OBJECTIVE: To characterize the clinical and clinicopathologic effects and evaluate outcome associated with oleander toxicosis in New World camelids. DESIGN: Retrospective case series. ANIMALS: 11 llamas and 1 alpaca. PROCEDURES: Medical records from a veterinary medical teaching hospital from January 1, 1995, to December 31, 2006, were reviewed. Records of ...

BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project, endorsed at the 1999 ACGME annual meeting, was intended to shift the focus of residency program requirements and accreditation from process-oriented assessment to an assessment of outcomes. The Outcome Project established six general competencies, each of which is supported ...

Lower Extremities Committee of Korean Academy of Medical Sciences Guideline for Impairment Rating develops new guidelines which are based on McBride method, American Medical Association Guides, Disability evaluation by The Korean Orthopaedic Association, The Korean Neurosurgery Society, and Korean Academy of Rehabilitation Medicine. The committee analyzed and discussed to create ...

The criteria for the evaluation of spinal impairment are diverse, complex, and have no standardized form. This makes it difficult and somewhat troublesome to accurately evaluate spinal impairment patients. A standardized guideline was studied for the evaluation of spinal impairment, based on the American Medical Association (AMA) Guides and the ...

The permanent impairment evaluation for children in developmental stage is very difficult and it is even impossible in some cases. The impairment evaluation for developing children has not yet been included in the guideline of the American Medical Association. Due to frequent medical and social demands in Korea, we developed ...

Within the expanding field of clinical neuropsychology, the subspecialty of forensic neuropsychology has developed. Currently, there is considerable diversity within the discipline as to how practitioners approach test selection, reports, and number of hours billed. How individuals handle these issues is subject to debate, but what is clear is that ...

BACKGROUND: To compare the results of 2 techniques of facial rehabilitation, lengthening temporalis myoplasty and 2 types of hypoglossal-facial (XII-VII) coaptation as evaluated by medical and nonmedical teams and patient self-assessment of quality of life (QOL). MATERIALS AND METHODS: Videos of 42 consecutive patients with complete facial palsy who underwent ...

Different trademarks of green mate and mate tea ( Ilex paraguariensis St. Hil.) were employed in this work, the aim of which was to compare the fractionation of Al from green mate and mate tea (roasted mate) and from their infusions. Using the flame atomic absorption spectrometry technique, contents determined ...

This paper presents a method to evaluate medical gestures. The objective is to objectively assess a gesture carried out by novice doctors. The proposed method is based on the study of the curvature of the 3D gesture and provide a global performance index for one manipulation. The study of the ...

In a previous study on peel adhesion for medical tapes, it was shown that a stainless steel (SS) substrate better discriminated among medical tapes than a high-density polyethylene (HDPE) substrate. The objective of this study was to determine if a SS substrate would also better distinguish among transdermal drug delivery ...

Cough is the most common complaint for which patients seek outpatient medical attention. Usually a minor irritant, it can occasionally be caused by a serious underlying process, and healthcare providers should be diligent in their evaluation. Symptom duration and the particular response to treatment options help identify the etiology of ...

A content analysis of the written responses of 158 shy individuals was performed to investigate the nature of the self-selected strategies they reported using to deal with their shyness. The classification, along with the frequency of their use, of the self-selected strategies by four raters identified 10 separate categories, with ...

BACKGROUND: Faculty evaluations can identify needs to be addressed in effective development programs. Generic evaluation models exist, but these require adaptation to a particular context of interest. We report on one approach to such adaptation in the context of medical education in Iran, which is integrated into the delivery and ...

The tolerability of dapoxetine, a short-acting selective serotonin reuptake inhibitor being developed for premature ejaculation, was evaluated when coadministered with tamsulosin. Adult men on a stable dose of tamsulosin were randomized to also receive dapoxetine 30 or 60 mg, or placebo, in a crossover design. Supine and standing vital signs ...

A 31-year-old Army specialist was evaluated at Walter Reed Army Medical Center for an acute attack of arthritis in the left hand. After an initial evaluation, the patient was referred to the rheumatology service, and gout was diagnosed on the basis of synovial fluid analysis. This case demonstrates an uncommon ...

In November 2007 Varian Medical Systems released a new version of ECLIPSE (version 8.1.17), which includes a correction to its Anisotropic Analytical Algorithm affecting monitor unit calculations for Enhanced Dynamic Wedge. The purpose of this study is to evaluate and compare the accuracy of the MU calculations for version 8.1.17 ...

OBJECTIVE: We compared the intraobserver and interscan variability of carotid atherosclerosis measured using B-mode ultrasound for quantifying intima media thickness (IMT), 3-dimensional ultrasound (3DUS) for quantifying vessel wall volume (VWV) and total plaque volume (TPV), and magnetic resonance imaging (MRI) for measuring VWV. We also evaluated the associations of these ...

BACKGROUND: The focus of this review is on methods that are currently being used to evaluate the behavioural effects of medication for individuals with intellectual disabilities. First we describe what has been identified as the ideal criteria for conducting clinical trials and how these criteria may be adapted to do ...

OBJECTIVE: To evaluate the feasibility, reliability and acceptability of the mini clinical evaluation exercise (mini-CEX) for performance assessment among international medical graduates (IMGs). DESIGN, SETTING AND PARTICIPANTS: Observational study of 209 patient encounters involving 28 IMGs and 35 examiners at three metropolitan teaching hospitals in New South Wales, Victoria and ...

PURPOSE OF REVIEW: To illustrate the steps for clinical management of primary aldosteronism from screening evaluation to surgical and/or medical treatment. RECENT FINDINGS: It is now widely accepted that primary aldosteronism represents the most common form of endocrine hypertension and its early diagnosis is crucial for hypertensive patients who can ...

Previously applied methods for the evaluation of glenoid version did not use body-surface landmarks; therefore, it is not possible to get information about glenoid version from the outside. The tip of the coracoid and the posterolateral corner of the acromion can easily be found on the body surface. These 2 ...

No previous studies have described how faculty give summative evaluations to learners on the medical wards. The aim of this study was to describe summative evaluations on the medical wards. Participants were students, house staff and faculty at the University of Pittsburgh. Ward rotation evaluative sessions were tape recorded. Feedback ...

Medical decisions should be based on good evidence. But this does not mean that health care professionals should practice evidence-based medicine. This dissertation explores how these two positions come apart, why they come apart, and what we should do about it. I begin by answering the descriptive question, what are ...

Acupuncture is affirmatively effective in treating obesity with its flexible point selection and various methods without toxic and side effects. This review will focus on different therapeutic methods and academic thoughts in acupuncture slimming and evaluate its current state and prospect.

The sound quality of an organ pipe is mainly influenced by the attack transients. This onset is first dominated by the edge tone, while later the pipe resonator will play a more important role. To understand the physics of a flue organ pipe, it is necessary to analyse the edge ...

The preoperative evaluation serves several purposes for the gynecologist. Patients with previously undiagnosed, or incompletely managed, medical concerns are identified and appropriate treatment initiated. In women with known medical concerns, the surgeon can anticipate problems and plan for appropriate postoperative care. In certain cases, the preoperative evaluation identifies medical conditions ...

Epithelial cell monolayers are routinely used to evaluate efficacy of paracellular permeability enhancers (PPEs). The purpose of the present work was to investigate how biorelevant refinements to the Caco-2 cell model impact in vitro efficacy (decrease in transepithelial electrical resistance and increase in mannitol permeability) of PPEs. Standard transport buffer ...

The experimental method to evaluate the wavenumber of the acoustic wave propagating in pores media is proposed. The method was applied to four types of stacks composed of square channels and seven types of regenerators consisting of stacked mesh screens. The experimental results of the stacks agreed well with the ...

This study evaluated the rate and factors influencing male uptake of infertility investigations. Infertility constituted 11.2% of all new gynaecological consultations in the centre during the study period. A total of 61 (70.1%) males consented to seminal fluid studies without much hesitation, 12.4% after much persuasion, while the remainder (17.5%) ...

We are revising the criteria in the Listing of Impairments (the listings) that we use to evaluate claims involving immune system disorders. We apply these criteria when you claim benefits based on disability under title II and title XVI of the Social Security Act (the Act). The revisions reflect our ...

BACKGROUND & AIMS: To evaluate the agreement between resting energy expenditure (REE) estimated by a portable armband and measured by indirect calorimetry. METHODS: One-hundred and twenty-seven women and 42 men with a mean (SD) age of 44 (12) years and a body mass index of 30.2 (5.4) kg/m(2) were studied. ...

Although many individuals applying for political asylum allege maltreatment and sometimes torture in their countries of origin, the utility of medical evaluations in asylum adjudication has not been documented. This study compares the asylum grant rate among US asylum seekers who received medical evaluations from Physicians for Human Rights (PHR), ...

Clinical documentation is often expressed in natural language text, yet providers often use common organizations that segment these notes in sections, such as history of present illness or physical examination. We developed a hierarchical section header terminology, supporting mappings to LOINC and other vocabularies; it contained 1109 concepts and 4332 ...

Ultrasound is widely used by physicians in the emergency medical setting in the USA, Australia and Europe. The objective in bringing ultrasound to the bedside is to bring immediacy to diagnostic decisions and improve safety for interventional procedures. Additionally within the NHS there are increasing pressures to limit bed usage ...

Freezing of gait (FOG) poses difficulties for measurement as it is highly sensitive to environmental triggers, cognitive input and medication. To ensure valid and reliable measurement of FOG, a combined methodology is recommended relying on tests of complex gait during the off-period together with a FOG-questionnaire, addressing severity and impact ...

There are a number of approaches to classify text documents. Here, we use Partially Supervised Classification (PSC) and argue that it is an effective and efficient approach for real-world problems. PSC uses a two-step strategy to cut down on the labelling effort. There are a number of methods that have ...

This study aimed at developing a topical formulation of lapachol, a compound isolated from various Bignoniaceae species and at evaluating its topical anti-inflammatory activity. The influence of the pharmaceutical form and different types of emulsifiers was evaluated by in-vitro release studies. The formulations showing the highest release rate were selected ...

AIM: We examined whether using a new personal digital assistant (PDA)-based computerized tracking system (PDAT) improved the rate of faculty evaluation of students compared to using written clinical encounter cards. Also, we examined whether the addition of e-mail reminders to PDAT affected the evaluation rate. METHODS: Retrospective review of collected ...

This study aims at applying an artificial neural network for the evaluation of the effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) on Parkinson disease (PD) patients with and without medication. A sample of 15 PD patients who have undergone STN DBS were evaluated under four test ...

In this paper, a heuristic method for determining the optimal number of clusters is proposed. Four clustering algorithms, namely K-means, Growing Neural Gas, Simulated Annealing based technique, and Fuzzy C-means in conjunction with three well known cluster validity indices, namely Davies-Bouldin index, Calinski-Harabasz index, Maulik-Bandyopadhyay index, in addition to the ...

Infectious disease (ID) medication management is complex and clinical decision support tools (CDSTs) can provide valuable assistance. This study evaluated scope and completeness of ID drug information found in online databases by evaluating their ability to answer 147 question/answer pairs. Scope scores produced highest rankings (%) for: Micromedex (82.3), Lexi-Comp/American ...

Carefully and appropriately designed texture patterns, for highlighting the underlying geometry, in addition to standard shading and simulated lighting, can enhance the perception of 3D surface properties such as curvature and orientation. In this paper we propose enhancements to a texture synthesis algorithm for 3D medical data visualization, incorporating a ...

OBJECTIVE: To evaluate the management of pregnancy of unknown location in our conditions and to assess possibilities to improve on the performance of it. METHODS: This was a retrospective study of a population of women classified as having PUL. Out- and inpatients were recruited. Their medical history, gynaecological examinations, transvaginal ...

The reasons underlying parents' decisions to seek medical evaluations for their mildly ill children are not well understood. This cross-sectional study tracked parents' requests for on-site medical evaluations at a sick child care program. A logistic regression model identified factors associated with parents' decisions to seek medical evaluations for their ...

The overall expected coverage for tigecycline and selected antimicrobial regimens based upon prevailing susceptibility rates was evaluated for the empirical therapy of complicated skin and skin-structure infections (cSSSIs). Consecutive, non-duplicate bacterial isolates collected from 2000-2005 from patients with documented cSSSI in 57 medical centres located in the USA (38 centres), ...

OBJECTIVES: To study the current patterns of medication use, assess the extent of off-label parenteral medication use, and evaluate evidence for efficacy and safety of parenteral medications used off-label in neonates. STUDY DESIGN: We collected information on all medications dispensed for infants admitted to an urban tertiary care neonatal intensive ...

The purpose of this three-year study is to: 1) implement a computerized database to track the fatness and physical performance of Reservists assigned to the 94th RRC and 804th Medical Brigade, 2) provide the 94th RRC and 804th Medical Brigade with an environmental/Internet-based intervention to increase health risk communication and ...

Paraffin tissue microarrays (PTMAs) are blocks of paraffin holding up to 1000 paraffin tissue core biopsies (PTCBs) for high throughput molecular analysis. The number of PTCBs in a PTMA depends on the surface area of the PTMA, the diameter of and the distance between the PTCBs and on their arrangement ...

Cognitive-behavioral models propose that fear of negative evaluation is the core feature of social anxiety disorder. However, it may be that fear of evaluation in general is important in social anxiety, including fears of positive as well as negative evaluation. To test this hypothesis, we developed the Fear of Positive ...

For frequent stone formers, and even for some first-time stone formers interested in preventing future episodes of renal colic, a metabolic evaluation is necessary. The urologist, rather than members of other medical specialties, seems to have the primary responsibility of the medical management of stone disease. Thus, it is essential ...