This book examines how professionals practising in various health and welfare
settings go about the ordinary, but complicated, business of making sense
of the symptoms and troubles with which their patients or clients present.
Our motivations for writing the book are varied, but are the result of our
conversations with each other about the problem of judgement in clinical
practice, which have taken place over many years of professional, academic
and research collaboration.
It is worth emphasising however that we now appear to have a range of compounds that
in some patients at least, and for some time, help to control positive psychotic symptoms.
While this is very important, this benefit may come with associated adverse consequences
in other ways for some patients, such as cardio-metabolic side effects that can have a
major impact on physical health. Clinicians therefore will need to exercise careful and
skilled judgement about which antipsychotic to use in order to benefit individual patient’s
symptoms, and minimise adverse health effects.
Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Objective Structured Clinical Examinations (OSCEs), psychiatry and the Clinical assessment of Skills and Competencies (CASC)Same Evidence, Different Judgement
This guidance is intended for use by health professionals providing contraception in any
setting within the UK. Recommendations are based on available evidence and consensus
opinion of experts. They should be used to guide clinical practice but they are not intended
to serve alone as a standard of medical care or to replace clinical judgement in the
management of individual cases. A key to the Grading of Recommendations, based on levels
of evidence, is provided on the inside front cover of this document.
In studies from the first of these fields, guided by
objectives of an applied nature, it is the users that deter-
mine the aesthetic value and/or quality of the landscape;
however, this is conceptualized as an external and inva-
riant source of stimulation to which individuals respond
in a uniform way.
This guidance represents the view of the Institute, which was arrived at after
careful consideration of the evidence available. Healthcare professionals are
expected to take it fully into account when exercising their clinical judgement.
The guidance does not, however, override the individual responsibility of
healthcare professionals to make decisions appropriate to the circumstances
of the individual patient, in consultation with the patient and/or guardian or
Blood and urine are the common specimens for drug analysis in both antemortem and postmortem cases. Usually, urine is used for drug screening using immunoassays at the first step; secondly, the drug detected is chromatographically quantitated with blood. The data obtained are carefully assessed with taking the values reported in references into consideration together with clinical and postmortem findings; the judgement of poisoning and its degree is made comprehensively.
This guideline is not intended to be construed or to serve as a standard of care. Standards
of care are determined on the basis of all clinical data available for an individual case and
are subject to change as scientific knowledge and technology advance and patterns of care
evolve. Adherence to guideline recommendations will not ensure a successful outcome in
every case, nor should they be construed as including all proper methods of care or excluding
other acceptable methods of care aimed at the same results.
This guideline is not intended to be construed or to serve as a standard of medical care. Standards
of care are determined on the basis of all clinical data available for an individual case and are
subject to change as scientific knowledge and technology advance and patterns of care evolve.
These parameters of practice should be considered guidelines only. Adherence to them will not
ensure a successful outcome in every case, nor should they be construed as including all proper
methods of care or excluding other acceptable methods of care aimed at the same results.