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Lipner Rebecca S RS Dr. Lipner is senior vice president, Department of Evaluation, Research, and Development, American Board of Internal Medicine, Philadelphia, Pennsylvania. Dr. Brossman is a psychometrician, Department of Evaluation, Research, and Development, American Board of Internal Medicine, Philadelphia, - - 2014
One way to ensure quality of health care in the United States is through maintenance of certification (MOC). In this study, the authors explored whether participation in the internal medicine MOC program varies by physician-level characteristics, professional activities, and the size and location of the practice. They also sought to ...
Zuckerman Joseph D JD Department of Orthopaedic Surgery, Division of Adult Reconstructive Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, - - 2014
Reimbursement continues to decrease for orthopaedic surgeons specializing in total joint arthroplasty (TJA). Practice information from the Medical Group Management Association (MGMA) Cost Survey and Private practice Compensation Survey and CMS locality reimbursement data was used to develop a practice model for a TJA specialist performing 300 TJA per year ...
Abdel-Aal Ahmed K AK Radiology, University of Alabama at Birmingham, Birmingham, United - - 2014
Peritoneal dialysis (PD) catheters can be placed by interventional radiologists, an approach that might offer scheduling efficiencies, cost-effectiveness, and a minimally invasive procedure. In the United States, changes in the dialysis reimbursement structure by the Centers for Medicare and Medicaid Services are expected to result in the increased use of ...
Setabutr Dhave D Division of Otolaryngology-Head and Neck Surgery, Penn State Hershey Medical Center College of Medicine, Hershey, PA, USA. Electronic address: - - 2014
To evaluate the effect of the recently published guidelines on Tonsillectomy in Children and Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy in Children on physician practice patterns. Cross-sectional survey. Survey of members of the American Academy of Otolaryngology-Head and Neck Surgery. Academic tertiary referral center. A total of 280 physicians ...
Deyaert Jef J End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, , Brussels, - - 2014
Potentially life-shortening medical end-of-life practices (end-of-life decisions (ELDs)) remain subject to conceptual vagueness. This study evaluates how physicians label these practices by examining which of their own practices (described according to the precise act, the intention, the presence of an explicit patient request and the self-estimated degree of life shortening) ...
Zuzek Crystal - - 2014
A new RAND survey offers new details about what makes physicians happy in practicing medicine and what makes them feel dissatisfied with their career choice. Among the biggest culprits in causing physician angst is electronic health records.
Sorrel Amy Lynn - - 2014
Congress once again let physicians down by failing to fix the flawed Medicare Sustainable Growth Rate formula and defaulting to a temporary patch for the 17th time. Because Congress came closer than ever to solving the problem with bipartisan legislation, medicine is eager to get back to the negotiating table ...
Studer Matthew A - - 2013
To describe current practice and clarify provider opinion in the US with regard to newborn pulse oximetry screening (NPOx) for critical congenital heart disease. An internet-based questionnaire was forwarded to general pediatricians, neonatologists, and family medicine physicians. Physicians were surveyed regarding involvement in newborn medicine, knowledge of NPOx recommendations, and ...
Lin Katherine Y KY University of Michigan, Department of Sociology, Literature Sciences and the Arts Building, Rm #3001, 500 S. State Street, Ann Arbor, MI 48109-1382, USA. Electronic address: - - 2014
Physicians in the United States are now less likely to practice in smaller, more traditional, solo practices, and more likely to practice in larger group practices. Though older theory predicts conflict between bureaucracy and professional autonomy, studies have shown that professions in general, and physicians in particular, have adapted to ...
Gelcich Stefan - - 2013
Tourism is a financing mechanism considered by many donor-funded marine conservation initiatives. Here we assess the potential role of visitor entry fees, in generating the necessary revenue to manage a marine protected area (MPA), established through a Global Environmental Facility Grant, in a temperate region of Chile. We assess tourists' ...
Dowling Robert A - - 2013
This article summarizes current best practices for documenting, coding, and billing common office-based urologic procedures. Topics covered include general principles, basic and advanced urologic coding, creation of medical records that support compliant coding practices, bundled codes and unbundling, global periods, modifiers for procedure codes, when to bill for evaluation and ...
Fraeyman Jessica - - 2013
In Belgium, a co-insurance system is applied in which patients pay a portion of the cost for medicines, called co-payment. Co-payment is intended to make pharmaceutical consumers more responsible, increase solidarity, and avoid or reduce moral hazards. Our objective was to study the possible influence of co-payment on sales volume ...
Carrier Emily R - - 2013
Despite widespread agreement that physicians who practice defensive medicine drive up health care costs, the extent to which defensive medicine increases costs is unclear. The differences in findings to date stem in part from the use of two distinct approaches for assessing physicians' perceived malpractice risk. In this study we ...
Arnold Jennifer L - - 2013
Becoming a physician comes with privilege and exciting opportunities. The rigor of academic medicine can be challenging. The ability to have humility as a physician is not only a sign of a good doctor, but it can be one of the most challenging attributes to maintain. My surgeon, Dr. Steven ...
McClellan Sean R SR Health Services and Policy Analysis Program, University of California, Berkeley, California 94720, USA. - - 2013
We sought to determine the extent to which adoption of health information technology (HIT) by physician practices may differ from the extent of use by individual physicians, and to examine factors associated with adoption and use. Using cross-sectional survey data from the National Study of Small and Medium-Sized Physician Practices ...
Pham Duong Duc - - 2013
Interest in complementary and alternative medicine (CAM) is growing worldwide, even in Vietnam where traditional medicine is considered mainstream. We conducted a survey of the knowledge, attitudes, and practices of CAM therapies among physicians in oriental medicine (OM) hospitals in Vietnam. A two-stage random selection process selected 337 physicians who ...
Sun Edward - - 2013
Despite recent updates in the treatment of acute pancreatitis emphasizing enteral nutrition over parenteral nutrition as well as minimizing antibiotic usage, mortality rates from acute pancreatitis have not improved. Data has been limited regarding physician compliance to these guidelines in the United States. A 20 question survey regarding practice patterns ...
Kwiecinski Jakub - - 2013
The earliest physician recorded in history is Athotis (Aha), one of the first rulers of ancient Egypt. While it is debatable whether the story of a king-physician is a fact or just a legend, it is clear that ancient Egyptian medicine developed around the time of his reign. The fortunate ...
van der Lugt Maaike - - 2013
Summary: Urso, the last of the great Salernitan physicians, was both an ardent defender of a theoretical, scientific medicine and the first in the medieval West to propose, in his aphorisms, a rational and naturalistic explanation of the healing power of incantations. The article explores this paradox and provides an ...
Putora Paul Martin - - 2013
Occasionally, medical decisions have to be taken in the absence of evidence-based guidelines. Other sources can be drawn upon to fill in the gaps, including experience and intuition. Authorities or experts, with their knowledge and experience, may provide further input-known as "eminence-based medicine". Due to the Internet and digital media, ...
Siddiqui Norain A - - 2012
Evidence proves that physician involvement in torture is widely practiced in society. Despite its status as an illegal act as established by multiple international organizations, mandates are routinely unheeded and feebly enforced. Philosophies condemning and condoning torture are examined as well as physicians' professional responsibilities and the manner in which ...
Minkoff Howard - - 2012
Both the rates of cesarean section and the rates and payouts from obstetrical malpractice suits have risen in past decades, albeit not always in tandem. A great deal of evidence suggests that physicians practice defensive medicine, and many obstetricians acknowledge that a more liberal recourse to cesarean section is one ...
Carter Rick - - 2012
New metrics can help boards understand physician practice financials.
Grover Anand - - 2012
Many medicines currently available on the market are simply too expensive for millions around the world to afford. Many medicines available in the developing world are only available to a small percentage of the population due to economic inequities. The profit-seeking behavior of pharmaceutical companies exacerbates this problem. In most ...
Loughlin Michael - - 2012
Scientism is a philosophy which purports to define what the world 'really is'. It adopts what the philosopher Thomas Nagel called 'an epistemological criterion of reality', defining what is real as that which can be discovered by certain quite specific methods of investigation. As a consequence all features of experience ...
Taba Pille - - 2012
In an era when an increasing amount of clinical information is available to health care professionals, the effective implementation of clinical practice guidelines requires the development of strategies to facilitate the use of these guidelines. The objective of this study was to assess attitudes towards clinical practice guidelines, as well ...
Anson Angela - - 2012
Several World Health Organization (WHO) initiatives aim to improve the accessibility of safe and effective medicines for children. A first step in achieving this goal is to obtain a baseline measure of access to essential medicines. The objective of this project was to measure the availability, prices, and affordability of ...
Thébault Benoît - - 2011
Nowadays, it is difficult to ignore the major role played by orthodontic anchorage. Given our convictions and after several years of using these systems, we believe it is time to take stock. Is there any real benefit to using them? And if so, when? What systems should we use? Miniscrews ...
- - 2011
Sharing knowledge between colleagues and among corporate same-system entities can catapult excellence. The norm, however, is that one entity is unaware of what is being done, lessons learned, or best practices accomplished in their own organizations. Open knowledge flow is important in an age when changing rules, regulations, and evidenced-based ...
McLeod Niall M H - - 2012
The use of bisphosphonate drugs has been popularised in the late 20th century for the management of many conditions associated with abnormalities of bone turnover, particularly metastatic and haematogenous malignancy and osteopenia. The increase in indications for the use of bisphosphonates was supported by what was thought to be a ...
Shetty P - - 2011
Shetty P, Xavier AM.Management of a talon cusp using mineral trioxide aggregate. International Endodontic Journal. ABSTRACT: Aim  To report on the successful conservative management of three patients having a talon cusp with pulpal involvement using mineral trioxide aggregate (MTA). Summary  Mineral trioxide aggregate was used to induce hard-tissue formation following ...
Adrienne Cormican - - 2011
Hand splinting after stroke is a common practice despite inadequate evidence. This warrants a better understanding of the therapists' splinting practice, to develop clinically meaningful treatment options. The study examined the nature and prevalence of the factors associated with therapists' hand splinting practice and their perceived splinting efficacy. A cross-sectional ...
Schunke Stefan S - - 2011
Esthetics is a topic that has become much discussed both in medicine and in dentistry. However, it should be questioned how reliable and reproducible the guidelines and protocols for esthetic procedures really are. This article will describe in detail the interactions between the musculoskeletal and masticatory systems. Dentists are frequently ...
Hassan Amany O Kamel - - 2010
Nanosized particles have received much attention in industry, biology, and medicine. Today nanotechnology is finding growing applications in pharmaceutical formulation for skin delivery. This review surveys some of the approaches in the field of nanosized particulate systems for both dermal and transdermal delivery, highlighting the nanosized microemulsion, vesicular systems, solid ...
Hupe O - - 2011
During medical X-ray examinations of patients, humans as well as animals, voluntarily assisting persons are frequently needed in order to calm down the patient or animal. Typical exposure situations have been identified and measurements were performed in the fields of scattered X-rays. The personal dose equivalent H(p)(10) for persons assisting ...
Toppino Thomas C - - 2010
What do learners do when they control whether to engage in massed or spaced practice? According to theories by Son (2004) and by Metcalfe and Kornell (2005), the tendency for learners to choose spaced practice over massed practice should decline as item difficulty becomes greater. Support originally was obtained when ...
Smith Franklin O - - 2010
Almost a decade ago, Gillil and proposed a model of leukemogenesis for acute myeloid leukemia (AML). In this model, AML results from activating mutations in genes that confer increased proliferation and survival capabilities (class I mutations) acting in concert with chromosomal abnormalities or gene mutations that block differentiation and subsequent ...
Blair Eve - - 2010
Half of the most severe cases of cerebral palsy (CP) survive to adulthood, but because this longevity is relatively recent, there is no empirical experience of their life expectancy past middle age. The last 2 decades have seen significant developments in the management of persons with CP, involving specialist services ...
Hong Kyung-Won - - 2010
Sir William Osler (1849-1919) recognized that "variability is the law of life, and as no two faces are the same, so no two bodies are alike, and no two individuals react alike and behave alike under the abnormal conditions we know as disease". Accordingly, the traditional methods of medicine are ...
Novelli Giuseppe - - 2010
Personalized medicine provide to physicians a molecular makeup of each patient. Looking at the patient on this level helps the physician get a profile of the patient's genetic distinction, or mapping. By investigating this genetic profile, medical professionals are then able to select patients, and use the found information to ...
Laksman Zachary - - 2011
Personalized medicine promises to represent a transformation in clinical care that will be ushered in by the unprecedented growth and development in the field of human genetics. Further examination of the scientific foundations of this new hope reveals a great number of challenges that lie ahead. While basic science research ...
Shoemaker David - - 2010
In this introduction to the special issue of Theoretical Medicine and Bioethics on the topic of personal identity and bioethics, I provide a background for the topic and then discuss the contributions in the special issue by Eric Olson, Marya Schechtman, Tim Campbell and Jeff McMahan, James Delaney and David ...
Jain Kewal K - - 2010
Molecular diagnostics plays an important role in the development of personalized medicine. Innovative diagnostic technologies that are increasingly utilized in personalizing treatment include novel polymerase chain reaction (PCR), direct molecular analysis without amplification, DNA sequencing, biochips/microarrays, and nanobiotechnologies. Technologies for detection of copy number variations, single nucleotide polymorphisms, and cytogenetic ...
Agarwal Swatantra - - 2010
Neutral zone technique is long being used for the management of severely resorbed mandibular ridges. Various materials are used in recording neutral zone, which have their own advantages and disadvantages. This article discusses the use of Polyether impression material which is simpler and more practical.
Eramo Lisa A - - 2010
New technologies are enabling patients to capture and transmit health data from their homes. Managing this new data stream takes some planning.
Brooks Larry - - 2010
In today's practice of medicine, seeing patients requires space. The amount and type of space a practice needs are based on the volume of patients to be seen, services provided, and the number of providers in the practice. To evaluate whether or not your current practice space effectively houses your ...
Leontowitsch Miranda - - 2010
The last 40 years have witnessed substantial changes to the experience of later life. Health and life expectancy have improved and the emergence of a putative third age has allowed post-working life to move beyond being a residual social category to become an arena in which later life lifestyles can ...
Williamson Raymond - - 2010
The author has been managing osteonecrosis of the jaws (ONJ) for more than six years. This paper will outline the dental management of patients taking bisphosphonates. This will include: 1. The predisposing factors causing ONJ, 2. Its clinical presentation, 3. Staging for the appropriate conservative and surgical management, 4. Guidelines ...
Hulot Jean-Sébastien - - 2010
A report on the Joint Cold Spring Harbor/Wellcome Trust Conference 'Pharmacogenomics and Personalized Medicine', Hinxton, UK, 12-15 September 2009.
Epstein Robert S - - 2010
Comparative effectiveness research (CER) is generating intense attention as interest grows in finding new and better drug technology assessment processes. The federal government is supporting the expansion of CER through funding made available in the American Recovery and Reinvestment Act of 2009 (ARRA) and by establishing the Patient-Centered Outcomes Research ...
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