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good doctors

Tove Aminda Hanssen, Pia Riis Olsen
BACKGROUND: In line with national and international strategies in Europe, the number of nurses with a doctoral degree has increased. The European Academy of Nursing Science (EANS) has for 18years delivered a three-year doctoral summer school for nurses. Questions have been raised in terms of how academic nurses' competencies are used and in what positions. AIM: To understand the progression of nurses' academic careers following completion of the EANS Summer School and to picture how research and academic skills of the nurses are being used for research and/or other fields in nursing...
November 23, 2017: Nurse Education Today
Eeva Suvikas-Peltonen, Joni Palmgren, Verner Häggman, Ercan Celikkayalar, Raija Manninen, Marja Airaksinen
On the hospital wards in Finland, nurses generally reconstitute intravenous medicines, such as antibiotics, analgesics, and antiemetics prescribed by doctors. Medicine reconstitution is prone to many errors. Therefore, it is important to identify incorrect practices in the reconstitution of medicine to improve patient safety in hospitals. The aim of this study was to audit the compounding and reconstituting of intravenous medicines on hospital wards in a secondary-care hospital in Finland by using an assessment tool and microbiological testing for identifying issues posing patient safety risks...
November 2017: International Journal of Pharmaceutical Compounding
Duncan N Shikuku, Benson Milimo, Elizabeth Ayebare, Peter Gisore, Gorrette Nalwadda
Background: Birth asphyxia is the leading cause of neonatal mortality in Kenya. Quality care during neonatal resuscitation (NR) can contribute to a reduction in neonatal mortality related to birth asphyxia by 30 percent. This study assessed the quality of care (QoC) during NR for newborns with birth asphyxia. Methods: Direct observations of 138 newborn resuscitations were done in labor ward and maternity theatre. Twenty-eight healthcare providers were observed 3-5 times using a structured checklist...
2017: BioMed Research International
Tomasz Derkowski, Sylweriusz Kosiński, Paweł Podsiadło, Tomasz Sanak, Kinga Sałapa, Arkadiusz Wejnarski, Robert Gałązkowski, Tomasz Darocha
Polish Medical Air Rescue is tasked to deal with the most serious incidents associated with life threatening situations, in multiple circumstances. As a consequence, medical personnel have to meet high standards of education and show a continuous theoretical and practical development of the skills which are necessary during medical treatment. Thanks to the introduction of ECMO treatment for accidental hypothermia patients, new clinical and operational possibilities have arisen, so more patients can be saved with a very good neurological outcome...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Nandeeshwar Reddy Mopuru, Sam Padamadan Jose, Biju Viswanath, C Naveen Kumar, Suresh Bada Math, Jagadisha Thirthalli
Serious concerns have arisen in recent years regarding the unethical and illegal practices resorted to during clinical trials. Clinical trials in psychiatry are further complicated by issues such as 'validity of consent' and 'decision making capacity' of patients. This study was planned to explore the factors determining patient participation in clinical trials. A random sample of 123 consenting psychiatry inpatients were provided the information and consent-form of a hypothetical clinical drug trial. They were interviewed regarding their decision, the decision maker and factors that led to the decision...
November 29, 2017: Asian Journal of Psychiatry
Lili Zhou, Abdulaali R Almutairi, Nimer S Alsaid, Terri L Warholak, Janet Cooley
Objective. To evaluate the validity and reliability evidence of the preceptor assessment of student tool (PAST) which was designed to assess doctor of pharmacy (PharmD) student rotation performance. Methods. Evaluation data were loaded into WINSTEPS software to conduct a Rasch rating scale analysis. Validity evidence was examined from construct and content validity perspectives, and reliability was assessed via student and item separation index and reliability coefficient. Data from 435 observations were included in the analysis...
October 2017: American Journal of Pharmaceutical Education
J I Guoqi, Yiying Wang, Qun Luo, Kang Han, Menglan Xie, Lianping Zhang, Na Wu, Jian Lin, Shugang Xiao, Yanqing Li, Liqiang Luo, Chang-Qi Ma
Aiming to realize high performance semitransparent fully coated organic solar cells, printable electrode buffer layers and top electrodes are two important key technologies. An ideal ink for the preparation of the electrode buffer layer for printed top electrodes should have good wettability and negligible solvent corrosion to the underlying layer. This work reports a novel organic-inorganic composite of phosphomolybdic acid (PMA) and PEDOT:PSS that features excellent wettability with the active layer and printed top Ag nanowires, and high resistibility to solvent corrosion...
December 4, 2017: ACS Applied Materials & Interfaces
Zsuzsanna Bereczky, Zsolt Oláh, Éva Ajzner, János Kappelmayer
The introduction of novel oral anticoagulants (NOAC) have long been expected drugs and they quickly became used widespread as their clinical effectiveness was as good as, or even better than the previously used only oral anticoagulant drug, the coumarins. Thus, the direct thrombin inhibitor dabigatran and the activated factor X inhibitors (rivaroxaban, apixaban, edoxaban) have become the part of daily therapeutic practice. Their permeation was facilitated by the guideline which suggested that no laboratory monitoring was required during NOAC treatment and this was very convenient for both patients and doctors...
December 2017: Orvosi Hetilap
Vinel Alexia, Vachon Chloé, Barthet Pierre, Laurencin-Dalicieux Sara
OBJECTIVES: With 39,359 entries on PubMed, periodontal medicine has a prominent position in periodontal research. Good patient care requires well-advised physicians, and whereas the dental community is informed about the relationships between periodontal diseases (PDs) and an increasing number of systemic pathologies, we wondered whether general practitioners were too. Thus, we aimed to evaluate their knowledge of the links between periodontal and systemic diseases. METHODS: To this end, we sent an electronic questionnaire to the 2350 general practitioners registered to the URPS (Union régionale des Professionnels de Santé) of Midi-Pyrénées, France...
December 2017: Journal of Evidence-based Dental Practice
Arpana Iyengar, Sanjiv Lewin, John D Lantos
Poor families without health insurance present unique challenges for pediatricians who want to do what is best for the children who are their patients. Families are often willing to make tremendous sacrifices to pay for recommended and needed medical care. Physicians may have to decide whether, or how strongly to, recommend expensive treatments, especially when any good outcomes associated with such treatments are not guaranteed. How should we balance the considerations of justice and of the child's best interest with the grim realities facing poor families? In this article, we present a case from a tertiary care hospital in India in which doctors and parents struggled to figure out the best options for a young man with end stage renal disease...
December 1, 2017: Pediatrics
Xue-Yao Zhao, Meng-Yu Liu, Xue-Jie Han, Li-Ying Wang, Ya Yuwen, Nan-Nan Shi, Yue-Xi Wang, Yu-Qi Liu
To provide reference for revising the Guidelines for Diagnosis and Treatment of Common Diseases of Coloproctology in Traditional Chinese Medicine (TCM) through clinical research. 9 TCM hospitals worldwide have conducted a survey and questionnaires for 7 CPGs have been received. 263 cases clinical doctors accepted the applicability survey of guidelines. 89.35% is more familiar to the guidelines and 36.12% have been used the guidelines. In syndrome differentiation and treatment related contents, diagnostic point, treatment and syndrome differentiation are higher, accounted for 96...
September 2017: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
Nan-Nan Shi, Meng-Yu Liu, Yu-Qi Liu, Yue-Xi Wang, Li-Ying Wang, Ya Yuwen, Xue-Yao Zhao, Dong-Feng Wei, Shuang Kou, Xue-Jie Han, Yan-Ping Wang
This study aims to evaluate the adaptability and applicability of Guidelines for the Diagnosis and Treatment of Cancer in Traditional Chinese Medicine. The assessment methods included adaptability assessment and applicability assessment. The adaptability assessment was based on the questionnaire survey to evaluate the familiarity, utilization, quality, and clinical application of the Guidelines; applicability assessment was based on the prospective observation of 853 clinical cases to investigate the applicability and effect of the Guidelines, including effectiveness, economy and safety...
September 2017: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
Meng-Yu Liu, Wei Yang, Li-Ying Wang, Xue-Yao Zhao, Yue-Xi Wang, Yu-Qi Liu, Xue-Jie Han, Ai-Ping Lv
Clinical application evaluation research of Guidelines for the Diagnosis and Treatment of Common Diseases of Pediatrics in Traditional Chinese Medicine intends to evaluate the quality level and clinical application of the guideline. A questionnaire and prospective case survey methods were used to evaluate the applicability evaluation based on the clinician questionnaire and the application evaluation based on clinical case observation. The applicability evaluation, familiarity and utilization rate of doctors' guidelines were 85...
September 2017: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
Xue-Jie Han, Meng-Yu Liu, Zhi-Hua Lian, Li-Ying Wang, Nan-Nan Shi, Jun Zhao
To evaluate the applicability and clinical applications of Guidelines for Diagnosis and Treatment of Internal Diseases in Traditional Chinese Medicine, so as to provide the basis for the revision of the guidelines. This study was completed by the research and promotion base for traditional Chinese medicine(TCM) standard. The methods of applicability evaluation and application evaluation were used in the study. The questionnaires were filled out to evaluate applicability of the guideline, including doctor's familiarity with the guideline,the quality of the guideline, applicable conditions and clinical applications...
September 2017: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
Amandine Brun, Rafael Alcaraz-Mor, Marc Bourrelly, Genevieve Dalivoust, Ghislaine Gazazian, Rafika Boufercha, Marie-Pascale Lehucher-Michel, Irene Sari-Minodier
The use of radiological activity in operating room (OR) and regulatory decrease of lens eyes dose warrant assessing how medical staff is protected from radiation. This study aims at evaluating practices and knowledge in radiation protection (RP) for OR doctors before and after training. A descriptive study of surgeons and anesthetists in a French public hospital center was conducted in 2016. An ad-hoc questionnaire concerning occupational practices and knowledge about RP was distributed before and one month after RP training...
November 28, 2017: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
L Kalyan V Reddy, Fares Al Shammari
Awareness and knowledge of biomedical waste practices is very important for any health care setting. This study aimed to determine the knowledge, attitudes and practices (KAP) about biomedical waste among health professionals in primary health care centres in Hail City, Saudi Arabia. The study included 135 of 155 professionals who dealt with biomedical waste from 16 out of 26 primary health care centres. Data were collected using a structured questionnaire. Overall 54.8%, 48.9% and 49.6% of the participants had good knowledge, attitudes and practices scores respectively...
November 19, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Thamir M Alshammari, Gehad M Subaiea, Talib Hussain, Afrasim Moin, Kazeem B Yusuff
OBJECTIVES: The widespread availability and use of vaccines have tremendously reduced morbidity, mortality and health care costs associated with infectious diseases. However, parental beliefs about vaccination are one of the major factors in achieving high vaccination rates. Thus, this study aims to assess the perceptions and attitudes regarding routine childhood immunization among Saudi parents. METHODS: A cross sectional study with a pre-tested 18-item questionnaire was conducted using 467 randomly selected parents from the Hail region of Saudi Arabia in the period between February 1st, 2016, and February 1st, 2017...
November 22, 2017: Vaccine
Kika Konstantinou, Kate M Dunn, Reuben Ogollah, Martyn Lewis, Danielle van der Windt, Elaine M Hay
BACKGROUND CONTEXT: Evidence is lacking on the prognosis and prognostic factors for back-related leg pain and sciatica in patients seeing their primary care physicians. This could guide timely appropriate treatment and referral decisions. PURPOSE: To describe prognosis and prognostic factors in primary care patients with low back-related leg pain, and sciatica. STUDY DESIGN: Prospective cohort study PATIENT SAMPLE: Adults visiting their family doctor with back-related leg pain in the United Kingdom...
November 21, 2017: Spine Journal: Official Journal of the North American Spine Society
Marek Oleszczyk, Anna Krztoń-Królewiecka, Willemijn L A Schäfer, Wienke G W Boerma, Adam Windak
BACKGROUND: Patients as real healthcare system users are important observers of primary care and are able to provide reliable information about the quality of care. The aim of this study was to explore the patients' experiences and their level of satisfaction with the process and outcomes of care provided by primary care physicians in Poland and to identify the characteristics of the patients, their physicians, and facilities associated with patient satisfaction. METHODS: The study is based on data from the Polish part of the Quality and Costs of Primary Care in Europe (QUALICOPC) cross-sectional, questionnaire-based study...
November 22, 2017: BMC Family Practice
Enrique Laval Manrique
The knowledge of the history of Medicine does not seem to add "utility" to the activities of a physician. Nevertheless, for a doctor eager to get good intellectual information -or the spiritual perfection called "culture"- the autor gives some reasons on why being acquainted with the history of medicine has some "utility" through the following items: Intellectual dignity: by deliberately and gratefully assuming the best of those who introduced technical devices or methods, as auscultation, or intellectual elaborations, like the etiologic model of Galen...
August 2017: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
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