Search Results
Results 1 - 50 of 161
1 2 3 4 >
McClafferty Hilary H Center for Integrative Medicine, University of Arizona, Tucson, AZ, USA, - - 2014
Treatment of asthma lends itself to an integrative medicine approach due to the multifactorial nature of the disease. It is well established that asthma has a neuromuscular component (bronchospasm), an immunological component (inflammation), and a psychological component. This encourages the use of diverse approaches to address all avenues of pathophysiology, ...
Ingrassia Pier Luigi PL Università del Piemonte Orientale "A. Avogadro," Research Center in Emergency and Disaster Medicine and Computer Science Applied to Medical Practice - - 2014
In recent years, effective models of disaster medicine curricula for medical schools have been established. However, only a small percentage of medical schools worldwide have considered at least basic disaster medicine teaching in their study program. In Italy, disaster medicine has not yet been included in the medical school curriculum. ...
Hallegatte Stéphane S The World Bank, Washington, DC, - - 2014
Throughout the process of economic and social development, decisionmakers from the household to the state level are confronted with a multitude of risks: from health and employment risks, to financial and political crises, as well as environmental damages and from the local to global level. The World Bank's 2014 World ...
Lyttle Mark D MD http://orcid.org/0000-0002-8634-7210 Academic Department of Emergency Care, University of the West of England, Bristol, UK Emergency Department, Bristol Royal Hospital for Children, Bristol, - - 2014
National clinical guidelines for childhood wheeze exist, yet despite being one of the most common reasons for childhood emergency department (ED) attendance, significant variation in practice occurs in other settings. We, therefore, evaluated practice variations of ED clinicians in the UK and Ireland. Two-stage survey undertaken in March 2013. Stage ...
Arienti Vincenzo V Department of Internal Medicine, Internal Medicine A, Maggiore Hospital, Bologna, Italy, - - 2014
In recent years, thanks to the development of miniaturized ultrasound devices, comparable to personal computers, tablets and even to smart phones, we have seen an increasing use of bedside ultrasound in internal medicine departments as a novel kind of ultrasound stethoscope. The clinical ultrasound-assisted approach has proved to be particularly ...
Cettner Annicka A Department of Civil, Environmental and Natural Resources Engineering, Division of Architecture & Water, Luleå University of Technology, SE-971 87 Luleå, Sweden. Electronic address: - - 2014
Individual and organisational receptivity for change towards the use of sustainable stormwater management systems has been previously examined, but the significance of the different contexts for achieving this has been largely unexplored. This paper examines the significance of contexts associated to the actions to bring this about by proposing and ...
Grossmann Mathis M Department of Medicine Austin Health, University of Melbourne, 3052, Heidelberg, Victoria, - - 2014
To document current practices in the approach to low testosterone in older men. Given that recommendations are based on low-level evidence, we hypothesized that there would be a wide variability in clinical practice patterns. Members of all major endocrine and andrological societies were invited to participate in a web-based survey ...
Brijnath Bianca B Monash University, Melbourne, VIC, Australia, - - 2014
By going online or overseas, patients can purchase a range of prescription and over-the-counter drugs and complementary and alternative medicine (CAM), without prescription and without input from a qualified health professional. Such practices raise questions about medicine safety and how and why patients choose to procure medicines using such methods. ...
Beskow Laura M LM 1] Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA [2] Department of Medicine, Duke University School of Medicine, Durham, North Carolina, - - 2014
Purpose:Federal regulations and best practice guidelines identify categories of information that should be communicated to prospective biobank participants during the informed consent process. However, uncertainty remains about which of this information participants must understand to provide valid consent.Methods:We conducted a Delphi process to define "adequate comprehension" in the context of ...
Lip Gregory Y H GY University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, UK - - 2014
Country differences in management practices are evident, and the publication of management guidelines by the European Society of Cardiology (ESC) and other learned societies has tried to recommend a uniform evidence-based approach to management. Despite the availability of guidelines and efforts to improve implementation, differences in guideline adherence are evident, ...
Wiesner Jacqueline J Federal Institute for Drugs and Medical Devices, Bonn, - - 2014
Medicinal plants and traditional medicines have been used worldwide since ancient times. Currently, there is neither a globally consented terminology nor a harmonized regulatory approach. Nevertheless, it is common sense that quality, efficacy and safety should be assessed following scientific standards, addressing particulars and considering an adequate level of risk ...
Ibáñez A L AL Universidad Autónoma Metropolitana, Av. San Rafael Atlixco 186, Mexico D.F. 09340, - - 2014
By using freshwater fish stocking information from the Mexican government, this work described the current situation of the national stocking and its associated fishery policy. There is a lack of effective freshwater stocking programmes as a result of limited fisheries management, unharmonized fisheries regulations and institutional performance. The fry production ...
Chehab Monzer M Department of Diagnostic Radiology, Oakland University William Beaumont School of Medicine, Royal Oak, MI. Electronic address: - - 2014
Magnetic resonance enterography (MRE) plays a critical role in the management of Crohn׳s disease in the pediatric population. The ability to provide dynamic assessment of disease burden, complications, and therapeutic response without ionizing radiation makes it an ideal tool for younger patients requiring frequent follow-up. With a growing array of ...
Kowall Bernd B German Diabetes Center at Heinrich Heine University, Düsseldorf, Germany - - 2014
General practitioners (GPs) play a key role in consulting patients worried about health effects of electromagnetic fields (EMF). We compared GPs using conventional medicine (COM) with GPs using complementary and alternative medicine (CAM) concerning their perception of EMF risks. Moreover, we assessed whether the kind of alternative medicine has an ...
Rasmussen Maria B MB Centre for Clinical Education (CEKU), Centre for Human Resources and Rigshospitalet, Capital Region of Denmark and University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark. Electronic address: - - 2014
This study explored individual, team, and setting factors associated with the quality of management of in-hospital emergency situations experienced by former Advanced Life Support (ALS) course participants. This study was a survey of former ALS course participants' long-term experience of management of in-hospital, emergency situations. The survey was carried out ...
Thomson P P School of Nursing, Midwifery and Health, BG Bomont Building, University of Stirling, Stirling Campus, Stirling, FK9 4LA, Scotland, UK. Electronic address: - - 2014
Few studies explain peoples' intentions to use complementary and alternative medicine (CAM) before conventional medicine. To examine the psychosocial factors associated with intention to try CAM before conventional medicine; to explore the predictors of initially seeking CAM in the adult population in Australia. A cross sectional survey. 1256 adults were ...
Zhou Wei W Department of Anesthesiology, University of California, Los Angeles, USA. Electronic address: - - 2014
Acupuncture has been practiced in China for over 2000 years to treat a variety of diseases based on the "meridian theory" as described in the Yellow Emperor's Classic of Internal Medicine. To this date, the meridian theory continues to be an important guide for traditional Chinese medicine practitioners to diagnose ...
Barbic David - - 2014
ABSTRACTObjective:The objective of this study was to measure the current knowledge of Canadian emergency physicians and emergency medicine residents regarding computed tomography (CT) radiation dosing and its associated risks. Three focus groups were conducted as the qualitative element of this study. Cognitive debriefing was carried out to ensure the validity ...
- - 2014
The PLOS Medicine Editors endorse four measures to ensure transparency in the analysis and reporting of observational studies. Please see later in the article for the Editors' Summary.
Young Kelly D - - 2014
Topical anaesthetics, often used by anaesthetists, dentists and dermatologists, have increasingly been recognised for their utility in paediatrics. With topical anaesthetics, the 'ouchless' paediatric practice becomes an achievable goal. The primary drawback to their use is the length of time for anaesthetic effect, but planning ahead and making use of ...
Alletag Michelle J MJ From the *Pediatric Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX; †Yale New Haven Hospital; and ‡Pediatric Emergency Medicine, Yale University School of Medicine, New Haven, - - 2014
Disc batteries as foreign bodies present challenges in both diagnosis and management and carry a high risk for complications. We describe a novel device for disc battery removal using a magnet and basic medical supplies readily available in the emergency department setting. We also review diagnosis, complications, and management recommendations ...
Carlson Bradley Z - - 2014
Understanding decadal-scale land-cover changes has the potential to inform current conservation policies. European mountain landscapes that include numerous protected areas provide a unique opportunity to weigh the long-term influences of land-use practices and climate on forest-grassland ecotone dynamics. Aerial photographs from four dates (1948, 1978, 1993, and 2009) were used ...
Escallier K E KE Washington University School of Medicine, Saint Louis, Missouri, - - 2014
Although the brain is the target organ of general anaesthesia, the utility of intra-operative brain monitoring remains controversial. Ideally, the incorporation of brain monitoring into routine practice would promote the maintenance of an optimal depth of anaesthesia, with an ultimate goal of avoiding the negative outcomes that have been associated ...
Gottlieb Ori O Department of Anesthesia and Critical Care, University of Chicago, 5841 South Maryland Avenue, MC 4028, Chicago, IL 60637, USA. Electronic address: - - 2014
Adopting an anesthesia information management system (AIMS) is a challenge for anesthesia departments. The transition requires a physician champion and the support of members in every section. This change can be facilitated by visiting similar institutions that are already using AIMS, shadow charting for a sufficient period of time, and ...
Abe Andrew A University of Kansas, Lawrence, KS, USA. Electronic address: - - 2014
With over 50,000 dietary supplements available, resurgence in consumer interest over the past few decades has resulted in an explosion of use of these agents worldwide. Disillusionment with current medications and belief in "natural medicines" has resulted in a multibillion dollar industry. Active ingredients in a number of herbs are ...
Ricci Joseph A JA The Department of Surgery, Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, - - 2014
Evidence-based medicine, particularly randomized controlled trials, influence many of the daily decisions within plastic surgery as well as nearly every other medical specialty, and will continue to play a larger role in medicine in the future. Even though it is certainly not a new idea, evidence-based medicine continues to remain ...
Treasure Trevor E TE Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Texas School of Dentistry, Houston, TX. Electronic address: - - 2014
A paradigm shift in the training, practice, and study of office-based anesthesia is necessary for our specialty. Practice improvement plans are required to prevent low-probability-high-consequence anesthesia mishaps in our offices. A scarcity of statistical data exists regarding the true risk of office-based anesthesia in oral and maxillofacial surgery. Effective proactive ...
Hoppentocht M M Department of Pharmaceutical Technology and Biopharmacy, University of Groningen, The - - 2014
In 50years following the introduction of the first dry powder inhaler to the market several developments have occurred. Multiple-unit dose and multi-dose devices have been introduced, but first generation capsule inhalers are still widely used for new formulations. Many new particle engineering techniques have been developed and considerable effort has ...
Marshall Elizabeth M EM Department of Anaesthesia, Glasgow Royal Infirmary and Stobhill ACH, Glasgow, - - 2014
The present study aims to study whether using a videolaryngoscope (A.P. Advance™) facilitates or hinders intubation by non-anaesthetists inexperienced in its use. Thirty doctors from Emergency and Intensive Care Medicine backgrounds performed laryngoscopy and tracheal intubation using the Macintosh laryngoscope (MAC), A.P. Advance™ Normal Blade (AP N) and A.P. Advance™ ...
Mulroy Michael F MF From the *Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA; †Department of Anesthesiology, Wake Forest School of Medicine, Winston, Salem, NC; and ‡Department of Anesthesiology, Hospital for Special Surgery, New York, - - 2014
Regional blocks are frequently invasive procedures that create the risk of infection, local anesthetic toxicity, and wrong-site performance. National guidelines have been developed by the Joint Commission and the American Society of Regional Anesthesia and Pain Medicine (ASRA) to reduce the potential for each of these risks. Checklists have been ...
Gantwerker Eric A EA Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, - - 2014
Since the time of Chevalier Jackson, innumerable unique foreign bodies have been documented and removed. Advances in endoscopic airway management have revolutionized the types of foreign bodies that we are able to remove without open surgery. The literature on fish aspiration has mostly encompassed fish bones and parts, not whole ...
Rangasamy Valluvan V Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, - - 2014
Literature on anesthetic management of juvenile myasthenia gravis (JMG) for thymectomy is limited. Recently, use of inhalational agents and total intravenous anesthesia with propofol and remifentanyl has been reported. All these techniques individually or in combination have been tried to avoid the use of muscle relaxant. We report successful use ...
Bodart E - - 2014
Foreign body inhalation is an emergency in pediatric medicine, particularly in children before the age of 3 years. Whereas clinical assessment and chest X-ray usually guide the diagnosis, rigid bronchoscopy still remains the gold standard in terms of management of foreign body inhalation. However, flexible fibroscopy can also be quite ...
Komasawa Nobuyasu N Department of Anesthesiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan, - - 2014
In the 2010 American Heart Association guidelines, supraglottic devices (SGDs) such as the laryngeal mask are proposed as alternatives to tracheal intubation for cardiopulmonary resuscitation. Some SGDs can also serve as a means for tracheal intubation after successful ventilation. The purpose of this study was to evaluate the effect of ...
Chen Yin Y Anhui Evidence-based Medicine Center, Anhui Provincial Hospital, Hefei 230001, China; Chinese Evidence-based Medicine Center/Chinese Cochrane Center, West China Hospital, Sichuan University, Chengdu 610041, - - 2014
To perform a systematic review for the development, geographical distribution, and subject classification of clinical practice guidelines (CPGs) for hypertension worldwide. CPGs for the management of hypertension were identified through the searching of Ovid, EMbase, and Chinese electronic databases. Major guidelines websites such as NGC (National Guideline Clearinghouse), GIN (Guidelines ...
Chang Ta C TC Bascom Palmer Eye Institute, Miami, Florida, - - 2014
This article reviews the potentially adverse neurodevelopmental effects of early exposure to general anesthesia and examines a changing paradigm in the management of pediatric glaucoma. Literature across multiple subspecialties has examined the potentially neurotoxic effects of general anesthesia on the developing child's brain. Associations between general anesthesia exposure early in ...
Merchant Richard R Canadian Anesthesiologists' Society, 1 Eglinton Avenue East, Suite 208, Toronto, ON, M4P 3A1, Canada, - - 2014
The Guidelines to the Practice of Anesthesia Revised Edition 2014 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. The Guidelines to the Practice of Anesthesia Revised ...
Gordon Robert - - 2014
There are currently no widely accepted guidelines on standards for the practice of chiropractic or manual therapy manipulation under anesthesia, and the evidence base for this practice is composed primarily of lower-level evidence. The purpose of this project was to develop evidence-informed and consensus-based guidelines on spinal manipulation under anesthesia ...
Knudsen Kati K Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Box 564, Uppsala, SE 751 22, Sweden ; Department of Health and Caring Sciences, University of Gävle, Gavle, SE 801 76, - - 2014
In Sweden, airway guidelines aimed toward improving patient safety have been recommended by the Swedish Society of Anaesthesia and Intensive Care Medicine. Adherence to evidence-based airway guidelines is known to be generally poor in Sweden. The aim of this study was to determine whether airway guidelines are present in Swedish ...
Yazici Hasan - - 2014
Evidence-based medicine should be divided into the old (OEBM) and the new (NEBM). The driving forces behind the NEBM, which started in the last decades of the 20th Century, included: 1. larger emphasis on empirical evidence rather than mechanical reasoning; 2. the newly proposed biopsychosocial model to explain especially the ...
Goessens Arnaud A Laboratory of Systems Ecology and Resource Management, Université Libre de Bruxelles - ULB, CPI 264/1, Brussels, Belgium; Mangrove Research Unit (MARU), Institute of Oceanography and Environment (INOS), Universiti Malaysia Terengganu - UMT, Kuala Terengganu, - - 2014
Matang Mangrove Forest Reserve (MMFR) in Peninsular Malaysia is under systematic management since 1902 and still considered as the best managed mangrove forest in the world. The present study on silvimetrics assessed the ongoing MMFR forest management, which includes a first thinning after 15 years, a second thinning after 20 ...
Wang Wei W School of Medical Sciences, Edith Cowan University, Perth, Western Australia WA6027, Australia ; Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing 100069, - - 2014
[This corrects the article on p. 4 in vol. 5, PMID: 24521056.].
Jackson Rebecca R North Bristol NHS - - 2013
It is common practice for epidural analgesia to be offered to women in labour with a suspected occipito-posterior (OP) position. Therefore, this article will challenge whether this practice ensures informed choice and optimal outcomes. Based on a case study, I will explore how midwives can promote normality in an OP ...
Cheng Yvonne W - - 2013
Abstract Objective: Little data exist regarding clinicians' role in the rising annual incidence rate of cesarean delivery in the U.S. We aimed to examine if clinicians' practice environment is associated with recommending cesarean deliveries. Study Design: This is a survey study of clinicians who practice obstetrics in the U.S. This ...
Schmidt Alexander R - - 2013
Perioperative airway problems frequently result in significant morbidity and mortality in children. Therefore, proficiency in airway management is one of the most important key elements in the safe conduct of paediatric anaesthesia. This review includes important anatomical and physiological aspects of the paediatric airway, challenges encountered, and their management with ...
Sola Chrystelle - - 2013
Adverse events associated with anesthetic management of anterior mediastinal masses in pediatrics are common. To avoid an extremely hazardous general anesthesia, the use of real-time ultrasonography offers an effective alternative in high-risk cases. We report the anesthetic management including a light sedation and ultrasound guidance for regional anesthesia, surgical node ...
Goudra Basavana - - 2013
The anesthesia community is still divided as to the appropriate airway management in patients undergoing endoscopic retrograde cholangiopancreatography. Increasingly, gastroenterologists are comfortable with deep sedation (normally propofol) without endotracheal intubation. There are no comprehensive reviews addressing the various pros and cons of an un-intubated airway management. It is hoped that ...
Chloros Thomas T Program "Cardiopulmonary Resuscitation", University of Athens, Medical School, Athens, - - 2013
According to the 2010 European Resuscitation Council guidelines on cardiopulmonary resuscitation (CPR), one can appreciate that the classic laryngeal mask airway (CLMA) is acceptable as an alternative airway device to endotracheal intubation for airway management in cardiac arrest victims. To compare a relatively new supraglottic airway device, the Supreme Laryngeal ...
Law J Adam - - 2013
Previously active in the mid-1990s, the Canadian Airway Focus Group (CAFG) studied the unanticipated difficult airway and made recommendations on management in a 1998 publication. The CAFG has since reconvened to examine more recent scientific literature on airway management. The Focus Group's mandate for this article was to arrive at ...
Neyrinck Arne - - 2013
The number of diagnostic and interventional procedures outside the operating room has dramatically increased over the last years. However, providing well tolerated anesthesia with the same standard of care in these locations is often challenging to the anesthesiologist. The remote locations include different organizational aspects and hazards. Airway management in ...
1 2 3 4 >