INTRODUCTION: Integrated medicine has become an important issue in this century. In order to bridge the gap between traditional Chinese medicine (TCM) and modern medicine, we have established a first final version of a Yang-Xu constitution questionnaire, the BCQ+, in a previous study. The objective of the present investigation is ...

This manuscript addresses how developing countries can maximize access to essential medicines and minimize unwanted side-effects within the legal environment of a compulsory license regime. While compulsory licensing can play a role in improving public health, external social and political conditions must be considered in order to make licensing an ...

A number of lactation management strategies can be applied to reduce negative effects of lactation on post-weaning fertility. This paper focuses on effects of lactation length, Intermittent Suckling and Split Weaning on follicle development and subsequent oestrus. It is concluded that a lactation length of less than 3 weeks still ...

Integrated care pathways, a fine-grained form of medical guideline including the explicit recording of any deviation, or 'variance', have been perceived by some as overly prescriptive, limiting clinical freedom and promoting 'cookbook medicine'. However, feeding the results of the analysis of variance back into the development of a pathway could ...

Management development programmes available to NHS managers focus on a performance orientation and sustain a culture of managerial and medical domination. This paper aims to question whether it is possible to consider NHS management development from a critical (empowerment culture) perspective. Features of the critical management studies approach (CMS) are ...

BACKGROUND: Instruction in principles and methods of medical education is a core component of the training of medical teachers. Curricula for new medical teachers have developed across Europe, but few European courses have had the success of the EURACT Bled course for teachers of family medicine. The course focuses on ...

Substandard medicines contribute to poor public health and affect development, especially in the developing world. However knowledge of how manufacturers, distributors and providers understand the concept of drug quality and what strategies they adopt to ensure drug quality is limited, particularly in the developing world. The purpose of this paper ...

A technology that allows for manipulating of oestrus and ovulation, and would then also allow for fixed-time insemination, can be of great benefit for swine farms that operate using sow batch management due, at least in part, to savings in labour and the production of large batches of evenly developed ...

This article discusses the science of regenerative medicine and presents evidence that investments towards the development of this technology will reduce total health care output. Use of regenerative medicine will also be an important factor in eliminating chronic diseases such as diabetes, heart disease, and Parkinson's disease. Investment in regenerative ...

BACKGROUND: Many physicians have medical experience in developing countries early in their career, but its association with their medical performance later is not known. To explore possible associations we compared primary care physicians (GPs) with and without professional experience in a developing country in performance both clinical and organisational. METHODS: ...

The sustainable city has now become a leading paradigm of urban development throughout the world. Although the practices, discourses and ideologies associated with the sustainable city have been widely disseminated, analyses of sustainable urban development remain surprisingly anodyne. Drawing upon the insights of regulation theory, this paper attempts to develop ...

Catalytic asymmetric reduction of prochiral ketones with hydrides such as boranes and borohydrides is one of the simplest and the most convenient methods for obtaining chiral alcohols. This tutorial review describes the most significant advances recently achieved for enhancing the enantioselectivity and practicability of the reduction using this methodology. The ...

Indications of developing malocclusion are often present in the mixed dentition.With judicious supervision and timely intervention their effects can be minimized. The general dental practitioner is ideally placed to recognize, manage and correct many such incipient problems. This first of two papers considers three keys to success involving, normal dental ...

A longitudinal study was conducted to investigate the influence of practice on the long-term development of expert pianists' motor skills in a relevant musical context. Temporal evenness in standardized scale playing was assessed twice in 19 pianists within an average time interval of 27 months. Questionnaires were used for retrospective ...

Crafting clear and factual contract language is a process that few practices take into consideration when purchasing software and hardware to run their practices. This article looks at many important facets that are often neglected in negotiating with vendors prior to purchase. In the end, what is written in the ...

Data are scarce on endoscopic sedation practices outside the United States and Western Europe, particularly from developing nations. An Internet survey was used to assess endoscopic sedation practices in developing and developed countries. Responses to a Web-based survey of sedation practices from 165 expert endoscopists from 81 countries were analyzed. ...

Lipoatrophy (LA) is a common and now well-recognized complication of highly active antiretroviral therapy (HAART). Over the last decade as knowledge of the mechanisms behind LA has developed, several antiretroviral drugs, in particular, have emerged as the likely agents responsible for this complication. This has been supported by studies comparing ...

The American College of Obstetricians and Gynecologists (ACOG) Presidential Task Force on Changing Practice in the 21st Century developed a list of practical goals or recommendations that ACOG or our members can implement, to improve practice satisfaction and ensure survival in the twenty-first century. Three areas of focus were 1) ...

Conservation-based development programs have sought to create economic opportunities for people negatively impacted by biological diversity protection. The USDA Forest Service, for example, developed policies and programs to create contracting opportunities for local communities to restore public lands to replace jobs lost from reduced timber harvest. This article examines 12 ...

Rangelands represent one of the most important natural resources in mountainous regions of northern Nepal. However, a poor understanding of the social dimensions of rangeland use has limited their proper management and sustainable development, which represent major challenges for Nepal's resource managers. Institutional development is thought to be a viable ...

PURPOSE: To document the development of corneal perforation after using gatifloxacin to treat inflamed pterygium. METHODS: A 30-year-old man developed corneal perforation after using gatifloxacin to treat inflamed pterygium. RESULTS: After treatment with gatifloxacin was stopped, the perforation was managed by applying cyanoacrylate glue, followed by pterygium excision. CONCLUSIONS: If ...

Acute kidney injury (AKI) has become increasingly prevalent in both developed and developing countries, and is associated with severe morbidity and mortality, especially in children. Uncertainty regarding the true incidence of AKI limits awareness of the problem, thereby reducing political visibility of the disorder and hampering efforts to prevent its ...

ABSTRACT: BACKGROUND: International initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, the President's Emergency Plan for AIDS Relief and the President's Malaria Initiative have significantly increased availability and access to medicines in some parts of the developing world. Despite this, however, skills remain limited on quantifying ...

PURPOSE: This article reports on the development of a decisional balance measure based on the transtheoretical model (TTM) for stress management among adolescents. DESIGN: Measurement development was conducted with participants of a pilot survey. SETTING: Surveys were completed in health and physical education classes. SUBJECTS: Ninth and tenth graders (N=317) ...

A number of medicine selection methods have been used worldwide for formulary purposes. In Northern Ireland, integrated medicines management is being developed, and related projects have been carried out. This paper deals with the description of the STEPS (Safe Therapeutic Economic Pharmaceutical Selection) programme. The paper outlines the development of ...

Trinidad and Tobago is plagued with a perennial flooding problem. The higher levels of rainfall in the wet season often lead to extensive flooding in the low-lying areas of the country. This has lead to significant damage to livestock, agricultural produce, homes and businesses particularly in the Caparo River Basin. ...

Sustainable development indicators (SDIs) have emerged as a tool to measure progress towards sustainable development for a number of fields. However, no indicator initiative to date has been aimed at biosolids management at local authority, regional or national levels. This paper presents a study where stakeholders involved in the management ...

Neovascular glaucoma (NVG) is a severely blinding, intractable disease. The objective of this review is to provide detailed information on its basic and clinical aspects, to enable us to manage it logically. Therefore, its causes, pathogenesis and pathology, methods of early diagnosis and management are discussed. To prevent or reduce ...

Although the current array of nanomachines mostly comprises simple devices (at least from a mechanical viewpoint), the underlying physical and chemical interactions that play key roles in the 'assembly' of these machines have required decades of research to ascertain a fundamental understanding of how such processes can be manipulated at ...

1. You cannot provide quality payment compliance without using your practice management system-use its functionality. 2. Develop internally a denial expert (probably from your existing billing or collection follow-up staff)-the position will pay for itself. 3. Ensure the integrity of your processes (i.e., cash posting). 4. Categorize underpayments by action ...

The introduction of national parks to Scotland represents a significant shift in the evolution of protected area management within the UK. Although the National Parks (Scotland) Act 2000 adopts the established national park aims of conservation and recreation, provisions are also made for advancing notions of sustainable development. This paper ...

Land use is rapidly expanding in the Greater Yellowstone Ecosystem, primarily from growth in the number of rural homes. There is a need to project possible future land use and assess impacts on nature reserves as a guide to future management. We assessed the potential biodiversity impacts of alternative future ...

Despite the best efforts of industry and regulatory authorities, the trust of society in the process of medicine development and communication of pharmaceutical risk has ebbed away. In response the US government has called for a culture of compliance while the EU regulators talk of a 'culture of scientific excellence'. ...

Processes to develop criteria and indicators (C and I) for sustainable forest management are often expert driven. Although the long-term objective of the Nepalese forest policy is sustainable forest management, no national level C and I specifically for this have been developed. However, the Ministry of Forests and Soil Conservation ...

In an effort to identify Otx2 targets in mouse anterior neuroectoderm we identified a gene, mShisa, which is homologous to xShisa1 that we previously reported as a head inducer in Xenopus. mShisa encodes an antagonist against both Wnt and Fgf signalings; it inhibits these signalings cell-autonomously as xShisa1 does. The ...

Disabled people are amongst the most excluded in society, while people with learning disability have the lowest rates of employment. Supported employment promises to address the gaps, but it is a new approach, one whose development has been incremental. The present authors explore some of the features of agencies providing ...

We report the case of a 46-yr-old male who developed severe lactic acidosis, cardiorespiratory arrest, and rhabdomyolysis following an overdose of metformin and ramipril. The lactic acidosis was successfully treated with early high-volume continuous veno-venous haemofiltration. Rhabdomyolysis and lower limb compartment syndrome developed later. The patient otherwise made a good ...

With the evolution of AJAX, ruby on rails, advanced dynamic XHTML technologies and the advent of powerful user interface libraries for javascript (EXT, Yahoo User Interface Library), developers now have the ability to provide truly rich interfaces within web browsers, with reasonable effort and without third-party plugins. We designed and ...

AIM: This paper describes and analyses the role of bed managers within hospitals, and how this can be supported through a development programme. BACKGROUND AND KEY ISSUES: Bed management has increased in importance as access targets have developed, and appreciation of the importance of patient flow has grown. The bed ...

This paper describes the development and ongoing validation of the ANAM-sports medicine battery (ASMB) for use in concussion surveillance and management. A review of previous research utilizing the ASMB highlights current issues in concussion surveillance including: tracking cognitive recovery, effect of previous concussion history on acute concussion presentation, and clinical ...

Faced with society's increasing expectations, the Common Agricultural Policy (CAP) review considers environmental management to be an ever more critical criterion in the allocation of farm subsidies. With the goal of evaluating the environmental friendliness of farm practices, France's agricultural research and extension services have built a range of agricultural/environmental ...

OBJECTIVE: The objective of this study was to describe development and implementation of potentially better practices to reduce bronchopulmonary dysplasia in very low birth weight infants (birth weight: 501-1500 g). METHODS: Results of Breathsavers Group meetings, conference calls and critically appraised topic summaries were used to construct potentially better practices. ...

In this paper, we describe the development of a self-management protocol for a controller of a moving-actuator type artificial heart, AnyHeart. The developed protocol analyzes motor current signals and detects abnormal pumping statuses. If preset abnormal pumping statuses are detected by an implemented algorithm, a controller triggers an emergency management ...

Geographical areas constitute the basic implementation locus for integrated coastal zone management strategies and activities. Because the definition of territorial planning objectives may be affected by socioeconomic and environmental characteristics, one of the main steps in the process involves dividing the coast into homogeneous environmental management units (HEMUs). This article ...

In this paper, we present a retrospective and chronological review of our efforts to revolutionize the way physical medicine is practiced by developing and deploying therapeutic robots. We present a sample of our clinical results with well over 300 stroke patients, both inpatients and outpatients, proving that movement therapy has ...

Over the last decade, researchers paid much attention to concepts such as Design for Environment, Extended Producer Responsibility, Responsible Chain Management, and Eco-design. Many management tools and standards (such as EMAS, ISO 14001, LCA, EPD, Ecolabel) have been developed to support companies in the evaluation and management of their environmental ...

DUB is extremely common in young adolescents, and can be regarded asa part of normal physiologic development. It is essential to have a firm grasp on normal physiologic development of the menstrual cycle to recognize the normal menstrual patterns of adolescents and to manage abnormal patterns that may develop. Specific ...

The impact of intellectual property protection in the pharmaceutical sector on developing countries has been a central issue in the fierce debate during the past 10 years in a number of international fora, particularly the World Trade Organization (WTO) and WHO. The debate centres on whether the intellectual property system ...

Middle managers will need to develop a wide range of previously uncalled-for skills to cope in the new NHS. These include analysing information, examining patient flows and making business cases for investment. As commissioners, managers will also require skills contract management, service-level agreements and dealing with the private sector.

This article critically reviews the evolution of urban environmental management in Shanghai since 1978. Established in a transitional post-socialist economy and shaped by a spectacular urban redevelopment process, the current environmental management framework of Shanghai has succeeded in mitigating major industrial pollution and improving urban amenities with unprecedented pace and ...