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12121. Oral medicine--update for the dental practitioner. Aphthous and other common ulcers. Full Text available with Trip Pro

Oral medicine--update for the dental practitioner. Aphthous and other common ulcers. This series provides an overview of current thinking in the more relevant areas of oral medicine for primary care practitioners, written by the authors while they were holding the Presidencies of the European Association for Oral Medicine and the British Society for Oral Medicine, respectively. A book containing additional material will be published. The series gives the detail necessary to assist the primary (...) dental clinical team caring for patients with oral complaints that may be seen in general dental practice. Space precludes inclusion of illustrations of uncommon or rare disorders, or discussion of disorders affecting the hard tissues. Approaching the subject mainly by the symptomatic approach--as it largely relates to the presenting complaint--was considered to be a more helpful approach for GDPs rather than taking a diagnostic category approach. The clinical aspects of the relevant disorders

2005 British Dental Journal

12122. Oral medicine--update for the dental practitioner. Mouth ulcers of more serious connotation. Full Text available with Trip Pro

Oral medicine--update for the dental practitioner. Mouth ulcers of more serious connotation. This series provides an overview of current thinking in the more relevant areas of oral medicine for primary care practitioners, written by the authors while they were holding the Presidencies of the European Association for Oral Medicine and the British Society for Oral Medicine, respectively. A book containing additional material will be published. The series gives the detail necessary to assist (...) the primary dental clinical team caring for patients with oral complaints that may be seen in general dental practice. Space precludes inclusion of illustrations of uncommon or rare disorders, or discussion of disorders affecting the hard tissues. Approaching the subject mainly by the symptomatic approach--as it largely relates to the presenting complaint--was considered to be a more helpful approach for GDPs rather than taking a diagnostic category approach. The clinical aspects of the relevant disorders

2005 British Dental Journal

12123. Decisions to use complementary and alternative medicine (CAM) by male cancer patients: information-seeking roles and types of evidence used. Full Text available with Trip Pro

became either 'pro-active seekers' or 'passive recipients' of such information. Their main information resource was the 'lay referral' network of family, friends and acquaintances, especially females. 'Traditional' information sources, including books, magazines, leaflets and the media were popular, more so in fact than the internet. Views on the internet ranged from enthusiasm or healthy scepticism through to caution or disinterest. CAM information was generally regarded as 'empowering (...) Decisions to use complementary and alternative medicine (CAM) by male cancer patients: information-seeking roles and types of evidence used. Complementary and Alternative Medicine (CAM) is increasingly popular with cancer patients and yet information provision or discussion about CAM by health professionals remains low. Previous research suggests that patients may fear clinicians' 'disapproval' if they raise the subject of CAM, and turn to other sources to acquire information about CAM. However

2007 BMC Complementary and Alternative Medicine

12124. Physician reimbursement for general surgical procedures in the last century: 1906-2006. (Abstract)

century.Five common general surgical procedures were analyzed--inguinal herniorrhaphy, appendectomy, cholecystectomy, thyroidectomy, and repair of abdominal aortic aneurysm. Data for physician fees and reimbursement were obtained from the Illinois Medical Blue Book, the University of Iowa Department of Surgery, and the Centers for Medicare and Medicaid Services. The Consumer Price Index was used to convert all data to 2006 dollars.Trends for billed charges of common surgical procedures during the last (...) Physician reimbursement for general surgical procedures in the last century: 1906-2006. The last century has seen revolutionary changes in health-care delivery and treatment of surgical diseases. Equally dramatic has been the changes in health-care economics, including the creation of the Medicare and Medicaid programs in 1965. To better characterize the impact to surgical billing, we have undertaken an analysis of physician fees for common general surgical procedures during the past

2008 Journal of the American College of Surgeons

12125. "Ghost" publications among applicants to a general surgery residency program. (Abstract)

publications were then submitted to the medical librarian for verification. Ghost publications were defined as journals, books, or meetings that cannot be verified; verified journals without the listed publication; or verified publications without an applicant author. Data analyses were performed using univariate and multivariate regression analysis for nonparametric data. A p value < 0.05 was considered significant.Four hundred ninety-three applications were received. Thirty-one percent (150 of 493 (...) "Ghost" publications among applicants to a general surgery residency program. To determine the incidence of potentially fraudulent (or "ghost") publications in applications to a general surgery residency program.Electronic Residency Application Services applications submitted in 2005 to the general surgery residency program were reviewed in an IRB-approved study. No identifiers were collected. Publications were checked against Medline, PubMed, ISI Web of Science, and Google. Nonverifiable

2008 Journal of the American College of Surgeons

12126. Effect of using protocols on medical care: randomised trial of three methods of taking an antenatal history. Full Text available with Trip Pro

Effect of using protocols on medical care: randomised trial of three methods of taking an antenatal history. To compare the effectiveness of three methods of taking an antenatal history on the quality of obstetric care.Randomised controlled trial.Antenatal clinic of St James's University Hospital, Leeds.2424 women attending the hospital for the first (booking) visit.Histories were taken by midwives using an unstructured paper questionnaire, a structured paper questionnaire (incorporating (...) a checklist), or an interactive computerised questionnaire (incorporating 101 clinical reminders).The number of clinical responses to factors arising from the antenatal booking history according to method of taking the history. Actions were categorised as medical and surgical, obstetric, personal, current symptoms and treatment, related to maternal age, and related to two common actions (cervical smear testing and dental hygiene) and were weighted for clinical importance by 10 obstetricians.Overall

1992 BMJ Controlled trial quality: uncertain

12127. Complementary and Alternative Medicine

and based on research evidence, UK and European Guidelines. You may find one of our more useful. In this article In This Article Complementary and Alternative Medicine In this article Complementary and alternative medicine (CAM) includes a group of diverse medical and healthcare systems, practices and products that are not generally considered part of conventional medicine. Complementary medicine is generally regarded as additional treatment that is used alongside conventional medicine, whereas (...) Complementary and Alternative Medicine Complementary and Alternative Medicine. CAM information. Patient | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Complementary and Alternative Medicine Authored by , Reviewed by | Last edited 11 Feb 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors

2008 Mentor

12128. Holistic Medicine

Holistic Medicine Holistic Medicine. What is holistic medicine and does it work | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Holistic Medicine Authored by , Reviewed by | Last edited 13 Nov 2014 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European (...) Guidelines. You may find one of our more useful. In this article In This Article Holistic Medicine In this article Definition Holistic medicine means consideration of the complete person, physically, psychologically, socially, and spiritually, in the management and prevention of disease. It is underpinned by the concept that there is a link between our physical health and our more general 'well-being'. In an holistic approach to medicine, there is the belief that our well-being relies not just on what

2008 Mentor

12129. Cost-effectiveness of systematic depression treatment for high utilizers of general medical care

Cost-effectiveness of systematic depression treatment for high utilizers of general medical care Cost-effectiveness of systematic depression treatment for high utilizers of general medical care Cost-effectiveness of systematic depression treatment for high utilizers of general medical care Simon G E, Manning W G, Katzelnick D J, Pearson S D, Henk H J, Helstad C P Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) interpolated and then summed to obtain the overall number of depression-free days in the 12-month period. The rates of antidepressant medications and prescriptions were also reported. Groups were shown to be generally comparable at baseline in terms of demographics, HDRS score, and total costs for the year preceding the study. Effectiveness was adjusted for age, sex study site, baseline depression severity and clustering of patients with physicians. Effectiveness results The number of depression-free days

2001 NHS Economic Evaluation Database.

12130. An analysis of lay medicine: fifteen years later Full Text available with Trip Pro

An analysis of lay medicine: fifteen years later Five hundred patients were asked what advice they had received before attending the doctor's surgery. The results were analysed and compared with an identical survey carried out in 1970. There have been few changes in the frequency and nature of lay advice over the last 15 years, with women still being the chief source of informal advice; the advice from men was generally to go to the doctor. Pharmacists play an increasing role and television (...) is mentioned three times more often as a source of information in 1985 than 1970. Home doctor books are more up to date and are used more frequently. Self-care and lay advice remain important sources of medical care, suggesting that health education is a matter of priority.

1986 The Journal of the Royal College of General Practitioners

12131. Guidance for the planning and design of genitourinary medicine clinics. Full Text available with Trip Pro

Guidance for the planning and design of genitourinary medicine clinics. The number of patients attending genitourinary medicine (GUM) clinics in Britain has risen greatly in recent years. In contrast there have been very modest increases in staff and there are no data on accommodation or facilities. The Department of Health therefore set up a team to provide guidance on the planning and design of GUM clinics. After a survey the team concluded that GUM clinics in England were poorly (...) and inappropriately accommodated. In their guidance they recommended that GUM clinics are sited in general outpatient departments (OPDs) of general hospitals; this improves patient care simplifying cross referral, consultation and other aspects of operational efficiency and convenience for patients, improves cost effectiveness and increases convenience for staff. Some facilities may be shared. Reception should be an attractive focal point and allow patients to be received and registered in privacy. Facilities

1990 Genitourinary Medicine

12132. Professional DOC (PDOC): a software environment for authoring and consulting of electronic documentation. INTERACTIVE DIAGNOSIS and THERAPY: a medical application. Full Text available with Trip Pro

interface, and its availability on the most common hardware platforms makes it a suitable product for a very broad category of users. INTERACTIVE DIAGNOSIS AND THERAPY is an electronic medical book designed to help general practitioners to make diagnosis and treat patients in their daily clinic practice. (...) Professional DOC (PDOC): a software environment for authoring and consulting of electronic documentation. INTERACTIVE DIAGNOSIS and THERAPY: a medical application. Professional DOC (PDOC) is a software environment for electronic documentation authoring and consulting based on the Hypermedia technology. It allows to manage different kinds of information (pictures, sounds, texts, graphics, video) organized according to hyperstructures. The user-friendliness and effectiveness of its man-machine

1992 Proceedings of the Annual Symposium on Computer Application in Medical Care

12133. Physicians' perceptions of and approaches to woman abuse. Does certification in family medicine make a difference? Full Text available with Trip Pro

Physicians' perceptions of and approaches to woman abuse. Does certification in family medicine make a difference? To discover whether family physicians who go through residency training and The College of Family Physicians of Canada's (CFPC) certification process are more responsive than other physicians to woman abuse, whether they perceive and approach such abuse more appropriately, and whether they seek out more education on the subject.A national survey using a pretested 43-item mailed (...) questionnaire to examine perceptions of and approaches to detection and management of woman abuse.Canadian family and general practice.A cross-sectional sample of 1574 family physicians and general practitioners, of whom 963 (61%) volunteers responded.Demographic variables, perceptions of abuse, methods of diagnosing and managing woman abuse.Most respondents agreed they could not diagnose and treat woman abuse effectively, regardless of certification status. They indicated they were detecting only 33

1996 Canadian Family Physician

12134. Clinicians' responses to direct-to-consumer advertising of prescription medications. Full Text available with Trip Pro

assistants). No statistically significant differences were found between the early and late responders or between responders and nonresponders. Relative to clinicians who received the "drug reference book" patient scenario, clinicians who received the DTCA patient scenario were more likely to become annoyed with a patient for asking for more information about medications (P =.003); less likely to answer the patient's questions (P =.03) or provide additional written information (P =.007); more likely (...) Clinicians' responses to direct-to-consumer advertising of prescription medications. The direct-to-consumer advertising (DTCA) of prescription medications is proliferating in the United States. The relationship between patient exposure to DTCA and the response of clinicians is not well understood.A randomized postal survey of Arizona primary care provider physicians (n = 1080) and physician assistants (n = 704) was conducted. A questionnaire was created using a hypothetical patient scenario

2003 Archives of internal medicine Controlled trial quality: uncertain

12135. Medical outcome of pregnancy in women with psychotic disorders and their infants in the first year after birth. (Abstract)

Medical outcome of pregnancy in women with psychotic disorders and their infants in the first year after birth. There has been little research into the health of infants of women with psychotic disorders.To investigate the antenatal care of mothers with a history of psychotic disorders, obstetric outcomes and the subsequent health of their babies.A matched, controlled cohort study was carried out using the General Practice Research Database. Women with a history of a psychotic disorder, who (...) gave birth in 1996-1998, were compared with women matched for age and general practice (199 cases and 787 controls) and their infants.Cases had a higher proportion of stillbirths (OR=4.03, 95% CI 1.14-4.25, P=0.03) and neonatal deaths (P<0.001). There was no difference in gestational age at antenatal booking. Mothers with psychotic disorders were less likely than controls to attend for infant immunisations 90-270 days after birth (RR=0.94, 95% CI 0.88-0.99, P=0.03). There was no significant

2003 British Journal of Psychiatry

12136. Cystic fibrosis carrier testing in early pregnancy by general practitioners. Full Text available with Trip Pro

Cystic fibrosis carrier testing in early pregnancy by general practitioners. To assess the feasibility of genetic counselling in general practice by using cystic fibrosis carrier screening at the booking appointment as an integral part of routine antenatal care and as a paradigm for the wider participation of general practitioners in medical genetics.Maternal testing (male partner tested only if woman screens positive) and couple testing for cystic fibrosis carrier status in the antenatal (...) geneticists can help with the discussion of reproductive options, and prenatal diagnosis by chorionic villus biopsy can be completed within the first trimester. The results suggest that general practitioners will have an increasingly important role in medical genetics, subject to continuing evaluation of patient acceptability and stress.

1993 BMJ : British Medical Journal

12137. Pilot study of the acceptability of cystic fibrosis carrier testing during routine antenatal consultations in general practice. Full Text available with Trip Pro

Pilot study of the acceptability of cystic fibrosis carrier testing during routine antenatal consultations in general practice. In 1989, the gene for cystic fibrosis was cloned and it became possible to detect carriers of the gene among the general population, including pregnant women.The aim of the pilot study was to assess the acceptability of integrating cystic fibrosis carrier testing into antenatal care by general practitioners at the first booking appointment.Between 1 September 1991 (...) they received the result.All but one patient (75 out of 76) booking before 14 weeks of pregnancy accepted the offer of cystic fibrosis carrier testing, and 96% (72 out of 75) felt that they had made the right decision and that they had enough time for discussion with their general practitioner before testing.Cystic fibrosis carrier testing can be successfully integrated into the antenatal booking appointment in general practice and is acceptable to patients. This is a model for other genetic screening

1996 The British Journal of General Practice

12138. Nosological Inaccuracies in death certification in Northern Ireland. A comparative study between hospital doctors and general practitioners. Full Text available with Trip Pro

Nosological Inaccuracies in death certification in Northern Ireland. A comparative study between hospital doctors and general practitioners. We aimed to audit nosological inaccuracies in death certification in Northern Ireland and to compare performance of hospital doctors and general practitioners. Nosology is the branch of medicine which treats of the classification of disease. 1138 deaths were registered in Northern Ireland in a 4-week period commencing 3/10/94. 195 of these were either (...) registered by HM Coroners (HMC) or required further investigation by their staff; these cases were excluded from the study. The remaining 943 were analysed for wording and formulation inaccuracies according to the revised notes (1974), Northern Ireland Medical Certificate of Cause of Death. These are issued in book form by the Registrar of Births and Deaths. The commonest inaccuracies in death certification occur in the areas of poor terminology, sequence errors and unqualified mode. One or more

1997 The Ulster medical journal

12139. Did Osler suffer from "paranoia antitherapeuticum baltimorensis"?: A comparative content analysis of The Principles and Practice of Medicine and Harrison's Principles of Internal Medicine, 11th edition Full Text available with Trip Pro

equivalent space to treatment (in terms of proportion of total sentences for the conditions). For all conditions except ischemic heart disease, Osler concentrated on general measures and symptomatic care. Throughout Osler's textbook numerous negative comments are made about the medicinal treatment of various conditions. A more accurate statement about Osler's therapeutic approach was that he was a "medicinal nihilist." His demand for proof of efficacy before use of a medication remains relevant. (...) Did Osler suffer from "paranoia antitherapeuticum baltimorensis"?: A comparative content analysis of The Principles and Practice of Medicine and Harrison's Principles of Internal Medicine, 11th edition One of the most important legacies of Sir William Osler was his textbook The Principles and Practice of Medicine. A common criticism of the book when it was first published was its deficiency in the area of therapeutics. In this article, the 1st edition of The Principles and Practice of Medicine

1999 CMAJ: Canadian Medical Association Journal

12140. Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines.

/treatment Phase Referral and Consultation Telemedicine Surgery, Outpatient Surgery, Day Medical Records Systems, Computerized Health Services Research Health Care Surveys Behavioral: one stop (Electronic standardised referrals and appointment bookings) Not Applicable Detailed Description: Waiting time from referral to day case outpatient surgery is unacceptable long. In Norway it is as much as 48 weeks for common conditions like gallstones, inguinal hernia and sinus pilonidalis. Electronic standardised (...) referrals sent by the Norwegian Healthcare Network, and booking of surgery by the general practitioner might be a way to reduce the waiting time and increase the cost effectiveness of outpatient surgery. The trial is designated as a randomized controlled trial were selected patients (inguinal hernia, gall stone disease and sinus pilonoidalis) referred to the university hospital, were either randomized to direct electronic referral and booking for outpatient surgery (one stop), or using the traditional

2008 Clinical Trials

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