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At least 991 records · Page 55Linked to original sources
PubMed1994

Environmental factors and calving management practices that affect neonatal mortality in the beef calf.

This article reviews the relationship of environmental and calving management factors and the occurrence of neonatal mortality. The importance of these factors, considered individually or in combinations, has been the subject of a limited number of scientific investigations. As a consequence, some recommendations are based on clinical impression and reasoning rather than the results of carefully controlled field studies. Significant costs are incurred by cow/calf operators in the implementation of many of these ideas. Hopefully, they are all appropriate and useful, but more research should be conducted in this area. There is a need to learn more about environmental causes of neonatal mortality, including individual effects, the effect of various combinations of these factors, and the relative magnitude of the effect of both individual factors and various combinations of them.

Animal Husbandry↗
PubMed2001

Pain management practices of nurses caring for older patients with osteoarthritis.

Osteoarthritis is a prevalent chronic illness in older people. Management of the ensuing pain is of critical importance in preventing disability and maintaining independence. This qualitative study explored the pain management techniques used by 10 RNs working in home health nursing. Four categories emerged from the interview data: knowing how to assess, knowing about pain treatments, trying but frustrated, and needing more knowledge. These categories were reduced into two constructs: Understanding Pain and Wanting to Provide Good Nursing Care. Clinical implications included supplementing pain management strategies by adding to the assessment base, expanding pain management techniques, and increasing knowledge about aging processes and pain control.

Adult↗
PubMed1998

Practical management: a keypad-based interactive session.

If controlled therapeutic, epidemiologic, and pathologic data are to be put rationally into clinical practice, they need to be evaluated against real clinical scenarios. This was done by presenting the symposium delegates with a clinical case and then asking management questions, which were answered using a keypad system.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMed2005

Sexually transmitted infections. Genital chlamydia: practical management in primary care.

As the number of infected people increases, more nurses outside the specialist sexual health services are being called upon to provide advice and clinical care for genital chlamydial infection. This article provides non-specialist nurses with practical information on the diagnosis, treatment, management and follow-up of clients with genital chlamydial infections.

Anti-Bacterial Agents↗
PubMed1995

Competencies for health management practice: a practitioner's perspective.

The current health care environment will require executive leadership with a new set of management competencies to effectively lead and manage the various components of a restructured health care delivery system. The traditional management skills of planning, organizing, directing, controlling, and staffing resources will remain relevant, but the true measure of professional success will be the development of conceptual skills. This means the ability to look at the health care enterprise as a whole, and recognize how changes in the environment shape your strategic mission, goals, and objectives. The successful health care leader will have a demonstrated ability to apply these conceptual skills to the development of information systems and integrated networks that position their organization to accept capitated risks. This paper examines the United States and Canadian health care systems from the perspective of both the more traditional hospital and the emerging medical care organizations. New importance of the team approach to leadership and management and all that entails is stressed.

Canada↗
PubMed1993

Enterprise analysis: a method to evaluate alternative production and management practices for cow/calf operations.

Food animal veterinarians recognize the need to economically justify their recommendations regarding whole-herd management programs. An enterprise analysis technique may be used by veterinarians to determine the actual cost of production on beef cattle operations. Enterprise analysis was used on 2 groups of cattle to demonstrate the financial impact of a recommendation to modify the winter-supplementation program of a large ranch. Pregnancy rates improved from 62 to 95% for group-1 cattle and from 75 to 94% for 2 groups of cattle in the 2-year study. Additionally, the calving cycle was shortened and the number of calves born earlier in the calving season was notably increased, which raised the total pounds of calves sold at weaning. These outcomes were realized without additional winter-supplementation expenses for either group. Veterinarians can use enterprise analysis to determine the value of their recommendations, thus allowing them to charge more appropriately for the services provided.

Age Factors↗
PubMed1994

Practical management of superficial digital flexor tendinitis in the performance horse.

The authors of this section represent a broad range of practice experience with horses that perform in rigorous and varied sport competitions. Each breed and performance application represent unique challenges of diagnosis and uncompromising demands on rehabilitated tendon injuries. This article will serve to guide, stimulate, and encourage veterinarians to apply scientific criteria to the evaluation of tendinitis therapy in the years to come so that we can arrive at a more valid consensus as to the "best" means of tendon and ligament injury management.

Animals↗
PubMed2000

Chronic urticaria: a Canadian perspective on patterns and practical management strategies.

BACKGROUND: Chronic urticaria is a common condition and is a source of great frustration to patients. It has been suggested that there may be differences among physicians in their approach to this common clinical entity. OBJECTIVE AND METHOD: A questionnaire was distributed Canada-wide to allergists, dermatologists, and a selection of practitioners with an interest in alternative medicine. The survey included questions on demographics, epidemiology, causative factors, diagnostic methods, therapeutic strategies, follow-up advice, and efficacy of therapies, with emphasis on personal experience. RESULTS: The response rates of allergists and dermatologists were 31% and 36%, respectively. There was wide representation from all regions of Canada and from physicians from all age groups, both genders, different types of practice, and years in practice. The reported incidence per month was 13 and 4 patients for allergists and dermatologists, respectively. The prevalence was 199 and 44 patients by allergists and dermatologists, respectively. Comparison of causative factors showed differences in the experiences of the two groups. Diagnostic investigations were requested in a similar pattern with respect to timing. The specific tests ordered by the groups showing statistical difference were complete blood count (CBC), differential, C4 complement, antinuclear antibodies, and IgE antibody assay. Allergists chose the skin prick test (100%) as the most important allergy test. Dermatologists ranked skin prick (50%), radioallergosorbent test (RAST) (20%), and skin patch (30%) as the most important tests. The top six choices of pharmaceutical therapies chosen by the groups were similar, but in a slightly different order. The responders ranked their personal selection of antihistamines according to effectiveness. Hydroxyzine (Atarax) and cetirizine (Reactine, Allegra) were selected as first and second most effective agents by both groups. The results also show effective experience by both groups with nonsedating and sedating antihistamines. Also, doxepin, ketotifen, and cimetidine are used frequently by both groups. The experience of dermatologists in Canada with respect to other modalities including psoralen ultraviolet A (PUVA) therapy, danazol, chelation, calcium channel blockers, and acyclovir is limited and efficacy is ranked either neutral or ineffective. Allergists reported even less experience with these therapies. CONCLUSION: Allergists and dermatologists across Canada show interesting similarities and differences in their practical approach to the management of chronic urticaria. With the sharing of this information, these two specialties will be better equipped to effectively manage patients suffering from chronic urticaria.

Adult↗
PubMed2001

Practical management of anticoagulation, bleeding and blood product support for cardiac surgery. Part one: bleeding and anticoagulation issues.

There are many challenging problems related to bleeding and anticoagulation in cardiac surgery. Practical guidelines, which are based on available evidence, can help to direct management issues of post-bypass bleeding, perioperative anticoagulation and the use of haemostatic agents. The patient's bleeding history is the most useful preoperative screening test of haemostasis. The input of a haematologist is often valuable in a number of areas, such as preoperative assessment of patients with a significant history of bleeding, or past history of heparin-induced thrombocytopenia, a lupus anticoagulant, or recent venous thromboembolism. Cardiothoracic surgeons, anaesthetists, perfusionists and haematologists can ensure 'best practice' by being actively involved in the development of 'local' transfusion and anticoagulation guidelines, hospital transfusion committee policies, and audits.

Journal Article↗
PubMed2005

Using quality improvement to address pain management practices in nursing homes.

The objective of this study was to test whether a quality improvement intervention can improve pain management in nursing homes. Experts in quality improvement and clinical pain management provided nursing home staff leaders with feedback on pain quality indicator data, education in pain management, and technical assistance to apply the Plan-Do-Study-Act model of quality improvement. Trained abstractors completed structured chart audits at baseline and five months to capture quality indicator data related to pain assessment and treatment. Residents in pain who underwent pain assessments increased from 8% to 29% (P < 0.001). Residents receiving non-pharmacological pain treatments increased from 31% to 42% (P = 0.010), but pain medication use did not change. Among residents with daily moderate or excruciating pain, complete pain assessment was associated with increased probability of pain medication use. Quality improvement is a promising method to improve pain management in nursing homes.

Adult↗