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Dunbar Nancy M NM aDepartment of Pathology bDepartment of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, - - 2014
This review will describe recent applications of computerized provider order entry (CPOE) with clinical decision support systems (CDSS) in transfusion medicine and other novel ways information technology is being applied to support patient blood management (PBM) efforts. CPOE with CDSS can be used to encourage appropriate transfusion practices as part ...
Xiong X-J - - 2014
Coronary heart disease (CHD) is one of the leading causes of death worldwide. Moreover, angina pectoris is one of the most important types of CHD. Therefore, prevention and effective treatment of angina pectoris is of utmost importance in both China and western countries. However, undesirable effects of antianginal therapy do ...
Zhou L - - 2014
Background and Objectives: Stroke is a disease with high morbidity, disability, and fatality. Since ischemic stroke is the most common kind of stroke, increasing attention has been paid to its prevention and treatment. Given the limitations of conventional medicine, there is growing interest in Chinese Medicine (CM), especially Chinese Patent ...
Hughes Naomi T NT Assistant Professor (Hughes), *Division of Emergency Medicine, University of Pennsylvania, Perelman School of Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA; Professor of Surgery and Pediatrics (Burd), †Division of Trauma and Burn Surgery, George Washington University School of Medicine and Health Sciences Chief; Professor of Pediatrics and Emergency Medicine Chair (Teach), ‡Department of Pediatrics, Children's National Health System, George Washington University School of Medicine and Health Sciences, Washington, - - 2014
Evidence for changes in adult trauma management often precedes evidence for changes in pediatric trauma management. Many adult trauma centers have adopted damage-control resuscitation management strategies, which target the metabolic syndrome of acidosis, coagulopathy, and hypothermia often found in severe uncontrolled hemorrhage. Two key components of damage-control resuscitation are permissive ...
Sharma Prabin P *Department of Medicine ‡Department of Gastroenterology, Englewood Hospital and Medical Center, Englewood, NJ †University of Miami Leonard Miller School of Medicine, Miami, - - 2014
The Institute for Patient Blood Management and Bloodless Medicine at the Englewood Hospital has considerable experience in managing patients with gastrointestinal bleeding who do not accept blood-derived products. We present our data and experience over the last 8 years in managing such patients. There is paucity of data on management ...
Silberman Edward E Tufts Medical Center, Boston, MA, USA, - - 2014
The authors contrasted physicians trained in both psychiatry and another specialty who continue to practice both specialties vs. those who practice only psychiatry, in terms of their training, academic profile, and practice setting. The authors analyzed survey responses from 132 doubly boarded physicians who vary in whether or not they ...
Yager Joel J University of Colorado, Aurora, CO, USA, - - 2014
For many clinical questions in psychiatry, high-quality evidence is lacking. Credible practice guidelines for such questions depend on transparent, reproducible, and valid methods for assessing expert opinion. The objective of this study was to develop and demonstrate the feasibility of a method for assessing expert opinion to aid in the ...
Reilly Thomas J - - 2013
Although translational medicine has become a priority for medical science, advances in neuroscience have failed to be translated for the benefit of patients. In populations at high risk of psychosis, neuroimaging could stratify those mostly likely to develop psychosis. This is an example of potentially translatable psychiatry.
Grantham Hugh Jm - - 2012
Background Australian Resuscitation Council guidelines on basic and advanced life support are amended periodically. These changes are informed by recent evidence on best practice in resuscitation medicine. In December 2010, the latest guidelines were released for implementation in 2011. Objective This article outlines the key messages from the latest Australian ...
Pardee Connie - - 2012
To investigate the association between characteristics of individuals with spinal cord injury and neurogenic bowel and their perceived quality of life. The study design is an exploratory, descriptive correlational design. To measure the variables of the study the Quality of Life Survey developed by Randell et al. () was used to ...
Maclaren G - - 2012
Much might be learned about the art of medicine by studying the lives of great artists. The year 2011 marked the bicentenary of the birth of Franz Liszt (1811-1886), one of the most accomplished musicians of the 19th century. Lessons relevant to contemporary medical practice can be found by examining ...
Ahmed Mansoor - - 2012
Paediatric Life Support (PLS) courses are thought to significantly increase knowledge of paediatric resuscitation for all professional groups. PLS and Newborn Life Support (NLS) guidelines were revised and updated in 2005. In a telephonic survey, the retention and awareness of the changes in PLS guidelines were evaluated among 100 junior ...
von Gunten Charles F - - 2012
OBJECTIVE:: What is the evidence for the effectiveness of palliative medicine? METHOD:: A search of the PubMed database for clinical trials using search terms "Palliative Care" or "Palliative Medicine" or "Hospice" or "end of life" and "effectiveness" was conducted, and 63 articles were returned. Of these, 10 were related to ...
Hahn Michael P - - 2012
ABSTRACT Palliative sedation evolved from within the practice of palliative medicine and has become adopted by other areas of medicine, such as within intensive care practice. Clinician's usually come across this practice for dying patients who are foregoing or having life support terminated. A number of intolerable and intractable symptom ...
Borgwardt Stefan - - 2012
No reliable anatomical or functional alterations have been confirmed in psychiatric neuroimaging; however it can become reliable with translational impact on clinical practice when considering crucial methodological issues. We provide guidelines to authors, editors and reviewers in the implementation/evaluation of neuroimaging studies to bend neuroimaging to be more than basic ...
Meltzer Eli O - - 2011
Rhinosinusitis (RS) affects approximately 1 in 7 adults in the United States, and its effect on quality of life, productivity, and finances is substantial. During the past 10 years, several expert panels from authoritative bodies have published evidence-based guidelines for the diagnosis and management of RS and its subtypes, including ...
Roos Markus - - 2011
Guidelines have become very important in assisting with decision making in clinical practice. However, few studies have analyzed the level of evidence (LOE) underlying guidelines critically. This study aims to assess the accuracy of the referenced literature that has led to recommendations with a level of evidence A (LOE-A) rating. ...
Smith Toby O - - 2011
Whilst there is little debate over the treatment of Rockwood grade V and VI acromioclavicular dislocation, the management of grade III acromioclavicular dislocation remains less clear. The purpose of this study was to compare the clinical outcomes of patients managed operatively and non-operatively following grade III acromioclavicular dislocation. A systematic ...
Hoffmans Ruth - - 2011
AIMS: To determine whether general practitioners (GPs) distinguish between the management of acute rhinosinusitis (ARS) and chronic rhinosinusitis (CRS), especially with regard to prescription of antibiotics and nasal steroids. METHODS: A questionnaire on the management of rhinosinusitis was sent to 1000 GPs in the Netherlands. RESULTS: Ninety-six percent discriminated between ...
Lee Dong Heun - - 2011
Clinical practice guidelines are developed to assist in patient care. Physicians may assume that following such guidelines means practicing evidence-based medicine. However, the quality of supporting literature can vary greatly. We analyzed the strength of recommendation and overall quality of evidence behind 41 Infectious Diseases Society of America (IDSA) guidelines ...
Pitts-Singer Theresa L - - 2011
The alfalfa leafcutting bee (ALCB), Megachile rotundata F. (Megachildae), was accidentally introduced into the United States by the 1940s. Nest management of this Eurasian nonsocial pollinator transformed the alfalfa seed industry in North America, tripling seed production. The most common ALCB management practice is the loose cell system, in which ...
Desrosiers Martin - - 2011
This document provides healthcare practitioners with information regarding the management of acute rhinosinusitis (ARS) and chronic rhinosinusitis (CRS) to enable them to better meet the needs of this patient population. These guidelines describe controversies in the management of acute bacterial rhinosinusitis (ABRS) and include recommendations that take into account changes ...
Kim Jong Yeol - - 2011
Two international meetings, the International Physiome Symposium 2008 and the Workshop on Systems Biology (SB) and Oriental Medicine (OM), were held to discuss the most appropriate scientific tools to research OM. Participants agreed that since OM is holistic medicine it needs a systems approach such as SB. However, SB itself ...
Burnham John C - - 2011
Communication amongst medical specialists helps display the tensions between localism and transnationalisation. Some quantitative sampling of psychiatric journals provides one framework for understanding the history of psychiatry and, to some extent, the history of medicine in general in the twentieth century. After World War II, extreme national isolation of psychiatric ...
Khanal A R - - 2010
The introduction of new technology, management practices, and alternative production systems has resulted in rapid structural change in the US dairy industry. This paper examines adoption rates and adopter characteristics for the following dairy technologies, practices, and systems: holding pen with an udder washer, milking units with automatic take-offs, genetic ...
Ozyurt I Burak - - 2010
Managing vast datasets collected throughout multiple clinical imaging communities has become critical with the ever increasing and diverse nature of datasets. Development of data management infrastructure is further complicated by technical and experimental advances that drive modifications to existing protocols and acquisition of new types of research data to be ...
Mäkelä Kari - - 2010
We investigated factors that could govern the use and user competence of electronic patient record (EPR) systems used in Finnish primary healthcare in the county of South Ostrobothnia. A structured questionnaire was sent to 400 health center (HC) staff (general practitioner, nurse, and clerical) from eight HCs. The questions dealt ...
- - 2010
Now that the final rule on the meaningful use standard has included patient encounters in the ED, managers will have added responsibilities in the areas of documentation, IT system evaluation, and physician participation. Learn and understand the difference between the terms "meaningful use" and "certified". Find out which pharmacies are ...
Wu Zhen-Yu - - 2012
The telecare medicine information system enables or supports health-care delivery services. In recent years, the increased availability of lower-cost telecommunications systems and custom made physiological monitoring devices for patients have made it possible to bring the advantages of telemedicine directly into the patient's home. These systems are moving towards an ...
Burnett Arthur L - - 2010
Sexual function in men and women incorporates physiologic processes and regulation of the central and peripheral nervous systems, the vascular system, and the endocrine system. There is need for state-of-the-art information as there is an evolving research understanding of the underlying molecular biological factors and mechanisms governing sexual physiologic functions. ...
Rosen Michael A - - 2010
Teamwork training constitutes one of the core approaches for moving healthcare systems toward increased levels of quality and safety, and simulation provides a powerful method of delivering this training, especially for face-paced and dynamic specialty areas such as Emergency Medicine. Team performance measurement and evaluation plays an integral role in ...
Sharma Suvasini - - 2010
Coma and other states of impaired consciousness represent a medical emergency. The potential causes are numerous, and the critical window for diagnosis and effective intervention is often short. The common causes of non-traumatic coma include central nervous system infections, metabolic encephalopathy (hepatic, uremic, diabetic ketoacidosis etc.), intracranial bleed, stroke and ...
Hoy Julia M - - 2010
The greatest limitation involved with providing enrichment and evaluating its effects on captive mammals is a lack of available staff time [Hoy et al., 2009]. One method to overcome this is through the use of automated husbandry systems to dispense enrichment to individual animals by using implantable radio frequency microchips. ...
Diamond Edward - - 2010
This article describes the initial and ongoing efforts of our pulmonary medicine practice to deploy an electronic medical records (EMR) system. Key factors in the vendor selection and implementation process included (1) identification and commitment to long-term goals for EMR; (2) dedicated resources, including both physician and nonphysician champions to ...
Eadie M J - - 2010
James Ross (1837-1892) was an Aberdeen medical graduate who, after 13 years in rural general practice, mainly in Lancashire, became a pathologist and then physician to the Manchester Royal Infirmary and professor of medicine at Owens College, Manchester. In mid-career he developed a major interest in clinical neurology and became, ...
Bastakoti Ram C - - 2010
This article assesses the role of local institutions in managing irrigation water use. Fifty irrigation systems in each country were studied in Nepal and Thailand to compare the influence of local institutions on performance of irrigation systems amid changes in external policy and market pressures. Nepal's new irrigation policy after ...
Kirkegaard J A - - 2010
Improvements in water productivity and yield arise from interactions between varieties (G) and their management (M). Most G×M interactions considered by breeders and physiologists focus on in-crop management (e.g. sowing time, plant density, N management). However, opportunities exist to capture more water and use it more effectively that involve judicious ...
Buysman Loren - - 2010
Healthcare leaders should look for five key attributes in a next-generation revenue cycle management system: The ability to provide real-time information. Exception-based workflow. Features that support financially aware care. Virtual business office functionality. Functionality that supports an enhanced consumer experience.
Bruins Randall J F - - 2010
Ecological risk assessments typically are organized using the processes of planning (a discussion among managers, stakeholders, and analysts to clarify ecosystem management goals and assessment scope) and problem formulation (evaluation of existing information to generate hypotheses about adverse ecological effects, select assessment endpoints, and develop an analysis plan). These processes ...
Whitney Kristoffer - - 2010
The March 1963 issue of Consumer Bulletin included a four-page article titled "How to grow a better lawn", the lead paragraph of which assured readers that "one does not have to be an expert or spend large sums of money to have a good lawn. It is necessary, however, to ...
Feramisco Jamison D - - 2010
Pruritus remains a significant problem facing dermatologists and can be associated with various dermatoses and systemic derangements. At times, one can treat the underlying cutaneous or systemic process to alleviate itch. However, it is frequently challenging to identify the cause of a patient's itch and, in this situation, even more ...
Subramaniam Shankar - - 2010
For further resources related to this article, please visit the WIREs website.
Teichgräber U - - 2010
The concept of quality and the principle of continuous quality improvement are implemented by quality management systems. Quality management systems surpass mere quality control. These systems account for patient and employee needs, the management style and the structure of an enterprise. Many of these quality management systems are used in ...
Gustafsson Louise - - 2010
The literature promotes the use of a wide range of educational materials for teaching and training clients with chronic conditions such as stroke. Client education is a valuable tool used by occupational therapists to facilitate client and carer ability to manage the stroke-affected upper limb. The aim of this study ...
Fenichel Eli P - - 2010
The primary goal of disease ecology is to understand disease systems and then use this information to inform management. The purpose of this paper is to show that conventional disease ecology models are limited in their ability to inform management of systems that are already infected, and to show how ...
Milgrom Henry - - 2010
PURPOSE OF REVIEW: The purpose of this review is to discuss transformational changes taking effect in biology and medicine and to place them in a broad historical context. RECENT FINDINGS: Recent findings suggest that in the new millennium, information technology will promote great changes in the study of biology and ...
Paolucci M - - 2010
The aim of this study was to develop a system for the monitoring of calving to both reduce perinatal mortality and improve dairy cow fertility by preventing the majority of post-partum reproductive pathologies. Eighty dairy cows were assigned to the protocol of calving monitoring using GSM (Global System for Mobile ...
Clancy Thomas R - - 2010
As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on management in social organizations such as hospitals. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This ...
Khan O A - - 2010
In terms of their applicability to the field of tropical medicine, geographical information systems (GIS) have developed enormously in the last two decades. This article reviews some of the pertinent and representative applications of GIS, including the use of such systems and remote sensing for the mapping of Chagas disease ...
Pereira J L - - 2010
Crop management practices can affect the population of phytophagous pest species and beneficial arthropods with consequences for integrated pest management. In this study, we determined the effect of no-tillage and crop residue management on the arthropod community associated with the canopy of common beans (Phaseolus vulgaris L.). Abundance and species ...
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