Perspective on cultural competency: A review of Chinese culture.

With an emphasis on Chinese seniors, this article raises awareness of the importance of cultural competency and how this can impact care delivery, as well as strategies healthcare professionals can use to improve cultural competency in their institution.

In search of stones, bones, abdominal groans and psychic moans: putting the pieces together--a case of parathyroid adenoma.

An often neglected and frequently forgotten gland in the body is the parathyroid. The parathyroid glands (there are four) play a vital role in maintaining body function by regulating calcium levels through the secretion of parathyroid hormone. When function of the parathyroid gland becomes abnormal and calcium regulation is altered, there can be serious consequences to the patient in the form of a parathyroid adenoma. There is an increased incidence in females older than sixty-five. Due to the variable symptoms, making an accurate diagnosis can be a challenge for the clinician. This paper will provide an overview of the parathyroid glands, identification of the signs and symptoms of a parathyroid adenoma, a discussion about the tests that facilitate a definitive diagnosis and a review of treatment options. A Case Study will assist in putting all the pieces together.