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Adler Jonathan N - - 2013
In February, we invited you to share your opinion about the medicinal use of marijuana. We now present the polling results.
Jaenisch Rudolf R Whitehead Institute, 9 Cambridge Center, Cambridge, MA 02142, USA. - - 2012
The two winners of the 2012 Nobel Prize in Physiology or Medicine share more than just this honor; they are both also fearless adventurers, in science and beyond.
Russo Glenn S - - 2012
The purpose of this study was to evaluate carpal anatomy proficiency in orthopedic residents as well as emergency medicine physicians. Orthopedic surgery residents and emergency medicine physicians were tested on their understanding of normal carpal anatomy using a Wrist Anatomy Assessment (WAA) score, which consists of both palpation of carpal ...
Reed Darcy A - - 2012
Maintenance of certification examination performance is associated with quality of care. We aimed to examine relationships between electronic medical knowledge resource use, practice characteristics and examination scores among physicians recertifying in internal medicine. We conducted a cross-sectional study of 3,958 United States physicians who took the Internal Medicine Maintenance of ...
Dory Valérie - - 2012
General practice residency aims to produce competent general practitioners (GPs) who will practice independently, i.e. who demonstrate adequate levels of actual and self-perceived competence. To measure self-perceived competence in GP residents at our institution and explore potential determinants. We conducted a cross-sectional study of our GP residents. Self-perceived competence was ...
Zheng Zhi-hong - - 2012
The work of developing clinical practice guidelines began just a little more than ten years ago in China. Up to now, there have been few studies about them. To review and analyze the status of Chinese clinical practice guidelines in 1997-2007. All Chinese guidelines from 1997-2007 were collected, and made ...
Daher Anelise - - 2012
Relative analgesia (RA), defined as the use of inhalation sedation with nitrous oxide and oxygen, is one of the most common pharmacological behavior management techniques used to provide sedation and analgesia for dental patients. This study aimed to assess RA licensed Brazilian dentists' practices and opinions about nitrous oxide/oxygen sedation ...
Reed Gail - - 2011
The year 2005 was a watershed for disaster management worldwide and also in Cuba. Representatives of every continent met in Japan, hammering out the Hyogo Framework for Action (2005-2015), an international blueprint for risk reduction strategies and a guide for developing national platforms. In Cuba, a spate of devastating hurricanes ...
Hanusaik Nancy - - 2011
Underuse of best practices in chronic disease prevention (CDP) represents missed opportunities to promote healthy living and prevent chronic disease. Better understanding of how CDP programs, practices and policies (PPPs) are transferred from 'resource' organizations that develop them to 'user' organizations that implement them is crucial. The objectives of this ...
Welch Shari J - - 2011
The public, payers, hospitals, and Centers for Medicare and Medicaid Services (CMS) are demanding that emergency departments (EDs) measure and improve performance, but this cannot be done unless we define the terms used in ED operations. On February 24, 2010, 32 stakeholders from 13 professional organizations met in Salt Lake ...
Chadès Iadine - - 2011
The efficient management of diseases, pests, or endangered species is an important global issue faced by agencies constrained by limited resources. The management challenge is even greater when organisms are difficult to detect. We show how to prioritize management and survey effort across time and space for networks of susceptible-infected-susceptible ...
- - 2011
The Regional Anesthesiology and Acute Pain Medicine Fellowship Directors Group develops and maintains guidelines for fellowship training in the subspecialty. These guidelines update the original guidelines that were published in 2005. The guidelines address 3 major topic areas: organization and resources, the educational program, and the evaluation process.
Karres J - - 2011
Childhood obesity is recognized by the World Health Organization as one of the most serious public health challenges of the 21st century. Current treatment recommendations consider the role of pharmacotherapy in the treatment of childhood obesity, as an adjunct to lifestyle modifications. This article focuses on key requirements for paediatric development ...
Salerno Anthony A Department ofPsychiatry, College of Physicians andSurgeons of Columbia University, New York, NY, USA. - - 2011
Wellness Self-Management (WSM) is a recovery-oriented, curriculum-based practice designed to help adults with serious mental health problems make informed decisions and take action to manage symptoms and improve their quality of life. WSM is an adaptation of the illness management and recovery program, a nationally recognized best practice. WSM uses ...
Stratienko Alexander A - - 2011
As reimbursement policies and healthcare reform legislation add pressure onto the independent practice of cardiology, many cardiology groups seek refuge in hospital employment. This has implications for healthcare costs and the future of the practice of cardiology, especially in the age of accountable care organizations.
Garner John B - - 2011
Each year, a number of clinical trials emerge with data sufficient to change clinical practice. Determining which findings will result in practice change and which will provide only incremental benefit can be a dilemma for clinicians. The authors review selected clinical trials reported in 2010 in journals, at society meetings, ...
Jeffries Cameron - - 2011
In order to promote uniformity between jurisdictions, the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) has developed the National Directory for Radiation Protection, which is a regulatory framework that all Australian governments have agreed to adopt. There is a large and diverse range of industries involved in mining or ...
Mercuri Mathew - - 2011
This paper examines the sources of practice variations and definitions of unwarranted variation, as derived from the literature. The literature suggests variables/factors related to patient health needs, doctor 'practice style' and environmental constraints/opportunities as sources of practice variations. However, this list is likely to be incomplete because of significant unexplained ...
Albayrak Mustafa - - 2011
Profuse bleeding from the lower uterine segment secondary to placenta praevia/accreta during caesarean delivery is a challenging problem in obstetrics. We present our experiences using intrauterine Foley balloon tamponade for the conservative management of post-partum haemorrhage from the lower uterine segment. Intraoperative haemostasis was achieved in all women who were ...
Calnen Gerald - - 2011
The Academy of Breastfeeding Medicine is a worldwide organization of physicians dedicated to the promotion, protection and support of breastfeeding and human lactation. Its mission is to unite into one organization members of the various medical specialties with this common purpose.
Weinstein Andrew G - - 2011
Expert Panel Report 3 Guidelines recommend that physicians use adherence management strategies; however, the evidence for these interventions is weak. Clinicians need effective proven adherence interventions, because approximately 50% of patients with asthma do not follow physician medication recommendations, resulting in unnecessary morbidity. This review examines components of an organized ...
Rodríguez Gracia - - 2011
In recent years, significant advances have been made in business organization and management. The growing demands of clients as well as the globalization of world markets are among the many factors that have led to the establishment of systems of quality control and environmental management as a competitive strategy for ...
Ramirez Bernardo - - 2011
Given the current operating climate, organizations are coming under pressure to develop and implement sustainability programs and projects, yet few managers truly understand what is meant by sustainability and its implications for managing organizations. This article examines the concept of sustainability and provides a broader definition of the term than ...
Campbell Stephen - - 2011
Exception reporting allows practices to exclude eligible patients from indicators or an entire clinical domain of the Quality and Outcomes Framework (QOF). It is a source of contention, viewed by some as a 'gaming' mechanism. To explore GP and practice staff views and experiences of exception reporting in the QOF. ...
Flower Oliver O Department of Neurocritical Care, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, London, - - 2011
Spontaneous intracerebral hemorrhage (ICH) is associated with high morbidity and mortality, providing substantial scope for improvements in outcome. This review will discuss recent developments and present consensus evidence for the management of ICH. Intracranial management strategies focus on preventing further bleeding and minimizing the risk of hematoma expansion and cerebral ...
Macintosh Robert - - 2011
This paper examines clinician-manager interactions within healthcare organizations in the UK and contrasts the notions of dialetics and dialogues within such interactions. We draw particularly on Bakhtin's work on dialogue to frame our focal research question, which considers the extent to which clinician-manager interactions are dialogic. Using data drawn from ...
Zetka Jr James R - - 2011
The profession of medicine has evolved into an extremely specialised occupation. Yet, recent research has neglected the intra-occupational processes influencing medical specialisation. This article aims to correct this oversight. It develops an historical account of intra-occupational factors influencing the decision to establish gynaecologic oncology as American ob/gyn's surgical subspecialty in ...
Scott Allison M - - 2011
In this study, we used a normative theoretical perspective to examine the relationship between uncertainty management and support in the lives of organ transplant patients. We conducted in-depth interviews with 8 pretransplant and 30 posttransplant patients, including individuals who were waiting for or had received a kidney, liver, heart, or ...
Drennan Vari - - 2011
OBJECTIVE: Effective use of staff is a major aim in all health-care systems both to maximize their impact and to minimize costs. In England, a few general practitioners (GPs) have been recruiting physician assistants (PAs) to work in their practices, independent of any pilot schemes. Our objective was to study ...
Ginty Patrick J - - 2011
The successful commercialization of regenerative medicine products provides a unique challenge to the manufacturer owing to a lack of suitable investment/business models and a constantly evolving regulatory framework. The resultant slow translation of scientific discovery into safe and clinically efficacious therapies is preventing many potential products from reaching the market. ...
Casserly Brian - - 2011
Tissue hypoperfusion is an important factor in the development of multiple organ failure. Therefore, recognition of sepsis-induced tissue hypoperfusion and timely clinical intervention to prevent and correct this are fundamental aspects of managing patients with sepsis and septic shock. Hemodynamic monitoring plays a key role in the management of the ...
- - 2011
To meet a critical and growing need for emergency physicians and emergency medicine resources worldwide, physicians must be trained to deliver time-sensitive interventions and lifesaving emergency care. Currently, there is no globally recognized, standard curriculum that defines the basic minimum standards for specialist trainees in emergency medicine. To address this ...
Fugate Jennifer E - - 2011
As donation after cardiac death practices expand, the number of institutional policies is increasing. We contacted organ procurement organizations throughout the United States and requested protocols in hospitals in their donor service areas. Sixty-four protocols were obtained with representation from 16 different states. The terminology and recommended practices varied substantially. ...
Teh Lydia C L - - 2011
Marine spatial planning tends to prioritise biological conservation targets over socio-economic considerations, which may incur lower user compliance and ultimately compromise management success. We argue for more inclusion of human dimensions in spatial management, so that outcomes not only fulfill biodiversity and conservation objectives, but are also acceptable to resource ...
Wang Xijun - - 2011
Traditional Chinese medicine (TCM) is a holistic approach to health that attempts to bring the body, mind and spirit into harmony. Entering 21st century, TCM is getting more and more popular in the whole world for improving health condition of human beings and preventing or healing diseases, especially shows great ...
Stout Nicole L - - 2011
Lymphoedema is a chronic swelling condition that contributes to disability, dysfunction and lost quality of life. Significant disparities exist worldwide regarding the availability of resources necessary to identify, treat and manage lymphoedema. This disparity transcends socio-economic status and is a common problem in both developed and developing countries. The overall ...
Martin Julien - - 2011
  Unintended effects of recreational activities in protected areas are of growing concern. We used an adaptive-management framework to develop guidelines for optimally managing hiking activities to maintain desired levels of territory occupancy and reproductive success of Golden Eagles (Aquila chrysaetos) in Denali National Park (Alaska, U.S.A.). The management decision ...
Granderson Ainka A - - 2011
A key challenge has been to define and measure "success" in managing protected areas. A case study was conducted of efforts to evaluate the new protected area management system in Trinidad and Tobago using a participatory approach. The aim of the case study was to (1) examine whether stakeholder involvement ...
Weng Yu-Chi - - 2011
In order to develop a sound material-cycle society, cost-effective municipal solid waste (MSW) management systems are required for the municipalities in the context of the integrated accounting system for MSW management. Firstly, this paper attempts to establish an integrated cost-benefit analysis (CBA) framework for evaluating the effectiveness of MSW management ...
Leka Stavroula - - 2011
Aim: This paper presents the development process of the European framework for psychosocial risk management (PRIMA-EF). It also summarises and discusses key findings of research conducted through this policy-orientated research programme. Objectives: This paper presents an overview of the development process of PRIMA-EF. The background, methods and outcomes are described ...
Walker S - - 2011
A common framework is necessary for the transparent articulation of the benefits and risks of a therapeutic product across disparate stakeholders. The assignment of value and weighting to each component parameter presents challenges deriving from different stakeholder objectives, methods, and perspectives. Building on prior experiences with a validated framework approach, ...
Mercant J - - 2011
INTRODUCTION: The aim of this work is to present a historical review of urological pharmacotherapy. The containers used to preserve and store medicines are an important source of information in historical research. MATERIAL AND METHODS: I studied written sources such as treaties of Medical and Therapeutical Materials, as well as ...
Holman I P - - 2011
Groundwater is a key resource for global agricultural production but is vulnerable to a changing climate. Given significant uncertainty about future impacts, bottom-up approaches for developing adaptive capacity are a more appropriate paradigm than seeking optimal adaptation strategies that assume a high ability to predict future risks or outcomes. This ...
Ruffini Enrico - - 2011
INTRODUCTION:: Management of thymoma has largely been based on single-institution retrospective, observational studies. The European Society of Thoracic Surgeons (ESTS) Thymic Working Group has investigated the current practice among ESTS members. METHODS:: A questionnaire divided into seven sections with 24 questions was designed, and it was delivered to ESTS members. ...
Gómez-Barrena Enrique - - 2011
Regenerative medicine seeks to repair or replace damaged tissues or organs, with the goal to fully restore structure and function without the formation of scar tissue. Cell based therapies are promising new therapeutic approaches in regenerative medicine. By using mesenchymal stem cells (MSC), good results have been reported for bone ...
Gardner John J Centre for Biomedicine & Society, King's College London, King's Building, The Strand, London WC2R 2LS, United Kingdom. - - 2011
Using a material semiotics methodology, this paper explores the link between diagnostic practices, patient awareness of the body, and biopolitical governance. We collected video and audio recordings of a patient with chest pain involved in three medical interactions (a general practitioner [GP] consultation, an electrocardiogram stress test and a consultation ...
Edwards Mark - - 2011
Stratifying preoperative risk and guiding perioperative therapy objectively has acquired critical importance, given robust data demonstrating that morbidity following non-cardiac surgery confers substantially increased risk of death, even beyond hospital discharge. The development of useful perioperative biomarkers depends fundamentally on both prospective morbidity data that enable the identification of higher ...
Jayasinghe Suwan N - - 2011
Engineering towards fully functional tissues and organs fall under the widespread banner of tissue engineering and regenerative biology/medicine (which includes therapeutics). This endeavor is said to evolve from the Greek mythical story (1) where Prometheus is punished by Zeus who assigned a long winged eagle to feed on Prometheus's liver, ...
Enengel Barbara - - 2011
Participatory processes in general and also in relation to managing landscape issues are gathering importance mostly due to arguments surrounding legitimacy and effectiveness in decision-making. The main aim of this research, based on a transaction costs perspective, is to present an integrated analytical framework in order to determine individual efforts ...
Calvillo J - - 2011
This paper is focused in the management of virtual organizations (VO) inside healthcare environments where Grid technology is used as middleware for a healthcare services oriented architecture (HSOA). Some of the main tasks considered for the provision of an efficient VO management are: management of users, assignation of roles to ...
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