How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

5,126 results for

Defensive Medicine

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

141. Celebrate the joys of working in medicine

Celebrate the joys of working in medicine Celebrate the joys of working in medicine Celebrate the joys of working in medicine | | December 6, 2017 411 Shares I keep a spare set of scrubs in my car. It’s an act of preparedness, informed by experience. A couple of months ago, I came out of an ED room after performing a particularly unsavory procedure and noticed that my left knee was wet. Disgusted, I shared my misfortune with my coworkers, and all of them had the same sympathetic response (...) ; they mirrored my grimace and cautiously offered hope: “Maybe it’s just urine.” Urine! What a comforting thought. Urine is (usually) sterile, so I gratefully embraced that optimistic yet plausible narrative and finished my shift. I called my mom on my way home from work and told her about my day. “Why didn’t you change clothes?!” she squawked. “Oh, well, I didn’t have any spare scrubs, and I think maybe it was just urine,” I responded defensively. “That’s gross,” she replied. I suppose it is. That night

2017 KevinMD blog

142. A self-defense program reduces the incidence of sexual assault in Kenyan adolescent girls. (PubMed)

of disclosure increased in the intervention group, but not in controls.A standardized 6-week self-defense program is effective in reducing the incidence of sexual assault in slum-dwelling high school girls in Nairobi, Kenya.Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (...) A self-defense program reduces the incidence of sexual assault in Kenyan adolescent girls. To determine the effect of a standardized 6-week self-defense program on the incidence of sexual assault in adolescent high school girls in an urban slum in Nairobi, Kenya.Population-based survey of 522 high school girls in the Korogocho-Kariobangi locations in Nairobi, Kenya, at baseline and 10 months later. Subjects were assigned by school attended to either a "No Means No Worldwide" self-defense course

2013 The Journal of Adolescent Health

143. Mechanisms of Lung Defense and Their Relationship With Airway Infection in Chronic Obstructive Pulmonary Disease (COPD)

Mechanisms of Lung Defense and Their Relationship With Airway Infection in Chronic Obstructive Pulmonary Disease (COPD) Mechanisms of Lung Defense and Their Relationship With Airway Infection in Chronic Obstructive Pulmonary Disease (COPD) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Mechanisms of Lung Defense and Their Relationship With Airway Infection in Chronic Obstructive Pulmonary Disease (COPD) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01976130 Recruitment Status : Unknown Verified

2013 Clinical Trials

144. Young Smokers Have Impaired Airway Defense

Enrollment : 72 participants Observational Model: Cohort Time Perspective: Cross-Sectional Official Title: Young Smokers Have Impaired Airway Defense That is Not Associated With Pulmonary Function Study Start Date : April 2012 Actual Primary Completion Date : October 2012 Actual Study Completion Date : November 2012 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort Nonsmokers Young healthy nonsmokers Smokers<2.5 pack years Young "healthy (...) Young Smokers Have Impaired Airway Defense Young Smokers Have Impaired Airway Defense - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Young Smokers Have Impaired Airway Defense The safety and scientific

2013 Clinical Trials

145. Treating Phantom Limb Pain Using Continuous Peripheral Nerve Blocks: A Department of Defense Funded Multicenter Study

Treating Phantom Limb Pain Using Continuous Peripheral Nerve Blocks: A Department of Defense Funded Multicenter Study Treating Phantom Limb Pain Using Continuous Peripheral Nerve Blocks: A Department of Defense Funded Multicenter Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Treating Phantom Limb Pain Using Continuous Peripheral Nerve Blocks: A Department of Defense Funded Multicenter Study (DoD-PLP-Tx) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01824082 Recruitment Status : Active

2013 Clinical Trials

146. White Blood Cell Signaling and Defense Mechanisms in Patients With Diabetes Mellitus Type 2 and Periodontitis

White Blood Cell Signaling and Defense Mechanisms in Patients With Diabetes Mellitus Type 2 and Periodontitis White Blood Cell Signaling and Defense Mechanisms in Patients With Diabetes Mellitus Type 2 and Periodontitis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. White Blood Cell Signaling and Defense Mechanisms in Patients With Diabetes Mellitus Type 2 and Periodontitis (DMS) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01848379 Recruitment Status : Active, not recruiting First Posted : May 7

2013 Clinical Trials

147. Humanizing the Mouse: In Defense of Murine Models of Critical Illness (Full text)

Humanizing the Mouse: In Defense of Murine Models of Critical Illness 23634853 2013 06 27 2018 11 13 1535-4970 187 9 2013 May 01 American journal of respiratory and critical care medicine Am. J. Respir. Crit. Care Med. Humanizing the mouse: in defense of murine models of critical illness. 898-900 10.1164/rccm.201303-0489ED Perlman Harris H Budinger G R Scott GR Ward Peter A PA eng ES013995 ES NIEHS NIH HHS United States R01 ES013995 ES NIEHS NIH HHS United States HL071643 HL NHLBI NIH HHS

2013 American Journal of Respiratory and Critical Care Medicine

148. Activity of Medicinal Plant Extracts on Multiplication of Mycobacterium tuberculosis under Reduced Oxygen Conditions Using Intracellular and Axenic Assays (Full text)

Activity of Medicinal Plant Extracts on Multiplication of Mycobacterium tuberculosis under Reduced Oxygen Conditions Using Intracellular and Axenic Assays Aim. Test the activity of selected medicinal plant extracts on multiplication of Mycobacterium tuberculosis under reduced oxygen concentration which represents nonreplicating conditions. Material and Methods. Acetone, ethanol and aqueous extracts of the plants Acorus calamus L. (rhizome), Ocimum sanctum L. (leaf), Piper nigrum L. (seed (...) indicating presence of multiple components acting at different levels and P. tuberosa (aqueous) showed bactericidal activity under microaerophilic and anaerobic conditions implying the influence of anaerobiosis on its efficacy. P. nigrum (aqueous) and A. calamus (aqueous and ethanol) extracts were not active under axenic conditions but only inhibited intracellular growth of Mycobacterium tuberculosis, suggesting activation of host defense mechanisms to mediate bacterial killing rather than direct

2016 International journal of microbiology

149. Hepatoprotective Effects of Chinese Medicinal Herbs: A Focus on Anti-Inflammatory and Anti-Oxidative Activities (Full text)

Hepatoprotective Effects of Chinese Medicinal Herbs: A Focus on Anti-Inflammatory and Anti-Oxidative Activities The liver is intimately connected to inflammation, which is the innate defense system of the body for removing harmful stimuli and participates in the hepatic wound-healing response. Sustained inflammation and the corresponding regenerative wound-healing response can induce the development of fibrosis, cirrhosis and eventually hepatocellular carcinoma. Oxidative stress is associated (...) with the activation of inflammatory pathways, while chronic inflammation is found associated with some human cancers. Inflammation and cancer may be connected by the effect of the inflammation-fibrosis-cancer (IFC) axis. Chinese medicinal herbs display abilities in protecting the liver compared to conventional therapies, as many herbal medicines have been shown as effective anti-inflammatory and anti-oxidative agents. We review the relationship between oxidative stress and inflammation, the development of hepatic

2016 International journal of molecular sciences

150. Rural GPs’ attitudes toward participating in emergency medicine: a qualitative study (Full text)

research is needed to help policy makers and clinicians decide when the presence of a GP really counts. Norwegian health authorities want to increase participation by general practitioners (GPs) in emergency medicine, but the role of the GP in this context is controversial. KEY POINTS The role of the GP has changed, but GPs argue that they still play an important role in emergency medicine. GPs believe that their presence on call outs improve patient care, but they find it defensible that patients (...) Rural GPs’ attitudes toward participating in emergency medicine: a qualitative study Health authorities want to increase general practitioner (GP) participation in emergency medicine, but the role of the GP in this context controversial. We explored GPs' attitudes toward emergency medicine and call outs.Thematic analysis of focus group interviews.Four rural casualty clinics in Norway.GPs with experience ranging from one to 32 years.The GPs felt that their role had changed from being the only

2016 Scandinavian journal of primary health care

151. A R2R3-MYB Transcription Factor Regulates the Flavonol Biosynthetic Pathway in a Traditional Chinese Medicinal Plant, Epimedium sagittatum (Full text)

A R2R3-MYB Transcription Factor Regulates the Flavonol Biosynthetic Pathway in a Traditional Chinese Medicinal Plant, Epimedium sagittatum Flavonols as plant secondary metabolites with vital roles in plant development and defense against UV light, have been demonstrated to be the main bioactive components (BCs) in the genus Epimedium plants, several species of which are used as materials for Herba Epimedii, an important traditional Chinese medicine. The flavonol biosynthetic pathway genes had

2016 Frontiers in plant science

152. Ginseng essence, a medicinal and edible herbal formulation, ameliorates carbon tetrachloride-induced oxidative stress and liver injury in rats (Full text)

Ginseng essence, a medicinal and edible herbal formulation, ameliorates carbon tetrachloride-induced oxidative stress and liver injury in rats Ginseng essence (GE) is a formulation comprising four medicinal and edible herbs including ginseng (Panax ginseng), American ginseng (Panax quinquefolius), lotus seed (Nelumbo nucifera), and lily bulb (Lilium longiflorum). This study was aimed at investigating the hepatoprotective effect of GE against carbon tetrachloride (CCl4)-induced liver injury (...) accumulation of hepatic total cholesterol and triglyceride was inhibited. The hepatoprotective effects of GE involved enhancing the hepatic antioxidant defense system including glutathione, glutathione peroxidase, glutathione reductase, glutathione S-transferase, superoxide dismutase, and catalase. In addition, histological analysis using hematoxylin and eosin and Masson's trichrome staining showed that GE inhibited CCl4-induced hepatic inflammation and fibrosis. Furthermore, immunohistochemical staining

2016 Journal of Ginseng Research

153. Use of Traditional and Complementary Medicine as Self-Care Strategies in Community Health Centers: Cross-Sectional Study in Urban Pearl River Delta Region of China. (Full text)

Use of Traditional and Complementary Medicine as Self-Care Strategies in Community Health Centers: Cross-Sectional Study in Urban Pearl River Delta Region of China. In China, Community Health Centers (CHCs) are major providers of primary care services, but their potential in empowering patients' self-management capacity has not been assessed. This study aims to describe self-care practice patterns amongst CHC attendees in urban China.In this cross-sectional quantitative study, 3360 CHC patients (...) from 6 cities within the Pearl Delta Region were sampled using multistage cluster sampling.Thirty-seven per cent had used with over-the-counter Chinese herbal medicines (OTC CHMs) in the past year and majority of respondents found OTC CHMs effective. OTC CHMs were more popular amongst those who needed to pay out of pocket for CHC services. Less than 10% used vitamins and minerals, and those with a lower socioeconomic background have a higher propensity to consume. Although doubts

2016 Medicine

154. Diabetic Wound Healing and Activation of Nrf2 by Herbal Medicine (Full text)

Diabetic Wound Healing and Activation of Nrf2 by Herbal Medicine Nrf2 defense is a very important cellular mechanism to control oxidative stress, which is implicated in wound healing. Nrf2 can induce many cytoprotective genes, including HO-1, NQO1 and G6PD. Among many natural products that have been reported as Nrf2 activators, sulforaphane and curcumin have been studied more widely than any others, and both are in clinical trials for non-cancerous disorders. Recently, we reported 4-ethyl (...) catechol and 4-vinyl catechol as Nrf2 co-factors that can induce Nrf2 as potently as sulforaphane and curcumin. These new Nrf2 co-factors were identified in hot aqueous extract of an herbal medicine Barleria lupulina, and fermented Noni (Morinda citrifolia) juice, which are used traditionally for diabetic wound healing.

2016 Journal of nature and science

155. In defense of variation: A neurosurgeon takes on Atul Gawande

In defense of variation: A neurosurgeon takes on Atul Gawande In defense of variation: A neurosurgeon takes on Atul Gawande In defense of variation: A neurosurgeon takes on Atul Gawande | | February 12, 2016 248 Shares In 2012, celebrated surgeon-cum-writer Atul Gawande penned an incisive essay for the New Yorker entitled “Big Med.” Deliberately provocative, yet disarmingly reasoned, it suggests that American health care should borrow management practices from the Cheesecake Factory. To set (...) in preference and expertise for complex surgeries are vital to modern medicine. Only when physicians have the autonomy to experiment outside the bounds of known standards and evidence does health care progress. Gawande is fond of saying that physicians must behave less like cowboys and more like pit crews, and there is truth in the analogy. But the soul of American neurosurgery is audacity and individual excellence, and we cannot lose sight of that as the ground beneath us shifts. Ahilan Sivaganesan

2016 KevinMD blog

156. In defense of medical societies – especially ACP

In defense of medical societies – especially ACP db's Medical Rants » Blog Archive » In defense of medical societies – especially ACP Internal medicine, American health care, and especially medical education 9 Posted by rcentor | Posted on 25-05-2016 Category : A recent comment attacked medical societies as being impotent on several issues. The commenter clearly expects these societies to work quick visible changes. Here is my take: My recent leadership role at ACP makes this answer biased (...) out their English overlords. Medicine deperately needs its William Wallace to rally the troops to preserve their professional integrity, autonomy, the doctor patient relationship and, yes, their Freedom. said on 30-05-2016 I would be interested if your defense of ACP would include the authorship and promulgation of the “professionalism ” of the Charter for a new millennium which imposes an obligation to work for social justice and to be a steward of medical resources. rcentor said on 30-05-2016

2016 db's Medical Rants blog

157. Cellular Therapies in Trauma and Critical Care Medicine: Forging New Frontiers (Full text)

Cellular Therapies in Trauma and Critical Care Medicine: Forging New Frontiers Trauma is a leading cause of death in both military and civilian populations worldwide. Although medical advances have improved the overall morbidity and mortality often associated with trauma, additional research and innovative advancements in therapeutic interventions are needed to optimize patient outcomes. Cell-based therapies present a novel opportunity to improve trauma and critical care at both the acute (...) are critical areas in need of development. In 2015, the Department of Defense Combat Casualty Care Research Program held a joint military-civilian meeting as part of its effort to inform the research community about this field and allow for effective planning and programmatic decisions regarding research and development. The objective of this article is to provide a "state of the science" review regarding cellular therapies in trauma and critical care, and to provide a foundation from which the potential

2015 Shock (Augusta, Ga.)

158. Economic analysis of bedside ultrasonography (US) implementation in an Internal Medicine department. (Full text)

Economic analysis of bedside ultrasonography (US) implementation in an Internal Medicine department. The economic crisis, the growing healthcare demand, and Defensive Medicine wastefulness, strongly recommend the restructuring of the entire medical network. New health technology, such as bedside ultrasonography, might successfully integrate the clinical approach optimizing the use of limited resources, especially in a person-oriented vision of medicine. Bedside ultrasonography is a safe (...) and reliable technique, with worldwide expanding employment in various clinical settings, being considered as "the stethoscope of the 21st century". However, at present, bedside ultrasonography lacks economic analysis. We performed a Cost-Benefit Analysis "ex ante", with a break-even point computing, of bedside ultrasonography implementation in an Internal Medicine department in the mid-term. Number and kind estimation of bedside ultrasonographic studies were obtained by a retrospective study, whose data

2015 Internal and emergency medicine

159. The malaria co-infection challenge: An investigation into the antimicrobial activity of selected Guinean medicinal plants. (PubMed)

The malaria co-infection challenge: An investigation into the antimicrobial activity of selected Guinean medicinal plants. In sub-Saharan Africa, concomitant occurrence of malaria and invasive infections with micro-organisms such as Gram-positive Staphylococcus aureus, Gram-negative Escherichia coli and yeasts or fungi such as Candida albicans and Aspergillus fumigatus is common. Non-tuberculous mycobacteriosis caused by Mycobacterium chelonae has been recognized as a pulmonary pathogen (...) with increasing frequency without effective therapy. Although less important, the high incidence of Trichophyton rubrum infections along with its ability to evade host defense mechanisms, accounts for the high prevalence of infections with this dermatophyte. Considering the treatment cost of both malaria and microbial infections, along with the level of poverty, most affected African countries are unable to cope with the burden of these diseases. In sub-Saharan Africa, many plant species are widely used

2015 Journal of Ethnopharmacology

160. Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis. (Full text)

included increased time and effort (n = 19), ingrained practices (n = 17), and defensive medicine or fear of missing something (n = 18.)Even with minimal clinical experience, medical students were able to identify instances of lack of attention to cost-conscious care as well as potential solutions. Although students identified the hierarchy in healthcare teams as a potential barrier to improving high value care, most students stated they would feel comfortable engaging the team in discussion. Future (...) Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis. Although as much as 87 % of all healthcare spending is directed by physicians, studies have demonstrated that they lack knowledge about the costs of medical care. Similarly, learners have not traditionally received instruction on cost-conscious care.To examine medical students' perceptions of healthcare delivery as it relates to cost consciousnessRetrospective qualitative analysis

2015 Journal of General Internal Medicine

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>