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.

12,023 results for

General Medical Books

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

11941. Consultation time, workload, and problems for audit in outpatient clinics. Full Text available with Trip Pro

Consultation time, workload, and problems for audit in outpatient clinics. Fifty four of 74 paediatricians in the West Midlands (43 general medical, 11 subspecialist) replied to a postal questionnaire about their outpatient practice: 37 timed each consultation in one clinic. On average, subspecialty consultations lasted 37 minutes for new patients and 29 minutes for review. In general clinics new patient consultations took 23 minutes, review 12. Mean 'single handed' general clinic size was 18 (...) , clinics with assistants 24; subspecialist clinics nine and 15. Four to five new patients and nine to 19 review patients were booked per clinic on average; 17/51 clinics used block booking, 34 provided individual appointment times. Mean referral delay was 4.9 weeks, mean clinic wait 22 minutes, and non-attendance averages 16-29%. Solutions are suggested to four main problems: non-attendance, referral delay, unpunctuality and disorganisation, with audit levels for paediatric outpatient activity.

1992 Archives of Disease in Childhood

11942. Non-admission or non-invitation? A case-control study of failed admissions. Full Text available with Trip Pro

Non-admission or non-invitation? A case-control study of failed admissions. To examine the causes of non-admission to hospital.Validation of published rates of non-admission by examination of medical records, followed by a case-control study of non-attenders (cases) and attenders (controls).General hospital.246 Patients (cases in the case-control study) booked for admissions in four specialties (general surgery, gynaecology, otorhinolaryngology, and trauma and orthopaedics) during April, May (...) , and June 1987 who were not admitted for reasons that seemed to be attributable to the patients. Controls comprised 167 patients admitted to the same specialty on the same day.The validation of administrative records indicated that it is unusual for patients to fail to present for admission without advising the hospital beforehand; this occurred in only 1-3% of all bookings. Information on the circumstances of non-admission and clinical and personal details were collected by means of a six page

1989 BMJ : British Medical Journal

11943. A surgeon with AIDS made the most of borrowed time. Full Text available with Trip Pro

A surgeon with AIDS made the most of borrowed time. Dr. Orville Messenger and his wife, Dorothy wrote a book, Borrowed Time, which chronicled his decade-long struggle with AIDS. The disease developed following a 1985 blood transfusion. A general and thoracic surgeon who also worked for the Canadian Medical Protective Association, Dr. Messenger wrote the book to raise public awareness, and money for AIDS research, prevention and treatment. He died Dec. 13, 1995--exactly 10 years after being told

1996 CMAJ: Canadian Medical Association Journal

11944. Management of labour in an isolated rural maternity hospital. Full Text available with Trip Pro

1991.Mode of delivery and complications by place of booking and place of delivery; need for medical intervention and transfer.530 women (53%) were booked for delivery in the rural unit; this group had a caesarean section rate of 3.8% and an unplanned transfer rate of 12.8% to the consultant unit in labour. Of the 462 who delivered in the low risk unit, 25 (5%) required a forceps delivery; postnatal complications requiring emergency medical support occurred in a further 33 (7%).Risk characterisation (...) is possible, but medical support from general practitioners and obstetricians is required in almost a third of women at low risk for complications of delivery. Results of this study support the team approach to obstetric management but not the move towards isolated units without organised medical support.

1996 BMJ : British Medical Journal

11945. Evaluating perinatal mortality rates: effects of referral and case mix. Full Text available with Trip Pro

perinatal mortality rates and rates adjusted for case mix.An estimated 11,701 of the 28,750 women booked for delivery in general practitioner maternity units were transferred to consultant units during their pregnancy. These 11,701 women had a high perinatal mortality rate (16.8/1000 deliveries). Perinatal mortality rates by place of booking showed little difference between general practitioner units (8.8/1000) and consultant units (9.3-11.7/1000). Perinatal mortality rates by place of delivery, however (...) , showed substantial differences between general practitioner units (3.3/1000) and consultant units (9.4-12.6/1000) because of the selective referral of high risk women from general practitioner units to consultant units. Adjustment for risk factors made little difference to the rates except when the subset of deaths due to immaturity was adjusted for birth weight.Perinatal mortality rates should be adjusted for case mix and referral patterns to get a meaningful result. Even when this is done

1993 BMJ : British Medical Journal

11946. Does the BJGP need more fizz and pop?--A Midland Faculty readership survey. Full Text available with Trip Pro

Does the BJGP need more fizz and pop?--A Midland Faculty readership survey. The British Journal of General Practice (BJGP) is the leading primary care journal in the world. By impact factor, it ranks 24th of all medical journals. However, despite major changes in the journal since its inception in 1954, there have been no published readership surveys since a limited report in 1969.To canvass members of the Midland Faculty and to add to the debate about the future of the BJGP.A postal (...) it within 28 days of arrival), but fewer people read it within a week of receiving it. The most popular sections were the editorials, original articles and letters; least popular were the book reviews and the pull-out magazine, Connection. All sections were rated excellent to average. Readers wished for an expansion of the BJGP to include clinical reviews, medical politics and humorous pieces. Most responders felt that Connection should remain separate. There was dissatisfaction with the delay between

1997 The British Journal of General Practice

11947. Information Needs of Residents During Inpatient and Outpatient Rotations: Identifying Effective Personal Digital Assistant Applications Full Text available with Trip Pro

education about archiving PDA files. Lastly, PDAs may become even more widely used if clinical data specific to an individual resident can easily and securely be maintained on PDAs. Design of Current Studies Our current study builds on the above perceived needs: we will follow residents during portions of a clinical day. Preliminary observations in three clinical areas (Medical Intensive Care Unit (MICU), General Medicine Outpatient, and Family Medicine Outpatient) confirm the conclusions of our (...) Information Needs of Residents During Inpatient and Outpatient Rotations: Identifying Effective Personal Digital Assistant Applications Last year, we reported (2002 AMIA Proceedings, p 971) on how medical school residents report on their use of personal digital assistants (PDA) or hand held devices. We first surveyed 88 residents in six residency programs representing both generalist and specialist practices (Family Medicine, Internal Medicine, Neurology, Pediatrics, Radiology, and Surgery

2003 AMIA Annual Symposium Proceedings

11948. Implementation and quantitative evaluation of chronic disease self-management programme in Shanghai, China: randomized controlled trial. Full Text available with Trip Pro

a lay-led CDSMP course and one copy of a help book immediately; those in the control group received the same education and book six months later.In total, 954 volunteer patients with a medical record that confirmed a diagnosis of hypertension, heart disease, chronic lung disease, arthritis, stroke, or diabetes who lived in communities were assigned randomly to treatment (n = 526) and control (n = 428) groups. Overall, 430 (81.7%) and 349 (81.5%) patients in the treatment and control groups completed (...) the six-month study. Patients who received treatment had significant improvements in weekly minutes of aerobic exercise, practice of cognitive symptom management, self-efficacy to manage own symptoms, and self-efficacy to manage own disease in general compared with controls. They also had significant improvements in eight indices of health status and, on average, fewer hospitalizations.When implemented in Shanghai, the CDSMP was acceptable culturally to Chinese patients. The programme improved

2003 Bulletin of the World Health Organization Controlled trial quality: uncertain

11949. Use of pathology services in re-engineered clinical pathways. (Abstract)

controlled clinical trials of re-engineered clinical pathways for both elective (surgical) patients and acute unplanned (medical) admissions. Trial One was a controlled trial of a re-engineered surgical service. Booked patients in the treatment group were admitted on the day of surgery, care was guided by a clinical pathway, and patients were discharged early with domiciliary post-acute care. Controls were admitted on the day before surgery, treated according to usual practice and discharged according (...) the treatment group of the acute medical patients had 25% fewer tests ordered (P = 0.0133). Pooled results also showed a significantly lower rate of test ordering (P < 0.001) for the treatment group (Mann-Whitney U-Wilcoxon ranked sum test). The findings of these audits of controlled, prospective trials suggested overuse of laboratory tests in New South Wales public hospitals, and that savings can be generated by using clinical pathways and applying clinical criteria to the ordering of tests without

2000 Journal of quality in clinical practice Controlled trial quality: uncertain

11950. From the roots of rhinology: the reconstruction of nasal injuries by Hippocrates. (Abstract)

From the roots of rhinology: the reconstruction of nasal injuries by Hippocrates. The goal of this report is to describe the therapeutic methods and surgical techniques used by Hippocrates (5th century BC) in the treatment of nasal injuries. We studied the original Greek texts of the (generally considered genuine) Hippocratic book Mochlicon and, especially, the analytical On Joints. We identified the treatments and techniques applied to the restoration of injured noses. We found (...) physicians and influenced European medicine.

2003 Rhinology and Laryngology

11951. The artificial tympanic membrane (1840-1910): from brilliant innovation to quack device. (Abstract)

The artificial tympanic membrane (1840-1910): from brilliant innovation to quack device. To present the rich and checkered history of the artificial eardrum, a widely used device in the 19th century, and to illustrate the behavior of otologists in response to the introduction of a promising new technology.Over 40 published books and articles spanning the years 1821 to 1909 in English, German, and French. DEVICE DESCRIPTIONS: A wide variety of devices were used to improve hearing (...) several cases, the method of positioning an object over the drum remnant was actually invented by clever patients and then later adopted by practitioners. Once introduced, great optimism was generated about the "miraculous" value of this deafness cure. Petty jealousy among early inventors led to very public (and unprofessional) quarrels over the primacy of invention and bickering about whose device was superior. Over the subsequent decades, as more experience demonstrated the device's limited value

2003 Otology and Neurotology

11952. First-aid supplies for backpacking. Full Text available with Trip Pro

First-aid supplies for backpacking. A portable first-aid kit should be carried in the backpack of campers, hikers, and anyone who expects to spend time in a remote and unoccupied area. That is the recommendation found in lay texts dealing with medical care, in backpacking books, as well as in articles appearing in popular magazines. It goes without saying that it is far better to practise safety and prevention than to have to use first aid. However, many times medical problems occur which (...) no amount of safety and forethought could have prevented. Information in this paper indicates that hikers are generally well prepared for the health-related problems they encounter. Hikers carry diverse supplies to meet health problems but there are some basic supplies with which hikers start their long-distance sojourn. Those supplies and their usage rates are discussed, as are attitudes toward using the supplies.

1992 British Journal of Sports Medicine

11953. The short-term effect of interdisciplinary medication review on function and cost in ambulatory elderly people

usage, a brown bag review was conducted to determine the generic and brand name, dosage indicated, prescribed frequency of ingestion, length of use, patient's perception of purpose and efficacy, actual use of medication, and drug-related problems. At analysis, the groups were shown to be comparable in terms of age, gender, demographic and socioeconomic factors. Effectiveness results No statistically significant differences in cognitive, affective, or physical functioning were observed between (...) , it was unclear who paid for these medications. The 1995 Red Book was used to price all medications at the average wholesale price and to label them as prescription or non-prescription. The total daily usage was coded and priced according to patient report or labelling. As-needed usage was priced at a minimal usage rate of one dose or dosage regimen per month for most products, and at one dose or dosage regimen for those deemed likely to be used more frequently. Discounting was not relevant since all

2004 NHS Economic Evaluation Database.

11954. Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan treatment in patien

Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan treatment in patien Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan (...) treatment in patients with Type 2 diabetes, hypertension, and renal disease Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan treatment in patients with Type 2 diabetes, hypertension, and renal disease Palmer A J, Annemans L, Roze S, Lamotte M, Lapuerta P, Chen R, Gabriel S, Carita P, Rodby R A, De Zeeuw D, Parving H H

2004 NHS Economic Evaluation Database.

11955. A cost-utility comparison of four first-line medications in painful diabetic neuropathy

or authors’ opinions. Measure of benefit: Quality-adjusted life-years (QALYs) were the summary benefit measure. Cost data: The economic analysis included the costs of medications, visits, screening electrocardiogram, and treatment of serious adverse effects. The resource use data appears to have been based on authors’ opinions and a breakdown of cost items was not given. Drug costs were based on average wholesale prices from the Red Book. The costs of visits reflected Medicare reimbursement rates (...) A cost-utility comparison of four first-line medications in painful diabetic neuropathy A cost-utility comparison of four first-line medications in painful diabetic neuropathy A cost-utility comparison of four first-line medications in painful diabetic neuropathy O'Connor AB, Noyes K, Holloway RG Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions

2008 NHS Economic Evaluation Database.

11956. The Acutely or Critically Sick or Injured Child in the District General Hospital

CriticalSickChild txt 26/10/06 16:46 Page iDH INFORMATION READER BOX Policy HR/Workforce Management Planning Clinical Estates Performance IM&T Finance Partnership working Document purpose For information Gateway reference 6369 Title The acutely or critically sick or injured child in the district general hospital: A team response Authors DH, RCPCH, RCoA, RCN, RCS, APA and BAPS Publication date October 2006 Target audience NHS trust CEs, foundation trust CEs and medical directors Circulation list Strategic health (...) authority CEs and emergency care leads Description An inter-collegiate expert working group has considered issues regarding anaesthetic and other services available to children who are critically sick or injured in district general hospitals, and has produced this report. It was open to consultation between August and December 2005 and was finalised with the benefit of comments received. Cross-reference N/A Superseded documents N/A Action required N/A Timing N/A Contact details Dr Edward Wozniak Medical

2006 Royal College of Anaesthetists

11957. Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Full Text available with Trip Pro

atypical and non atypical neuroleptics would be useful. Bibliographic details Fishbain D A, Cutler R B, Lewis J, Cole B, Rosomoff R S, Rosomoff H L. Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review. Pain Medicine 2004; 5(4): 359-365 PubMedID DOI Indexing Status Subject indexing assigned by NLM MeSH Analgesics /pharmacology; Antipsychotic Agents /pharmacology; Clinical Trials as Topic /statistics & Evidence-Based Medicine; Humans; Pain /drug (...) Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Fishbain D A, Cutler R B, Lewis J, Cole B, Rosomoff R S, Rosomoff H L CRD summary This review assessed the effectiveness of atypical neuroleptics for treating pain

2004 DARE.

11958. Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany

Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany Brennan A, Ara R, Sterz R, Matiba B, Bergemann R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion (...) from published studies. The drug costs were derived from Red Book prices. No mandatory rebate was considered. Physician services were based on the German physician's fee schedule for statutory health insurances. Resource use was derived from a survey conducted with seven German practitioners specialising in obesity treatment. Some authors' assumptions were also made to derive specific treatment patterns such as the number of visits. Discounting was relevant, as the costs were incurred during longer

2006 NHS Economic Evaluation Database.

11959. Medical emergencies in children ? overview

- hospital care this generally means management designed to: ? prevent hypoxia (see above) ? normalise circulation (but do not overload) ? check for and treat hypoglycaemia (refer to glycaemic emergencies in children guideline). Medical Emergencies in Children – overview Paediatric Guidelines October 2006 Page 5 of 7 Paediatric GuidelinesOther conditions which can be treated before hospital and are discussed elsewhere include: ? convulsions (refer to convulsions in children guideline) ? opiate poisoning (...) you blush! Pre-hospital Immediate Care 1998;2:95-96. Jewkes F, Lubas P, McCusker K, editors. Pre- hospital Paediatric Life Support 2nd ed. London: Blackwells, 2005. Group ALS. Pre-hospital paediatric life support. London: BMJ Publishing Group, 1999. Advanced Life Support Group. Advanced paediatric life support: the practical approach. 3rd ed. London: BMJ Books, 2000. METHODOLOGY Refer to methodology section. Medical Emergencies in Children – overview Page 6 of 7 October 2006 Paediatric Guidelines

2006 Joint Royal Colleges Ambulance Liaison Committee

11960. Paediatric - medical emergencies in children (overview)

- hospital care this generally means management designed to: ? prevent hypoxia (see above) ? normalise circulation (but do not overload) ? check for and treat hypoglycaemia (refer to glycaemic emergencies in children guideline). Medical Emergencies in Children – overview Paediatric Guidelines October 2006 Page 5 of 7 Paediatric GuidelinesOther conditions which can be treated before hospital and are discussed elsewhere include: ? convulsions (refer to convulsions in children guideline) ? opiate poisoning (...) you blush! Pre-hospital Immediate Care 1998;2:95-96. Jewkes F, Lubas P, McCusker K, editors. Pre- hospital Paediatric Life Support 2nd ed. London: Blackwells, 2005. Group ALS. Pre-hospital paediatric life support. London: BMJ Publishing Group, 1999. Advanced Life Support Group. Advanced paediatric life support: the practical approach. 3rd ed. London: BMJ Books, 2000. METHODOLOGY Refer to methodology section. Medical Emergencies in Children – overview Page 6 of 7 October 2006 Paediatric Guidelines

2007 Joint Royal Colleges Ambulance Liaison Committee

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