November 2012
Real-world medical diagnosis: Intuitive process revisited (review)
One cannot overlook the fact that diagnostic errors which constitute the largest proportion of errors in medical care have a direct bearing on patient’s outcomes. Clinical reasoning ability is closely related to the avoidance of diagnostic errors and clinical reasoning during diagnosis has been explained by a “dual processes model” comprising two elements. The first is the intuitive process...
November 2012
Managing the Buruli ulcer morbidity in the Amansie West District of Ghana: Can indigenous knowledge succeed?
Buruli ulcer is a disease that eats through the skin, muscle and bone, leaving victims with disfiguring and debilitating craters. This study was conducted in the Amansie West District, which is the most endemic area in Ghana. The purposive sampling technique was used to select the study population. Data was collected using in-depth interviews with the help of questionnaires consisting of both closed and...
November 2012
The relationship between job characteristics of emergency medical technicians and scene time in traumatic injuries
Scene time (time at the scene) is one of the performance indices for pre-hospital emergency system, and is defined as the time interval in which an emergency technician reaches a scene, provide the emergency medical services, and leaves the scene. The present study was performed to examine the relationship between job characteristics of emergency medical technicians and scene time in traumatic...
November 2012
Clinical and electrophysiological correlation of patients with chronic renal failure: The contributions of quantitative neurological scores
Neuropathy is the most common neurological consequence of uremia and has the scarce symptoms and definition. Therefore the sensitivity/specificity of clinical scores the neuropathy symptom score (NSS) and the neuropathy disability score (NDS) were evaluated for uremic neuropathy in the present study. 38 hemodialysis patients (23 males, 15 females) and 15 age-sex matched healthy subjects were enrolled....
November 2012
Clinical status and pulmonary function in patients with long standing (more than 30 years) asthma
Asthma is the most common chronic lung disease. The fate of patients with long standing (LS) asthma is of interest. The large number of LS asthmatics at two inner-city hospitals was an impetus to this study, LS asthma: > 30 years. All patients were non-smokers or minimal smokers and had no other lung disease. Data obtained: gender, race, age, body mass index (BMI), forced expiratory volume in 1 second...
November 2012
Multidrug-resistant pathogens causing ventilator-associated pneumonia: Risk factors, empirical antimicrobial therapy and outcome of patients in an intensive care unit (ICU) of a Brazilian university hospital
Ventilator-associated pneumonia (VAP), multidrug-resistant (MDR) microorganisms and inappropriate empirical therapy poses a major therapeutic challenge in developing countries. The aim of this study was to investigate the risk factors of VAP due to MDR pathogens, to assess the rate of inappropriateness of empirical antimicrobial therapy and its subsequent impact on the outcome of VAPs. From May 2009 to...
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