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Defensive Medicine

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5041. Doctors and medical negligence. (PubMed)

Doctors and medical negligence. 2106979 1990 04 24 2018 11 13 0959-8138 300 6721 1990 Feb 10 BMJ (Clinical research ed.) BMJ Doctors and medical negligence. 343-4 Havard J D JD eng Editorial England BMJ 8900488 0959-8138 AIM IM BMJ. 1990 Mar 17;300(6726):746-7 2322728 Defensive Medicine Humans Malpractice legislation & jurisprudence Medical Staff, Hospital legislation & jurisprudence State Medicine United Kingdom 1990 2 10 1990 2 10 0 1 1990 2 10 0 0 ppublish 2106979 PMC1662128 Br Med J. 1954

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1990 BMJ : British Medical Journal

5042. Resources, the family and voluntary euthanasia. (PubMed)

people do not wish for further longevity after they have become too disabled to be of service to their families, and would prefer to see limited resources being used for the young. In the USA, loss of autonomy of patients and their families owing to the practice of defensive medicine has resulted in the development of the 'living will', a legal document in which people can specify in advance what treatment they wish to accept in the event of life threatening illness. It is to be hoped that improved

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1990 The British Journal of General Practice

5043. Americans With Disabilities Act of 1990. Implications for the medical field. (PubMed)

Americans With Disabilities Act of 1990. Implications for the medical field. 1830982 1991 09 12 2008 11 20 0093-0415 154 5 1991 May The Western journal of medicine West. J. Med. Americans With Disabilities Act of 1990. Implications for the medical field. 522-4 Golden M M Disability Rights Education and Defense Fund, Berkeley, California. eng Journal Article United States West J Med 0410504 0093-0415 AIM IM Architectural Accessibility legislation & jurisprudence Civil Rights legislation

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1991 Western Journal of Medicine

5044. Health services reforms in revolutionary Nicaragua. (PubMed)

Health services reforms in revolutionary Nicaragua. Before the Nicaraguan revolution of 1979, access to health services was largely limited to the affluent sectors of the urban population and the minority of workers with social security coverage. Repeated attempts at reform by organized medicine were ineffective. Since the revolution, a tremendous expansion in health services has occurred. The national health system receives approximately one-third of its funds from the social security system (...) . Further progress in health reforms may be delayed by the defensive war which Nicaragua is fighting on its northern and southern borders. Despite emergent health problems in the war zones, most of the innovative aspects of the health system remain intact as of this writing.

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1984 American Journal of Public Health

5045. Medicolegal Liability for Ontario Physicians: How the threat affects the scope and style of general practice (PubMed)

Medicolegal Liability for Ontario Physicians: How the threat affects the scope and style of general practice Family physicians and general practitioners in Ontario have responded more dramatically to the threat of medicolegal suits than physicians in other parts of the country. The authors identified geographic differences in responses to a national survey and suggest some explanations of these differences, some effects of the more defensive practice of medicine in Ontario on the province's

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1991 Canadian Family Physician

5046. Costs and coverage. Pressures toward health care reform. (PubMed)

, it is useful to understand the roots of the cost problem. Causes of spiraling health care costs include "market failure" in the health care market, expansion in technology, excessive administrative costs, unnecessary care and defensive medicine, increased patient complexity, excess capacity within the health care system, and low productivity. Attempts to control costs, by the federal government for the Medicare program and then by the private sector, have to date been mostly unsuccessful. New proposals

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1992 Western Journal of Medicine

5047. How house officers cope with their mistakes. (PubMed)

How house officers cope with their mistakes. We examined how house officers coped with serious medical mistakes to gain insight into how medical educators should handle these situations. An anonymous questionnaire was mailed to 254 house officers in internal medicine asking them to describe their most important mistake and their response to it; 45% (N = 114) reported a mistake and completed the questionnaire. House officers experienced considerable emotional distress in response (...) to their mistakes and used a variety of strategies to cope. In multivariate analysis, those who coped by accepting responsibility were more likely to make constructive changes in practice, but to experience more emotional distress. House officers who coped by escape-avoidance were more likely to report defensive changes in practice. For house officers who have made a mistake, we suggest that medical educators provide specific advice about preventing a recurrence of the mistake, provide emotional support

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1993 Western Journal of Medicine

5048. The Family Physician as Peacemonger: How to Talk to Your Patients about the Threat of Nuclear War (PubMed)

The Family Physician as Peacemonger: How to Talk to Your Patients about the Threat of Nuclear War The threat of nuclear war concerns most Canadians. Many family physicians may consider the issue important as a topic of preventive medicine, but feel uncomfortable discussing it. Physicians must first inform themselves and deal with their own feelings and psychological defense mechanisms before they can help their patients through the same stages.

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1986 Canadian Family Physician

5049. The medicolegal climate of clinical practice. (PubMed)

The medicolegal climate of clinical practice. 3719480 1986 07 29 2008 11 20 0820-3946 135 1 1986 Jul 01 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ The medicolegal climate of clinical practice. 19-20 Leighton K M KM eng Journal Article Canada CMAJ 9711805 0820-3946 AIM IM Anesthesiology standards Defensive Medicine Humans Jurisprudence Malpractice 1986 7 1 1986 7 1 0 1 1986 7 1 0 0 ppublish 3719480 PMC1491116

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1986 CMAJ: Canadian Medical Association Journal

5050. Physiopathologie et thérapeutique de l'utérus en période puerpérale chez la vache laitière: revue (PubMed)

Physiopathologie et thérapeutique de l'utérus en période puerpérale chez la vache laitière: revue Accurate diagnosis and effective therapeutics of uterine pathologies in cattle represent some of the daily preoccupations for the veterinarians involved in herd health medicine. A rational approach requires a competence based on fundamental and clinical knowledge.The physiological aspects of the uterine involution in cattle are reviewed with emphasis about the in utero bacteriological dynamic (...) and the endocrinological evolution during this period. The pathogenesis of uterine pathologies is discussed following new research results and new knowledge on the mechanisms of uterine defense. The value and limitations of the clinical diagnosis is briefly reviewed. The therapeutics of uterine pathologies is debated in relation with the pathophysiology of the uterine involution and with the rational of the traditional and new concepts of the treatment of the postpartum uterine pathologies.

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1987 The Canadian Veterinary Journal

5051. Effect of quinapril versus nitrendipine on endothelial dysfunction in patients with systemic hypertension. (PubMed)

Effect of quinapril versus nitrendipine on endothelial dysfunction in patients with systemic hypertension. 11397368 2001 07 05 2018 11 30 0002-9149 87 12 2001 Jun 15 The American journal of cardiology Am. J. Cardiol. Effect of quinapril versus nitrendipine on endothelial dysfunction in patients with systemic hypertension. 1414-6 Uehata A A Department of Internal Medicine, Self Defense Forces Central Hospital, Tokyo, Japan. uehata@ma.kcom.ne.jp Takase B B Nishioka T T Kitamura K K Akima T T

2001 The American journal of cardiology Controlled trial quality: uncertain

5052. Evidence-based, optimal combinations of common diagnostic tests for new, symptomatic out-patients in primary care medicine

blood; chest or abdominal plain X-ray; and electrocardiogram. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population The study population comprised new symptomatic outpatients who underwent the ELT at hospitals. Those who had had examinations and tentative diagnoses in other hospitals prior to the present ones were excluded. Setting The setting was primary care. The economic study was carried out at the Department of Laboratory Medicine, National Defense (...) Evidence-based, optimal combinations of common diagnostic tests for new, symptomatic out-patients in primary care medicine Evidence-based, optimal combinations of common diagnostic tests for new, symptomatic out-patients in primary care medicine Evidence-based, optimal combinations of common diagnostic tests for new, symptomatic out-patients in primary care medicine Takemura Y Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED

2001 NHS Economic Evaluation Database.

5053. Procedure costs and outcomes associated with pharmacologic management of peripheral arterial disease in the Department of Defense

Procedure costs and outcomes associated with pharmacologic management of peripheral arterial disease in the Department of Defense Procedure costs and outcomes associated with pharmacologic management of peripheral arterial disease in the Department of Defense Procedure costs and outcomes associated with pharmacologic management of peripheral arterial disease in the Department of Defense Zachry W M, Wilson J P, Lawson K A, Koeller J M Record Status This is a critical abstract of an economic (...) the use of such treatments. Source of funding Sponsored by the University of Texas at Austin, Austin (TX), USA. Bibliographic details Zachry W M, Wilson J P, Lawson K A, Koeller J M. Procedure costs and outcomes associated with pharmacologic management of peripheral arterial disease in the Department of Defense. Clinical Therapeutics 1999; 21(8): 1358-1368 PubMedID Other publications of related interest Stergachis A, Sheingold S, Luce B, et al. Medical care and cost outcomes after pentoxifylline

1999 NHS Economic Evaluation Database.

5054. Emergency medicine, organ donation and the Human Tissue Act. (PubMed)

Emergency medicine, organ donation and the Human Tissue Act. The Human Tissue Act 2004, which governs all activity relating to the human body, organs or tissues, is grounded in the principle of fully informed consent in line with societal expectations. The associated intention to deal with the current deficit of transplantable organs has paradoxically been translated into the legitimisation of non-consensual organ preservation manoeuvres after death. The procurement strategy targeted under (...) this new statute is "uncontrolled" non-heart-beating donation, and the clinical arenas would be accident and emergency departments and acute medical wards. Practitioners in these fields need to have an understanding of the process and the associated ethical, logistical and legal hurdles to defensible implementation. In the light of these hurdles, there is an obvious need for more widespread professional and public consultation before adoption of this programme.

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2006 Emergency Medicine Journal

5055. Emergency medicine tools to manage smallpox (vaccinia) vaccination complications: clinical practice guideline and policies and procedures. (PubMed)

Emergency medicine tools to manage smallpox (vaccinia) vaccination complications: clinical practice guideline and policies and procedures. In December 2002, the federal government began a program to immunize approximately 500000 civilian public health and health care workers with smallpox (vaccinia) vaccine as a part of our pre-event defense against bioterrorism. First responders will likely follow, and the general US population might be offered vaccination in the next 1 to 2 years. Recent (...) prevalence of immune suppression from both diseases and immunosuppressive medications, complications might be seen in higher frequency than previously reported. Emergency medicine providers and staff must become familiar with clinical presentations and management of vaccine complications. In addition, policies and procedures must be developed to prevent unimmunized providers from inadvertently contacting the active vaccination sites of their patients and, if the providers themselves have active

2003 Annals of Emergency Medicine

5056. Hochuekkito, a Kampo (traditional Japanese herbal) Medicine, Enhances Mucosal IgA Antibody Response in Mice Immunized with Antigen-entrapped Biodegradable Microparticles. (PubMed)

Hochuekkito, a Kampo (traditional Japanese herbal) Medicine, Enhances Mucosal IgA Antibody Response in Mice Immunized with Antigen-entrapped Biodegradable Microparticles. The effect of oral administration of Hochuekkito (HET; Bu-Zhong-Yi-Qi-Tang in Chinese), a traditional Japanese herbal medicine, on mucosal IgA immune response was investigated. To induce the antigen-specific antibodies in mucosal site, ovalbumin (OVA)-entrapped biodegradable microparticles (OVA-microparticles) were used (...) mononuclear cells by flow cytometry. These results suggest that the enhanced IFN-γ secretion and increased population of L-selectin positive B lymphocytes by orally administered HET may partly contribute to enhancement of IgA immune response against intestinal antigens, and orally administered HET may strengthen defensive systems against various pathogens and food antigens in intestine.

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2007 Evidence-based Complementary and Alternative Medicine (eCAM)

5057. Effects of the Japanese Herbal Medicine “Sho-saiko-to” (TJ-9) on Interleukin-12 Production in Patients with HCV-Positive Liver Cirrhosis (PubMed)

Effects of the Japanese Herbal Medicine “Sho-saiko-to” (TJ-9) on Interleukin-12 Production in Patients with HCV-Positive Liver Cirrhosis Interleukin-12 (IL-12) is an important cytokine for maintenance of normal systemic defense and bioregulation. The Japanese herbal medicine Sho-saiko-to (TJ-9) has been administered to 1.5 million Japanese patients with chronic liver diseases. TJ-9 is known to significantly suppress cancer development in the liver and has macrobiotic effects. In the present

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1999 Developmental immunology

5058. Civilian protection measures against terrorist attack are the best preventive medicine. (PubMed)

Civilian protection measures against terrorist attack are the best preventive medicine. 10937022 2000 08 30 2008 11 20 0090-0036 90 8 2000 Aug American journal of public health Am J Public Health Civilian protection measures against terrorist attack are the best preventive medicine. 1325-6 Brodsky A A eng Comment Letter United States Am J Public Health 1254074 0090-0036 AIM IM Am J Public Health. 1999 Nov;89(11):1629-31 10553378 Biological Warfare prevention & control Civil Defense Humans

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2000 American Journal of Public Health

5059. Darwinian medicine: Applications of evolutionary biology for veterinarians (PubMed)

Darwinian medicine: Applications of evolutionary biology for veterinarians Every medical phenomenon has both a mechanistic explanation and an evolutionary explanation. Veterinarians are accustomed to dealing with the mechanistic, the "what" or the "how", of various disease conditions, and applying treatment accordingly. Darwinian medicine is a field that addresses the evolutionary explanation, the "why" for various medical conditions. This review focuses on these Darwinian explanations (...) and is divided into 4 main categories--host defenses, virulence, genetic conflict, and incomplete adaptation to a changing environment. Each of these areas is reviewed, with examples of evolutionary reasons for disease conditions. Consideration of adaptationist reasons for many of these disease phenomena should make veterinarians better clinicians, educators, and researchers.

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2002 The Canadian Veterinary Journal

5060. Effect of Seihai-to, a Kampo medicine, in relapsing aspiration pneumonia--an open-label pilot study. (PubMed)

Effect of Seihai-to, a Kampo medicine, in relapsing aspiration pneumonia--an open-label pilot study. Two published case reports described palliation of disease after Seihai-to therapy for refractory aspiration pneumonia caused by recurrent laryngeal nerve paralysis and cerebrovascular disease. We undertook an open-label trial in patients with relapsing aspiration pneumonia. Fifteen patients with relapsing aspiration pneumonia were randomly divided into conventional therapy group (n = 8 (...) ) or Seihai-to group (n = 7). In Seihai-to group, patients were treated with Seihai-to in addition to conventional therapy (Western medicines). Frequency of feverish days and antibiotics-use, CRP value and chest CT or X-ray findings were compared between the two groups during the study period of 16 weeks. In the Seihai-to group, the latency of swallowing reflex was measured in 6 patients before and after administration of Seihai-to. The mean values of fever index, CRP value and antibiotics-use

2002 Phytomedicine : international journal of phytotherapy and phytopharmacology Controlled trial quality: uncertain

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