Central RHA sets interim booking system thresholds.
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Appointments and Schedules↗
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Results for “Book Selection”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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Health care administration: a core collection. American Hospital Association Resource Center.
The growth and evolution of the health care field is reflected in the proliferation of publications directed at health care administrators, planners, researchers, educators, and students. This core list is designed to help individuals and librarians select and build collections that meet the information needs of health care administrative personnel. The list includes 147 books and 87 journals and is arranged in broad subject categories.
Bibliographies as Topic↗
[Designing dental manpower index to evaluate dental manpower resources].
OBJECTIVE: The purpose of this investigation is to find out a method to evaluate dental manpower resources. METHODS: We selected population, GDP, number of dentist and number of different oral health professionals from certain internet stations, published books and journals from 1996 to 2000 as our investigating data. RESULTS: Data was collected from 100 countries. Our investigation found that the design of dental manpower index to evaluate dental manpower resources was effective and convenient. CONCLUSION: Dental manpower index is a good method to evaluate dental manpower resources.
Dental Assistants↗
[Main errors in the discharge report and in the registry book of a hospital].
BACKGROUND: The registration book for admission and discharge of patients was the basis of a survey of hospital morbidity and the main source of information concerning the diseases attended in the hospitals in Spain. The aim of this study was to evaluate the quality of this information from the data of a hospital with a computerized patient registration system. METHODS: The sample collected from the registration book in 1985 by the National Institute of Statistics studied three types of errors: the main error being selection of diagnosis, coding and transcription of the principal diagnosis, and comparison of data contained in the patient discharge form. RESULTS: In the 896 releases studied an error oscillating between 1 and 2% was found in transcription. The principal diagnosis had been erroneously selected in 26% of the reports with more than one diagnosis. Important coding errors were found in 11%. Transfer between different hospital wards or death were variables found to increase the probability of error. CONCLUSIONS: Hospital registers should be submitted to quality control processes in which the physicians facilitating the data should participate.
Death Certificates↗
Systematic analysis of animals used in medieval Azerbaijan medicine.
In order to study the special composition of animals used in the medieval medicine of Azerbaijan, a wide range of medieval sources on medicine and pharmacognosy from the collection of the Institute of Manuscripts of the Azerbaijan Academy of Sciences in Baku has been studied. About 40 medieval sources from the 10-18th centuries including 17 manuscripts in Turkic, Persian and Arabic have been selected as the objects of this study. As a result, 150 species of animals described in medieval Azerbaijani books on medicine and pharmacy have been identified. Many of the identified animals are mammals, (47 species or 31% of total number of identified species). The medieval authors describe 12 species of reptiles and 4 species of Amphibians (frogs, toads, salamanders and tree-frogs (Hyla arborea). 15 species of fishes described in medieval manuscripts have been identified. The identified molluscs are cuttlefish (Sepia officinalis), mussel (Mytilus edulis), octopus (Octopus vulgaris) and snail (Helix pomatia). Most crustaceans used in medieval Azerbaijan medicine belong to Decopoda. Medieval manuscripts contain numerous names of various worms and insects (ants, flies, beetles, etc.), however their exact identification is rather difficult. As usual, medieval authors unite a number of species under one name and do not give sufficient information about their morphology. Results of the research create grounds for the idea that the recommendations of the medieval authors on the medicinal application of animals can be applied to modern medicine once they have been experimentally and clinically tested.
Animals↗
Mapping the literature of maternal-child/gynecologic nursing.
OBJECTIVES: As part of a project to map the literature of nursing, sponsored by the Nursing and Allied Health Resources Section of the Medical Library Association, this study identifies core journals cited in maternal-child/gynecologic nursing and the indexing services that access the cited journals. METHODS: Three source journals were selected and subjected to a citation analysis of articles from 1996 to 1998. RESULTS: Journals were the most frequently cited format (74.1%), followed by books (19.7%), miscellaneous (4.2%), and government documents (1.9%). Bradford's Law of Scattering was applied to the results, ranking cited journal references in descending order. One-third of the citations were found in a core of 14 journal titles; one-third were dispersed among a middle zone of 100 titles; and the remaining third were scattered in a larger zone of 1,194 titles. Indexing coverage for the core titles was most comprehensive in PubMed/MEDLINE, followed by Science Citation Index and CINAHL. CONCLUSION: The core of journals cited in this nursing specialty revealed a large number of medical titles, thus, the biomedical databases provide the best access. The interdisciplinary nature of maternal-child/ gynecologic nursing topics dictates that social sciences databases are an important adjunct. The study results will assist librarians in collection development, provide end users with guidelines for selecting databases, and influence database producers to consider extending coverage to identified titles.
Abstracting and Indexing↗
Sex and the media: three decades of best-selling books and major motion pictures.
The expression of sexuality in best-selling novels and major motion pictures was examined. There are two reasons that such stimuli merit systematic analysis. First and foremost is the finding that best-selling novels and major motion pictures exist as a primary source of sexual information. Of equal importance, however, is the need to examine such stimuli for myths and fallacies. The novels and films analyzed in the present study were selected from the last years of three consecutive decades: 1959, 1969, and 1979. Inclusion in this study was based on ranking in either a best-seller list (i.e., books) or a rental-receipts list (i.e., movies). The use of such criteria serves the dual purpose of allowing for the examination of stimuli that are accessible to large masses of people and at the same time allowing for the examination of sexually relevant stimuli. The results are discussed in terms of historical changes (over the three decades) and manifest themes (i.e., general characteristics or consistent themes). An additional section was included to address the broader implications of the present findings and to suggest alternatives.
Communication↗
Sex of a case history and the DSM-III diagnosis of depression.
Selected a brief, written case history of Major Depression, without melancholia, single episode from the DSM-III Case Book (Spitzer, Skodol, Gibbon, & Williams, 1981) and mailed to 369 male psychiatrists and male psychologists in the Midwest. One-half of the clinicians were sent the psychiatric case in its true form, a depressed male, and the other half were sent the case in an altered form, a depressed female. A 32% return resulted in 90 usable diagnoses. The results found no significant differences between psychiatrists and psychologists in diagnosis. The sex of the case did not affect significantly the agreement of diagnosis with the Case Book, the difficulty of the case, or the ratings of stressors or adaptive level of functioning. Sex of the case had no effect on the suggested length of treatment or the recommendation of drug treatment. It was found that clinicans agreed with the Case Book on the major diagnosis. However, the clinicians were not in agreement with the Case Book on the subcategory or the five-digit subtype. Results are discussed in terms of the effect of sex of the client on diagnosis and the new DSM-III Case Book and classification system.
Adult↗
[Rational management of antibiotherapy in ORL infections in children: critical review of the best scientific evidences].
INTRODUCTION: Upper respiratory tract infections are the more prevalent infections in childhood and it is important to know the use and overuse of antibiotics. The objective of this article is to make a systematic and critical review of the best scientific evidence in bibliography in order to use antibiotics rationally in otorhinolaryngology (ORL) infections. MATERIAL AND METHODS: Systematic and structured review of the articles regarding antibiotherapy in ORL infections (pharyngitis, tonsillitis, otitis, sinusitis and laryngitis) in childhood published in secondary (Cochrane Collaboration, clinical practice guidelines, health technology assessment database, etc) and primary (bibliographic databases, biomedical journals, books, etc.) publications and critical appraisal by means of methodology of the Evidence-Based Medicine Working Group. We selected the publications with the main scientific evidence in therapeutical articles (clinical trial, systematic review, meta-analysis and clinical practice guideline). DATA SELECTION: study design, population, intervention, outcomes, main results and applicability in clinical practice. RESULTS: The main secondary information is found in The Cochrane Library and in Clinical practice guideline clearinghouses. The documents in Cochrane Library are, basically, clinical trials, systematic reviews and/or meta-analysis, mainly about otitis (13 documents), sinusitis/rhinosinusitis (6), pharyngitis/tonsillitis (3) and nasopharyngitis (3). We found 17 guidelines, mainly for otitis (8 guidelines), pharyngitis/tonsillitis (5), sinusitis (3) and laryngitis (1). Also, we found some relevant articles in Pubmed database, complementary to secondary publications. CONCLUSIONS: There are a high number of quality scientific studies who support an evidence-based decision making in clinical practice about the rational use of antibiotics in ORL infections in childhood, mainly in otitis, tonsillitis and sinusitis. Every decision in this field will have to be based on a systematic appraisal of the best evidence available in the context of the prevailing values and resources available. Doctor's knowledge (mainly in otorhinolaryngologists and pediatricians) of systematic and critical review of the current literature can help to modify prescribing habits about overuse and misuse of antibiotics in ORL infections.
Anti-Bacterial Agents↗
Cost-effectiveness of strategies for primary prevention of nonsteroidal anti-inflammatory drug-induced peptic ulcer disease.
OBJECTIVE: Nonsteroidal anti-inflammatory drugs (NSAIDs) increase the risk of peptic ulcer disease by 5- to 7-fold in the first 3 months of treatment. This study examined the relative cost-effectiveness of different strategies for the primary prevention of NSAID-induced ulcers in patients that are starting NSAID treatment. MEASUREMENTS AND MAIN RESULTS: A decision analysis model was developed to compare the cost-effectiveness of 6 prophylactic strategies relative to no prophylaxis for patients 65 years of age starting a 3-month course of NSAIDs: (1) testing for Helicobacter pylori infection and treating those with positive tests; (2) empiric treatment of all patients for Helicobacter pylori; (3) conventional-dose histamine2 receptor antagonists; (4) high-dose histamine2 receptor antagonists; (5) misoprostol; and (6) omeprazole. Costs were estimated from 1997 Medicare reimbursement schedules and the Drug Topics Red Book. Empiric treatment of Helicobacter pylori with bismuth, metronidazole, and tetracycline was cost-saving in the baseline analysis. Selective treatment of Helicobacter pylori, misoprostol, omeprazole, and conventional-dose or high-dose histamine2 receptor antagonists cost $23,800, $46,100, $34,400, and $15,600 or $21,500 per year of life saved, respectively, relative to prophylaxis. The results were sensitive to the probability of an ulcer, the probability and mortality of ulcer complications, and the cost of, efficacy of, and compliance with prophylaxis. The cost-effectiveness estimates did not change substantially when costs associated with antibiotic resistance of Helicobacter pylori were incorporated. CONCLUSIONS: Several strategies for primary prevention of NSAID-induced ulcers in patients starting NSAIDs were estimated to have acceptable cost-effectiveness relative to prophylaxis. Empirically treating all patients for Helicobacter pylori with bismuth, metronidazole, and tetracycline was projected to be cost-saving in older patients.
Adult↗
Benefits and limitations of antidepressants and traditional mood stabilizers for treatment of bipolar depression.
OBJECTIVE: The aim of this paper was to review the rationales, risks, and benefits for using standard antidepressants versus mood stabilizing agents and/or atypical antipsychotics to treat bipolar depression. METHOD: A selective literature review was conducted using key terms and by reference known to the authors. Bibliographies of articles and book chapters were further scrutinized for relevant literature. RESULTS: The strengths and limitations of current studies are described and critically reviewed in order to present optimal strategies for effective pharmacotherapy. Clinical factors that can mitigate or confound simple bivariate relationships between antidepressant use and outcome have seldom been examined using multivariate statistical techniques. For many of the key questions there is a paucity of informative literature and randomized clinical trials are of limited value in addressing some of the issues. CONCLUSIONS: Clinicians and investigators should be aware of the methodological shortcomings of existing studies. Decisions about the relative merits versus contraindications for antidepressant use should be made via more individualized, case-by-case profiling rather than by rigid prescribing practices.
Anticonvulsants↗
Women's knowledge about the physical and emotional changes associated with menopause.
In 1992, a survey was undertaken to study women's knowledge of the physical and emotional changes associated with menopause. Two groups of midlife women: a random sample (n = 381) and a sample of women who attended menopause seminars (n = 95) were asked to select from a list of 39 changes those they thought were directly caused by menopause. Information from readily available books written for a general audience was used to construct the marking guide for a "commonly available knowledge" score. A template for a "biomedical" knowledge score based on an estrogen deficiency perspective of menopause was derived from recently published academic medical literature. The mean score for the commonly available knowledge items was 27 out of 39 (69.2% correct). The mean biomedical knowledge score was lower, 19.3 out of 35 (55.1% correct). While the two groups of women were significantly different in terms of current and past hormone replacement therapy (HRT) use, we found no differences between them in the mean commonly available knowledge or biomedical knowledge scores. This finding challenges the widely held assumption that active information-seekers are more interested and have a better level of knowledge than the general population. The findings also suggest that women are less likely to accept a biomedical model of menopause and that they are using HRT for a multiplicity of reasons, not just those related to estrogen deficiency.
Estrogen Replacement Therapy↗
The potential role of custody facilities in controlling sexually transmitted diseases.
BACKGROUND: The National Commission on Correctional Health Care recommends that medical screening, including tests for syphilis and other sexually transmitted diseases, be performed by the 14th day after initial booking procedures. Because the average length of stay in detention is usually less than 14 days, most detainees are not screened or treated for asymptomatic communicable diseases. METHODS: In order to determine the incidence and prevalence of syphilis among those booked through a large county jail, a rapid screening procedure to test newly incarcerated inmates and treat those infected was implemented over a 3-week period. RESULTS: Among 6309 detainees eligible for testing during the 3-week period of the study, 129 (2%) were diagnosed with syphilis. During the preceding month when only those reporting symptoms or high-risk behaviors were screened, 20 cases were diagnosed. The sensitivity and predictive value of self-reported risk factors for syphilis infection were low. Among the first 110 diagnosed cases, 17 (15.5%) were released within 3 days and 86 (78%) were released within 6 days. CONCLUSIONS: If screening and treatment for syphilis are delayed until the 14th day after booking, the majority of infected inmates will be released prior to evaluation and treatment. Rapid screening and treatment for selected sexually transmitted diseases are likely to be an effective public health measure when implemented in custody settings.
Adolescent↗
The Hypothalamic-Pituitary-Adrenal Axis in Major Depressive Disorder: A Brief Primer for Primary Care Physicians.
BACKGROUND: One of the most enduring and replicated findings in biological psychiatry is activation of the hypothalamic-pituitary-adrenal (HPA) axis in a subset of patients with major depressive disorder. This review will discuss some of these findings and their pertinence to the assessment and treatment of depressed patients. METHOD: MEDLINE, PsychINFO, and Current Contents databases were searched for pertinent articles on the HPA axis in patients with depression. In addition, hand searches were conducted of references from these sources and abstracts from meetings and books on this topic. Articles that would provide an overview of major or interesting studies in the field were selected for inclusion. RESULTS: The data support that HPA axis activation is common in depressed patients. Frequently reported findings include elevated cortisol and corticotropin-releasing hormone (CRH), nonsuppression on the dexamethasone suppression test, a blunted adrenocorticotropic hormone (ACTH) response to CRH, and hippocampal volume reduction. Evidence of HPA axis activation appears to have prognostic value and is associated with increased risk of depression relapse and even suicide. CONCLUSION: Future research in this area will focus on a better understanding of the etiology and long-term consequences of HPA axis activation in depressed patients. In addition, medications that act on the HPA axis are currently in development and may be part of the psychiatrist's and primary care physician's pharmacopoeia in the near future.
Journal Article↗
Aging: laboratory testing and theories.
OBJECTIVE: To review theories of aging and the changes in laboratory test results that occur because of physical changes in the normal elderly patient. DATA SOURCES: Books on aging, laboratory test interpretation, and nutrition as well as published articles on aging, vitamins, and nutrition. STUDY SELECTION: Elderly people. DATA EXTRACTION: Survey of the literature. DATA SYNTHESIS: Aging theories may present possible aspects of the effects of aging on health in the elderly. Normal aging may lead to physical changes that alter laboratory test results without causing disease. Treatment of these "abnormal" results in the elderly may be detrimental to their health. CONCLUSION: As the elderly population increases, laboratorians will encounter an increasing number of elderly patients. Discriminating between truly abnormal test results and those caused by aging will require laboratory reevaluation of adult reference ranges.
Age Factors↗
Select timely data and local benchmarks to profile MDs.
DATA BENCHMARKS: Seeking an effective way to let their physicians know their costs were too high and LOS too long, managers at two New York health care organizations began profiling the physicians by using data the physicians themselves deemed most appropriate. Find out what data they selected. And review samples of the reports they prepare for their physicians. It's all part of a new book from the publisher of CRR.
Arthroplasty, Replacement, Knee↗
[Selection from the 19th century Hungarian dental literature. Part I. 1800-1900].
The selection was made from the 19th century dental literature according to the viewpoint of the author. Several scientifically found books were published alongside the earlier popular ones which served the education of the population at large. Those scholarly works served as the scientific background for the dental literature at the end the 19th century when proper medical training in dentistry was established.
Education, Dental↗
Efficacy of treatments for posttraumatic stress disorder. An empirical review.
OBJECTIVE--The purpose of this article is to review the empirical evidence for the efficacy of a range of treatments for posttraumatic stress disorder (PTSD). Reviewed studies focused on rape victims, combat veterans, the tragically bereaved, torture victims, accident victims, of physical assault, and child abuse victims. DATA SOURCES--Peer-reviewed journals (Psych-Info, MEDLINE), book chapters (PILOTS database), active investigators, abstracts from the 1990 and 1991 International Society for Traumatic Stress Studies. STUDY SELECTION--We identified 255 English-language reports of treatment for PTSD. We restricted our focus to randomized, clinical trials that included a systematic assessment of PTSD using DSM-III or DSM-III-R criteria (N = 11). DATA EXTRACTION--Studies were assessed according to methodological strength: random assignment to the treatment of interest, and either an alternative treatment or control group; sample selection; and inclusion of statistical tests of significance. DATA SYNTHESIS--Drug studies show a modest but clinically meaningful effect on PTSD. Stronger effects were found for behavioral techniques involving direct therapeutic exposure, particularly in terms of reducing PTSD intrusive symptoms. However, severe complications have also been reported from the use of these techniques in patients suffering from other psychiatric disorders. Studies of cognitive therapy, psychodynamic therapy, and hypnosis suggest that these approaches may also hold promise. However, further research is needed before any of these approaches can be pronounced effective as lasting treatment of PTSD. CONCLUSIONS--Further studies should specifically address combined treatment approaches, optimal treatment length and timing, effects of comorbidity, and unstudied traumatized populations.
Combined Modality Therapy↗