Search Results
Results 351 - 400 of 657
< 3 4 5 6 7 8 9 10 11 12 13 >
Jelinski Murray D - - 2009
The objective of this study was to determine the number of hours veterinarians in western Canada work per week, how they apportion their time by species, and clinics' hiring intentions for new veterinary associates. Of 1099 clinics contacted, 706 (64%) responded to the survey, representing 80% (1774/2227) of private practitioners ...
Sutcliffe L - - 2009
Partner notification (PN) in the UK is of limited effectiveness. Expedited partner therapy improves PN outcomes but does not comply with existing UK professional guidance. We developed two new strategies, known as accelerated partner therapy (APT), based on elements of PN practice for which there is evidence of efficacy, and ...
Keen Helen I - - 2009
Ultrasonography is a useful tool in understanding rheumatic conditions and in diagnosis and management. Much of the investigation into the validity of ultrasonography and its clinical use has been undertaken in inflammatory arthritides. Although ultrasonography has been applied to osteoarthritis (OA) in clinical practice, there has been little investigation into ...
Shaw Steven M - - 2009
Advances in medicine continue to drive forward through the practice of often impressive and innovative investigation. Through the application of randomized clinical trials, statistical analyses deliver the notorious "P values" to provide evidence of whether an intervention results in the desired clinical effect. However, it would appear that it is ...
Rathakrishnan Rahul - - 2010
Takotsubo has been reported in a wide range of clinical conditions. The choice of vasopressors in such situations needs careful consideration. This is highlighted in the management of status epilepticus where hemodynamic compromise is often iatrogenic though this may not be the case in the presence of concomitant Takotsubo cardiomyopathy.
Lin Zheng - - 2010
PURPOSE: Staphylococcus aureus may cause antibiotic-associated diarrhea and enterocolitis, with or without preceding antibiotic use, in immunocompromised adults or infants, or individuals with predisposing conditions, but there is little appreciation of this condition clinically. CLINICAL DISEASE: The main clinical feature that helps to differentiate staphylococcal enterocolitis (SEC) from Clostridium difficile-associated ...
Yapijakis Christos - - 2009
Hippocrates of Kos (460-377 Before Common Era, BCE) is universally recognized as the father of modern medicine, which is based on observation of clinical signs and rational conclusions, and does not rely on religious or magical beliefs. Hippocratic medicine was influenced by the Pythagorean theory that Nature was made of ...
Hisaw Tasha - - 2009
Mentoring programs can be key to the continued success of an organization. With anticipated increasing turnover of employees and senior management getting closer to retirement, it has never been more important to train and mentor the next generation of new managers. This article identifies personality traits that may contribute to ...
Shoor Stanford - - 2009
Evidence is often insufficient to answer questions in clinical practice. In an effort to fill these "gaps" between clinical investigation and daily conundrums, practicing rheumatologists use experience, logic, pathophysiology, individual patients and collegial consultation. In order to capture this science of clinical practice, a group of European and American clinicians ...
- - 2009
Niemann-Pick disease type C (NP-C) is a lysosomal storage disease in which impaired intracellular lipid trafficking leads to excess storage of cholesterol and glycosphingolipids in the brain and other tissues. It is characterized clinically by a variety of progressive, disabling neurological symptoms including clumsiness, limb and gait ataxia, dysarthria, dysphagia ...
Sawyer S M - - 2009
BACKGROUND: Sexual and reproductive health (SRH) is increasingly relevant for men with CF. However, the extent of similarities or differences in SRH clinical practices across different centres or states is unknown as single clinic studies are not informative about variations in male preferences or clinical practices. We wished to determine ...
Anyfantakis D - - 2009
Pulmonary embolism is an insidious life-threatening condition. Its diagnosis represents a challenging topic in daily clinical practice since the recognition and the appropriate management of the condition can lead to the decrease of potentially fatal consequences. We present a clinical case which highlights the necessity for an increased level of ...
Tomaszek Sandra S Division of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota, - - 2009
Thymomas are the most common tumors of the mediastinum. The introduction of multimodality treatment strategies, as well as novel approaches to the diagnosis of these tumors, has led to changes in the clinical management of thymomas. Here we review the literature for current clinical practice in the diagnosis, management, and ...
Lavie Fr??d??ric - - 2009
OBJECTIVES: To develop recommendations about prognosis and follow-up of psoriatic arthritis (PsA) with peripheral joint involvement in everyday clinical practice. METHODS: The strategy was as following: (a) The choice of five questions, by the scientific committee according to the Delphi method, considered as a basis for the recommendations; (b) the ...
Lim Danforn C E - - 2009
BACKGROUND: Henoch-Schönlein purpura is the most common form of systemic vasculitis in the paediatric setting with 90% of cases occuring in childhood. Although diagnosis in the primary care setting may be difficult, it is vital in order to avoid significant complications. OBJECTIVE: This article outlines the pathogenesis, clinical manifestations and ...
Morris Marcia L - - 2009
An electrosurgery generator unit is a critical piece of equipment in any therapeutic endoscopy setting. Electrosurgery generators produce high-frequency alternating electric current and differ from electrocautery units in that both cutting and coagulation effects can be achieved. This ability to cut and coagulate at the same time makes electrosurgery an ...
Zeinali Farhad - - 2009
The duration of postoperative ileus following abdominal surgery is quite variable, and prolonged postoperative ileus is an iatrogenic phenomenon with important influence on patient morbidity, hospital costs and length of stay in hospital. Adequate treatment for prolonged postoperative ileus is important to improve patient morbidity and clinical efficiency. Both clinical ...
Ebers Gc - - 2009
There can be few situations in all of science which invite or reward the reporting of chance associations, yet the nature of surveillance for potential adverse events in clinical medicine demands it. We excuse the usual rigour of proof in these ordinarily as their purpose is to trigger an alarm ...
Lovejoy Travis I - - 2009
With the advancements of technology and its increasing use in all spheres of life, clinicians too are faced with the decision of whether to adopt or refrain from adopting certain innovations in their practice. This article discusses the process of adopting clinical innovations within a theoretical framework, namely diffusion of ...
Glass Harold E - - 2009
The rapidly increasing cost of pharmaceutical R&D presents a major challenge for the industry. This paper examines one aspect of that spending, clinical grants, and presents ways that pharmaceutical companies can best manage those expenditures. The first part of the paper examines the role of clinical grant payments as a ...
Gold Michael H - - 2009
The use of 5-aminolevulinic acid-photodynamic therapy in clinical practice is an individual determination based on experiences learned from clinicians and from personal experience. This manuscript reviews how one clinician approaches patients interested in having photodynamic therapy. It covers all practical aspects of the treatment process and reviews how photodynamic therapy ...
Montgomery Kathryn - - 2009
Clinical medicine, a learned, rational, science-using practice, is labelled a science even though physicians have the good sense not to practise it that way. Rather than thinking like scientists - or how we think scientists think - physicians are engaged in analogical, interpretive reasoning that resembles Aristotle's phronesis, or practical ...
Tainmont J - - 2009
This paper evokes the personality of Jean Cruveilhier, presenting an overview of ENT pathology as reconstructed on the basis of his atlas: "The pathology of the human body" (1829-1842). We look at the anatomo-clinical method and paint a broad picture of medicine as practised in Paris during the first half ...
Edmondson Ricca - - 2009
Exploring informal components of clinical reasoning, we argue that they need to be understood via the analysis of professional wisdom. Wise decisions are needed where action or insight is vital, but neither everyday nor expert knowledge provides solutions. Wisdom combines experiential, intellectual, ethical, emotional and practical capacities; we contend that ...
Skene Hannah - - 2009
Specialist trainees in Acute Medicine have expressed concerns over skills training in the curriculum, compared with skills training in practice. Thus, an online survey was conducted in 2009 to investigate these comments in detail. The responses from 132 trainees were analysed. The results show that the majority of practical skills ...
Fava Giovanni A - - 2009
The primary goal of psychosomatic medicine is the incorporation of its operational strategies into clinical practice. The traditional attitude toward disease and the functional/organic dichotomy were criticized by George Engel in the early sixties. Only recently, however, there has been increasing awareness of the limitations of disease as the primary ...
Haggstrom David A - - 2009
In concept and practice, clinical decision support (CDS) and performance measurement represent distinct approaches to organizational change, yet these two organizational processes are interrelated. We set out to better understand how the relationship between the two is perceived, as well as how they jointly influence clinical practice. To understand the ...
Scifres Christina M - - 2009
Large, randomized clinical trials have long been considered the gold standard to guide clinical care. Metaanalysis is a type of analysis in which results of a number of randomized clinical trials are combined and a summary measure of effect for a given treatment is ascertained. The clinician in practice often ...
Roorda Andrew K - - 2008
This invited profile summarizes the technical aspects and clinical trial results related to the use of circumferential and focal radiofrequency ablation in the management algorithm for Barrett's esophagus. What makes this relatively new endoscopic intervention unique is its promising safety and efficacy profile reported in published clinical trials. This technology ...
Tan Daryl - - 2008
Follicular lymphoma (FL) is the second most common subtype of non-Hodgkin's lymphoma (NHL) in the Western world, constituting up to 22% of the total cases of NHL. This article describes the clinical characteristics of FL, its prognostic indicators, and its clinical course, including transformation to an aggressive lymphoma. Primary management ...
http://iesr.ac.uk/test/drai/draiv2.xml
GPnotebook is designed to provide a concise synopsis of the entire field of clinical medicine. Material is organised systematically to ensure rapid retrieval of information. Content is based on clinical practice in the UK, and is intended to provide a clinical reference guide for general practitioners and medical students. It ...
Bianchi Janice - - 2008
This is the second of two papers covering assessment and management of elderly skin. Part 1 of this clinical review focused on the importance of a comprehensive assessment of the skin and a detailed clinical history of the patient (Bianchi and Cameron, 2008). This second paper considers some common dermatological ...
- - 2008
The collaboration between oncologists and clinical pharmacists seems destined to grow.
Chou Roger - - 2008
Systematic reviews and clinical practice guidelines are useful tools for bringing evidence into pain practice. However, even when their conclusions or recommendations appear valid, interpreting and applying systematic reviews and clinical practice guidelines in everyday practice is not always straightforward. Judging external validity or applicability of findings requires careful consideration ...
Girard Timothy D - - 2008
Though seminal clinical trials have identified efficacious methods of liberating patients from mechanical ventilation (ie, weaning), this knowledge is not applied often by physicians in routine practice. Weaning protocols are a strategies by which research results can be translated effectively and efficiently into clinical practice, but results of clinical trials ...
Levy H - - 2008
In 1961, Richard Asher argued that the clinical question regarding a particular intervention is not "should it work?" but rather "does it work?". Since that time, clinical trials have become the cornerstone of clinical science, providing physicians access to an expanding pharmacopeia of therapeutic options. The new capacity to change ...
Rudd M David - - 2008
This review discusses suicide warning signs in clinical practice and has three simple goals: 1) to help practitioners differentiate in a clinically meaningful fashion between warning signs and risk factors for suicide; 2) to articulate the link among warning signs for suicide, hopelessness, and intent to die; and 3) to ...
Keynes Milo - - 2008
Sir Walter Langdon-Brown, born of robust Puritan stock, was a distinguished physician, teacher, medical historian and humanist at St Bartholomew's Hospital, London, before becoming Regius Professor of Physics at Cambridge. His contributions to clinical medicine were wide in relating symptoms and signs of disease to physiology, putting therapeutics on a ...
Lehmann Birka - - 2008
ABSTRACT: Before any medicinal product is authorised for use in adults, it must undergo extensive pharmaceutical consistency and stability tests, toxicological tests and clinical trials to ensure that it is of high quality, safe and effective.The same approach may not always be applied to medicinal products used to treat children.Studies ...
Aviv Alex - - 2008
Hypnosis as a therapeutic technique bears potential risks when carried out inexpertly. Because of this, Israel was the first to legislate hypnosis. This study examines the current state of clinical hypnosis practice in Israel. A questionnaire was sent to 470 licensed hypnotists and 1250 unlicensed professionals; 478 (25.7%) of the ...
Aarsland Dag - - 2008
OBJECTIVE: To find the proportion of dementia with Lewy bodies (DLB) in a referral cohort of patients with a first-time diagnosis of mild dementia. BACKGROUND: The proportion of DLB among the dementia sufferers is not known and the clinical consensus criteria have low sensitivity. We employed the revised DLB criteria ...
Heading Robert C - - 2008
The consensus meeting attempted to clarify concepts associated with the clinical entity often termed 'NERD' and to define it in a way that would permit physicians to communicate accurately amongst each other when they use the term, so that there may be a common understanding of the condition. In this ...
Skene Hannah - - 2008
An online survey of training in Acute Medicine was conducted to assemble a true picture of the current situation in the UK. The specialty is flourishing, with over 60 trainees having predicted CCT dates in Acute Medicine in 2010 and 2011 alone. 128 respondents highlighted a multitude of issues, including ...
Gesteland Per H - - 2008
Front line health care providers (HCPs) play a central role in endemic (pertussis), epidemic (influenza) and pandemic (avian influenza) infectious disease outbreaks. Effective preparedness for this role requires access to and awareness of population-based data (PBD). We investigated the degree to which this is currently achieved among HCPs in Utah ...
Rushton Alison - - 2008
BACKGROUND: Growing emphasis on Masters level provision has been facilitated by the migration of education into Higher Education and the requirement for Continuing Professional Development. Paralleling this has been the development of specialisation in clinical practice. These factors have contributed to a proliferation of Masters courses aiming to develop specialist ...
Sterns Richard H - - 2007
Central pontine myelinolysis represents a relatively contemporary neurologic entity in which an imbalance of water relative to alterations in the body's electrolyte levels induces characteristic demyelination in the central part of the basis pontis as well as extrapontine sites. The clinical scenario is typically one of chronic hyponatremia followed by ...
Wilson F Colin - - 2007
PURPOSE: To gauge the understanding and opinions of clinical neuropsychologists and speech and language therapists (SLT) in relation to vegetative (VS) and minimally conscious (MCS) patients relative to available practice guidelines. METHOD: Semi-structured questionnaires were sent to all UK Practitioner Full Members of the BPS Division of Neuropsychology (307) and ...
Parker K I - - 2007
AIM: To describe aspects of management of dairy heifers before calving and determine risk factors for clinical mastitis postpartum in heifers, at the herd level, under pasture-based management systems in the Waikato and Taranaki regions of New Zealand. METHODS: Dairy herdowners (n=578) provided information via a prospective survey about their ...
Prabhakaran Karti - - 2007
Stuttering priapism is a clinical phenomenon that occurs commonly in certain patient populations, including sickle cell anemia and other hematologic dyscrasias. Although the mechanism is still not completely understood, treatment is focused on prevention of recurrence in the outpatient setting, and immediate detumescence and minimizing corporal fibrosis in the acute ...
Clark John D - - 2007
Managed clinical networks (MCNs) play an increasingly important part in the delivery of effective healthcare. This paper describes what they are and how they work, based on the experience of MCNs in Scotland and, in particular, CleftSiS, the National Managed Clinical Network for Cleft Lip and Palate Services in Scotland. ...
< 3 4 5 6 7 8 9 10 11 12 13 >