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Franklyn J A - - 1997
Anti-thyroid drugs, surgery and radioiodine all represent effective forms of treatment for Graves' hyperthyroidism. There is, however, little consensus regarding the treatment of choice for specific cases. This lack of consensus prompted the development of guidelines for good practice in the management of hyperthyroidism for the United Kingdom. This chapter ...
Goodfellow L M - - 1997
Teaching the principles of respiratory management in a developing Spanish-speaking country presents many challenges. It is futile, for example, to present content on blood gas analysis when the equipment to analyze blood gases is not available. However, pulse oximetry in available in many of these countries and can be used ...
Troolin P - - 1997
Dentistry in today's world is a highly regulated industry. It is governed primarily by the state, but the federal government also controls certain aspects of a dental practice. This article focuses on the ways in which state government regulates the practice of dentistry. It explains the purpose of a state ...
Vuckovic N - - 1997
In the United States, contradictions related to medicine use abound in a social environment in which the pursuit of health has become a cultural project. In a marketplace where over half a million health products are available, choices at once seem to foster agency and encourage dependency on medical fixes. ...
Ober K P - - 1997
By the time Mark Twain was born, in 1835, the political forces of Jacksonian democracy had created an era of unregulated medical practice in the United States. Licensure laws were almost nonexistent, and any citizen could practice medicine. Regular ("allopathic") medicine was competing with at least two dozen other sects, ...
- - 1997
The report in March 1996 of 10 human cases of a novel from of Creutzfeldt-Jakob disease in the United Kingdom, and its possible link to the agent that causes bovine spongiform encephalopathy (BSE), raises many questions about the safety of animal-derived products and by-products entering the food chain or being ...
Dahlberg R - - 1997
This issue's Point/Counterpoint considers the pros and cons of centers of excellence. On the pro side of the debate is Ranae Dahlberg, RN, BSN, Director, Quality Management, United Resource Networks (URN), a Minneapolis-based transplant management company owned by United HealthCare. URN, which began operating in 1990, has a network client ...
Ravin J G - - 1997
While he was a student at the Munich medical school, Max Talmey strongly influenced the education of Albert Einstein. Their association occurred during five years of Einstein's second decade. They lost contact for many years after each left Munich. Talmey emigrated to the United States and practiced medicine, mainly ophthalmology, ...
Carter R - - 1997
Out of the ruins of World War I arose the poignant verse of the "Trench Poets." Lieutenant Colonel John McCrae, Canadian doctor, professor, and soldier, exemplified this verse in his haunting poem "In Flanders Fields." After establishing himself as a respected physician and university lecturer in Canada and the United ...
Gee W F - - 1996
PURPOSE: Trends of urologist practice patterns in evaluating and treating impotence, incontinence and infertility in the United States were assessed. MATERIALS AND METHODS: In July 1995 the executive interviewing branch of the Gallup Organization selected randomly and interviewed by telephone 533 practicing urologists in the United States who had provided ...
Olsen D - - 1996
No uniform guidelines for operations or accreditation standards for sports medicine center were available and, at the time of this study, little information on the management and operation of sports medicine centers was available in the literature. The purpose of the study was to determine the management structure and function ...
Freeman E A EA National Brain Injury Foundation, Canberra, - - 1996
The patient who remains in prolonged coma or in the vegetative state presents major problems in medicine, ethics and resource economics. Diagnosis and decision making are often difficult. A Coma Exit Chart can be developed using the parameters of the Glasgow Coma Scale to measure the exiting of the patient ...
Wolfson M - - 1996
Little is known about the relationship between alcohol outlet policies and practices in the United States and the likelihood that outlets will sell alcoholic beverages to persons under the legal drinking age. This study assessed the prevalence of such outlet-level policies and practices, and analyzed the relationships between outlet variables ...
Biver N - - 1996
When comet C/1995 O1 (Hale-Boop) was discovered, at a distance of seven astronomical units from the sun, it was more than one hundred times brighter than comet Halley at the same distance. A comet's brightness is derived from the reflection of sunlight from dust grains driven away from the nucleus ...
Apple D J - - 1996
On November 29, 1949, Harold Ridley implanted the first intraocular lens (IOL). This marked the beginning of a major change in the practice of ophthalmology and, for Ridley, the beginning of an era of inspiration, reward and challenge, unfortunately marred by the disdain and discourteous actions of many colleagues within ...
Hoffman I F - - 1995
What are the main causes of genital ulcer disease in the United States? Why is clinical diagnosis so difficult? What role will molecular diagnostics have in the future? The authors answer these questions and provide a functional approach to successful management of three common types of sexually transmitted genital ulcers.
Braun J L - - 1995
In the '50s and '60s, as you drove through the United States, you could not help but notice the large number of mom and pop businesses--gas stations, groceries, restaurants. The same ride in the '70s and '80s is remembered because of the large number of these businesses that had closed ...
Appel D N - - 1995
Ceratocystis fagacearum (Bretz) Hunt, the oak wilt pathogen, is currently causing massivel osses of semievergreen live oaks (Quercus fusiformis Small and Q. virginiana Mill.) in central Texas. Given the relatively limited oak mortality caused by C. fagacearum in the deciduous forests of the North Central, Midwestern, and Mid-Atlantic United States, ...
Weingart P - - 1995
Eugenics is the paradigmatic case of the conflict between biology and medicine over social influence. Commenting on an essay by Debora Kamrat-Lang (1995), the paper reconstructs the historical roots of eugenics as a form of preventive medicine. A comparison between the development of some crucial aspects of eugenics between Germany ...
Kamrat-Lang D - - 1995
American eugenics developed out of a cultural tradition independent of medicine. However, the eugenicist Harry Hamilton Laughlin and some legal experts involved in eugenic practice in the United States used medical language in discussing and evaluating enforced eugenic sterilizations. They built on medicine as a model for healing, while at ...
Hanson A E - - 1995
My paper investigates the metaphors employed by Hippocratic treatises on embryology and gynecology for conception, abortion, and gestation, as the means for bringing unseen happenings before the eye of the mind. Fruitful intercourse was pictured as a mixing of seed of both parents; the seed represented parents' bodily state at ...
Havens K E - - 1995
A 20-year history of nutrient limitation was quantified for Lake Okeechobee, a nutrient-impacted lake in Florida, USA. Limiting status (nitrogen versus phosphorus) was estimated from deviations between trophic state index (TSI) parameters, calculated from routine monitoring data. The lake is presently nitrogen-limited. However, historical trends in the TSI deviations indicate ...
Sivagnanaratnam V - - 1994
Documentation of the early development of anaesthesia in Singapore is scanty. Before World War II the anaesthetic agents used were mainly chloroform, ether and ethyl-chloride. They were usually administered by the surgeons themselves or by apothecaries under the supervision of the operating surgeon. After World War II, anaesthetists were sent ...
Owens W D - - 1994
The American Board of Anesthesiology (ABA) has been in existence since 1937 for the purpose of advancing the practice of anaesthesiology in the United States. It is a credentialling organization which requires anaesthesiology residency training, medical licensure, and successful completion of written and oral examinations in order for an individual ...
Baker F M - - 1994
Fifty-three percent of active members of the Black Psychiatrists of America responded to a mailed survey that assessed retirement planning issues. Sixty-five percent of respondents were male, 61% were married, 71% had children, and 83% owned their own homes. Thirty-nine percent owned property in another state. The major anticipated reason ...
Dimond B - - 1994
Midwives involved in the establishment of a midwifery-managed unit were given the opportunity to express their concerns anonymously. The principal areas of concern they identified were: Risks to mother and baby. Transfers from the unit to the district general hospital. Refusals by clients. Indemnity, litigation and protection by management. Prescribing, ...
Farmer R G - - 1994
The physician manager feels hassled. There are increasing budgetary restraints, concerns over the appropriateness of resource utilization, and steadily increasing worry over governmental bureaucracy. In addition, there are concerns over patient satisfaction and increasing dissatisfaction by health care personnel. For all of this, the physician manager feels responsible. Sound familiar? ...
Vincent A L - - 1994
A total of 2,246 Floridians were randomly surveyed by telephone concerning the Florida Clean Indoor Air Act and smoking in restaurants. Only 28.8% responded correctly that restaurant smoking is prohibited unless a manager's sign specifically permits it. More than 80% of smokers felt free to light up in the absence ...
Hibbard B - - 1994
An audit of facilities recommended to be available in consultant obstetric units (COUs) in the United Kingdom (UK) received responses from 248 (95%) of all 260 COUs. Of the respondents, 86% were on the site of an acute general hospital, 76% had an intensive therapy unit on site, and 87% ...
Simpson M - - 1994
A survey of 19 large blood centers, each with an average annual collection of 158,889 units, was conducted to identify. current practices of management of red cell units that contain unexpected red cell antibodies. The routine antibody identification, distribution, and charge for such units varied widely among the 19 centers. ...
Kennedy B W - - 1993
Connectedness among management units (e.g., herds or regions) is of concern in genetic evaluation. When genetic evaluation is under an animal model, connections occur through A, the numerator relationship matrix. It is argued that the most appropriate measure of connectedness is the average prediction error variance (PEV) of differences in ...
Juran J M - - 1993
In the opinion of some journalists and business leaders, Japan's preeminence in product quality is a direct consequence of lectures delivered 40 years ago in Tokyo by two Americans--W. Edwards Deming and Joseph M. Juran. According to Dr. Juran, this view is pure chauvinist nonsense. Despite the shoddiness of Japanese ...
Munger M A - - 1993
OBJECTIVE: To rereview the status of state pharmacy practice acts since 1987. Additionally, this report discusses adoption of the 1992 National Association of Boards of Pharmacy Model State Pharmacy Practice Act as the standard state pharmacy practice statute. DATA SOURCES: State codes for 50 states and the District of Columbia, ...
Bruhn J G - - 1993
Super managers manage boundaries; leaders transcend boundaries. Super managers want to ensure their success and that of their organization by getting the various units in the organization to do their jobs well. They want to get the right individuals and groups together to get the job done. Leaders, on the ...
Justice R M RM - - 1993
To say that the FDA preapproval inspection program has generated much interest is an understatement. There have been multiple Commissioner Exchange Meetings at various locations throughout the United States and several multi-day workshops sponsored by the industry to help clarify how to prepare for this inspection. In order to establish ...
Gaucher E - - 1993
Quality experts state that ineffective leadership can hinder and even destroy efforts to implement total quality management (TQM). However, they rarely discuss the specific actions leaders should take in implementing TQM and when leaders should take them. This article discusses a four-phase TQM implementation model that includes specifications for leadership ...
Hill A D - - 1992
We report an audit of 786 oesophageal procedures, including 53 oesophagectomies, performed during 1990 in a specialist oesophageal unit. Apart from assessing morbidity and mortality, audit allows a review of cost efficiency and justification for certain practices with regard to patient management. The data reported here may provide a framework ...
Claussen D - - 1992
Droperidol may be used to bring about conscious sedation in therapeutic and diagnostic endoscopy. Droperidol is a neuroleptic tranquilizer that produces marked tranquilization and sedation. Droperidol may be used to allay apprehension and provide a state of mental detachment while maintaining reflex alterness necessary in endoscopic interventions. Adverse reactions to ...
Kirkland K - - 1992
This article reports a case study on a crime victim identified and treated in an internal medicine residency program. Recent findings on crime and violence in the United States are reviewed with a particular focus on the psychologic and medical aftermath faced by victims. A unique role for the internist ...
- - 1992
OBJECTIVE: To establish consensus statements for the use of human albumin solutions in clinical situations identified as responsible for the major use of human albumin products. DESIGN AND SETTING: Working parties comprised of specialists in intensive care, renal medicine, cardiothoracic anaesthesia, gastroenterology, haematology and transfusion medicine, were convened to develop ...
Domholdt E - - 1992
Direct access use among experienced therapists practicing in states with 3 years' experience with direct access was studied, as were differences between therapists who had and had not practiced through direct access. A questionnaire was mailed to 250 members of the North Carolina, Nevada, and Utah chapters of the American ...
Kennedy K A - - 1992
Preterm premature rupture of the membranes continues to be a leading cause of perinatal morbidity and mortality in the United States. In the absence of amnionitis or fetal compromise, expectant management is a reasonable alternative to permit fetal weight gain and to allow for fetal lung maturation. When embarking on ...
Collins F - - 1992
For Frank Collins, General Manager of Kettering's acute and midwifery unit, the day begins with a look at the list of 'long waiters'. Will the internal strategy enable this to be reduced to zero by 31 March? What are the other issues facing the manager of this 640-bed unit in ...
Packwood T - - 1992
Resource Management (RM) requires hospital units to manage their work in new ways, and the new management processes affect, and are affected by, organisation structure. This paper is concerned with these effects, reporting on the basis of a three-year evaluation of the national RM experiment that was commissioned by the ...
Kelley B D - - 1992
Artemisia tridentata (basin sagebrush) is discussed as a medicinal plant in the southwestern United States of America. Active constituents present in A. tridentata are listed, the pharmacologic implications of their presence are reviewed, and medicinal applications are tabulated. Further research to determine the status of A. tridentata as a medicinal ...
Lussier R N - - 1992
The clinical laboratory is a fast-paced environment where accuracy and efficiency are crucial. A major responsibility of the clinical manager is to assign tasks clearly to ensure that a quality job is done right the first time. Have you ever heard a manager say "This isn't what I asked for?" ...
Decker R - - 1992
A hospital materials manager writes that he is having a problem with a supplier trying to renege on an offer to sell that the supplier had stated would be held open for 60 days. In this dialogue, Dr. Decker reviews the concept known as the firm offer and offers some ...
O'brien P - - 1992
"This article examines past and present migrations to Germany from the perspective of nation-state formation.... Focusing on the many experiences with the Polish minority (ranging from the eighteenth century to the present), this essay suggests that Germans have never discovered an acceptable and workable approach for dealing with large non-German ...
Moffat M - - 1992
The Sunnybrook Health Science Centre's matrix organization model includes a traditional departmental structure, a strategic program-based structure and a case management-based structure--the Clinical Unit structure. The Clinical Unit structure allows the centre to give responsibility for the management of case mix and volume to decentralized Clinical Unit teams, each of ...
Dowd S - - 1991
This article reviews some representative state statutes in special reference to the responsibilities of the radiographer, in the hope to give radiographers and those in charge of departments of radiology a means to determine their liabilities according to their own state laws and institutional guidelines. It is not intended to ...
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