Clinical issues

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  • Currently, where business and management topics are included in the veterinary curriculum, they tend to be incorporated under the banner of ‘Professional Studies’, a strand of education running though most veterinary degrees, which, as its label suggests, covers the professional behaviour aspects of veterinary medicine.

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  • Therapeutic Interventions Based on Genetic Risk for Disease Specific treatments are now available for an increasing number of genetic disorders, whether identified through population-based screening or directed testing (Table 64-2). Although the strategies for therapeutic interventions are best developed for childhood hereditary metabolic diseases, these principles are making their way into the diagnosis and management of adult-onset disorders. Hereditary hemochromatosis illustrates many of the issues raised by the availability of genetic screening in the adult population.

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  • Conclusion: Toward a Science of Implementation Public-health strategies draw largely on quantitative methods—from epidemiology and biostatistics, but also from economics. Clinical practice, including internal medicine, draws on a rapidly expanding knowledge base but remains focused on individual patient care; clinical interventions are rarely population-based. In fact, neither public-health nor clinical approaches alone will prove adequate in addressing the problems of global health.

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  • Economic Incentives Economic incentives are closely related to the other two categories of practice-modifying factors. Financial issues can exert both stimulatory and inhibitory influences on clinical practice. In general, physicians are paid on a feefor-service, capitation, or salary basis. In fee-for-service, the more the physician does, the more the physician gets paid. The economic incentive in this case is to do more. When fees are reduced (discounted fee-for-service), doctors tend to increase the number of services billed for.

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  • The first edition of this text was written in the early 1990s. Since then, the field of clinical research methods has continued to develop rapidly, and this second edition has been extensively updated to reflect these developments. We have also tried to make the whole book more user friendly, both in layout and in content. All chapters now have summaries and boxes highlighting the key points, and we have provided many more illustrative examples. The biggest area of change is in our treatment of qualitative methods.

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  • The development of Understanding Research in Clinical and Counseling Psychology is the result of our experiences teaching and working with students in professional psychology over many years. Although virtually all graduate programs require a course on research, the basis for that requirement is often shrouded in mystery for many students. Students enter their graduate training with the admirable ambition of learning skills important for assisting clients to make changes.

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  • This book developed out of a course in laboratory informatics for residents in training in pathology and for fellows in the clinical laboratory sciences given over a period of years. The topics covered and the approach taken were strongly influenced by real-life experience. Pathology residents and clinical laboratory scientists, like the general population, vary greatly in familiarity with information issues in the laboratory and the computer system and infrastructure that supports an information system.

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  • A respectable period of time has passed since the first edition of this book, during which several pressures have necessitated a second edition. Most important, there were the inadvertent errors needing correction. The field has also had some significant changes, not so much in methodology perhaps as in context, regulation, and the like. I can say some things more clearly now than previously because many issues are better defined or I care more (or less) about how the discussion will be received....

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  • The Institute of Medicine’s Forum on Neuroscience and Nervous System Disorders planned and held a public workshop June 16, 2009, that brought together experts from industry, academia, government, and advocacy groups to discuss issues directly related to a recent Food and Drug Administration (FDA) policy that all clinical protocols for products developed in the Division of Psychiatry Products (of the FDA) include a prospective assessment for suicidality.

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  • Chapter 3 - Legal and ethical issues in medical practice, including HIPAA. In this chapter you will learn: Define ethics, bioethics, and medical law; discuss the measures a medical practice must take to avoid malpractice claims; discuss medical documentation and how it applies to medical law;...

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  • Chapter 34 - HIV, hepatitis, and other blood-borne pathogens. This chapter expands on the OSHA Blood-borne Pathogen Standard and explains how you should reduce your risk of exposure to blood-borne pathogens. You will learn about HIV, hepatitis, and other blood-borne infections, about reporting guidelines, and about educating patients on minimizing the risk of transmission. You will also be introduced to issues associated with terminal illnesses such as AIDS.

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  • (BQ) Part 2 book "Clinical application of mechanical ventilation" presents the following contents: Management of mechanical ventilation, pharmacotherapy for mechanical ventilation, procedures related to mechanical ventilation, critical care issues in mechanical ventilation,...

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  • Chapter 3 - Legal and ethical issues in medical practice, including HIPAA. In this chapter you will learn: Define ethics, bioethics, and law; discuss the measures a medical practice must take to avoid malpractice claims; describe OSHA requirements for a medical office; describe procedures for handling an incident of exposure to hazardous materials;...

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  • Chapter 21 - HIV, hepatitis and other blood-borne pathogens. This chapter expands on the OSHA Blood-borne Pathogen Standard and explains how you should reduce your risk of exposure to blood-borne pathogens. You will learn about HIV, hepatitis, and other blood-borne infections, about reporting guidelines, and about educating patients on minimizing the risk of transmission. You will also be introduced to issues associated with terminal illnesses such as AIDS.

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  • Chapter 3 - HIV, hepatitis, and other blood-borne pathogens. This chapter expands on the OSHA Blood-borne Pathogen Standard and explains how you should reduce your risk of exposure to blood-borne pathogens. You will learn about HIV, hepatitis, and other blood-borne infections, about reporting guidelines, and about educating patients on minimizing the risk of transmission. You will also be introduced to issues associated with terminal illnesses such as AIDS.

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  • Diabetes-related cardiovascular complications often cause premature mortality, as well as disabilities such as blindness, foot ulceration and amputation. The health care and social care costs of managing these complications are enormous, but new treatments, devices and clinical management protocols are steadily improving the longer term outcomes for people with diabetes. This second edition has been revised and updated to reflect state of the art clinical practice.

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  • The purpose of writing this book was to overview recent hot topics in gastroenterology with a focus directed towards information derived from the bench and used at the patient's bedside. To address these issues, scientists who are working on a daily basis in the field of experimental gastroenterology and clinical investigators, with their chapter proposal's being peer-reviewed, all have integrated their attempts to summarize the recent advances in the pathophysiology and therapy of upper and lower gastrointestinal tract disorders....

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  • Thyroid and parathyroid diseases are among the most frequent conditions we have to deal with in a clinical setting. Both nodular and autoimmune diseases affecting these glands have increased remarkably over the past decades. The widespread use of crosssectional imaging and the introduction of neck ultrasonography have led to a thyroid nodule epidemics and the diagnostic of neck lesions in half of the population. Consequently, many patients with microscopic papillary thyroid cancers of uncertain clinical significance are submitted to surgeries that may, perhaps, be unnecessary....

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  • Clinical Hypnosis has proved successful in a variety of clinical situations. This handbook, with its practical approach, covers both the scientific and clinical aspects of hypnosis providing information on a range of available psychological and physical treatments. * Explains how to learn and apply hypnosis in clinical situations * World renowned editors * Comprehensive coverage of relevant issues This title will be invaluable to practising psychiatrists, clinical psychologists, medical hypnotists and mental health care workers. ...

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  • as mentioned, sexual and reproductive health is a unique sub-sector, due to its close association with important and sensitive socio-cultural factors and gender roles which define and prescribe appropriate opportunities and avenues of action. the field is uniquely sensitive and therefore must involve explicit exploration across all areas of activity of some critical cross cutting issues – among them gender, adolescent health, sexually transmitted infections and HIV/AIDs.

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