clinical ethics in the practice of medicine
Tài liệu The Cinema in the Teaching of Medicine: Palliative Care and Bioethics pptx
Ngày tải lên :
19/02/2014, 10:20
... educating the population and they can serve immensely in vocational training with adequate methodology Thinking about history in the cinema is related to how we think in medicine: what the causes of ... Bauer, about the suicide of an Argentinean veteran in the Falklands war; Born on the Fourth of July (1989) by Oliver Stone, on the consequences of the Vietnam war Reviews of the suffering of veterans ... effect of advanced, chronic and progressive disease on the person suffering from it, informing of it and the reaction of those affected, those close to them and society in general, the phenomenon of...
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JOHN GREGORY AND THE INVENTION OF PROFESSIONAL MEDICAL ETHICS AND THE PROFESSION OF MEDICINE ppt
Ngày tải lên :
07/03/2014, 04:20
... The Duties and Offices of a Physician: Topics in Clinical Ethics E Philosophy of Medicine V GREGORY'S INVENTION OF PROFESSIONAL MEDICAL ETHICS AND THE PROFESSION OF MEDICINE IN ITS INTELLECTUAL ... about to create In short, the concept of the physician as a professional in the intellectual and moral senses of the term and therefore the concept of the profession of medicine in its intellectual ... History of Medicine, the University of Michigan, the University of Pittsburgh, the Cleveland Clinic, the New York Consortium for the History of Medicine at the New York Academy of Medicine, and the...
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Accuracy of Clinical Signs in the Diagnosis of Pulmonary Tuberculosis: Comparison of Three Reference Standards Using Data from a Tertiary Care Centre in Rwanda doc
Ngày tải lên :
22/03/2014, 18:20
... testing was part of routine examination For HIV testing, specific informed consent was asked and counseling offered Approval for this study was obtained from the relevant authorities of the Ministry ... in this study including clinical, bacteriological and Julie et al radiological findings not permit the measurement of disease status directly, because they are all (imperfect) indicators of the ... account the existing uncertainty surrounding the performance of the so-called reference standard Clinical decisions regarding TB status should be made taking into account the final post-test probability...
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Chapter 001. The Practice of Medicine (Part 1) ppt
Ngày tải lên :
06/07/2014, 08:20
... practice of medicine as is a sound scientific base Clinical Skills History-Taking The written history of an illness should include all the facts of medical significance in the life of the patient ... orderly listing of symptoms; by listening to patients and noting the way in which they describe their symptoms, physicians can gain valuable insight into the problem Inflections of voice, facial ... appreciation of the patient's perception of the illness, the patient's expectations of the physician and the health care system, and the financial and social implications of the illness to the patient...
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Chapter 001. The Practice of Medicine (Part 2) ppt
Ngày tải lên :
06/07/2014, 08:20
... precision, they often gain an aura of authority regardless of the fallibility of the tests themselves, the instruments used in the tests, and the individuals performing or interpreting them Physicians ... more sensitive fingers, but of a mind alert to these findings Because physical findings can change with time, the physical examination should be repeated as frequently as the clinical situation ... relieve the physician from the responsibility of carefully observing, examining, and studying the patient It is also essential to appreciate the limitations of diagnostic tests By virtue of their...
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Chapter 001. The Practice of Medicine (Part 3) ppt
Ngày tải lên :
06/07/2014, 08:20
... associated with the overuse of medical resources There are, however, caveats associated with clinical practice guidelines since they tend to oversimplify the complexities of medicine Furthermore, groups ... for the uniqueness of each individual and his or her illness The physician's challenge is to integrate into clinical practice the useful recommendations offered by experts without accepting them ... accepting them blindly or being inappropriately constrained by them Medical Decision-Making Medical decision-making is an important responsibility of the physician and occurs at each stage of the diagnostic...
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Chapter 001. The Practice of Medicine (Part 4) pot
Ngày tải lên :
06/07/2014, 08:20
... growing considerably over the past few decades and will continue to grow In this regard, the practice of medicine will continue to be greatly influenced by the health care needs of this growing ... represent the best approach to decision-making in the practice of medicine Evaluation of Outcomes Clinicians generally use objective and readily measurable parameters to judge the outcome of a therapeutic ... population The physician must understand and appreciate the decline in physiologic reserve associated with aging; the diminished responses of the elderly to vaccinations such as those against influenza;...
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Chapter 001. The Practice of Medicine (Part 7) docx
Ngày tải lên :
06/07/2014, 08:20
... any other factor influencing global aspects of medicine, the Internet has transformed the transfer of medical information throughout the world This change has been accompanied by the transfer of ... Despite these advances, we are still in the infancy of understanding and utilizing the complexities of genomics in the diagnosis, prevention, and treatment of disease Our task is complicated by the ... provide to the practice of medicine The rapidity of these advances may seem overwhelming to the practicing physician However, he or she has an important role to play in ensuring that these powerful...
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Chapter 001. The Practice of Medicine (Part 8) pps
Ngày tải lên :
06/07/2014, 08:20
... continued learning is an integral part of being a physician and must be given the highest priority Research, Teaching, and the Practice of Medicine The title doctor is derived from the Latin docere, ... share information and medical knowledge with colleagues, with students of medicine and related professions, and with their patients The practice of medicine is dependent on the sum total of medical ... knowledge, which in turn is based on an unending chain of scientific discovery, clinical observation, analysis, and interpretation Advances in medicine depend on the acquisition of new information...
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Chapter 001. The Practice of Medicine (Part 6) ppsx
Ngày tải lên :
06/07/2014, 08:20
... to maintain the humane aspects of medical care The American Board of Internal Medicine, working together with the American College of Physicians– American Society of Internal Medicine and the ... environment Clearly, one of the important challenges in internal medicine is to maintain continuity of care and information flow during these transitions, which threaten the traditional one-to-one ... to be involved in the care of most patients who are seriously ill; and (5) an increased number of malpractice suits, some of which are justifiable because of medical errors, but others of which...
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Báo cáo y học: "Effect of dsDNA binding to SmD-derived peptides on clinical accuracy in the diagnosis of systemic lupus erythematosus" potx
Ngày tải lên :
09/08/2014, 10:20
... in the detection of antidsDNA antibodies in the SmD peptide ELISA [32] In the present study we confirmed the dsDNA binding property of the SmD1 peptide This finding was further supported by the ... contain sDMA, and this constitutes a major autoepitope within the C-terminus of SmD1 and SmD3 [14,18,37] In one of these studies, a synthetic peptide of SmD1 (amino acids 95–119) containing sDMA ... specific, the clinician may arrive at a wrong decision about the diagnosis of the patient and commence inappropriate therapy In a second independent cohort of patients (panel III), the newly defined...
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Báo cáo y học: "Clinical significance in the number of involved lymph nodes in patients that underwent surgery for pathological stage III-N2 non-small cell lung cancer" pot
Ngày tải lên :
10/08/2014, 09:22
... subsets of stage III patients have been observed in a wide variety of clinical trials incorporating various combinations of chemotherapy, radiotherapy, and surgery The evidence of whether surgical ... endobronchial staging The patients’ records, including their clinical data, preoperative examination results, details of any surgeries, histopathological findings, and the TNM stages of all patients ... extent of lymph node metastases Intraoperative frozen sections were examined if invasion of the tumor was suspected at the surgical margins The histopathological findings were classified according...
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The case against perfection ethics in the age of genetic engineering
Ngày tải lên :
05/06/2016, 12:57
... reserved Printed in the United States of America Library of Congress Cataloging -in- Publication Data Sandel, Michael J The case against perfection : ethics in the age of genetic engineering / Michael ... with reengineering our nature Consider again the question of cloning The birth of Dolly the cloned sheep in 1997 brought a torrent of worry about the prospect of cloned human beings There are ... train low” theory of endurance training By sleeping at the altitude of the Himalayas, the runners boost their production of oxygen-carrying red blood cells, a key factor in endurance By working...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 1) pptx
Ngày tải lên :
07/07/2014, 01:20
... though they may be seeing other specialists The internist has an important role in educating patients about the indications, benefits, risks, and limitations of genetic testing in the management of ... also influence the severity of infirmity, effect of treatment, and progression of disease The primary care clinician is now faced with the role of recognizing and counseling patients ... in monozygotic twins ranges between 50 and 90% Diabetes or impaired glucose tolerance occurs in 40% of siblings and in 30% of the offspring of an affected individual Despite the fact that diabetes...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 2) pptx
Ngày tải lên :
07/07/2014, 01:20
... the relative risk ranges from two- to fivefold, underscoring the importance of family history for these prevalent disorders Pending further advances in genetic testing, the key to assessing the ... individual will vary depending on the size of the pedigree, the number of unaffected relatives, and the types of diagnoses, as well as the ages of disease onset within the family For example, a ... disease-causing mutations are more prevalent in certain ethnic groups For instance, >2% of the Ashkenazi population carry one of three specific mutations in the BRCA1 or BRCA2 genes The prevalence of the...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 3) potx
Ngày tải lên :
07/07/2014, 01:20
... cancer, representing another confounding variable in the pedigree analysis Some of the aforementioned features of the family history are illustrated in Fig 64-1 In this example, the proband, a ... whether based on family history, characteristic physical findings, or biochemical testing Careful clinical assessment can define the phenotype, thereby preventing unnecessary testing and directing ... found, then it is possible to test for this particular alteration in the proband and other family members, if they so desire In the example shown, if the proband's father has the BRCA1 mutation, there...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 4) potx
Ngày tải lên :
07/07/2014, 01:20
... established disease, genetic testing for susceptibility to chronic disease is being increasingly integrated into the practice of medicine In most cases, however, the discovery of disease-associated genes ... analysis of the gene of interest In addition, PCR enables genetic testing on minimal amounts of DNA extracted from a wide range of tissue sources including leukocytes, fibroblasts, epithelial cells in ... provided informed consent In the majority of cases, genetic testing should be offered only to individuals with a suggestive personal or family medical history or in the context of a clinical trial...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 5) pptx
Ngày tải lên :
07/07/2014, 01:20
... of their personal likelihood of disease in preparing pretest educational strategies Often, patients harbor unwarranted fear or denial of their likelihood of genetic risk Genetic testing has the ... concern that testing during childhood violates a child's right to make an informed decision regarding testing upon reaching adulthood On the other hand, testing should be offered in childhood for disorders ... mechanics of testing Most molecular testing for hereditary disease involves DNA-based analysis of peripheral blood In the majority of circumstances, test results should be given only to the individual,...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 6) pot
Ngày tải lên :
07/07/2014, 01:20
... issues; Assist in determining the role of genetic testing for the individual and family; Ensure that the patient is aware of the indications, process, risks, benefits, and limitations of the various ... prevention Finally, patients should understand the natural history of the disease as well as the potential options for intervention, including screening, prevention, and in certain circumstances— ... understanding of these genetic diseases and as more is learned about the functions of the gene products involved Individuals who test negative for a mutation in a disease-associated gene identified in...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 7) pdf
Ngày tải lên :
07/07/2014, 01:20
... based testing for presymptomatic diagnosis of the disorder However, up to onethird of individuals who are homozygous for the HFE mutation not have evidence of iron overload Consequently, in the absence ... assessment of phenotypic expression awaits further studies In contrast to the issue of population screening, it is important to test and counsel other family members when the diagnosis of hemochromatosis ... in the absence of a positive family history, current recommendations include phenotypic screening for evidence of iron overload followed by genetic testing Whether genetic screening for hemochromatosis...
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