the practice of medicine is an art not a trade

... patient- physician relationship. This process helps the physician develop an appreciation of the patient's perception of the illness, the patient's expectations of the physician and the health care ... obligation can fall to the lot of a human being than to become a physician. In the care of the suffering, [the physician] needs technical sk ill, scientific knowledge, and human understanding. ... [The patient] is human, fearful, and hopeful, seeking relief, help, and reassurance. –Harrison's Principles of Internal Medicine, 1950 The practice of medicine has changed in significant...

Ngày tải lên: 06/07/2014, 08:20

... sensitivity and specificity is one of the most rapidly advancing areas of medicine. These tests provide remarkably detailed anatomic information that can be a pivotal factor in medical decision-making. ... Cognizant of their capabilities and the rapidity with which they can lead to a diagnosis, it is tempting to order a battery of imaging studies. All physicians have had experiences in which imaging ... abnormalities among the screening tests that may not necessarily connote significant disease. An in-depth workup following a report of an isolated laboratory abnormality in a person who is...

Ngày tải lên: 06/07/2014, 08:20

... selected patients. Evidence-based medicine has become an increasingly important part of the routine practice of medicine and has led to the publication of a number of practice guidelines. Practice ... Professional organizations and government agencies are developing formal clinical -practice guidelines to aid physicians and other caregivers in making diagnostic and therapeutic decisions that ... Medical Decision-Making Several quantitative tools may be invaluable in synthesizing the available information, including diagnostic tests, Bayes' theorem, and multivariate statistical...

Ngày tải lên: 06/07/2014, 08:20

... represent the best approach to decision-making in the practice of medicine. Evaluation of Outcomes Clinicians generally use objective and readily measurable parameters to judge the outcome of a therapeutic ... never replace the clinical decisions that are best made by the physician. In this regard, clinical knowledge and an understanding of the patient's needs, supplemented by quantitative tools, ... Much is still to be learned in this arena, and ongoing studies should enhance our understanding of the mechanisms of gender differences in the course and outcome of certain diseases. For a more...

Ngày tải lên: 06/07/2014, 08:20

... travel may be offset by the quality of care at these distant locations. As much as any other factor influencing global aspects of medicine, the Internet has transformed the transfer of medical ... thereby expanding the depth and breadth of information available to the physician about the diagnosis and care of patients. Most medical journals are now accessible online, providing rapid and comprehensive ... held accountable not only for the technical aspects of the care that they provide but also for their patients' satisfaction with the delivery and costs of care. In many parts of the world,...

Ngày tải lên: 06/07/2014, 08:20

... Chapter 001. The Practice of Medicine (Part 8) Medical Ethics and New Technologies The rapid pace of technological advances has profound implications for medical applications far beyond ... medical school that as physicians our lot is that of the "perpetual student" and the mosaic of our knowledge and experiences is eternally unfinished. This concept can be at the same ... predispositions to disease, select desired characteristics in embryos, augment "normal" human performance, replace fa iling tissues, and substantially prolong life span. Because of their...

Ngày tải lên: 06/07/2014, 08:20

... medical care system, it is a major challenge for physicians to maintain the humane aspects of medical care. The American Board of Internal Medicine, working together with the American College of ... nurses' aides, physicians' assistants, social workers, technologists, physical therapists, medical students, house officers, attending and consulting physicians, and many others. They may ... of Physicians– American Society of Internal Medicine and the European Federation of Internal Medicine, has published a Charter on Medical Professionalism that underscores three main principles...

Ngày tải lên: 06/07/2014, 08:20

Ngày tải lên: 13/08/2014, 03:20

... plans, etc. But not only in the recent past: risk is and has always been the heart of the insurance industry and also of banking. The process of risk transformation is expressed in their balance ... can explain the growing importance of the financial industry to An Alternative Approach of Financial Intermediation 35 5 Hakenes (2002) is an example of a study that puts risk management at the ... Safety and soundness of the financial system as a whole and the enactment of industrial, financial, and fiscal policies are regarded as the main reasons to regulate the financial industry (see Kareken,...

Ngày tải lên: 24/10/2012, 09:11

... process (a verb, fail, and its participants, He + the exam) is not realized by means of a clause, but rather by means of another type of form, such as a noun phrase, as in the example at hand. ... what part the language is playing, what it is that the participants are expecting the language to do for them in that situation, the symbolic organisation of the text, the status that it has, ... means of a noun phrase. What is important is that a noun phrase is also the ‘normal’ (i.e. default, standard) expression of some other ideational type of meaning, viz. an entity. An entity is...

Ngày tải lên: 07/11/2012, 14:44

... Pungerc ˇ ar 2 1 Department of Chemistry and Biochemistry, Faculty of Chemistry and Chemical Technology, University of Ljubljana, Ljubljana, Slovenia; 2 Department of Biochemistry and Molecular Biology ... electrophoresis and autoradiography, the intensities of the specific adducts on autoradiographs were analyzed by QuantiScan (Biosoft, Cambridge, UK) and the nonlinear curve fitting program GRAFIT , Version ... the C-terminal region of Atxs, at least partially overlaps with that for CaM. Since the binding affinities of the two chimeric sPLA 2 s for CaM are still considerably lower than that of AtxA, we assume...

Ngày tải lên: 31/03/2014, 08:20

... meningitis and brain abscess. Infect Dis Clin North Am 23(3):609-23. 3. Mamelak AN, Mampalam TJ, Obana WG, et al: Improved management of multiple brain abscesses: a combined surgical and medical approach. Neurosurgery ... pulmonary, and gastrointest- inal examination. However, on neurological examina- tion, he wa s lethargic, and found to have dysarthria and ataxia . A computed tomography (CT) scan was immedi- ately ... CAS E REP O R T Open Access “Case files from the University of Florida: When an earache is more than an earache": A case report Bobby K Desai * and Thomas Walls Abstract Brain abscess is...

Ngày tải lên: 21/06/2014, 02:20

... a number of diverse diseases. This is a difficult task, as scientific advances in genetic medicine have outpaced the translation of these discoveries into standards of clinical care. ... screening and health care management programs. In view of these changes, the physician must integrate personal medical history, family history, and diagnostic molecular testing into the overall care ... specialists. The internist has an important role in educating patients about the indications, benefits, risks, and limitations of genetic testing in the management of Chapter 064. The Practice...

Ngày tải lên: 07/07/2014, 01:20

... with diseases, and the finding of multiple diseases in an individual patient. For instance, a woman with a history of both colon cancer and endometrial cancer is at risk for hereditary nonpolyposis ... determination of risk for an asymptomatic individual will vary depending on the size of the pedigree, the number of unaffected relatives, and the types of diagnoses, as well as the ages of disease ... artery disease (Chap. 235). The absence of the nonhereditary risk factors typically associated with a disease also raises the prospect of genetic causation. A personal or family history of deep-vein...

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20