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https://www.readbyqxmd.com/read/29161391/an-overview-of-space-medicine
#1
P D Hodkinson, R A Anderton, B N Posselt, K J Fong
Space medicine is fundamental to the human exploration of space. It supports survival, function and performance in this challenging and potentially lethal environment. It is international, intercultural and interdisciplinary, operating at the boundaries of exploration, science, technology and medicine. Space medicine is also the latest UK specialty to be recognized by the Royal College of Physicians in the UK and the General Medical Council. This review introduces the field of space medicine and describes the different types of spaceflight, environmental challenges, associated medical and physiological effects, and operational medical considerations...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29161132/the-doctor-is-in
#2
Axel Wirth
No abstract text is available yet for this article.
November 2017: Biomedical Instrumentation & Technology
https://www.readbyqxmd.com/read/29161068/the-nazi-physicians-as-leaders-in-eugenics-and-euthanasia-lessons-for-today
#3
Michael A Grodin, Erin L Miller, Johnathan I Kelly
This article, in commemoration of the 70th anniversary of the Doctors' Trial at Nuremberg, reflects on the Nazi eugenics and "euthanasia" programs and their relevance for today. The Nazi doctors used eugenic ideals to justify sterilizations, child and adult "euthanasia," and, ultimately, genocide. Contemporary euthanasia has experienced a progression from voluntary to nonvoluntary and from passive to active killing. Modern eugenics has included both positive and negative selective activities. The 70th anniversary of the Doctors' Trial at Nuremberg provides an important opportunity to reflect on the implications of the Nazi eugenics and "euthanasia" programs for contemporary health law, bioethics, and human rights...
November 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29161065/from-nuremberg-to-guantanamo-bay-uses-of-physicians-in-the-war-on-terror
#4
Sondra S Crosby, Gilbert Benavidez
Seventy years after the Nuremberg Doctors' Trial, health professionals and lawyers working together after 9/11 played a critical role in designing, justifying, and carrying out the US state-sponsored torture program in the CIA "Black Sites" and US military detention centers, including Abu Ghraib, Bagram, and Guantanamo Bay, Cuba. We analyze the similarities between the Nazi doctors and health professionals in the War on Terror and address the question of how it happened that health professionals, including doctors, psychologists, physician assistants, and nurses, acted as agents of the state to utilize their medical and healing skills to cause harm and sanitize barbarous acts, similar to (though not on the scale of) how Nazi doctors were used by the Third Reich...
November 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29161059/american-doctors-at-the-nuremberg-medical-trial
#5
Evelyne Shuster
Three Hippocratic physicians played critical roles in the prosecution of 23 Nazi doctors charged with murder and torture for conducting lethal medical experiments on concentration camp prisoners. Two of the physicians, Leopold Alexander and Andrew C. Ivy, were Americans, and the other, Werner Leibbrandt, was German. At the 70th anniversary of the Doctors' Trial it is fitting to recall the three's influences and contributions to the formulation of strict research ethics rules, known as the Nuremberg Code. Their contributions help us better understand why they insisted on strict research rules and yet ultimately were unable to apply these rules to their own research...
November 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29160494/managing-febrile-neutropenia-in-adult-cancer-patients-an-integrative-review-of-the-literature
#6
Juliana Nunes Ferreira, Lury Renata Barbosa Ribeiro Correia, Renata Moreira de Oliveira, Silvia Naomi Watanabe, João Francisco Possari, Antônio Fernandes Costa Lima
OBJECTIVE: To analyze the interventions performed by health professionals with a view to managing chemotherapy-induced febrile neutropenia. METHOD: Integrative literature review, the sample of 12 primary articles was selected from the following databases: LILACS, SciELO, BVS, PubMed, CINAHL and Web of Science. RESULTS: There was a prevalence of studies, realized by doctors, focused on pharmacological treatment and on the association of methods for greater diagnostic accuracy of febrile neutropenia...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29159933/dyspraxia-in-clinical-education-a-review
#7
REVIEW
Eleanor Walker, Sebastian Ck Shaw, Jim Price, Malcolm Reed, John Anderson
BACKGROUND: The stereotype of the student with dyspraxia as 'clumsy and disorganised' may cause clinical teachers to be concerned about the student's performance in a clinical environment; however, if it is understood that dyspraxic students possess many strengths, as well as weaknesses, it may be that some stereotypical myths will be dispelled and more effective support offered to them. This review considers research surrounding the experiences of students and health professionals with dyspraxia within higher education (HE), alongside the personal experiences of EW, in order to inform the development of clinical teachers with respect to their support for learners with dyspraxia...
November 21, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/29158949/diagnosis-dialog-recap-and-relevance-to-recent-apta-actions
#8
Barbara J Norton
For at least 40 years, physical therapists have been contemplating the issue of diagnosis. After the profession chose to require completion of doctoral-level training for entry into the profession, making some decisions about diagnosis became essential. In the 2004 Maley Lecture, Cynthia Coffin-Zadai called the profession to action on the question of diagnosis. One response to her call was the formation of a group of physical therapists from across the country to engage in an extended conversation about diagnosis...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29158247/predictive-values-of-referrals-for-transient-ischaemic-attack-from-first-contact-health-care-a-systematic-review
#9
Rebecca Kandiyali, Daniel S Lasserson, Penny Whiting, Alison Richards, Jonathan Mant
BACKGROUND: Over 150 000 cases of suspected transient ischaemic attack (TIA) are referred to outpatient clinics in England each year. The majority of referrals are made by GPs. AIM: This study aimed to identify how many patients referred to a TIA clinic actually have TIA (that is, calculate the positive predictive value [PPV] of first-contact healthcare referral) and to record the alternative diagnoses in patients without TIA, in order to determine the optimal service model for patients with suspected TIA...
November 20, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29158238/margaret-mccartney-are-physician-associates-just-doctors-on-the-cheap
#10
Margaret McCartney
No abstract text is available yet for this article.
November 20, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29158069/intraosseous-lipoma-of-the-maxillary-tuberosity-a-case-report
#11
Sasa Z Tabakovic, Milica Mijovic, Dragan Krasic, Dejan Z Tabakovic, Branislav Djerkovic
Intraosseous lipoma appears less frequently in the maxilla than in the mandible. The initial phase of tumor development is characterized by asymptomatic growth, followed by the presence of pain and paresthesia in the later stage. We report the case of a 43-year-old female patient who contacted a doctor because of periodic pains and stupor in the left side of the upper jaw. The exostosis-like formation was found by palpation, subsequently raising suspicion of an odontogenic tumor on the basis of panoramic imaging (dental orthopan)...
November 17, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29157569/a-regional-consortium-for-doctor-of-nursing-practice-education-integrating-improvement-science-into-the-curriculum
#12
Shea Polancich, Linda Roussel, Barbara Ann Graves, Pamela V O'Neal
The DNP curriculum prepares the graduate for evidence informed improvement translation through coursework integrating improvement, safety, and translation sciences. Innovative leadership skills are necessary to lead inter-professional unit-based and health system opportunities. Equipping the DNP with the necessary skills and competencies to accomplish any type of improvement translation requires exposure to the tools and techniques of these sciences with an emphasis in didactic content. With a foundational knowledge of the principles for improvement, translation and application will follow...
November 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29157474/private-and-institutionalised-patients-use-of-homeopathy-in-the-early-nineteenth-century
#13
Silvia Waisse
Medicine underwent a major crisis in the 18th century and several approaches, including homeopathy, were formulated to fill the void left by the fall of traditional Galenic medicine. While most of the literature deals with the reasons doctors had to shift to homeopathy, the patients' views became the focus of increasing scholarly attention along the past 20 years. In this article I present and discuss the current knowledge about the socio-demographic characteristics and medical complaints of patients who sought homeopathic care in the early 19th century in both private and institutional settings...
November 2017: Homeopathy: the Journal of the Faculty of Homeopathy
https://www.readbyqxmd.com/read/29157254/the-implementation-of-medical-revalidation-an-assessment-using-normalisation-process-theory
#14
Abigail Tazzyman, Jane Ferguson, Charlotte Hillier, Alan Boyd, John Tredinnick-Rowe, Julian Archer, Sam Regan de Bere, Kieran Walshe
BACKGROUND: Medical revalidation is the process by which all licensed doctors are legally required to demonstrate that they are up to date and fit to practise in order to maintain their licence. Revalidation was introduced in the United Kingdom (UK) in 2012, constituting significant change in the regulation of doctors. The governing body, the General Medical Council (GMC), envisages that revalidation will improve patient care and safety. This potential however is, in part, dependent upon how successfully revalidation is embedded into routine practice...
November 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29157115/subgroup-analysis-based-on-prognostic-and-predictive-gene-signatures-for-adjuvant-chemotherapy-in-early-stage-non-small-cell-lung-cancer-patients
#15
Hojin Moon, Yuan Zhao, Dustin Pluta, Hongshik Ahn
In treating patients diagnosed with early Stage I non-small-cell lung cancer (NSCLC), doctors must choose surgery alone, Adjuvant Cisplatin-Based Chemotherapy (ACT) alone or both. For patients with resected stages IB to IIIA, clinical trials have shown a survival advantage from 4-15% with the adoption of ACT. However, due to the inherent toxicity of chemotherapy, it is necessary for doctors to identify patients whose chance of success with ACT is sufficient to justify the risks. This research seeks to use gene expression profiling in the development of a statistical decision-making algorithm to identify patients whose survival rates will improve from ACT treatment...
November 20, 2017: Journal of Biopharmaceutical Statistics
https://www.readbyqxmd.com/read/29157106/perception-and-use-of-complementary-and-alternative-medicine-for-low-back-pain
#16
Vivian Hiu Man Tsang, Phoebe Hiu Wai Lo, Fong Tao Lam, Lulu Suet Wing Chung, Tin Yan Tang, Hoi Man Lui, Jordan Tsz Gwan Lau, Ho Fung Yee, Yiu Kun Lun, Hei Tung Chan, Jason Pui Yin Cheung
PURPOSE: To determine the prevalence of complementary and alternative medicine (CAM) use in patients with low back pain (LBP) and to identify its correlation with demographic factors, clinical condition and psychosocial factors. METHODS: A cross-sectional study was conducted with 278 LBP patients. Use of CAM, demographic parameters and disease duration were determined. Self-reported health status and self-rated scales assessed the effect of disease on quality of life and emotional well-being, respectively...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29156100/doctoral-training-in-clinical-psychology-across-23-years-continuity-and-change
#17
John C Norcross, Michael A Sayette, Andrew M Pomerantz
OBJECTIVE: Doctoral training in clinical psychology has undergone substantial changes in recent decades, especially with the increasing heterogeneity of training models and graduate students. To document these changes, we analyzed program, student, and faculty characteristics of American Psychological Association (APA)-accredited clinical psychology programs over a 23-year span. METHOD: We surveyed directors of clinical training about their doctoral programs every 2 years from 1991 to 2013, securing 90%-98% response rates...
November 20, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29156003/chronic-respiratory-disease-an-unrecognized-risk-factor-in-dialysis
#18
Cécile Couchoud, Clémence Béchade, Abdelkader Bemrah, Jean-Christophe Delarozière, Guillaume Jean
Background: Few studies have analysed the impact of chronic respiratory disease (CRD) on outcomes in dialysis. We therefore sought to describe patients with CRD and end-stage renal disease and their outcomes after dialysis start, compared with patients without CRD, focusing especially on causes of death, access to renal transplantation and causes of hospital admissions. Methods: The study included 52 797 adults aged 18 years and older who began dialysis from 2008 to 2013 and are recorded in the French national REIN registry...
May 30, 2017: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29154693/epidemiology-of-injury-due-to-race-day-jockey-falls-in-professional-flat-and-jump-horse-racing-in-ireland-2011-2015
#19
Siobhan O'Connor, Giles Warrington, Adrian McGoldrick, SarahJane Cullen
CONTEXT:   Professional horse racing is considered a high-risk sport, yet the last analysis of fall and injury incidence in this sport in Ireland was completed between 1999 and 2006. OBJECTIVE:   To provide an updated analysis of the fall and injury incidence in professional flat and jump horse racing in Ireland from 2011 through 2015, compare it with the previous analysis, and detail the specific types and locations of injuries. DESIGN:   Descriptive epidemiology study...
November 20, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29154246/do-we-need-changes-in-the-organization-of-training-in-the-hernia-treatment-in-poland-a-survey-on-the-acknowledgment-of-the-recommendations-of-international-hernia-societies-by-surgeons
#20
Kryspin Mitura, Stanisław Dąbrowiecki, Maciej Śmietański, Andrzej Matyja
In the therapy of an inguinal hernia, there is a huge variety in the way of treating and the choice of surgical technique. Practice shows that the intraoperative improvisation and surgeons' own modifications of the original techniques have become part of routine procedure. No mandatory hernia registration system causes the actual detailed herniology status in our country remains unknown. The aim of the study was to summarize the results of a survey on knowledge of a hernia according to the standards developed by international hernia societies compared with everyday clinical practice...
October 31, 2017: Polski Przeglad Chirurgiczny
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