We sought to identify what services indigenous (Maori) and immigrant populations use pharmacies for, and how long pharmacy staff spend interacting with them, as longer interactions are associated with better quality care. We review literature on counseling in pharmacy, and interaction length as an indicator of counseling quality. 1,086 interactions ...

As an outcome of The 2009 Nobel Prize in Physiology or Medicine, a connection has been highlighted between the length of telomeres and epigenetic effects, such as intensive changes in lifestyle and nutrition as well as behavioural and psychological factors. In this review, the various elements of molecular, cell biological, ...

Management of all-terrain vehicle (ATV) use on Minnesota state forest lands has a contentious history and land managers are caught between ATV riders, non-motorized recreationists, private landowners, and environmental advocates. In this paper, we demonstrate the usefulness of framing distinct perspectives about ATV management on Minnesota state public forests, understand ...

The purpose of this article is to consider three underappreciated but important features of high performance teams: the trade-off relation between social and technical competence, the relevance of team size on productivity, and the inevitability of tensions that, while often experienced as dysfunctional, are in fact quite useful. It does ...

HIM professionals need more than tools to manage information, they need tools to help manage the stress and anxiety a state of constant change can bring. "Mindfulness" offers a way to reduce anxiety and keep focused.

Midwifery activity in the labour room coalesces around routine surveillance practices. When engaging in such practice, midwives have to cope with attempting to instil a sense of confidence in the mother's embodied ability to give birth to her baby spontaneously while concurrently attending to an array of risk-focused tests and ...

The purpose of this manuscript is to provide evidence-informed practice recommendations for the chiropractic treatment of headache in adults. Systematic literature searches of controlled clinical trials published through August 2009 relevant to chiropractic practice were conducted using the databases MEDLINE; EMBASE; Allied and Complementary Medicine; the Cumulative Index to Nursing ...

ABSTRACT: Evidence-based medicine has evolved with at least three distinct components: the core evidence, the systematic methods of reviewing and synthesising the evidence, and the use and application of the evidence in practice. This paper considers the tensions that exist because of different perceptions about the value, quality and interpretation ...

E. LeRoy Ryer and Elmer E. Hotaling were very prominent optometrists of the first half of the twentieth century and made numerous contributions to the profession. They were among the early pioneers of professional optometry practice. They published many articles in optometry journals, and did work in instrument design. They ...

Business executives' lives have become a never-ending race against time, technology, and targets. This race creates tension, which leads to dissatisfaction and frustration and eventually manifests itself as psychological and physiological stress with mental and emotional drain. This modern lifestyle intensifies the stress leading to "excessive tension" and consequent deterioration ...

The provision of appropriate nutritional support is an essential part of the primary and adjunctive management of many gastrointestinal (GI) disorders in neonatology and pediatrics. Few conditions in neonatology pose as great a challenge as intestinal failure or short bowel syndrome (SBS). The latter, SBS, is a complex disorder affecting ...

Postgraduate medical education has changed enormously in the last 10 years presenting huge logistical challenges for local, regional and national organisations. Assessment is under change in line with major revisions of postgraduate curricula. Old methods of assessment are changing to newer evidence-based methods supported by ongoing research into good practice. ...

Christiaan Barnard (1922-2002), pioneering heart transplant surgeon, introduced his ideas on euthanasia in a well-written and researched book, Good Life Good Death. A Doctor's Case for Euthanasia and Suicide, published in 1980. His courage in analyzing this topic in a forthright and clear manner is worth reviewing today. In essence, ...

The objectives of this study were to determine associations between low farrowing rate and various management factors in sow herds. In 30 sow herds, a management survey, breeding observations, semen evaluation, and semen storage temperature monitoring were completed. Herds with an average farrowing rate of < 85% were classified as ...

Physicians have to make many decisions when they decide to open their own practice. The paperwork and legalities involved can be daunting, and making the wrong decisions can doom a practice from the start. Do not despair. TMA Practice Consulting and its team of experts can help navigate the troubled ...

Good staff procedure skills in a management group during incidents and disasters are believed to be a prerequisite for good management of the situation. However, this has not been demonstrated scientifically. Templates for evaluation results from performance indicators during simulation exercises have previously been tested. The aim of this study ...

Performance measurement and payment are increasingly linked to goals established by practice guidelines. The best guidelines are based on systematic reviews and patient-oriented evidence, use an evidence-rating system such as the Strength of Recommendation Taxonomy, and are prospectively validated. The guidelines also should have a transparent development process, identify potential ...

Researchers have discovered inconsistent relationships between prosocial motives and citizenship behaviors. We draw on impression management theory to propose that impression management motives strengthen the association between prosocial motives and affiliative citizenship by encouraging employees to express citizenship in ways that both "do good" and "look good." We report 2 ...

Bobby Hancock, senior director of facility management for the Bloorview Kids Rehab facility in Toronto, describes how features such as a 37 kW penthouse roof solar array, thermal glazed windows, rainwater harvesting, and air handling units with variable speed drives and heat recovery wheels, contribute to the "green" credentials of ...

The bulk gross alpha, gross beta and (7)Be depositional fluxes were measured in Málaga (36.7 degrees N, 4.5 degrees W), a coastal Mediterranean station in the south of Spain for one whole year. In order to quantify the local variation of deposition rates, we have analysed the monthly results from ...

The prevalence of feeding practices and supplements for dogs used in private practice (pp) and the non-profit-making People's Dispensary for Sick Animals (pdsa) was evaluated. Questionnaires were completed by 400 pp clients and 400 pdsa clients, of which 27.2 per cent and 29.8 per cent, respectively, gave supplements to their ...

Aquacair believes proper ventilation hygiene is a key tool in ensuring that healthcare premises provide a healthy, safe and comfortable environment, while also making certain, as far as is practicable, that all energy used by ventilation and air conditioning plant is put to good use. Here the company sets out ...

BACKGROUND: An increased awareness of the need for safety in medicine in general and in surgery in particular has prompted comparisons between the cockpit and the operating room. These comparisons seem to make sense but tend to be oversimplified. DISCUSSION: Attempts in healthcare to mimic programs that have been credited ...

Environmental assessmen practices have not been as successful as they should be. We believe that this is in part because environmental assessors lack a clear and useful set of principles-that is, a theory of practice. We propose a theory that derives 19 principles from 3 axioms: (1) assessments inform environmental ...

The "failing to mature" arteriovenous fistula (AVF) is frequently encountered among patients in need of hemodialysis (HD). It is essential that its prompt recognition and management are conducted in a timely manner to allow its use in HD. The physical examination is essential in early identification of the "failing to ...

Lead, mercury, and arsenic have been detected in a substantial proportion of Indian-manufactured traditional Ayurvedic medicines. Metals may be present due to the practice of rasa shastra (combining herbs with metals, minerals, and gems). Whether toxic metals are present in both US- and Indian-manufactured Ayurvedic medicines is unknown. To determine ...

Animals living around humans may habituate to us, but little is known about the consequences of this habituation. Some wildlife managers assume that habituation to humans makes individuals less likely to respond to natural predators, which is something to be avoided in captive breeding programmes where animals are destined for ...

BACKGROUND: To date, there is no gold standard for sick-listing practices, and physicians find sickness certification problematic. Measures have been taken to improve physician's sick-listing practices, but with ambiguous results. To be able to make such interventions effective, it is important to identify and target barriers to good practices. Our ...

The European Water Framework Directive 2000/60/EC, requires the determination of ecological status in European waterbodies, based primarily on biological indicators, and that minimum good ecological quality is obtained by 2015. We used background morphometric, hydrologic, physico-chemical and biological data, in order to assess the typology of the main Greek lakes. ...

OBJECTIVE: This study compared national self-reported data on medicine use and national prescription records at the individual level. STUDY DESIGN AND SETTING: Data from the nationally representative Danish health survey conducted in 2000 (n=16,688) were linked at the individual level to national prescription records covering 1999-2000. Kappa statistics and 95% ...

This paper examine the efficiency of energy use of three conservation tillage practices (SST - sub-soil tillage; MT - minimum tillage; and NT - no tillage) performed within two management zones, previously identified in a field according to the stability of yield variability. Experiments were carried out in 2003 in ...

A convenient, highly efficient, decatungstate-mediated chemical methodology to functionalize fullerenes is demonstrated. A variety of radicals have been generated by the photochemical interaction of tetrabutylammonium decatungstate [(n-Bu4N)4W10O32] and para-substituted toluenes, anisoles, and thioanisole and effectively trapped by the [60]fullerene affording the corresponding 1,2-dihydro[60]fullerene monoadducts in moderate to good yields.

OBJECTIVE: To review management of pregnant mares with body wall defects and assess the effect of various management strategies on the outcome of mares and their foals. DESIGN: Retrospective case series. ANIMALS: 13 mares. PROCEDURES: Medical records of eligible mares were reviewed. Signalment, history, admitting complaint, clinical findings, parity, type ...

Good management of patients at risk for the development of hepatocellular carcinoma includes regular ultrasound surveillance, and aggressive management of lesions detected at ultrasound. Good radiology and good pathology are essential to the appropriate management of these small lesions. With good quality testing it is possible to cure the majority ...

Blunt trauma can result in indirect scleral rupture with subsequent dislocation of the crystalline lens in the subconjunctival or subtenon space. This retrospective review of eight patients with traumatic phacocele highlights the clinical presentation, management and visual outcome. This study provides evidence that timely and effective intervention can ensure good ...

Many fungi may occur on grapes during growth in the vineyard, but the main concern from the viewpoint of mycotoxin contamination is the black Aspergilli, Aspergillus carbonarius and A. niger. These fungi are capable of producing ochratoxin A (OA) which may contaminate grapes and grape products such as wine, grape ...

Brands are on the wane. Many consumer-goods companies blame the big-box discount retailers, but the Wharton School's Leonard Lodish and the Fuqua School's Carl Mela have a different explanation. Their research suggests that companies have damaged their brands by investing too much in short-term price promotions and too little in ...

This survey evaluates early perceptions about the use of medetomidine and atipamezole among veterinary practitioners in Quebec in 2002. Response rate was 23.5%; 71.1% of the practitioners did not use these products because of lack of information (69.3%), unavailability of the drugs in the practice (23.3%), or other reasons (7.3%), ...

Almost 50% of the largest American firms will have a new CEO within the next four years; your company could very well be next. Senior executives know that a CEO transition means they're in for a round of firings, organizational reshuffles, and other unwelcome career changes. When your career suddenly ...

Good manufacturing practice (GMP) is applied to the manufacture of immunological veterinary medicinal products (IVMPs) in a number of regions around the world. Within the European Union (EU) there are well-established requirements for GMP in the manufacture of IVMPs. Maintaining GMP when producing IVMPs is important because there are particular ...

Critical initiatives stall for a variety of reasons--employee disengagement, a lack of coordination between functions, complex organizational structures that obscure accountability, and so on. To overcome such obstacles, managers must fundamentally rethink how work gets done. Most of the challenges stem from broken or poorly crafted commitments. That's because every ...

We report a case series of five adolescents who were managed with dual simultaneous perineural infusions after orthopaedic surgery on an outpatient basis. Adolescents undergoing orthopaedic procedures involving more than one extremity or nerve distribution can be managed after operation with multiple catheters. Use of low concentrations of local anaesthetic ...

Tribunals are often constituted by members of the legal profession. Sometimes members are appointed because of specific expertise in a certain area. The area of guardianship, being a protective jurisdiction, has aspects that make it different from other areas often dealt with by tribunals. Interpersonal skills for tribunal members are ...

OBJECTIVES: (1) To describe the characteristics of decision-making about management of unborn infants with serious anomalies by a multidisciplinary perinatal team. (2) To evaluate the impact of multidisciplinary team discussions on the degree to which decisions about the management of unborn infants with serious anomalies are supported. (3) To evaluate ...

OBJECTIVES: To evaluate the esthetic acceptability range of computer-generated variations in smile arc and buccal corridor. DESIGN: Web-based descriptive study using available subjects. SETTING AND SAMPLE POPULATION: The World Wide Web. Subjects for the main study included 115 lay and 131 orthodontist raters. EXPERIMENTAL VARIABLES: Buccal corridors and smile arcs, ...

Dr. Franjo (Franz) Kresnik (born Wien 1869 - died Rijeka 1943) was an excellent physician and a Central European intellectual, a bohemian mind whose two loves in life made him very special. His passions were medicine and violin making. Most of his life was spent in Susak (now a part ...

This paper presents the recommendations of the American Association of Physicists in Medicine (AAPM) and the European Society for Therapeutic Radiology and Oncology (ESTRO) on the dosimetric parameters to be characterized, and dosimetric studies to be performed to obtain them, for brachytherapy sources with average energy higher than 50 keV ...

A structural diagram, in the form of a two-dimensional (2-D) sketch, remains the most effective portrait of a "small molecule" or chemical reaction. However, such structural diagrams, as for any other core data, cannot be used in speech (and should not be used in free text). "Good annotation practice" for ...

There is a tension between the technical skills of dentistry that most practitioners are good at and enjoy and the business aspects of managing a successful practice. Inattention to the business side of practice can rob dentists of the success and satisfaction of their work. Fortunately, dentists can be trained ...

It was studied the dissipation rates of fenoxycarb, Lufenuron, flufenoxuron and pyriproxyfen from their application on navelina orange crops to the production of orange juice. Supervised trials were carried out for the phytosanitary treatments under two situations, one according to Good Agricultural Practices (GAP) and the other one with Critical ...