Potential bloodborne pathogen exposures, many of which occur after hours and are evaluated by emergency medicine physicians, are an important occupational hazard. Emergency medicine physicians might not be as conversant with the latest US Public Health Service guidelines as occupational medicine physicians. This research presents an efficient model in which ...

Supraventricular tachycardias (SVT) often lead to emergency room and primary care visits. Not only cardiologists, but also general practitioners (GPs) and internists are involved to an increasing extent in the acute and long-term management of SVT. We aimed to explore the differences between practice patterns of cardiologists and noncardiologists with ...

To profile the profession of Western herbal medicine (WHM) in the UK. A self-completion postal questionnaire sent to a sample of practitioners of WHM in England. A typical practitioner of WHM in the UK is female, aged 41-50, white, and practises part-time from a shared clinic or from home. Motivations ...

Little is known about the implementation of integrative medicine (IM) in Australian health care and the nature of interprofessional collaborations that have been established in IM. The aim of this research was to examine the relationships among general medical practitioners (GPs) and complementary and alternative medicine (CAM) practitioners and their ...

To understand general practitioners' (GPs) and practice nurses' (PNs) experiences of managing multimorbidity in deprived areas and elicit views on what might help. Qualitative interviews with 19 GPs and PNs in four practices with a high percentage of patients living in the top 15% most deprived areas of Scotland. Data ...

Patient safety is of prime importance. Medical practice has inherent risks that need to be identified and reduced or avoided. Developing and implementing risk management processes is a necessary part of professional practice and is part of The Royal Australian College of General Practitioners' Standards for general practices. This article ...

Despite the availability of practice guidelines for the management of knee osteoarthritis, inadequacies in practices of clinicians and patients have been found, leading to suboptimal outcomes. Literature has shown that simply disseminating management recommendations does not lead to adherence. Research suggests that barriers to use should be identified and addressed ...

To identify the factors that influence the decision of general dental practitioners (GDPs) in Northern Ireland to refer to a specific specialist endodontist. A self-administered questionnaire was sent to 220 GDPs in Northern Ireland. The questionnaire comprised questions on demographic characteristics, pattern of practice, pattern of referral and factors influencing ...

Dental practitioners are often the first clinicians to be presented with complaints about changes in taste. This raises a problem in terms of appropriate evaluative response. It is a difficult issue both because of the common confusion between smell and taste problems (with smell being the more vulnerable sense and ...

This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

Oral candidosis is the most common fungal infection encountered in general dental practice. It manifests in a variety of clinical presentations which may mimic more sinister diseases, and can occasionally be refractory to treatment requiring the attention of an oral medicine specialist. Management of oral candidosis should always include a ...

From April 2000 to March 2001 in BEACH (Bettering the Evaluation and Care of Health), atrial fibrillation (AF) was managed at a rate of 0.6 per 100 encounters, suggesting it was managed by general practitioners about 578 000 times per year nationally. From April 2008 to March 2009, AF was ...

OBJECTIVE: Most general practitioners in the Netherlands and Flanders (Belgium) are familiar with that special feeling during certain consultations: 'There's something wrong here, though I have no specific indications yet'. This 'sense of alarm' alerts the doctor, activates the diagnostic process and induces him to initiate specific management to prevent ...

Partnerships and concordance are desirable concepts for optimal healthcare. The concept of concordance is based on negotiation between equals in a therapeutic relationship, forming a therapeutic alliance between all partners. One field of healthcare in which concordant relationships may be particularly desirable is complementary and alternative medicine (CAM). CAM is ...

Authors report a cross-observational study conducted to determine the awareness and adherence of general practioners (GPs) to pertussis vaccine guidelines; to identify the barriers encountered by GPs to adhering to these guidelines; and to describe diagnosis and case management approaches for adolescent and adult pertussis in France. This study, conducted ...

Clinical trial evidence in controversial areas such as complementary and alternative medicine (CAM) must be approached with an open mind. To determine what factors may influence practitioners' interpretation of evidence from CAM trials. Research In a mailed survey of 2400 US CAM and conventional medicine practitioners we included 2 hypothetical ...

A cross-sectional study pertaining to the practices and perceptions of modern and traditional health practitioners on Traditional Medicine (TM) was carried out from February 25 to April 4, 2008. The results of the study showed that almost all the practitioners in both systems expressed their willingness to collaborate among each ...

High performance organisations review their strategy and business processes as part of usual business operations. If you are new to the field of general practice, do you have a career plan for the next 5-10 years? If you are an experienced general practitioner, are you using much the same business ...

BACKGROUND: The Feldenkrais Method(R) of somatic education purports to guide people of varying ages and abilities to improve function. Many people choose this method to aid with recovery from injury, manage chronic conditions, or enhance performance even though limited research supporting its safety and effectiveness exists to guide decisions about ...

Primary care research networks have been established internationally since the 1960s to enable diverse practitioners to engage in and develop research and education and implement research evidence.The newly established Western Research and Education Network (WestREN) is one such network consisting of a collaboration between the Discipline of General Practice at ...

OBJECTIVE: To find out the knowledge and practices among the general practitioners (GPs) of Karachi regarding dog bite management. METHODS: This cross sectional study was carried out in private and public Qlinics of Karachi using a pre-tested self-administered questionnaire. The study population was composed of 151 GPs with MBBS degree. ...

General practitioners hold the key to expanding access to treatment.

BACKGROUND: Sudden vision loss usually requires urgent ophthalmic assessment. Diagnosis and management requires the judicious use of a wide range of serological and imaging investigations to guide appropriate treatment and referral. OBJECTIVE: This article follows on from the previous discussion of the role of history and examination to discuss the ...

Practice evaluation is an important component in the implementation of evidence-based practice. Until recently it has been difficult to assess practitioner knowledge in evaluation in the field. This study discusses the development and initial psychometrics of an 8-item scale to assess practitioner competency in evaluation. The Practice Evaluation Knowledge Scale ...

Patients experiencing a narrow complex tachycardia are usually at a lower risk than those in whom a broad complex tachycardia occurs. Therefore, in the UK cardiologists are frequently involved in broad complex dysrhythmias at an early stage, while general physicians and general practitioners will often have greater involvement in the ...

While intuition plays a role in clinical decision making within conventional medicine, little is understood about its use in complementary and alternative medicine (CAM). The aim of this qualitative study was to investigate intuition from the perspective of homeopathic practitioners; its' manifestation, how it was recognized, its origins and when ...

: To survey the extent of abuse and violence directed toward legal medicine practitioners during the course of their professional duties and to categorize the characteristics of such aggression. : Retrospective survey of the views of a large sample of Tehran's legal medicine practitioners by using a piloted anonymous questionnaire. ...

We describe the outcomes of a practice exchange in which an isolated general practitioner from a remote region traded work and living arrangements with a rural group practice GP. An exchange can provide an opportunity for mid- and senior-career professionals to refresh their outlook on their careers. Involving the rural ...

General practitioners are the nearest to the community who can render the need of the patient both clinically and physiologically. A general practitioner is to develop the art of communication to avoid litigation and be aware of all the legal issues entangling the profession so that his practice is not ...

The objective of this study was to generate demographic data on veterinarians working in western Canada. A sample of 551 veterinarians was randomly selected from a population of 2474 veterinarians employed in western Canada, 425 (77.1%) of whom responded to the survey. The respondents were evenly split between males (53.1%) ...

General practitioners play a crucial role in the management of osteoporosis. Thus, it is essential to determine the opinions and attitudes of family doctors concerning this disease. A structured pencil-paper questionnaire was distributed to all general physicians in a practice in Austria and 3.2% responded. Results were compared with a ...

BACKGROUND: Acute otitis externa (AOE) is a common condition in North Queensland. Clinical guidelines exist for the management of this condition. This study explores the pattern of causative pathogens and management of AOE by general practitioners in North Queensland. METHODS: Eight general practices in three regional cities of North Queensland ...

OBJECTIVE: To assess the level of knowledge, social attitude towards patients, and diagnostic and management capabilities of general practitioners (KAP) regarding leprosy, practicing at Hyderabad, Pakistan. STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Hyderabad, Sindh, Pakistan, during October to December 2007. METHODOLOGY: A pre-tested and well-structured questionnaire consisting ...

OBJECTIVE: The objective of this study was to evaluate current practice characteristics, treatment choices, clinical experiences, and economic concerns associated with intrathecal therapy. DESIGN: Health care professionals in the United States, who were known to actively use intrathecal therapy in their practices, were recruited to participate in an online survey; ...

While stopping smoking has a range of profoundly beneficial consequences, the immediate aftermath of smoking cessation often generates at least some negative effects. This collection of review articles covers both sides of this often difficult equation to provide clinicians with guidance on recognising and managing a range of short-term sequelae ...

OBJECTIVES: To explore perceived benefits, barriers, and cues to action of yoga practice among adults. METHODS: Focus groups were conducted with persons who had never practiced yoga, practitioners of one year or less, and practitioners for more than one year. The Health Belief Model was the theoretical foundation of inquiry. ...

OBJECTIVE: To assess and compare the current management of sudden sensorineural hearing loss (SSHL) between primary care physicians and general otolaryngologists. STUDY DESIGN: Written survey of physician practice patterns. METHODS: A multiple choice and Likert scale survey was mailed to 1306 otolaryngologists and primary care physicians in the upper midwest ...

OBJECTIVES: The purpose of this study was to investigate the demographics, training, and practice patterns of folk medicine practitioners, their opinions toward statutory regulation of folk medicine, and the formal education and credentialing for folk medicine providers in the metropolitan Taipei area. DESIGN: A cross-sectional survey design was used. SUBJECTS: ...

Regular recall strategies ensure the general dental practitioner is ideally placed to recognize, manage and correct many occlusal problems in the mixed dentition phase. The first paper focused on recognition of normal and abnormal occlusal development, cessation of habits and correction of crossbites. This paper considers management of leeway space, ...

AIM: To understand the views of general practitioners on the utility of diagnostic schema as used by specialist psychiatrists and principles that would increase the value of diagnostic schema to general practitioners. METHOD: A postal survey of 1000 vocationally registered general practitioners in New Zealand RESULTS: Diagnostic schema such as ...

Chinchillas (Chinehilla lanigera) are known to be very sensitive to aflatoxins, and often a large number of animals die if toxicosis occurs. An outbreak of acute aflatoxicosis on a chinchilla farm in Argentina is described in the present study. A commercial feed suspected of causing the death of 200 animals ...

Recent studies suggest that evidence-based medicine is not well translated into everyday practice. Studies of optic neuritis (ON) have generated clear treatment guidelines. Therefore, a survey was mailed to all Australian and New Zealand neurologists and ophthalmologists to evaluate the impact of recent studies on clinical practice. The response rate ...

Primary care medical practices fail to recognize the seriousness of security threats to their patient and practice information. This can be attributed to a lack of understanding of security concepts, underestimation of potential threats and the difficulty in configuration of security technology countermeasures. To appreciate the factors contributing to such ...

AIM: To describe general practitioners' (GPs) diagnosis and management of overweight and obesity in children, their attitudes regarding obesity and their awareness of National Health and Medical Research Council (NHMRC) clinical practice guidelines. METHOD: A cross-sectional written survey of members of the Liverpool Division of General Practice (located in South ...

Epilepsy is a neurological condition characterised by seizure activity. It has an approximate incidence of 1%. General dental practitioners will encounter these patients in practice. This article discusses the types of epilepsy, the medical management and considerations in dental management of epileptic patients. General recommendations are made, based on current ...

The practice manager contacted the general practitioner's medical defence organization for advice. The practice manager was told that, from a legal point of view, there was no obligation on the practice to utilize any reminder system for routine investigations, although the practice may consider that the use of a reminder ...

OBJECTIVE: To explore the supportive evidence for the use of Ayurvedic medicine in the management of existing and recurrent nephrolithiasis. METHOD: Nine Ayurvedic medicines commonly utilized in the management of nephrolithiasis were identified by discussions with Ayurvedic practitioners in India. Mechanistic and clinical studies evaluating the use of these agents ...

In this work, trends in general practitioners' (GP) knowledge, confidence and practices in promoting physical activity to patients over a 10-year period (1997-2007) were studied. Repeated cross-sectional population survey General practice in New South Wales (Australia) 646 (40%), 747 (53%) and 511 (64%) GPs that were registered in a selection ...

Dr Bev Young has just finished packing up her office. This is her last day in her Preston practice of 19 years. Bev enjoys the autonomy of being a solo general practitioner, but lately she finds managing the practice increasingly stressful. Teaming up with a fellow GP seemed a good ...

AIM OF THE STUDY: To asses the scientific value of the practical medical fragments found in the Cairo Genizah (10th century), as a useful source for ethnopharmacological purposes (in exposing rare and usually inaccessible original medieval practical knowledge of medicinal substances to present-day researchers), and to reconstruct the practical drugs ...