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Childs M Adam - - 2012
To assess the surgeon factors influencing the surgical treatment decisions for symptomatic stone disease. The factors influencing the selection of shock wave lithotripsy (SWL), ureteroscopy, or percutaneous nephrolithotomy to treat symptomatic stone disease are not well studied. Electronic surveys were sent to urologists with American Medical Association membership. Information on ...
Oroz C - - 2012
The prompt and effective treatment of pelvic inflammatory disease (PID) may reduce the risk of complications such as infertility, ectopic pregnancy and pelvic pain. We conducted a national audit to investigate the treatment of women diagnosed with PID and associated rates of partner notification in genitourinary (GU) medicine clinics during ...
Boisvert Sue - - 2012
The theme of this year's annual American Society for Healthcare Risk Management conference is Getting to Zero™: the Power of One™. The widespread use of mHealth exemplifies the power of one. The power of one user to apply technology to change the way healthcare is delivered at the bedside, in ...
Silva Valter - - 2012
Healthcare decision-making is complex and should involve healthcare professionals, patients and the best level of evidence. The speed of information production creates barriers against keeping up to date. In this light, methodologists have proposed a new type of study: overviews of systematic reviews (OoRs). The aim here was to introduce ...
Hulse Nathan C - - 2012
In this manuscript, we present an overview of the clinical knowledge management strategy at Intermountain Healthcare in support of our electronic medical record systems. Intermountain first initiated efforts in developing a centralized enterprise knowledge repository in 2001. Applications developed, areas of emphasis served, and key areas of focus are presented. ...
Mahawish K - - 2012
Acute hemiparesis is a common cause of presentation to hospital. In the majority of cases the cause is acute stroke, which is ischaemic in 80% of cases. This article aims to provide the reader with a practical approach to the initial management of suspected stroke.The problem-based format highlights some of ...
Card Alan J - - 2012
In this article we call for a new approach to patient safety improvement, one based on the emerging field of evidence-based healthcare risk management (EBHRM). We explore EBHRM in the broader context of the evidence-based healthcare movement, assess the benefits and challenges that might arise in adopting an evidence-based approach, ...
Manikandan S - - 2012
Essential medicines lists have been shown to improve the quality and cost-effectiveness of health care delivery when combined with proper procurement policies and good prescribing practices. The Ministry of Health, Government of India revised the National List of Essential Medicines of India (NLEMI 2011) in June 2011, eight years after ...
Clyne Wendy - - 2012
Non-adherence to prescribed medication is a pervasive problem that can incur serious effects on patients' health outcomes and well-being, and the availability of resources in healthcare systems. This study aimed to develop practical consensus-based policy solutions to address medicines non-adherence for Europe. A four-round Delphi study was conducted. The Delphi ...
Liebman Michael N - - 2012
A new section of the Journal of Translational Medicine is being introduced to encourage rapid communication of methods and results that utilize computational modeling and epidemiologic approaches in translational medicine. The focus will be on population-based studies that extend towards more molecular level analysis. Submission of studies involving methods development ...
Su Lin Lin - - 2011
Massive obstetric haemorrhage is a major contributor towards maternal morbidity and mortality. The main causes are abruptio placentae, placenta praevia and postpartum haemorrhage. Clinicians managing pregnant women should be equipped with the knowledge and skills for managing massive obstetric haemorrhage to institute timely and appropriate life-saving treatment. Prompt resuscitation and ...
Roddy Paul - - 2011
Testing an innovative therapy for filovirus hemorrhagic fever (FHF) in an outbreak setting may be years away. Moreover, beyond anecdotal evidence, little is known about best practice for outbreak case management. Currently, Médecins Sans Frontières and others provide FHF patients with basic supportive treatment. We describe and discuss treatment possibilities, ...
Kuczkowski Krzysztof M - - 2011
PURPOSE OF REVIEW: Peripartum hemorrhage still remains a significant source of maternal morbidity and mortality worldwide. Abnormal placentation is one of the leading causes of peripartum hemorrhage. RECENT FINDINGS: The incidence of abnormal placentation is increasing secondary to the increased incidence of cesarean section. The main forms of abnormal placentation ...
Wu Bechien U - - 2011
Fluid resuscitation is a key component of the early management of acute pancreatitis. Current clinical practice guidelines recommend aggressive fluid resuscitation despite limited prospective data. In this month's issue of the American Journal of Gastroenterology, de-Madaria et al. present findings from a prospective cohort study that evaluate the relationship between ...
Beyazit Yavuz - - 2011
Gastrointestinal (GI) bleeding refers to any hemorrhage ascribed to the pathologies of the gastrointestinal tract, extending from the mouth to the anal canal. Despite the recent improvements in the endoscopic, hemostatic and adjuvant pharmacologic techniques, the reported mortality is still around 5%-10% for peptic ulcer bleeding and about 15%-20% for ...
Blanc Julie - - 2011
PURPOSE: To further study the efficacy of uterine-sparing procedures based on triple uterine artery ligation (TUAL) possibly complemented with hemostatic multiple square suturing (HMSS) for the management of post-partum hemorrhage (PPH). METHODS: Cases of PPH occurring during cesarean section and treated, according to our institution guidelines, by TUAL possibly complemented ...
Hawryluk Gregory W J - - 2011
Patients with central nervous system (CNS) hemorrhage who receive anticoagulation (AC) therapy are at high risk for progressive or recurrent hemorrhagic and thromboembolic (TE) events. The authors conducted a survey at the 2010 American Association of Neurological Surgeons (AANS) annual meeting to determine how these patients are currently being managed ...
Bordogna Mara Tognetti - - 2011
In Italy the different regional healthcare models are structured, in order to provide both a single theoretical framework and to enable direct comparisons. In this paper we examine whether and how the regional healthcare systems include alternative medicines and, if so, whether this can be specifically attributed to the different ...
Pacheco Luis D - - 2011
Hemorrhagic shock is the most common form of shock encountered in obstetric practice. Interventions that may limit transfusion requirements include normovolemic hemodilution, use of recombinant activated factor VII, selective embolization of pelvic vessels by interventional radiology, and the use of the cell saver intraoperatively. Current understanding of the mechanisms of ...
Pacheco Luis D - - 2011
Obstetric hemorrhage is one of the most common causes of maternal morbidity and mortality worldwide, and abnormal placentation, including placenta accreta, is currently the most common indication for peripartum hysterectomy. Prenatal identification of these cases and early referral to centers with the capability to manage them will likely result in ...
Heine Ralf G - - 2011
Eosinophilic esophagitis (EoE) is a newly recognized condition which appears to be increasing in incidence for as yet unknown reasons. It can occur at any age and presents both to gastroenterologists and allergists. Clinical manifestations range from gastrointestinal symptoms (vomiting, feeding difficulties, dysphagia or food bolus impaction) to co-existing atopic ...
Thomas Ruth H - - 2011
'Do not attempt resuscitation' orders are common in hospital medicine practice. With reference to the guidance issued by the General Medical Council, this article offers a framework that will be useful when making these sometimes difficult decisions.
Stoneking Lisa - - 2011
Realizing the vast medical benefits of validated protocols, recommendations and practice guidelines requires acceptance and implementation by frontline care providers. Knowledge translation is the science of accelerating the transfer of knowledge to practice by understanding and creatively addressing the barriers that prevent adoption of new professional standards. In an attempt ...
- - 2011
We read with interest the review of shock by Rowe and Fletcher in the Acute Medicine Journal 1 and would like to make some comments regarding the contemporary definition of sepsis and the role of the Acute Medicine trainee in the management of severe sepsis and septic shock.
Rowe Katherine - - 2011
Shock may not be the commonest scenario encountered within the average clinical take, but unless rapidly recognised and managed appropriately, it carries an extremely high mortality. Shock is defined as inadequate tissue perfusion and is a consequence of a number of different clinical conditions. Hypotension is often, but not always, ...
Lim Brian S - - 2011
The impact of endoscopic retrograde cholangiopancreatography (ERCP) mechanical simulator (EMS) practice on trainee clinical performance is unknown. The hypothesis that trainees with EMS practice (study group (SG)) have improved clinical outcomes compared with those without such practice (control group (CG)) is tested. This was a randomized controlled trial involving six ...
Valinoti Ana Carolina - - 2011
International Journal of Paediatric Dentistry 2011; 21: 141-150 Objective.  To evaluate the effect of acidic medicines (Klaricid(®) , Claritin(®) , and Dimetapp(®) ) on surface enamel in vitro. Methods.  Enamel blocks (n = 104) were randomly distributed into two groups: G1 (pH-cycling simulating physiological oral conditions) and G2 (erosive conditions). Each group ...
Stuckey Heather L - - 2011
Based on positive deviance (examining the practices of successful individuals), we identified five primary themes from 36 strategies that help to maintain long-term weight loss (weight control) in 61 people. We conducted in-depth interviews to determine what successful individuals did and/or thought about regularly to control their weight. The themes ...
Gadinger Michael C - - 2011
To assess associations between the main, nonlinear, and interactive effects of the demand-control-support (DCS) model and the cortisol/dehydroepiandrosterone sulfate (DHEA-S) ratio, a biomarker of psychophysical well-being. Subjects were 596 employees from all occupational levels of a German airplane manufacturing plant. Multiple regression models controlling for age and gender were computed ...
Gray Michael E - - 2011
The use of transgenic Bt maize hybrids continues to increase significantly across the Corn Belt of the United States. In 2009, 59% of all maize planted in Illinois was characterized as a "stacked" gene variety. This is a 40% increase since 2006. Stacked hybrids typically express one Cry protein for ...
Larson Diane L - - 2011
Applying the concept of sustainability to invasive species management (ISM) is challenging but necessary, given the increasing rates of invasion and the high costs of invasion impacts and control. To be sustainable, ISM must address environmental, social, and economic factors (or "pillars") that influence the causes, impacts, and control of ...
Muraven Mark - - 2010
Recent research has suggested that practicing small acts of self-control can lead to an improvement in self-control performance. Because smoking cessation requires self-control, it was hypothesized that a treatment that builds self-control should help in quitting smoking. A total of 122 smokers either practiced small acts of self-control for 2 ...
Nieminen Heta P - - 2010
To examine the overall morbidity of patients who underwent surgery for congenital cardiac defect during childhood. A congenital cardiac defect treated with surgery is seldom totally cured. The incidence of residua, sequelae, and comorbidity is quite high. The morbidity has not been thoroughly examined. Medication was used as an indicator ...
Randell Heather Fawn - - 2010
Environmental conditions play an important role in the transmission of malaria; therefore, regulating these conditions can help to reduce disease burden. Environmental management practices for disease control can be implemented at the community level to complement other malaria control methods. This study assesses current knowledge and practices related to mosquito ...
Baker S J - - 2010
This paper provides a 'long view' of the eradication and control of invasive mammals by reviewing the management of 24 mammalian species that have been introduced into Great Britain since the Neolithic period and have subsequently established free-living populations in the wild. The approach provides examples of the issues faced ...
So Emily Wing Sze - - 2010
Acupuncture is increasingly being used in reproductive medicine. This review summarizes the evidence of acupuncture in pain relief for oocyte retrieval, improving pregnancy outcomes of in vitro fertilization treatment, management of ovulation disorders, male subfertility, primary dysmenorrhea, endometriosis and menopausal symptoms. However, most of the studies are nonrandomized uncontrolled trials, ...
Garud Sagar S - - 2010
In Barrett's esophagus, the stratified squamous epithelium lining the esophagus is replaced by specialized intestinal-type columnar epithelium. The prevalence of Barrett's esophagus has ranged from 0.9% to 4.5%. The rate of progression from Barrett's esophagus to esophageal adenocarcinoma is 0.5% per patient-year. Proton-pump inhibitors are the mainstay of symptom control ...
Deneux-Tharaux C - - 2010
Decreasing the prevalence of severe postpartum haemorrhages (PPH) is a major obstetrical challenge. These are often considered to be associated with substandard initial care. Strategies to increase the appropriateness of early management of PPH must be assessed. We tested the hypothesis that a multifaceted intervention aimed at increasing the translation ...
Gkritza Konstantina - - 2010
Many states are striving to keep their deer population to a sustainable and controllable level, while maximizing public safety. In Iowa, measures to control the deer population include annual deer hunts and special deer herd management plans in urban areas. While these plans may in effect reduce the deer population, ...
Brown Celia - - 2010
To explore the prior beliefs regarding the effectiveness of percutaneous vesico-amniotic shunting in congenital lower urinary tract obstruction among different clinical specialist groups involved in caring for this condition. Questionnaire survey of experts in the field based on principles of Bayesian elicitation of prior beliefs. The sample was 59 consultants ...
Buabeng Kwame O - - 2010
To obtain information about the staff resources available in licensed medicine outlets, assess their knowledge about malaria illness, current policy initiatives for malaria control, and the practices for prevention and management of malaria. Hospitals/clinics and retail medicine outlets (community pharmacies and licensed chemical shops) from urban and rural areas in ...
Gaudiano M C - - 2010
"For export only" anti-inflammatory and lightening creams are medicinal products sold in African countries for their skin whitening action. In the last years, Rapid Alerts from European Medicinal Regulatory Agencies evidenced the presence of a large number of illegal and counterfeit anti-inflammatory products advertised for their whitening action on black ...
Byers Rachel - - 2010
Management of battlefield casualties in Iraq and Afghanistan has seen considerable development in damage control resuscitation, which aims to address the risk of haemorrhage, initially due to mechanical damage; and thereafter due to the development of life-threatening coagulopathy. Damage control resuscitation combines a variety of techniques, such as the use ...
Watson L A - - 2010
Thoracic outlet syndrome (TOS) is a symptom complex attributed to compression of the nerves and vessels as they exit the thoracic outlet. Classified into several sub-types, conservative management is generally recommended as the first stage treatment in favor of surgical intervention. In cases where postural deviations contribute substantially to compression ...
Rog David J - - 2010
For some years a mixture of anecdotal report and data from animal models have implied a potential role for cannabis-based medicines in ameliorating a variety of symptoms of multiple sclerosis. Only recently however have large randomised controlled trials (RCTs) examined these potential effects rigorously. At present the results of RCTs ...
Epanchin-Niell Rebecca S - - 2010
We review studies that address economically optimal control of established invasive species. We describe three important components for determining optimal invasion management: invasion dynamics, costs of control efforts and a monetary measure of invasion damages. We find that a management objective that explicitly considers both costs and damages is most ...
Tomić Sinisa - - 2010
To present the activities of the Agency for Medicinal Products and Medical Devices in the first 5 years of its existence and to define its future challenges. Main activities within the scope of the Agency as a regulatory authority were retrospectively analyzed for the period from 2004-2008. Data were collected ...
Kowey Peter R - - 2010
The Registry on Cardiac Rhythm Disorders Assessing the Control of Atrial Fibrillation (RecordAF) study is the first worldwide, prospective, survey of real-life management of atrial fibrillation (AF) in recently diagnosed patients (n = 5604) with a 1-year follow-up. Surveys of AF management have identified a divergence between guidelines and clinical ...
Pedersen Søren - - 2010
Variability is a characteristic feature of asthma, and the aim of asthma management is to eliminate or minimise disease variability. Controlled asthma shows little or no variability, and is achievable and sustainable in the majority of patients. New international guidelines recommend control-driven management rather than management based on disease severity. ...
da Cruz Daniela Guedes - - 2010
Anthelmintic resistance in parasites maybe a consequence of over-exposing populations of parasites to drugs or from the commerce/transit of animals harboring resistant parasites. Knowledge of the sensitivity of nematodes to anthelmintics is essential to establish an efficient integrated program of parasite control. In Brazil, producers rely on technology transfer from ...
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