'Stranger than Fiction': a description of an online essay examination preparation club for Queensland trainees.

OBJECTIVE: To describe an online essay-style examination preparation group. METHODS: The process of the establishment - including recruitment, rules and characteristics - of 'Stranger than Fiction' is outlined. RESULTS: Over the 10-week period, 66 essays were submitted, and 40 essays were marked. Sixteen out of 30 registered candidates submitted at least one essay, and 11 out of 17 registered markers marked at least one essay. CONCLUSION: 'Stranger than Fiction' is a novel approach to create a supportive environment where trainees are given opportunities to practise critical essay questions.

Quetiapine withdrawal: A systematic review.

OBJECTIVE: Withdrawal from psychoactive medication such as quetiapine is a well-documented phenomenon. Despite the extensive use of quetiapine, there have been few studies into the presence of discontinuation symptoms. We therefore performed a systematic review of published literature for evidence of quetiapine withdrawal or symptoms associated with discontinuation. METHODS: We searched PubMed, Embase, CINAHL, Medline, Web of Science, PsycINFO for articles containing the terms 'Quetiapine' AND 'withdraw$' OR 'discontinue$'. We included all study types that reported on somatic withdrawal symptoms and had no language restrictions. We excluded studies where there was withdrawal from multiple medications or any other psychoactive substance, or where the only symptoms were psychological such as rebound psychosis or craving. RESULTS: We included 13 papers, all of which were individual case reports. The quality of the individual case reports was sub-optimal, as assessed by the CARE Case Report Guidelines. There was an association between rapid cessation of quetiapine and onset of somatic symptoms such as nausea, vomiting, agitation, restlessness, diaphoresis, irritability, anxiety, dysphoria, sleep disturbance, insomnia, tachycardia, hypertension and dizziness. Three studies also reported the onset of a withdrawal dyskinesia characterised by abnormal choreiform movements as well as confusion and speech disturbance in some cases. However, these findings were limited by the number and quality of case reports identified. CONCLUSION: Discontinuation symptoms are an uncommon side effect of quetiapine cessation, which may have clinical implications. Clinicians should therefore be alert to the possibility of quetiapine withdrawal in individuals who present with somatic symptoms or choreiform movements. However, large prospective studies are required to clarify this association.

Motor abundance contributes to resolving multiple kinematic task constraints.

This study investigated the use of motor abundance during the transport and placing of objects that required either precise or minimal orientation to the target. Analyses across repetitions of the structure of joint configuration variance relative to the position and orientation constraints were performed using the Uncontrolled Manifold (UCM) approach. Results indicated that the orientation constraint did not affect stability of the hand's spatial path. Orientation was weakly stabilized during the late transport phase independent of the orientation constraint, indicating no default synergy stabilizing orientation. Stabilization of orientation for conditions most requiring it for successful insertion of the object was present primarily during the adjustment phase. The results support the hypothesis that a major advantage of a control scheme that utilizes motor abundance is the ability to resolve multiple task constraints simultaneously without undue interference among them.