Search Results
Results 251 - 300 of 602
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West Daniel J - - 2011
Healthcare reforms in Georgia parallel some of the major changes made by other Central and Eastern European countries. This is especially true of efforts to privatize the health sector and secure capital investments from Western Europe. Privatization of Georgian healthcare requires an understanding of the Soviet-era healthcare system and ideological ...
Petrovic M - - 2011
Geriatric medicine is a subspecialty of internal medicine concerned with the health and well-being of older adults. Specific for geriatric medicine is the need for comprehensive geriatric assessment which is promoted as the key for successful preventive, diagnostic and therapeutic approach. Geriatricians possess specific skills which are necessaryto achieve high ...
Skånér Ylva - - 2011
Objectives Diagnoses-specific sickness certification guidelines were recently introduced in Sweden. The aim of this study was to investigate to which extent general practitioners (GPs) used these guidelines and how useful they found them, 1 year after introduction. Design A cross-sectional questionnaire study. A comprehensive questionnaire about sickness certification practices in ...
Newton Jennifer M - - 2011
Chronic condition self-management and lifestyle risk modification education is paramount for General Practice registrars. A multi-dimensional learning package 'Better Knowledge, Better Health' was developed and piloted to improve General Practice registrars' understanding of their role in supporting chronic condition self-management in patients with osteoarthritis. This pilot study was supported by ...
Marsteller Jill A - - 2011
Small practices often lack the human, financial and technical resources to make necessary practice improvements and infrastructure investments in order to achieve sustainable change that promotes quality and efficiency. To report on an effort to assist small primary care practices in improving quality of care and efficiency of practice management ...
van der Feltz-Cornelis Christina M - - 2011
Evidence-based best practices for incorporation into an optimal multilevel intervention for suicide prevention should be identifiable in the literature. To identify effective interventions for the prevention of suicidal behavior. Review of systematic reviews found in the Pubmed, Cochrane, and DARE databases. Steps include risk-of-bias assessment, data extraction, summarization of best ...
Harun-Or-Rashid Md - - 2011
Herbal Medicines (HMs) are playing major roles in the health of the millions of people worldwide. Muslim Religious Leader (MRLs), being an important component of the society with huge influence on it, could contribute a lot to promote HM. This study was aimed at evaluating perceptions of the MRLs, their ...
Huber Carola A - - 2011
The worldwide increase in obesity is becoming a major health concern. General practitioners (GPs) play a central role in managing obesity. We aimed to examine Swiss GPs self-reported practice in diagnosis and treatment of obesity with a special focus on the performance of waist measurement. A structured self-reported questionnaire was ...
Rai Kamala - - 2011
The new age clinical research professional is now geared toward an "integrated monitoring" approach. A number of critical activities at the site level and at the sponsor's organization need convergence to harness rich dividends in early study start and quick close of the study. The field monitor needs full integration ...
Caroly Sandrine - - 2011
Objective: Our questioning focuses on the role played by the gendered division of labour and by the collective organisation of work in strategies deployed by workers in order to reconcile professional and private lives. How does work organisation facilitate schedule management so as to fit in with workers' domestic lives ...
Greene Arin K - - 2011
Lymphatic malformation results from an error in the embryonic development of the lymphatic system. Clinically, lymphatic malformation is characterized by the size of the malformed channels: microcystic, macrocystic, or combined (microcystic/macrocystic).This article describes the clinical features, diagnosis, and management of lymphatic malformations.
Dizon Janine Margarita R - - 2011
Country by country similarities and differences in physical therapy practice exists. Therefore, before updates in practice can be provided, such as trainings in evidence-based practice, it is necessary to identify the profile and nature of practice in a given country or setting. Following a search of the international literature, no ...
Laing Sharon S - - 2011
We assessed knowledge, attitude, and provision of recommended fall prevention (FP) practices by employees of senior-serving organization and participation in FP practices by at-risk elders. The Washington State Department of Health administered structured telephone surveys to 50 employees and 101 elders in Washington State. Only 38% of employees felt "very ...
Wright Peggy A - - 2011
Upper respiratory tract infections (URIs) are a common complaint in competitive swimmers and can adversely affect performance. No intervention has yet been shown to reduce URI incidence in intensively trained athletes. The University of Virginia varsity swim team received three weeks of training in qigong for the purpose of reducing ...
Olson Barry M - - 2011
This paper highlights the environmental impacts of implementing beneficial management practices to address cattle bedding and direct access to the creek in a study watershed in southern Alberta, Canada. Approximately 35 cow-calf pairs grazed 194 ha of grass forage and had direct access to the creek in the spring and ...
Awodele Olufunsho - - 2011
Appropriate practice of pharmacovigilance in Nigeria will require total involvement of the private medical practitioners considering their number and closeness to the community. Thus, the understanding and attitude of Doctors practicing in the private sectors, towards Pharmacovigilance, was investigated. A consecutive sampling was used to distribute two hundred and seventy ...
Dyer Fran - - 2011
The incremental and endurance shuttle walking tests (ISWT and ESWT) are measures of exercise tolerance commonly used in pulmonary rehabilitation (PR). A practice ISWT is advocated but often omitted by PR centres. We aimed to investigate the effect of such an omission within a clinical PR service. Between October 2002 ...
Pati Debajyoti - - 2011
A major challenge in the evidence-based design (EBD) practice model has been in determining the degree of credibility of specific (or a body of) evidence. This challenge has remained one of the key impediments to the broader adoption of EBD. Borrowing from evidence-based medicine and evidence-based practice literatures, this paper ...
Grigsby R Kevin RK Association of American Medical Colleges, Washington, DC 20037, USA. - - 2011
Faculty members in medical schools and academic medical centers are in a constant process of generating new knowledge. The cornerstone of academia--and academic medicine--is scholarship. Traditionally, tenure and/or academic promotion in the professorial ranks is awarded to those who meet institutional criteria in the missions of research, teaching, and service, ...
Babbott Stewart F - - 2010
Residents will most effectively learn about ambulatory, systems-based practice by working in highly functional ambulatory practices; however, systems experiences in ambulatory training are thought to be highly variable. The authors sought to determine the prevalence of functional-practice characteristics at clinics where residents learn. In 2007, the authors conducted a national ...
Nissen Kiki - - 2010
Risk management is an important aspect of education for all residents. Unfortunately, few curricula currently exist to fulfill this educational need. We developed a curriculum that teaches residents basic principles of risk management with the goals of (1) educating residents about the medical-legal environment in which they operate, (2) helping ...
McDonald Vanessa M - - 2011
the diagnosis and management of obstructive airway diseases (OADs) such as asthma and chronic obstructive pulmonary disease (COPD) can be challenging in older people. to assess the clinical, functional, biological and behavioural characteristics relevant to the management of older people with OAD. a cross-sectional study was conducted in a tertiary ...
Fogazzi Giovanni B - - 2011
Background: In the developing world, the diagnostic power of nephrologists is heavily limited by financial, technical and human resource constraints. Urine microscopy (UM) is a basic, inexpensive and relatively simple diagnostic tool, which supplies irreplaceable information. Recently, a theoretical and practical course on UM was organized during the 22nd annual ...
Reich-Schupke Stefanie - - 2011
With growing knowledge of morphology and pathophysiology of varicosis, the relative deficiency of the official Terminologica anatomica with regard to the veins of the lower limbs attracted attention. An incorrect and misleading nomenclature was responsible for clinical complications, missing denotation and even wrong treatments. These circumstances caused an urgent need ...
Childs David - - 2010
Does mindfulness offer more to psychology than a useful therapeutic technique? This paper argues that it can also establish a state of presence which is understood in relation to the practice of phenomenology. Mindfulness is then both linked to a Western intellectual tradition and offers that tradition a systematic method. ...
Khalil Philipe N - - 2011
Clinical algorithms contribute to the problem- and priority-orientated management of patients and their disease in healthcare. Algorithms are of particular importance in all aspects of emergency medicine where the fast completion of a complex problem according to a hierarchy is required. The advantages and success of this priority- and problem-orientated ...
Will Catherine M - - 2010
Debates about appropriate action in medicine often turn on finding the right emotional orientation to new developments. In this article enthusiasm emerges as a key term in a professional 'vocabulary of motive' around innovation, complicating current sociological interest in expectations. The negative associations that adhere to this word among clinical ...
Chen Pei-Jer - - 2010
Asia has a disproportionate share of the world's burden of hepatocellular carcinoma (HCC). However, the highly regarded clinical practice guidelines and recommendations for the design and conduct of clinical trials for HCC largely reflect Western practice. In order to design mutually beneficial international clinical trials of promising targeted therapies, it ...
Kurtz Christopher E - - 2010
Aortic stenosis (AS) is a chronic, progressive disease predominantly affecting individuals aged over 60 years. Symptoms are the result of progressive left ventricular outflow obstruction, and herald rapid clinical decline and high mortality. Medical therapies for AS remain ineffective; operative valve replacement remains the only effective long-term treatment. We review ...
Warshaw Erin M - - 2011
We performed a systematic review of the literature addressing teledermatology: (1) diagnostic accuracy/concordance; (2) management accuracy/concordance; (3) clinical outcomes; and (4) costs. Peer-reviewed controlled trials published in English between 1990 and 2009 were identified through MEDLINE and PubMed searches. Of 78 included studies, approximately two-thirds comparing teledermatology and clinic dermatology ...
Epstein R S - - 2010
Over the years, pharmacy benefit managers (PBMs) have conducted and published peer-reviewed research covering a broad spectrum of activities ranging from studying the impact of alternative-benefit designs on outcomes to identifying the epidemiology of treated disease to understanding the impact of medication use on overall health-care costs. It is the ...
Menzies Robert D - - 2011
Objective To describe the impact of an expanded primary care-based sports medicine clinic on referrals to an orthopaedics clinic and to describe the patients seen and procedures performed. Design Retrospective cohort study. Setting Primary care-based sports medicine clinic and orthopaedics clinic at a tax-supported American safety net healthcare system. Participants ...
Nordqvist Petra - - 2011
A growing body of literature investigates heterosexual donor conception and there is now also a small body of work which investigates the experiences of single women and lesbian couples. Both of these focus on a clinical setting. Women, notably single and lesbians, also undertake non-clinical donor conception, and insufficient consideration ...
Young Adam - - 2011
To evaluate the strengths and weaknesses of a register of management and outcomes of recently diagnosed RA, and allow comparisons between rheumatology centres on good clinical practice and guidelines. A register of newly diagnosed RA was initiated in 1986 in nine different regions of England, later expanded to UK-wide membership ...
Schmidinger Manuela - - 2010
Sunitinib is a reference standard of care for the treatment of metastatic renal cell carcinoma (mRCC). While the tolerability of sunitinib is consistent across clinical studies, the impact of tolerability on clinical benefit necessitates effective therapy management, focusing on optimization of dosing, treatment duration, and management of adverse events. Managing ...
Plastow Michael - - 2010
Language has always been a means of imposing political and economic dominance. The ascendancy of the discourse of economics is examined in the context of economic rationalism. Some of the effects of this discourse, both upon our services, as well as upon different modes of conceptualizing the therapeutic relationship, will ...
Hogard Elaine - - 2010
This article describes an evaluation of an innovative managed clinical network in the UK. The purpose of the network was to establish a better-coordinated service for those with personality disorder. The network was evaluated with regard to the extent it met its stated and implied outcomes; the process whereby it ...
McCord J F - - 2010
The provision of complete dentures is often perceived as a clinical 'black art' as it relies on a blend of clinical skill, scientific evidence and no little artistic interpretation. Coupled to this is a heavy reliance on patient ability to control their dentures in a muscular environment while, hopefully, coping ...
Ahn Chang-Beohm - - 2010
This study aimed to review the clinical basis for Sa-Ahm Five Element acupuncture. This form of acupuncture uses the Five-Shu acupoints and the tonification-sedation treatments based on the creation and control cycles of the Five Elements. A total of 28 books and papers from the ancient "Nan-Ching" to the modern ...
Williams Brent C - - 2010
Physician workforce projections by the Institute of Medicine require enhanced training in geriatrics for all primary care and subspecialty physicians. Defining essential geriatrics competencies for internal medicine and family medicine residents would improve training for primary care and subspecialty physicians. The objectives of this study were to (1) define essential ...
Shah Hriday - - 2010
Safe inhibition of thrombosis is a key therapeutic strategy in modern cardiovascular medicine, and both unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) are commonly used in clinical practice. However, both have several drawbacks, such as the unpredictable pharmacokinetics of UFH and the non-reversibility of LMWH. M-118, being developed by Momenta ...
Fagiolini Andrea - - 2010
This review addresses practical clinical issues related to the use of ziprasidone in the treatment of schizophrenia using information from clinical trials, unpublished data, manufacturer's information, and input from an expert faculty of European psychiatrists with extensive experience of the use of ziprasidone, both in clinical trials and in everyday ...
Graham Michael M - - 2010
The Clinical Trials Network of the Society of Nuclear Medicine was formed to provide quality assurance of both imaging and radiopharmaceutical manufacturing in clinical trials. The intention is to register and qualify a large number (>200) of sites, both in the United States and internationally, to be able to do ...
Clark William - - 2010
The objective of this article is to correct some misconceptions that have arisen since the introduction of Twin Blocks, to identify factors leading to reduced efficiency and increased failure rate, and to improve the clinical application of Twin Block technique.
Berlin Jesse A - - 2010
N-of-1 clinical trials have the potential to contribute to individual patient management and to the accrual of important information about populations. Incorporating these studies into clinical practice will require creative thinking so as to maintain rigor without excessive disruption of routine care.
Elliott Naomi - - 2010
This paper reports a study conducted to explore how nurses working at advanced practice level in chronic and acute care outpatient contexts responded to decision-making concerns in clinical practice. Current theoretical explanations of clinical judgement offer insight into how healthcare professionals process information; however, they are incomplete as they do ...
Maglad A S - - 2010
Provision of indirect restorations is associated with more complaints and litigation than any other area of dentistry. In the third part of this series we identify possible causes of such complaints. We explore each of the stages from clinical assessment to treatment, highlighting areas which may trigger litigation when they ...
Qaseem Amir - - 2010
The American College of Physicians (ACP) established its evidence-based clinical practice guidelines program in 1981. The ACP's Guidelines Committee and the staff of the Clinical Programs and Quality of Care Department develop the clinical recommendations. The ACP develops 2 different types of clinical recommendations: clinical practice guidelines and clinical guidance ...
Kamhi Alan G - - 2011
In this epilogue, I respond to each of the five commentaries, discussing in some depth a central issue raised in each commentary. In the final section, I discuss how my thinking about certainty and uncertainty in clinical practice has evolved since I wrote the initial article. Topics addressed include the ...
Sheppard Lorraine - - 2010
The experience of returning to physiotherapy practice needs to be understood from the perspective of those who have returned to practice, those thinking of returning, and clinical supervisors who have worked with people that have returned to practice. A qualitative methodology using an interpretivist theoretical framework was utilised. Participants were ...
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