Providers are often left to clinical experience and expert consensus to aid in decision-making. In this focused review, we outline current guideline recommendations, summarize both historical and contemporary data, and describe evidence-based strategies for managing arrhythmias and their sequelae in patients with cardiac amyloidosis. Catherine is an advanced nurse practitioner working in a large general practice in the north of England. She works alongside her medical colleagues and receives and treats patients with undifferentiated complaints. Margaret, a 64 year-old woman, is presenting today with vague symptoms. She is reluctant to come and get help and is fearful of what the consequences might be. The ageing of the population results in an increasing number of vulnerable people at risk of falling. In order to raise awareness among patients and their relatives as well as caregivers about the prevention of environmental and behavioural factors of the risk of falling, a Norman health care institution has developed an educational workshop in the form of a room of errors. It is the result of a close collaboration between the rehabilitation teams and other caregivers. Caring for people with chronic pain is complex and multifaceted. At the Rothschild Hospital in Paris, the multi-professional team of the pain assessment and treatment service includes a music therapist. On medical orientation and according to the typology of the source pathology, this professional opens to the patients spaces of musical relaxation and awareness that a better well-being is possible. When subjected to potentially traumatic events, adolescents can develop psychological trauma with varying levels of severity. For both preventive and therapeutic purposes, these psychological traumas should be assessed and managed by psychologists and/or psychiatrists who are well trained and experienced in performing these complex professional interventions. Directed towards the construction of knowledge by the student, the teaching methods proposed in initial nursing education are based on humanistic values open to the diversity of situations experienced by people being cared for. According to this approach, a nursing training institute in Saône-et-Loire shares its experience on an original teaching approach linked to the theme of disability. Since 2017, the Neufchâtel-en-Bray hospital centre (76) has set up a self-massage workshop for the establishment's staff. This Japanese technique called Do-in is given every week by a sports educator. Highly appreciated by the participants and accessible to all, this activity promotes physical and mental well-being, for a better quality of life at work. If a patient can refuse care, health professionals may refuse to treat a person, an act often considered discriminatory. Investigations have been carried out to shed light on this practice. This notion calls for a philosophical and ethical point of view. Faced with the refusal of care, the nurse must ask himself questions. Indeed, the patient's consent is essential and must be sought. If not given, what is the nurse's responsibility? It all depends on the situations covered by the law. Although foreseen by law and regardless of the reasons, refusal of care by the patient destabilizes caregivers.  https://www.selleckchem.com/products/VX-770.html  For the latter, it is important to understand the attitudes towards this refusal, the links with professional practices in order to propose benchmarks for a clinical approach. Refusal of care questions caregivers individually and collectively. It needs to be explained and understood as it can be a form of expression for some patients. These difficult situations require an appropriate attitude and, in particular, the fostering of teamwork so that the carer and the cared-for feel recognised and respected. Over the last three decades, the evolution of medical care and the reorganization of our health care system have completely changed the relationship between health care professionals, patients and their families. The demand for patient participation in the healthcare process has been growing, raising the question of patients' freedom of choice and increasingly questioning the areas where this would be denied. African pygmy hedgehogs are popular pets worldwide. The knowledge and understanding of pet hedgehog common veterinary conditions are increasing as new information and research are published; however, there is still much to learn about this fascinating animal. Salmonella is one of the most common zoonoses worldwide and is naturally isolated from the intestinal tract of many animal species, including hedgehogs. This article discusses the cause, clinical signs, diagnosis, treatment, and prevention of salmonella infection in hedgehogs, primarily focusing on African pygmy hedgehogs, with some reference to European hedgehogs. Pet hedgehog medicine and surgery is a rapidly evolving field, with some novel conditions and re-emerging diseases being reported in the literature in recent years. Skin disease and neoplasia are commonly found in African pygmy hedgehogs worldwide. Selected new and emerging diseases occurring in these commonly reported groups are discussed in greater detail, focusing on Caparinia tripilis infestation and brain tumors. This article primarily discusses African pygmy hedgehogs, with some reference to European free-living hedgehogs. Emerging infections and re-emerging diseases in birds can be caused by numerous factors and need to be recognized and understood. This article introduces and summarizes author-selected emerging and re-emerging diseases of avian species. These diseases hold significance as they relate to scientific research, disease recognition and identification, avian welfare aspects, and ecosystem health. Some are significant in human health and others affect production medicine. These and many others remain important pathogens of worldwide consequence. Emerging infectious diseases of ornamental fish are discussed with special focus on clinical relevance, detection, and treatment, where applicable. Important emerging infectious diseases of fish include goldfish herpesvirus, koi herpesvirus, carp edema virus, Erysipelothrix, Edwardsiella ictaluri, Edwardseilla piscicida, and Francisella. Some diseases are more species or genus specific, but many emerging diseases do not seem to have a species preference and affect a variety of species worldwide. Proper husbandry and biosecurity with a disease detection plan for ornamental fish is essential to monitor and prevent future outbreaks.