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Results 401 - 450 of 602
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Bollapragada S S - - 2007
The EU Clinical Trials Directive came into force on 1 May 2004 and has changed the face of Clinical Trials of investigational medicinal products in the UK. An enthusiastic registrar or consultant who comes up with an idea for a therapeutic intervention now needs to comply with a complex and ...
Challenor R - - 2007
A survey of the accuracy of applying the KC60 diagnostic code for genital herpes: first attack (C10A) was undertaken by non-consultant career-grade doctors working in genitourinary (GU) medicine in England, Wales and Northern Ireland. In total, 148 forms were returned (58% response). Overall, 88/148, 59.5% (95% confidence interval 51.5-67.4%) applied ...
Baruch Susannah - - 2008
OBJECTIVE: To better understand the current practices of IVF clinics regarding preimplantation genetic diagnosis (PGD) and explore the attitudes and opinions of clinic directors toward PGD. DESIGN: On-line Survey of 415 assisted reproductive technology (ART) clinics in the United States. The Survey had a valid response rate of 45% (186 ...
Robertson Stanley R - - 2007
The ability to translate a clinical problem seen in practice into a focused and well-formed answerable clinical question is one of the hardest steps in practicing evidence-based veterinary medicine (EBVM). Asking answerable clinical questions that relate to your patient is the first evidence-based skill a veterinarian needs to learn, and ...
Forrest John B - - 2007
Primary care physicians, urologists, and gynecologists have the opportunity to detect interstitial cystitis (IC) in its early stages in symptomatic patients and provide effective treatment before the disease progresses. In this article, we present guidelines for clinical practice management and coding for reimbursement for the care of patients with IC. ...
Benger Jonathan - - 2007
We read with interest the "viewpoint" by Sarbjit Clare and colleagues recommending that specialist registrars in acute medicine should receive patients in the resuscitation room.1 We agree that this is a valuable training experience, but question some of the assumptions made.
Clare Sarbjit - - 2007
A key component of training in Acute Medicine is the assessment and initial resuscitation of severely ill medical patients. The curriculum for General Internal Medicine (Acute Medicine) states that all specialists in Acute Medicine should attain Level 3 competencies in all emergency presentations.1 Different training programmes have variable exposure to ...
Passman M A - - 2007
OBJECTIVE: To evaluate the impact of creating a new specialty vein clinic within an academic-based vascular practice on clinical volume, physician workload and financial parameters. METHODS: All patients evaluated and treated for varicose vein related problems within an academic vascular surgery practice were identified from institutional billing databases. Data were ...
Skene Hannah - - 2007
It has certainly been a huge year of change for all of us in training posts, and in acute medicine particularly. There are now trainees in Acute Care Common Stem (ACCS) and Core Medical Training (CMT) programmes as well as new posts at ST3 level and above. Across the UK ...
Leung Ping-Chung - - 2006
While modern medicine has a very well established system of clinical research which insists on evidence-based methodology, traditional medicine has not developed its own system of research, despite of its length of existence and unreceding popularity. Since there are still many problem areas in modern medicine, and traditional medicine possesses ...
- - 2006
In light of new legislation and changing practice, together with the impending legal status of members who practise clinical photography and/or clinical videography, the Institute of Medical Illustrators (IMI) has revised and brought together A Code of Responsible Practice and its Code of Conduct. The new document, A Code of ...
Mancini Anthony D - - 2006
Many persons exposed to loss or potentially traumatic events manage the stresses of these experiences with minimal to no impact on their daily functioning. The prevalence of this resilient capacity has surprised researchers and clinicians alike and refocused clinical practice. We review three key points about resilience: resilience is different ...
Breckenridge Alasdair - - 2006
The lessons that the physician William Withering learned from his studies of digitalis are still relevant today. This paper highlights four of these lessons and updates them using the tools of clinical pharmacology and pharmacoepidemiology. First, Withering learned that failure to prepare digitalis from the foxglove in a standard manner ...
Dorsey E Ray - - 2006
Parkinson's disease (PD) is a common neurodegenerative disorder that is largely diagnosed and managed clinically. Biomarkers, as indicators of underlying biological processes, offer the potential to identify individuals at risk for PD, screen new therapies, assist in the diagnosis and help optimize management of PD. However, to date, biomarkers, despite ...
Reavill Drury R - - 2006
Fish medicine has common diagnostic and clinical procedures that are essential for disease diagnosis and patient management. With a few modifications for handling of the fish patient, these resemble procedures performed in most veterinary hospitals and clinics in our other companion species. The predictive value of these diagnostic methods is ...
Wilkinson D A - - 2006
The widespread adoption of high dose rate brachytherapy with its inherent dangers necessitates adoption of appropriate quality assurance measures to minimize risks to both patients and medical staff. This paper is aimed at assisting someone who is establishing a new program or revising one already in place into adhere to ...
Keller Michelle - - 2006
Background  The Clinical Fellowship program was developed to address the need for best practice in aged care and therefore improve outcomes for residents in Residential Aged Care. The project chosen for this program was Oral Hydration with the aim of improving the hydration status of Nursing Home residents and management ...
Rudd M David - - 2006
This article reviews the literature on the use of "no-suicide contracts" in clinical practice, including conceptual discussions, patient and clinician surveys, and a few empirical studies on clinical utility. Our primary conclusion is that no-suicide contracts suffer from a broad range of conceptual, practical, and empirical problems. Most significantly, they ...
Kempster P A - - 2006
Case delineation in clinical medicine is the technique of creating a narrative that allows the appropriate scientific knowledge to be brought to bear. Neurologists get to be good at this type of story reading and telling from dealing with clinical stories which are relatively long and complicated. These skills are ...
Keller Jim - - 2006
This manuscript highlights the role that clinical engineering can play to minimize the risk of problems associated with clinical alarms. AAMI held a town meeting on clinical alarm management and integration during its 2005 Annual Conference & Expo. The meeting highlighted some excellent suggestions on how the whole concept of ...
Duckitt R - - 2006
Acute Medicine remains high on the agenda at all levels of organisation and planning in Healthcare provision and training in the UK. In March 2006, an RCP report to the Health Committee Inquiry on Workforce Needs and Planning for the Health Service said, "The specialty of acute medicine is a ...
Bell Derek - - 2006
Acute medicine was recognised as a subspeciality of General (Internal) Medicine by the Specialist Training Authority in July 2003. In practice it had been growing as a clinical entity for over a decade and several reports have been published.1, 2, 3 The most recent Royal College of Physicians report on ...
Singh A - - 2005
BACKGROUND: There is considerable uncertainty regarding the selection criteria of patients and timing of surgery for cervical spondylotic myelopathy (CSM). Attempts have been made to quantify CSM severity using various assessment scales to provide an adjunct to clinical decision-making. The aim of the present study was to determine, by means ...
Hamill M - - 2005
We carried out a survey of all UK genitourinary (GU) medicine clinics, via postal questionnaire, in order to evaluate the current management of recurrent genital herpes (RGH) in the GU medicine setting. Respondents were invited to answer questions regarding various aspects of herpes simplex virus (HSV) management. There was a ...
Allen Finbarr - - 2005
As the prevalence of edentulousness has decreased, dentists can expect to treat increasing numbers of partially dentate patients. The number of adults who are edentate in the maxilla and partially dentate in the mandible is considerable, and present particular clinical challenges. A common finding is that of the flabby ridge, ...
Campanella Lisa Marie - - 2005
The objectives of this project were to establish a practical model for the review of clinical anatomy relevant to the assessment and care of the ill and injured patient, and to design practice models for invasive procedures using human cadaver, porcine cadaver, and plastic model material. A practical course based ...
Huengsberg M - - 2005
The objective of this study was to explore whether patients with Chlamydia trachomatis infection who self-refer to genitourinary medicine clinics have different demographic characteristics to those who initially attend other agencies. This study took place in three genitourinary medicine clinics from Birmingham, Nottingham and Sheffield. Demographic and post-code data were ...
Burdess A - - 2006
Despite progress in defining the cellular mechanisms of the ischaemic preconditioning phenomenon, its conversion into convenient clinical practice has been slow. The possibility that an innate mechanism of tissue resistance to ischaemia could be harnessed as a clinical tool is an attractive and enticing prospect.
Mahar Faryal - - 2005
Providing a service that incorporates both sexually transmitted infection (STI) treatment and contraception may provide an opportunity to reduce the spread of infection and unintended pregnancies by identifying women using inadequate contraception. Genitourinary (GU) medicine clinics are well equipped to do this. This study looked at current contraception needs of, ...
Pratt Peggy E - - 2005
A nationwide survey of clinical nutrition managers was conducted to assess perceived importance of selected job responsibilities and perceived performance satisfaction of those job responsibilities. A questionnaire was developed to achieve the study objectives, validated by an expert panel, and pilot-tested prior to data collection. All members of the American ...
Haddy Richard I - - 2005
Philip S. Hench, M.D., Sc.D., was a co-recipient of the Nobel Prize in physiology or medicine in 1950 for his research on hormones of the adrenal cortex. The high quality of his early clinical work can be seen in letters he wrote to a family practitioner in the 1920s concerning ...
Seri Istvan - - 2005
Successful management of neonatal shock is driven by the etiology and pathophysiology of the cardiovascular compromise. In the clinical practice, however, we only have a limited ability to recognize the etiology of the condition (hypovolemia, myocardial dysfunction or abnormal vasoregulation). Therefore, management is based on administration of fluid boluses and ...
Hossli Susan M - - 2005
Intradialytic hypotension (IDH) is one of the most common complications of hemodialysis treatment. Incidence of IDH varies from 10% to 50% of hemodialysis treatments. Numerous publications address the pathophysiology, effect of frequent episodes, and clinical management of IDH, but no recent publication has studied how IDH is managed in dialysis ...
Hyrkäs Kristiina - - 2005
There have recently been several organizational changes that have challenged nursing managers in the Finnish health care system. First-line managers need support in their work because of organizational changes and scarce economic resources. One of these supportive measures is clinical supervision. A group of first-line managers in a Finnish University ...
Murphy Timothy P - - 2005
The business strategy for establishing a clinical office involves three key components: fundamental change from the traditional technical model in processes for accepting referrals; establishment of a high-quality clinical operation; and changing the perception of interventionalist radiology among the referring community and the public. The costs and revenues used to ...
Chapple Christopher R - - 2005
OBJECTIVE: To review the concept of urinary urgency and its practical measurement in clinical trials, and advance the hypothesis that while urge is experienced by normal people, urgency is always pathological. METHODS: According to the International Continence Society (ICS) definition, urgency is the primary symptom of the overactive bladder (OAB) ...
Ozcan Muge - - 2005
Choanal polyps almost always appear as solitary growths and most commonly arise from the maxillary sinus. Sphenochoanal and ethmoidochoanal polyps are extremely rare. Co-existence of more than one choanal polyp is even more infrequent. We present a patient with an antrochoanal and an accompanying sphenochoanal polyp for the first time ...
Morash Robin - - 2005
During the second half of the 1990s, healthcare in Canada experienced significant downsizing and reform. One of the consequences of these reorganizations has been a reduction in the number of clinical managers and a significant increase in their span of control, to the point that often their abilities to fulfil ...
Balaz P - - 2005
Small bowel transplantation (SBT) has recently the attention of clinicians as an alternative to management of patients with irreversible bowel failure. In this paper, the authors provide an overview of basic facts regarding SBT in experimental and clinical medicine. The paper describes the evolution of bowel transplantation in experiment before ...
Gennery Brian - - 2005
As a result of European legislation passed in 2001 (Directive 2001/20/EC), all clinical trials, whether sponsored by industry, a major national body or charity, or done by a single academic investigator, must get approval from the Medicines and Healthcare products Regulatory Agency (MHRA) as well as obtaining ethical approval. This ...
Chow Elizabeth - - 2005
Eighteen international cancer centres responded to a questionnaire designed to determine clinic practices regarding the management of Hereditary Non-Polyposis Colorectal Cancer (HNPCC). Areas covered include definition, clinical intakes, pre-genetic testing for microsatellite instability (MSI) or expression of mismatch repair (MMR) genes by immunohistochemistry (IHC), mutational analysis, consent practices, counselling, surveillance ...
Baroletti Steven - - 2004
Critical evaluation of clinical trials is essential prior to applying results into clinical practice. We have created the acronym, PIES (Population, Intervention, Endpoints, and Statistics) that encapsulates the four basic aspects of a trial. The PIES method creates a systematic approach to critically evaluating a trial, allowing practitioners to formulate ...
Ng Chee Hon - - 2004
The personal digital assistant (PDA) offers clinicians the ability to enter and manage clinical information at the point of care. The first part of this series examined the oral medicine and surgery resources available on the Internet. This article discusses the possibilities of PDA technology, in conjunction with the Internet, ...
McClean Hugo - - 2004
An electronic database was used as an audit tool by a peripatetic audit or to collect data on the management of genital chlamydial infection from genitourinary medicine clinics. A paper proforma was used to obtain data on clinic facilities. The database generated pre-specified quantitative reports for comparison to national standards ...
Willenberg Kelly M - - 2004
The proper financial administration of clinical trials is becoming a major priority and necessity for involved institutions. The Office of Inspector General in the Department of Justice is sharpening its radar on this growing field. Institutions involved in the conduct of a clinical trial need to become more proactive in ...
Rittenhouse Diane R - - 2004
To validate physicians' self-reported intentions to leave clinical practice and the American Medical Association (AMA) Masterfile practice status variable as measures of physician attrition, and to determine predictors of intention to leave, and actual departure from, clinical practice. Survey of specialist physicians in urban California (1998); the AMA Physician Masterfile ...
Mak Donna B - - 2004
OBJECTIVES: The objectives of this study were to assess health professionals' adherence to Western Australian sexually transmitted infection (STI) management guidelines and to document the outcomes of contact tracing in a remote Indigenous setting. METHODS: This article comprises 2 parts: a retrospective clinical audit of quality of clinical STI management ...
Belhocine Tarik Z - - 2004
In the past decade, genomics and proteomics have begun to develop many new targets for potential diagnostic and therapeutic agents. Among the life sciences, nuclear medicine is also deeply involved in the field of clinical investigation. Experience with radiolabeled annexin V highlights the many steps required to translate a good ...
Grattan C E H - - 2004
Urticaria has diverse clinical presentations and causes. The implication of classifying urticaria primarily by clinical presentation rather than aetiology is that management can be focused on specific clinical problems without extensive investigations. Management pathways may involve nonpharmacological measures and drug interventions, which can be grouped into first-, second- and third-line ...
Hayashi Doubun - - 2004
Nowadays, evidence-based medicine has entered the mainstream of clinical judgement and the human genome has been completely decoded. Even the concept of individually designed medicine, that is, tailor-made medicine, is now being discussed. Due to their complexity, however, management methods for clinical information have yet to be established. We have ...
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