Potential legal liability for practicing expedited partner therapy is a common concern among providers, although it has been uncertain how these concerns translate into clinical practice. This study suggests that providers are more likely to practice expedited partner therapy in more favorable legal environments.

The occupational therapy profession has put forth a vision for evidence-based practice. Although many practitioners express a commitment to the provision of services informed by evidence, the reality that tradition still determines much of our education, certification, and practice cannot be ignored. In this article, we highlight the disconnect between ...

OBJECTIVE:: To assess the impact of occupational medicine board certification and career stage on practice characteristics. METHODS:: Two hundred sixty occupational medicine physicians completed a questionnaire and 25 activity log descriptions about 72 items in 9 major domains. For each item, the percentage of activities involving the item and the ...

Identifying predictors of evidence-based practice (EBP) use, such as supervision processes and therapist characteristics, may support dissemination. Therapists (N = 57) received training and supervision in EBPs to treat community-based youth (N = 136). Supervision involving modeling and role-play predicted higher overall practice use than supervision involving discussion, and modeling predicted practice use in ...

Performing arts medicine has made significant progress over the last three decades, and not infrequently we have looked to the field of sports medicine for inspiration and strategies. It seems that we have looked to occupational medicine less often as a model to emulate, but that may be worth reconsidering. ...

Many occupational therapy practitioners consider evidence-based practice (EBP) to be the means by which occupational therapy can prove the validity of its services and thus support the legitimacy of our profession. The unquestioned acceptance of EBP as the way to establish credibility concerns me; unchallenged acceptance of any idea concerns ...

PURPOSE OF REVIEW: To address the following question: in the management of occupational asthma does current evidence support complete avoidance of further exposure to the causative agent, or is reduction in exposure sufficient to control asthma and less likely to result in loss of income or job loss? RECENT FINDINGS: ...

Theranostic medicine is relatively a new term that describes integration of diagnostic and therapeutic functions within the same platform of pharmaceuticals. Such a design may in principle permit the molecular diagnosis, targeted therapy, and simultaneous monitoring and treatment necessary to achieve personalized medicine for cancer. Theranostic radiopharmaceuticals, for instance, carry ...

Diphencyprone is a chemical agent used most commonly in the treatment of alopecia areata. Its mechanism of action is through the sensitisation (type IV immune reaction) of affected areas to stimulate hair follicle growth. The consequences of accidental occupational exposure, however, have not been widely recognised. This report describes the ...

ABSTRACT There has been little recognition of the fact that creative production operates in a somewhat different environment and timeframe to that associated with traditional industries. This has resulted in the application of an orthodox, generic or ``one size fits all'' framework of Occupational Health and Safety (OHS) systems across ...

Occupational therapists who are religious are more likely to address spirituality in practice; however, little is known regarding the practice experience of therapists who hold particular faith perspectives. To examine the practice experience of evangelical Christian occupational therapists in the context of professional emphasis on spirituality as a largely secular ...

Advanced nanomaterials present a challenge in occupational risk assessment and risk management due to their complex nature.

Occupational therapists and physiotherapists have established roles in work-related practice. However, there is limited information about the attributes required by these professions for competent practice in this field. The aim of this systematic review was to evaluate the research literature to determine the knowledge, skills and professional behaviours required by ...

One of the last century's greatest personalities in Occupational Medicine was Enrico Carlo Vigliani (1907-1992), director of the "Clinica del Lavoro" in Milan (1942-1977), editor-in-chief of "La Medicina del Lavoro" (1942-1991), Secretary-Treasurer and then President of the "Permanent Commission and International Association on Occupational Health" (1957-1981), the original nucleus of ...

OBJECTIVE:: To describe career path patterns for occupational medicine (OM) physicians. METHODS:: A convenience sample of 129 occupational physicians described work activities and locations at several career points up to 20 years ago, first OM position, and 10 years after expectations. RESULTS:: Clinical activities were important throughout (eg, 41% and ...

The development of competent future allied health professionals through academic programmes, professional support and practical education is continually evolving. The aim of this study was to explore the feelings of newly graduated occupational therapists in Australia and Aotearoa/New Zealand regarding their education and work preparedness. Newly graduated occupational therapists from ...

ETHNOPHARMACOLOGICAL RELEVANCE: Ayurveda, derives from the Sanskrit words Ayus (life) and Veda (knowledge) is the most ancient system of traditional medicine of the world. It has been practiced in Indian peninsula since 5000 BC to offer natural ways to treat diseases and to promote healthcare. METHODOLOGY: We reviewed the literature ...

An important professional issue for occupational therapy is the need to develop and maintain high-quality occupational therapy services. Clearly, a strong educational foundation is necessary, but not sufficient, for meeting this goal. Occupational therapists need to engage in ongoing education, professional development and critique of their theory and practice to ...

The paper introduces the heated moxibustion and bloodletting in Tibetan medical literature of Dunhuang Heritage. It proves that the external therapies in Tibetan medicine such as heated moxibustion and bloodletting are of very high level since the 8th century, which inspires current clinical practice. It also shows that the extensive ...

The aim of the present study was to determine the effectiveness of oriental medicine therapy on poststroke aphasia. The outcome was measured as the delta value of the Aphasic Quotient score. Patients completed test at two timepoints: baseline and discharge time. Patients who received conventional therapy and language therapy were ...

ABSTRACT: Spinal cord stimulators (SCS) are a well-recognised treatment modality in the management of a number of chronic neuropathic pain conditions, particularly failed back syndrome and radiculopathies. The implantable pulse generator (IPG) component of the SCS is designed and operates in a similar fashion to that of a cardiac pacemaker. ...

OBJECTIVE: to explore the views of expert midwives in Ireland and New Zealand of the skills they employ in expectant management of the third stage of labour (EMTSL). DESIGN: university ethical approval was granted for a qualitative descriptive study in 2010. Recorded, semi-structured interviews were undertaken. Constant comparative analysis was ...

Lower urinary tract dysfunction can have a significant impact on patients with spinal cord injury. Over the years, many treatment options have become available. This article reviews the assessment and management of neurogenic detrusor overactivity, with a particular focus on articles from the recent literature. Recent guidelines on the subject ...

COMMENTARY ON: Athiviraham A, Wali ZA, Yen D. Predictive factors influencing clinical outcome with operative management of spinal stenosis. Spine J 2011;11:613-7 (in this issue).

COMMENTARY ON: Athiviraham A, Wali ZA, Yen D. Predictive factors influencing clinical outcome with operative management of lumbar spinal stenosis. Spine J 2011;11:613-617 (in this issue).

Immediate clamping of the umbilical cord is an intervention that has developed over the last century as birth moved into the hospital setting (Mercer 2001). Whilst active management in the third stage of labour is widely practised, midwives are encouraged to re-evaluate their management strategies during this stage, since immediate ...

Challenging the current National Institute for Clinical Excellence guidelines (NICE 2007), this paper will identify and discuss the evidence to support a care pathway for delayed active management of the third stage of labour, which promotes a delay in the administration of the uterotonic drug and delayed cord clamping (DCC). ...

Metastatic spinal cord compression (MSCC) is an oncological emergency requiring prompt recognition and management to preserve neurological function and mobility. We performed an audit to assess current practice of MSCC against current best practice as outlined by NICE. Our retrospective audit identified 10 patients from January to December 2009 with ...

A practicable and safe methodology is required for the control of contamination arising due to work in nuclear medicine departments, taking account of the range of radionuclides used for diagnostic and therapeutic procedures. A method for categorising radionuclides is proposed, based on their contamination derived limits. The categories utilised are: ...

BACKGROUND: Computed tomographic enterography (CTE) has been shown to have a high sensitivity and specificity for active small bowel inflammation. There are only sparse data on the effect of CTE results on Crohn's disease (CD) patient care. METHODS: We prospectively assessed 273 patients with established or suspected CD undergoing a ...

Guidelines for treatment of thymoma are prevalent in US literature, and many have been published by organizations in the United Kingdom, Canada, and Japan. This article reviews these many guidelines and summarizes them for the reader.

Clinical decision support (CDS) is a powerful tool for improving healthcare quality and ensuring patient safety; however, effective implementation of CDS requires effective clinical and technical governance structures. The authors sought to determine the range and variety of these governance structures and identify a set of recommended practices through observational ...

Diagnosis and management of vertebral metastasis requires a systematic approach to patient identification as well as selection of appropriate therapy. Rapid identification and prompt intervention in the treatment of malignant epidural spinal cord compression (MESCC) is key to maintaining quality of life. This paper provides a series of tools as ...

Marketing authorization of medicinal products is granted based on results of registration trials. The European Medical Agency (EMA) has issued general and disease state-specific guidelines for the conduct of such trials. In the area of allergic diseases, there are basically two general therapeutic approaches: Drugs that mitigate the symptoms and ...

The aim of this document is to provide general information about mIBG scintigraphy in cancer patients. The guidelines describe the mIBG scintigraphy protocol currently used in clinical routine, but do not include all existing procedures for neuroendocrine tumours. The guidelines should therefore not be taken as exclusive of other nuclear ...

Actinic keratosis is one of the most common diagnoses made by dermatologists. Many experts recommend treating all actinic keratoses because of their potential to progress to invasive squamous cell carcinoma. Physicians have a large armamentarium of actinic keratosis treatment modalities available to them, including destructive therapies, such as cryotherapy, curettage ...

Screening of high-risk patients for hepatocellular carcinoma (HCC) may result in early diagnosis and improved outcomes. Our aim was to assess gastroenterologists' knowledge of HCC management guidelines established by the American Association for the Study of Liver Diseases (AASLD) and usual clinical practice. We surveyed gastroenterologists attending two gastroenterology board ...

This study aims to investigate the factors related to the adoption of clinical practice guidelines in clinical settings in Korea; it also aims to determine how these factors differ depending on the specific situation of health care system and professional climate. The research sample comprised physicians who are board members ...

Despite the rarity in incidence and prevalence, gastrointestinal stromal tumor (GIST) has emerged as a distinct pathogenetic entity. And the clinical management of GIST has been evolving very rapidly due to the recent recognition of its oncogenic signal transduction pathway and the introduction of new molecular-targeted therapy. Successful management of ...

In 2005, the European Society for Human Reproduction and Embryology (ESHRE) PGD Consortium published a set of Guidelines for Best Practice PGD to give information, support and guidance to potential, existing and fledgling PGD programmes. Subsequent years have seen the introduction of new technologies as well as the evolution of ...

Background. Little is known regarding barriers to guideline adherence in the nephrology community. We set out to identify perceived barriers to evidence-based medicine (EBM) and measurement of continuous quality indicators (CQI) in an international cohort of peritoneal dialysis (PD) practitioners. Subscribers to an online nephrology education site (Nephrology Now) were ...

Rationale, aims and objectives  The consideration of economic evidence in guideline development may be particularly important in health care management when different (drug) therapies show similar efficacy on clinical endpoints, such as in cardiovascular diseases. This article investigates to what extent the Dutch guideline 'cardiovascular risk management' (2006) considers cost-effectiveness ...

The Singapore Armed Forces (SAF) Medical Corps and the Ministry of Health (MOH) have published clinical practice guidelines on Management of Heat Injury to provide doctors and patients in Singapore with evidence-based guidance on the prevention and clinical management of exertional heat injuries. This article reproduces the introduction and executive ...

Prompt and effective treatment of pelvic inflammatory disease (PID) may help prevent long-term complications. Many PID cases are seen in primary care but it is not known how well management follows recommended guidelines. To estimate the incidence of first-episode PID cases seen in UK general practice, describe their management, and ...

The European Society of Cardiology has recently revised its guidelines on the diagnosis and management of syncope. This article summarizes the recommendations of these guidelines, outlining the initial evaluation of transient loss of consciousness, risk stratification, diagnostic testing, and the recommended treatment for patients with syncope of various etiologies. Special ...

In 2008 a task force was set up to develop a revision of the European Federation of the Neurological Societies (EFNS) guideline for the diagnosis and management of Alzheimer's disease (AD) and other disorders associated with dementia, published in early 2007. The aim of this revised international guideline was to ...

Utilization of clinical guidelines is gaining in popularity due to their significant impact on clinical practice. While a plethora of guidelines exist, many are lacking in quality, based on current critical appraisal standards. It then becomes necessary for the end users of the guidelines to adopt or develop those that ...

The S 3 guidelines Dementia from the DGPPN and DGN represent recommendations that fulfil the highest methodological requirements and are based on a consensus process involving all professional societies, associations and organisations that participate in the management of patients with dementia. From the psychiatric point of view, in particular, the ...

These guidelines for the management of cutaneous melanoma present an evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, and a brief overview of epidemiology, diagnosis, investigation, and follow-up.

The patent expirations for many biotechnological medicines have prompted the development of copies of biological medicinal products. Unlike generics, biosimilars are similar but not identical to their reference product, because their chemical characteristics are directly related to the manufacturing process which cannot be precisely duplicated. The regulatory policy for biosimilars ...