At the examination of a patient, a doctor evaluates clinical picture of the disease that manifests itself by a great number of various general and local symptoms caused by an etiological factor and pathogenesis changes of the different organs and systems of the organism. A purpose of the surgical patient examination is making of early, correct and…

Moving knowledge into practice and the implementation of innovations in health care remain significant challenges. Few researchers adequately address the influence of organizations on the implementation of innovations in health care. The aims of this article are to (1) present 2 conceptual frameworks for understanding the organizational factors…

In the first installment of this series (Exceptional Parent Magazine, May 2010), the author discussed epilepsy surgery performed in persons whose areas of brain abnormality were initially deemed to be too extensive to safely perform a resection of the involved area. The process leading to surgical remediation for seizures is an involved one, but…

This article presents an annotated bibliography of 19 titles that focus on cancer and health-care reform. These include: (1) Anderson, John W. "Stand by Her: A Breast Cancer Guide for Men." AMACOM: American Management Assn.; (2) Carstensen, Laura L. "A Long Bright Future: An Action Plan for a Lifetime of Happiness, Health, and Financial Security."…

The presence of suppression (and multicollinearity) in multiple regression analysis complicates interpretation of predictor-criterion relationships. The mathematical conditions that produce suppression in regression analysis have received considerable attention in the methodological literature but until now nothing in the way of an analytic…

Humans and animals need healthy organs to live. Due to medical conditions and accidents, some organs fail to function properly. For these reasons, the medical community has experimented and can now perform successful organ transplants, allowing patients to continue to live their lives. Many countries have medical programs where individuals can…

This paper reflects on the challenges and benefits of multidimensional collaboration in an action research study to evaluate and improve preoperative education for patients awaiting colorectal surgery. Three cycles of planning, acting, observing and reflecting were designed to evaluate practice and implement change in this interactive setting,…

Deaf and mute patients may require minimal extra attention to establish trust and allay anxieties before minor medical maneuvers such as rectal examination. An "extreme" case is reported of the consequences from failure to accomplish this. A generally cooperative deaf and mute patient struggled and suffered a rectal tear and perforation during…

The author, as an otolaryngologist and the Director of Global ENT (Ear, Nose and Throat) Outreach, traveled to Ethiopia to help 11 children who could not breathe because of respiratory papillomas blocking their airways and who had been hospitalized for years. The disease, called juvenile respiratory papillomatosis, is what affected these 11…

Clozapine is licensed for the treatment of psychotic illnesses resistant to other antipsychotic medications. Velo-cardio-facial syndrome (VCFS) is associated with a vulnerability to psychotic illness that may be resistant to treatment with conventional typical and atypical antipsychotics. A 32-year-old man with intellectual disability (ID) and a…

Teaches nurses to name three characteristics of a normal stoma, describe treatment for three common stomal complications, describe treatment for two complications of peristomal skin, and identify at least two factors to consider before preparing an ostomy patient for a radiologic procedure. (CT)

Social work's potential role in preoperative evaluations was generally unheard of only 15 years ago, as it was considered the domain of direct health care professionals such as nurses and surgeons. Social workers have traditionally focused on the peri- and post transplant phases. However, clinical social workers are playing an increasingly vital…

With American children on course to grow into the most obese generation of adults in history, Sonia Caprio argues that it is critical to develop more effective strategies for preventing childhood obesity and treating serious obesity-related health complications. She notes that although pediatricians are concerned about the obesity problem, most…

Solutions to methodological problems in medical technologies research synthesis relating to temporal change, persons receiving treatment, research design, analytic procedures, and threats to validity are presented. These solutions should help with the planning and methodogy for research synthesis in other areas. (BS)

Work in progress is reported for a research project aiming to improve multiprofessional teamworking in operating theatres through iterative educational intervention. Experimental design is combined with collaborative inquiry. The hypothesis is: will planned, complex educational intervention focused upon improving communication in teamwork lead to…