clinical practice and the occlusion
state university of new york press after lacan clinical practice and the subject of the unconscious oct 2002
... limit the jouissance demanded by the Other in the imaginary of the child Loss and lack are the law for child, but they are the law also for the Other, whose claims on the life of the subject are thereby ... answer the lack in the Other, a lack necessitated by the law of the signifier, and lying at the heart of desire The next chapters on symptom and fantasy (chaps 7, and 8) further integrate these theoretical ... jouissance of the Other, to illustrate the theory and clinic of psychosis In the cases of John, Mr Owens, and Mr T., the reader gets a powerful sense of the pathos and the anguished drama of the psychotic...
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Critical Thinking in Clinical Practice Improving the Quality of Judgments and Decisions pdf
... progress and challenges These are described in this book Progress and increases in critical thinking in clinical practice include the invention of the systematic review and the process and philosophy ... critical thinking and evidence-based practice in clinical practice and to draw these together in a format that makes sense to clinicians and that can be used to enhance the quality of practice It does ... making The narrowest view focuses only on the interaction between clients and clinicians—how they influence each other within the clinical interview An understanding of the variables that affect clinical...
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Báo cáo y học: "The dilemma of good clinical practice in the study of compromised standards of care" doc
... patients is also sent to the regular floor, however, not because they not need intensive care but because the person responsible for the ICU does not have a bed for them In the absence of conceptual ... equilibrium and bioethical deliberation Bioethics 2009 [Epub ahead of print] doi:10.1186/cc9073 Cite this article as: Barilan YM: The dilemma of good clinical practice in the study of compromised standards ... deliberation for justification and legitimization [6,7], and not on inconclusive evidence and a motivation to save money A serious confounding factor in the whole discourse on the allocation of intensive...
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Clinical governance and the role of law
... legal theorists and the courts alike In Montesquieu‘s 75 theory on the separation of power, the state is divided into three arms, namely the legislature, the administration and the judiciary The ... resulted in the SMC framing the two charges against the appellant: the first charge relating to advertising the services offered by the eye clinic, and the second charge relating to the use of the eye ... monitor and evaluate the quality and appropriateness of the services provided and the practices and procedures carried out at the private hospital or healthcare establishment; (b) identify and resolve...
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The clinical study and the prevention countermeasures of diabetic foot
... The clinical study and the prevention countermeasures of diabetic foot A Dissertation Submitted for the Doctorate Candidate：TRUONG THI NGOC LAN Adviser：Prof.Wang ... Vietnam; carry out statistic, analysis and summarization clinical symptoms; sign in local and all over; pulse and tongue diagnosis; pattern identifications and signs, examination results Results: ... diabetes treatment and prevention Besides, the number of diabetic patients is too much not enough time to be examined and consulted, besides, there is lack of combination between Western and Chinese...
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Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults ppt
... plan for the prevention of overweight and obesity The primary outcomes of that plan were the goals to ‘prevent further weight gain in adults and eventually reduce the proportion of the adult ... modify the ‘obesogenic’ modern social environment However, during the development of Acting on Australia’s Weight and the subsequent strategy, the need for clinical practice guidelines for the management ... initiated the development of the guidelines In working on the project, and having determined that separate guidelines were required for adults and for children and adolescents, the NHMRC researched practices...
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KDIGO Clinical Practice Guideline for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) pdf
... of CKD—lead to clinical outcomes, such as fractures, pain, and disability on the one hand, and clinical CVD events on the other All of these contribute to morbidity and mortality The arrows represent ... suggestions and edits on the wording of recommendations, and on the use of specific grades for the strength of the recommendations and the quality of evidence The Work Group took on the primary ... chapter is to describe the process and methods by which the evidence review was conducted and the recommendations and statements were developed The members of the Work Group and of the Evidence Review...
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Immunization Programs for Infants, Children, Adolescents, and Adults: Clinical Practice Guidelines by the Infectious Diseases Society of America pot
... Immunization Practices (ACIP); the ACP; the National Vaccine Advisory Committee, including the Standards for Child and Adolescent Immunization Practices and the Standards for Adult Immunization; the Task ... Vaccine Advisory Committee developed the Standards for Child and Adolescent Immunization Practices and the Standards for Adult Immunization Practices [23, 50] The standards recommended by this committee ... http:// www.thecommunityguide.org The National Vaccine Advisory Committee developed the Standards for Child and Adolescent Immunization Practices and the Standards for Adult Immunization Practices...
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The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America pot
... beyond the endotracheal tube tip The inner catheter is then extended cm further and the protective plug expelled, allowing the brush to be advanced another 1-2 cm, and then retracted into the sheath ... living in the United States, with reasonable access to healthcare The history, presentation, and examination of the child are the major determinants of the severity of the illness and the appropriate ... the American Thoracic Society, the Society for Hospital Medicine, and the Society of Critical Care Medicine The guidelines were reviewed and approved by the PIDS Clinical Affairs Committee, the...
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Clinical practice guideline for the assessment and prevention of falls in older people doc
... use in the NHS in England and Wales The remit from the DH and Welsh Assembly Government was as follows: To prepare clinical guidelines for the NHS in England and Wales for the assessment and prevention ... padding worn around the hip has been advocated as a measure of reducing the impact of the fall and thereby the chance of fracturing the hip The fracture is usually the result of a fall The fall usually ... (Scuffham and Chaplin 2002) The associated cost of these falls to the NHS and PSS was £908.9 million and 63 per cent of these costs were incurred from falls in those aged 75 years and over (Scuffham and...
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The Clinical Practice of Complementary, Alternative, and Western Medicine pot
... from the apothecaries and the allopathic doctors of the old school In 1846 the American Medical Association (AMA) was formed to counter the influence of the homeopaths and the AIH By the turn of the ... with the external milieu and its manifestations — the explicate order or symptoms It is time to integrate both the explicate and implicate orders, the outside and the inside, the effects and the ... of natural laws and the theological dictates of the day, could not separate the mind from the body or the psyche from the soma Thus, when reductionism, the concept that the body and its diseases...
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báo cáo khoa học: " Bridging the gap between basic science and clinical practice: a role for community clinicians" pptx
... or the clinical consequences of war, such as the rapid rise in the number of individuals with prosthetic limbs and post traumatic stress syndrome) Further, given their broad set of skills, the ... involvement in clinical trials and/ or clinical research networks We began with an environmental scan of academic and trade journals, the internet, and public- and private sector reports of clinical and ... the NIH roadmap initiative and the proposed concept of NIH possibly launching a program to support the conduct of research within community clinical practice, the purpose of the interviews, and...
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báo cáo khoa học: "Bridging the gap between basic science and clinical practice: The role of organizations in addressing clinician barriers" pps
... never the third trial But they get into it thinking they were going to start a research business They walk in and anoint their office nurse study coordinator for the day They two trials and they ... adherence to clinical guidelines) [20,21] Information-gathering To help clinicians and medical practices realistically think through the implications to their practices of clinical research and ways ... Compass Lexecon, Oakland, CA, USA Authors’ contributions MB, GR, and KK designed the study and drafted the manuscript EQ, CB, ST, MC, and HP guided study design and read and revised the manuscript...
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báo cáo khoa học: "Understanding the relationship between the perceived characteristics of clinical practice guidelines and their uptake: protocol for a realist review" doc
... http://www.implementationscience.com/content/6/1/69 candidate theories (i.e., middle-range or ‘educated guess’ theories) These candidate theories will be continuously tested and appended as they evolve (or new theories emerge) and will ... supposed to work (and for whom), when they work, when they don’t achieve the desired change in practices, why they are not effective in this, and why they are not being used The body of literature ... RTA and LOA synthesis methods will thus enable the organisation of guideline attributes and their trade-offs and interpret them according to how their relationships can be mapped to reveal the...
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Báo cáo y học: "Curricula for teaching the content of clinical practice guidelines to family medicine and internal medicine residents in the US: a survey study" ppt
... with the characteristics of the teaching of CPGs We used logistic models with each of the options for the characteristics of the teaching of CPGs as a dependent variable, and the specialty, the ... demands and requirements, program directors need to consider the value of teaching of the content of CPGs on the clinical care and educational levels (evidence-based medicine user model [32]) The ... assessing their impact on adherence to CPGs [23] On the other hand, the effectiveness of two teaching strategies used by a minority of programs (i.e., interactive sessions and audit and feedback)...
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báo cáo khoa học: " Curricula for teaching the content of clinical practice guidelines to family medicine and internal medicine residents in the US: a survey study" pot
... with the characteristics of the teaching of CPGs We used logistic models with each of the options for the characteristics of the teaching of CPGs as a dependent variable, and the specialty, the ... demands and requirements, program directors need to consider the value of teaching of the content of CPGs on the clinical care and educational levels (evidence-based medicine user model [32]) The ... assessing their impact on adherence to CPGs [23] On the other hand, the effectiveness of two teaching strategies used by a minority of programs (i.e., interactive sessions and audit and feedback)...
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Báo cáo khoa học: "The Surviving Sepsis Campaign sepsis change bundles and clinical practice" ppt
... free software available from the SSC and IHI and to submit their anonymized data to the SCC for aggregate analysis in accordance with the instructions on the website The SSC sepsis bundles are ... with the bundles and as experts ponder how the guidelines should best be expressed in the bundles, the bundles will probably change so as to optimize their utility The first revision of the guidelines ... with all of the bundle elements The 52% achievement of 100% compliance with the 6-hour sepsis bundles by the hospitals in the Gao et al study is higher then we would have expected at the start...
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Báo cáo y học: "implementation and evaluation of the SPRINT protocol for tight glycaemic control in critically ill patients: a clinical practice change" ppsx
... et al col in the Christchurch ICU ALC helped conceive and develop the SPRINT protocol, assisted in data collection and the analysis and interpretation of the data, and helped draft the manuscript ... measurements in the target band was 66% to 203% higher and the blood glucose standard deviation was 6% to 30% lower on SPRINT compared with the retrospective cohort Figure shows the box -and- whisker ... shows the average nutrition intake and insulin administration rate for the first days on the SPRINT protocol The average nutrition intake is lower and the average insulin rate is higher during the...
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Báo cáo y học: "Adolescent idiopathic scoliosis screening for school, community, and clinical health promotion practice utilizing the PRECEDE-PROCEED model" potx
... based on the patient's age at onset, the rate of the curve progression as measured via radiographic by the Cobb angle, the magnitude of the scoliosis at the end of the growth phase, and the curve ... community, school, and clinical health promotion are arguably distinct in their mission and approach, their commonalities bring them together under one model for analysis Methods Green and Kreuter's ... motion and is the most common spinal deformity affecting children with the most common form being the idiopathic form [4-6] The clinical diagnosis of AIS has not been assessed using the PP model The...
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Land-based marine pollution and the Arctic - polarities between principles and practice
... protection, and the effectiveness of compliance and enforcement This chapter examines the tensions between the principles of precaution and pollution prevention, on the one hand, and actual practices ... practices relating to landbased pollution control in the Arctic, on the other Following an introductory summary of the sources of land-based marine pollution in and into the Arctic, further sections review ... serve as further avenues for controlling land-based pollution relevant to the Arctic: the 1992 Paris Convention for the Protection of the Marine Environment of the North-East Atlantic and the 1992...
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