Clinical Investigations by the Medical Practitioner

2015 ◽  
pp. 16-33
Author(s):  
Quentin B. Deming
Keyword(s):  
Medical Practitioner ◽  
Clinical Investigations

A Delphi Study of the Role Parameters and Requirements of Extended Scope Practice in Hand Therapy

2005 ◽  
Vol 10 (3-4) ◽  
pp. 80-86 ◽  
Author(s):  
Bridget Ellis ◽  
Paula Kersten ◽  
Andrew Sibley
Keyword(s):  
Delphi Study ◽  
Medical Practitioner ◽  
Service Needs ◽  
Hand Therapy ◽  
Professional Boundaries ◽  
New Ways Of Working ◽  
The United Kingdom ◽  
Clinical Investigations ◽  
Quality Health ◽  
Independent Practitioner

Physiotherapists and occupational therapists working within hand therapy in the United Kingdom are undertaking roles working beyond their normal professional boundaries. The aim of this study was to reach consensus on the role parameters and required knowledge, training and competencies desirable for such extended roles. A panel of 21 expert stakeholders comprising hand therapy clinicians, educators, doctors, existing extended scope practitioners and a representative from a patient group participated in three survey rounds using the Delphi technique. They examined three groups of parameters with reference to the competencies, knowledge and activities desirable for such extended roles. A prioritised list of parameters was developed. Data were analysed using descriptive statistics. Response rates for each round were consistently 95% or greater. The results showed areas of clear consensus, with prioritisation supporting the development of an independent practitioner working without direct supervision by a medical practitioner. Specific criteria were identified for such practice with regards to knowledge, training and activities, such as the ability to order, understand and interpret clinical investigations. In-house formal training tailored to individual service needs was the favoured approach. The results of this study can inform the development of a national strategy for the implementation of new ways of working while ensuring the provision of a quality health service.

Clinical Investigations of Drug Effects in Women

1986 ◽  
Author(s):  
Jack H. Mendelson ◽  
◽  
Nancy K. Mello
Keyword(s):  
Drug Effects ◽  
Clinical Investigations

Basic Problems of Logic in Drug Investigations

1974 ◽  
Vol 13 (04) ◽  
pp. 248-253
Author(s):  
H. Röpke
Keyword(s):  
Animal Experiments ◽  
Point Of View ◽  
Applied Logic ◽  
Clinical Investigations

The basic problems of the theory of cognition when extrapolating the results of animal experiments to man and the limitations of inferences from clinical investigations of drugs are discussed from the point of view of applied logic.

EVALUATION OF HYSTEROSALPINGOGRAPHY VERSUS LAPAROSCOPY IN THE DETERMINATION OF TUBAL FACTORS IN FEMALE INFERTILITY: A HOSPITAL BASED COMPARATIVE STUDY.

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Richa Choudhary ◽  
Rishikant Sinha
Keyword(s):  
Female Infertility ◽  
Diagnostic Methods ◽  
Panoramic View ◽  
Tubal Patency ◽  
Pelvic Organs ◽  
Clinical Investigations ◽  
Detailed Assessment ◽  
Reproductive Anatomy ◽  
Tubal Pathology

Objectives: Hysterosalpingography and laparoscopy both are the diagnostic methods for assessment of female infertility.  The present study was to compare the evaluation of hysterosalpingography (HSG) versus laparoscopy in determination of tubal factors in female infertility. Methods: Detailed assessment, physical examination and clinical investigations were performed in all 100 infertile female with age 20 years to 40 years. All patients were advised to perform digital HSG. Patients with an abnormal HSG underwent laparoscopy without delay, whereas in patients with a normal HSG, laparoscopy was performed three months after HSG. HSG is best scheduled during the 2nd -5th day interval immediately following the end of menstruation, to minimize risk for infection, avoid interference from intrauterine blood and clot, and to prevent any possibility that the procedure might be performed after conception. Results: Data was analysed by using IBM SPSS version 23 software.  All data was tabulated and percentages were calculated. Mean ± standard deviation was observed. Conclusions: Diagnostic laparoscopy is the gold standard in diagnosing tubal pathology and other intra-abdominal causes of infertility. Other hand, Hysterosalpingography is a frequently utilized diagnostic tool in the assessment of tubal status and detection of uterine anatomical defects in infertility. Hysterosalpingography and laparoscopy are not alternatives but complimentary investigations. But, inadequacy of hysterosalpingography (HSG) in determining the state of tubal patency, emphasizes the need for laparoscopy. Laparoscopy provides both a panoramic view of the pelvic reproductive anatomy and a magnified view of pelvic organs and peritoneal surfaces. Keywords: Female infertility, Tubal patency, HSG, Laparoscopy

Cottle's Bristol Album, ‘Evening’ and the ‘Insane Man at Dr Fox's’

Romanticism ◽  
2017 ◽  
Vol 23 (1) ◽  
pp. 15-26
Author(s):  
Paul Cheshire
Keyword(s):  
Mentally Ill ◽  
Medical Practitioner ◽  
Leading Role ◽  
Circle Of Friends ◽  
Edward Long

Joseph Cottle started his Bristol Album in 1795, recognizing the promise of his new circle of friends. Among those who contributed poems to this album were Southey, Coleridge, Wordsworth, William Gilbert, Dr Beddoes, and the anonymous author of a poem ‘Evening’, described in the album as ‘Written by an Insane Man at Dr Fox's’. ‘Evening’ appears in the album immediately before a contribution in Coleridge's hand, and it has a number of verbal parallels with ‘The Eolian Harp’, which Coleridge was to start two months later. Dr Edward Long Fox, who in 1795 played a leading role in Bristol's radical community, was a medical practitioner who treated the mentally ill. This paper looks at how the poem was transmitted from the privacy of Fox's asylum to the pages of Cottle's album, and assesses its significance for that early Romantic writing circle.

CLINICAL INVESTIGATIONS OF A LONG-ACTING OESTRIOL (POLYOESTRIOL PHOSPHATE)

1961 ◽  
Vol 38 (1) ◽  
pp. 73-87 ◽  
Author(s):  
Christian Lauritzen ◽  
Semih Velibese
Keyword(s):  
Side Effects ◽  
Phosphoric Acid ◽  
Quantitative Data ◽  
Water Soluble ◽  
Cholesterol Concentration ◽  
Experimental Investigations ◽  
Clinical Investigations ◽  
Prolonged Duration ◽  
High Doses ◽  
Long Acting

ABSTRACT A description is given of experimental investigations and preliminary clinical experience with the long-acting oestriol compound polyoestriol phosphate – a water-soluble polymere of oestriol and phosphoric acid. The compound seems to exert all the physiologically important effects of oestriol. Even with high doses the hormone causes no proliferation of the endometrium and no withdrawal bleeding. It has no untoward effect on metabolism. It decreases slightly the cholesterol concentration (to the extent of ⅓–⅕ of the effect produced by long-acting oestradiol esters). The compound has a wide therapeutic range. No side-effects have been observed. Doses of 10 mg or more have a prolonged duration. Additional prolongation of the effect is largely dependent on dosage. To ensure an effect lasting for 4 weeks 40 mg polyoestriol phosphate (corresponding with 30 mg oestriol) is required – an amount which roughly corresponds with physiological quantitative data. The compound, which involves an interesting new principle of prolongation, was most effectively used in the treatment of menopausal symptoms and genital organic disorders. For these indications it can be recommended without reservation.

Adaptasi Alat Ukur Kepuasan Kerja Untuk Tenaga K esehatan di Indonesia

PRAXIS ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 107
Author(s):  
Widawati Hapsari
Keyword(s):  
Job Satisfaction ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Medical Practitioner ◽  
Organizational Setting ◽  
Medical Field ◽  
Satisfaction Scale ◽  
Confirmatory Factor ◽  
Bahasa Indonesia

Abstract Job satisfaction has been an important topic of focus in the organizational setting for the last few decades. This research aims to validate job satisfaction scale in medical practitioner population. The 10 items in this scale consist of 4 extrinsic facet items and 5 intrinsic facet items. This intrument was adapted into Bahasa Indonesia as suggested by Beaton, et al. (2000) and analyzed using confirmatory factor analysis. The study conducted among 287 participants working in the medical field. The study showed that the reliability of intrinsic facet is .811 and extrinsic facet .729. Further analysis found that there is correlation between intrinsic and extrinsic job satisfaction. This study concluded that the job satisfaction scale used in this study is valid and reliable to be applied in medical practitioner in Indonesia. Abstrak Alat ukur kepuasan kerja telah digunakan di berbagai bidang pekerjaan termasuk kesehatan. Sayangnya di Indonesia penelitian mengenai alat ukur ini sendiri masih sangat terbatas, terutama mengenai konstruk kepuasan kerja dengan subjek khusus tenaga kesehatan. Penelitian ini bertujuan untuk mengadaptasi skala kepuasan kerja untuk tenaga kesehatan dari Hills, Joyce dan Humphreys (2012) ke dalam bahasa Indonesia. Proses penerjemahan berdasarkan langkah-langkah yang disarankan oleh Beaton, dkk. (2000). Alat ukur kepuasan kerja yang digunakan terbagi menjadi dua berdasarkan sumbernya, yaitu ekstrinsik dan intrinsik, dengan total 10 aitem. Peserta yang terlibat dalam penelitian ini sebanyak 287 responden. Berdasarkan hasil uji reliabilitas didapatkan koefisien alfa sebesar .811 untuk kepuasan kerja yang bersifat intrinsik dan .729 untuk kepuasan kerja yang bersifat ekstrinsik. Berdasarkan hasil uji validitas dengan teknik faktor analisis dan uji reliabilitas, dapat disimpulkan bahwa alat ukur ini cukup valid dan reliabel untuk diterapkan di Indonesia. Berdasarkan analisis tambahan yang dilakukan, ditemukan hubungan antara sumber kepuasan kerja yang bersifat intrinsik dan ekstrinsik

Investigation Of Over The Counter (Otc ) Pharmaceutical Brands Prefered By New Age Indian Women

2019 ◽  
Vol 118 (4) ◽  
pp. 1-15
Author(s):  
Dr.G. Madhumita ◽  
Dr.G. Rajini ◽  
Dr.B. Subisha
Keyword(s):  
Pharmaceutical Company ◽  
Medical Practitioner ◽  
New Age ◽  
The Other ◽  
Pharmaceutical Companies ◽  
Brand Preference ◽  
Over The Counter ◽  
Indian Women ◽  
Prescription Medicines ◽  
Otc Medicines

The study investigates the preference of OTC Medicines among the pharmaceutical brand.OTC Medicines means medicines lawfully permitted to sell  “Over the Counter”, i.e. devoid of the prescription of a Registered Medical Practitioner. In India, although the expression has no lawful acknowledgment, all the medicines that are not incorporated in the list of ‘prescription only medicines’ are measured as non-prescription medicines (or OTC Medicines).Pharmaceutical over the counter products (OTC) be the medicines which can be sold without prescription. Also termed as “Non Prescription Medicines” discussed by Arti(2010).This article talks about top pharmaceutical company brands Aventis Pharma, GlaxoSmithKline, Surya Pharma, Torrent Pharma,Glenmark,Divis Labs,Biocon, Orchid Chemical, Abbott Indi, Sterling Bio, Alembic Pharma etc, the brand preference of New Age Indian Women. A 736 questionnaire was composed of different age and different New Age Indian Women in around Urban :Chennai ;Semi Urban :Neyveli ; Rural :Soolurpet ;Tirupur. The findings of the study shows that the highest preferred generic brand is balms,  Medicines chosen  for fever is Crocin, Idoex  is most ideal pain blams, volini spray is also most preferred brand, ENO is ideal Antacid brand, Sadiron is another chosen brand for cough and cold, the other brands are Metfal SPS, Johnson, Revital are the other favored brands. The study will be a great instrument for the pharmaceutical companies brands to understand today’s New Age Indian Women.

Specialized Food Product with Directed Systemic Action: Innovative Technological Solutions, Performance Evaluation

Food Industry ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 58-64
Author(s):  
Andrey Vekovtsev ◽  
Tokhiriyon Boisjoni ◽  
Badarch Bayambaa ◽  
Victor Shelepov
Keyword(s):  
Musculoskeletal System ◽  
Food Product ◽  
Biologically Active ◽  
Innovative Technology ◽  
Manganese Sulfate ◽  
Mineral Complex ◽  
Technological Production ◽  
Clinical Investigations ◽  
Active Additive ◽  
Macro Nutrients

The authors developed composition and innovative technology of a new specialized product in the form of a biologically active additive to normalize metabolic processes in the case of the musculoskeletal system damage. They obtained specialized product through innovative tableting technology providing high consumer properties, components preservation and its active principles. The technological solutions innovativeness enables to separate composition ingredients considering its chemical and pharmacological incompatibility, and to deliver it sequentially to various sections of the gastrointestinal tract at a given speed. Glucosamine sulfate as a part of the vitamin and mineral complex combining with minerals (micro- and macro-nutrients) – manganese sulfate, calcium hydroxyapatate, cholecoleceferol, zinc and magnesium oxides – have unidirectional functional properties related to the metabolism correction in case of the musculoskeletal system damage. Clinical investigations confirmed the vitamin and mineral complex effectiveness. The diet for children 8- 14 years old has included one capsule of the specialized product additionally three times a day. Children (3-7 years old) with the long tubular bones fracture have received one capsule twice a day. Authors tested the recipe and technological production parameters at the enterprises of the company “Artlife” under the conditions of international and domestic standards including GMP and guaranteeing the quality indicators and competitiveness stability.

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