medical records in the radiology department
Healing Or Stealing: Medical Charlatans in the New Age ppt
... was carried out in Germany in the late 1930’s On August 8, 1937, in Berlin, opening the 37 Healing or Stealing? International Congress of the Society of Homeopathy in the name of the Führer, Rudolf ... something has to be done to address the problem, taking into account the current situation The success these forms of medicine enjoy in public opinion is easily explained by the French taste for the ... is interested only in the symptom, seldom in the real cause, and never in the individual in totum A quick look at the evolution of the profession over the past fifty years shows that medicine...
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Medical Marketing in the United States: A Prescription for Reform pdf
... speaker presenting or otherwise participating in the training event must have received substantial training regarding the relevant products or services (iii) A paid speaker presenting or otherwise ... contest the link between advertising (in the form of detailing) and consumption (in the form of prescribing) to argue that regulations would not directly advance the government’s interest However, the ... (observing that the cumula165 166 2010] MEDICAL MARKETING IN THE UNITED STATES 285 tal lack of tailoring.173 The Court described the dilemma in terms also applicable to the regulation of medical...
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Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
... East, Abingdon, VA 24210 USA Authors’ contributions KC treated the patient in the ED and was involved in drafting the manuscript LL cared for the patient in the ED and was involved in drafting the ... transvaginal evisceration was discussed by Guttman et al in 1990 and parallels the approach taken in our case: stabilization including fluid therapy, wrapping the exposed bowel in saline-soaked ... emergency department crowding, emergency physicians should reevaluate nursing education on triaging abdominal pain to prevent delays in caring for well-appearing patients who have underlying life-threatening...
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Báo cáo hóa học: " Evaluation of the diagnostic indices and clinical utility of qualitative cardiodetect® test kit in diagnosis of ami within 12 hours of onset of chest pain in the emergency department" pptx
... assay and the quantitative cardiac troponin T test in diagnosing AMI in the ED according to the time of onset of chest pain To verify whether there was any improvement in the diagnostic indices ... attending medical officers may be biased when reading the Cardio Detect® test result since they are not blinded to the history, physical examination, and ECG findings of the patient being investigated ... pain (categorical) as in the inclusion criteria, including the timing of onset (numerical) of chest pain The dependent variables included the qualitative (positive or negative) outcome of the...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
... or impingement of nerve roots or the spinal cord Careful exam and history should be used to guide the clinician in determining the need for additional imaging or other diagnostics Despite intra-reservoir ... appropriate for the ED setting Meningeal biopsy and non-specific biomarkers are sometimes obtained during the inpatient evaluation Emergency department management of seizure includes benzodiazepines and ... like amitriptyline, gabapentin, carbamazepine, or benzodiazepines may be prescribed for chronic pain Acute worsening of headache, neck pain, or back pain could be related to worsening complications,...
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Báo cáo hóa học: " Albuterol enantiomer levels, lung function and QTc interval in patients with acute severe asthma and COPD in the emergency department" pptx
... written informed consent had been obtained The remaining serum samples (collected in VACUETTE® Z Serum Sep C/A tubes) were then transferred to the investigators after being kept at the Pathology Department ... test a Dose administered in the preceding 24 h, including dose administered prior to the hospital presentation b Dose administered by health-care officer, as recorded in hospital medical history ... obtained from Medical Isotopes, Inc., Pelham, NH) as internal standard In brief, the samples were 60-min post-initial test 51 (21-69) 60 (31-78) Total rac-albuterol utilisation in preceding 24...
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Báo cáo y học: "Use of a population-based survey to determine incidence of AIDS-defining opportunistic illnesses among HIV-positive persons receiving medical care in the United States" ppsx
... resulted in an incomplete sampling frame at the second stage – but not necessarily in any bias, unless not being included in the sampling frame was related to having had an OI diagnosed during 1998 In ... multiplying the sampling weight of the provider and the sampling weight of the patient within the provider as previously described [6] These weights were used to estimate the numbers of patients in ... or were in care for HIV infection Once they did receive medical care, they would have been included in our sampling frame and could contribute to the OI incidence estimates, even if they had...
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Báo cáo y học: "Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report" pps
... (Medtronic, Inc., Minneapolis, MN) CPB was initiated within 10 minutes of the decision for its use and 58 minutes after the arrival of the patient to the ED; the patient's core temperature was 25°C An initial ... 60 minutes of conventional warming therapies that included warm fluid instillation (intravenous, gastric, and intrapleural), use of a warming blanket, and CPR in a trauma room that was 27°C The ... revealed the tracheal tube was in the proper position He was given atropine mg intravenously for his PEA, this was followed by mg epinephrine intravenously The patient converted to sinus rhythm,...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
... intensive care unit of other hospitals, were included in the study than phlebotomy for the study proteins Three groups of patients were defined based on clinical findings, on laboratory findings, ... present in 82.8% of the infected patients and in 42.9% of the noninfected patients (P < 0.001) A WBC count >12,000/mm3 or < 4000/mm3, fulfilling the SIRS criteria, was present in 36.2% of the infected ... showed convincing results in detecting infection in immunosuppressed and leukopenic patients, shall we assay PCT routinely in all these patients? Further studies with a special focus to the immunosuppressed...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
... Milrinone Dopexamine Combined Dopamine Epinephrine Vasomotor Norepinephrine Phenylephrine Vasopressin resuscitation outcomes (Table 3) Adequacy and timing of acute resuscitation, as well as definitive ... and noninvasive measurement for the diagnosis and estimation of the severity of shock in the ED Gastric mucosal and sublingual PCO2 are measured using tonometric catheters inserted into the stomach ... drainage, arterial or venous embolization, and insertion of intraluminal stents or filters with the assistance of interventional radiology can eliminate the need for surgical intervention in...
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Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
... certainty in the effects of interventions provided in the ED; improving the understanding of existing physiologic measurements and their influence on outcomes; reducing variations in individual clinical ... of the total GCS score for predicting ED intubation, neurosurgical intervention, brain injury, and mortality [40] The Therapeutic Intervention Scoring System (TISS) evaluates the need in staffing, ... established in a validation group, with an area under the ROC curve of 0.76 in this group [61] MEDS is among the first scoring systems to be examined over the natural course of sepsis beginning in the...
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Báo cáo y học: " Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients" doc
... CVC inserted had this procedure performed in the ED The majority of patients requiring a central venous catheter (30/56, 53.6%) had the CVC inserted within the first hours of admission to the ... catheters were inserted in 99/178 patients (55.6%) with 14.1% (14/99) inserted in the ED and 71.7% (71/99) inserted in the first hours of ICU admission Chest tubes insertion was completed in ... patients in the ED is incomplete The primary objective of this study is to determine the length of stay of critically ill patients receiving care in a tertiary care adult emergency department The...
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Báo cáo y học: "Risk assessment in the first fifteen minutes: a prospective cohort study of a simple physiological scoring system in the emergency department" ppsx
... collected in both the study form and the patient records vs those with data collected in the patient records only Finally, since the data were collected without actions to alter the clinical routine, ... score during the stay in the emergency department was assessed in a multivariate logistic regression model including VSS initial and the increase in VSS points (VSSmax - VSSinitial) as predictors ... Secondary outcome was the combined endpoint ICU admission or death in ED The combined endpoint was chosen to account for the fact that death occurring in the ED before discharge to the ICU was proportionately...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
... Canadian Clinical Practice Guidelines) Recommendations are similar to the ones in the United States: Beta2-agonists are the first-line therapy for the management of acute asthma in the emergency department; ... Zealand, and the Singapore Ministry of Health in 2002 Though some specific steps are different among these guidelines, the outline of the main points is the same, containing four sections: Measures ... In the process of data collation, we used the paper-based as the primary data source The paper records were the default in cases of in consistencies In the vast majority of cases (over 95%) the...
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Báo cáo khoa học: "Veterinary decision making in relation to metritis - a qualitative approach to understand the background for variation and bias in veterinary medical records"
... interaction between the interviewer and the interviewed during the interviews that could influence the statements of the interviewed e.g., the use of leading questions In the phase of analysis ... primarily followed their own definitions of different scoring values, such as excluding certain scores (see examples in table 1) They find the definitions incorrect If the veterinarian strictly ... and the individual veterinarians' perceptions expressed in their local context Our basis for the model is thus the empirical data and not an initiating general theory or hypothesis From these...
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Tài liệu Implementation of the Asthma Practice Guideline in the Army Medical Department - Evaluation of Process and Effects pdf
... lasting changes in practices are made Yet all of the MTFs participating in this demonstration had difficulty integrating the new practices into the normal, ongoing MTF clinic operation This finding ... implement the guideline in all MTFs across the Army health system The DoD/VA low back pain guideline was introduced in the Great Plains Regional Medical Command in November 1998, while the asthma ... practice guideline demonstration was introduced in the Southeast Regional Medical Command in August 1999 and the diabetes guideline was introduced in the Western Regional Medical Introduction Figure...
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Tài liệu Implementation of the Diabetes Practice Guideline in the Army Medical Department - Final Evaluation ppt
... Smaller increases in primary care clinic visits for patients not being treated with insulin therapy, compared with patients using insulin because of visit frequency involved in adjusting insulin dosages ... approach for other MTFs in the region • Monitoring progress The performance of the demonstration MTFs in the area of monitoring was mixed Of the two demonstration MTFs (not including the Senior ... guidelines and the approach used by the Army Medical Command (MEDCOM) for implementing the guidelines in the Army health system The DoD/VA Guideline Adaptation Process DoD and the VA initiated a...
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Tài liệu Evaluation of the Low Back Pain Practice Guideline Implementation in the Army Medical Department pdf
... clinical practices This report presents the findings from our evaluation of the implementation of the practice guideline for low back pain in the Great Plains Region demonstration These findings ... back pain guideline was introduced in the Great Plains Region in November 1998 at the demonstration kickoff conference The asthma guideline demonstration began in the Southeast Region in August ... strategies so they can assess their progress in making the clinical process changes they intended THE DEMONSTRATION SITES The Great Plains Region was selected for the low back pain guideline demonstration...
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Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"
... process involved examining themes for commonality, classifying them for uniformity, and then reaching agreement on the final list of six key themes Once the themes were set and subordinate concepts ... offering a training program coordinated by a medical physician However, this is in its infancy and much needs to be worked out This does indicate a growing level of interest in this kind of training, ... exposure in postgraduate practice (exchanging clinical reports, etc.) rather than during their medical training Participants commented that there is a perception that medical education/training is...
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Báo cáo y học: "Special considerations in the treatment of patients with bipolar disorder and medical co-morbidities"
... hrs following the post-dialysis dose There is a case report in which lithium levels were maintained in the therapeutic range by intraperitoneal administration of lithium during continuous peritoneal ... shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of distribution in patients ... bipolar disorder in the general population are likely receiving even less medical care The significance of this finding is that the psychiatrist may be the only physician caring for these patients...
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