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Results 201 - 250 of 742
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Becker Beril - - 2012
Aim: According to the German Social Security Code (SGB V), drugs should be prescribed on a cost-effective basis. An attempt is made to achieve this in Germany with the help of the DDD system and reference prices. Taking the example of the most frequently prescribed corticosteroid nasal sprays containing the ...
Bartol Tomaz - - 2012
Concepts for medicinal plants are represented by a variety of associated general terms with specific indexing patterns in databases, which may not consistently reflect growth of records. The objectives of this study are to assess the development in databases by identifying general terms that describe herbal medicine with optimal retrieval ...
Halvorsen Peder A - - 2012
In Norway the default payment option for general practice is a patient list system based on private practice, but other options exist. This study aimed to explore whether general practitioners (GPs) prefer private practice or salaried positions. Cross-sectional online survey (QuestBack). General practice in Norway. Participants were asked whether their ...
Reilly Brian K - - 2012
OBJECTIVE: The goal of this study was to examine the roles of Physician Assistants (PAs) and Nurse Practitioners (NPs) in pediatric academic otolaryngology programs to provide a better understanding of their scope of practice, levels of autonomy, clinical duties, teaching opportunities and research participation. DESIGN: An anonymous web-based electronic survey ...
Mahalik James R - - 2012
This study drew upon the knowledge base of member practitioners of the American Psychological Association (APA) to develop a taxonomy of helpful and harmful practices for treatment with boys and men. Four hundred seventy-five APA-member practitioners solicited from practice-related divisions provided responses to 4 open-ended questions about helpful and harmful ...
Smith Paul H - - 2012
Population based studies imply underutilization of renal preservation for managing small renal mass (SRMs). Limited information is available regarding the impact of practice environment on SRM treatment. We evaluated practice patterns for SRMs in the context of a urologist's practice environment. Survey instrument querying practice type (private versus academic/academic affiliation) ...
Wang De Yun de - - 2012
For patients suffering from allergic rhinitis (AR), general practitioners (GPs) are often their first source of medical advice. It is one of the top-ten reasons for a visit to the primary care clinics and AR was estimated to be 10-40% of the total patient visits in about 50% of the ...
Carmel Simon - - 2012
The practice of medicine is often represented as a dualism: is medicine a 'science' or an 'art'? This dualism has been long-lasting, with evident appeal for the medical profession. It also appears to have been rhetorically powerful, for example in enabling clinicians to resist the encroachment of 'scientific' evidence-based medicine ...
Hughes L A - - 2012
Reasons for performing study: Antimicrobial use is known to select for the emergence of resistant strains of bacteria; therefore prudent use in both human and veterinary medicine is essential to preserve their efficacy. Objectives: To characterise antimicrobial prescribing patterns in UK equine practice and evaluate factors associated with prescribing. Methods: ...
Barry Alan - - 2012
This research, conducted by postal questionnaires and focus groups, gathered the opinions of both current and former GP trainees on Irish General Practice Training Programmes about the educational value of day release. Six focus groups, comprising 34 general practice trainees, were conducted. Results demonstrated that both current and former GP ...
Haukilahti Riitta-Liisa - - 2012
In the licensing process in Finland, of the doctors who have taken their medical degree outside the EU/EEA, a certificate of a language test in Finnish or Swedish is demanded. The Department of General Practice at the University of Tampere takes care of the licensing examinations, including two written medical ...
Mears K P - - 2012
Armed Forces General Practice is in an unprecedented time of challenge with the demands of contiguous worldwide operations in austere environments, reorganisation of defence, budgetary constraints and manpower shortfalls. We propose a model of this crucial area of military medical care as a key academic and practical reference point, which ...
Bluth Edward I - - 2012
No reliable data exist to accurately track trends in the radiology workforce. To fill this void, the ACR Commission on Human Resources undertook an electronic survey to better understand the present workforce situation for radiologists. The Practice of Radiology Environment Database(®) of 1,994 practices nationwide was used to identify practice ...
Barr Thomas R - - 2012
In 2011, we made predictions on the basis of data from the National Practice Benchmark (NPB) reports from 2005 through 2010. With the new 2011 data in hand, we have revised last year's predictions and projected for the next 3 years. In addition, we make some new predictions that will ...
Luk Lyndon - - 2012
RATIONALE AND OBJECTIVE: The modification of the initial radiology board exam series has as a concerted aim the promotion of subspecialization. Yet, in practice, fellowship-trained radiologists may be assigned to off-hours work in other diagnostic areas. The purpose of this study is to chart the prevalence of after-hour work among the ...
Kligler Benjamin - - 2012
The objectives of this study were to develop a better understanding of which patients with chronic illness tend to respond to integrative medicine interventions, by identifying a set of characteristics or qualities that are associated with a positive outcome in a randomized clinical trial of an integrative medicine approach to ...
Allport Jack - - 2012
BACKGROUND: Subclinical hypothyroidism (SCHo) is a common biochemical diagnosis in older age. Evidence of impact is inconclusive and guidelines are inconsistent. With increasing numbers of thyroid function tests (TFTs) performed, GPs frequently have to make management decisions regarding this diagnosis. However, little is known about how SCHo is currently being ...
Evers Andrea W M - - 2012
Promising research developments in both basic and applied sciences, such as genomics and participatory health care approaches, have generated widespread interest in personalized medicine among almost all scientific areas and clinicians. The term personalized medicine is, however, frequently used without defining a clear theoretical and methodological background. In addition, to ...
Jhaveri Pavan M PM Section of Radiation Oncology, Department of Radiology, Baylor College of Medicine, Houston, Texas, - - 2012
Integrated urology-radiation oncology (RO) practices have been advocated as a means to improve community-based prostate cancer care by joining urologic and radiation care in a single-practice environment. However, little is known regarding the scope and actual physical integration of such practices. We sought to characterize the emergence of such practices ...
Paul Johannes G - - 2012
The integration of the informal sector into municipal solid waste management is a challenge many developing countries face. In Iloilo City, Philippines around 220tons of municipal solid waste are collected every day and disposed at a 10ha large dumpsite. In order to improve the local waste management system the Local ...
Wallaschofski Henri - - 2012
Personalized Medicine is the key topic for the development of future health care provisions in endocrinology. State-of-the-art diagnostics and novel therapeutic interventions that take into account the specific requirements and characteristics of the individual patient is the objective of personalized medicine. Therefore, metabolomics might be the most promising approach to ...
Jamshed Shazia Qasim - - 2012
In developing countries out-of-pocket payments (OOP) are as high as 80% of healthcare spending. Generic medicines can be instrumental in reducing this expenditure. The current study is aimed to explore the knowledge, perception, and attitude of general practitioners towards generic medicines in Karachi, Pakistan. This exploratory, descriptive study was conducted ...
Toll John - - 2012
The "top five actions" presented by Bridges et al. in "Accelerating Progress at Contaminated Sediment Sites: Moving from Guidance to Practice" (IEAM 8(2):331-338) represent an important set of normative guidelines that could accelerate progress at contaminated sediment sites. An important next step is to use those guidelines to develop recommendations ...
Ning Ana M - - 2012
The aim of this article is to interrogate the pervasive dichotomization of 'conventional' and 'alternative' therapies in popular, academic and medical literature. Specifically, I rethink the concepts such as holism, vitalism, spirituality, natural healing and individual responsibility for health care as taken-for-granted alternative ideologies. I explore how these ideologies are ...
Abrams Donald I - - 2012
To the Editor: Integrative medicine is healing-oriented medicine that takes account of the whole person, including all aspects of lifestyle. It emphasizes the therapeutic relationship between practitioner and patient, is informed by evidence, and makes use of all appropriate therapies. In contrast, alternative therapies are used instead of conventional interventions, ...
- - 2012
To the Editor: Integrative medicine is healing-oriented medicine that takes account of the whole person, including all aspects of lifestyle. It emphasizes the therapeutic relationship between practitioner and patient, is informed by evidence, and makes use of all appropriate therapies. In contrast, alternative therapies are used instead of conventional interventions, ...
Chang Christopher - - 2012
Complementary and alternative medicine (CAM) methods are increasingly being used by patients in the Western world to treat autoimmune or allergic diseases. Patients use these methodologies of their own accord, frequently against the advice of their physicians. Integrative medicine hopes to merge the benefits of both conventional Western medicine and ...
Winters Charlene A - - 2012
Evidence-based practice is an expected core competency of all health care clinicians regardless of discipline. Use of evidence-based practice means integrating the best research with clinical expertise and patient values to achieve optimal health outcomes. Evidence-based practice requires nurses to access and appraise evidence rapidly before integrating it into clinical ...
Richards Duncan - - 2012
The challenges of developing new medicines are well known. Effective application of clinical pharmacology expertise is vital to the successful evaluation of potential new medicines. In drug development, this depends on effective integration of diverse skills. Many of these are currently in short supply, but through innovative partnerships between industry ...
Li Wen-Jie - - 2012
Wilson's disease (WD), or hepatolenticular degeneration, is an autosomal recessive inheritance disorder of copper metabolism caused by ATP7B gene mutation. As WD is an inherited disease of the nervous system that is not curable; early diagnosis with early and life-long treatment leads to better prognoses. Currently, the recommended treatment for ...
Repasky Matthew P - - 2012
Glide SP mode enrichment results for two preparations of the DUD dataset and native ligand docking RMSDs for two preparations of the Astex dataset are presented. Following a best-practices preparation scheme, an average RMSD of 1.140 Å for native ligand docking with Glide SP is computed. Following the same best-practices ...
Vrdoljak Davorka - - 2012
The concept of evidence based medicine (EBM) as the integration of clinical expertise, patient values and the best evidence was introduced by David Sackett in the 1980s. Scientific literature in medicine is often marked by expansion, acummulation and quick expiration. Reading all important articles to keep in touch with relevant ...
Khoury Muin J - - 2012
Advances in genomics and related fields promise a new era of personalized medicine in the cancer care continuum. Nevertheless, there are fundamental challenges in integrating genomic medicine into cancer practice. We explore how multilevel research can contribute to implementation of genomic medicine. We first review the rapidly developing scientific discoveries ...
Smith Winter J - - 2012
To describe the development, implementation, and assessment of an internal medicine introductory pharmacy practice experience (IPPE) that was integrated with an existing advanced pharmacy practice experience (APPE) in internal medicine. A structured IPPE was designed for first-, second-, and third-year pharmacy (P1, P2, and P3) students. Activities for the IPPE ...
Sharf Barbara F - - 2012
OBJECTIVES: This study examines three integrative health centers to understand their (1) historical development, organizational goals, and modalities, (2) the processes and challenges of integrating complementary and allopathic medicine, while encouraging staff collaboration, and (3) how each center becomes institutionalized within their community. METHODS: We focus on three organizational case ...
Varker Kimberly A - - 2012
As commonly defined, complementary and alternative medicine (CAM) is a broad category that includes biologically based practices, mind-body medicine, manipulative and bodybased practices, and energy medicine as well as complete medical systems such as naturopathy, homeopathy, Ayurvedic medicine, and traditional Chinese medicine. Several CAM methodologies show promise for the treatment ...
Apostoleris Nicholas H - - 2012
Reviews the book, Integrating Narrative Medicine and Evidence-Based Medicine: The Everyday Social Practice of Healing by J. P. Meza and D. S. Passermann (2011). Drs. Meza and Passerman have written a timely, widely relevant work which is both accessible to readers who are new to narrative and evidence-based medicine and ...
Grady Meghan M - - 2012
Despite the fact that monoamine oxidase inhibitors (MAOIs) can be highly effective therapeutic agents for depression and some anxiety disorders, they tend to be underutilized in clinical practice. This is due at least in part to the fact that there is a great deal of misinformation and mythology about their ...
Appel Sherry - - 2012
Cystotomy is a common surgical procedure in small animal veterinary medicine, yet common pre-, intra-, and post-operative practices have not been described. This survey evaluated cystotomy practices of 106 veterinarians in Ontario. The majority of respondents reported practices consistent with standard recommendations, but some deficiencies in antimicrobial and analgesic use, ...
Chotchoungchatchai Somtanuek - - 2012
BACKGROUND AND OBJECTIVES: Thai Traditional Medicine (TTM) is available in many modern hospitals in Thailand. However, there have been difficulties in integrating TTM, particularly the practices of the use of herbal medicines, into modern healthcare services. Kabchoeng Hospital is one hospital that has been able to overcome these difficulties. Thus, ...
Gray-Murray Jo Ann - - 2013
Practical wisdom is essential to occupational and professional practice. However, the emphasis on technical rationality in these domains neglects the necessity of practical wisdom in doing specialized, skilled work. Microdynamic methods for analyzing social action enabled the discovery and examination of practical wisdom in two interactional episodes from community health ...
Jiang Miao - - 2012
Zheng, which is also called a syndrome or pattern, is the basic unit and a key concept of traditional Chinese medicine (TCM) theory. Zheng can be considered a further stratification of patients when it is integrated with biomedical diagnoses in clinical practice to achieve higher efficacies. In an era of ...
Lo Lun-Chien - - 2012
Tongue diagnosis is an important practice in traditional Chinese medicine (TCM) for diagnosing diseases before determining proper means of treatments. Traditionally, it depends solely on personal knowledge and experience of the practitioner, thereby being criticized as lacking of objectivity. Currently, no research regarding intra- and inter-agreements of automatic tongue diagnosis ...
Wang Jie - - 2012
Integrative medicine is not only an innovative China model in clinical practice, but also the bridge for TCM toward the world. In the past thirty years, great achievements have been made in integrative medicine researches, especially in clinical practice. The clinical achievements mainly include the following three: innovating methodology of ...
Rosenkranz Sara - - 2012
Previous research has shown that general practitioners (GPs) rarely use pneumatic otoscopy or tympanometry as recommended by best practice guidelines for diagnosing otitis media. The purpose of this study was to determine whether a multimodal, interactive training workshop on the techniques of pneumatic otoscopy and tympanometry would improve the confidence ...
Ott R - - 2012
Although the ethical and health implications of neuroenhancement have been intensely discussed over the past years, little is known about the experiences and attitudes of physicians confronted with requests for neuroenhancing substances. The aim of this study was to explore general practitioners' and psychiatrists' familiarity with such requests and their ...
Froeliger Brett - - 2012
Hatha yoga techniques, including physical postures (asanas), breathing exercises (pranayama), and meditation, involve the practice of mindfulness. In turn, yoga meditation practices may induce the state of mindfulness, which, when evoked recurrently through repeated practice, may accrue into trait or dispositional mindfulness. Putatively, these changes may be mediated by experience-dependent ...
Seoane J A - - 2012
In a near future, each person will incorporate his/her own sequenced genome in his/her electronic health record. In that precise moment, genomic medicine will be fundamental for clinical practice, as an essential key of personalized medicine. All the genomic data, as well as other 'omics' and clinical data necessary for ...
Klippi A - - 2012
Aims: The objective of this article is to discover and document the state of clinical practices for aphasia therapy in Finland and to gather information for developing national best practice. Methods: Two surveys were administered in Finland that explored current clinical practices in aphasia rehabilitation and the resources available to ...
McConnell Douglas J - - 2012
In the fall of 1999, the Institute of Medicine released "To Err is Human: Building a Safer Health System," a sobering report on the safety of the American healthcare industry. This work and others like it have ushered in an era where the science of quality assurance has quickly become ...
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