scholarly journals ‘Get The Patient in a Good Light’: The Role of the Physical Examination in Modern Medical Practice

2021 ◽  
Vol 05 (07) ◽  
Author(s):  
Kang JHE ◽  
Wong JSY ◽  
Makkuni D
Keyword(s):  
Physical Examination ◽  
Medical Practice ◽  
Modern Medical Practice

The Social History of Surgery in Ottoman Syria

2014 ◽  
Vol 5 (1) ◽  
pp. 32-58
Author(s):  
Boris Liebrenz
Keyword(s):  
Social History ◽  
Medical Practice ◽  
Division Of Labour ◽  
Theoretical Knowledge ◽  
History Of Surgery ◽  
Legal Context ◽  
The Social ◽  
History Of ◽  
Modern Medical Practice

Little is known about the role of surgery in pre-modern medical practice in general, and in the lands under Muslim dominance in particular. There is an acknowledged gap between theoretical knowledge and medical practice, but evidence of the latter is difficult to find. Many fundamental questions therefore remain unanswered. For example, was there a division of labour between surgeons and physicians? We are also mostly ignorant about who practiced surgery, the legal context surrounding this practice, and its financial aspects. This article offers an analytical edition of two documents from the Syrian town Hamah dating from 1212/1798, which can help answer some of these questions. They concern a respected and learned physician who also personally performed the removal of bladder stones and was paid well for his services.

scholarly journals Particulate steroids in axial spinal blockade and the increasing role of patient consent: Les grains de sable dans l’engrenage

2020 ◽  
Vol 14 (2) ◽  
pp. 141-146
Author(s):  
Rajesh Munglani ◽  
Roger Knaggs ◽  
Giles Eyre
Keyword(s):  
Medical Practice ◽  
Single Issue ◽  
Definitive Answer ◽  
Patient Consent ◽  
The Law ◽  
Modern Medical Practice

The complexity of modern medical practice is such that it is very unlikely that on any single issue we can give a definitive answer in any circumstance, and in our view the medical debate as to the use of particulate corticosteroid medicines in axial spinal blockade is one such argument. The medical discussion of the use of particulate corticosteroids has to be set against the uncertain risk and benefits of axial spinal procedures in which the drugs are utilised, and in which the most likely catastrophic complication may occur with their use, and then, as the law now demands, involve the patient in the relevant consenting issues.

Natriuretic Peptides – Addressing the Dilemma of Heart Failure Management

2011 ◽  
Vol 7 (2) ◽  
pp. 104
Author(s):  
Kenneth McDonald ◽  
Ulf Dahlström ◽  
◽  
Keyword(s):  
Heart Failure ◽  
Physical Examination ◽  
Natriuretic Peptides ◽  
Normal Values ◽  
Outpatient Setting ◽  
Heart Failure Management ◽  
Effective Screening ◽  
Specific Symptoms ◽  
Objective Marker

Heart failure (HF) is characterised by non-specific symptoms and unremarkable physical examination; therefore, the need exists for an available objective marker of HF status. Natriuretic peptides (NPs) are a marker that can aid the dilemmas in present-day HF management. More effective screening for clinical deterioration would include changes in brain natriuretic peptide (BNP) levels. Normal values for BNP, <50–100 pg/ml, have excellent negative predictive value (NPV) in excluding HF as a diagnosis. BNP values that are significantly elevated, e.g. >500 pg/ml, make the diagnosis of HF more likely. There are now established and emerging uses for NPs in managing HF in the community. These include the role of NPs at the time of possible new presentation of HF, its role in prognostication and, finally, the increasing interest in using NPs to guide therapy in the outpatient setting.

Quality assurance and quality improvement in medical practice – Part 1. Definition and importance of quality in medical practice

2012 ◽  
Vol 153 (3) ◽  
pp. 83-92
Author(s):  
Sándor Gődény
Keyword(s):  
Quality Assurance ◽  
Health Status ◽  
Quality Management ◽  
Medical Practice ◽  
Quality Measurement ◽  
The European Union ◽  
Management Quality ◽  
Hungarian Population ◽  
Healthcare Finance

In Hungary healthcare finance has decreased in proportion with the GDP, while the health status of the population is still ranks among the worst in the European Union. Since healthcare finance is not expected to increase, the number of practicing doctors per capita is continuously decreasing. In the coming years it is an important question that in this situation what methods can be used to prevent further deterioration of the health status of the Hungarian population, and within this is the role of the quality approach, and different methods of quality management. In the present and the forthcoming two articles those standpoints will be summarized which support the need for the integration of quality assurance in the everyday medical practice. In the first part the importance of quality thinking, quality management, quality assurance, necessity of quality measurement and improvement, furthermore, advantages of the quality systems will be discussed. Orv. Hetil., 2012, 153, 83–92.

The essential role of nurses in supporting physical examination in telemedicine: Insights from an interaction analysis of postsurgical consultations in orthopedics

2021 ◽  
Author(s):  
Maria Cherba ◽  
Sylvie Grosjean ◽  
Luc Bonneville ◽  
Isaac Nahon‐Serfaty ◽  
Judith Boileau ◽  
...  
Keyword(s):  
Physical Examination ◽  
Essential Role ◽  
Interaction Analysis

Proof, Science, and the Practice of Medicine

PEDIATRICS ◽  
1980 ◽  
Vol 66 (5) ◽  
pp. 817-818
Author(s):  
Michael S. Kramer ◽  
I. B. Pless
Keyword(s):  
Medical Treatment ◽  
Medical Practice ◽  
Scientific Method ◽  
Practice Of Medicine ◽  
Hard Evidence ◽  
Informed Opinion ◽  
Principal Criterion

We read with surprise and considerable alarm Dr Crook's editorial concerning the role of scientific proof in medical practice. Unfortunately, he appears to confound the admittedly problematic philosophical construct of "proof" with the basic tenets of the scientific method. It is one thing to argue that scientific proof is difficult to define, but quite another to then conclude that opinion, even enlightened and informed opinion, is preferable to hard evidence as the principal criterion for assessing the efficacy of medical treatment.

INFORMED CONSENT

PEDIATRICS ◽  
1966 ◽  
Vol 38 (3) ◽  
pp. 373-374
Author(s):  
WILLIAM A. SILVERMAN
Keyword(s):  
Informed Consent ◽  
Young Children ◽  
Young Patient ◽  
Medical Practice ◽  
National Institutes Of Health ◽  
Special Position ◽  
Infants And Young Children

THE special position of infants and young children as subjects in therapeutic and non-therapeutic investigations is highlighted by recently renewed emphasis on the need to obtain formal consent, when (in the words of a National Institutes of Health memorandum) "procedures deviate from accepted medical practice." Who should act for the very young patient by giving consent based on informed understanding? Most codes for investigators specify that consent may be given only by parents or guardians. In these circumstances parents and guardians are forced into the role of arbiters required to make exceptionally difficult judgments in situations which increase in complexity each day that our knowledge increases.

On Being a Physician

2015 ◽  
Author(s):  
Elizabeth G Nabel
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Lifelong Learning ◽  
Communication Skills ◽  
Medical Practice ◽  
Medical Knowledge ◽  
Health Care Team ◽  
Medical Professionalism ◽  
Standards Of Accreditation

The role of a physician as healer has grown more complex, and emphasis will increasingly be on patient and family-centric care. Physicians must provide compassionate, appropriate, and effective patient care by demonstrating competence in the attributes that are essential to successful medical practice. Beyond simply gaining medical knowledge, modern physicians embrace lifelong learning and need effective interpersonal and communication skills. Medical professionalism encompasses multiple attributes, and physicians are increasingly becoming part of a larger health care team. To ensure that physicians are trained in an environment that fosters innovation and alleviates administrative burdens, the Accreditation Council for Graduate Medical Education has recently revamped the standards of accreditation for today’s more than 130 specialties and subspecialties. This chapter contains 6 references and 5 MCQs.

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