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Barnes Sue S Infection Prevention and Control, Quality and Safety Department, Program Office, Kaiser Permanente, Oakland, - - 2014
Surgical wound irrigation has long been debated as a potentially critical intraoperative measure taken to prevent the development of surgical site infection (SSI). Unlike many other SSI prevention efforts, there are no official practice guidelines or recommendations from any major medical group for the practice of surgical irrigation. As a ...
Adelman Marisa R MR Department of Obstetrics and Gynecology , University of Utah, Salt Lake City, UT. Electronic address: - - 2014
Essure hysteroscopic sterilization has been FDA approved in the United States since 2002. Complications associated with Essure include improper placement (malpositioning), unintended pregnancy, pain, infection, and nickel allergy. The rarity of complications, compounded by underreporting, makes it difficult to determine best practices with regards to management. This systematic review synthesizes ...
Morton Paula J - - 2014
The delivery of sterile products to the sterile field is essential to perioperative practice. The use of protective packaging for sterilized items is crucial to helping ensure that patients receive sterile items for surgical procedures. AORN's "Recommended practices for selection and use of packaging systems for sterilization" offers guidance to ...
Taylor Jacqueline E - - 2013
Infection is the most common problem with central venous catheters (CVCs) in neonates. There are two published guidelines, including the Centers for Disease Control and Prevention (CDC), for the prevention of intravascular catheter-related infection that describes evidence-based practice to reduce nosocomial infection. Our aims were to survey current medical and ...
Khullar Dhruv - - 2012
Despite what I wrote in my medical school applications, my relationship with medicine wasn't always the torrid love affair I made it out to be. Organic chemistry wasn't really my favorite class (or my second favorite, or my third). My heart didn't actually skip a beat as I waited for ...
Goodstein Leonard D - - 2012
An analysis of the psychology licensing laws of the 50 states and the District of Columbia reveals that these laws pose serious obstacles to practicing outside of the state in which one is licensed. Eleven states do not allow any interstate practice. Twenty-three states allow an out-of-state psychologist to practice ...
Conidi Francis X - - 2012
Over the past few years, sports-related concussion has received significant media attention making it one of the most, if not highest profile neurological disorder. Thirty-one states now have passed sports concussion laws, with 14 states pending legislation. Most concussions are managed by primary care physicians, ie, family practice trained sports ...
Berthiau Denis - - 2012
In France, bioethics norms have emerged in close interaction with medical practices. The first bioethics laws were adopted in 1994, with provisions for updates in 2004 and most recently, in 2011. As in other countries, bioethics laws indirectly refer to certain fundamental values. The purpose of this paper is threefold. ...
Samuels Charles H - - 2012
ABSTRACT: The impact of transcontinental travel and high-volume travel on athletes can result in physiologic disturbances and a complicated set of physical symptoms. Jet lag and travel fatigue have been identified by athletes, athletic trainers, coaches, and physicians as important but challenging problems that could benefit from practical solutions. Currently, ...
Streit Judy A - - 2012
Background. Infectious disease specialists who evaluate international travelers before or after their trips need skills to prevent, recognize, and treat an increasingly broad range of infectious diseases. Wide variation exists in training and percentage effort among providers of this care. In parallel, there may be variations in approach to pre-travel ...
Gillespie Judy - - 2012
Objective:  The objective of this paper is to highlight, from within a broad study of recruitment/retention, findings that identify personal-professional boundaries as key challenges for rural child and youth mental health clinicians recruited from within the community. Design:  Two mixed methods online questionnaires followed by semistructured telephone interviews with a ...
Krupinski Elizabeth A - - 2012
This study examined whether radiology report format influences reading time and comprehension of information. Three reports were reformatted to conventional free text, structured text organized by organ system, and hierarchical structured text organized by clinical significance. Five attending radiologists, five radiology residents, five internal medicine attendings, and five internal medicine ...
Petzold Anita A Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada. - - 2012
The aim of this study was to investigate: (i) the feasibility of delivering a multi-modal knowledge translation intervention specific to the management of acute post-stroke unilateral spatial neglect; and (ii) the impact of the knowledge translation intervention on occupational therapists' knowledge of evidence-based unilateral spatial neglect problem identification, assessment and ...
Sarfaty Mona - - 2012
No published research has assessed the specific steps that primary care practices actually take to carry out screening for colorectal cancer (CRC). A written survey was distributed to clinicians and staff at 15 primary care practices to determine whether they perceived that personnel in their practices performed a series of ...
Ugurlucan Murat - - 2012
Aspirin is one of the oldest medicines. Due to its wide range usage in different fields of medicine, we aimed to present the history, effects and different uses of aspirin in this review. Furthermore, recent patents of novel pharmaceutical interventions in the field of acetylsalicylic acid, expanding treatment options are ...
Ruiz-Mirazo Jabier - - 2012
The pastoral use of fire to regenerate rangelands is a major cause of wildfires in many Mediterranean countries. Despite producing important environmental impacts, this phenomenon has hardly ever been studied separately from other wildfire ignition causes. As extensive livestock breeding relies on the available pasture resources, we hypothesised that a ...
Day Mary Beth - - 2012
Angkor (Cambodia) was the seat of the Khmer Empire from the 9th to 15th century AD. The site is noted for its monumental architecture and complex hydro-engineering systems, comprised of canals, moats, embankments, and large reservoirs, known as barays. We infer a 1,000-y, (14)C-dated paleoenvironmental record from study of an ...
Farhan Maisse - - 2012
This study identifies best practice for shift handover and introduces a new tool used to hand over clinical and operational issues at the end of a shift in the emergency department (ED). Literature review, semi-structured interviews and observations of handover were used to develop a standardised process for handover. Participants ...
Persley Kimberly M - - 2012
Historically, gastroenterologists entered into solo, small group, or academic practices. The current economic environment and looming regulatory mandates have led to gastroenterologists integrating into large, single-specialty groups to acquire costly practice infrastructure, gain negotiating leverage with health plans, promote high-quality care, and benefit from professional practice management. Individual gastroenterologists must ...
Fernald Douglas H - - 2012
Practical studies in real-world settings may be particularly vulnerable to unintended effects on intervention outcomes, including what is commonly known as the Hawthorne Effect. This phenomenon suggests that study subjects' behavior or study results are altered by the subjects' awareness that they are being studied or that they received additional ...
Mahalatchimy Aurélie - - 2012
In 2007, the European Union adopted a lex specialis, Regulation (EC) No. 1394/2007 on advanced therapy medicinal products (ATMPs), a new legal category of medical product in regenerative medicine. The regulation applies to ATMPs prepared industrially or manufactured by a method involving an industrial process. It also provides a hospital ...
Sun Xue-Gang - - 2012
Chinese integrative medicine (CIM) focuses on the integration of conventional medicine (biomedicine) with Chinese medicine (CM). Although the CIM field has witnessed several advancements, the definition and classification of CIM is not quite clear, given that an independent theory system has not yet been established in this field. Therefore, future ...
Bouffard Marcel - - 2012
The evidence-based practice (EBP) movement has been extremely influential over the last 20 years. Fields like medicine, physiotherapy, occupational therapy, nursing, psychology, and education have adopted the idea that policy makers and practitioners should use interventions that have demonstrated efficiency and effectiveness. This apparently straightforward idea is beginning to affect ...
Farhan Maisse - - 2011
IntroductionA study was undertaken to test the impact of a new tool for shift handover, 'The ABC of Handover', in the emergency department (ED). The impact on shift handover following implementation of this structured tool, the effect on clinical and organisational aspects of the subsequent shift and the opinions of ...
Kemp Ryan - - 2011
The author offers an articulation of addiction, via existential-phenomenology and Lacanian psychoanalysis, where it is argued that the addicted subject is constituted via a symbolic structuring evolving from societal practices, laws and the effects of language. Language carries a heritage, which bears on the knowledge and practices of designated subjects ...
Hasson Henna - - 2011
OBJECTIVE:: To compare employees' and managers' perceptions of implemented changes in an organizational-level workplace intervention. METHODS:: Nine departments participated in an intervention aimed at reducing adverse psychosocial work environment factors. On the basis of a prior risk evaluation, department managers were responsible for decisions and implementation of the intervention, that ...
Weigl M - - 2011
BackgroundSubjective workload in healthcare employees is suspected to be important for the performance and safety of healthcare delivery. This study investigates associations between workflow interruptions and hospital doctors' capability to manage their perceived workload in a safe and efficient manner.AimTo examine the relationship of observed workflow interruptions with hospital doctors' ...
Yi Yanling - - 2011
OBJECTIVES: This study was designed to assess the trends in the frequencies of nuclear medicine procedures in Shanghai, China, and to determine their contributions to the per capita effective dose to the Shanghai population. The mean activities of radionuclides administered by nuclear medicine departments were compared with the Chinese national ...
Ferreira Felipe Silva - - 2012
Over the centuries, a significant part of the Brazilian fauna is widely sold, more specifically in retail stores or street markets. The objective was to characterize the sale of medicinal animals in five large northeast cities. Information about the sale of zootherapeutic items was obtained in the cities of Aracaju-SE, ...
Therrien Eric - - 2011
As part of a large medicinal chemistry program, we wish to develop novel selective estrogen receptor modulators (SERMs) as potential breast cancer treatments using a combination of experimental and computational approaches. However, one of the remaining difficulties nowadays is to fully integrate computational (i.e., virtual, theoretical) and medicinal (i.e., experimental, ...
Meynen Gerben - - 2011
One of the important characteristics of current medicine is that it is an international endeavor. The fact that medicine is a global undertaking might even be one of its core strengths. However, the universal nature of medicine can be compromised when local issues become significant factors in medical practice. In ...
Tompkins Olga S - - 2011
High altitude is not just an issue for mountain climbers. Elevation can have implications for employees ranging from laborers to office workers to scientists. Awareness is key to effective management.
James Pam - - 2011
Clinical trials operations struggle to achieve optimal distribution of workload in a dynamic data management and regulatory environment, and to achieve adequate cost recovery for personnel costs. The University of Michigan Comprehensive Cancer Center developed and implemented an effort tracking application to quantify data management and regulatory workload to more ...
Soremekun Olan A - - 2011
ACADEMIC EMERGENCY MEDICINE 2011; 18:1262-1268 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Operations management (OM) is the science of understanding and improving business processes. For the emergency department (ED), OM principles can be used to reduce and alleviate the effects of crowding. A fundamental principle of OM ...
Wilkes Zoe - - 2011
This paper describes a local initiative that aimed to resolve difficulties experienced by practice teachers in assessing the practice of students undertaking a BSc graduate diploma in community nursing. Practice teachers initially raised a concern that they were unable to make a holistic assessment of a student, as they had ...
Fleming Cristen A CA School of Pharmacy and Applied Science, La Trobe University Bendigo, Victoria, - - 2011
  To identify factors influencing the choice of practice location for early career pharmacists working and living in Victoria.   Survey.   Victorian pharmacies.   Pharmacists living in Victoria in April 2009, who had registered with the Pharmacy Board of Victoria after 1 October 2004, stratified into major city and ...
Reynolds Glen - - 2011
In an earlier special issue of this journal, Marsh & Greer summarized forest land use in Sabah at that time and gave an introduction to the Danum Valley Conservation Area. Since that assessment, during the period 1990-2010, the forests of Sabah and particularly those of the ca 10 000 km(2) ...
Bright Felicity A S - - 2011
Purpose: Client-centred practice is widely considered a key element of rehabilitation. However, there is limited discussion of how it should be implemented. This study explored how client-centred practice was operationalized during a clinical trial of innovative goal-setting techniques. Method: This study drew on principles of co-autoethnography. The personal experiences of ...
Sattler Claudia - - 2012
The study presented here describes a modeling approach for the ex-ante assessment of farming practices with respect to their risk for several single-species biodiversity indicators. The approach is based on fuzzy-logic techniques and, thus, is tolerant to the inclusion of sources of uncertain knowledge, such as expert judgment into the ...
Saintilan Neil - - 2011
The monitoring of resource condition is receiving renewed attention across several levels of government in Australia. This interest is linked to substantial investment in environmental remediation and aquatic ecosystem restoration in particular. In this context, it is timely to consider principles which ought to guide the development and implementation of ...
Corace R Gregory RG - - 2011
To facilitate forest planning and management on National Wildlife Refuges, we synthesized multiple data sources to describe land ownership patterns, land cover, landscape pattern, and changes in forest composition for four ecoregions and their associated refuges of the Upper Midwest. We related observed patterns to ecological processes important for forest ...
Berndt Nadine C - - 2011
BACKGROUND AND OBJECTIVES:: Smoking cessation treatment practices described by the 5 A's (ask, advise, assess, assist, arrange) are not well applied at cardiology wards because of various reasons, such as a lack of time and appropriate skills of the nursing staff. Therefore, a simplified guideline proposing an ask-advise-refer (AAR) strategy ...
Lin Vivian - - 2011
The Chinese Medicine Registration Act was passed through Victorian parliament in 2000, based on policy research that suggested the need for statutory registration as a means for protecting public health and safety. This paper reports on the implementation and the effect of this policy. By examining registration, complaints and prosecution ...
Krudys Kevin - - 2011
Knowledge management comprises the strategies and methods employed to generate and leverage knowledge within an organization. This report outlines the activities within the Division of Pharmacometrics at the US FDA to effectively manage knowledge with the ultimate goal of improving drug development and advancing public health. The infrastructure required for ...
Cardillo Marcel M Centre for Macroevolution and Macroecology, Research School of Biology, Australian National University, Canberra, ACT 0200, Australia. - - 2012
Large-scale, comparative studies of species extinction risk have become common in conservation science, but their influence on conservation practice appears limited. The link between such studies and the practice of conservation breaks down in two key places. First, results of comparative studies are often ambiguous, inconsistent and difficult to translate ...
Dejoy David M - - 2011
There is currently much interest in exploring environmental approaches to combat weight gain and obesity. This study presents process evaluation results from a workplace-based study that tested two levels of environmentally focused weight management interventions in a manufacturing setting. The moderate treatment featured a set of relatively simple, low-cost environmental ...
Driver Todd H - - 2011
Healthcare's improvement efforts have focused on the point of care, targeting specific processes such as preventing central line infections, while paying relatively less attention to the larger issues of organizational structure and leadership. Interestingly, the business community has long recognized that poor management and structure can thwart improvement efforts. Perhaps ...
Tandy Rosalind M - - 2011
ObjectivesTo describe current co-cyprindiol prescribing in a large, rural general practice in England. To specifically investigate whether co-cyprindiol is prescribed within its license and Medicines and Healthcare products Regulatory Agency (MHRA) guidelines. To investigate the effect of a simple, low-cost intervention on the number and appropriateness of co-cyprindiol prescriptions.MethodsThe computerised ...
Checkland Kath - - 2011
OBJECTIVES: To examine the managerial behaviours adopted by commissioning managers in English primary care trusts (PCTs), and to explore the impact of these behaviours. METHODS: Qualitative case studies were undertaken in four PCTs, focusing on staff engaged in the commissioning of hospital services. Both formal and informal observation were undertaken ...
Heightman A J - - 2011
More than 400 EMS leaders gathered in Miami Beach, Fla., for this year's Pinnacle Conference. The conference featured so many powerful speakers and topics that many attendees forgot they were at beautiful, sunny Miami Beach, giving up their beach chairs for conference room chairs. EMS managers from throughout the U.S. ...
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