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Connor Michelle M Northamptonshire Healthcare NHS Foundation - - 2014
This article describes the introduction of abdominal massage techniques by a community team as part of a total bowel management programme for people with learning disabilities. A trust-wide audit of prescribed laxative use by this client group raised concerns, and led to a more systematic approach to managing constipation in ...
Dinold Maria - - 2013
Abstract This article adds to the growing body of knowledge in sport pedagogy and focuses specifically upon the intersection of gender and disability. Its purpose is twofold, to create a typology for examining good practice in sport pedagogy that is reflective and inclusive and raises awareness of the diverse needs ...
Moran Julie A - - 2013
Adults with intellectual and developmental disabilities (I/DD) are increasingly presenting to their health care professionals with concerns related to growing older. One particularly challenging clinical question is related to the evaluation of suspected cognitive decline or dementia in older adults with I/DD, a question that most physicians feel ill-prepared to ...
Poole Janet L JL Occupational Therapy Graduate Program, University of New Mexico, Albuquerque, - - 2013
This paper uses a case study to highlight the evidence for rehabilitation interventions designed to reduce disability of the hand and mouth and manage fatigue in persons with diffuse systemic sclerosis to inform clinical practice and guide future research.
Ohry Avi - - 2012
Charles Dickens' ( 1812- 1870) works, were for a long time, a solid background for social, historical, psychological, literary and medical 19th century studies. In this article , some light is casted on Dickens, medicine and disabled people in his works, especially on paraplegics.
Puig-Junoy Jaume - - 2012
Background: In many countries with generic reference pricing, generic producers and distributors compete by means of undisclosed discounts offered to pharmacies in order to reduce acquisition costs and to induce them to dispense their generic to patients in preference over others. Objective: The objective of this article is to test ...
Rijal Laxman - - 2012
Traditional medicines especially the herbal paste is routinely prescribed by the herb sellers. The unsupervised combinations and preparations are easily available in our part of world. The demand and supply of such irrational combination is only based on the principle that anything natural is safe. Drugs and preparations made by ...
Tiderington Emmy - - 2012
The harm reduction approach has become a viable framework within the field of addictions, yet there is limited understanding about how this approach is implemented in practice. For people who are homeless and have co-occurring psychiatric and substance use disorders, the Housing First model has shown promising results in employing ...
Babar Zaheer-Ud-Din - - 2012
The objective of this study was to evaluate consumers' perceptions regarding "modern medicines" in Penang, Malaysia. To conduct this exploratory study, qualitative techniques were used. Consumers more than 19 years of age and could speak English, who had visited a pharmacy in the last 30 days, were included from the ...
Bressi Nath Sara - - 2012
PURPOSE: In order to understand the nature of the therapeutic alliance in intensive case management, this study used qualitative methods to assess the dynamics of the case managers' relationships with their consumers by examining their perspectives on their own and their consumers' likeability, how helpful consumers perceive them to be, ...
Beglaryan M - - 2012
Herbal medicines nowadays tend to gain more and more popularity among health care providers and drugstore customers, as well. Current study has been an effort to explore the attitudes and customer behavior of drug consumers in Yerevan, Armenia. It is a cross-sectional descriptive study in nature an has no hypothesis ...
Dejean Pierre-Henri - - 2012
This paper presents the concept of direct and indirect users, a key issue to cooperation between ergonomists, designers and managers involved in a sustainable approach to design. What issues for Ergonomics and Design are launched by this concept? User/consumer differences should be approached taking into account Ergonomics and Design theory ...
Emmerton Lynne - - 2012
This study explored consumer perceptions of complementary and alternative medicine (CAM) and relationships with CAM and conventional medicine practitioners.A problem detection study (PDS) was used. The qualitative component to develop the questionnaire used a CAM consumer focus group to explore conventional and CAM paradigms in healthcare. 32 key issues, seven ...
Koc Zeliha - - 2011
OBJECTIVE: The objective of the study was to evaluate the use of and attitudes toward complementary and alternative medicine (CAM) among midwives in Turkey. STUDY DESIGN: Information was requested from 129 midwives at family health centers in Samsun concerning their suggestions for the use of complementary and alternative medicine for ...
Kreijkamp-Kaspers Sanne - - 2011
Background Chronic fatigue syndrome, or myalgic encephalomyelitis (CFS), is a severe disabling condition. Patients with CFS usually trial many different medicines, both conventional and complementary. An overview of the pharmacological treatments used by CFS patients and the available evidence underpinning the use of these treatments would be of great value ...
Lai Jin-Shei - - 2011
To illustrate how measurement practices can be advanced by using as an example the fatigue item bank (FIB) and its applications (short forms and computerized adaptive testing [CAT]) that were developed through the National Institutes of Health Patient Reported Outcomes Measurement Information System (PROMIS) Cooperative Group. Psychometric analysis of data ...
Edmonds Kim - - 2011
PURPOSE: As a group of European nurses familiar with treating patients with renal cell carcinoma (RCC) and hepatocellular carcinoma (HCC) using targeted/chemo- therapies, we aimed to review strategies for managing adverse events (AEs) associated with one targeted therapy, sorafenib. METHOD: Focusing on the AEs we considered the most difficult to ...
Izazola-Conde C - - 2011
Teachers and researchers are valuable resources of universities. A healthy life style includes appropriate utilization of medicines. In this work we explore health status and medicine consumption among a sample of academic employees over 40 years of age at a Mexican university. We analyzed answers to an on line survey ...
Cellarius Victor - - 2011
There has been much discussion regarding the acceptable use of sedation for palliation. A particularly contentious practice concerns deep, continuous sedation given to patients who are not imminently dying and given without provision of hydration or nutrition, with the end result that death is hastened. This has been called 'early ...
Kano Hideyuki - - 2010
Gamma knife stereotactic radiosurgery (SRS) has proven to be an effective management approach for trigeminal neuralgia and as a minimally invasive alternative management option for cluster headache (CH). In CH, patients undergo single-session focused irradiation of the trigeminal nerve root (TN), sometimes coupled with irradiation of the sphenopalatine ganglion (SPG) ...
Merli Claudia - - 2010
This paper explores how local people in a province in southern Thailand perceive the practice of male and female genital cutting. In order to understand the importance placed on these practices, a comparison is drawn between the two and also between the male circumcision and the Buddhist ordination of monks ...
Yang Jingqing - - 2010
The article explores the communist ideology that has guided the formation of professional ethics of medicine in China. It first explores the constitutions of the People's Republic of China and the Chinese Communist Party and codes of practice for medicine enforced since 1949, showing that the core of the ideology ...
Schechtman Marya - - 2010
Traditionally, it has been assumed that metaphysical and practical questions about personhood and personal identity are inherently linked. Neo-Lockean views that draw such a link have been problematic, leading to an opposing view that metaphysical and ethical questions about persons should be sharply distinguished. This paper argues that consideration of ...
French Michael T - - 2010
Concierge medicine (also called retainer practices or consumer-focused care) represents a new approach to the delivery of primary care. This model involves more personalized attention and greater resources for individual patients, thus limiting the number of patients who can be served at each practice. All enrolled members must pay an ...
Wiesemann C - - 2010
The clinical management of intersex has undergone a significant change in values. Whereas in former times, benevolent medical paternalism was the rule, today, the patient's right to respect for dignity and self-determination is given priority. This paper discusses ethical considerations shaping the modern therapeutic management of intersex conditions that do ...
Spear Marcia - - 2010
The purpose of aesthetic medicine is embellishment and enhancement. As these procedures are elective in nature, media messages and misleading advertisements do influence those consumers seeking to improve or enhance their appearance. The role of provider demands that prudent guide these treatment options and not only succumb to patient demands. ...
Craig Kathy - - 2010
Case managers will occasionally witness colleagues from their own or other healthcare disciplines providing care in ways that frankly deviate from or violate standards of care, rules, regulations, policies, and procedures. This article will discuss the case manager's ethical obligation to speak up in such instances as well as list ...
Lucier David J - - 2010
Retainer-medicine primary care practices, commonly referred to as "luxury" or "concierge" practices, provide enhanced services to patients beyond those available in traditional practices for a yearly retainer fee. Adoption of retainer practices has been largely absent in academic health centers (AHCs). Reasons for this trend stem primarily from ethical concerns, ...
Richard Claude - - 2010
The 'right to the truth' involves disclosing all the pertinent facts to a patient so that an informed decision can be made. However, this concept of a 'right to the truth' entails certain ambiguities, especially since it is difficult to apply the concept in medical practice based mainly on current ...
Funder John W - - 2010
Over half a century ago, a Canadian judge defined a profession in a way that resonates still today, not only for lawyers and doctors, but for the current wide variety of professions and professionals. This article is a reflection on this definition. It briefly considers the historical context within which ...
Ramesh Chandakacharla N - - 2010
Recent years have seen huge advances in medicine and the science of medicine. Nuclear medicine has been no exception and there has been rapid acceptance of new concepts, new technologies and newer ways of working. Ethical principles have been traditionally considered as generic skills applicable to wide groups of scientists ...
Bosa Iris M - - 2010
New public management accountability is increasingly being introduced into health-care systems throughout the world - albeit with mixed success. This paper examines the successful introduction of new management accounting systems among general practitioners (GPs) as an aspect of reform in the Italian health-care system. In particular, the study examines the ...
Scripko Patricia D - - 2010
Many enhancement technologies are distributed by healthcare professionals-by physicians-who are held to the Hippocratic Oath and the goals of medicine. While the ethics of enhancement has been widely discussed with regard to the social justice, humanism, morals and normative values of these interventions, their place in medicine has not attracted ...
Ryan Christopher - - 2010
The aim of this paper is to examine whether advertising in the College journals and at RANZCP Congress, in particular from pharmaceutical companies, gives rise to a conflict of interests, and to discuss how this should be managed. While advertising will often represent a conflict of interests, banning advertising from ...
Chervenak Frank A - - 2010
Advances in modern medicine invite the assumption that medicine can control human biology. There is a perilous logic that leads from expectations of medicine's control over reproductive biology to the expectation of having a perfect baby. This article proposes that obstetricians should take a preventive ethics approach to the care ...
Naing Cho-Min - - 2010
Permanent neurological impairment or death arising from hospital-acquired hyponatremia in both children and adults is well documented. The choice of intravenous fluids for fluid resuscitation in critically ill patients is a top priority in evidence-based medicine. The question of whether colloids in comparison to crystalloids can improve mortality in such ...
Sondheimer Adrian - - 2010
This article examines ethics (the philosophic study of "doing the right thing") and risk management (the practice that seeks to manage the likelihood of "doing the wrong thing") and the relationship between them in the context of administrative child and adolescent psychiatry. Issues that affect child and adolescent psychiatrists who ...
Devitt Brian Meldan - - 2010
There are many ethical dilemmas that are unique to sports medicine because of the unusual clinical environment of caring for players within the context of a team whose primary objective is to win. Many of these ethical issues arise because the traditional relationship between doctor and patient is distorted or ...
Choonara Imti - - 2009
Clinical trials in neonates are essential in order to provide scientific evidence in relation to the efficacy and safety of medicines. European legislation has recently been passed in order to stimulate clinical research in this area. This should hopefully result in more licensed medicines in the neonatal period. It is ...
Blondeau Danielle - - 2009
The induction of sedation at the end of life is a much debated practice and not very documented. The goal of this study was to explore the practice from both a clinical and ethical point of view. Data were collected through semistructured interviews with 19 Quebec physicians working in palliative ...
MacKenzie C Ronald - - 2009
Ethical challenges are prevalent in modern-day medicine. Whether arising in the daily practice of medicine, in the conduct of research, or in our educational practices, physicians need to understand the relevance ethics plays in our professional lives. This paper examines the ethical foundations of medical ethics, suggests qualities that define ...
Malec James F - - 2009
The ultimate goal of evidence-based medicine (EBM) is to develop a scientific basis for choosing interventions that will benefit individuals with defined characteristics under specified conditions. By referencing practice recommendations to the strength of the scientific evidence gleaned from systematic reviews, EBM avoids the influence of professional biases. The randomised ...
Glickel Steven Z - - 2009
Socioeconomic pressures on medicine have redefined traditional relationships between physicians and patients, researchers and regulatory bodies, and consultants and device companies. Physicians are disheartened that the public perception of medicine, reinforced by the media, is often negative. Ethical lapses are frequently the focus of criticism. A recent example that received ...
Kulikowski C A - - 2009
OBJECTIVES: To discuss translational medicine advances challenging biomedical and health informatics. METHODS: Reviewing material presented at the Heidelberg 35th Anniversary Workshop, summarizing results from the 1st AMIA Summit on Translational Bioinformatics and discussing the opportunities, difficulties, and ethical dilemmas confronting researchers, practitioners, and healthcare managers in transitional bioinformatics. RESULTS: The ...
Evers Kathinka - - 2009
Pharmacogenomic developments hold promise for personalized medicine in psychiatry with adjusted therapeutic doses, predictable responses, reduced adverse drug reactions, early diagnosis, and personal health planning. The prospects are exciting, but at the same time, these new techniques stand faced with important scientific, ethical, legal, and social challenges that need to ...
Konstantinopoulos Panagiotis A - - 2009
Molecular medicine is transforming everyday clinical practice from an empirical art to a rational ortho-molecular science. The prevailing concept in this emerging framework of molecular medicine is a personalized approach to disease prevention, diagnosis, prognosis, and treatment. In this mini-review, we discuss the educational and social-ethical issues raised by the ...
Klemenc-Ketis Zalika - - 2008
AIM: To determine the prevalence of difficulties in managing ethical dilemmas in family practice. METHODS: The study included a random sample of 259 family medicine physicians, representing 30% of the population of family physicians in Slovenia. Participants were given a self-administered questionnaire on perceived ethical dilemmas in their practice, with ...
Bottrill Madeleine C - - 2008
Conservation efforts and emergency medicine face comparable problems: how to use scarce resources wisely to conserve valuable assets. In both fields, the process of prioritising actions is known as triage. Although often used implicitly by conservation managers, scientists and policymakers, triage has been misinterpreted as the process of simply deciding ...
Murray Stuart J SJ Department of English, Faculty of Arts and School of Graduate Studies, Ryerson University, Toronto, Canada. - - 2008
This essay asks how we might best elaborate an ethics of authentic practice. Will we be able to agree on a set of shared terms through which ethical practice will be understood? How will we define ethics and the subject's relation to authoritative structures of power and knowledge? We begin ...
Stöbel-Richter Yve - - 2009
OBJECTIVE: To determine opinions and attitudes of the German general population toward the treatment methods of reproductive medicine: egg donation, surrogate mothering, and reproductive cloning. DESIGN: Representative survey. SETTING: German general population: face-to-face interviews at home with 2,110 persons, aged 18-50 years. PATIENT(S): Patients were not included. INTERVENTION(S): No interventions ...
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