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Jimenez Xavier F XF Cleveland Clinic Foundation, Cleveland, OH, USA, - - 2014
The practice of psychosomatic medicine in the general hospital setting can be challenging, particularly for the inexperienced trainee. Guidance for how to approach a psychiatric consultation can be nonspecific or lacking altogether. In response, we offer a pedagogical model that emphasizes patient-specific neurological, medical, and contextual variables. A stepwise, "ABC" ...
Ismail Sharif I M F SI Yeovil District Hospital, Somerset, England, UK, - - 2014
The aim of this study was to compare foundation doctors in obstetrics and gynaecology to the former grade of senior house officer, as perceived by their consultant and middle grade colleagues. A self-construct questionnaire was sent to College District Tutors in obstetrics and gynaecology in all hospitals in the United ...
Gelber Allan C - - 2014
This issue provides a clinical overview of Osteoarthritis focusing on prevention, diagnosis, treatment, practice improvement, and patient information. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment ...
Harrison Reema R School of Public Health, Sydney Medical School, University of Sydney, Sydney, - - 2014
Mentorship has been identified as a beneficial practice for doctors and may be particularly valuable for newly appointed consultants. It is associated with a number of potential clinical and non-clinical gains, such as enhanced job satisfaction and well-being. Despite strong support, many formalised schemes fail to launch or gain momentum. ...
Fisher James M JM Northumbria Healthcare NHS Foundation Trust, Northumberland, - - 2014
The UK's population is ageing and an adequately staffed geriatric medicine workforce is essential for high quality care. We evaluated the current and future geriatric medicine workforce, drawing on data relating to the UK population, current geriatric medicine consultants and trainees, recruitment into the specialty and trainee career progression. Data ...
McReynolds Sara W SW Department of Diagnostic Medicine and Pathobiology, College of Veterinary Medicine, Kansas State University, Manhattan, KS - - 2014
Objective-To examine the feasibility of depopulation of a large feedlot during a foot-and-mouth disease (FMD) outbreak in the United States. Design-Delphi survey followed by facilitated discussion. Sample-27 experts, including veterinary toxicologists and pharmacologists, animal welfare experts, feedlot managers, and consulting veterinarians. Procedures-4 veterinary pharmacologists, 5 veterinary toxicologists, 4 animal welfare ...
Sabesan S S School of Medicine and Dentistry, James Cook University, Townsville, Australia; Department of Medical Oncology, Townsville Cancer Centre, Townsville, - - 2014
The fourth in a series of articles about the practical aspects of telehealth, this paper provides advice and information for specialists to communicate effectively with patients during a telehealth video consultation.
Mularczyk Aldona A Department of Gastroenterology and Digestive Oncology, St. Barbara's Main District Hospital, Sosnowiec, - - 2014
Biological medical products are drugs whose active components are produced only by living, genetically modified organisms or live cell cultures. Patents and exclusivity for most biopharmaceuticals has either expired or will expire soon, which enables biotechnological companies to introduce similar biological products. The problem of replacing a biological medicine with ...
Sharp An - - 2013
To identify the current status of specialist preterm labour (PTL) clinic provision and management within the UK. Postal survey of clinical practice. All consultant-led obstetric units within the UK. A questionnaire was sent by post to all 210 NHS consultant-led obstetric units within the UK. Units that had a specialist ...
Israfil-Bayli F - - 2013
Abstract Objective: The main aim of the survey was to explore current practices with regards to cervical cerclage procedures amongst UK consultants with particular emphasis on the type of suture material used. Methods: An electronic survey of UK consultant members and fellows of the Royal College of Obstetricians and Gynaecologists ...
Ghafur Imran - - 2013
Occupational health (OH) practice is framed by legal, ethical, and regulatory requirements. Integrating this information into daily practice can be a difficult task. We devised evidence-based framework standards of good practice that would aid clinical management, and assessed their impact. The clinical algorithm was the method deemed most appropriate to ...
Woods C F G - - 2013
Recent reports observe poorer healthcare outcomes during the weekend. Many attribute this weekend effect to a reduced consultant presence. This study evaluates differences in labour management on weekends vs weekdays. A total of 20,187 deliveries, all resulting from spontaneous labour, in the same large UK maternity hospital were examined. Labour ...
Nevadunsky Nicole S - - 2013
Aggressive care interventions at the end of life (ACE) are reported metrics of sub-optimal quality of end of life care that are modifiable by palliative medicine consultation. Our objective was to evaluate the association of inpatient palliative medicine consultation with ACE scores and direct inpatient hospital costs of patients with ...
Allen D T - - 2013
The third in a series of articles about the practical aspects of telehealth, this paper gives guidance on suitable setup for video consultations, including layout of rooms, managing sound and image quality, scheduling, testing and best practice in telehealth videoconferencing.
Walker Kathryn A - - 2013
Abstract Background: Collaboration between palliative medicine and the intensive care unit (ICU) represents best practice and offers important benefits. However, achieving effective collaboration between these two specialties can be challenging. Objective: Assess effectiveness of integrating palliative medicine specialists in the ICU. Design: Retrospective chart review. Results: Of 201 patients who ...
Al-Qas Hanna Fadi - - 2013
The National Healthcare Safety Network (NHSN) definition for catheter-associated urinary tract infection (CAUTI) is used to evaluate improvements in CAUTI prevention efforts. We assessed whether clinician practice was reflective of the NHSN definition. We evaluated all adult inpatients hospitalized between July 2010 and June 2011, with a first positive urine ...
Jiwaji Zoeb - - 2013
Early goal-directed therapy (EGDT) is recommended for sepsis management in current guidelines, but the underpinning evidence is controversial. Clinician beliefs and the capacity to implement all recommended elements of EGDT in emergency departments (EDs) are uncertain. Our study aimed to explore self-reported management of early sepsis by Scottish emergency medicine ...
Mladenović Dragan - - 2013
In the management of edentulous spaces, there is a permanent need of a dentist-prosthetician in charge to consult other specialists. Modern telemedicine, based on powerful computer and telecomunication systems, offers an adequate answer to these challenges, being able to transfer and obtain clinical data and consultation information over large distances. ...
Asombang Akwi W AW Division of Gastroenterology and Hepatology, Saint Louis University School of Medicine, St. Louis, MO 63110-0250, United States. - - 2013
To evaluate need for and efficacy of a structured gastroenterology didactic session in expanding awareness and understanding of digestive disorders. A four-day symposium was developed with didactic sessions (days 1, 2) and practical endoscopy (days 3, 4). Didactic sessions included case presentations highlighting pathophysiology and management. One nurse and four ...
Horzinek Marian C - - 2013
Overview: In this article, the ABCD guidelines published in the JFMS Special Issue of July 2009 (Volume 11, Issue 7, pages 527-620) are updated by including previously unavailable and novel information. For a better picture, the reader is advised to consult that issue before focusing on the novel features.
Loh P K - - 2013
The second in a series of articles about the practical aspects of telehealth, this paper includes information and a case history on the cost-benefits for patients and practitioners using telehealth. The case history demonstrates that telehealth can save travel time for patients, carers and specialists, and can reduce out-of-pocket expenses. ...
Paudyal Vibhu V Division of Medical and Dental Education, University of Aberdeen, - - 2013
Pharmacy-based minor ailment schemes (PMASs) have been introduced throughout the UK to reduce the burden of minor ailments on high-cost settings, including general practice and emergency departments. This study aimed to explore the effect of PMASs on patient health- and cost-related outcomes; and their impact on general practices. Community pharmacy-based ...
Piotte Emeline - - 2013
Primary care physicians (PCP) are first in line to provide adequate pre-travel medical advice. Little data are available on the content of pre-travel PCP consultations in France. We undertook an observational survey to assess the level of specific knowledge among PCPs on health advice, vaccinations, and malaria prophylaxis. Standardized questionnaires ...
Muldoon E - - 2013
A recent U.S. survey demonstrated wide variation in the management of syphilis. 25/31 (73.5%) Consultants and Specialist Registrars in Infectious Diseases and Genitourinary Medicine, in Ireland were surveyed. 23 (92%) treat more than 50 HIV patients a year, 18 (72%) had been consulted on a patient with syphilis in the ...
Brown T - - 2013
BACKGROUND: The present study describes the development of evidence-based practice guidelines for the nutritional management of adult patients with head and neck cancer using a wiki platform to enable wide international stakeholder consultation and maintain currency. METHODS: A dietitian steering committee and a multidisciplinary steering committee were established for consultation. ...
Conde Crystal - - 2013
Setting up a medical practice is daunting. Physicians who make the decision to strike out on their own have to come up with the money to fund their businesses, find an office space, vet and hire capable staff, purchase the necessary technology and equipment, and devote time and resources to ...
Kaplan Sandra L - - 2013
Congenital muscular torticollis (CMT) is an idiopathic postural deformity evident shortly after birth, typically characterized by lateral flexion of the head to one side and cervical rotation to the opposite side due to unilateral shortening of the sternocleidomastoid muscle. CMT may be accompanied by other neurological or musculoskeletal conditions. Infants ...
Jain Kowshik K Wrexham Maelor Hospital, - - 2013
The aim of this study was to evaluate the intraobserver and interobserver variability in determining the socket version using the wire marker. 100 anteroposterior pelvis radiographs of cemented primary total hip replacements were reviewed by two orthopaedic consultants and registrars, twice. Intrarater and interrater reliability were assessed using Cohen's kappa. ...
Roshier A L - - 2013
The veterinary profession recently acknowledged its responsibility to provide behaviour support, following criticism for focussing on the physiological aspects of welfare and overlooking the psychological. To further understand the practising of behavioural medicine, a 'fly-on-the-wall' approach was used to investigate welfare discussions during dog booster vaccinations. Seventeen consultations involving six ...
Tormey Christopher A CA Pathology & Laboratory Medicine Service, VA Connecticut Healthcare System, West Haven, - - 2013
Practitioners in transfusion medicine, long involved in consultations emphasizing clinical issues such as alloantibody reporting and transfusion reaction evaluation, have more recently been engaged as experts and consultants in hemostasis and coagulation. Given the growing complexity in laboratory coagulation testing and its interpretation, the shortage of specialists in this arena, ...
Weant Kyle A - - 2012
Purpose:To describe the role that an emergency medicine (EM) clinical pharmacist has on the management of patients presenting to the emergency department (ED) with sepsis, severe sepsis, or septic shock.Methods:The clinical consultations documented by the EM pharmacists at an academic, teaching hospital over a 2-year period were retrospectively reviewed.Results:During the ...
Pavli Androula - - 2012
Malaria is among the most significant travel-related infections encountered by travellers to endemic countries in terms of morbidity and mortality. The aim of this study is to assess the knowledge and practices about malaria prophylaxis of travel medicine consultants in Greece. A standardized questionnaire was sent to travel medicine consultants ...
Angus Robert M - - 2012
BACKGROUND: Applying guidelines is a universal challenge that is often not met. Intelligent software systems that facilitate real-time management during a clinical interaction may offer a solution. AIMS: To determine if the use of a computer-guided consultation that facilitates the National Institute for Health and Clinical Excellencebased chronic obstructive pulmonary ...
Goodyear H M - - 2012
Background: Some specialties in the UK use structured templates in electronic (e) Portfolios to encourage reflective practice. This study looked at completion of an 11-field template by UK Paediatric specialty trainees. Methods: A reflective ePortfolio log from all Paediatric specialty trainees in one large UK deanery was assessed by two ...
- - 2012
In May 2011, the European Medicines Agency (EMA) released for public consultation a draft guideline on the pharmaceutical development of medicines for paediatric use. Prescrire made 20 constructive proposals. Background information can be found at english.prescrire.org.
Bygott Catherine - - 2012
Jung's work is fundamentally an experience, not an idea. From this perspective, I attempt to bridge conference, consulting room and living psyche by considering the influence of the 'Red Book' on clinical practice through the subtle and imaginal. Jung's journey as a man broadens out to have relevance for women. ...
Phipps Hala - - 2012
BACKGROUND: Issues in the management of the occipito posterior (OP) position have been the subject of clinical controversy over decades. Manual rotation has the potential to reduce operative delivery for fetal malposition. AIM: To determine the current obstetric practice with regard to manual rotation in the management of the second ...
Mercier Frédéric J - - 2012
PURPOSE OF REVIEW: To guide the optimal fluid management during cesarean delivery. The article focuses on fluid management to prevent hypotension during cesarean delivery performed under spinal anesthesia and excludes obstetric hemorrhage. RECENT FINDINGS: The literature underlines that crystalloid preloading is ineffective or poorly effective to prevent spinal hypotension during ...
D'silva Liesel L GlaxoSmithKline Pharmaceuticals Ltd, Dr. Annie Besant Road, Worli, Mumbai, 400030 - - 2013
Acute otitis media (AOM) is common in Indian children, but there is limited published information on its clinic prevalence, clinicians' diagnostic practices, and their management strategies. We approached 649 ear-nose-throat (ENT) surgeons to assess these aspects of AOM. We conducted the survey between May 2010 and February 2011 with the ...
Reding Mark T - - 2012
Bleeding symptoms commonly seen by multiple physician specialties may belie undiagnosed congenital or acquired bleeding disorders. Acquired hemophilia is a potentially life-threatening cause of unexplained acute bleeding manifested by an abnormal activated partial thromboplastin time (aPTT) that does not correct with 1:1 mixing with normal plasma. Practicing physicians (hematology/oncology, emergency ...
Karandikar Ninad - - 2011
During the past decade, our understanding of biomechanics and its importance in rehabilitation has advanced significantly. The kinetic chain, a concept borrowed from engineering, has helped us better understand the underlying physiology of human movement. This understanding, in turn, has facilitated the development of new and more rational rehabilitation strategies. ...
Gensichen J - - 2011
Background. Case management provided by health care assistants (HCAs) is effective in improving primary care for depressive patients. Little is known on the implementation-related aspects of case management performed in small family practices. Objective. To explore family doctors' perspectives on clinical and organizational aspects of implementation of case management and ...
Nisar Yasir Bin - - 2011
INTRODUCTION: Majority of studies on evaluation of emergency management courses have focused on outcomes such as knowledge and skills demonstrated in non-clinical or traditional testing manner. Such surrogate outcomes may not necessarily reflect vital changes in practice. The aim of this study was to determine if and to what extent, ...
Sulaiman Nabil - - 2011
AIM: To investigate ownership and perceived utility of written asthma action plans (WAAPs) in general practice. METHODS: Questionnaires were completed by 225 adults and 75 children with GP-diagnosed asthma from 31 practices. Regression models for WAAP ownership allowed for confounders and clustering by practice. Five audio-recorded focus groups were conducted ...
Scorgie Fiona - - 2011
Vaginal practices in sub-Saharan Africa may increase HIV transmission and have important implications for development of microbicides and future HIV prevention technologies. It remains unclear which women undertake vaginal practices and what factors predict prevalence, practice type and choice of products. Using cross-sectional data from mixed research methods, we identify ...
Nielsen Søren Beck - - 2011
A deferral of stance during the openings of general practice consultations is discussed in this paper as a possible systematic and important device for accomplishing gate keeping. The paper draws upon video recordings of naturally occurring consultations in Denmark. It is found that doctors defer their explicit stances when patients ...
Schmid Bianca - - 2010
To estimate the self-medication prevalence in low-income adults and identify associated factors. Data from a population survey performed in São Paulo municipality, Southeastern Brazil in 2005, were used. The sample strategy included two domains, favelas and non-favelas, with clustered sampling performed in two stages with a total of 3,226 eligible ...
Wagner Bridget K - - 2010
The ability to alter cell identity with small molecules represents a powerful approach to restore biological function lost because of cellular deficiency. Developing this capability through advances in chemical biology could have an enormous impact on human health.
Tang Shi-Huan - - 2010
To analyze the component law of Chinese patent medicines for anti-influenza and develop new prescriptions for anti-influenza by unsupervised data mining methods. Chinese patent medicine recipes for anti-influenza were collected and recorded in the database, and then the correlation coefficient between herbs, core combinations of herbs and new prescriptions were ...
Frugé Ernest - - 2010
A workshop at the 2008 ASPHO Annual Meeting functioned as the first step in a systematic needs assessment of the particular challenges to satisfaction and success in the middle and senior phases of career development for pediatric hematologist/oncologists (PHOs). The 61 ASPHO members who attended were randomly distributed to small ...
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