and defining ADHD? Second, although it is wel...