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Related Concerns (relate + concern)
Selected AbstractsMethadone Reincarnated: Novel Clinical Applications with Related ConcernsPAIN MEDICINE, Issue 4 2002Scott M. Fishman MD Methadone has numerous advantages as an analgesic, which have supported its recent increase in use. However, methadone also has a pharmacological profile as an opioid that differentiates it from other, better known or more widely used opioids. It also has unusual pharmacodynamics, pharmacokinetics, and metabolism that must be considered for safe use of methadone as an analgesic. This review looks at the history of methadone use as an analgesic and its properties that distinguish it as an unusual, and potentially, unstable opioid. [source] Advanced Opportunities for Student Education in Emergency MedicineACADEMIC EMERGENCY MEDICINE, Issue 10 2004Charissa B. Pacella MD Abstract Many medical students are excited about emergency medicine (EM) following a standard clerkship and seek out additional learning opportunities. An advanced EM elective may accomplish several educational goals, including development of clinical skills in evaluating the undifferentiated patient, broader exploration of the field of EM, and more focused study of one particular aspect of EM. Previously cited examples include pediatric EM, medical toxicology, occupational medicine, sports medicine, and EM research. Numerous other EM specialty courses for senior medical students are emerging, as reflected in the "Undergraduate Rotations" listings on the Society for Academic Emergency Medicine. A few examples drawn from the list include emergency ultrasound, international EM, wilderness medicine, disaster medicine, geriatric EM, and hyperbaric medicine. Educators aspiring to develop, or in the process of developing, an advanced EM elective may benefit from a brief overview of necessary course considerations, including didactic format, the clinical role of the medical student in the emergency department, and involvement with patient procedures. Suggestions are made regarding additional educational opportunities, including follow-up of patients seen in the emergency department and development of an emergency department radiology case file. This article also addresses several related concerns, including suggested prerequisites, administration and cost considerations, appropriate didactic topics, and methods for evaluating students. Several EM subspecialty areas, namely pediatric EM, medical toxicology, and out-of-hospital care, are specifically discussed. Formal advanced cardiac life support training is also often included in an advanced EM elective and is briefly discussed. The overall intent of this article is to provide medical student educators with resources and ideas to assist them in developing a unique advanced EM elective. [source] What determines the management of anxiety disorders and its improvement?JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 2 2008Mirrian Smolders MSc Introduction, Although anxiety disorders are highly prevalent, lack of correct diagnosis and related concerns about treatment are serious clinical problems. Several factors affect, positively or negatively, management of anxiety and its improvement. A literature review and thematic analysis was executed to obtain an overview of the types of determinants of anxiety care and its improvement. Methods, Literature was identified from electronic database searching (January 1995,March 2006), contact with authors of studies, and searching of websites of organizations concerned with mental health. By using a template analysis approach, a set of strong themes relating to determinants of anxiety care and its improvement was identified. Results, The 15 eligible studies identified 43 factors that impeded or facilitated optimal anxiety care and its improvement. Individual characteristics of both patients (n = 13) and professionals (n = 6) were most frequently reported as determinants of anxiety care and its improvement. A considerable number of factors were related to the organizational context (n = 12), such as practice type and location. Some factors related to the social context (n = 4), the economic context (n = 2), or to the innovation itself (n = 6) were identified. Conclusion, The findings show that there is a multitude of barriers and facilitators to optimal anxiety care and its improvement. Some determinants are modifiable, and thus responsive to interventions. Examples are collaboration within and between organizations, financial resources and assignment of both an opinion leader and responsible staff. The quality of anxiety care can be improved by systematically designing innovation strategies which are tailored to a selection of the determinants identified in this study. [source] The scope, motivation and dynamic of Guest EngineeringR & D MANAGEMENT, Issue 4 2001Michael Lewis The exchange of technical personnel between organizational actors in a supply network has become known as Guest Engineering (GE). Despite increasing popularity as an inter-organisational arrangement (especially in the automotive sector) it has generated relatively little academic research and therefore this paper seeks to extend our understanding of GE by exploring how its scope is determined, what motivates the participants and how the relationships evolve. The paper draws on extant GE, supply networks and Resource-Based View (RBV) literature to derive research propositions that are used to analyse empirical work carried out with four automotive suppliers and four automotive OEMs. A number of preliminary conclusions are drawn. At a micro-project level, the criticality of the individual ,playing the GE role' is highlighted, as are related concerns that collaborative team structures often fail to address broader social/cultural characteristics. At a macro-project level, the study argues that difficulties and mistrust will often characterise integrated and competitively successful GE relationships. Finally, at a strategic level, GE needs to be understood as a process of resource transfer and transformation, and therefore the management of interdependency and power asymmetry are core considerations in effective adoption. The paper concludes with recommendations for further critical and practical work. [source] The objects of evidenceTHE JOURNAL OF THE ROYAL ANTHROPOLOGICAL INSTITUTE, Issue 2008Matthew Engelke By and large, anthropology's reflections on the concept of evidence have been couched within other discussions , on truth, knowledge, and related concerns. This essay, which introduces the special issue, makes the case that evidence deserves more considered attention in its own right. Drawing on the small but growing body of literature in social and cultural anthropology that does address questions of evidence, I situate the articles here in relation to several anthropological conversations, suggesting in the process how an exploration of evidence can shed light on three key issues: anthropology's standards of judgement, the potentials within interdisciplinary collaboration, and the benefits of a public anthropology. Résumé De manière générale, les réflexions de l'anthropologie sur le concept de preuve ont été imbriquées dans d'autres discussions concernant la vérité, la connaissance et d'autres questions connexes. En ouverture de ce numéro spécial, le présent essai avance que la preuve mériterait une attention plus spécifique pour elle-même. À partir d'un corpus restreint mais grandissant d'études en anthropologie culturelle et sociale consacrées à la question de la preuve, l'auteur situe les articles réunis ici par rapport à plusieurs conversations anthropologiques, en suggérant comment une exploration de la preuve peut faire la lumière sur trois grandes questions : les critères de jugement de l'anthropologie, les possibilités offertes par une collaboration interdisciplinaire et les avantages d'une anthropologie publique. [source] | ||||||||||