Clinical Transfusion Medicine - part 7 doc

... population of patients with one-vessel CAD of around 30%, whereas its sensitivity in severe three-vessel CAD approaches 80%. Thus, the best estimate of sensitivity to use in a particular decision will ... patient and he has a positive test, using Fig. 3-2 we can demonstrate that the posttest probability of CAD rises from 10 to 50%. However, from a decision-making point of view, the mor...

Ngày tải lên: 06/07/2014, 08:20

... in the world. This medium holds enormous potential for delivering up- to-date information, practice guidelines, state-of-the-art conferences, journal contents, textbooks (including this text), ... Globalization of Medicine expectations of the health care system in general and of physicians in particular have risen. Physicians are expected to master rapidly advancing fields (the science...

Ngày tải lên: 06/07/2014, 08:20

... 19 97. 4. Hackett PH, Roach RC: High-altitude medicine, in Auer- bach PA (ed): Wilderness Medicine, 3rd ed. St. Louis, CV Mosby, 1995, pp 1– 37. For further reading in Emergency Medicine: A Com- prehensive ... 34: 677 , 19 97. 6. Arrowsmith J, Usgaocar RP, Dickson WA: Electrical injury and the frequency of cardiac complications. Burns 23: 576 , 19 97. 7. Garcia CT, Smith GA, Cohen DM,...

Ngày tải lên: 09/08/2014, 15:20

... Chapter 003. Decision-Making in Clinical Medicine (Part 1) Harrison's Internal Medicine > Chapter 3. Decision-Making in Clinical Medicine Decision-Making in Clinical Medicine: Introduction ... nonmedical problem-solving behavior. Despite the great technological advances of medicine over the last century, uncertainty still plays a pivotal role in all aspects of...

Ngày tải lên: 06/07/2014, 08:20

... defensive medicine. This practice involves using tests and therapies with very small marginal returns to preclude future criticism in the event of an adverse outcome. For example, a 40-year-old ... target angiotensin- converting enzyme (ACE) inhibitor therapy in their heart failure patients because they are more familiar with what the targets are (as defined by large clinical trials),...

Ngày tải lên: 06/07/2014, 08:20

... avoided in favor of the more informative posttest probability. Chapter 003. Decision-Making in Clinical Medicine (Part 6) Calculating sensitivity and specificity requires selection of a decision ... graphically as a receiver operating characteristic (ROC) curve (Fig. 3-1 ). An ROC curve plots sensitivity (y-axis) versus 1 – specificity (x-axis). Each point on the curve repre...

Ngày tải lên: 06/07/2014, 08:20

... relevant Chapter 003. Decision-Making in Clinical Medicine (Part 8) Statistical Prediction Models Bayes' theorem, as presented above, deals with a clinical prediction problem that ... 43-year-old men and women increased life expectancy by 5.5 days and cost $194 per subject screened. The cost-effectiveness ratio for screening relative to usual care was $15, 078 per quali...

Ngày tải lên: 06/07/2014, 08:20

... measures with estimates of treatment effect in meta- analyses of randomized controlled trials. JAMA 2 87: 2 973 , 2002 [PMID: 120521 27] Del Mar C et al: Clinical Thinking: Evidence, Communication and ... systematic review or clinical practice guideline presents the interpretation of "experts" whose biases remain largely invisible to the review's consumers. In additio...

Ngày tải lên: 06/07/2014, 08:20

... http://www.cochrane.org Subscrip Chapter 003. Decision-Making in Clinical Medicine (Part 9) Evidence-Based Medicine The "art of medicine& quot; is traditionally defined as a practice ... in question (Table 3-3 ). Table 3-3 Selected Tools for Finding the Evidence in Evidence- Based Medicine Name Descriptio n Web Address Availab ility Eviden ce-Based Medicine...

Ngày tải lên: 06/07/2014, 08:20

... transplantation Nephrogenic XL, AR AVPR2, Fluid Chapter 064. The Practice of Genetics in Clinical Medicine (Part 7) Therapeutic Interventions Based on Genetic Risk for Disease Specific treatments ... insipidus AQP2 replacement Thiazides, amiloride Endocrine Neurohypophyseal diabetes insipidus AD AVP Replace vasopressin Maturity-onset diabetes of the young AD Mu...

Ngày tải lên: 07/07/2014, 01:20