This paper explains Tibetan Medicine and its adherence to the tradition. The author has also analysed its historicalbackground and its relationship to Ayurveda.

The proper management of patients with orbital and periorbital cellulitis represents a distinct challenge to the clinician. A retrospective study is presented of 165 patients with the diagnosis of orbital or periorbital cellulitis admitted to the Children's Hospital of Philadelphia (CHOP) from January 1975 through December 1980. Sinusitis, trauma, local ...

Work actively to promote your practice externally, using ideas with which you feel comfortable. Develop internal public relations that include a review of your own doctor/patient relationships, proper telephone etiquette that is effective, assistant training, and patient communications. Attend practice management seminars and always try to incorporate at least one ...

Numerous studies have been published on the psychobiological factors which either facilitate or impede a patient's adaptation to haemodialysis. These studies have tended to group all dialysands together, and the psychological heterogeneity of dialysands has not always been adequately recognized. Recent research has assisted in identifying certain homogeneous subgroups. With ...

A study has been conducted in general practice comparing two brands of lozenges, Merocaine (Merrell) and Tyrozets, (M.S.D.), in the management of acute sore throat and pharyngitis. Eighty-eight patients entered the between-patient study and each completed a diary card covering symptoms experienced and dosage used for each of the two ...

Although herpes zoster is not a fatal disease, its legacy of postherpetic neuralgia gives rise to a great deal of misery and distress, especially in elderly patients. Furthermore, in the immunocompromised patient herpes zoster is an important complication. The management of the sequelae of herpes zoster continues to be extremely ...

One hundred four consecutive patients undergoing x-ray pelvimetry were analyzed prospectively in an attempt to evaluate the efficacy of this procedure. Comparison was made between prepelvimetry and post-pelvimetry clinical management plans. Roentgenographic pelvic measurements led to prompt and significant alterations in clinical management plans in only one of 67 patients ...

The practice of preadmission home visiting of patients referred to geriatric medicine units has in recent years been criticised as being unnecessary on the grounds that if there is no waiting list there is no need for allocation of priority for admission; as being wasteful of doctors' time; as being ...

Of 307 patients with myelomeningocele 132 were treated nonoperatively during the 6 yr period from 1973 to 1978. Of the nonoperatively managed patients, 86% died within 1 yr. The policy of nonoperative management was changed to one of active intervention in 25% of the infants. Despite this a large number ...

Data pertaining to incidence of hepatitis B from a 1976 Center for Disease Control Study were matched with responses from a Renal Physicians Association survey on dialyzer reuse in the United States. Of 6,079 patients, 166 (2.7%) became positive for hepatitis B surface antigen (HBsAg) in 96 centers practicing reuse, ...

The presence of pancreatitis does not constitute a contraindication to endoscopic sphincterotomy in the management of common duct calculi. On the contrary, experience with 10 cases of gallstone pancreatitis suggests that endoscopic sphincterotomy can be carried out safely with little disturbance to the patient, and that it greatly simplifies the ...

The anaesthetic management of distal tracheal resection in a quadriplegic patient is described. Ketamine, halothane, fentanyl and Entonox (50% N2O, 50% O2) were successfully employed. The major problems discussed include airway maintenance, cardiovascular instability and autonomic hyperreflexia, the dangers of depolarizers, and the need for monitoring temperature, blood pressure and ...

Sixteen cases of SHR are analyzed with respect to perinatal outcome, fetal scalp and umbilical arterial pH, and characteristics of the FHR pattern. There were no perinatal deaths in this series. The SHR is defined and a plan for management of the patient with SHR is proposed. A theoretical explanation ...

From a survey of 200 patients in two general practices it would appear that the patients' reaction to the use of a two-way mirror is on the whole not unfavourable. The results suggest, however, that in the very personal setting expected of general practice people suffering from psychiatric problems (especially ...

The tradition fo Western medicine established during the period of classical antiquity and extending through the early modern period encouraged the physician to avoid or to refuse to treat the seriously and/or terminally ill patient. The cultural environment and general attitudes toward death and dying helped to maintain this practice. ...

The ability of non-physician providers to collect the data required by an algorithm for upper respiratory illness management, and the appropriateness of resulting key management decisions, were studied by comparing non-physician data and management decisions on 426 patients with those of internists. The internists, blinded to Amosists' findings and plans, ...

A rare complication of cyclophosphamide therapy is severe, protracted, and often life-threatening hemorrhagic cystitis. Many reports on the management of this problem have advocated invasive and in themselves dangerous methods. It is proposed that this condition can be managed by suprapubic cystotomy with the fulguration of obvious bleeding points and ...

This paper illustrates the presentation and management of a grief reaction in a chronic hypochondriacal patient seen in a family medicine office. The manifestations of grief in the hypochondriacal patient are influenced by the unique characteristics of the chronic, somatic complainer in whom the grief reaction appeared as an intensification ...

This article briefly outlines some of the causes for violence and describes step by step guidelines to the management of disturbed behaviour in psychiatric patients including how the episode of violence can be dealt with by using a well planned approach, the effective use of medication in the management of ...

Hypocalcemia persists as a problem after thyroidectomy. We reviewed our experience with 245 thyroidectomies to define the spectrum of hypocalcemia, elucidate the mechanisms of hypocalcemia, and formulate a rational basis for its management. Postoperative hypocalcemia occurred in 8.6% of all patients undergoing thyroid surgery with incidence the highest in patients ...

This paper describes the structure of a dental practice management game. The game covers a wide spectrum of management decisions in setting up and in running a dental practice. The decisions considered include practice location, the form of practice, staffing mix, salaries, and the purchasing or leasing of equipment. The ...

A series comprised of 28 patients (five with perforations of the recto-sigmoid colon and 23 with lodged rectal foreign bodies) is presented. The symptomatology, physical, laboratory and x-ray findings are described. Methods of management are discussed, with emphasis on the operative management of perforations and the conservative approach to retained ...

In a series of 226 patients with spontaneous pneumothorax, 167 (74%) were managed successfully on an outpatient basis by observation (20%) or by intercostal tube drainage and a flutter valve (54%). Only 59 patients (26%) were hospitalized, and 42 of these were treated surgically (18.6%). Outpatient management with a flutter ...

A case report of a patient with acute pericardial tamponade is presented. The etiology, pathophysiology, and management of cardiac tamponade is discussed. Preoperative management includes volume expansion, administration of catecholamines, and pericardiocentesis. Intraoperatively, monitoring should include continuous measurement of arterial and central venous pressures. Ketamine has been found to be ...

Two techniques of subtotal functional laryngectomy are described: cricohyoidopexy which is used for supraglottic tumours, and cricohyoidoepiglottopexy for glottic tumours. These operations have been carried out on 61 patients, with tumours too extensive to be managed by the usual partial laryngectomy. The functional results are good, and 94% of the ...

A 30-year-old anephric patient on a home dialysis program developed bacterial endocarditis, aortic insufficiency, and severe hear failure. After a period of intensive medical management she underwent aortic valve replacement successfully. One year following operation she continues to do well and is again managed by home dialysis without further complication.

Experiences in managing patients suffering cardiac stab wounds and coming to the University of Alabama Hospital in Birmingham from January 1964 to July 1972 are reviewed. From 1964 through July 1971, conservative management was used primarily, but most patients ultimately required operation. Analysis of our experiences during this period convinced ...

The patient-doctor relationship is based on the principles of interaction, collecting data and integration of both interaction and data into an overall diagnosis/therapy. Patients with functional abdominal disorders are seen as representatives of today's general patients and a study of their management in present medical practice is reported, as revealed ...

A retrospective survey was made of 305 patients with proved urinary calculi. When those patients with a solitary stone were compared with those with multiple stones no diagnostically helpful difference was noted in the prevalence of abnormal serum or urine biochemistry, urinary infection, or anatomical abnormality of the urinary tract. ...

Because mitral regurgitation is so commonly seen in family practice, it becomes very important to decide quickly whether a patient should be referred or not. Dr. Levene summarizes indications for referral and mentions specific important considerations of long-term management.

To investigate the management outcomes of patients who developed tracheal stenosis after tracheostomy or intubation, we reviewed the courses of 45 patients who had experienced tracheal stenosis at a single institution, over 19 years from February 1985 through January 2004.

This study examined a wide range of variables relating to the practice patterns of 692 Ontario chiropractors (approximately 30% of all registrants in the province) who subscribed to the Ontario Chiropractic Association’s Patient Management Program. It analyzed the 2000–2001 data of these chiropractors and provided important information on such factors ...

Published in 2006 by the Royal Pharmaceutical Society and related organisations, this workbook is intended to be used in conjunction with the main guidance document 'Moving patients, moving medicines, moving safely'. It is aimed at anyone involved in the planning or delivery of discharge and transfer of patients between settings, ...

Prepared by the Royal Pharmaceutical Society and related organisations, this guidance focuses on the patient safety aspects of medicines management in the discharge of patients or transfer to another location. Aimed at the multidisciplinary team it provides practical guidance in developing systems which can be applied to many different settings ...

The author suggests a practical approach to managing a weight-loss program for the obese patient and strategies to help patients adhere to the regime and to maintain the weight reduction achieved. Matters to be covered in office visits are outlined, and the importance of the patient keeping a food diary ...

This article is not meant to be a comprehensive review of the surgical literature on treatment of hemorrhoids but rather a practical common-sense guide to the management of the patient who presents to a primary-care physician's office complaining of this disorder. The author discusses the probable differential diagnosis of the ...

In the ever-evolving scientific world of medicine, prostheses continue to fulfill a necessary function. Modern aggressive management of such diseases as diabetes, stroke, and peripheral vascular disease has been matched by new technology and attitudes in the world of prosthetics. The final common denominator continues to be the patient. The ...

Because mitral regurgitation is so commonly seen in family practice, it becomes very important to decide quickly whether a patient should be referred or not. Dr. Levene summarizes indications for referral and mentions specific important considerations of long-term management.

Nine principles of family medicine can be described: an open-ended commitment to patients; an understanding of the context of illness; the use of all visits for preventive purposes; the view of the practice as a population at risk; the use of a community-wide network of supports; the sharing with patients ...

This patient safety solutions pilot, aimed at health care organisations, provides advice on medicines reconciliation on hospital admission to ensure that medicines prescribed on admission correspond to those that the patient was taking before admission. Access is provided to key documents for this guideline including full guidelines (in PDF and ...

Altered level of consciousness is common in critically ill patients and is associated with potentially life threatening airway compromise. As problems with airway, breathing or circulation can lead to an altered level of consciousness, the initial priorities are to ensure a clear airway, and that breathing and circulation are adequate. ...

A network of motorcycle volunteers is on standby out of hours to deliver blood, medicines and equipment where they are needed by NHS staff.

Bradycardia can be a normal physiological sign in fit young adults. However, in acute illness it may indicate life threatening heart block or precede asystole. This article outlines the assessment and management of patients with this condition.

Pyrexia is defined by the National Institute for Health and Clinical Excellence as an elevation of body temperature above the normal daily variation. A sudden rise in temperature usually indicates infection, although there are many other noninfectious causes. This article outlines the causes of pyrexia and discusses management options.

Disabling anxiety and phobia are commonly encountered in dental practice. Successful management of these patients is especially important in endodontic practice, where patients are often compelled to seek treatment because of acute or threatened pain. This article reviews the recognition and management of these common disorders. Mild anxiety can be ...

Airway management is a skill that all healthcare professionals need to learn. This skill is used in two specific areas. First, in emergency situations such as cardiac arrest or respiratory arrest. Second, and the subject of this article, the postanaesthetic patient. This article explores not only the anatomy of the ...

This article explores the development and use of patient group directions in the supply and administration of medicines. It provides an overview of the classification of medicines and differentiates between a patient specific direction and a patient group direction. The use of patient group directions in the NHS and private ...

The present paper focuses upon psychological factors which may cause patients to make formal complaint or embark upon legal proceedings against a doctor despite competent medical management. Although the principles involved arose from experience of liaison psychiatry in neonatal and obstetric settings, they are more broadly applicable to other areas ...

Dignity is important to every individual, irrespective of the situation in which they find themselves, including healthcare settings. This article aims to heighten awareness of patient dignity, encourage readers to reflect on the concept and apply it to practice. Self-awareness of knowledge, skills and attitude is a prerequisite for supporting ...

Clearly defined indications for major extirpation procedures in metastatic mammary carcinoma are lacking. A reassessment of experience with 222 patients (133 after adrenalectomies and 89 after hypophysectomies) was therefore undertaken. This experience has changed our previous opinions that such procedures should be used only at the end of a sequential ...