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Results 551 - 600 of 602
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Shahar Y - - 1991
We have identified several general temporal-abstraction mechanisms needed for reasoning about time-stamped data, such as are needed in management of patients being treated on clinical protocols: simple temporal abstraction (a mechanism for abstracting several parameter values into one class), temporal inference (a mechanism for inferring sound logical conclusions over a ...
Elliott D - - 1991
Many innovative management changes designed to promote clinical excellence and scholarship were undertaken by the nursing executive team at our 821-bed tertiary care teaching hospital. Included in these changes was the creation of the divisional clinical manager (DCM). The purpose of this article is to describe how these weekend managers ...
Neale E J - - 1991
Clinical flow charts or algorithms are becoming an increasingly popular means of summarizing the management of a given clinical situation. However they vary greatly in complexity between authors, making comparisons difficult, and detracting from their overall usefulness to medical personnel. We have therefore reviewed the strengths and weaknesses of many ...
Scales M D - - 1991
Written guidance on the toxicology studies which should be completed to support an application to market a new medicinal product in the EEC, Japan, and the USA is readily available, although the recommendations can vary significantly between the three markets. Less clear are the regulatory authorities' expectations concerning the timing ...
Murthy S R - - 1991
This paper is the first attempt in introducing the medicinal importance of gems as found in the Sanskrit text 'Rasaratnasamuccaya', which has been rendered an English translation here. The modern physicians and gemologists will find this study quite useful in continuing research and, thus, develop a new field of gem ...
Pinciroli F - - 1991
A great many clinics are interested in using software programs in daily practice. We report on the construction of a time oriented medical record unit (TOMRU). It runs on MS-DOS personal computers. TOMRU handles the follow-up data of ambulatory patients. Of the possible database customizations allowed by TOMRU, the cardiology ...
Yudkin P L - - 1990
OBJECTIVE: To examine the use of routinely collected computerised data in clinical audit. DESIGN: Retrospective review of all analyses of obstetric practice based on a computerised data system from January 1983 to June 1988. SETTING: Maternity department of the regional referral hospital in Oxford. MAIN OUTCOME MEASURES: Congruence with the ...
Wilcock P - - 1990
Peter Wilcock and Rowena Rossiter begin by describing changing responsibilities of clinical psychologists over the last 20 years. They show how some roles they undertake, which may seem far removed from client contact, have developed from psychologically based client-centred work, and this still lies at the root of the profession. ...
Michelman D F - - 1990
Abstract This study investigated both the degree to which pediatricians promote breastfeeding in their practices, and the attitudes and beliefs about breastfeeding which are associated with their breastfeeding promotion activities. We interviewed a sample of 59 pediatricians from a large urban area who had a variety of practice types and ...
Brommel M - - 1989
An increasing interest in requiring clinical accountability, i.e. direct economical and managerial involvement of physicians, can be witnessed in the US and the UK, representing two extremes on the axis of private versus public service provision. The development is also taking place in the Nordic countries alongside a 'decentralisation' of ...
Murphy M F - - 1988
The rational selection and safe use of local anesthetic solutions is of paramount importance to the practice of emergency medicine. Such decisions are based on a sound knowledge of the pharmacology and toxicity of those agents one uses clinically in day to day practice. In addition, such information explains what ...
Chan L S - - 1988
With the increased availability of personal computers and statistical software packages, it is inevitable that there will be increasing attempts by clinical investigators to perform data management and statistical analysis. Reviews of statistical packages are abundant in computer and statistical journals. However the majority of them were not written for ...
Lanza F L - - 1987
Unlike the clinical trials of the previous decade, those conducted during the past 10 yr have had considerable impact on current therapeutic practices in the management of disorders of the upper gastrointestinal tract. This article reviews the clinical experience from 1975 to 1985 that pertains to the effectiveness of antacids ...
Gogel E L - - 1987
Theorists at the interface of medicine and the humanities have recently suggested that interpretation as a literary activity can be applied to the practice of clinical medicine. This article reviews such theories and their literary metaphors and methods. In pushing these ideas further, it is proposed that a number of ...
Pruet C W - - 1987
Although infrequently seen in many clinical practices, tonsillar concretions can be the source of both fetor oris and physical and social concern for the patient. Though stones rarely form in the tonsil or peritonsillar area, the findings of calcified objects or stones anywhere within the body has long been a ...
Olk R J - - 1987
The use of vitrectomy in the management of endophthalmitis is controversial. All cases of suspected clinical endophthalmitis should have immediate anterior chamber and vitreous aspiration combined with an intravitreal antibiotic/steroid injection. Vigorous systemic, topical and periocular therapy should accompany frequent examinations of the patient. Vitrectomy is recommended in selected clinical ...
Bondurant S - - 1986
The contributions of aerospace medicine to clinical medicine far exceed the aggregate of the clinical applications of individual technologies which originated in aerospace medicine, important though these be. Contributions of aerospace medicine to clinical medicine will be discussed in seven categories: The raising of issues, questions, and need for systems ...
Ramsey P G - - 1986
Student performance during the internal medicine clerkship at the University of Washington School of Medicine has been evaluated by clinical ratings and a written examination containing multiple-choice questions and patient management problems for the past 10 years. Measures of the correlation among the evaluation methods were determined by analyzing data ...
Hitchcock M A - - 1986
The authors investigated the perceptions of 20 faculty development fellows in family medicine to determine whether they were more comfortable in clinical teaching roles after completing a fellowship. The fellows were asked to rate themselves and the ideal clinical teacher at the beginning and end of the fellowship. Comparisons of ...
Rapgay L - - 1986
Tibetan medicine is virtually unknown outside Tibet and India and yet it is probably the most original and clinically oriented traditional system of medicine integrating the finest therapeutic techniques from the Indian and Chinese medical systems. One of the many unique aspects of Tibetan medicine is urinalysis used not only ...
Selner J C - - 1985
The purpose of this article is to encourage allergists to expand their interest in environmental intolerance to include chemicals found in everyday exposure. By incorporating controlled challenge procedures into outpatient practice capabilities, the practicing allergist can expand both clinical interest and practice potential. By merging scientific principles of toxicology and ...
Simmons T C - - 1985
Endoscopic sphincterotomy was performed in 22 patients with biliary obstruction. Nineteen patients had obstructing choledocholithiasis and three patients had distal common-bileduct obstruction due to malignant disease. All patients had excellent biliary decompression. Three patients had complications that responded to medical management. Endoscopic sphincterotomy is a safe and effective procedure for ...
Chrischilles E A - - 1984
The benefits, decreased referral rate and increased kept-appointment rate, and the costs that a family practice clinic could expect to incur by including a clinical pharmacist in the clinic are discussed. By using a clinical pharmacist as a consulting partner, the physician would have a decreased need to refer patients ...
Joyce C R - - 1983
Before carrying out any action, whether it is concerned with professional life or with humdrum everyday routine, one has always to choose between at least two alternatives: to act or not to act. Decisions are always based upon information, and it is clear that this information should be of the ...
Goswami P - - 1983
Here, in this paper the authors have represented some Cardiac effective claims of certain folklore medicines from remote villages of Golaghat situated in the Sibsagar district of Assam.
Grams R R - - 1983
Proposing that pathology reorganize, the author introduces a role model for clinical pathology that contains skills and capabilities not currently offered in the clinical practice of medicine. This proposed rebuilding of a clinical discipline, to avoid continued degradation of the pathologist's role in the practice of medicine, will require teaching ...
Tantum L A - - 1982
Superficial punctate keratitis of Thygeson is a distinctive clinical entity, of probable viral etiology, that can be managed by the optometrist. Diagnosis is made on clinical impression and elimination of other possible causes. The chronic course of the disease can be successfully subdued to allow the patient to function with ...
Fargen D - - 1982
Mid-career hospital dietitians in three practice areas (administrative, clinical, and general) had the most professional experience in their present practice area. The clinical and administrative dietitians expressed interest in remaining in positions within their present practice area, while many of the generalists were interested in becoming a director or a ...
Mishra S K - - 1982
The general status of clinical approach regarding the applications of clinical methodology has been reviewed under the spectacles of author's points. Also the subject of MANAHPARIKSANA has been critically analysed through the lenses of CARAKA and CAKRAPANIDATTA and its utility in present day clinical practices has been underlined. An appeal ...
Büttner J - - 1982
The development of Clinical Chemistry in the German-speaking countries in the second half of the 19th century is characterized by a close relationship between Clinical Medicine and Clinical Chemistry. Clinical Chemistry lost its relatively independent basis and was performed by clinicians themselves. Using examples, it is shown that the new ...
- - 1982
There is a consensus among clinical immunologists that an effort should be made to define the criteria and indications for the administration of immunoglobulin to patients. This Memorandum sets out current recommendations for the use and dosage of immunoglobulin in the prophylaxis of viral and bacterial infections, and in replacement ...
Stanley I M - - 1981
Teaching in clinical medicine must often be opportunistic, using unpredicted clinical situations as they arise. To teach effectively in such settings demands considerable skill especially where tutorial-type teaching (one student to one doctor) is concerned. To develop his skills the doctor needs some method of evaluating his teaching. The present ...
Young R M - - 1981
A survey was carried out of doctors who used their out-of-hours biochemistry service to find out why requests for investigations were made, how often the results altered patient management, and whether they could define areas where investigations were unproductive. Of 107 questionnaires distributed, 147 (88%) were completed. In 86% the ...
Lockman D S - - 1981
A 40-year-old man complained of a disagreeable odor due to bromhidrosis. A review of odors in clinical medicine follows.
Shamasundar C - - 1981
In clinical psychiatric practice, the use of various psychotherapeutic techniques is a useful therapeutic tool in its own right and a helpful adjunct to other forms of treatment. Training of post-graduate students of psychiatry in the practical use of psychotherapeutic and related psychodynamic principles is of prime necessity. Where, for ...
Lachin J M - - 1980
The relationships between the coordinating center of a clinical trial and its participants are discussed from a viewpoint of the principal investigator, the clinic coordinator, the project officer, the advisory board and the external site visitor. These perceptions of the coordinating center stress the need for cooperation, proper management of ...
Jacobs S - - 1980
The clinical management of grief involves issues that demonstrate the integration of psychosocial risk factors into clinical practice. Recommendations for the clinical management of grief are based on a review of the pattern of morbidity and mortality of bereavement, of the emotional response to conjugal loss, and of several postulated ...
Heberden P - - 1980
Some thoughts on three subjects relevant to primary contact medicine are expressed. Gastric lavage, cardiopulmonary resuscitation, and diagnosis of clinical death are subjects which test the clinical acumen of every casualty officer.
Lipowski Z J - - 1977
The author discusses the theoretical, investigative, clinical, and teaching aspects of psychosomatic medicine in the seventies. Major research and clinical developments are discussed in relation to key theoretical postulates and concepts. The rapidly expanding field of psychosomatic medicine is far more divant than ever before. Its hallmarks include a multifactorial ...
Sisson J C - - 1976
Acquisition of laboratory data bearing on a clinical problem may make patient care worse rather than better. The hazards of obtaining new information, that go beyond the monetary costs and risks to physical well-being, are frequently not appreciated by physicians. In the complex and many-faceted practice of medicine, intuition, even ...
Mai F - - 1976
Skilled interviewing and investigation are essential in the diagnosis and treatment of "psychosomatic" illness, the term "psychosomatic" being used in its more colloquial sense to refer to illness characterized by somatic symptoms and related psychopathologic disorders but without organic disease.Treatment of these patients is difficult. They respond best to a ...
Krylov V F - - 1973
In October and November 1971 an outbreak of influenza (type A virus) occurred in the town of Ulan Bator. A clinical and epidemiological investigation showed that some 30% of the population presented typical signs of influenza of medium severity. The etiology of the outbreak was confirmed by virological, serological, and ...
Lyon L W - - 1972
The orbicularis oculi reflex was studied in 48 comatose patients and the results were correlated with clinical and pathological findings. The late component of the reflex was absent or of minimal amplitude in all cases regardless of the site of lesions, reflecting a diffuse suppression of the reticular system rather ...
Caldwell J C - - 1970
Abstract In March/April 1969 the Demographic Training and Research Unit, University of Ife, surveyed 8,400 respondents of both sexes to investigate their knowledge and use of anti-natal practices and the sources of that knowledge. The area sampled was a stratified cross-section of Nigeria extending inland 500 miles from Lagos. Data ...
Meechan Ronnie - - 2011
Aim: To examine the efficacy of the early introduction of a medicines management 'objective structured clinical examination' (OSCE) into an undergraduate adult nursing students' programme of education and to determine if the acquisition of applied drug/pharmacology knowledge and drug administration of medicines had improved prior to qualification. Method: A longitudinal ...
Dickinson A - - 1994
Changes in management and educational structures have severely curtailed opportunities for midwifery teachers to engage in clinical practice outside their commitment to teaching students in clinical areas. The author outlines the past and current positions in this regard, and explains how a team of teachers from her department devised a ...
Wilson J - - 1997
The Clinical Negligence Scheme for Trusts (CNST) is a mutual pooling pay-as-you-go arrangement for NHS trusts in England, designed to assist trusts in meeting the costs of clinical negligence claims. A similar scheme has been set up in Wales and this is called the Welsh Risk Pool (WRP). The emphasis ...
Scales Katie - - 2008
This article reviews the physiology that underpins normal fluid balance and discusses how fluid balance can be affected by illness. Clinical assessment of hydration and the importance of fluid balance record keeping are explained. Recommendations are made to improve fluid balance management in clinical practice and the professional importance of ...
Tingle J - - 1997
This article discusses two recently published documents: the Department of Health's (DoH's) Executive Letter EL (96) 11 (DoH, 1996); and the Woolf Report (Woolf, 1996). These documents will have an important impact on healthcare litigation and will strongly influence the way in which clinical negligence claims are conducted and managed. ...
Bell D - - 1969
Of 14 patients with analgesic nephropathy 11 were followed up for 9 to 88 (mean 36) months after withdrawal of analgesics containing phenacetin. Ten of these 11 are still alive and have improving, static, or very slowly declining renal function. Analgesic withdrawal is therefore worth achieving even in the presence ...
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