Relevant bibliographies by topics / Respiratory physicians

Academic literature on the topic 'Respiratory physicians'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Respiratory physicians"

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Ahmed, Mohammed, Cyrus Daneshvar, and David Breen. "Ultrasound-Guided Cervical Lymph Node Sampling Performed by Respiratory Physicians." Biomedicine Hub 4, no. 2 (July 26, 2019): 1–6. http://dx.doi.org/10.1159/000501119.

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Background: A variety of disease processes investigated by respiratory physicians can lead to cervical lymphadenopathy. Ultrasound (US) has revolutionised respiratory investigations, and neck ultrasound (NUS) is increasingly recognised as an additional important skill for respiratory physicians. Objectives: We aimed to assess the feasibility of NUS performed by respiratory physicians in the workup of patients with mediastinal lymphadenopathy. Methods: This is a single-centre retrospective cohort study. All patients that underwent US-guided cervical lymph node sampling were included. The diagnostic yield is reported, and specimen adequacy is compared for respiratory physicians and radiologists. Results: Over 5 years, 106 patients underwent NUS-guided lymph node sampling by respiratory physicians compared to 35 cases performed by radiologists. There was no significant difference in the adequacy of sampling between the two groups (respiratory physicians 91.5% [95% CI 84.5–96%] compared to 82.9% [95% CI 66.4–93.4%] for radiologists [p = 0.2]). In the respiratory physician group, a diagnosis was achieved based on lymph node sampling in 89 cases (84%). Neck lymph node sampling was the only procedure performed to obtain tissue in 48 cases (45.3%). Conclusion: NUS and sampling performed by respiratory physicians are feasible and associated with an adequacy rate comparable to that of radiologists. It can reduce the number of invasive procedures performed in a selected group of patients. Guidelines for training and competency assessment are required.
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Collins, Felicity A. "Genetics terminology for respiratory physicians." Paediatric Respiratory Reviews 10, no. 3 (September 2009): 124–33. http://dx.doi.org/10.1016/j.prrv.2009.04.003.

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Hernandez, Paul, Meyer S. Balter, Jean Bourbeau, Charles K. Chan, Darcy D. Marciniuk, and Shannon L. Walker. "Canadian Practice Assessment in Chronic Obstructive Pulmonary Disease: Respiratory Specialist Physician Perception Versus Patient Reality." Canadian Respiratory Journal 20, no. 2 (2013): 97–105. http://dx.doi.org/10.1155/2013/369019.

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INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a common respiratory condition and the fourth leading cause of death in Canada. Optimal COPD management requires patients to participate in their care and physician knowledge of patients’ perceptions of their disease.METHODS: A prospective study in which respiratory specialist physicians completed a practice assessment questionnaire and patient assessments for 15 to 20 consecutive patients with COPD. Patients also completed a questionnaire regarding their perceptions of COPD and its management.RESULTS: A total of 58 respiratory specialist physicians from across Canada completed practice assessments and 931 patient assessments. A total of 640 patients with COPD (96% with moderate, severe or very severe disease) completed questionnaires. Symptom burden was high and most patients had experienced a recent exacerbation. Potential COPD care gaps were identified with respect to appropriate medication prescription, lack of an action plan, and access to COPD educators and pulmonary rehabilitation. Perceived knowledge needs and gaps differed between physicians and patients.CONCLUSIONS: Despite the dissemination of Canadian and international COPD clinical practice guidelines for more than a decade, potential care gaps remain among patients seen by respiratory specialist physicians. Differing perceptions regarding many aspects of COPD among physicians and patients may contribute to these care gaps.
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Chuchalin, A. G. "An educational model of respiratory physicians." PULMONOLOGIYA, no. 3 (June 28, 2008): 110–25. http://dx.doi.org/10.18093/0869-0189-2008-0-3-110-125.

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Parpa, Efi, Kyriaki Mystakidou, Eleni Tsilika, Pavlos Sakkas, Elisabeth Patiraki, Kyriaki Pistevou-Gombaki, Ourania Govina, and Lambros Vlahos. "Euthanasia and physician-assisted suicide in cases of terminal cancer: the opinions of physicians and nurses in Greece." Medicine, Science and the Law 48, no. 4 (October 2008): 333–41. http://dx.doi.org/10.1258/rsmmsl.48.4.333.

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The aim of this study was to investigate the opinions of physicians and nurses on euthanasia and physician-assisted suicide in advanced cancer patients in Greece. Two hundred and fifteen physicians and 250 nurses from various hospitals in Greece completed a questionnaire concerning issues on euthanasia and physician-assisted suicide. More physicians (43.3%) than nurses (3.2%, p<0.0005) reported that in the case of a cardiac or respiratory arrest, they would not attempt to revive a terminally ill cancer patient. Only 1.9% of physicians and 3.6% of nurses agreed on physician-assisted suicide. Forty-seven per cent of physicians and 45.2% of nurses would prefer the legalization of a terminally ill patient's hastened death; in the case of such a request, 64.2% of physicians and 55.2% of nurses (p=0.06) would consider it if it was legal. The majority of the participants tended to disagree with euthanasia or physician-assisted suicide in terminally ill cancer patients, probably due to the fact that these acts in Greece are illegal.
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Eremenko, A. A., and R. D. Komnov. "Smart Mode of Mechanical Lung Ventilation During Early Activation of Cardiosurgical Patients." General Reanimatology 16, no. 1 (March 2, 2020): 4–15. http://dx.doi.org/10.15360/1813-9779-2020-1-4-15.

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Purpose of the study: a comparative assessment of safety and quality of respiratory support carried out using the ASV mode vs. conventional protocol, in which ventilation parameters are set by an ICU physician during early postoperative period in cardiosurgical patients.Materials and methods. The modes of a respiratory support included automated ASV ventilation (40 patients) versus conventional ventilation (38 patients) managed by 8 ICU physicians were compared in a cohort of cardiosurgical patients in a randomized controlled study.The comparison included ventilation parameters, all efforts of physicians to adjust ventilator settings and time it took, duration of respiratory support in ICU, incidence of adverse events in the course of weaning, total time in ICU and hospital, postoperative complications and mortality.Results. There was no reliable difference in the duration of postoperative trachea intubation, which was equal to 267±76 minutes (the ASV group) and 271±80 minutes (the control group).The number of manual adjustments, which was 2 vs. 4 (P<0.00001), and the time spent by a clinical physician near a ventilator, which was 99±35 seconds vs. 166±70 seconds, were reliably lower in the ASV group (P=0.00001).The time between restoration of patient’s own respiratory activity and transfer to the assisted breathing mode was longer in the control group and amounted to 30 (0–90) min. while in the smart mode, the transfer took place immediately after restoration (P=0.004969).When ASV was used, the driving pressure was reliably lower during all phases of respiratory support: ΔP 7.2±1.6 vs. 9.3±2.1 cm H2O, (P=0.000001); there was no reliable difference in the tidal volume: 7.0 (6–8.5) (ASV) vs. 7 (6–10) ml/kg/ideal body mass (the control group).Conclusion. ASV represents a lung-protective ventilation that reduces physician’s time cost and medical staff efforts in ALV management without compromising patient’s safety and respiratory support quality.
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Robinson, Christopher, Suzanne Hunt, Gary Gronseth, Sara Hocker, Eelco Wijdicks, Alejandro Rabinstein, and Sherri Braksick. "A Disclosure About Death Disclosure: Variability in Circulatory Death Determination." Kansas Journal of Medicine 14 (November 5, 2021): 277–81. http://dx.doi.org/10.17161/kjm.vol14.15512.

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Introduction. Circulatory-respiratory death declaration is a common duty of physicians, but little is known about the amount of education and physician practice patterns in completing this examination. Methods. We conducted an online survey of physicians evaluating the rate of formal training and specific examination techniques used in the pronouncement of circulatory-respiratory death. Data, including level of practice, training received in formal death declaration, and examination components were collected. Results. Respondents were attending physicians (52.4%), residents (30.2%), fellows (10.7%), and interns (6.7%). The majority of respondents indicated they had received no formal training in death pronouncement, however, most reported self-perceived competence. When comparing examination components used by our cohort, 95 different examination combinations were used for death pronouncement. Conclusions. Formal training in death pronouncement is uncommon and clinical practice varies. Implementation of formal training and standardization of the examination are necessary to improve physician competence and reliability in death declarations.
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Chia, Karen S. W., Peter K. K. Wong, Senen Gonzalez, Eugene Kotlyar, Steven G. Faux, and Christine T. Shiner. "Attitudes towards exercise among medical specialists who manage patients with pulmonary hypertension." Pulmonary Circulation 10, no. 2 (April 2020): 204589402092280. http://dx.doi.org/10.1177/2045894020922806.

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Exercise training was not traditionally recommended for patients with pulmonary hypertension. However, recent work has demonstrated that exercise improves endurance and quality-of-life in patients with pulmonary hypertension. Unfortunately, patients with pulmonary hypertension are often sedentary. While some studies have examined patient attitudes to exercise, none have investigated physician perspectives on exercise in patients with pulmonary hypertension. This multinational survey of physicians involved in treating patients with pulmonary hypertension sought to ascertain physician attitudes to exercise and physician-identified barriers and enablers of exercise in this patient population. We collected cross-sectional survey data from a cohort of 280 physicians, including rehabilitation physicians, cardiologists, respiratory physicians and rheumatologists. We found that overall, 86% physicians recommended exercise, in line with current guidelines, although there were differences in the rationale for prescribing exercise and in the type of exercise prescription. Barriers to exercise included patient-related factors, such as patient ill health preventing exercise; poor patient motivation and lack of understanding regarding the benefits of exercise. Systemic barriers included cost/funding issues and limited availability of appropriate services. Perceived enablers of exercise included access to appropriate programmes, provision of education and supportive treating clinicians. Further research is required to identify and implement interventions to promote physical activity in patients with pulmonary hypertension.
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Barlam, Tamar F., Jake R. Morgan, Lee M. Wetzler, Cindy L. Christiansen, and Mari-Lynn Drainoni. "Antibiotics for Respiratory Tract Infections: A Comparison of Prescribing in an Outpatient Setting." Infection Control & Hospital Epidemiology 36, no. 2 (December 29, 2014): 153–59. http://dx.doi.org/10.1017/ice.2014.21.

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ObjectiveTo examine inappropriate antibiotic prescribing for acute respiratory tract infections (RTIs) in ambulatory care to help target antimicrobial stewardship interventions.Design and SettingRetrospective analysis of RTI visits within general internal medicine (GIM) and family medicine (FM) ambulatory practices at an inner-city academic medical center from 2008 to 2010.MethodsPatient, physician, and practice characteristics were analyzed using multivariable logistic regression to determine factors predictive of inappropriate prescribing; physicians in the highest and lowest antibiotic-prescribing quartiles were compared using χ2 analysis.ResultsVisits with FM providers, female gender, and self-reported race/ethnicity as white or Hispanic were significantly associated with inappropriate antibiotic prescribing. Physicians in the lowest quartile prescribed antibiotics for 5%–28% (mean, 21%) of RTI visits; physicians in the highest quartile prescribed antibiotics for 54%–85% (mean, 65%) of RTI visits. High prescribers had fewer African-American patients and more patients who were younger and privately insured. High prescribers had more patients with chronic lung disease. A GIM practice pod with a low prescriber was 3.0 times more likely to have a second low prescriber than other practice pods, whereas pods with a high prescriber were 1.3 times more likely to have a second high prescriber.ConclusionsMedical specialty was the only physician factor predictive of inappropriate prescribing when patient gender, race, and comorbidities were taken into account. Possible disparities in care need further study. Stewardship education in medical school, enlisting low prescribers as physician leaders, and targeting interventions to the highest prescribers might be more effective approaches to antimicrobial stewardship.Infect Control Hosp Epidemiol 2014;00(0): 1–7
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Alsubaie, Sarah, Mohamad Hani Temsah, Ayman A. Al-Eyadhy, Ibrahim Gossady, Gamal M. Hasan, Abdulkarim Al-rabiaah, Amr A. Jamal, Ali AN Alhaboob, Fahad Alsohime, and Ali M. Somily. "Middle East Respiratory Syndrome Coronavirus epidemic impact on healthcare workers’ risk perceptions, work and personal lives." Journal of Infection in Developing Countries 13, no. 10 (October 31, 2019): 920–26. http://dx.doi.org/10.3855/jidc.11753.

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Introduction: Middle East respiratory syndrome coronavirus (MERS-CoV) continues to cause frequent outbreaks in hospitals in Saudi Arabia. Since healthcare workers (HCWs) have a higher risk of acquiring and spreading MERS-CoV, we aimed to evaluate the perceived risk and anxiety level of HCWs in Saudi Arabia regarding MERS. Methodology: An anonymous, self-administered questionnaire was sent online to HCWs at King Khalid University Hospital in Saudi Arabia. The total knowledge and anxiety scores were calculated. Logistic regression analyses were used to identify predictors of high anxiety scores. Results: Of 591 (70%) HCWs that responded, 284 (55%), 164 (32%), and 68 (13.2%) were physicians, nurses, and technicians, respectively. Physicians obtained a lower median knowledge score (6/9) compared to other professions (7/9). The mean anxiety score was similar for physicians and other HCWs (3/5); however, non-physicians expressed higher levels of anxiety toward the risk of transmitting MERS-CoV to their families, with an anxiety score of 4/5. The ability of the virus to cause severe disease or death was the most frequently reported reason for worry by physicians (89.7%) and non-physicians (87.2%). Overall, 80% of physicians and 90% of non-physicians reported improvement in adherence to hand hygiene and standard precautions while in hospital (p = 0.002). Concern over transmitting MERS-CoV to family members was the most predictive factor for anxiety among non-physician HCWs. Conclusion: A significant proportion of HCWs expressed anxiety about the risk of acquiring MERS-CoV infection. Healthcare institutions need to develop an integrated psychological response for HCWs to the occupational and psychological challenge of MERS-CoV outbreaks.
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Dissertations / Theses on the topic "Respiratory physicians"

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Chaturvedi, Rakesh K. "Reasoning about therapeutic and patient management plans in respiratory medicine by physicians & medical students." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=41562.

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Recently, there has been extensive research in the area of diagnostic expertise. The model of diagnostic reasoning and clinical expertise has been well documented (Patel et al., in press). This study attempts to extend this research in order to include therapeutic reasoning. Using the expert-novice paradigm, this study attempts to investigate the use of knowledge, specifically, both biomedical and clinical sciences, and the directionality of reasoning during decision making about patient management and therapeutic planning in respiratory medicine.
Subjects at four levels of expertise were given two clinical problems with the diagnosis and asked (a) to provide therapeutic plans, and (b) describe the underlying pathophysiological explanations of the diseases. Think-aloud protocols were audio-taped and analyzed using methods of protocol analysis. The results showed that the use of basic medical sciences increased as a function of expertise in the procedure-oriented decision-making tasks. The novices generated rule-based prototypical textbook descriptions based on the clinical information, and the diagnosis given in the task. In contrast, the experts' therapeutic responses showed a predominance of causal-level inferences, reflecting more backward-directed inferences than novices. Although both the novices and experts generated forward-directed inferences, the novices were unable to provide accurate and adequate explanations for their decisions. Finally, the pathophysiological explanations of the disease were generated from a different knowledge source than that used to develop therapeutic decisions.
The implications of these findings for development of theory of expertise and for education in the medical domain are discussed.
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André, Malin. "Rules of thumb and management of common infections in general practice /." Linköping : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5183.

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Mallol, Javier, Luis García-Marcos, Viviana Aguirre, Antonela Martinez-Torres, Virginia Perez-Fernández, Alejandro Gallardo, Mario Calvo, et al. "The International Study of Wheezing in Infants: questionnaire validation." Karger AG, Basel, 2007. http://hdl.handle.net/10757/625752.

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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado
Background: There are no internationally validated questionnaires to investigate the prevalence of infant wheezing. This study was undertaken to validate a questionnaire for the International Study on the Prevalence of Wheezing in Infants (Estudio Internacional de Sibilancias en Lactantes, EISL). Material and Methods: Construct and criterion validity were tested for the question 'Has your baby had wheezing or whistling in the chest during his/her first 12 months of life?'. Construct validity (i.e. the ability of parents and doctors to refer to the same symptoms with the same words) was tested in a sample of 50 wheezing and 50 non-wheezy infants 12-15 months of age in each of 10 centres from 6 different Spanish- or Portuguese-speaking countries. Criterion validity (i.e. the ability of parents to correctly detect the symptom in the general population) was evaluated in 2 samples (Santiago, Chile and Cartagena, Spain) of 50 wheezing and 50 non-wheezing infants (according to parents) of the same age, randomly selected from the general population, who were later blindly diagnosed by a paediatric pulmonologist. Results: Construct validity was very high (κ test: 0.98-1) in all centres. According to Youden's index, criterion validity was good both in Cartagena (75.5%) and in Santiago (67.0%). Adding questions about asthma medication did not improve diagnosis accuracy. Conclusions: The EISL questionnaire significantly distinguished wheezy infants from healthy ones. This questionnaire has a strong validity and can be employed in large international multicentre studies on wheezing during infancy.
Revisión por pares
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McHenry, Kristen L. "Respiratory Therapists as Physician Extenders: Perceptions of Practitioners and Educators." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/2542.

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Keene, Shane, Kristen L. McHenry, Randy L. Byington, and Mark Washam. "Respiratory Therapists as Physician Extenders: Perceptions of Practitioners and Educators." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/2548.

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Introduction: The purpose of this study was to determine the perceptions of practicing respiratory therapists (RT) and respiratory care educators regarding the role of RTs serving as physician extenders. Methods: The survey instrument was an electronic questionnaire that consisted of 17 questions. Participation was voluntary and participants were selected through random and convenience sampling techniques. Results: Of 506 respondents, 234 were respiratory care educators. Overwhelmingly, the respondents held the Registered Respiratory Therapist credential (92.7%). Respondents were about equally split among three education levels: 31.7% associate degree, 31.7% bachelor’s degree, and 27.3% master’s degree. Of the respondents 62.45% had considered pursing a degree in physician assistant (PA). Respondents expressed a preference for an Advanced Practice Respiratory Therapy (APRT) program (77.9%) rather than a PA program. Nearly two-thirds of the respondents reported they felt that a master’s degree should be the minimum level of education for an APRT. Conclusions: This study suggests that practitioners and educators alike are strongly supportive of advanced practice in the profession of respiratory therapy.
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Peters, Cheryl Elizabeth. "Early changes in respiratory health in young apprentices and physician utilization for asthma and bronchitis later in life." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/32226.

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Introduction: The main risk factors for the development of respiratory disease have been largely established, however we still cannot predict which individuals will develop respiratory morbidity later in life. This study had two main goals: 1) to examine early working-life changes in respiratory health as risk factors for the development of asthma and bronchitis, and 2) to assess the utility of healthcare utilization data for longitudinal studies in respiratory epidemiology. Methods: A cohort of young apprentices at entry to their trade (machining, construction painting, insulating, and electrician) was enumerated in 1988 to study prospectively the natural history of respiratory morbidity. This group (n=356) was followed-up again two years later. Subjects were linked to a provincial database of all healthcare encounters from 1991 to 2004 (linkage rate 98%). Two health outcomes were studied using physician diagnosis codes: asthma and "bronchitis". Demographics, smoking, spirometric variables, and respiratory symptoms were assessed as predictors of both becoming a respiratory case (logistic regression), and of physician visit rate (negative binomial regression) during the administrative follow-up. Results: There were 281 subjects available for analysis (complete data from baseline, first follow-up, administrative data). Sixteen met the case definition for asthma (2 physician visits in 1 year), and 20 met the case definition for "bronchitis" (3 visits in 1 year). Baseline bronchial responsiveness (BR), and especially a rapid increase in BR over the first 2 years was a strong risk factor for both asthma and "bronchitis". Baseline symptoms of chronic cough or phlegm were predictive of subsequent "bronchitis" visits, and incident asthma-like symptoms were strongly related to subsequent asthma visits. Lung function variables were not important in any models. Relationships were also detected between type of physician, age, sex, job title, size of town, smoking status and the type of respiratory diagnostic code assigned at each physician visit. Conclusions: Early changes in respiratory health may be useful markers in a surveillance program of workers who are susceptible to subsequent obstructive lung disease. Health care utilization data is a unique and promising tool in respiratory epidemiology.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Neumark, Thomas. "Treatment of Respiratory Tract Infections in Primary Care with special emphasis on Acute Otitis Media." Doctoral thesis, Linköpings universitet, Allmänmedicin, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-54832.

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Background and aims: Most respiratory tract infections (RTI) are self-limiting. Despite this, they are associated with high antibiotic prescription rates in general practice in Sweden. The aim of this thesis was to evaluate the management of respiratory tract infections (RTIs) with particular emphasis on acute otitis media (AOM). Methods: Paper I: A prospective, open, randomized study of 179 children presenting with AOM and performed in primary care. Paper II & III: Study of 6 years data from primary care in Kalmar County on visits for RTI, retrieved from electronic patient records. Paper IV: Observational, clinical study of 71 children presenting with AOM complicated by perforation, without initial use of antibiotics. Results: Children with AOM who received PcV had some less pain, used fewer analgesics and consulted less, but the PcV treatment did not affect the recovery time or complication rate (I). Between 1999 and 2005, 240 445 visits for RTI were analyzed (II & III). Antibiotics were prescribed in 45% of visits, mostly PcV (60%) and doxycycline (18%). Visiting rates for AOM and tonsillitis declined by >10%/year, but prescription rates of antibiotics remained unchanged. For sore throat, 65% received antibiotics. Patients tested but without presence of S.pyogenes received antibiotics in 40% of cases. CRP was analyzed in 36% of consultations for RTI. At CRP<50mg/l antibiotics, mostly doxycycline, were prescribed in 54% of visits for bronchitis. Roughly 50% of patients not tested received antibiotics over the years.Twelve of 71 children with AOM and spontaneous perforation completing the trial received antibiotics during the first nine days due to lack of improvement, one child after 16 days due to recurrent AOM and six had new incidents of AOM after 30 days (IV). Antibiotics were used more frequently when the eardrum appeared pulsating and secretion was purulent and abundant. All patients with presence of S.pyogenes received antibiotics. Results: Children with AOM who received PcV had some less pain, used fewer analgesics and consulted less, but the PcV treatment did not affect the recovery time or complication rate (I). Between 1999 and 2005, 240 445 visits for RTI were analyzed (II & III). Antibiotics were prescribed in 45% of visits, mostly PcV (60%) and doxycycline (18%). Visiting rates for AOM and tonsillitis declined by >10%/year, but prescription rates of antibiotics remained unchanged. For sore throat, 65% received antibiotics. Patients tested but without presence of S.pyogenes received antibiotics in 40% of cases. CRP was analyzed in 36% of consultations for RTI. At CRP<50mg/l antibiotics, mostly doxycycline, were prescribed in 54% of visits for bronchitis. Roughly 50% of patients not tested received antibiotics over the years.Twelve of 71 children with AOM and spontaneous perforation completing the trial received antibiotics during the first nine days due to lack of improvement, one child after 16 days due to recurrent AOM and six had new incidents of AOM after 30 days (IV). Antibiotics were used more frequently when the eardrum appeared pulsating and secretion was purulent and abundant. All patients with presence of S.pyogenes received antibiotics.
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Chen, Chia-Yu, and 陳家榆. "Exploring the Attitudes of Primary Physicians toward the Implementation of Tables of Diagnosis &Treatment of Respiratory Tract and Its Impact on Behaviors of Primary Physicians." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/53837399668934034274.

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碩士
臺北醫學大學
醫務管理學系
93
This study aims to explore the attitudes of primary physicians toward the implementation of tables of diagnosis & treatment of respiratory tract and its impact on physician behaviors. This study used a structured self-administered survey to collect data. The study subjects were 2040 primary physicians registered at the Bureau of Affairs, Department of Health as the general practitioners, ENT, pediatricians, internal medicine, and family practitioners under the Taipei Branch of the Bureau of the National Health Insurance (BNHI). A total of 496 questionnaires were returned, yielding a response rate of 24.8%. The goodness-of-fitness tests found that there were significant differences between population physicians and the respondents in terms of age (p=0.109) and gender (p=0.233). A logistic regression analysis was performed to examine the impact of the implementation of tables of diagnosis & treatment of respiratory tract on physician behaviors. The results of the survey are as follows: 1. The results found that 42.8% of respondents showed the negative attitudes toward the implementation of tables of diagnosis & treatment of disease in OPD. 2. The phenomenon primary physicians found in the use of tables of diagnosis & treatment of disease in OPD were: (1) the effect of judgement & authority of the physicians; (2) the use of “tables of diagnosis & treatment of respiratory tract” as a basis for the analysis of resource utilization by the BNHI; (3) the understanding to physicians of the practice patterns of patient care. 3. After physicians see the “tables of diagnosis & treatment of respiratory tract” that BNHI sends, they will change the three medical attitudes follwing in orders: the use of antibiotics, numbers of medicine in every OPD, and spread of self-expense medicine. Overall, over half of physicians will still not change their medical behavior. 4. “Characteristics of physicians,” “condition of occupation,” and opinions of “tables of diagnosis & treatment of disease in OPD” from physicians will influence medical attitudes of physicians. Based on this study results, some suggestions are concluded as follows: 1. we suggested that the health authority (1) use the tables of diagnosis & treatment of respiratory tract as a education tool instead of a punishment mechanism; (2) select the appropriate indicators and ICD codes; and (3) provide timely feedback. 2. The primary physicians can directly apply physician files and analyze patterns and results of how they treat patients in order to promote quality of medical treatment. 3. It is suggested the further researches can investigate by using BNHI database to see if the attitudes of physicians have changed. Also, they can find physicians in hospitals to become reserching targets and compare different opinions of physicians in hospitals and primary physicians. This comparison will assist the use of physician files to achieve perfect research in the future.
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Liu, Chia-Nian, and 劉嘉年. "A Multilevel Model Analysis of Antibiotic Prescribing Behavior in Unspecific Upper Respiratory Infections and Acute Bronchitis among Ambulatory Care Physicians." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/82262156545254811576.

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博士
國立臺灣大學
衛生政策與管理研究所
91
Inappropriate antibiotic prescribing behavior of Ambulatory care physicians to treat uncomplicated upper respiratory tract infections is one of the major causes of microbial drug resistance in Taiwan. Thus it is worthwhile to explore the influential factors of different nested levels (the levels of patients, physicians, hospital organizations, and areas of practitioners) associated with prescribing behaviors. This study used a multilevel model to analyze the physicians’ antibiotic prescribing behavior in treating unspecific upper respiratory tract infections and acute bronchitis and showed the variances and important individual and contextual factors of the levels. This study selected the outpatient care visits receiving treatments in September of 2000 diagnosed with either unspecific URI and acute bronchitis from the database of “ambulatory care expenditures by visits” provided by the Bureau of National Health Insurance. After deleting ambulatory care visits that might require antibiotics, we linked the outpatient care visiting records with corresponding database of “details of ambulatory care orders”, obtained the prescription information, and used Anatomical Therapeutic Chemical (ATC) to classify antibiotics and respiratory drugs. To obtain other variables information, we also linked the outpatient care visiting records with the databases of “registry for medical personnel”, “registry for board-certified specialists”, “registry for contracted medical institutions”, and “registry of insurers”. Then we separate these outpatient care visiting records into three subtopics: subtopic No.1 containing all the antibiotic prescribing behaviors of all physicians included 186,068 visiting records (was 95.3%of total records); subtopic No.2 containing all the antibiotic prescribing behaviors of hospital physicians included 127.383 visiting records (was 88.4% of total records); subtopic No.3 containing the antibiotic prescribing behaviors of general practitioners included 161,016 visiting records (was 98.0% of total records). The study found the variances of physicians level could explain 18.7-38.4% of total variances of antibiotic prescribing behaviors; the variances of hospital organizations level could explain 13.9% of total variances of antibiotic prescribing patterns for hospital physicians; the variances of areas of practitioners level could only explain 1.6% of total variances for clinic practitioners. Among the individual factors of patients and physicians levels, the age and diagnosis of patient, age and specialty of physicians, ratio of URI visits in daily ambulatory care, and the number of items of respiratory drugs, had influence on the antibiotic prescribing behaviors of physicians. In general, the younger patients had higher probability of receiving antibiotics, Notably, the probability of receiving antibiotics for children aged 0-12 was 11.4-15.8% more than the probability for elderly aged 60 and over. In addition, physicians tended to use antibiotics when the diagnosis was acute bronchitis. As for the age of physicians, the probability of using antibiotics was lowest among younger physicians at the age of 25-44 at either hospitals or clinics. The cohort difference was more significant in hospital then clinics. As for the specialty of physicians, ear, nose and throat specialist (ENT) had highest probability of prescribing antibiotics, while internist, family medicine specialists, and pediatricians had lower probabilities of prescribing antibiotics than physicians without specialty certification. Moreover, the higher ratio of URI visits in daily ambulatory care, the higher probability of prescribing antibiotics would be for clinic practitioners. However, prescribing behaviors of hospital physicians was not influenced by the ratio of URI visits in daily ambulatory care. As for the number of items of respiratory drugs, physicians used more items to treat URI on average tended to have a higher rate of prescribing antibiotics at either hospitals or clinics. At the level of hospital organizations, the ownership of hospitals was an important factor. The probability of prescribing antibiotics for physicians at private hospitals was 6.8% more than the probability for physicians at public hospitals. The probability of prescribing antibiotics for physicians at private clinics was 13.3% more than the probability for physicians at public clinics. For physicians working at the religious and non-profit hospitals, their prescribing behaviors were similar to those physicians at public hospitals. At the level of areas of practitioners, 17 medical areas differed in the rate of antibiotic prescription. After adjusting factors of patients and physicians levels, the antibiotic prescribing performances in Kaohsiung, Keelung, Pintung, and Taipei medical areas were poor than the average. The important contextual factor was the number of physicians in 10,000 residents. The study found that 1 unit of increment of physicians in 10,000 residents could increase 0.9% of the probability of antibiotic prescription. Our study hence proposes some policy implications, including establishing our own practice guideline of treating URI and acute bronchitis for physicians references, enhancing public and patients’ education to increase people’s health literacy of URI, carrying out the project of improving prescribing behaviors for physicians who were antibiotic heavy users, and encouraging the private hospitals to implement antibiotic control policy. We also suggest that future studies should include exploring the mechanism between specialists and antibiotic prescribing behaviors, and evaluating the effects of payment restriction policy by the Bureau of National Health Insurance for controlling antibiotic prescriptions..
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Chang, Chun Chu, and 張鈞竹. "The effectiveness of physician intervention program on long-term mechanical ventilators of respiratory care unit." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/57938105782448455880.

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碩士
長庚大學
醫務管理學系
98
Prolonged mechanical ventilators have consumed remarkable amount of critical care resources. In addition to cost containments and management of scarce health care resources, medical quality improvements and promoting treatment efficiency were the primary goal of current health care system under global budget. Previous literaturees have demonstrated that intervention pattern by physicians played an important role in patietn’s prognosis. Therefore, the study of association between patterns of physician intervention and patietn’s medical quality while investigating factors influencing the relationship is set as the primary aim of this study. This study has collected data from a respiratory care unit in a medical center of northern Taiwan during 2004-2008. A total of 391 study subjects were recruited from patients with major diagnosis of lung diseases who were depending on ventilator for at least 7 days in RCC. The primary study groups were classified by the stages of different intervention models designed by physician’s shift pattern, which were found as long-term continuum care (physicians stayed over three months), intermediate continuum care (physicians stayed 1-3 months), and cross-shifting care (physicians cross over every day). The patient prognoses and associated factors were analyzed among these three models. The findings have demonstrated that factors associated with weaning were disease severity (negative association with APACHE II), length of RCC stays (negative association with the LOS), and the duration of ventilator usage (negative association with ventilator days). A higher likelihood of weaning was found in patients of which their physician’s tended to consult other specialists for their treatment decisions (OR=2.770, p &lt;0.05). The survival analysis has demonstrated that male patients (OR=2.035, p&lt;0.05) and patients with higher disease severity (OR=1.115, p&lt;0.001) were likely to expire during the study period. The patients under long-term continuum care had higher survival rate among the three models, with a hazard ratio of 0.048 (p&lt;0.05), Further examination had shown that the cumulative care experience had positive effects on the patient’s prognoses. The study has demonstrated that the model of physician intervention significantly affected medical quality of PMV patients. The findings provided valuable information for future policy making among medical settings. Especially, the arrangements of shift pattern for physicians in critical care units and designs of specialty on-job trainings received more radical thinking angles in the future.
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Books on the topic "Respiratory physicians"

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American College of Physicians (2003- ). Clinical practice: American College of Physicians guidelines and U.S. Preventive Service Task Force recommendations. Edited by Snow Vincenza 1961- and U.S. Preventive Services Task Force. Philadelphia: American College of Physicians, 2005.

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World Equine Airways Symposium (2nd 2001 Royal College of Physicians of Edinburgh). The World Equine Airways Symposium and Veterinary & Comparative Respiratory Society Annual Conference, in association with the British Association for Lung Research: Royal College of Physicians, Edinburgh, 19th-23rd July 2001. [Edinburgh, Scotland?: s.n., 2001.

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Dolgov, I., Mihail Volovik, and Andrey Mahnovskiy. Thermographic signs of certain diseases of the respiratory system (acute sinusitis, pneumonia) Thermography Atlas. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/textbook_61b1ab7de6b1f9.69203696.

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The present issue focuses on the practice of medical thermal imaging in patients with paranasal sinusitis and pneumonia. The description of thermograms is based on a quantitative analysis of temperature gradients and trends in temperature of different body regions (Projection «head front» for paranasal sinusitis, «breast front» and «back», in a defined layout formed in «cloud» thermograms analysis program "Tvision" of «Dignosis», Russia) with values of thermographic markers that demonstrated their differentiating capabilities when compared with reference methods. Thus, the thermographic conclusion is formed not simply by thermal phenomenon «hot-cold», but on the basis of numerical values of markers, which indicate hypothetical nosological diagnosis and significantly simplifies the algorithm for those physicians who use this method as an additional. The publication is intended for doctors of any speciality who, in their daily clinical practice, treat the patients with suspicions disease of respiratory system
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United States. Congress. House. A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of services of qualified respiratory therapists performed under the general supervision of a physician. Washington, D.C: U.S. G.P.O., 2007.

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United States. Congress. Senate. A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of services of qualified respiratory therapists performed under the general supervision of a physician. Washington, D.C: U.S. G.P.O., 2008.

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Chan, Ben. Pulmonary function testing in Ontario: Patterns of practice and policy implications. North York, Ont: Institute for Clinical Evaluative Sciences in Ontario, 1995.

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Hartman, Bob, Desai, and Franquet. Ct Imaging in Respiratory Medicine: Guide for Physicians. Taylor & Francis Group, 2007.

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Teramoto, Shinji, and Kosaku Komiya. Aspiration Pneumonia: The Current Clinical Giant for Respiratory Physicians. Springer, 2020.

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Teramoto, Shinji, and Kosaku Komiya. Aspiration Pneumonia: The Current Clinical Giant for Respiratory Physicians. Springer Singapore Pte. Limited, 2021.

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Membership of the Royal College of Physicians, Part 2 (Pocket). PasTest, 1990.

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Book chapters on the topic "Respiratory physicians"

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Basinas, Ioannis, Hakan Tinnerberg, and Martie van Tongeren. "Exposure assesment: an introduction for the respiratory physician." In Occupational and Environmental Lung Disease, 19–33. Sheffield, United Kingdom: European Respiratory Society, 2020. http://dx.doi.org/10.1183/2312508x.10035919.

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Grattan, Bruce J. "The SAFE-T Wasn’t On." In Psychiatric Emergencies, 35–44. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197544464.003.0006.

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The suicidal patient can be a challenge for emergency physicians. This case of an elderly male veteran and recent widower who presents to the emergency department with a vague history, intoxication, traumatic injuries, and respiratory depression outlines steps for the reader to take. The emergency physician is presented with a number of formidable tasks when managing suicidal patients because an accurate history is often lacking. This chapter reviews the current literature with emphasis on risk factors, risk stratification, and necessary precautions for the safety of both emergency department personnel and patients at high risk for further self-harm. While no screening tool can take the place of clinical judgment, helpful mnemonics and screening tools are reviewed. The emergency physician’s role in lethal means counseling and continuity of care is likewise addressed.
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Chapman, Stephen J., Grace V. Robinson, Rahul Shrimanker, Chris D. Turnbull, and John M. Wrightson. "Ethical considerations." In Oxford Handbook of Respiratory Medicine, edited by Stephen J. Chapman, Grace V. Robinson, Rahul Shrimanker, Chris D. Turnbull, and John M. Wrightson, 727–32. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198837114.003.0051.

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Respiratory physicians are often involved in making difficult decisions about the appropriateness of treatment and the prolongation of life in patients with chronic underlying lung disease. Sometimes, artificial ventilation may prolong the dying process; life has a natural end, and the potential to prolong life in the ICU can cause dilemmas. In other cases, these interventions are valuable at prolonging life with a reversible complication.
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Chapman, Stephen J., Grace V. Robinson, Rahul Shrimanker, Chris D. Turnbull, and John M. Wrightson. "Thoracoscopy." In Oxford Handbook of Respiratory Medicine, edited by Stephen J. Chapman, Grace V. Robinson, Rahul Shrimanker, Chris D. Turnbull, and John M. Wrightson, 907–12. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198837114.003.0073.

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Thoracoscopy is the procedure of examining the parietal pleura, visceral pleura, and diaphragm with a thoracoscope and taking biopsies. Chemical pleurodesis can also be performed. Performed by chest physicians using conscious sedation and local anaesthetic. Occasionally deep sedation is instead delivered by an anaesthetist. Either a rigid or a ‘semi-rigid’ flexible thoracoscope (similar to a bronchoscope) is used, dependent on local availability. Overlap with VATS (equipment similar, but VATS undertaken using general anaesthetic and single lung ventilation).
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"The Perspective of Physicians: The Intensive Care Specialist and the Pulmonary Specialist." In Ventilatory Support for Chronic Respiratory Failure, 539–44. CRC Press, 2008. http://dx.doi.org/10.3109/9781420020229-46.

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Maat, Alexander, Amir Hossein Sadeghi, Ad Bogers, and Edris Mahtab. "The Realm of Oncological Lung Surgery: From Past to Present and Future Perspectives." In Update in Respiratory Diseases. IntechOpen, 2020. http://dx.doi.org/10.5772/intechopen.90658.

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In this chapter, a historical overview as well as an overview of state of the art of the surgical techniques for the treatment of lung cancer is outlined. The chapter focuses on the introduction of open surgery, video-assisted thoracic surgery (VATS), uniportal VATS (UVATS), and robotic-assisted thoracic surgery (RATS) techniques for lung resections. A short introduction on upcoming techniques and modalities is given. The currently available tools as three-dimensional (3D) computed tomography (CT), virtual reality, and endo-bronchial surgery will be discussed. Based on the current development, this chapter attempts to delineate the horizon of oncological lung surgery. The information is generated not only from the available literature, but also from the experiences of surgeons and other physicians as well as co-workers involved in lung cancer treatment around the world. This chapter can be seen as a general introduction to several aspects of oncological lung surgery.
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Rothstein, William G. "Training in Primary Care." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0028.

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Training in primary care has received limited attention in medical schools despite state and federal funding to increase its emphasis. Departments of internal medicine, which have been responsible for most training in primary care, have shifted their interests to the medical subspecialties. Departments of family practice, which have been established by most medical schools in response to government pressure, have had a limited role in the undergraduate curriculum. Residency programs in family practice have become widespread and popular with medical students. Primary care has been defined as that type of medicine practiced by the first physician whom the patient contacts. Most primary care has involved well-patient care, the treatment of a wide variety of functional, acute, self-limited, chronic, and emotional disorders in ambulatory patients, and routine hospital care. Primary care physicians have provided continuing care and coordinated the treatment of their patients by specialists. The major specialties providing primary care have been family practice, general internal medicine, and pediatrics. General and family physicians in particular have been major providers of ambulatory care. This was shown in a study of diaries kept in 1977–1978 by office-based physicians in a number of specialties. General and family physicians treated 33 percent or more of the patients in every age group from childhood to old age. They delivered at least 50 percent of the care for 6 of the 15 most common diagnostic clusters and over 20 percent of the care for the remainder. The 15 clusters, which accounted for 50 percent of all outpatient visits to office-based physicians, included activities related to many specialties, including pre- and postnatal care, ischemic heart disease, depression/anxiety, dermatitis/eczema, and fractures and dislocations. According to the study, ambulatory primary care was also provided by many specialists who have not been considered providers of primary care. A substantial part of the total ambulatory workload of general surgeons involved general medical examinations, upper respiratory ailments, and hypertension. Obstetricians/ gynecologists performed many general medical examinations. The work activities of these and other specialists have demonstrated that training in primary care has been essential for every physician who provides patient care, not just those who plan to become family physicians, general internists, or pediatricians.
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Sabermahani, Farveh, Anahita Manafimourkani, Ehsan Bitaraf, Nahid Seifi, Mahdi Chinichian, Adel Ghaemi, Leila-Sadat Farhadi, and Abbas Sheikhtaheri. "An Easy-to-Use Platform for Reporting COVID-19 Patients by Private Offices and Clinics Without IT Support: A Pilot Study." In Studies in Health Technology and Informatics. IOS Press, 2022. http://dx.doi.org/10.3233/shti220376.

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Background: It is feasible to collect data rapidly and online using IT solutions. Objectives: To present a data collection platform for COVID-19 suspected patients in private offices and clinics without a standard software. Methods: The proposed system for collecting and sharing data of patients with respiratory symptoms was designed to be simple to use, without the need for special technology, and with proper security to authenticate reporters. Results: Two methods were developed to collect data from private physicians and offices. Finally, the data collected by both approaches is integrated and provided to primary healthcare staff to arrange appropriate healthcare measures. Conclusion: Our platform can provide an easy-to-use case reporting system for private physicians.
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Yamamoto, Loren G. "Vaccine-Preventable Disease." In Pediatric Emergencies, 123–36. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190073879.003.0014.

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This chapter discusses disease entities that are vaccine preventable. Diseases not likely to be seen by physicians because of near eradication include diphtheria, tetanus, polio, and rabies. However, suspected rabies exposure is common, and initiating post-exposure prophylaxis is essential to preventing rabies. Clearly, other diseases that vaccines have reduced but not eliminated, such as pertussis, hepatitis A, hepatitis B, rotavirus, varicella/zoster, pneumococcal disease, meningococcal disease, influenza, respiratory syncytial virus, and tuberculosis, will be encountered. Haemophilus influenzae type b disease may also rarely be seen. There is great potential for physicians to never see a case of measles, mumps, and rubella, but because clusters of parents have chosen to not vaccinate their children, sporadic outbreaks will continue to occur.
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Stein, Paul D., Fadi Matta, and John D. Firth. "Deep venous thrombosis and pulmonary embolism." In Oxford Textbook of Medicine, edited by Jeremy Dwight, 3711–29. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0375.

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Deep venous thrombosis (DVT) and pulmonary embolism (PE) are sometimes described together using the term ‘thromboembolism’. PE is a complication of DVT, with thrombi in 80% or more of cases originating in the legs. Deep venous thrombosis (DVT) is diagnosed in 1–2% of hospitalized patients, but is often silent and is found much more frequently at autopsy. Patients typically complain of pain and/or swelling of the leg, but often the diagnosis will be considered only when the physician detects unilateral leg swelling. Management strategies of PE have been developed that are based on the diagnosis of either PE or DVT, provided the patient has good respiratory reserve. Treatment with anticoagulants is the same for both. Some physicians believe that patients can be managed better if it is known whether acute PE is present, even if a diagnosis of DVT is already established.
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Conference papers on the topic "Respiratory physicians"

1

Konda, Shruthi, Srividya Narayan, Praveen Molanguri, and Brendan Madden. "Right heart catheterisation – for respiratory physicians?" In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa3790.

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Loukeri, Angeliki A., Evgenia Triantafyllidou, Panagiotis-Dimitrios Spithakis, Zafeiria Barmparessou, Christos F. Kampolis, and Charalampos Moschos. "Pneumothorax management in Greece: A nationwide survey of respiratory physicians." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa2775.

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Sehlbach, Carolin, Pim Teunissen, Frank Smeenk, Erik Driessen, Marjan Govaerts, and Gernot Rohde. "Late Breaking Abstract - An ethnographic study on respiratory physicians’ communicative repertoire." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.oa5340.

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Brown, SMN. "P96 Survey of paediatric respiratory physicians’ experiences of respiratory care and transition of patients with neuro-disability." In British Thoracic Society Winter Meeting, Wednesday 17 to Friday 19 February 2021, Programme and Abstracts. BMJ Publishing Group Ltd and British Thoracic Society, 2021. http://dx.doi.org/10.1136/thorax-2020-btsabstracts.241.

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Laursen, Christian B., Jesper Rømhild Davidsen, Ole Graumann, and Niels Christian Hansen. "Ultrasound guided transthoracic biopsy performed by respiratory physicians: Diagnostic yield and complications." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa2205.

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Schoovaerts, Kathleen, Natalie Lorent, Pieter Goeminne, and Lieven Dupont. "National survey on management of adult bronchiectasis by respiratory physicians in Belgium." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa795.

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Laursen, Christian, Therese Maria Henriette Naur, Uffe Bodtger, Lars Konge, Daniel Pilsgaard Henriksen, Sara Colella, Matiullah Naqibullah, et al. "Learning curves for ultrasound guided lung biopsy in the hands of respiratory physicians." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa3850.

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Flahou, Bram, Jan Van Schoor, Stefaan Vancayzeele, and Sandra Gurdain. "Allergy testing in asthmatics and severe asthmatics: habits among respiratory physicians in Belgium." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.242.

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Sferrazza Papa, Giuseppe Francesco, Michele Mondoni, Giovanni Volpicelli, Paolo Carlucci, Fabiano Di Marco, Elena Maria Parazzini, Francesca Reali, et al. "Accuracy and clinical impact of point-of-care lung ultrasound performed by respiratory physicians." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa3802.

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Piracha, Shahbaz, Ahmad Raza, Muhammad Niazi, Muhammad Saleem, Muhammad Ganaie, and Usman Maqsood. "A study of burnout and professional fulfilment among respiratory physicians (RP) in United Kingdom (UK)." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa1976.

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