Search Results
Results 201 - 250 of 369
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Debruyne F - - 2001
The paper describes briefly the major historical steps towards the development of the surgical treatment of hyperparathyroidism. The first parathyroidectomies were carried out in 1925, in Europe and in the United States, independently from each other. The first surgeon in Vienna, F. Mandle, has received a rightly deserved place in ...
Chaimowitz G A - - 2000
OBJECTIVE: To discuss the concepts of the duty to protect and the associated threat to confidentiality and their impact on practice for Canadian psychiatrists. METHOD: We review these concepts and provide a synthesis of legal cases impacting psychiatric practice. CONCLUSION: The onus is on the psychiatrist to make him or ...
Debrot A O - - 2000
Public environmental awareness and support for management measures are key determinants of the scope for successful implementation of natural resource management. To assess user perceptions and opinions on resource state and potential management options for the coastal zone of Curaçao, we queried 250 coastal resource users from around the island ...
Hassinger W J WJ - - 2000
OBJECTIVE: To determine feeding, cropping, and manure-handling practices of swine operations of various sizes. DESIGN: Producer survey. SAMPLE POPULATION: 85 sow units and 132 finish floors. PROCEDURE: Swine producers were surveyed by mail and during farm visits for information regarding herd characteristics and management practices, with emphasis on the 3 ...
Kobayashi J - - 2000
Four new nitrogen-containing clerodane diterpenoids, echinophyllins C-F (1-4), were isolated from the leaves of the Brazilian medicinal plant Echinodorus macrophyllus ("Chapéu-de-couro"), and their structures and relative stereochemistry were elucidated from their spectroscopic data. Compounds 1-4 possess an alpha,beta-unsaturated gamma-lactam ring consisting of a clerodane diterpene unit and an amine moiety.
Aurin M - - 2000
Many things to many people, opium has played a role in the emergence of several power bases in the United States. In turn, these bases of power have shaped what opium is for the rest of us. Allopathic medicine brought opium and its derivatives under its control around the turn ...
Ayorinde B T - - 2000
Pregnancy in a patient in a persistent vegetative state presents challenging therapeutic questions about the level of supportive management required, the assessment of fetal well-being, the timing and mode of delivery and the anaesthetic management of labour and delivery. We report the case of a 29-yr-old woman who had a ...
Falk G W - - 2000
BACKGROUND: Endoscopic surveillance of Barrett's esophagus is recommended to detect dysplasia or cancer at an early and potentially treatable stage. However, little is known about the clinical practice patterns for endoscopic surveillance in the United States. METHODS: A questionnaire regarding surveillance intervals, techniques and management approaches for patients with Barrett's ...
Malkin H M - - 2000
This paper is a brief biography of William Henry Welch, generally considered not only the father of American pathology but also the dean of medicine in the United States during the first quarter of the 20th century. This biography emphasizes Welch's seldom-recognized contribution to the development and understanding of wound ...
Borchers A T - - 2000
There is a growing interest in medicinal botanicals as part of complementary medicine in the United States. In particular, both physicians and consumers are becoming aware of the use of herbals by Native American societies; many botanicals sold today as dietary supplements in the United States were used by Native ...
Mulimani VH - - 2000
A laboratory practical experiment in Biotechnology involving the investigation of alpha-amylase production by solid state fermentation of Gibberella fujikuroi is described.
Howlett T A - - 2000
The results of a survey of endocrinologists concerning their approaches to the evaluation of a patient with an incidentally discovered pituitary mass are presented in this article. The practices of British and American endocrinologists are compared. The wide variation in diagnostic approaches to the practice of ordering tests in the ...
Steele M T - - 2000
The objective of this study was to compare the number of emergency medicine (EM) graduates unable to find a job in the city/area of their first choice in 1995 and 1997. Self-administered questionnaires were distributed to EM residents who graduated in both 1995 and 1997. The survey ascertained resident's practice ...
Kelly J P - - 2000
More than 800 sports-related concussions occur in the United States each day, sometimes involving high-profile athletes whose injuries reach public awareness through sports broadcasts and news media. Although nonphysicians are often present and relied upon for the detection of concussion in the sports setting, the proper diagnosis and management of ...
Caruso BS - - 2000
/ Nonpoint source (NPS) pollution from widespread agricultural/pastoral land use in New Zealand can result in receiving water quality problems, but the Resource Management Act of 1991 requires the sustainable management of land and water resources. Many similar types of problems occur in the United States, where the Clean Water ...
Taylor B L - - 1999
In contrast to the goals of the symposium from which this series of papers originated, we argue that attempts to apply unambiguously defined and general management unit criteria based solely on genetic parameters can easily lead to incorrect management decisions. We maintain that conservation genetics is best served by altering ...
Wappner R - - 1999
OBJECTIVE: The development of guidelines for phenylketonuria (PKU) management in the United Kingdom has resulted in much discussion in the community of parents and PKU clinics and parents have asked why the United States does not have such guidelines. The objective of this report is to discuss PKU management in ...
Young M D - - 1999
OBJECTIVE: This 10-year follow-up study of previously published surveys of pharmacy practice acts examines 50 state and the District of Columbia pharmacy practice acts to assess the range of statutory definitions and determine the direction and magnitude of statutory changes since 1988. DATA SOURCES: State codes for 50 states and ...
Fox R T - - 1999
Eight management functions influence the productivity of unit personnel differently. Although leadership of the first-line manager is the primary driving force, time and effort expended in operations detract from this unit output. Better use of second-line managers is a choice strategy to enhance productivity. Benner's model of professional development, in ...
Leake R - - 1999
This article reviews current licensure and certification standards for the practice of acupuncture in the United States. It serves as a current reference for the regulation of the practice of acupuncture, the licensing of acupuncturists, and the certification and training of physicians, chiropractors, dentists, podiatrists, and naturopathic physicians to practice ...
Wallick M M - - 1999
Based on Swiss physician-scholar Carl G. Jung's theory of psychological types proposed in the 1920s, Kathleen Cook Briggs and her daughter Isabel Briggs Myers developed the Myers-Briggs Type Indicator (MBTI) three decades later. They applied Jung's dynamic theory to determine how persons take in information, make decisions, and communicate thoughts ...
Esler M D - - 1999
We conducted a postal questionnaire to survey methods of laryngoscope cleaning in units throughout Great Britain. We found that there was great variation in practice. Most units autoclave laryngoscope blades at some time, but less than one-quarter do so between each case. A wide range of methods is used to ...
Kitchen L W - - 1999
Family physicians in the United States are increasingly called on to manage the complex clinical problems of newly arrived immigrants and refugees. Case studies and discussions are provided in this article to update physicians on the diagnosis and management of potentially unfamiliar ailments, including strongyloidiasis, hookworm infection, cysticercosis, clonorchiasis and ...
Green S A - - 1999
Bonesetting, a most ancient healing art, was absorbed into orthopaedic surgery approximately 120 years ago when Hugh Owen Thomas, a medical doctor specializing in pediatric deformities, assumed his father's nonmedical bonesetting practice. In many nonWestern nations, however, traditional bonesetters continue to treat large numbers of patients. Current market forces in ...
Connelly J - - 1999
Medical practice is beset by interruptions, contests for the attention of the physician, and urgent demands that diminish the attentiveness required for the humanistic care of patients. This essay discusses skills for "being in the present moment" that can help doctors to overcome distractedness. Because of some striking similarities between ...
Adeola O - - 1999
The advent of concentrated, large animal production units presents a monumental challenge for the effective management of nutrients in animal manure. This symposium was organized to address the issue of the environmental impact of animal production and to offer suggestions on nutrient management procedures for reducing the environmental impact. There ...
Mighion K - - 1999
The practice of oncology is changing dramatically, spurred on by managed care initiatives throughout the United States. As a result, physicians are faced with multiple demands from insurers, managed care organizations, and patients. In response to these demands, oncology physician practice management companies have entered the cancer market. This article ...
Gorney M - - 1999
The virtually unrelenting stress of practicing medicine in the United States today is undoubtedly exerting powerful negative effects on the mood and, by implication, the effectiveness of American plastic surgeons. The author points out that anger is at the root of malpractice claims and offers physicians advice on how to ...
Webb T E - - 1999
Crisis response teams are becoming a standard operating procedure for most United States military organizations and for many military organizations outside the U.S. This paper describes the establishment of one specific Critical Incident Stress Management (CISM) team designed to provide psychological support during crisis, disasters, traumas, and other critical incidents ...
Jarvis R R - - 1998
OBJECTIVE: To survey genitourinary physicians in the United Kingdom on their approaches to the management of vulvar lichen sclerosus. STUDY DESIGN: Questionnaire survey of United Kingdom genitourinary consultants. RESULTS: Seventy-one percent of genitourinary physicians biopsy vulvar lichen sclerosus. For treatment, 78% of clinicians use a high-grade topical corticosteroid, such as ...
- - 1998
Hold on to your Medicaid special needs population by partnering with your state. Rather than waiting for managed care to engulf its patient base, the Shepherd Center in Atlanta proactively is working on a pilot program with the state to manage patients physical disabilities in hopes it will be a ...
Little S E - - 1998
Diagnostic findings on 51 red foxes (Vulpes vulpes) from the southeastern United States examined from 1967 to 1995 were reviewed. Etiologic diagnoses included sarcoptic manage (n = 33), traumatic injury and associated complications (n = 5), suspected canine distemper (n = 2), capture myopathy (n = 1), congenital absence of ...
- - 1998
Mergers, acquisitions, and even plain expansion means that more practices operate in multiple states. But there are different employment laws in each state, and benefits such as health insurance can vary from market to market. The first step to effective management of staffs across state lines is to work through ...
Platin E - - 1998
OBJECTIVE: The purpose of this study was to assess the level of compliance with dental radiography quality assurance recommendations on the part of dental practitioners in the state of North Carolina and to determine whether the age of the practice was an influential factor affecting compliance. STUDY DESIGN: On-site survey ...
Savvidou M - - 1998
The management of preterm labour (PTL) remains contentious. Many regimes are used for the management of this common condition and in utero transfer of pregnant women to another unit is not unusual in British practice. Medical staff in the accepting unit may have little or no experience with one or ...
Sano T - - 1998
Two (Z)-dehydrobutyrine(Dhb)-containing microcystins, [d-Asp3, (Z)-Dhb7]microcystin-HtyR (1) and [d-Asp3, (Z)-Dhb7]microcystin-LR (2), were isolated from a hepatotoxic bloom of the cyanobacterium Oscillatoria agardhii from a freshwater lake in Scotland. The geometrical structure of the Dhb units in the microcystins was determined as Z on the basis of NOE and ROESY experiments.
Hendrick R E - - 1998
PURPOSE: To assess possible changes in quality control (QC) practices at mammography sites in the United States. MATERIALS AND METHODS: Mammography site surveys were conducted in 1990, 1992, and 1995 through the Colorado Mammography Advocacy Project (CMAP). Data from mammography sites applying for American College of Radiology (ACR) accreditation were ...
Li J - - 1998
gamma-Hydroxybutyric acid (GHB) is unfamiliar to many physicians in the United States but enjoys clinical use elsewhere for applications in resuscitation, anesthesia, and addiction therapy. Use within the United States is restricted to Food and Drug Administration-approved clinical trials for treatment of narcolepsy. Recently illicit use of GHB has emerged ...
Slavens R L - - 1998
Although scribing has been used in ophthalmology for many years, the real benefits could not be realized until the entry of managed care into medicine in the United States. Everyone benefits in an office that uses scribes. The patient and the physician benefit by having a record that is much ...
Martin F N - - 1998
A 5-page questionnaire was sent to 500 audiologists who were randomly selected from the directory of members of the American Academy of Audiology to assess the clinical practices most commonly used by certified audiologists in the United States. Survey content was limited to only those practices and procedures routinely used ...
Sims K L - - 1998
This article traces the development of pathology practice from its origins in autopsy pathology to its current practice in the United States. The American model of practice differs markedly from that in continental European countries because of the extensive incorporation of "Clinical Pathology" with the traditional disciplines of anatomic pathology ...
Ablaza V J - - 1998
The use of ultrasound assisted lipoplasty (UAL) to assist in the removal of subcutaneous fat has been practiced in Europe for nearly a decade but has only recently been practiced in the United States. This article will discuss the UAL procedure, its history, regulatory issues, instrumentation and equipment needed, clinical ...
Zuber T J - - 1998
I recently had the privilege of eating breakfast with Michigan Supreme Court Justice Clifford W. Taylor. Justice Taylor was appointed to the Supreme Court in 1997 by Governor Engler, and he is the 100th justice named to the state's highest court. He has been a strong supporter of medicine in ...
Darbà J - - 1998
Parallel importing has existed on a small scale in Europe for many years and has been upheld by the European Court of Justice as consistent with standard principles of free trade. However, the potential impact of parallel trade has increased significantly with the launch of the European Medicines Evaluation Agency ...
Rink R C - - 1998
Surgical management of intersex states continues to evolve such that today's efforts achieve near normal cosmetic and functional results. In this article we discuss the reconstruction of the female genitalia in those that have had significant androgen stimulation as well as those with near normal external genitalia but significant urogenital ...
van Hooft S - - 1998
Taking as its starting point a recent statement of the Goals of Medicine published by the Hastings Centre, this paper argues against the dualistic distinction between pain and suffering. It uses an Aristotelian conception of the person to suggest that malady, pain, and disablement are objective forms of suffering not ...
Rama Raju K V - - 1998
Mir Osman Ali Khan Bahadur, the Nizam VII ruled the Hyderabad State for about 38 years. In those days Ayurveda was flourishing in the state due to efforts of many Ayurvedic physicians, scholastic teachers, distinguished patrons and well-wishes who worked together with devotional spirit to make Ayurveda available to the ...
Crout K L - - 1998
BACKGROUND AND PURPOSE: This study examined whether differences exist about physical therapists' opinions and practices regarding the use of direct access between therapists practicing in Massachusetts, a direct-access state, and therapists practicing in Connecticut, a state that allows only evaluation without referral. A second purpose was to examine direct-access practices ...
Menitove J E - - 1998
Although hemovigilance is not a word used commonly in the United States, the concept of monitoring morbidity associated with blood transfusion is accepted widely. Currently, quality management focuses on error avoidance rather than error detection in both the "manufacturing" and "clinical" aspects of blood banking. "Manufacturing" is regulated predominantly by ...
Lichtenstein G R - - 1997
An estimated 700,000 persons in the United States currently have this disease, which is often preceded by gastroesophageal reflux and may progress to adenocarcinoma. Questions posed in management include: Which patients merit endoscopic surveillance? And in which is medical therapy or surgery appropriate?
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