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Ronak Kedia, Chandni Dargan, Omar Hassan, Vinod Dasa
BACKGROUND: Patient satisfaction has become a significant factor in reimbursement schedules for physicians. A matter of debate is whether the patient's perception of time spent with the physician improves patient satisfaction. We sought to determine whether patient-physican time correlates with patient satisfaction and which factors are associated with patient perception of time. METHODS: A total of 73 patients who presented for an initial evaluation of knee osteoarthritis were evaluated by the same orthopedic surgeon at an outpatient clinic in New Orleans, LA...
2016: Ochsner Journal
Kuei-Yun Lu, Pi-Hsia Lee, Wen-Yin Chang
BACKGROUND: Despite the fact that regular physical activity is known to improve physical health and reduce absenteeism and perceived job strain, healthcare professionals currently perform inadequate physical activity. PURPOSE: To understand and compare the differences in stages of physical activity among nurses, physicians, and allied healthcare professionals. METHODS: A cross-sectional questionnaire was used to survey nurses, physicians, and allied healthcare professionals who worked at four branches of a hospital in Taiwan...
October 2016: Hu Li za Zhi the Journal of Nursing
Richard F Ittenbach, Guixia Huang, Kim D Barber Foss, Timothy E Hewett, Gregory D Myer
A screening instrument's ability to provide clinicians with consistent and reproducible information is crucial to intervention. Despite widespread acceptance and clinical use of the Kujala Anterior Knee Pain Scale (AKPS) in orthopedics and sports medicine, few studies have reported on its reliability and no such studies have concentrated on child or adolescent samples exclusively, segments of the population for which this instrument is often used. The purpose of the current study was to describe and report on the reliability and validity of the AKPS for use with high school female athletes participating in interscholastic athletics...
2016: PloS One
Suleman Atique, Chien-Yeh Hsu, Syed-Abdul Shabbir
Electronic prescribing is also known as Computerized Physician Order Entry (CPOE). It is a computer-aided system which offers the health professionals a robust platform for entering the prescription electronically. Due to paucity of facilities in Pakistan which are available around the world, there is an observable overburden on the health professionals and practitioners. CPOE system has shown to be very effective in minimizing medication errors. CPOE is beneficial for both patient and health organizations...
2016: Studies in Health Technology and Informatics
Alan S Kaplan
No abstract text is available yet for this article.
November 2015: Healthcare Executive
Ara Tekian, John Boulet
BACKGROUND: While international physician migration has been studied extensively, more focused and regional explorations are not commonplace. In many Arab countries, medical education is conducted in English and students/graduates seek postgraduate opportunities in other countries such as the United States (US). Eligibility for residency training in the US requires certification by the Educational Commission for Foreign Medical Graduates (ECFMG). This study investigates ECFMG application trends, examination performance, and US physician practice data to quantify the abilities and examine the career pathways of Arab-trained physicians...
2015: BMC Medical Education
H Tranchart, J C Aurégan, M Gaillard, A Giocanti-Aurégan
The purpose of this study was to evaluate the need for nationwide assessment of surgical skills during residency, and to define ideal methods for assessment in three surgical disciplines: ophthalmology, orthopedics and gastrointestinal surgery. Three online questionnaires were sent by e-mail to 784 residents, fellows and hospital practitioners, and 119 university hospital physican-professors. Questionnaires focused on current assessment methods at the regional level, the roles of the surveyed population in these evaluations, potential obstacles to their development and the most relevant methods for practical evaluations...
October 2015: Journal Français D'ophtalmologie
Manuela Schmidinger, Janet Wittes
PURPOSE OF REVIEW: In patients with metastatic renal cell carcinoma and favourable or intermediate risk, sunitinib, pazopanib, and bevacizumab along with interferon have been recommended with identical evidence level I, recommendation grade A. In clinical practice, most physicians and patients are likely to favour an oral treatment (i.e., sunitinib or pazopanib). Choosing between those two tyrosine kinase inhibitors may prove challenging. Two randomized trials have been conducted to facilitate treatment choices, COMPARZ, and PISCES...
September 2015: Current Opinion in Urology
Joel A Klein
This paper explores diverse conceptions of the physicality and tangibility of elements and principles in early modern chymistry. By tracing the development of natural philosophical and corpuscular ideas about material elements and principles among several physicans and chymists, including Thomas Erastus, Andreas Libavius, Daniel Sennert, and Anton Günther Billich, this article locates a learned tradition that developed predominantly in Germany, and which directly challenged a common understanding of matter held by major Paracelsians as well as authors from the French textbook tradition...
November 2014: Ambix
Sant-Rayn Pasricha, Emily Hayes, Kongolo Kalumba, Beverley-Ann Biggs
BACKGROUND: About 47% of preschool children worldwide are anaemic. Daily oral iron supplementation is a commonly recommended intervention for treatment and prevention of anaemia, but the efficacy and safety of iron supplementation programmes is debated. Thus, we systematically reviewed the evidence for benefit and safety of daily iron supplementation in children aged 4-23 months. METHODS: We searched Scopus and Medline, from inception to Feb 5, 2013, WHO databases, theses repositories, grey literature, and references...
August 2013: Lancet Global Health
Shunsuke Hyuga, Rie Kato, Toshiyuki Okutomi
Amniotic fluid embolism (AFE) is a disorder with a high mortarity rate, because it often causes sudden respiratory failure, circulatory collapse and disseminated intravascular coagulation (DIC). We present a case of AFE in which an obstetric anesthesiologist promptly initiated resuscitation of a parturient and saved her without any sequelae. Her fetus was diagnosed as intrauterine fetal demise on 25th gestational week and vaginal delivery under epidural analgesia was planned. One hundred and five minutes after induction of labor with prostaglandine E1, sudden tetanic convulsion occurred with a loss of consciousness...
December 2013: Masui. the Japanese Journal of Anesthesiology
J R Hodge
Grief is a universal phenomenon. It most notably occurs following a loss by death, but may occur following any separation. It is a definite psychiatric syndrome with a characteristic onset, course, duration, and termination. The normal period of acute grief is from six to twelve weeks, and the normal grief reaction is completed within two years. The process by which the bereaved comes to accept the separation from the loved one and to readjust to the environment in which the deceased is missing is called the "grief work...
July 1972: Journal of Religion and Health
A Zafer Calışkaner, Can Öztürk, Emel Ceylan, Sevgi Pekcan, Özge Yılmaz, Sami Öztürk, Cenk Can, Osman Şener, Ülkü Yılmaz Turay, Nihal Koç, Ramazan Ersoy
INTRODUCTION: The present paper was aimed at indicating and discussing the possible problems related to inhaler devices by considering the knowledge and practices of the physicians regarding the inhalation therapies. MATERIALS AND METHODS: The present study is a prospective, cross-sectional survey carried out by Turkish Respiratory Society Inhalation Therapy Group between February 2010 and February 2011 with a participation of ten individual centres. Seven inhaler devices that were available on the market in the country were assessed...
2013: Tüberküloz Ve Toraks
Paul Riley, Hongjie Liu, John D Wilson
PURPOSE: Because physician knowledge of patient exposure to ionizing radiation from computed tomography (CT) procedures previously has been recognized as poor, the purpose of this systematic review is to determine whether physician or physician trainee knowledge of patient exposure to radiation from nuclear medicine procedures is similarly insufficient. METHODS: Online databases and printed literature were systematically searched to acquire peer-reviewed published research studies involving assessment of physician or physician trainee knowledge of patient radiation exposure levels incurred during nuclear medicine and CT procedures...
November 2013: Radiologic Technology
Ken S Ota, David S Beutler, Richard D Gerkin, Jessica L Weiss, Akil I Loli
BACKGROUND: Despite a variety of national efforts to improve transitions of care for patients at risk for rehospitalization, 30-day rehospitalization rates for patients with heart failure have remained largely unchanged. METHODS: This is a retrospective review of 73 patients enrolled in our hospital-based, physican-directed Heart Failure Transitional Care Program (HFTCP). This study evaluated the 30- and 90- day readmission rates before and after enrollment in the program...
October 2013: Journal of Clinical Medicine Research
Philipp Hoigné, J Simon R Gibbs
Patients with borderline health should consult a physican before travelling to altitude. The physician will need to know the duration of the trip, ascent profile and how much exercise the patient plans to undertake. The presence of comorbid diseases which reduce oxygenation and ventilation should also be taken into account. Every patient must be assessed on an individual basis, there are no clinical investigations which reliably predict outcome at altitude. Complex cases may require advice from the patient's cardiologist...
April 2013: Practitioner
Alexander B Blum, Sandra Shea, Charles A Czeisler, Christopher P Landrigan, Lucian Leape
Long working hours and sleep deprivation have been a facet of physician training in the US since the advent of the modern residency system. However, the scientific evidence linking fatigue with deficits in human performance, accidents and errors in industries from aeronautics to medicine, nuclear power, and transportation has mounted over the last 40 years. This evidence has also spawned regulations to help ensure public safety across safety-sensitive industries, with the notable exception of medicine. In late 2007, at the behest of the US Congress, the Institute of Medicine embarked on a year-long examination of the scientific evidence linking resident physician sleep deprivation with clinical performance deficits and medical errors...
2011: Nature and Science of Sleep
Sumit R Majumdar, Douglas A Lier, Finlay A McAlister, Brian H Rowe, Kerry Siminoski, David A Hanley, Anthony S Russell, Jeffrey A Johnson
BACKGROUND: Vertebral fractures detected "incidentally" by chest radiograph usually do not trigger osteoporosis treatment in older patients. In a 3-arm controlled trial we reported that both physician-directed and enhanced (physician plus patient activation) interventions increased treatment rates more than 10-fold (15%-20% absolute increases) compared with usual care; the cost-effectiveness of these interventions is unknown. METHODS: Incremental cost-effectiveness of these 2 interventions compared with usual care was assessed using a Markov decision-analytic model, populated with 1-year outcomes data and direct intervention costs from the trial...
February 2013: American Journal of Medicine
N R Colborne, D R Lake, K R Wear, G A Thomson
AIMS: Given that venous thromboembolic disease is a significant cause of morbidity and mortality, the aim of this study was to increase the rate of VTE risk assessment performed by junior doctors in the acute setting. We also wanted to increase the rates of prescription of thromboembolic preventative measures in those patients whom the assessment identified as being high risk. METHODS: A survey of all patients admitted to three medical wards over a 3-week period was performed to determine whether VTE risk assessment had been performed, and whether prescription of prophylactic measures had been carried out where appropriate...
February 2013: International Journal of Clinical Practice
M W Riepe, A Fellgiebel
Background: Guidelines of Medical Societies aim at supporting the quality of medical care in general, and particularly in private practice. Usually, physicians in private practice are not part of the expert committees of medical societies that author guidelines. Guidelines represent a consensus appraising evidence from clinical studies on efficacy and side effects but also evaluating aspects of the health care system such as costs. Guidelines commonly do not account for regional specifics. Transfer of knowledge from guidelines to general practice, therefore, is incomplete...
July 2012: Deutsche Medizinische Wochenschrift
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