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Sunwoo Bernie Y - - 2014
There has been an exponential increase in the use of home noninvasive ventilation (NIV). Despite growing use, there is a paucity of evidence-based guidelines and practice standards in the United States to assist clinicians in the initiation and ongoing management of home NIV. Consequently, home NIV practices are being influenced ...
Aubry François F Centre affilié universitaire, CSSS IUGS, Sherbrooke, Quebec, - - 2014
ABSTRACT This paper deals with the lack of interest shown by family medicine residents in Quebec (Canada) in home follow-up or monitoring of the elderly. By collecting and analyzing data from sixteen family medicine residents before and after their first experience of home follow-up, and from four medical supervisors, we ...
Watson Michael M Faculty of Medicine and Health Sciences, University of Nottingham, , Nottingham, - - 2014
To measure the validity of safety behaviours, safety equipment use and hazards reported on a questionnaire by parents/carers with children aged under 5 years participating in a series of home safety case-control studies. The questionnaire measured safety behaviours, safety equipment use and hazards being used as exposures in five case-control ...
Jenkins Marion W - - 2013
Lack of a dedicated place and equipment for handwashing has been associated with poor practice of handwashing with soap in the home in developing communities where the practice is needed to reduce diarrhea diseases and respiratory infections. We conducted formative research on handwashing knowledge, attitudes, practices and equipment and investigated ...
Rogers Rebecca G - - 2012
This month, we focus on current research in female pelvic medicine and reconstructive surgery. Dr. Rogers discusses four recent publications, and each is concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to ...
Phillips Christopher J - - 2012
This year, as the Journal celebrates its 200th anniversary, we also celebrate the 100th year of another New England landmark about a mile down the road: Fenway Park, home of the Boston Red Sox. The connection is not entirely geographic: if Journal articles are any guide, the relationship between medicine ...
Doss Amy E AE Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA. - - 2012
To describe practices concerning antibiotic prophylaxis for cesarean delivery among maternal-fetal medicine (MFM) physicians in the United States. A 10-item self-administered survey about their routine use of antibiotics for cesarean delivery was mailed once only to a random sample of 1000 US-based fellows of the Society of Maternal-Fetal Medicine in ...
Roehm Corrie E - - 2012
Complementary and alternative medicine (CAM) includes treatments from traditional Chinese medicine, homeopathy, naturopathy, herbal medicine, Ayurvedic medicine, mind-body medicine, chiropractic or osteopathic manipulations, and massage. More than 40% of patients in the United States use CAM, with 17% of CAM use related to otolaryngology diagnoses, but nearly half of CAM ...
Niëns L M - - 2012
To develop two practical methods for measuring the affordability of medicines in developing countries. The proposed methods--catastrophic and impoverishment methods--rely on easily accessible aggregated expenditure data and take into account a country's income distribution and absolute level of income. The catastrophic method quantifies the proportion of the population whose resources ...
Ferranto Shasta - - 2012
Over half of the United States is privately owned. Improving environmental sustainability requires that the scientific and management communities provide effective outreach to the many landowners making decisions about land use and management practices on these lands. We surveyed California forest and rangeland owners in ten counties throughout the state ...
Lasater Kathie - - 2012
Calls for multisite studies are increasing in nursing education. However, the challenge of implementing consistent protocols and maintaining rigorous standards across sites can be daunting. One purpose of a recent multisite, collaborative, simulation study was to evaluate a digital toolkit's effectiveness for managing a multisite study. We describe the digital ...
Keriakos R - - 2012
In many recent studies in the developed world, the incidence of postpartum haemorrhage (PPH) has been rising, though the mortality has come down, suggesting improvement in the management of this condition. Since the publication of the RCOG guidelines in 2009 for management of PPH and the Sheffield guidelines for the ...
Rosanio Salvatore - - 2011
This review aims to provide a practical and up-to-date description on the relevance and classification of syncope in adults as well as a guidance on the optimal evaluation, management and treatment of this very common clinical and socioeconomic medical problem. We have summarized recent active research and emphasized the value ...
Kong Haiying - - 2011
We situate elderly Chinese immigrants' utilization of traditional Chinese medicine (TCM) in social contexts (e.g., family and social networks), exploring how TCM is used as a tool, a resource, and a product of meaning-construction in their everyday life. We conducted in in-depth interviews with 20 elderly Chinese immigrants in the ...
Andrade Allen D - - 2011
Avatars and virtual worlds offer medical educators new approaches to assess learners' competency in home-safety assessments that are less time-consuming and more flexible than traditional home visits. We sought to evaluate the feasibility and acceptability of implementing an avatar-mediated, 3-dimensional (3-D) home simulation as a virtual objective structured clinical examination ...
Delbeke Dominique - - 2011
Nuclear medicine in the United States has grown because of advances in technology, including hybrid imaging, the introduction of new radiopharmaceuticals for diagnosis and therapy, and the development of molecular imaging based on the tracer principle, which is not based on radioisotopes. Continued growth of the field will require cost-effectiveness ...
Mehta Sangeeta - - 2011
Patient outcomes are significantly influenced by the choice of sedative and analgesic agents, the presence of over- or undersedation, poor pain control, and delirium. Individualized sedation management using sedation assessment tools, sedation protocols, and daily sedative interruption can improve clinical outcomes. Despite the publication of randomized trials and numerous guidelines, ...
Heyworth John - - 2011
ACADEMIC EMERGENCY MEDICINE 2011; 18:1239-1241 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: During the 1990s, relentlessly increasing emergency department (ED) attendances in the United Kingdom led to major dysfunction and ED overcrowding. The situation was exacerbated by outdated ED design, inadequate ED capacity, traditional ED processes, a ...
Baumgart-Getz Adam - - 2012
This meta-analysis of both published and unpublished studies assesses factors believed to influence adoption of agricultural Best Management Practices in the United States. Using an established statistical technique to summarize the adoption literature in the United States, we identified the following variables as having the largest impact on adoption: access ...
Uritsky Tanya J - - 2011
Abstract The medicinal and recreational use of cannabis has been controversial, especially in the United States. Marijuana for medicinal use is approved in 14 U.S. states and has recently been considered for legalization in several additional states. Given its demonstrated efficacy in symptom management, marijuana has a potential role in ...
McKernan Ruth - - 2011
Interview with Ruth McKernan Ruth McKernan, Chief Scientific Officer at Pfizer Neusentis talks to Regenerative Medicine about the founding of Pfizer's regenerative medicine research program and explains what the recent restructure of the Unit will mean for regenerative medicine at Pfizer. Ruth McKernan is Chief Scientific Officer of Pfizer Neusentis. ...
Fuda Peter - - 2011
What does it take for an average manager to become a highly effective leader? There are countless books, models, and formulas for success. But the truth is that leadership transformation is deeply dependent on circumstances. The key for those who seek it is to absorb the insights that can be ...
- - 2011
In less than two years, the United States will convert to ICD-10, which will result in major changes in coding requirements. Much more detailed documentation will be needed for the coders to do their job correctly. Every department in the hospital that uses data will be affected. Case management software ...
Van Wicklin Sharon A - - 2011
One to two people per 1,000 are affected by deep vein thrombosis (DVT) or pulmonary embolism in the United States each year. AORN published its new "Recommended practices for prevention of deep vein thrombosis" to guide perioperative RNs in establishing organization-wide protocols for DVT prevention. Strategies for successful implementation of ...
Huddle Thomas S - - 2011
Retainer medicine has become an important yet controversial form of primary care practice in the United States, coming under attack for its purported failure to measure up to professional ethics. Critics opine that retainer medicine obstructs professional commitments to health care access and social justice. Some ethicists urge that society ...
Monaco Kristen - - 2012
Using data from the Motor Carrier Management Information System, we model crashes as a function of firm characteristics, with a focus on the employment relationship. We find that very small firms (one driver, one truck) and firms that contract with owner operators have fewer crashes than employee-only companies, once other ...
Sivakumaran Hemalatha - - 2011
Objective: This paper describes how a significant reduction in restraint and seclusion rates was achieved in an acute aged person's mental health unit. Method: We analysed seclusion and restraint data in 2009. This was supplemented with a random audit of patient files and qualitative data obtained from a survey of ...
Deguines C - - 2011
Aim:  To describe and assess routine procedures and practices for incubator temperature and humidity management in France in 2009. Methods:  A questionnaire was sent to all the 186 neonatal care units in France. Results:  The questionnaire return rate was 86%. Seventy-five percent of the units preferred skin-servo-control to air temperature ...
Layton Deborah - - 2011
Prescription-Event Monitoring (PEM) is a well established postmarketing surveillance technique designed to monitor the overall safety of newly marketed medicines as used in real-life clinical practice, usually in cohorts of at least 10 000 patients.At the Drug Safety Research Unit in the UK we are now moving towards a more targeted ...
Fox Susan H - - 2011
The objective was to update previous evidence-based medicine reviews of treatments for motor symptoms of Parkinson's disease published between 2002 and 2005. Level I (randomized, controlled trial) reports of pharmacological, surgical, and nonpharmacological interventions for the motor symptoms of Parkinson's disease between January 2004 (2001 for nonpharmacological) and December 2010 ...
Chaudhary Anand - - 2011
Amongst the mandates of United Nations, health of mankind is the thrust area of UN through World Health Organization (WHO). Planning and execution of policies for mainstreaming of traditional medicines (TRM) of respective countries along with conventional system of medicine (allopathy), first in the country of origin followed by the ...
Gómez Tello V - - 2011
INTRODUCTION: Clinical Information Systems (CIS) are becoming a useful tool for managing patients and data in the ICU. However, the existing CIS differ in their capabilities and technical requirements. It is therefore essential for intensivists, as the end clients of these applications, to define the suitable minimum specifications required in ...
Muñoz A - - 2011
In NW Europe, it is known that cutting is a useful tool for managers with regard to decisions about the conservation and management of wet heathlands. Nevertheless it is rarely described quantitatively in the international literature. In Spain, knowledge about this is scarce or lacking. In this study, twenty communities ...
Jenkinson Paul M - - 2011
How should stroke patients with poor motor awareness be managed? This question is important because unawareness (or anosognosia) is related to poor rehabilitation and prognosis. This narrative review provides a guide for clinicians and (applied) academics to understanding, assessing and managing anosognosia. Questions addressed are: What is anosognosia? What causes ...
Beers Elizabeth H - - 2011
BACKGROUND: The spotted wing drosophila, Drosophila suzukii Matsumura (Diptera: Drosophilidae), is a newly introduced pest of sweet cherry on the west coast of North America which produces about 97% of the value of the US sweet cherry crop. D. suzukii initially caused considerable economic loss to cherry growers, who were ...
Iglesias-Gamarra Antonio - - 2011
Therapeutic management of the vasculitides is closely linked to modern rheumatologic advances, particularly as it relates to the discovery and first clinical use of glucocorticoids. These compounds were introduced in the late-1940s for the treatment of rheumatoid arthritis, but soon after, clinicians in Europe and the United States realized that ...
McNicholas J J K - - 2011
The management of trauma in the field intensive care unit has evolved in recent years. Key issues in current practice and organisation are discussed, with particular attention to areas where civilian and military practice differs. Possible future improvements are explored.
Mangram Alicia J - - 2011
Many elderly trauma patients have isolated orthopedic injuries compounded by chronic medical conditions. We organized a trauma unit, led by trauma surgeons, that is designed to expedite the care of geriatric patients through a multidisciplinary approach. The development of G-60, our Geriatric Trauma Unit, began with discussion between trauma surgeons ...
Whitley Rob - - 2011
In this article we explore the discourse and practice of evidence-based medicine (EBM) in the context of social and cultural diversity. The article consists of 2 parts. First, we begin by defining EBM, describing its historical development and current ascendance in medical practice. We then note its importance in contemporary ...
Madhavji Asha - - 2011
The purpose of this study was to evaluate the attitudes, awareness, and barriers toward evidence-based practice. A survey consisting of 35 questions pertaining to the use of scientific evidence in orthodontics was sent to 4771 members of the American Association of Orthodontists in the United States. Each respondent's age, attainment ...
van Riet-Nales Diana A - - 2011
To study the number of medicines and active chemical entities that are authorized and commercially available for children in the Netherlands and to evaluate the age-appropriateness of the available paediatric medicines. The availability of paediatric medicines and active chemical entities was studied with the help of a Dutch medicines database ...
Hampton Stephanie E - - 2012
Natural history as we have known it is in decline. A growing movement is emerging across disciplines, to understand its decline, and nurture its rebirth. A network of like-minded scientists, resource managers, educators, writers and artists-natural historians-recently convened four consecutive Natural History Initiative workshops to move past the forensic study ...
Behjati Sam - - 2011
Aim:  To investigate how clinically well, term newborns at risk of early-onset GBS disease (EOGBS) are currently managed in the United Kingdom (UK). Methods:  Review of guidelines of UK neonatal units. Results:  125 guidelines, covering 157 neonatal units were received (71% of UK units), three of which were excluded from ...
Esakoff Tania F - - 2011
Objective: There is lack of consensus regarding the optimal strategy for management of abnormal placentation. We set out to determine the actual practices of providers across the United States (U.S.). Methods: This was a cross-sectional survey of maternal-fetal medicine providers in the U.S. registered with the Society for Maternal Fetal ...
García-Arieta Alfredo - - 2011
The aim of the present paper is to address the legal aspects, technical requirements and possible conditions of use associated to low molecular weight heparin generics and biosimilars that are arriving to the market in United States and the European Union, respectively. To this end the concept of "similar biological ...
Knight Denise A - - 2011
Background  Many older people use one or more prescribed medicines on a daily basis. Effective medicines management at hospital discharge can support appropriate use of medicines following discharge and help avoid unnecessary hospital re-admission. Many people, however, feel they receive insufficient information about medicines on discharge from hospital. Objectives  To ...
Peltokorpi Antti - - 2011
Surgical operating rooms are cost-intensive parts of health service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. Previous research about operating room management has focused on studying the effect of management practices and decisions on efficiency by utilizing ...
Bagić Anto I - - 2011
To investigate institutional and individual practices and attitudes in clinical magnetoencephalography (MEG) in the United States. An MEG Center Director Survey (20 questions) and an MEG Center Doctoral-Level Staff Survey (6 questions) were e-mailed to all clinically active MEG centers in the United States (21) in 2008. Fifteen centers declared ...
Agarwal N - - 2011
Postpartum haemorrhage (PPH) remains a significant cause of maternal morbidity and mortality in both developed and developing countries. In some instances, PPH can be anticipated and recent improvements in obstetric imaging techniques allow earlier and more reliable diagnosis of abnormalities associated with haemorrhage such as morbid placentation. However, the majority ...
Bagić Anto I - - 2011
To investigate institutional and individual practices and attitudes in clinical magnetoencephalography (MEG) in the United States. An MEG Center Director Survey (20 questions) and an MEG Center Doctoral-Level Staff Survey (6 questions) were e-mailed to all clinically active MEG centers in the United States (21) in 2008. Fifteen centers declared ...
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