Validating existing count practices and reducing individual practice variance are necessary to decrease the risk for retained surgical items. A quality improvement project was undertaken at one large city hospital to identify best practice and eliminate variability in count practices. The project included an analysis of 20 surgical count policies ...

This paper proposes an indicators system to analyse the sustainability of tourist activity at rural destinations in countries with a consolidated tourism sector. The proposed system aims at providing tourist managers and policy-makers with information to better understand the transition to sustainability at specific destinations and to encourage them to ...

The purpose of this study was to gain a better understanding of voluntary associations involved in forest management. The specific areas examined in this study include organizational attributes, membership profile, attitudes toward forest-management priorities, and concerns about forest-management issues. To achieve this purpose, data were collected using a case study ...

Inhibition of return (IOR) refers to a delayed responding to targets appeared at previously cued location relative to an uncued novel location. In a recent study, Bao and Pöppel [1] reported a functional dissociation of inhibitory processing in the visual field with much stronger IOR magnitude in the far periphery ...

A comprehensive list of planning criteria for optimizing compliance in Marine Protected Areas (MPAs) was compiled and used to compare the views of recreational fishers and compliance officers for facilitating voluntary compliance in the Port Stephens - Great Lakes Marine Park (PSGLMP). Expert working groups were tasked separately with: 1) ...

The sustainability of crucial earth resources, such as groundwater, is a critical issue. We consider groundwater sustainability a value-driven process of intra- and intergenerational equity that balances the environment, society, and economy. Synthesizing hydrogeological science and current sustainability concepts, we emphasize three sustainability approaches: setting multigenerational sustainability goals, backcasting, and ...

: To better understand and characterize the challenges facing internal medicine from the perspective of internal medicine residency program directors. : In 2007, internal medicine program directors were surveyed by the Association of Program Directors in Internal Medicine (APDIM). An open-ended question asked: "What are your major concerns regarding internal ...

The purpose of this study was to assess the effect of low-frequency force steadiness practice in the plantar flexor muscles on postural sway during quiet standing. Healthy young 21 men (21±1 yrs) were randomly assigned to a practice group (n=14) and a nonexercising control group (n=7). Practice groups were divided ...

The objectives were to explore the tolerance of pediatric emergency medicine (PEM) physicians for risk in choosing when to perform procedural sedation and analgesia (PSA) and to describe adherence to preprocedural fasting guidelines and factors affecting the physicians' decisions. A survey of Canadian PEM physicians who perform PSA was conducted. ...

The theory of Darwinian Medicine linked to an extension of Darwin's evolutionary theory is based on the approach from the aspect of "why we become ill?".This theory enables us to understand the relationship between humans and diseases by thinking from evolutional perspective, shows an important help for preventive medicine, and ...

Interrogations and elections were two branches of Arabic judicial astrology made available in Latin translation to readers in western Europe from the twelfth century. Through an analysis of the theory and practice of interrogations and elections, including the writing of the Jewish astrologer Sahl b. Bishr, this essay considers the ...

Investing in an Automated Compound Management System (ACMS) is a major investment and it is therefore imperative that return on investment is maximized. This article will demonstrate how the life cycle of an ACMS can be managed effectively to drive system efficiency, reduce costs, and meet customer demand to maximize ...

Reflective practice is one of the most popular theories of professional knowledge in the last 20 years and has been widely adopted by nursing, health, and social care professions. The term was coined by Donald Sch?n in his influential books The Reflective Practitioner, and Educating the Reflective Practitioner, and has ...

Contemporary Darwinian medicine is a still-expanding new discipline, one of whose principal aims is to arrive at an evolutionary understanding of those aspects of the body that leave it vulnerable to disease. Historically, there was a precedent for this research; between 1880 and 1940, several scientists tried to develop some ...

This paper attempts to argue for a consistent trend in a research spanning more than fifty years, starting in the exciting neuroscience environment in the Anatomical Institute at the University of Oslo, and presently to be found as an active behavioral medicine unit in Bergen. The most comprehensive theoretical result ...

We argue that many evolved biases produced through selective forces described by error management theory are likely to entail misbeliefs. We illustrate our argument with the male sexual overperception bias. A misbelief could create motivational impetus for courtship, overcome the inhibiting effects of anxiety about rejection, and in some cases ...

A medieval English text on the theory and practice of uroscopic analysis is found in British Library, Sloane MS 280, and Cambridge, St. John's College MS B.16. The treatise, the title of which is given in the fuller and earlier copy in Sloane 280 as "Barton's Urines Which He Treated ...

Although burnout in the helping professions is well documented, few studies have examined the phenomenon of the resilient therapist. This study used a grounded theory methodology to construct a theory of therapist resilience. The participants were eight licensed marital and family therapists: five females, three males, all Caucasian, with an ...

The central objective of this presentation is to reflect on the obstacles involved in the task proposed by the Chicago Congress, which is to explore convergences and divergences in psychoanalytic practice. The author discusses two major obstacles. First, the epistemological and methodological problems in relation to the construction of theory ...

This study examined three assumptions of the theory of deliberate practice for practice playing music on an electronic keyboard. 40 undergraduate students, divided into two separate groups, practiced one of two music sequences and rated the relevance of practice for improving performance on the sequences, the amount of effort needed ...

Hormonal treatment represents the principal aspect of clinical management of people with disorders of sex development (DSD) from adolescence onwards. In fact, individuals with DSD may require sex steroid replacement to induce secondary sex characteristics, to optimize bone mass accrual, and to promote physical and social well-being. Testosterone is the ...

Homeopathy is being attacked by the British media. These attacks draw support from irresponsible and unjustified claims by certain teachers of homeopathy. Such claims include the use of 'dream' and 'imaginative' methods for provings. For prescribing some such teachers attempt to replace the laborious process of matching symptom picture and ...

Ki (in Japanese) or Qi (in Chinese) is the key concept in Eastern medicine, Eastern philosophy, as well as in martial arts. We explain the philosophical and psychological background of Ki. We emphasize that the unique aspects of Eastern philosophy are 'non-linearity' and 'holistic' approach. We then present physics aspect ...

This study sought to describe, analyze, and interpret how forest owners engage (or do not engage) in the management of their properties. A Grounded Theory Approach (Glaser and Strauss 1967; Charmaz 2006) was used to build an emergent theory though descriptive and interpretational analysis.

In an article in this journal, Nicholas Pastore rejected Ludwig Wittgenstein's critique of Wolfgang Köhler and Gestalt psychology. Pastore appears not to have appreciated Wittgenstein's argument that Köhler mistook conceptual questions for factual ones. A simi-lar confusion seems to underlie at least some aspects of contemporary neuroscience. Be that as ...

In mitral valve regurgitation due to anterior leaflet prolapse and other complicated lesions, chordal replacement with expanded polytetrafluoroethylene is widely practiced. The most troublesome aspects of this procedure are the determination of the necessary length of the artificial chorda and the tying of the knot. We describe a simple technique ...

Two modifications of Gaussian-4 (G4) theory [L. A. Curtiss et al., J. Chem. Phys. 126, 084108 (2007)] are presented in which second- and third-order perturbation theories are used in place of fourth-order perturbation theory. These two new methods are referred to as G4(MP2) and G4(MP3), respectively. Both methods have been ...

One premise of the underdetermination argument is that entailment of evidence is the only epistemic constraint on theory-choice. I argue that methodological rules can be epistemically significant, both with respect to observables and unobservables. Using an example from the history of medicine -- Koch's 1882 discovery of tuberculosis bacteria -- ...

Kraepelin believed that a chronic metabolic autointoxication, perhaps arising from the sex glands, eventually caused chemical damage to the brain and led to the symptoms of dementia praecox. The evolution of Kraepelin's autointoxication theory of dementia praecox is traced through the 5th to 8th (1895 to 1913) editions of his ...

In this review we consider the new science of Darwinian medicine. While it has often been said that evolutionary theory is the glue that holds the disparate branches of biological inquiry together and gives them direction and purpose, the links to biomedical inquiry have only recently been articulated in a ...

Co-management has gained prominence due to the sustained interest in participatory forms of natural resource management. While theoretical development posed an initial challenge, it has become an integral part of the co-management literature. This paper comprehensively explores co-management theory. It begins with an investigation of theory itself. The major elements ...

Debates about the moral and political acceptability of particular sexual practices and new technologies often include appeals to a supposed imperative to follow nature. If nature is understood as the totality of all phenomena or as those things that are not artificial, there is little prospect of developing a successful ...

Biotechnology has an increasingly extensive use for military purposes. With the upcoming age of biotechnology, military operations are depending more on biotechnical methods. Judging from the evolving law of the theory of command, the command of biotechnology is feasible and inevitable. The report discusses some basic characteristics of modern theories ...

The preparation of polymer-supported allyltin reagents was shown to be possible for both unfunctionalized and functionalized allyl units. These reagents were treated with aldehydes in the presence of cerium(III) or indium(III) salts to afford high yields of homoallylic alcohols, practically uncontaminated with organotin residues (less than 5 ppm). Some mechanism ...

Abdominoscrotal hydrocele (ASH) is an uncommon entity. It consists of large inguinoscrotal swelling which is dumbbell shaped, and in theory, communicates with its intra-abdominal component. Although various theories have been proposed, the aetiology is still unclear. To date, the only reported management is by surgical excision. Spontaneous resolution has not ...

Sepsis and related aspects has become an area of active and intense research, leading to important advances for an early diagnosis and appropriate management useful to improve patient outcome. The septic response is an extremely complex cascade of events, including proinflammatory, anti-inflammatory, humoral, cellular, and circulatory involvement. The pathophysiology of ...

This paper describes how some aspects of Martin Heidegger's philosophy resonate strongly with an engineering outlook. He argued that practice was more "primordial"" than theory, though preserving an important role for theoretical understanding as well, thus speaking to the gap between engineering education (highly theoretical) and engineering practice (mostly empirical). ...

The revised erythropoietin claims monitoring policy that will govern reimbursement by the Centers for Medicare & Medicaid Services for Epoettin alfa and darbepoetin alfa administered to patients on dialysis takes effect on April 1, 2006. The new policy provides several significant improvements that should enhance clinicians' ability to manage anemia ...

The current theory and narrative states that democratic decentralization of forest management leads to sustainable forest management and improved livelihoods. Three assumptions underlie this theory and narrative: i) democratic decentralization is a means of institutionalizing and scaling up community-based natural resource management; ii) rural people benefit from the forest and ...

Dean Ornish of the Preventive Medicine Research Institute in Sausalito, California has created an intensive holistic treatment for coronary heart patients with improved diet (low fat, whole foods, plant based), exercise, stress management, and social support that has proven to be efficient. In this paper, we analyze the rationale behind ...

We describe a new multicomponent domino reaction from beta-ketoamides, involved as substrates and as nucleophilic partners. We obtain highly functionalized and original 2,6-diazabicyclo[2.2.2]octane cores (2,6-DABCO) in a five-step one-pot sequence, which is fast, environmentally friendly, operationally simple to manage, and combines step- and atom-economic aspects.

BACKGROUND: Dermatology lexicon is rich with descriptive terminology. However, for a variety of reasons, it also includes a number of misnomers. OBJECTIVE: To review the more commonly encountered and critically appraised misnomers in dermatology. METHODS: A search of MEDLINE (1966 - 2004), eMedicine dermatology text and electronic versions of two ...

In a recent issue of the Journal of Trauma, Kim et al. described their experience with the esophageal Doppler monitor (EDM) in major burn patients. Other authors have reported the historical development of the EDM, reviewed the technical and scientific aspects of this modality, and compared the EDM with the ...

A new methodology has been designed to identify and rank the significant environmental aspects in sea ports. The main objective of the Strategic Overview of Significant Environmental Aspects (SOSEA) is to help port managers to identify significant environmental aspects and to reinforce the awareness about them in order to prioritise ...

The influence of Galen on the subsequent interpretation of the history of ancient medicine has been substantial. This paper explores the consequences of adopting a non-Galenic perspective in two different areas of research. It argues that Galen's own career, and his own views of the ideal physician, cannot be taken ...

Most complementary medicine is distinguished by not being supported by underlying theory accepted by Western science. However, for those who accept their validity, complementary and alternative medicine (CAM) modalities offer clues to understanding physiology and medicine more deeply. Ayurveda and vibrational medicine are stimulating new approaches to biological regulation. The ...

This paper considers VM's largely unrecognised contribution to a debate which spanned philosophy and medicine concerning the demands an adequate explanation must meet in the operation of a craft. VM's special contribution consists in indicating a means to an understanding of a mutual interdependence of theory and practice which acknowledges ...

Psychobiological Attachment Theory (PAT) (Kraemer, 1992) provides a way of thinking about caregiver-infant relationships for use in clinical practice. This manuscript describes how the theory translates into a frame of reference that can be used in practice within the context of natural environments. A discussion of the theoretical base, function/dysfunction ...

In Studies 1 and 2, the authors evaluated deliberate practice theory through analyses of the relationship between practice and performance for 2 populations of athletes: triathletes and swimmers, respectively. In Study 3, the authors obtained evaluations of practice from athletes' diaries. Across athletes, length of time involved in fitness activities ...

Johann Christoph Friedrich Schiller (1759-1805) is remembered today for his contributions to literature and aesthetic theory-it is less well known that his first career was in medicine (an army appointment). Scholars have generally held that his primary interest lay in psychology and the psychological aspects of medicine, and that his ...