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Peroutka Stephen J SJ , 3665 Via Mar Monte, Carmel, CA, 93923-9420, USA, - - 2014
Migraine attacks rarely occur spontaneously in the absence of any possible precipitating factors. A systematic literature review of 25 publications revealed a consistent set of stimuli that have been identified as factors associated with the onset of a migraine attack. The weighted average of the "Top 10" trigger factors was ...
Linley Warren G WG Centre for Health Economics and Medicines Evaluation, Institute of Medical and Social Care Research, Bangor University, Bangor, - - 2012
There have been several explorations of factors influencing the reimbursement decisions of the National Institute for Health and Clinical Excellence (NICE) but not of other UK-based health technology assessment (HTA) organizations. This study aimed to explore the factors influencing the recommendations of the All Wales Medicines Strategy Group (AWMSG) on ...
Hicks John S - - 2012
  The Tiwi people of northern Australia have managed natural resources continuously for 6000-8000 years. Tiwi management objectives and outcomes may reflect how they gather information about the environment. We qualitatively analyzed Tiwi documents and management techniques to examine the relation between the social and physical environment of decision makers ...
Kontio Elina - - 2012
Healthcare is an information-intensive field, as information is needed to make strategic, tactical, and operational decisions. The purpose of this study was to identify the tactical decisions that middle management healthcare managers make, the information that is available, and the necessary information that is missing using the cardiac care process ...
Yousem David M - - 2012
Radiology benefits managers (RBMs) and computerized decision support offer different advantages and disadvantages in the efforts to provide appropriate use of radiology resources. RBMs are effective in their hard-stop ability to reject inappropriate studies, incur a significant cost, and interpose an intermediary between patient and physician. Decision support is a ...
Paudyal Vibhu - - 2012
BACKGROUND: More than 90 medicines in the United Kingdom alone have been reclassified from "prescription only" to "pharmacy" availability, and many of these have further been deregulated to "general sales" status. Pharmacist perspectives of reclassified medicines adoption into practice are important to inform future reclassifications. OBJECTIVES: The aim of this ...
Hanan Deirdre - - 2012
The use of Multi-criteria Decision Analysis (MCDA) was investigated in an exercise using a panel of local residents and stakeholders to assess the options for managing waste paper on the Isle of Wight. Seven recycling, recovery and disposal options were considered by the panel who evaluated each option against seven ...
Perrault Rachael T RT University of Massachusetts Medical School, Department of Psychiatry, 55 Lake Avenue North, WSH 8B, Worcester, MA 01655, USA. - - 2012
Juvenile probation officers (JPOs) are required to make numerous decisions about the case management of young offenders on a daily basis. This multi-site study examined JPOs' (N=64) perceptions of the typical youth's risk of reoffending before implementation of a risk/needs assessment (RNA) tool, and their self-reported, case management decision-making after ...
Panay Nick - - 2012
The aim of this short paper will be to guide the clinician through the plethora of possible interventions to help them to individualize treatment for their patients with PMS. The discussion will highlight management principles rather than evidence per se. It uses as its basis an updated version of the ...
Song P P - - 2012
With the development of evidence-based medicine (EBM), the concept of "transfer of current best evidence into clinical decision-making" has garnered substantial attention worldwide. As such a good tool, many clinical practice guidelines (CPGs) for hepatocellular carcinoma (HCC) have been published worldwide under the guide of current best evidence. Our study ...
Kesselheim Aaron S - - 2012
In recent decades, biomarkers have become essential in diagnosing disease and assessing patients' responses to therapy. The increasing quantitative rigor and efficiency of these tests have led to the possibility of "personalized medicine." Despite such progress, the way in which a physician uses biomarkers recapitulates an enduring practice of medicine: ...
Valdes Kristin - - 2012
The adoption of evidence-based practice (EBP) principles is advocated by many professional organizations. The purpose of this study was to assess the current attitudes and opinions of hand therapists toward EBP. A 35-item electronic survey was sent via e-mail to 2,997 hand therapists and 312 (10.4%) of eligible therapists responded. ...
McDaniels Timothy - - 2012
We develop and apply a judgment-based approach to selecting robust alternatives, which are defined here as reasonably likely to achieve objectives, over a range of uncertainties. The intent is to develop an approach that is more practical in terms of data and analysis requirements than current approaches, informed by the ...
Parsons Malcolm - - 2012
Nicholas Barbon, a refugee from the Restoration, studied medicine on the Continet. But he also acquired an interest in building and commerce, and it was in these fields that he was to make his reputation.
Liu Shuang - - 2012
In managing invasions and colonizations of non-native species, eradication or control efforts must proceed quickly. There are 2 challenges in taking such quick action. First, managers frequently have to choose among complex and often competing environmental, social, and economic objectives. Second, the effects are highly uncertain. We applied participatory structured ...
Gregory Robin - - 2012
Progress on recovery plans to conserve endangered species is often blocked due to the lack of an effective framework that technical experts and other knowledgeable stakeholders can use to examine areas of agreement or disagreement about the anticipated effects of management actions. Multi-party, multi-interest resource management deliberations, although increasingly common, are ...
Toner Eric S - - 2012
Medicine for Policymakers is a Journal column that provides decision makers with brief explanations of the meaning and implications for biosecurity of clinical issues. The articles describe, for a nonmedical audience, hospital practices, medical challenges, healthcare delivery issues, and other topics of current interest. Readers may submit ideas to the ...
Varma Jai - - 2012
ABSTRACT: It is impossible to answer every potential clinical question through randomized controlled trials. Hence, assumptions, rational thinking, logic, and reasoning are used in making recommendations; however, these methods may interfere with the judicious application of evidence-based medicine and, as discussed in this article, may result in logical fallacies. We ...
- - 2012
An estimated 2% of the UK population has psoriasis. For many patients this affects the scalp. Particular challenges in managing scalp psoriasis include choosing an appropriate treatment option, difficulties of applying topical treatments and deciding how to treat severe disease. Moreover, there is a lack of good-quality evidence on which ...
Sheth Sameer A - - 2012
This article summarizes available evidence on various management options for vestibular schwannoma as they relate to the decision-making strategies used in selection. After a brief consideration of individual options, the literature directly comparing two or more management options is examined, noting the level of evidence supporting their claims. A discussion ...
Paudyal Vibhu - - 2012
PURPOSE: Subsequent to reclassification of legal status, more than 90 prescription-only medicines have become available in the UK alone without a prescription. Similar changes are taking place internationally. The aim was to systematically review studies reporting factors associated with community pharmacists' decision making around adoption of these reclassified medicines into ...
Beasley Jeanine - - 2012
Hand therapists need to understand the basic science behind the therapy they carry out and the current evidence to make the best treatment decisions. The purpose of this article was to review current conservative therapeutic management of patients with rheumatoid arthritis (RA) or osteoarthritis (OA) of the hand. Treatment interventions ...
Ouallet J-C - - 2012
Several practical questions useful for management of patients with multiple sclerosis remain unanswered in the current scientific literature. Decisions are often made individually, without the support of solid scientific evidence. In order to facilitate concurring practices, we present guidelines concerning useful serum exams for the diagnosis of multiple sclerosis. The ...
Price Christopher P - - 2012
The principles of Evidence-Based Medicine have been established for about two decades, with the need for evidence-based clinical practice now being accepted in most health systems around the world. These principles can be employed in laboratory medicine. The key steps in evidence-based practice, namely (i) formulating the question; (ii) searching ...
Alyahya Mohammad - - 2012
Organizational structure is built through dynamic processes which blend historical force and management decisions, as a part of a broader process of constructing organizational memory (OM). OM is considered to be one of the main competences leading to the organization's success. This study focuses on the impact of the Quality ...
Guyatt Gordon H - - 2012
To develop the Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: ACCP Evidence-Based Clinical Practice Guidelines (AT9), the American College of Chest Physicians (ACCP) assembled a panel of clinical experts, information scientists, decision scientists, and systematic review and guideline methodologists. Clinical areas were designated as articles, and a methodologist without ...
Lee Chih-Sheng - - 2012
This study focuses on the development of a multi-objective game-theory model (MOGM) for balancing economic and environmental concerns in reservoir watershed management and for assistance in decision. Game theory is used as an alternative tool for analyzing strategic interaction between economic development (land use and development) and environmental protection (water-quality ...
Amorin-Woods Lyndon G - - 2012
A definitive diagnosis in chiropractic clinical practice is frequently elusive, yet decisions around management are still necessary. Often, a clinical impression is made after the exclusion of serious illness or injury, and care provided within the context of diagnostic uncertainty. Rather than focussing on labelling the condition, the clinician may ...
Rooke Catriona - - 2012
This article explores the utility of actor-network theory (ANT) as a tool for socio-legal research. ANT is deployed in a study of the evolution of divided regulatory responsibility for tobacco and medicinal nicotine (MN) products in the United Kingdom, with a particular focus on how the latter came to be ...
Omaish Mostafa - - 2012
Managing cardiac diseases in an emergency department is a challenge, as it demands rapid decision-making in a life-threating situation. This paper presents a knowledge model for clinical guideline mediated Clinical Decision Support System for Acute Coronary Syndrome (ACS), targeting the ED care setting. We take a healthcare knowledge management approach ...
Carmeli Boaz - - 2012
The personalized medicine era stresses a growing need to combine evidence-based medicine with case based reasoning in order to improve the care process. To address this need we suggest a framework to generate multi-tiered statistical structures we call Evicases. Evicase integrates established medical evidence together with patient cases from the ...
De Freitas Julian - - 2012
A long-debated question in the philosophy of health, and contingent disciplines, is the extent to which wise clinical practice ("clinical wisdom") is, or could be, compatible with empirically validated medicine ("evidence-based medicine"--EBM). Here we respond to Baum-Baicker and Sisti, who not only suggest that these two types of knowledge are ...
Patrício Madalena - - 2012
Background: It is accepted worldwide that clinical and educational decisions should be informed by the best available evidence, not individual opinion only. Aims: This article discusses the epistemological basis of educational evidence, as compared with clinical evidence, looking at the different nature of the science behind each one. Method: Two ...
Hancock Helen C - - 2012
Heart failure is not a clear-cut diagnosis but a complex clinical syndrome with consequent diagnostic uncertainty. Judgment analysis is a method to help clinical teams to understand how they make complex decisions. The method of judgment analysis was used to determine the factors that influence clinicians' diagnostic decisions about heart ...
Osti Leonardo - - 2011
Repair of rotator cuff tears is technically challenging. Full thickness rotator cuff tears have no potential for spontaneous healing, no reliable tendons substitutes are available, and their management is only partially understood. Many factors seem to contribute to the final outcome, and considerable variations in the decision-making process exist. For ...
Sur Roger L - - 2011
This essay reviews the historical circumstances surrounding the introduction and evolution of evidence-based medicine. Criticisms of the approach are also considered. Weaknesses of existing standards of clinical practice and efforts to bring more certainty to clinical decision making were the foundation for evidence-based medicine, which integrates epidemiology and medical research. ...
Mazel Jan W - - 2011
This article outlines the basic principles of evidence-based medicine (EBM) and provides urologists with some tools to further explore, understand, and work with EBM. A narrative review was conducted illustrating several aspects of EBM. Based on the definition of EBM, the aspects of evidence are clarified and a systematic approach ...
Baranchuk Adrian - - 2011
Management of intracardiac devices became a regular practice for a cardiologist. Current technology allows us to provide more sophisticated ways of pacing and defibrillating. We present two cases of multiple lead insertions to raise concern about possible interactions and complications.
Gazzillo Gregory P - - 2011
OBJECTIVE: To determine the accuracy of palpating the long head of the biceps tendon (LHBT) within the intertubercular groove with the use of ultrasonographic localization as a gold standard. DESIGN: Prospective, single-blinded pilot study. SETTING: Sports medicine clinic at a tertiary care academic institution. PARTICIPANTS: Twenty-five male and female asymptomatic ...
Pedowitz Robert A - - 2011
Of the 31 recommendations made by the work group, 19 were determined to be inconclusive because of the absence of definitive evidence. Of the remaining recommendations, four were classified as moderate grade, six as weak, and two as consensus statements of expert opinion. The four moderate-grade recommendations include suggestions that ...
Aaron Daniel L - - 2011
Bursitis is a common cause of musculoskeletal pain and often prompts orthopaedic consultation. Bursitis must be distinguished from arthritis, fracture, tendinitis, and nerve pathology. Common types of bursitis include prepatellar, olecranon, trochanteric, and retrocalcaneal. Most patients respond to nonsurgical management, including ice, activity modification, and nonsteroidal anti-inflammatory drugs. In cases ...
Wu Will F W - - 2011
Learning to perform a skilled behavior is affected by the context of the practice session and the frequency of augmented feedback. We studied the combined effect of these variables in the acquisition of a ballistic, bi-directional lever movement pattern involving four different target locations as measured by performance in practice, ...
Kesselheim Aaron S - - 2011
Despite regulatory restrictions, off-label marketing of pharmaceutical products has been common in the US. However, the scope of off-label marketing remains poorly characterized. We developed a typology for the strategies and practices that constitute off-label marketing. We obtained unsealed whistleblower complaints against pharmaceutical companies filed in US federal fraud cases ...
Hanna Lezley-Anne - - 2011
OBJECTIVE: To explore factors which may influence consumers when making decisions in relation to over-the-counter (OTC) medication. METHODS: Data were collected from members of the public using a face-to-face interviewer-administered structured questionnaire in 10 shopping centres. RESULTS: 1461 people participated (18.8% males, 81.2% females; ages ranged from under 20 to ...
Tobin Patrick C - - 2011
Ecology Letters (2011) ABSTRACT: Biological invasions are a global and increasing threat to the function and diversity of ecosystems. Allee effects (positive density dependence) have been shown to play an important role in the establishment and spread of non-native species. Although Allee effects can be considered a bane in conservation ...
Kohn Melanie Kazman - - 2011
The relatively recent attention that evidence-based decision making has received in health care management has been at least in part due to the profound influence of evidence-based medicine. The result has been several comparisons in the literature between the use of evidence in health care management decisions and the use ...
Lam Samuel M - - 2010
This article is a summary of the key elements presented during the conference held as part of the Practice Management and Development course sponsored by the Multi-Specialty Foundation in Las Vegas, Nevada in 2009. This article represents an amalgam of perspectives from practices across the United States. The Office Managers' ...
Childress Marc A - - 2010
Exertional collapse is a commonly encountered phenomenon among runners, particularly in the setting of long distances and extreme environments. Although exertional collapse is generally a benign event occurring in an exhausted finisher at race completion, the multifactorial nature of this disorder creates a broad differential diagnosis. The ability of the ...
Stewart Russell - - 2010
This paper is in the form of a case study that relates how KPMG's crisis management, business recovery and risk mitigation plans, methods and organisation were applied to ensure its clients' services were not compromised following significant damage to a major office following an arson attack. The paper describes the ...
Freshwater M Felix - - 2010
In 1980, William White published a paper "Why I Hate the Index Finger". The National Library of Medicine never indexed it so it has been missing for almost 30 years. It is reprinted here for the benefit of the current generation of hand surgeons.
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