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Hickey Kathleen - - 2011
Atrial fibrillation (AF) is a major and widely recognized risk factor for cardioembolic stroke. Prophylactic therapy for the prevention of stroke in patients with AF is often achieved through oral anticoagulation, specifically with warfarin, which has been used for this purpose for more than 50 years. Although warfarin therapy is ...
Odle Teresa G - - 2011
Managers of interventional radiology departments and medical imaging personnel who work in surgical suites deal with regular technical innovations in their work, but large-scale innovations seldom come along that transform markets and require massive architectural, training, and technological changes. The hybrid interventional/operating suite is one such massive change. This article ...
Izawa Shuhei - - 2011
This study investigated variations in salivary levels of cortisol and dehydroepiandrosterone (DHEA) in a prolonged stressful situation (a two-week teaching practice). Thirty-three women for whom a two-week teaching practice at a kindergarten was scheduled were asked to collect saliva samples at awakening, 30min after awakening, and bedtime at four time ...
Szecsenyi Joachim - - 2011
The European Practice Assessment program provides feedback and outreach visits to primary care practices to facilitate quality improvement in five domains (infrastructure, people, information, finance, and quality and safety). We examined the effectiveness of this program in improving management in primary care practices in Germany, with a focus on the ...
Nexøe Jørgen - - 2011
BACKGROUND: Low ankle brachial index (ABI) is a sensitive measure of 'burden' of atherosclerosis, indicating cardiovascular risk of the asymptomatic patient. Conventionally, ABI values <0.90 are considered pathological, indicating peripheral arterial disease.Aims. The purpose of this study was to establish whether GPs after a short training course can reliably determine ...
Stanger Sebastian H W - - 2011
Blood is a perishable product, and hence good management of inventories is crucial. Blood inventory management is a trade-off between shortage and wastage. The challenge is to keep enough stock to ensure a 100% supply of blood while keeping time expiry losses at a minimum. This article focuses on inventory ...
Smiley-Oyen Ann L - - 2011
We investigated the effects of extensive practice of rapid aiming on bradykinesia and, more specifically, generation of peak velocity, in discrete rapid aiming and in transfer to reach-to-grasp. Twenty-one participants (seven young adults, seven older adults, and seven adults with mild to moderate Parkinson's disease (PD) while on medication) engaged ...
Norris Byron - - 2011
Physician extenders may be a valuable asset to an outpatient otolaryngology practice. The adjunctive care provided by physician extenders appears to be cost effective and has the advantages of increasing patient education, promoting physician productivity, and improving management of chronic conditions. Practice types that may benefit from advanced practice providers ...
Wijeratne Tissa - - 2011
Sri Lanka has an ageing population with an impending epidemic of stroke at hand. Stroke is the leading cause of adult disability in Sri Lanka. Sri Lanka has seen many recent advances in stroke services in the recent past providing a benchmark example for the countries in the Asia Pacific ...
Stein John C - - 2011
The objective was to assess the efficiency and safety of an interactive computer kiosk module for the management of uncomplicated urinary tract infections (UTI) in emergency departments (EDs). This was a prospective unblinded randomized trial. Women age 18 to 64 years seeking care for suspected UTI in three urban EDs ...
Hobgood Cherri - - 2011
To meet a critical and growing need for emergency physicians and emergency medicine resources worldwide, physicians must be trained to deliver time-sensitive interventions and lifesaving emergency care. Currently, there is no globally recognized, standard curriculum that defines the basic minimum standards for specialist trainees in emergency medicine. To address this ...
Gomes Marleide da Mota Mda - - 2011
The main aim of this paper was to present some pioneer women neurologist, their struggle to pursue their career and the barriers mainly encountered at the beginning of their professional lives. It was also presented the progressive increasing of the feminine participation in medicine and in the neurology with study ...
Stephens Mark - - 2011
There is concern regarding the number of US medical graduates choosing careers in primary care. To address this, the American Academy of Family Physicians (AAFP) Future of Family Medicine project has recommended increasing the length of family medicine residency from 3 to 4 years as one way to increase student ...
Radovich Patricia - - 2011
Many novice managers feel unprepared to handle some of the situations that occur as a daily part of their job. It is important to provide an environment through which novice managers can receive training and develop skills in effective communication in complex nursing environments. Simulation-based training can provide a safe, ...
Keswani Rajesh N - - 2011
Physician stress and burnout can decrease job satisfaction, increase medical errors, and reduce quality of life. Gastrointestinal endoscopic practice is increasing in complexity, with an associated increase in complications. These factors may result in more stress and burnout in younger gastroenterologists (GEs) and interventional GEs (IGEs) who perform more complex ...
Eva Kevin W - - 2011
To understand the modern conceptions of elite practice informing the hidden curriculum through use of peer nominations asking clinicians to identify exceptional practitioners. We distributed a Web-based survey to Department of Medicine faculty at five universities in North America. Participants were asked to nominate individuals they deemed to be "outstanding ...
Coonrod R Aline - - 2011
 Maternity care training in family medicine is a major component of our specialty. The Association of Family Medicine Residency Directors (AFMRD) issued a position paper calling for a two-tiered system of training for family physicians based on concern that some residency programs are unable to meet the current Residency Committee-Family Medicine ...
Vaidya Rama - - 2011
The importance of Observational Therapeutics in the progress of medicine has been neglected in the current era of the hierarchal position imparted to Randomized Controlled Trials (RCTs) for new drug discovery and practice of evidence-based medicine. There is a need to reflect on the reason for many new drugs being ...
Watts Steve A - - 2011
The introduction of a prescribed curriculum and a clinical rotation in the PGY-1 year of family medicine training can enhance learning in musculoskeletal and sports medicine. Combining learning experiences in sports medicine and musculoskeletal medicine in the early stages of training establishes a base to master the required competencies by ...
Lake A W - - 2011
The desired outcome of the victim identification component of a mass fatality event is correct identification of deceased persons in a timely manner allowing legal and social closure for relatives of the victims. Quality Management across all aspects of the Disaster Victim Identification (DVI) structure facilitates this process. Quality Management ...
Van't Leven Netta - - 2012
Implementing evidence-based guidelines is not a simple task. This study aimed to define barriers to and facilitators for implementing the proven and effective Community Occupational Therapy in Dementia (COTiD) guideline for older people with dementia and their carers. The qualitative method we used was the grounded theory. We collected data ...
Rash Carla J CJ Calhoun Cardiology Center - Behavioral Health (MC 3944), University of Connecticut Health Center, Farmington, CT 06030-3944, USA. - - 2012
Contingency management (CM) is a widely recognized empirically-supported addiction treatment; however, dissemination and adoption of CM into routine clinical practice has been slow. Assessment of beliefs about CM may highlight key barriers and facilitators of adoption and inform dissemination efforts. In the present study, we developed a 35-item questionnaire (contingency ...
Shaw Joanne - - 2011
OBJECTIVE: The purpose of this study was to identify and describe the delivery styles doctors typically use when breaking bad news (BBN). METHODS: Thirty one doctors were recruited to participate in two standardised BBN consultations involving a sudden death. Delivery styles were determined using time to deliver the bad news ...
Begum Housne Ara - - 2011
Children's hygiene is very important for better health but there is a paucity of studies in this area. This questionnaire study examined the child care hygiene practices of mothers of young children. A total of 354 women from slum areas of Dhaka city, Bangladesh, who migrated from rural to urban ...
Partington M - - 2011
The aim of this study was to investigate the coaching behaviors of elite English youth soccer coaches in different practice settings and gain insight into the coaches' cognitive processes underpinning these behaviors. The practice setting was split into two types of activities, "training form" and "playing form," and behavioral data ...
O'Donnell Thomas F TF - - 2011
The management of venous leg ulcers (VLU) consumes considerable resources in healthcare systems and accounts for up to 1% of healthcare budgets in some industrialized countries. Best practice clinical guidelines incorporate evidence-based diagnostic and therapeutic recommendations in a cost-effective manner and have been associated with improved quality and less costly ...
Kundra Manu - - 2011
Objective. The etiology of an apparent life-threatening event (ALTE) has been attributed to a wide range of causes. Physicians rely on caregiver narratives, which are often unreliable given the distressing nature of the event, which in turn leads to variation in the evaluation and management. The objective of this study ...
Marks Daniel Jb - - 2011
This issue of the British Journal of Hospital Medicine marks the launch of the new Core Training supplement for junior doctors, replacing the Modernising Medical Careers supplement. The first obvious change to this section is the title. Medical training continuously evolves, and we wanted to highlight the fresh approach that ...
Adesunkanmi A R - - 2011
The aim of this article is to discuss the management of mass casualty and sensitise authorities at various levels and trauma surgeons the need for awareness and training in the management of mass casualty. Thorough Medline and bibliography search and available local literatures relevant to the management of mass casualty ...
Gutenbrunner Christoph C Department for Rehabilitation Medicine, Coordination Center for Rehabilitation Research, Hannover Medical School, Hannover, Germany. - - 2011
Physical and Rehabilitation Medicine (PRM) is an independent medical specialty focusing on the improvement of functioning. A shared understanding of concepts is of vital importance for integrated action in this field. The aim of the present paper is to provide a conceptual model of PRM, to give background on its ...
Halkyer Percy - - 2011
Over 3 weeks in 2006, 3826083 persons were vaccinated against rubella during a national immunization campaign in Bolivia. This campaign was the largest mass immunization campaign ever conducted in the country. Therefore, in addition to strategic and micro-planning and financial and social mobilization, issues of safety (eg, safe injection practices ...
Buscaglia Jonathan J Stony Brook University Medical Center, 100 Nicolls Road, HSC-17, Room 064, Stony Brook, NY 11794, - - 2011
Evidence-based medicine (EBM) has become increasingly important in the practice of gastroenterology and endoscopy, and the training of future gastroenterology physicians. The objectives were to assess the attitudes/opinions of gastroenterology specialists towards EBM, and evaluate possible gaps in education for certain EBM-related concepts. An internet-based survey was emailed to 4073 ...
Kazer Meredith Wallace - - 2011
Purpose/Objectives: To provide preliminary data on an Internet intervention that incorporates cognitive reframing and self-management strategies to help older men undergoing active surveillance (AS) self-manage disease-related issues and improve quality of life (QOL).Design: Single-subject design.Setting: Two participating urologic practices at major academic medical centers in the northeastern United States.Sample: 9 ...
Ackerman Eve - - 2011
This study investigated whether adult participants who receive a brief motivational interviewing (MI) intervention delivered by a family medicine provider (family nurse practitioner or family medicine resident [MD]) progress to the next stage of change and increase physical activity. A pilot study that included enrollment of 30 patients who failed ...
Xu Jim - - 2011
Background: The International Classification of Functioning, Disability and Health (ICF) is comprehensive but difficult to use in clinical practice. ICF Core Sets are one method of increasing the use of the ICF in clinical practice. To develop a condition-specific core set requires identification of the concepts measured in current clinical ...
Bryant Linda J M LJ Department of General Practice and Primary Health Care, School of Population Health, The University of Auckland, PB 92019, Auckland, 1142, New Zealand. - - 2011
Interventions to improve adherence with medicines have been studied for many years. The outcomes, both for improved adherence and clinical indicators, have not been as positive as expected or hoped for. Any improvement in adherence that may occur has not necessarily translated to improved clinical outcomes. The studies are heterogeneous, ...
Waldron David - - 2011
A best practice for all imaging leaders working on a management development program should be to invest enough time to complete a detailed planthatsetsgoals, objectives, step targets, landmarks, and a timetable for their achievements. Keys to success for a management development program include no surprises, active participation, and preparation by ...
Broderick Sheelagh - - 2011
This article suggests that the discourse on arts and health encompass contemporary arts practices as an active and engaged analytical activity. Distinctions between arts therapy and arts practice are made to suggest that clinical evidence-based evaluation, while appropriate for arts therapy, is not appropriate for arts practice and in effect ...
Chen Li-Ping - - 2011
To observe the curative effect of combined Chinese medicine, acupuncture and rehabilitation therapy on vascular dementia (VD), and to compare the Western medicine piracetam. Total 134 VD patients screened in reference to the standard for VD diagnosis in DSM-IV were randomly divided into a Chinese medicine plus rehabilitation group (32 ...
Heitz Corey - - 2011
Objectives:  Due to the rapid growth in academic emergency departments over the past 20 years, recent significant changes in leadership have occurred. To prepare for future transitions, leaders in academic emergency medicine (EM) should identify those skills and characteristics desired in future academic chairs. The authors sought to determine which skills ...
Lu Yun-Chieh - - 2011
Rationale and aims  Evidence-based medicine (EBM) has gained worldwide attention. Many studies have used questionnaires to discuss factors obstructing the practice of EBM. However, no large-scale data analysis has focused on who has practised EBM and when they practised it. This retrospective study aims to fill the research gap by ...
Aschim Bente - - 2011
To explore GPs' experiences using cognitive behavioural therapy (CBT), with a focus on factors that promote or limit the use of CBT in general practice. Qualitative study using data from written evaluation reports and focus-group interviews. Setting. Norwegian general practice. GPs who participated in a longitudinal CBT course in the ...
Hämeen-Anttila Katri - - 2011
Objective The aim was to describe parental attitudes towards medicine use in children, and the factors associated with them. Setting A cross-sectional population survey of a random sample of children under 12 years of age (n = 6,000) was carried out in Finland in the spring of 2007, with a response rate of ...
Boardman Helen F - - 2011
OBJECTIVE: Little is known about the interactions between pharmacy staff and parents/carers who buy nonprescription medicines for children. Responsibility for choice and administration of children's medicines falls to the parent/carer. Pharmacy advice should support safe and effective use of medicines for children. This paper explores the interactions between pharmacy staff ...
Lemieux Christopher J - - 2011
Climate change will pose increasingly significant challenges to managers of parks and other forms of protected areas around the world. Over the past two decades, numerous scientific publications have identified potential adaptations, but their suitability from legal, policy, financial, internal capacity, and other management perspectives has not been evaluated for ...
Morgan Philip A - - 2011
This article explores the professional challenges of treating patients with complex/severe forms of chronic oedema/lymphoedema with compression therapy. Four focus groups were held, two in the UK and two in Canada, to examine the challenges faced by practitioners in their everyday practice. A number of challenges were identified by participants ...
Daniels Ramon - - 2011
This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'The trainee consistent demonstrates a knowledge of how evidence based methods and ...
van Leer Eva - - 2012
There are many documented barriers to successful adherence to voice therapy. However, methods for facilitating adherence are not well understood. The purpose of this study was to determine if patient adherence and motivation for practice could be improved by providing patients with practice support between sessions using mobile treatment videos. ...
Gray Nicola J - - 2011
Objective Parents are exposed to many different information sources about children's medicines, including recommendations from other people, the media, and their own previous experience. The aim of this paper is to explore the influence of different information sources upon their non-prescription medicine purchases for children aged 0-4 years. Setting The ...
Morgenthaler Timothy I - - 2011
Best practices take time to spread passively, at times contributing to suboptimal results in health care. Managed diffusion, often referred to as "spread," may hasten broad-scale implementation of best practices. At our institution, appropriate use of venous thromboembolism (VTE) prophylaxis had been markedly improved in select areas by 2 independent ...
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