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Wisdom in medicine

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https://www.readbyqxmd.com/read/27894343/post-marketing-withdrawal-of-anti-obesity-medicinal-products-because-of-adverse-drug-reactions-a-systematic-review
#1
Igho J Onakpoya, Carl J Heneghan, Jeffrey K Aronson
BACKGROUND: We identified anti-obesity medications withdrawn since 1950 because of adverse drug reactions after regulatory approval, and examined the evidence used to support such withdrawals, investigated the mechanisms of the adverse reactions, and explored the trends over time. METHODS: We conducted searches in PubMed, the World Health Organization database of drugs, the websites of drug regulatory authorities, and selected full texts, and we hand searched references in retrieved documents...
November 29, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27740899/teaching-legal-competencies-through-an-individualized-elective-in-medicine-and-law
#2
Marshall B Kapp
Medical education, including education intended to prepare future physicians to care to older individuals, should include development and implementation of competencies relating to a physician's ability to understand and interact with the legal environment and legal actors who will impact the practice of medicine. The wisdom of integrating legal knowledge into the medical curriculum has been documented and literature discusses the content and methods of teaching medical students and residents about law and the legal system...
October 14, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/27729074/folk-knowledge-of-invertebrates-in-central-europe-folk-taxonomy-nomenclature-medicinal-and-other-uses-folklore-and-nature-conservation
#3
Viktor Ulicsni, Ingvar Svanberg, Zsolt Molnár
BACKGROUND: There is scarce information about European folk knowledge of wild invertebrate fauna. We have documented such folk knowledge in three regions, in Romania, Slovakia and Croatia. We provide a list of folk taxa, and discuss folk biological classification and nomenclature, salient features, uses, related proverbs and sayings, and conservation. METHODS: We collected data among Hungarian-speaking people practising small-scale, traditional agriculture. We studied "all" invertebrate species (species groups) potentially occurring in the vicinity of the settlements...
October 11, 2016: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/27716590/therapeutic-effects-of-aloe-spp-in-traditional-and-modern-medicine-a-review
#4
Maryam Akaberi, Zahra Sobhani, Behjat Javadi, Amirhossein Sahebkar, Seyed Ahmad Emami
Traditional medicine is a useful guide in medical sciences. In the Islamic Iranian traditional medicine, the medicinal properties of many plants have been mentioned that could be exploited in drug discovery. We aimed to explore the nature and properties of Aloe spp. As described in some major Islamic traditional texts including Ferdows al-Hekmah fi'l-Tibbe (The Paradise of Wisdom in Medicine), Al-Hawi fi'l-Tibb (Comprehensive Book of Medicine), Kamel al-Sanaat al-Tibbyyah (Complete Book of the Medical Art), Al-Qanun fi'l-Tibb (Canon of Medicine), Zakhireh Kharazmshahi (Treasure of Kharazmshah), and Makhzan al-Adwiah (Drug Treasure), and assess the conformity of traditional medicine instructions with the findings of modern pharmacological studies...
October 4, 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27673509/peer-feedback-learning-and-improvement-answering-the-call-of-the-institute-of-medicine-report-on-diagnostic-error
#5
David B Larson, Lane F Donnelly, Daniel J Podberesky, Arnold C Merrow, Richard E Sharpe, Jonathan B Kruskal
In September 2015, the Institute of Medicine (IOM) published a report titled "Improving Diagnosis in Health Care," in which it was recommended that "health care organizations should adopt policies and practices that promote a nonpunitive culture that values open discussion and feedback on diagnostic performance." It may seem counterintuitive that a report addressing a highly technical skill such as medical diagnosis would be focused on organizational culture. The wisdom becomes clearer, however, when examined in the light of recent advances in the understanding of human error and individual and organizational performance...
September 27, 2016: Radiology
https://www.readbyqxmd.com/read/27547116/suicidal-thoughts-in-the-novel-don-quixote
#6
Saxby Pridmore, Celeste Pridmore
BACKGROUND: During the last century suicide has been medicalised. This restrictive view has been challenged, and the wisdom of experts from beyond medicine is being valued. Fictional literature is a source of information regarding the human experience. OBJECTIVE: To extend our understanding of suicide and suicidal thinking by examining the early-17th Century Spanish novel, "Don Quixote". METHOD: Various translations were examined for accounts of suicide, suicidal thinking, and associated behaviour...
March 2016: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/27540600/highlights-from-the-52nd-annual-meeting-of-the-american-society-of-clinical-oncology-asco-june-3-7-2016-chicago-illinois-usa
#7
A Kibble, A Al-Shamahi, K Kuennemann, F Marqués, L Tremosa, P Cole
The theme of the 52nd Annual American Society of Clinical Oncology (ASCO) meeting, 'Collective Wisdom', was intended to represent the importance of consolidating clinical advances with expertise in areas such as health informatics, pathology and economics in order to improve the role of practice providers in delivering cancer patients every component of quality care. As expected, immunotherapy and precision medicine featured heavily in the 2016 program. Gathering 30,000 oncology professionals in Chicago, educational and science sessions gave the attendees the opportunity to discuss and view ground-breaking research...
July 2016: Drugs of Today
https://www.readbyqxmd.com/read/27532316/the-effectiveness-of-ayurvedic-oil-based-nasal-instillation-nasya-medicines-in-the-treatment-of-facial-paralysis-ardita-a-systematic-review
#8
Manuel Joseph Vivera, Judith Streak Gomersall
BACKGROUND: Ardita (facial paralysis) is a medical condition that disfigures or distorts the facial appearance of the sufferer causing facial asymmetry and malfunction. Ardita patients may benefit from considering alternative treatments such as Ayurveda, including Taila Nasya (nasal instillation of medicated oil). OBJECTIVES: To synthesize the best available evidence on the effectiveness of different Nasya oils in the treatment of Ardita. INCLUSION CRITERIA TYPES OF PARTICIPANTS: Studies conducted on adult sufferers (18-70 years) of Ardita (chronic or acute) in any setting were considered...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27509070/defining-glioblastoma-resectability-through-the-wisdom-of-the-crowd-a-proof-of-principle-study
#9
Adam M Sonabend, Brad E Zacharia, Michael B Cloney, Aarón Sonabend, Christopher Showers, Victoria Ebiana, Matthew Nazarian, Kristin R Swanson, Anne Baldock, Henry Brem, Jeffrey N Bruce, William Butler, Daniel P Cahill, Bob Carter, Daniel A Orringer, David W Roberts, Oren Sagher, Nader Sanai, Theodore H Schwartz, Daniel L Silbergeld, Michael B Sisti, Reid C Thompson, Allen E Waziri, Guy McKhann
BACKGROUND: Extent of resection (EOR) correlates with glioblastoma outcomes. Resectability and EOR depend on anatomical, clinical, and surgeon factors. Resectability likely influences outcome in and of itself, but an accurate measurement of resectability remains elusive. An understanding of resectability and the factors that influence it may provide a means to control a confounder in clinical trials and provide reference for decision making. OBJECTIVE: To provide proof of concept of the use of the collective wisdom of experienced brain tumor surgeons in assessing glioblastoma resectability...
August 4, 2016: Neurosurgery
https://www.readbyqxmd.com/read/27392498/strategy-of-integrated-evaluation-on-treatment-of-traditional-chinese-medicine-as-interaction-of-system-to-system-and-establishment-of-novel-fuzzy-target-contribution-recognition-with-herb-pairs-a-case-study-on-astragali-radix-fructus-corni
#10
Yu Duan, Ke Pei, Hao Cai, Sicong Tu, Xinwei Cheng, Zhengwei Zhang, Kailei Fan, Fengxian Qiao, Kunming Qin, Baochang Cai
To date, in the struggle against diseases and the development of TCM, what we lack is wisdom rather than knowledge. Studies on pharmacology of traditional Chinese medicine are facing critical challenges on how to select the proper parameters or targets to represent the pharmacological evaluation system. With seven steps of optimized modules established by ourselves, we can re-evaluate TCM in a panorama view with a proper pharmacological evaluation system. In this article, with the treatment of TCM as 'interaction of system to system', a novel and generally applicable approach called fuzzy target contribution recognition was established and agents from Astragali Radix-Fructus Corni in resisting diabetic nephropathy were successfully discovered for the first time...
October 15, 2016: Molecular and Cellular Endocrinology
https://www.readbyqxmd.com/read/27373145/precision-imaging-more-descriptive-predictive-and-integrative-imaging
#11
EDITORIAL
Alejandro F Frangi, Zeike A Taylor, Ali Gooya
Medical image analysis has grown into a matured field challenged by progress made across all medical imaging technologies and more recent breakthroughs in biological imaging. The cross-fertilisation between medical image analysis, biomedical imaging physics and technology, and domain knowledge from medicine and biology has spurred a truly interdisciplinary effort that stretched outside the original boundaries of the disciplines that gave birth to this field and created stimulating and enriching synergies. Consideration on how the field has evolved and the experience of the work carried out over the last 15 years in our centre, has led us to envision a future emphasis of medical imaging in Precision Imaging...
October 2016: Medical Image Analysis
https://www.readbyqxmd.com/read/27179600/beyond-cannabis-plants-and-the-endocannabinoid-system
#12
REVIEW
Ethan B Russo
Plants have been the predominant source of medicines throughout the vast majority of human history, and remain so today outside of industrialized societies. One of the most versatile in terms of its phytochemistry is cannabis, whose investigation has led directly to the discovery of a unique and widespread homeostatic physiological regulator, the endocannabinoid system. While it had been the conventional wisdom until recently that only cannabis harbored active agents affecting the endocannabinoid system, in recent decades the search has widened and identified numerous additional plants whose components stimulate, antagonize, or modulate different aspects of this system...
July 2016: Trends in Pharmacological Sciences
https://www.readbyqxmd.com/read/27102663/pitfalls-and-pearls-of-wisdom-in-18f-fdg-pet-imaging-of-tumors
#13
REVIEW
Tracey Britton, Nicholas Robinson
(18)F-FDG PET imaging of tumors has pitfalls and pearls of wisdom that begin at the point of scheduling and continue through the patient interview, the resting phase, the scan itself, and the image review. Interviewing the patient at the time of scheduling, followed by placing a reminder phone call shortly before the appointment, can save a nuclear medicine department the financial loss of wasted doses and missed appointment slots in the schedule. The pitfalls and pearls of wisdom in tumor imaging are ever changing, and the technologist is in a constant state of inquiry about the patient's disease process and ability to comply...
June 2016: Journal of Nuclear Medicine Technology
https://www.readbyqxmd.com/read/27046405/virtues-education-in-medical-school-the-foundation-for-professional-formation
#14
Leonardo Seoane, Lisa M Tompkins, Anthony De Conciliis, Philip G Boysen
BACKGROUND: Studies have shown that medical students have high rates of burnout accompanied by a loss of empathy as they progress through their training. This article describes a course for medical students at The University of Queensland-Ochsner Clinical School in New Orleans, LA, that focuses on the development of virtues and character strengths necessary in the practice of medicine. Staff of the Ochsner Clinical School and of the Institute of Medicine, Education, and Spirituality at Ochsner, a research and consulting group of Ochsner Health System, developed the course...
2016: Ochsner Journal
https://www.readbyqxmd.com/read/27002804/in-memoriam-prof-g-barry-pierce-1925-2015
#15
Ivan Damjanov
No abstract text is available yet for this article.
2016: International Journal of Developmental Biology
https://www.readbyqxmd.com/read/26688179/joint-development-of-evidence-based-medical-record-by-doctors-and-patients-through-integrated-chinese-and-western-medicine-on-digestive-system-diseases
#16
Bo Li, Hong-yang Gao, Rui Gao, Ying-pan Zhao, Qing-na Li, Yang Zhao, Xu-dong Tang, Hong-cai Shang
Building the clinical therapeutic evaluation system by combing the evaluation given by doctors and patients can form a more comprehensive and objective evaluation system. A literature search on the practice of evidence-based evaluation was conducted in key biomedical databases, i.e. PubMed, Excerpt Medica Database, China Biology Medicine disc and China National Knowledge Infrastructure. However, no relevant study on the subjects of interest was identified. Therefore, drawing on the principles of narrative medicine and expert opinion from systems of Chinese medicine and Western medicine, we propose to develop and pilot-test a novel evidence-based medical record format that captures the perspectives of both patients and doctors in a clinical trial...
February 2016: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/26675648/-the-time-of-our-lives
#17
Luc Bonneux
Prior to the industrial revolution in the mid-1800 s, the modal lifespan for humans was somewhat less than 75 years. Natural life expectancy was approximately 35 years, with a high child mortality rate strongly contributing to this low figure. At that time, natural life expectancy of someone aged 75 was 6 years, whereas the current life expectancy of, for example, a 75-year-old French woman is 14.5 years. The sharp increase in longevity means an added eight years of life in old age. Nevertheless, the rate of ageing, i...
2015: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/26666438/innovation-in-medicine-ignaz-the-reviled-and-egas-the-regaled
#18
Antonei Benjamin Csoka
In our current climate of rapid technological progress, it seems counterintuitive to think that modern science can learn anything of ethical value from the dark recesses of the nineteenth century or earlier. However, this happens to be quite true, with plenty of knowledge and wisdom to be gleaned by studying our scientific predecessors. Presently, our journals are flooded with original concepts and potential breakthroughs, a continuous stream of ideas pushing the frontiers of knowledge ever forward. Some ideas flourish while others flounder; but what sets the two apart? The distinguishing feature between success and failure within this context is the ability to discern the appropriate time to accept an innovation with open arms, versus when to take a more cautious approach...
June 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/26663966/qualitative-research-in-medicine-an-art-to-be-nurtured
#19
REVIEW
A K Jindal, Gurpreet Singh, Kapil Pandya
To acquire complete knowledge on a subject both qualitative and quantitative research methods need to be perused by researchers. However, over the period of time qualitative research teaching among medical professionals has reduced. Wisdom amongst doctors seems getting muddled in 'data'. Operational research as well as health systems research have been the basis of 'key' policy changes in situations and programmes including polio immunization to achieve desired objectives. Both qualitative and quantitative methods complement each other and cannot replace one another...
October 2015: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/26641865/a-call-to-engage-youth-in-health-research
#20
Tai J Mendenhall, Noah E Gagner, Quintin A Hunt
Community-based participatory research (CBPR) is characterized by its collaborative efforts between professional researchers and lay community members to design, implement, and iteratively evaluate interventions. This approach creates knowledge and improves practice in ways that reflect the collective wisdom and expertise of all involved stakeholders. It represents a significant departure from conventional "top down" methods that define "collaboration" as professionals working with each other-but not with patients and families...
December 2015: Families, Systems & Health: the Journal of Collaborative Family Healthcare
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