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Results 501 - 550 of 602
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Hucklenbroich P - - 1998
This article has a threefold intention. 1. It intends to contribute to the clarification of the question in what respect medicine may be called a science and in what respect a practice. 2. It proposes a concept of clinical methodology (including clinical-ethical aspects), as a theory of medical practice that ...
Duffett R - - 1998
BACKGROUND: This is the third large-scale audit in the past 20 years and compares the practice of electroconvulsive therapy (ECT) in England and Wales with the standards derived from the Royal College of Psychiatrists' 2nd ECT handbook. METHOD: Facilities, equipment practice, personnel and training were systematically evaluated during visits to ...
Fowler J - - 1998
This paper explores the efficacy of reflective practice within the context of clinical supervision. It examines some potential limitations that reflective practice has within the context of clinical supervision drawing upon the literature and the early stages of the author's empirical work. It concludes that whilst there is considerable congruence ...
Priestley C J - - 1998
The management of cases of Chlamydia trachomatis genital infection diagnosed in clinics in Wessex in the last quarter of 1996 was surveyed, and the results compared with those obtained in the national gonorrhoea audit. Treatment regimens were extremely varied both between and within clinics. Overall, 71% of patients saw a ...
Dejonckere P H - - 1998
The perceptual GIRBAS scale for deviant voice quality was tested in 5 different institutes on 943 voice patients. Each voice was evaluated separately by 2 professionals. The interrater and intrarater correlation is satisfactory for G, R and B. Experience with the scale significantly improves the interrater agreement. Further, GIRBAS/acoustical correlations ...
Fuss M A - - 1998
TOPIC: Clinical Management Protocols for trauma patients. PURPOSE: The goals and process for developing and implementing Clinical Management Protocols are presented. Protocol development and the differences between clinical practice guidelines, critical pathways, and clinical management protocols are discussed. SOURCES: Published literature, experience, and clinical expertise. CONCLUSIONS: Utilizing annotated algorithms, the ...
Margitić S E - - 1998
A well-designed, adequately funded clinical trial based on sound science and conducted by experienced investigators and staff can falter if participating trial clinics are not managed well. Ten commandments for successful trial clinic management address key organizational and operational issues. Commandment I: Thou shalt know and follow thy rules. Commandment ...
Willcocks S - - 1998
The article examines and comments on the development of clinical management at an NHS hospital Trust. It utilises a qualitative case study methodology to collect data from key stakeholders at this Trust. The data suggest some of the reasons why doctors may be receptive or non-receptive to the notion of ...
Middleton B - - 1998
Developing automated tools for clinical information management requires an appreciation of user needs and capabilities. To address the reality of practice style variation, and the varying degree of comfort with computers in clinical users, we developed the KnowledgeBank concept. The KnowledgeBank concept includes an end-user authoring tool for clinical content ...
Andris D A - - 1997
Central venous catheterization has facilitated the delivery of parenteral nutrition for over 20 years. Current practice in the care of central venous catheters and management of associated complications reflects past clinical experience and innovative research study. The article highlights key issues associated with central venous access from a clinical perspective.
Wilson D M - - 1997
Traditional measurements of glomerular filtration rate (GFR) in clinical practice include the measurement of serum creatinine or creatinine clearance. Increasing evidence concerning the limitation of these measurements in clinical practice and clinical trials has resulted in efforts to develop technologies that improve measurement of GFR. Recent efforts in that regard ...
Greenwood S R - - 1997
The origins of informatics lie in the development of computers and data processing techniques since the 1950s. The subsequent application of these to the practice of healthcare continues to the present day, so that information technology now holds the potential to revolutionise healthcare through more rapid and efficient management of ...
Buchan I E - - 1997
The need for effective and efficient exchange of clinical knowledge is increasing. Paper based methods for managing clinical knowledge are not meeting the demand for knowledge and this has undoubtedly contributed to the widely reported failures of clinical guidelines. Internet affords both opportunities and dangers for clinical knowledge. Systems such ...
Finke M - - 1997
The simplicity and joy of practicing medicine in free clinics has been discovered by numerous Iowa physicians. They tell of the need to practice pure medicine for Iowans who truly need free medical care. They also share how to start a free clinic, step by step. It's simple, they say, ...
Perrett K - - 1997
BACKGROUND: Little is known about the activity of the many new specialist outreach clinics in fundholding general practices that have emerged since the introduction of fundholding in 1991, though it has been claimed that specialist outreach clinics have shortened waiting times for fundholders' patients. This study describes the activity of ...
Wassef W - - 1997
Endoscopic ultrasound is currently an accepted part of the clinical practice of gastroenterology. It is used to evaluate submucosal lesions, thickened gastric folds, and depth of gastrointestinal tumor penetration. As the capabilities of the instruments improve, their role in the practice of gastroenterology widens. This review is designed to update ...
Davis F D - - 1997
In terms of Aristotle's intellectual virtues, the process of clinical reasoning and the discipline of clinical medicine are often construed as techne (art), as episteme (science), or as an amalgam or composite of techne and episteme. Although dimensions of process and discipline are appropriately described in these terms, I argue ...
Ragan D - - 1997
Improvements in medical practice most often are based on the analysis of our past performance. With the increased emphasis in the United States on managed care, the examination of our clinical performance has taken on increased importance. In addition to traditional tumor registries and clinical trials, we are being asked ...
Grilli R - - 1996
This paper is aimed at highlighting some often overlooked aspects of the development of recommendations for clinical practice, and at addressing some of the key factors that can play a role as determinants of the acceptability of recommendations in clinical practice by the targeted health care providers. It is contended ...
Kish C P - - 1996
Clinical scholarship is elusive but involves observation, comparison of what is and what might be, applicability and analysis of appropriate theory-based practice, and passion for the process. The article examines characteristics of clinical scholarship in a clinical practice with a community service mission: facilitation of a support group for parents ...
Busse W - - 1996
The Medicinal Chemistry Section of IUPAC sent a questionnaire regarding academic training for medicinal chemists to major research pharmaceutical companies in various countries in July 1992 and again in July 1993. A total of 102 replies were received from 65 companies, mainly from Germany, Italy, Japan, the UK and the ...
Arensberg M B - - 1996
OBJECTIVE: To identify leadership qualities of clinical nutrition managers and associate these leadership qualities with selected demographic variables (eg, training/degree, length of time in management, number of people supervised, income, and participation in advanced practice activities). DESIGN: The theory of transformational leadership, that is, leadership that incorporates specific interpersonal behaviors ...
Agrawal R G - - 1996
The drug standardization project functioning at IIADR, Tarikhet has carried out chemical studies and other investigations on Tribhuvanakirti rasa a commonly used medicinal preparation in current practice, these studies are presented in this paper.
Witte S S - - 1995
OBJECTIVE: To determine the duties of clinical nutrition managers, the factors associated with the performance of the duties, the job specifications for the position, and the skill development strategies used by clinical nutrition managers. DESIGN: Clinical nutrition managers from 700 randomly selected, acute-care hospitals in the United States (with 300 ...
Kelly J T - - 1995
Many studies have demonstrated the potential benefits of clinical practice guidelines in improving clinical practice. Moreover, several different kinds of clinical profiles have been developed to address issues related to quality, utilization, and outcomes of specific healthcare practices. With this expanded use of clinical practice guidelines and clinical profiles, clinical ...
Rudy E B - - 1995
This article provides specifics on the development of a clinical track for faculty appointments at the University of Pittsburgh. The criteria to be used for appointment and promotion on the clinical track are discussed along with the practice requirements of 60 hours per term of participation in and responsibility for ...
Corbridge C - - 1995
Reports on the research concerning the current debate surrounding the maturity of clinical directorates. Indicates that there is some ambiguity as to how directorates should be structured and strategically managed. Finds evidence that trust executive boards need to involve clinicians in setting strategy and to support clinical directors with suitable ...
Davies A H - - 1995
Twelve out of 13 clinical directors/lead consultants replied to a postal questionnaire. The mean time per week spent on directorate business was 10 (3-20) hours, but only four (33 per cent) had reduced their clinical sessions to allow for this. Only one of the respondents had received any formal management ...
Vynckier S - - 1994
The 'Code of Practice for Clinical Proton Dosimetry' (Vynckier, S., Bonnett, D.E. and Jones, D.T.L. Code of practice for clinical proton dosimetry. Radiother. Oncol. 20: 53-63, 1991) was published in 1991, but since then new data for mass stopping powers have been reported and consideration has been given to the ...
Irby D M - - 1994
In order to identify the components of knowledge that effective clinical teachers of medicine need, the author carried out a qualitative study of six distinguished clinical teachers in general internal medicine in 1991. Using data from interviews, a structured task, and observations of each ward team, he identified six domains ...
Arthur D - - 1994
The incorporation of clinical practice into nursing faculty role expectations has triggered much debate. Despite the urge for the incorporation of practice into faculty roles, past research has demonstrated that the majority of faculties do not in fact include clinical practice. Reasons given for the failure of nurse academics to ...
Halasz G - - 1994
The theme of the RANZCP 28th Conference questioned the science of clinical practice. This question is explored in the light of prevailing paradigms of 20th century psychiatry and recent claims by scientism, especially biologism, that assumes an organic causation for all abnormal behaviour. It is argued that a paradigm of ...
Higginson I - - 1994
Palliative medicine has a history of critical appraisal dating back to the start of the hospice movement during the 1970s. Methods and audit tools are available and have been tested, especially for clinical audit. Practical approaches such as the Support Team Assessment Schedule, the Edmonton Symptom Assessment System and topic ...
Iyengar M A - - 1994
By personal observation and on consultation with large numbers of local folks with some interest and experiences, local popular healers, ayurvedic physicians the folkloric uses of a popular medicinal plant Memcyclon Malabaricum are discussed here.
Shaffer M J - - 1994
This article explores the capabilities of those technicians and clinical engineers who manage biomedical equipment. Equipment technicians maintain the equipment in hospitals and may participate in some basic equipment management. Clinical engineers, on the other hand, may augment this management effort in equipment-intensive hospitals by designing the specifications and procedures ...
- - 1994
A Textbook of Pharmaceutical Medicine: Current Practice Edited by: R. D. Mann, M. D. Rawlins and R. M. Auty, Parthenon Publishing Group, London, 1900. 461 pages. Price £85 Clinical Application of Leukocyte Depletion S. Sekiguchi (Editor) Blackwell Scientific Publication, London, 1993. Price £35 Self-Assessment in Clinical Haematology J. A. Holmes, ...
Scott R T - - 1993
OBJECTIVE: To determine the magnitude of intraobserver variation in dating endometrial biopsies and its impact on clinical management. DESIGN: Blinded histopathologic interpretation of endometrial biopsy specimens 1 year apart by five pathologists. SETTING: Large military tertiary care center. PATIENTS: Endometrial biopsy specimens from 51 patients undergoing evaluation for potential luteal ...
Gates G E - - 1993
The purposes of this study were to describe how clinical managers evaluate the performance of clinical dietitians and to examine managers' opinions about performance appraisal. Managers from 55 acute-care hospitals in seven midwestern states responded to a telephone survey about their appraisal of the performance of clinical dietitians. Most of ...
Hodgson M - - 1993
The randomized clinical trial is the paradigm of causal documentation in clinical medicine. It spawned an extension, the "N-of-one clinical trial," used as diagnostic instrument in the clinical practice of internal medicine to demonstrate the presence or absence of truly beneficial treatment. The author presents an extension of the method ...
Cook H - - 1993
The NHS has been moving rapidly towards establishing clinical directorates in all specialties. It has been part of an attempt, along with the resource management initiative, to involve doctors in management, and to encourage them to take responsibility for the managerial and resource dimensions to clinical activity. Haydn Cook identifies ...
Guyatt G - - 1993
New challenges for clinical teachers include incorporating a deeper appreciation of the use of the published literature in day-to-day practice and teaching, responding to the profusion of diagnostic tests and treatments, and dealing with changing practical difficulties. We report a summary of a retreat conducted by our Department of Medicine ...
Jeyaseelan L - - 1992
Disagreements over clinical findings, diagnoses and management decisions are unavoidable in medicine. It is, however, necessary to ascertain whether they agree 'sufficiently'. Such investigations are often analysed inappropriately using Pearson's product-moment correlation coefficient. In this article, we discuss these as well as other methods, such as the kappa statistic, intra-class ...
Sadler J Z - - 1992
Engel's biopsychosocial model, while unifying the sciences relevant to medicine under general systems theory, is of limited utility in organizing bedside clinical problem solving. The authors consider this issue in light of the structure and goals of the clinical encounter. The biopsychosocial model is a model for organizing the sciences ...
Lowenstein A J - - 1992
In the realities of clinical practice, BSN students are expected to demonstrate both clinical and managerial skills. Presenting leadership and management content through the use of complex patient situations in a clinical case study approach can assist in preparing them. This approach demonstrates to students that leadership and management is ...
Nanal V M - - 1992
The principles of Ayurveda can be used to elucidate the medicinal properties of new food stuff or medicinal substance. This point is proved with the example of custard.
Elliott D B - - 1992
There are now a number of commercially available contrast sensitivity (CS) charts for clinical use. Although a great deal has been written about CS, there is little information regarding its usefulness in optometric practice. In this study 3 commercially available charts (the Vistech system, Pelli-Robson, and Cambridge charts) were used ...
Fleming M H - - 1991
This article highlights some observations made in the American Occupational Therapy Association/American Occupational Therapy Foundation Clinical Reasoning Study, an ethnographic study of 14 occupational therapists working in a large teaching hospital. Concepts and premises that frequently appear in the clinical reasoning in medicine literature are discussed and compared and contrasted ...
Singh C S - - 1991
The medicinal uses of thirteen plants from Lucknow District are reported in this paper.
Pelletier L R - - 1991
The environmental rounds survey process at the UCLA NPI & H has been effective in providing clinicians and administrators with continuous data regarding clinical safety. This formal hospital-wide process is complemented by informal environmental rounds made periodically by clinical nurse managers and unit managers. Through these efforts, clinical safety is ...
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